SCHEDULE O
(Form 990)

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
2021
Open to Public
Inspection
Name of the organization
COUDERSPORT VOLUNTEER AMBULANCE ASSOCIATION
 
Employer identification number

23-2136191
Return Reference Explanation
Pt VI, Line 6 WE HAVE BOARD MEMBERS
Pt VI, Line 7b THE GOVERNING BODY/BOARD MEMBERS APPROVE BY VOTING
Pt VI, Line 8b WE DO NOT HAVE A COMMITTEE TO ACT ON BEHALF OF THE GOVERNING BODY
Pt VI, Line 11b A COPY OF THE TAX RETURN IS GIVEN TO THE BOARD TO APPROVE
Pt XI LINE 9 ROUNDING
Form 990, Part IX, Line 24e AMBULANCE MAINTENANCE 1666. 1666. 0. 0.
Form 990, Part IX, Line 24e BANK SERVICE CHARGES 254. 254. 0. 0.
Form 990, Part IX, Line 24e BUILDING MAINTENANCE 1645. 1645. 0. 0.
Form 990, Part IX, Line 24e VEHICLE MAINTENANCE 8216. 8216. 0. 0.
Form 990, Part IX, Line 24e FUEL & OIL 9716. 9716. 0. 0.
Form 990, Part IX, Line 24e MEDICAL SUPPLIES 7729. 7729. 0. 0.
Form 990, Part IX, Line 24e POSTAGE 64. 64. 0. 0.
Form 990, Part IX, Line 24e TELEPHONE 2231. 2231. 0. 0.
Form 990, Part IX, Line 24e TRAINING 99. 99. 0. 0.
Form 990, Part IX, Line 24e TRANSFER EXPENSES 9888. 9888. 0. 0.
Form 990, Part IX, Line 24e UTILITIES 7707. 7707. 0. 0.
Form 990, Part IX, Line 24e MISCELLANEOUS 282. 282. 0. 0.
Form 990, Part IX, Line 24e JANITORIAL SUPPLIES 161. 161. 0. 0.
Form 990, Part IX, Line 24e FUNDRAISING 1330. 1330. 0. 0.
Form 990, Part IX, Line 24e EQUIPMENT RENT 1041. 1041. 0. 0.
Form 990, Part IX, Line 24e WORKERS COMP 17278. 17278. 0. 0.
Form 990, Part IX, Line 24e SMALL EQUIPMENT 4296. 4296. 0. 0.
Form 990, Part IX, Line 24e SUPPLIES 246. 246. 0. 0.
Form 990, Part IX, Line 24e EMS CHARTS 3848. 3848. 0. 0.
Form 990, Part IX, Line 24e INTERNET 1072. 1072. 0. 0.
Form 990, Part IX, Line 24e CLOTHING ALLOWANCE 453. 453. 0. 0.
Form 990, Part IX, Line 24e INCENTIVES 7690. 7690. 0. 0.
Form 990, Part IX, Line 24e DUES 125. 125. 0. 0.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


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