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
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 FUEL: Column (A) - Total = $7131; Column (B) - Program Services = $7131; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses AMBULANCE REGISTRATIONS: Column (A) - Total = $66; Column (B) - Program Services = $66; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses BACKGROUND INVESTIGATION: Column (A) - Total = $353; Column (B) - Program Services = $353; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses BANK SERVICE CHARGE: Column (A) - Total = $728; Column (B) - Program Services = $0; Column (C) - Management & General = $728; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses COMPUTER EXPENSES: Column (A) - Total = $217; Column (B) - Program Services = $217; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses CONTINUING EDUCATION: Column (A) - Total = $10847; Column (B) - Program Services = $10847; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses DUES & SUBSCRIPTIONS: Column (A) - Total = $3811; Column (B) - Program Services = $0; Column (C) - Management & General = $3811; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses LISCENSES & PERMITS: Column (A) - Total = $280; Column (B) - Program Services = $280; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses MEDICAL WASTE: Column (A) - Total = $635; Column (B) - Program Services = $635; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses MISCELLANEOUS: Column (A) - Total = $296; Column (B) - Program Services = $296; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses PARAMEDIC BILLING: Column (A) - Total = $12120; Column (B) - Program Services = $12120; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses PHYSICALS: Column (A) - Total = $394; Column (B) - Program Services = $394; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses Postage and Shipping: Column (A) - Total = $110; Column (B) - Program Services = $110; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses RADIO & PAGER: Column (A) - Total = $2939; Column (B) - Program Services = $2939; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses SMALL EQUIPMENT: Column (A) - Total = $481; Column (B) - Program Services = $481; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses STOP THE BLEED: Column (A) - Total = $4374; Column (B) - Program Services = $4374; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses TELEPHONE: Column (A) - Total = $2088; Column (B) - Program Services = $2088; 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) 2019


Additional Data


Software ID: 19009920
Software Version: 2019v5.0