NORTH SENECA AMBULANCE, INC.

Business Information

URL	www.northsenecaambulance.com
Division Name	NORTH SENECA AMBULANCE, INC
Congressional District	24
State/Country of Incorporation	NY, USA
Activation Date	2024-04-26
Initial Registration Date	2014-11-22
Entity Start Date	1976-01-01
Fiscal Year End Close Date	Dec 31

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	RUSSELL GOODMAN
Role	EXECUTIVE DIRECTOR
Address	1645 NORTH ROAD, WATERLOO, NY, 13165, USA
Title	ALTERNATE POC
Name	JOHN HANSON
Role	CHIEF PARAMEDIC
Address	1645 NORTH ROAD, WATERLOO, NY, 13165, USA

Government Business
Title	PRIMARY POC
Name	RUSSELL GOODMAN
Role	EXECUTIVE DIRECTOR
Address	1645 NORTH ROAD, WATERLOO, NY, 13165, USA
Title	ALTERNATE POC
Name	JOHN HANSON
Role	CHIEF PARAMEDIC
Address	1645 NORTH ROAD, WATERLOO, NY, 13165, USA

Past Performance	Information not Available

Contact Information

POC	RUSSELL GOODMAN
Phone	+1 315-539-5002
Fax	+1 315-539-2464
Address	1645 NORTH RD, WATERLOO, NY, 13165 9447, UNITED STATES

Ownership of Offeror Information

Highest Level Owner	Information not Available

Immediate Level Owner	Information not Available

List of Offerors (0)	Information not Available

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	812990
Sponsor’s telephone number	3155395002
Plan sponsor’s address	1645 NORTH ROAD, WATERLOO, NY, 13165

Signature of

Role	Plan administrator
Date	2024-05-09
Name of individual signing	RUSSELL GOODMAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	812990
Sponsor’s telephone number	3155395002
Plan sponsor’s address	1645 NORTH ROAD, WATERLOO, NY, 13165

Signature of

Role	Plan administrator
Date	2023-06-20
Name of individual signing	RUSSELL GOODMAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	812990
Sponsor’s telephone number	3155395002
Plan sponsor’s address	1645 NORTH ROAD, WATERLOO, NY, 13165

Signature of

Role	Plan administrator
Date	2021-10-11
Name of individual signing	BENJAMIN PIERSON

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621900
Sponsor’s telephone number	3155395386
Plan sponsor’s address	1645 NORTH ROAD, WATERLOO, NY, 13165

Signature of

Role	Plan administrator
Date	2020-10-13
Name of individual signing	KEVIN LIGHTFOOTE

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621900
Sponsor’s telephone number	3155395386
Plan sponsor’s address	1645 NORTH RD, WATERLOO, NY, 13165

Plan administrator’s name and address

Administrator’s EIN	264477125
Plan administrator’s name	401K GENERATION
Plan administrator’s address	195 INTERNATIONAL PKWY, S #311, LAKE MARY, FL, 32746
Administrator’s telephone number	8669985879

Signature of

Role	Plan administrator
Date	2019-06-17
Name of individual signing	EDWARD ROJAS

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621900
Sponsor’s telephone number	3155395386
Plan sponsor’s address	1645 NORTH RD, WATERLOO, NY, 13165

Signature of

Role	Plan administrator
Date	2018-05-17
Name of individual signing	JAY PELTON

In Care of Name	% THOMAS DAVID
Group Exemption Number	0000
Subsection	Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation	Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification	Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility	Contributions are deductible.
Foundation	Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period	2023-12
Asset	1,000,000 to 4,999,999
Income	1,000,000 to 4,999,999
Filing Requirement	990 (all other) or 990EZ return
PF Filing Requirement	No 990-PF return
Accounting Period	Dec
Asset Amount	2696859
Income Amount	2043203
Form 990 Revenue Amount	1974835
National Taxonomy of Exempt Entities	-
Sort Name	-

Publication 78 Data

Description	Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List	Yes
Deductibility	Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name	NORTH SENECA AMBULANCE INC
EIN	51-0176168
Tax Period	202212
Filing Type	E
Return Type	990
File	View File
Organization Name	NORTH SENECA AMBULANCE INC
EIN	51-0176168
Tax Period	202112
Filing Type	E
Return Type	990
File	View File
Organization Name	NORTH SENECA AMBULANCE INC
EIN	51-0176168
Tax Period	202012
Filing Type	E
Return Type	990
File	View File
Organization Name	NORTH SENECA AMBULANCE INC
EIN	51-0176168
Tax Period	201812
Filing Type	E
Return Type	990
File	View File
Organization Name	NORTH SENECA AMBULANCE INC
EIN	51-0176168
Tax Period	201612
Filing Type	E
Return Type	990
File	View File
Organization Name	NORTH SENECA AMBULANCE INC
EIN	51-0176168
Tax Period	201512
Filing Type	E
Return Type	990
File	View File

Loan Status Date	2021-01-28
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	185627
Loan Approval Amount (current)	185627
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	47407
Servicing Lender Name	The Lyons National Bank
Servicing Lender Address	35 William St, LYONS, NY, 14489-1544
Rural or Urban Indicator	R
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	WATERLOO, SENECA, NY, 13165-9447
Project Congressional District	NY-24
Number of Employees	28
NAICS code	621910
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Non-Profit Organization
Originating Lender ID	47407
Originating Lender Name	The Lyons National Bank
Originating Lender Address	LYONS, NY
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	186318.18
Forgiveness Paid Date	2020-11-10