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  5. DIAZ MEMORIAL AMBULANCE SERVICE, INC.

DIAZ MEMORIAL AMBULANCE SERVICE, INC.

Company Details

Name: DIAZ MEMORIAL AMBULANCE SERVICE, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 25 Aug 1978 (47 years ago)
Entity Number: 462992
ZIP code: 12477
County: Ulster
Place of Formation: New York
Address: PO BOX 147, SAUGERTIES, NY, United States, 12477

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DIAZ AMBULANCE 403(B) PLAN 2023 141602545 2024-04-29 DIAZ MEMORIAL AMBULANCE SERVICE, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621900
Sponsor’s telephone number 8452469097
Plan sponsor’s address 1 MAIN STREET, P.O. BOX 147, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2024-04-29
Name of individual signing LISA BENJAMIN
DIAZ AMBULANCE 403(B) PLAN 2022 141602545 2023-05-18 DIAZ MEMORIAL AMBULANCE SERVICE, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621900
Sponsor’s telephone number 8452469097
Plan sponsor’s address 1 MAIN STREET, P.O. BOX 147, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2023-05-18
Name of individual signing LISA BENJAMIN
DIAZ AMBULANCE 403(B) PLAN 2021 141602545 2022-06-22 DIAZ MEMORIAL AMBULANCE SERVICE, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621900
Sponsor’s telephone number 8452469097
Plan sponsor’s address 1 MAIN STREET, P.O. BOX 147, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2022-06-22
Name of individual signing LISA BENJAMIN
DIAZ AMBULANCE 403(B) PLAN 2020 141602545 2021-05-03 DIAZ MEMORIAL AMBULANCE SERVICE, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621900
Sponsor’s telephone number 8452469097
Plan sponsor’s address 1 MAIN STREET, P.O. BOX 147, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2021-05-03
Name of individual signing LISA BENJAMIN
DIAZ AMBULANCE 403(B) PLAN 2019 141602545 2020-05-04 DIAZ MEMORIAL AMBULANCE SERVICE, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621900
Sponsor’s telephone number 8452469097
Plan sponsor’s address 1 MAIN STREET, P.O. BOX 147, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2020-05-04
Name of individual signing LISA BENJAMIN
DIAZ AMBULANCE 403(B) PLAN 2018 141602545 2019-05-16 DIAZ MEMORIAL AMBULANCE SERVICE, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621900
Sponsor’s telephone number 8452469097
Plan sponsor’s address 1 MAIN STREET, P.O. BOX 147, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2019-05-16
Name of individual signing LISA BENJAMIN
DIAZ AMBULANCE 403(B) PLAN 2017 141602545 2018-07-11 DIAZ MEMORIAL AMBULANCE SERVICE, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621900
Sponsor’s telephone number 8452469097
Plan sponsor’s address 1 MAIN STREET, P.O. BOX 147, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2018-05-22
Name of individual signing LISA BENJAMIN
Role Employer/plan sponsor
Date 2018-05-22
Name of individual signing LISA BENJAMIN
DIAZ AMBULANCE 403(B) PLAN 2016 141602545 2017-05-25 DIAZ MEMORIAL AMBULANCE SERVICE, INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621900
Sponsor’s telephone number 8452469097
Plan sponsor’s address 1 MAIN STREET, P.O. BOX 147, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2017-05-25
Name of individual signing LISA BENJAMIN
DIAZ AMBULANCE 403(B) PLAN 2015 141602545 2016-05-03 DIAZ MEMORIAL AMBULANCE SERVICE, INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621900
Sponsor’s telephone number 8452469097
Plan sponsor’s address 1 MAIN STREET, P.O. BOX 147, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2016-05-03
Name of individual signing LISA BENJAMIN
DIAZ AMBULANCE 403(B) PLAN 2014 141602545 2015-07-21 DIAZ MEMORIAL AMBULANCE SERVICE, INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621900
Sponsor’s telephone number 8452469097
Plan sponsor’s address 1 MAIN STREET, P.O. BOX 147, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing LISA BENJAMIN

DOS Process Agent

Name Role Address
DIAZ MEMORIAL AMBULANCE SERVICE, INC. DOS Process Agent PO BOX 147, SAUGERTIES, NY, United States, 12477

Filings

Filing Number Date Filed Type Effective Date
20120206030 2012-02-06 ASSUMED NAME CORP INITIAL FILING 2012-02-06
A648108-6 1980-02-29 CERTIFICATE OF AMENDMENT 1980-02-29
A511291-8 1978-08-25 CERTIFICATE OF INCORPORATION 1978-08-25

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
14-1602545 Corporation Unconditional Exemption PO BOX 147, SAUGERTIES, NY, 12477-0147 1979-06
In Care of Name -
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 receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
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 1378046
Income Amount 2642961
Form 990 Revenue Amount 2632533
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 DIAZ MEMORIAL AMBULANCE SERVICE INC
EIN 14-1602545
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name DIAZ MEMORIAL AMBULANCE SERVICE INC
EIN 14-1602545
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name DIAZ MEMORIAL AMBULANCE SERVICE INC
EIN 14-1602545
Tax Period 202104
Filing Type E
Return Type 990
File View File
Organization Name DIAZ MEMORIAL AMBULANCE SERVICE INC
EIN 14-1602545
Tax Period 202004
Filing Type E
Return Type 990
File View File
Organization Name DIAZ MEMORIAL AMBULANCE SERVICE INC
EIN 14-1602545
Tax Period 201904
Filing Type E
Return Type 990
File View File
Organization Name DIAZ MEMORIAL AMBULANCE SERVICE INC
EIN 14-1602545
Tax Period 201804
Filing Type E
Return Type 990
File View File
Organization Name DIAZ MEMORIAL AMBULANCE SERVICE INC
EIN 14-1602545
Tax Period 201704
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1786477110 2020-04-10 0202 PPP 1 Main St, SAUGERTIES, NY, 12477-1124
Loan Status Date 2020-06-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 229400
Loan Approval Amount (current) 229400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 50176
Servicing Lender Name Sawyer Savings Bank
Servicing Lender Address 87 Market St, SAUGERTIES, NY, 12477-1017
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address SAUGERTIES, ULSTER, NY, 12477-1124
Project Congressional District NY-19
Number of Employees 27
NAICS code 621910
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 50176
Originating Lender Name Sawyer Savings Bank
Originating Lender Address SAUGERTIES, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 231133.24
Forgiveness Paid Date 2021-01-19

Related by officers

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State

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