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.
Attach to Form 990 or 990-EZ.
 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization
LAKE COUNTY AMBULANCE SERVICE
 
Employer identification number

41-1893902
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 1A BOARD CHAIR, VICE CHAIR, AND SECRETARY/TREASURER MAKE UP THE EXECUTIVE BOARD, WHICH CAN VOTE INDEPENDENT FROM THE REST OF THE BOARD IF NEEDED.
FORM 990, PART VI, SECTION B, LINE 11B THE BOARD REVIEWS AND APPROVES THE FORM 990 BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C LAKE COUNTY AMBULANCE SERVICES MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY WITH AN ANNUAL DISCLOSURE AND CONFIDENTIALITY STATEMENT THAT BOARD MEMBERS ARE TO REVIEW AND SIGN EACH YEAR. THE CONFLICT OF INTEREST DISCLOSURE REQUIRES THE BOARD MEMBER TO DISCLOSE ANY RELATIONSHIPS THEY MAY HAVE WITH ORGANIZATIONS OR PEOPLE THAT COULD CREATE A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS MEET IN CLOSED SESSION TO DISCUSS AND APPROVE OR REJECT ALL OFFERS OF EXECUTIVE, OFFICER, AND KEY EMPLOYEE COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2023


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