2022-09-09T11:06:13-05:00 2021-12-31 450250958 EIDE BAILLY LLP 200 E 10TH ST STE 500 SIOUX FALLS SD 571046375 990 2021-01-01 460305857 PLATTE AMBULANCE SERVICE PLAT 6053373364 PO BOX 1046 PLATTE SD 57369 KEITH VAN ZEE BOARD CHAIR 6053373364 2022-08-11 1 KEITH VAN ZEE 999009999 LAURIE HANSON CPA P00851848 6053391999 2022-08-11 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z KEITH VAN ZEE PO BOX 1046 PLATTE SD 57369 132295 0 X N/A X 1992 SD TO PROVIDE AMBULANCE SERVICE TO THE RESIDENTS OF THE PLATTE COMMUNITY. 5 5 0 5 0 0 2500 2150 128876 129642 3192 503 0 0 134568 132295 0 0 0 0 53545 65672 0 0 0 48361 61312 101906 126984 32662 5311 528313 533624 6344 6344 521969 527280 TO PROVIDE AMBULANCE SERVICE TO THE RESIDENTS OF THE PLATTE COMMUNITY. 0 0 125014 129642 THE AMBULANCE SERVICE IS STAFFED BY EMERGENCY MEDICAL TECHNICIANS, OR EMTS. THE SERVICE RESPONDS TO AN ESTIMATED 130 CALLS PER YEAR. TRANSPORTATION OF PATIENTS TO LOCAL HOSPITALS, ADMINISTRATION OF BASIC LIFE SUPPORT AND FIRST AID SERVICES ARE PROVIDED. 125014 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 21 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 X PLATTE AMBULANCE SERVICE 6053373364 PO BOX 1046 PLATTE SD 57369 X KEITH VAN ZEE CHAIR 0.50 X X 0 0 0 CHAR SEVERSON SECRETARY 0.50 X X 0 0 0 HOLLY VOETBERG TREASURER 0.50 X X 0 0 0 HERMAN TURNIS BOARD MEMBER 0.50 X 0 0 0 DR JEROME BENTZ BOARD MEMBER 0.50 X 0 0 0 0 0 0 0 0 0 0 0 2150 2150 AMBULANCE REVENUE 621910 129642 129642 129642 503 503 132295 129642 0 503 65672 65672 1970 1970 11268 11268 261 261 1389 1389 3282 3282 4914 4914 1741 1741 1981 1981 AUTOMOBILE EXPENSE 19701 19701 AMBULANCE SUPPLIES 7285 7285 BAD DEBT EXPENSE 5373 5373 REPAIRS 1084 1084 1063 1063 126984 125014 1970 0 449819 457883 76513 75741 405836 405836 1981 0 528313 533624 6344 6344 6344 6344 X 521969 527280 521969 527280 528313 533624 5311 0 X 0 0 0 X 500 800 4985 2500 2150 10935 113262 121350 150317 128876 129642 643447 113762 122150 155302 131376 131792 654382 0 0 0 654382 563 869 3965 3192 503 9092 563 869 3965 3192 503 9092 114325 123019 159267 134568 132295 663474 0.98630 0.98640 0.01370 0.01360 X 405836 405836 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH BROAD AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN OUTSIDE CONSULTING FIRM. PRIOR TO FILING THE FORM 990 WITH THE IRS, THE BOARD OF DIRECTORS WILL BE PRESENTED A COPY OF THE DRAFT 990 TO REVIEW. THE DRAFT WILL BE SENT TO THE BOARD MEMBERS VIA EMAIL. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS IS COVERED BY THE CONFLICT-OF-INTEREST POLICY. DETERMINATIONS OF WHETHER AN ACTUAL CONFLICT EXISTS ARE MADE AT THE BOARD LEVEL. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE CHAIRPERSON OF THE GOVERNING BOARD SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. THE INTERESTED PERSON IS ALLOWED TO MAKE A PRESENTATION TO THE BOARD BUT IS NOT ALLOWED TO PARTICIPATE IN DISCUSSION OR VOTING ON THE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT COMPENSATE ANY TOP MANAGEMENT OFFICIALS OR OFFICERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE ON FILE AND AVAILABLE TO THE PUBLIC FOR REVIEW UPON REQUEST.