POSSUM KINGDOM LAKE VOLUNTEER FIRE AND AMBULANCE SERVICE INC: Form 990EZ, tax year 2017
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- Organization
- POSSUM KINGDOM LAKE VOLUNTEER FIRE AND AMBULANCE SERVICE INC (EIN 75-1728671)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-12
- IRS object ID
- 201823169349200322
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-12T12:10:42-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 472452060 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRAWFORD CARTER & DURBIN LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 87 | AddressLine1Txt |
| City | MINERAL WELLS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 760680087 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 751728671 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | POSSUM KINGDOM LAKE VOLUNTEER FIRE | BusinessNameLine1Txt |
| Business Name Line2 | AMBULANCE SERVICE INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | POSS | BusinessNameControlTxt |
| Phone | 9403283112 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 345 | AddressLine1Txt |
| City | GRAFORD | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76449 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DALE MARSH | PersonNm |
| Person Title | DIRECTOR | PersonTitleTxt |
| Phone | 9403283112 | PhoneNum |
| Signature | 2018-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARTIN R DURBIN | PreparerPersonNm |
| PTIN | P01807571 | PTIN |
| Phone | 9403281167 | PhoneNum |
| Preparation | 2018-11-09 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 66.76.58.2 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-12 | IPDt |
| IP Tm | 12:10:42 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 341EE1D57AB720C04442E61FEFB5090643F32752 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 278A23C321785F3A3D2FCDADDE48C131429ADF56 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | HTTPS://PKFIRE-EMS.COM | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $136,658 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $97,967 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $12,213 | ProgramServiceRevenueAmt |
| Fundraising Gross Income | $26,478 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $3,721 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $22,757 | SpecialEventsNetIncomeLossAmt |
| Total Revenue | $132,937 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $16,507 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $34,854 | OccupancyRentUtltsAndMaintAmt |
| Other Expenses Total | $153,736 | OtherExpensesTotalAmt |
| Total Expenses | $205,097 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$72,160 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $836,287 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | -$280,832 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $483,295 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $499,008 | BOYAmt |
| EOY | $141,837 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,000 | BOYAmt |
| EOY | $99,420 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $332,279 | BOYAmt |
| EOY | $242,038 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $836,287 | BOYAmt |
| EOY | $483,295 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $836,287 | BOYAmt |
| EOY | $483,295 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | FIREFIGHTING AND EMERGENCY MEDICAL ASSISTANCE FOR RESIDENTS AND BUSINESSES OF PALO PINTO COUNTY, TEXAS, AND SURROUNDING AREAS. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | FIREFIGHTING AND EMERGENCY MEDICAL ASSISTANCE FOR RESIDENTS AND BUSINESSES OF PALO PINTO COUNTY, TEXAS, AND SURROUNDING AREAS. | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $192,679 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $192,679 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (5 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| DALE MARSH | ||
| DIRECTOR | 1.00 | $0 |
| PATTY REDDING | ||
| DIRECTOR | 1.00 | $0 |
| TONY KLAPPER | ||
| DIRECTOR | 1.00 | $0 |
| LAUREL MCCRACKEN | ||
| DIRECTOR | 1.00 | $0 |
| HARRY THOMPSON | ||
| DIRECTOR | 1.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | Yes (true) | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DALE MARSH | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 345 | AddressLine1Txt |
| City | GRAFORD | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76449 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9403283112 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $134,226 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $140,142 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $113,695 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $82,650 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $44,186 | CurrentTaxYearAmt |
| Total | $514,899 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $146,989 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $127,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $68,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $68,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $53,781 | CurrentTaxYearAmt |
| Total | $463,770 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $281,215 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $267,142 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $181,695 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $150,650 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $97,967 | CurrentTaxYearAmt |
| Total | $978,669 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $70,381 | SubstantialContributorsTotAmt |
| Public Support Total170 | $908,288 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $32 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28 | CurrentTaxYearMinus3YearsAmt |
| Total | $60 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $978,729 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $221,862 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.92800 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98640 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GARAGE SALE | Event1Nm |
| Gross Receipts Event1 | $22,741 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $22,741 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $70 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $22,741 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $22,741 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $70 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $70 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $22,671 | NetIncomeSummaryAmt |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail (3 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Business Name Line2BusinessName/BusinessNameLine2Txt | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| POSSUM KINGDOM LAKE VOLUNTEER | ||||||||||
| CASH&AMBULANCE EQUIP | 2017-07-01 | $226,210 | BOOK VALUE | 828070562 | EMS INC | PO BOX 345 | GRAFORD | TX | 76449 | 501C3 |
| POSSUM KINGDOM LAKE EMS | ||||||||||
| CASH & TRAINING EQUIP | 2017-07-01 | $73,734 | BOOK VALUE | 822092771 | EDUCATION INC | PO BOX 345 | GRAFORD | TX | 76449 | 501C3 |
| POSSUM KINGDOM FIRE AND AMBULANCE | ||||||||||
| CASH & BLDG/LAND | 2017-07-01 | $435,000 | BK/APPRAIS | 822517791 | AUXILIARY INC | PO BOX 108 | GRAFORD | TX | 76449 | 501C3 PEND |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | Yes (true) | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | false | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | false | OwnerOfSuccessor2Ind |
| Receive Compensation2 | false | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE N | FormAndLineReferenceDesc |
| Explanation | DURING 2017, TO IMPROVE OPERATIONAL EFFICIENCY AND BETTER PROTECT AND STEWARD ITS ASSETS, THE ORGANIZATION DIVIDED ITS OPERATIONS AMONG ITSELF AND THREE NEWLY-ESTABLISHED 501C3 ENTITIES: POSSUM KINGDOM LAKE VOLUNTEER EMS, INC., 82-8070562; POSSUM KINGDOM LAKE EMS EDUCATION, INC., 82-2092771; POSSUM KINGDOM FIRE AND AMBULANCE AUXILIARY, INC., 82-2517791 (501C3 SUPPORTING ORGANIZATION APPLICATION PENDING) FIREFIGHTING OPERATIONS/ASSETS WERE RETAINED IN THE ORIGINAL ORGANIZATION. ASSETS RELATED TO THE OPERATIONS OF THE NEWLY FORMED 501C3 ENTITIES WERE TRANSFERRED TO THOSE ENTITIES. ONE OF THE NEW ENTITIES (POSSUM KINGDOM FIRE AND AMBULANCE AUXILIARY, INC.) IS A TYPE I SUPPORTING ORGANIZATION (501C3 APPLICATION PENDING) OF THE OTHER THREE ORGANIZATIONS. AS SUCH, THE MAJORITY OF THE DIRECTORS OF THE SUPPORTING ORGANIZATION ARE ALSO DIRECTORS OF THE SUPPORTED ORGANIZATIONS. DALE MARSH AND PATTY REDDING SERVE AS DIRECTORS FOR THE ORGANIZATION AND EACH OF THE THREE NEW 501C3 ENTITIES. TONY KLAPPER IS A DIRECTOR FOR THE ORGANIZATION AND TWO OF THE NEW 501C3 ENTITIES. EACH OF THE ENTITIES HAS ADDITIONAL DIRECTORS AND OFFICERS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE 1,145 INSURANCE EXPENSES 26,529 FIRE & EMERG EQUIP/SUPPLY 41,660 FUEL 2,887 VOLUNTEER TRAINING & LICE 12,331 DUES/FEES/CERTIFICATIONS 4,925 VOLUNTEER SUPPORT/RECOGNI 1,132 NON-INVESTMENT DEPRECIATION 63,127 TOTAL 153,736 |
| FORM 990-EZ, PART I, LINE 20 | ASSET TRANSFER TO NEW 501C3S -280,832 DURING 2017, TO IMPROVE OPERATIONAL EFFICIENCY AND BETTER PROTECT AND STEWARD ITS ASSETS, THE ORGANIZATION DIVIDED ITS OPERATIONS AMONG ITSELF AND THREE NEWLY-ESTABLISHED 501C3 ENTITIES. FIREFIGHTING OPERATIONS/ASSETS WERE RETAINED IN THE ORGANIZATION. ASSETS RELATED TO THE OPERATIONS OF THE NEWLY-FORMED 501C3 ENTITIES (EMS, EMS EDUCATION, AUXILIARY, ETC.) WERE TRANSFERRED TO THOSE ENTITIES. THE DECREASE IN NET ASSETS REFLECTS THE TRANSFER OF ASSETS AT NET BOOK VALUE TO THE NEW ENTITIES. SEE SCHEDULE N FOR ADDITIONAL DETAILS REGARDING THESE ASSET TRANSFERS. |
| FORM 990-EZ, PART II, LINE 24 | 661,214 588,928 LESS ACCUMULATED DEPRECIATION 329,029 346,890 OTHER ASSETS 94 0 TOTAL 332,279 242,038 |
| FORM 990-EZ, PART III | FIREFIGHTING AND EMERGENCY MEDICAL ASSISTANCE FOR RESIDENTS AND BUSINESSES OF PALO PINTO COUNTY, TEXAS, AND SURROUNDING AREAS. |
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