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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2017
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 AMBULANCE EQUIPMENT: Column (A) - Total = $1509; Column (B) - Program Services = $1509; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses AMBULANCE FUEL : Column (A) - Total = $4787; Column (B) - Program Services = $4787; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses AUTO EXPENSE: Column (A) - Total = $185; Column (B) - Program Services = $185; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses BACKGROUND INVESTIGATION: Column (A) - Total = $260; Column (B) - Program Services = $260; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses BANK SERVICE CHARGE: Column (A) - Total = $317; Column (B) - Program Services = $0; Column (C) - Management & General = $317; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses BANQUET EXPENSES: Column (A) - Total = $9960; Column (B) - Program Services = $0; Column (C) - Management & General = $9960; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses COMPUTER EXPENSES: Column (A) - Total = $3714; Column (B) - Program Services = $3714; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses CONTINUING EDUCATION: Column (A) - Total = $8036; Column (B) - Program Services = $8036; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses DONATION : Column (A) - Total = $435; Column (B) - Program Services = $0; Column (C) - Management & General = $435; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses DUES & SUBSCRIPTIONS: Column (A) - Total = $95; Column (B) - Program Services = $0; Column (C) - Management & General = $95; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses LISCENSES & PERMITS: Column (A) - Total = $710; Column (B) - Program Services = $710; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses MEDICAL WASTE: Column (A) - Total = $580; Column (B) - Program Services = $580; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses MISCELLANEOUS: Column (A) - Total = $1190; Column (B) - Program Services = $1190; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses PHYSICALS : Column (A) - Total = $100; Column (B) - Program Services = $100; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses Postage and Shipping: Column (A) - Total = $575; Column (B) - Program Services = $575; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses Printing and Publications: Column (A) - Total = $1790; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $1790
Form 990, Part IX, Line 24e: Other Expenses RADIO & PAGER REPAIRS: Column (A) - Total = $982; Column (B) - Program Services = $982; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses TELEPHONE: Column (A) - Total = $3717; Column (B) - Program Services = $3717; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses UNIFORMS: Column (A) - Total = $4861; Column (B) - Program Services = $4861; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses VACCINES & MEDICINES: Column (A) - Total = $1125; Column (B) - Program Services = $1125; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2017


Additional Data


Software ID: 17005038
Software Version: 2017v2.2