TY 2015 Form 990 Schedule O

efile Public Visual Render ObjectId: 201720899349300032 - Submission: 2017-03-30 TIN: 74-2614838

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
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Attach to Form 990 or 990-EZ.
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Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

UTOPIA VOLUNTEER EMERGENCY MEDICAL
SERVICES INC

Employer identification number

74-2614838

Return Reference	Explanation
Form 990, Part VI, Line 11b: Form 990 Review Process	Return was reviewed by EMS Board of Directors, Administrator and Bookkeeper for EMS at regular monthly board meeting and was approved and recorded in the minutes.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Governing documents, policies and financial statements made available to the public upon request.
Form 990, Part IX, Line 24e: Other Expenses	Air Medical Fees: Column (A) - Total = $3066; Column (B) - Program Services = $3066; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Building Maintenance: Column (A) - Total = $3185; Column (B) - Program Services = $3185; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Collection Fee: Column (A) - Total = $815; Column (B) - Program Services = $815; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Dues: Column (A) - Total = $1248; Column (B) - Program Services = $1248; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Equip Repair & Maint;: Column (A) - Total = $974; Column (B) - Program Services = $974; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Flowers: Column (A) - Total = $745; Column (B) - Program Services = $745; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	LIscense & Fees: Column (A) - Total = $536; Column (B) - Program Services = $536; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Meals: Column (A) - Total = $2211; Column (B) - Program Services = $2211; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Medical Director: Column (A) - Total = $5600; Column (B) - Program Services = $5600; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Medical Equipment: Column (A) - Total = $2738; Column (B) - Program Services = $2738; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Miscellaneous: Column (A) - Total = $722; Column (B) - Program Services = $722; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Radio Expense: Column (A) - Total = $1412; Column (B) - Program Services = $1412; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Telephone: Column (A) - Total = $4110; Column (B) - Program Services = $4110; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Training & Seminars: Column (A) - Total = $4424; Column (B) - Program Services = $4424; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Uniforms: Column (A) - Total = $1363; Column (B) - Program Services = $1363; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Utilities: Column (A) - Total = $4408; Column (B) - Program Services = $4408; Column (C) - Management & General = $0; Column (D) - Fundraising = $0

Return Reference

Explanation

Form 990, Part VI, Line 11b: Form 990 Review Process

Return was reviewed by EMS Board of Directors, Administrator and Bookkeeper for EMS at regular monthly board meeting and was approved and recorded in the minutes.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

Governing documents, policies and financial statements made available to the public upon request.