FURP.ORG / PUBLIC DATA EXPLORER

BI-COUNTY AMBULANCE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BI-COUNTY AMBULANCE INC (EIN 42-1269394)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-15
IRS object ID
201311359349300911
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2013-05-15T08:24:42-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN201825823EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MILBERT FINANCIAL & TAX SERVICES INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1229 FIRST AVENUE EASTAddressLine1
CityDYERSVILLECity
StateIAState
ZIP Code52040ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN421269394EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BI-COUNTY AMBULANCE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBI-CNameControl
Phone5638758628Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 27AddressLine1
CityDYERSVILLECity
StateIAState
ZIP Code52040ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJUDY BOGEName
TitleOFFICERTitle
Phone5638757366Phone
Date Signed2013-05-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameJUDE MILBERTName
PTINP00544033PTIN
Phone5638759113Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJUDY BOGENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 27AddressLine1
CityDYERSVILLECity
StateIAState
ZIP Code52040ZIPCode
FieldValueIRS element (for citing)
Gross Receipts260675GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileIAStateLegalDomicile
Activity Or Mission DescriptionPROVIDE SMALL RURAL COMMUNITIES AMBULANCE SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees14TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year295185ProgramServiceRevenuePriorYear
Program Service Revenue CY260505ProgramServiceRevenueCY
Investment Income Prior Year321InvestmentIncomePriorYear
Investment Income Current Year170InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year295506TotalRevenuePriorYear
Total Revenue Current Year260675TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year56556SalariesEtcPriorYear
Salaries Etc Current Year56799SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year192274OtherExpensePriorYear
Other Expenses Current Year178737OtherExpensesCurrentYear
Total Expenses Prior Year248830TotalExpensesPriorYear
Total Expenses Current Year235536TotalExpensesCurrentYear
Revenues Less Expenses Prior Year46676RevenuesLessExpensesPriorYear
Revenues Less Expenses CY25139RevenuesLessExpensesCY
Total Assets BOY382515TotalAssetsBOY
Total Assets EOY407864TotalAssetsEOY
Total Liabilities BOY1494TotalLiabilitiesBOY
Total Liabilities EOY1704TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY381021NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY406160NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE AMBULANCE SERVICE TO LOCAL AND RURAL COMMMUNITYMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionRURAL COUNTY AMBULANCE SERVICEDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense235536Expense
FieldValueIRS element (for citing)
Total Program Service Expense235536TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees14NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledIAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JUDY BOGEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3198757366TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 27AddressLine1
CityDYERSVILLECity
StateIAState
ZIP Code52040ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
RON BOECKENSTEDT
PRES0.00X000
JIM HEAVENS
VICE PRES0.00X000
PAUL ENGLER
SEC/TREAS0.00X000
JUDY BOGE
OFFICER0.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionSERVICE CALLSDescription
Business Code621910BusinessCode
Total Revenue Column260505TotalRevenueColumn
Related Or Exempt Function Income260505RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue260505TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column170TotalRevenueColumn
Related Or Exempt Function Income170RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column260675TotalRevenueColumn
Related Or Exempt Function Income260675RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total46531Total
Program Services46531ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5913Total
Program Services5913ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4355Total
Program Services4355ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total363Total
Program Services363ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1335Total
Program Services1335ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19204Total
Program Services19204ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total100Total
Program Services100ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1741Total
Program Services1741ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total12564Total
Program Services12564ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total33Total
Program Services33ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total82416Total
Program Services82416ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
BAD DEBTS2756727567
VEHICLE EXPENSE1236612366
MEDICAL SUPPLIES84478447
TRAINING COSTS/SUPPLIES66866686

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5915Total
Program Services5915ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total235536Total
Program Services235536ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY33868BOY
EOY49583EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY98230BOY
EOY142972EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY27024BOY
EOY67306EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis323237LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec175234LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY223393BOY
EOY148003EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY382515BOY
EOY407864EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1494BOY
EOY1704EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1494BOY
EOY1704EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY381021BOY
EOY406160EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY381021BOY
EOY406160EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY382515BOY
EOY407864EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses25139ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1266CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1967CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years409CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year321CurrentTaxYearMinus1Year
Total3963Total
FieldValueIRS element (for citing)
Total Support3963TotalSupport
Gross Receipts From Admissions Etc1103191GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.00000PublicSupportPertcentage170
Public Support Pertcent Prior Year0.61980PublicSupportPertcentPriorYear
Thirty Three Percnt Tests PY170XThirtyThreePercntTestsPY170

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis323237OtherCostOrOtherBasis
Depreciation175234Depreciation
Book Value148003BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings148003TotalOfBookValueLandBuildings

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION RELIES ON ITS ACCOUNTING FIRM FOR THE PREPARATION AND REVIEW OF THEIR F
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE ON REQUEST