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MEDFORD VOLUNTEER AMBULANCE INC.

Company Details

Name: MEDFORD VOLUNTEER AMBULANCE INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 12 Apr 1979 (46 years ago)
Entity Number: 550804
ZIP code: 11763
County: Suffolk
Place of Formation: New York
Address: ATTN: CHAIR OF THE BOARD, 1005 SIPP AVENUE, MEDFORD, NY, United States, 11763

Contact Details

Phone +1 631-758-3534

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2023 112502233 2024-07-26 MEDFORD VOLUNTEER AMBULANCE INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763

Signature of

Role Plan administrator
Date 2024-07-26
Name of individual signing ROBERT SIMPSON
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2022 112502233 2023-08-18 MEDFORD VOLUNTEER AMBULANCE INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763

Signature of

Role Plan administrator
Date 2023-08-18
Name of individual signing ROBERT SIMPSON
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2021 112502233 2022-04-13 MEDFORD VOLUNTEER AMBULANCE INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2020 112502233 2021-09-02 MEDFORD VOLUNTEER AMBULANCE INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2019 112502233 2020-10-15 MEDFORD VOLUNTEER AMBULANCE INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2018 112502233 2019-10-15 MEDFORD VOLUNTEER AMBULANCE INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2017 112502233 2018-10-09 MEDFORD VOLUNTEER AMBULANCE INC. 5
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2017 112502233 2019-10-15 MEDFORD VOLUNTEER AMBULANCE INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2016 112502233 2017-09-04 MEDFORD VOLUNTEER AMBULANCE INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763
MEDFORD AMBULANCE DISTRICT RETIREMENT PLAN 2015 112502233 2016-10-10 MEDFORD VOLUNTEER AMBULANCE INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621900
Sponsor’s telephone number 6317583534
Plan sponsor’s address 1005 SIPP AVENUE, MEDFORD, NY, 11763

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTN: CHAIR OF THE BOARD, 1005 SIPP AVENUE, MEDFORD, NY, United States, 11763

History

Start date End date Type Value
1979-04-12 2011-08-15 Address CAPASSO, 356 MIDDLE COUNTRY RD, CORAM, NY, 11727, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
20180516005 2018-05-16 ASSUMED NAME CORP INITIAL FILING 2018-05-16
110815000660 2011-08-15 CERTIFICATE OF AMENDMENT 2011-08-15
A567416-7 1979-04-12 CERTIFICATE OF INCORPORATION 1979-04-12

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
11-2502233 Corporation Unconditional Exemption 1005 SIPP AVE, MEDFORD, NY, 11763-4052 1980-08
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 3945203
Income Amount 1584684
Form 990 Revenue Amount 1584684
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 MEDFORD VOLUNTEER AMBULANCE INC
EIN 11-2502233
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name MEDFORD VOLUNTEER AMBULANCE INC
EIN 11-2502233
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name MEDFORD VOLUNTEER AMBULANCE INC
EIN 11-2502233
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name MEDFORD VOLUNTEER AMBULANCE INC
EIN 11-2502233
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name MEDFORD VOLUNTEER AMBULANCE INC
EIN 11-2502233
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name MEDFORD VOLUNTEER AMBULANCE INC
EIN 11-2502233
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name MEDFORD VOLUNTEER AMBULANCE INC
EIN 11-2502233
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name MEDFORD VOLUNTEER AMBULANCE INC
EIN 11-2502233
Tax Period 201512
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
5428067702 2020-05-01 0235 PPP 1005 SIPP AVE, MEDFORD, NY, 11763-4052
Loan Status Date 2022-05-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 131047
Loan Approval Amount (current) 131047
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address MEDFORD, SUFFOLK, NY, 11763-4052
Project Congressional District NY-02
Number of Employees 21
NAICS code 621910
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 113741.66
Forgiveness Paid Date 2021-06-04

Date of last update: 18 Mar 2025

Sources: New York Secretary of State