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.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public
Inspection
Name of the organization
OLD LYME SOUTH END VOLUNTEER
AMBULANCE ASSOCIATION INC
Employer identification number

22-2677959
Return Reference Explanation
Form 990, Part VI, Line 11b: Form 990 Review Process FORM 990 IS REVIEWED BY THE TREASURER AND OUTSIDE ACCOUNTANT BEFORE FILING
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available UPON REQUEST
Form 990, Part IX, Line 24e: Other Expenses BANK CHARGES: Column (A) - Total = $20; Column (B) - Program Services = $0; Column (C) - Management & General = $20; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses COMMUNICATIONS: Column (A) - Total = $4090; Column (B) - Program Services = $4090; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses HOSPITALITY & PUBLIC RELATIONS: Column (A) - Total = $10501; Column (B) - Program Services = $10501; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses MISCELLANEOUS: Column (A) - Total = $1440; Column (B) - Program Services = $1440; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses OFFICE SUPPLIES & EXPENSE: Column (A) - Total = $10283; Column (B) - Program Services = $10283; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses PHYSICALS AND PERSONNEL FEES: Column (A) - Total = $4744; Column (B) - Program Services = $4744; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses RADIO & PAGER REPAIRS: Column (A) - Total = $9960; Column (B) - Program Services = $9960; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses TRAINING: Column (A) - Total = $10418; Column (B) - Program Services = $10418; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses Vehicle Expense: Column (A) - Total = $15558; Column (B) - Program Services = $15558; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Other Changes In Net Assets Or Fund Balances - Other Decreases CURRENT YEAR - UNREALIZED LOSS ON INVESTMENTS = -$1050
Other Changes In Net Assets Or Fund Balances - Other Decreases PRIOR PERIOD ADJ DEPRECIATION = -$59787
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2016


Additional Data


Software ID: 16000303
Software Version: 2016v3.0