2018-05-10T08:59:02-05:00 2017-12-31 161092347 MENGEL METZGER BARR & CO LLP 195 PARRISH STREET SUITE 240 CANANDAIGUA NY 14424 990 2017-01-01 237216568 PENN YAN VOLUNTEER AMBULANCE CORPS INC PENN 3155362714 PO BOX 272 PENN YAN NY 14527 BRIAN CHAMPLIN PRESIDENT 3155362714 2018-05-10 1 KRISTINA STAMATIS P00967056 5854231860 2018-05-10 2017 2022-09-23 18:48:47Z BRIAN CHAMPLIN PO BOX 272 PENN YAN NY 14527 780158 0 X PENNYANAMBULANCE.ORG X 1972 NY VOLUNTEER AMBULANCE SERVICES TO RESIDENTS OF PENN YAN NY AND THE SURROUNDING TOWNS AND VILLAGES VIA THE MUTUAL AID SYSTEM 11 11 1 35 0 0 3315 8885 388262 513655 67561 95625 0 0 459138 618165 0 0 0 0 42321 47323 0 0 0 401257 520930 443578 568253 15560 49912 2145882 2351367 786 524 2145096 2350843 VOLUNTEER AMBULANCE SERVICES TO RESIDENTS OF PENN YAN NY AND THE SURROUNDING TOWNS AND VILLAGES VIA THE MUTUAL AID SYSTEM 0 0 408250 513655 PROVIDED EMERGENCY AND NON EMERGENCY TRANSPORTATION AND INITIAL MEDICAL ASSISTANCE TO MEMBERS OF THE SERVICED COMMUNITY 408250 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X BETH FAHNESTOCK 3156942625 3275 E SHERMAN HOLLOW RD PENN YAN NY 14527 X COREY SLOCUM DIRECTOR 5.00 X 0 0 0 RYAN BAILEY DIRECTOR 5.00 X 0 0 0 MAHLON BRECHBILL DIRECTOR 40.00 X 0 0 0 WESLEY YOUNGMAN DIRECTOR 5.00 X 0 0 0 BRIAN LAURSEN DIRECTOR 5.00 X 0 0 0 LEEANN BRAMEN DIRECTOR 5.00 X 0 0 0 JASON JOHNSON DIRECTOR 40.00 X 0 0 0 CYNDI DAVIS VICE PRESIDENT 8.00 X 0 0 0 BRIAN CHAMPLIN PRESIDENT 5.00 X 0 0 0 BETH FAHNESTOCK TREASURER 8.00 X 0 0 0 KIM WILLIAMS SECRETARY 5.00 X 0 0 0 0 0 0 0 0 0 0 SOLDIERS & SAILORS MEMORIAL HOSPITAL 418 NORTH MAIN STREET PENN YAN NY 14527 STAFF LEASING 167169 1 8885 8885 PATIENT SERVICE REVENU 621910 513655 513655 513655 67854 67854 158264 31500 161993 0 -3729 31500 27771 31500 -3729 618165 545155 0 64125 X 41423 41423 2900 2900 3000 3000 299 299 4570 4570 184501 184501 8481 8481 3381 3381 9703 9703 7197 7197 893 893 11762 11762 100981 100224 757 27800 27800 BILLING SERVICE COSTS 48164 48164 SUPPLIES 45550 45550 EQUIPMENT REPAIRS 42085 42085 OTHER EXPENSES 14083 14083 11480 11480 568253 408250 160003 0 -9083 140862 111730 51810 26000 26000 1367717 929452 397745 438265 1619490 1694430 2145882 2351367 786 524 786 524 X 2145096 2350843 2145096 2350843 2145882 2351367 49912 155835 0 X 0 0 0 X 6140 1245 4562 3315 8885 24147 395396 388883 452188 388262 513655 2138384 401536 390128 456750 391577 522540 2162531 0 0 0 2162531 98799 60533 57832 67959 67854 352977 98799 60533 57832 67959 67854 352977 500335 450661 514582 459536 590394 2515508 0.85970 0.83230 0.14030 0.16770 X 45532 45532 522986 391861 131125 218316 170401 47915 580883 367190 213693 438265 FORM 990, PART VI, SECTION B, LINE 11B OFFICERS REVIEW AND ACKNOWLEDGE REVIEW OF TAX RETURN PRIOR TO FILING FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY IS REVIEWED AT BOARD MEETING FORM 990, PART VI, SECTION B, LINE 15 AMONG OTHER INFORMATION, THE BOARD CONSIDERS WAGES PAID BY SIMILAR ORGANIZATIONS IN DETERMINING COMPENSATION FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST AT THE AMBULANCE OFFICE THE TAX DOCUMENTS CAN ALSO BE VIEWED AT GUIDESTAR ORG FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 184,501. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 184,501.