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
2019
Open to Public
Inspection
Name of the organization
MOUNT CALVARY AMBULANCE SERVICE INC
 
Employer identification number

39-2011089
Return Reference Explanation
FORM 990, PAGE 6, PART VI, LINE 7A TWO DIRECTORS ARE ELECTED BY EACH THE VILLAGE OF MT CALVARY AND THE TOWN OF MARSHFIELD. THE FIFTH DIRECTOR IS APPOINTED BY THE ELECTED MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 11B ONE OR MORE MEMBERS OF THE BOARD REVIEW THE FORM 990 FILING WITH THE PREPARER PRIOR TO PRESENTING IT TO THE BOARD. OTHER MEMBERS OF THE BOARD ARE NOTIFIED OF THE FORM'S COMPLETION AND FILING DATE, AND ARE PROVIDED ACCESS TO A COPY AT THE ORGANIZATION'S BUSINESS OFFICE PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION FOR EMPLOYEES IS SUBJECT TO BOARD REVIEW AND CONSIDERS RELEVANT COMPARABLE DATA. THE VILLAGE OF MT CALVARY APPROVES APPOINTMENTS TO THE BOARD OF DIRECTORS AND ALSO APPROVES DIRECTOR COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S FINANCIAL REPORTS ARE PROVIDE TO THE VILLAGE BOARD QUARTERLY AND ARE PUBLISHED AS A MATTER OF PUBLIC RECORD ANNUALLY. OTHER GOVERNING DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION AT THE ORGANIZATION'S BUSINESS OFFICE. REQUESTED DOCUMENTS CAN BE MAILED UPON THE PAYMENT OF REASONABLE FEES FOR DUPLICATION AND POSTAGE EXPENSES INCURRED.
FORM 990, PART XI, LINE 9 BOOK / TAX DEPRECIATION DIFFERENCE -1
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


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