Three Forks Area Ambulance Service District in Manhattan, Montana (MT)

Three Forks Area Ambulance Service District
Employer Identification Number (EIN)	810453741
Name of Organization	Three Forks Area Ambulance Service District
In Care of Name	BECKY ARBUCKLE
Address	PO BOX 468, Manhattan, MT 59741
Activities	Health clinic
Subsection	Charitable Organization
Ruling Date	09/1993
Deductibility	Contributions are deductible
Foundation	Organization which receives a substantial part of its support from a governmental unit or the general public
Organization	Corporation
Exempt Organization Status	Unconditional Exemption
Tax Period	2008
Assets	$100,000 to $499,999
Income	$25,000 to $99,999
Filing Requirement	990 (all other) or 990EZ return
Asset Amount	$108,074
Amount of Income	$70,957
Form 990 Revenue Amount	$70,957
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Nonmonetary Support (Not Elsewhere Classified)

Non-representatives - add comments:

Financial snapshot ($)

Revenue for 2013

Support schedule

	2011	2012	2013
Revenue, Expenses, and Changes in Net Assets or Fund Balances
Total revenue	$68,038	$87,564	$70,957
Contributions, gifts, grants, and similar amounts received	$0	$1,746	$1,022
Program service revenue including government fees and contracts	$0	$0	$0
Membership dues and assessments	$0	$0	$0
Investment income	$53	$93	$54
Gain/Loss from sale of assets other than inventory	$0	$0	$0
Net income/loss from gaming and fundraising events	$0	$0	$0
Gross profit/loss from sales of inventory	$0	$0	$0
Other revenue	$67,985	$85,725	$69,881
Total expenses	$69,260	$86,111	$73,581
Total net assets	$109,057	$110,510	$107,505
Excess/Deficit for the year	$-1,222	$1,453	$-2,624
Net assets or fund balances at beginning of year	$110,279	$109,057	$110,510
Other changes in net assets or fund balances	$0	$0	$-381
Net assets or fund balances at end of year		$110,510	$107,505

	2011	2012	2013
Balance Sheets
Total assets	$109,438	$110,827	$108,074
Total liabilities	$381	$317	$569
Net assets or fund balances	$109,057	$110,510	$107,505

	2011	2012	2013
Other Information
Did the organization engage in any significant activity not previously reported to the IRS?		No	No
Were any significant changes made to the organizing or governing documents?		No	No
Did the organization have unrelated business gross income of $1,000 or more during the year from business activities	No	Yes	No
Has the organization filed a Form 990-T for the year?		Yes	No
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year?		No	No
Amount of political expenditures, direct or indirect		$0	$0
Did the organization file Form 1120-POL for this year?		No	No
Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?		No	No
Total amount involved		$0	$0
Initiation fees and capital contributions	$0	$0	$0
Gross receipts for public use of club facilities	$0	$0	$0
Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ?		No	No
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?		No	No

Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:	An organization that normally receives: (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975
Number of organizations supported	0
Sum of amounts of support	$0

	2009 - 2013 Total
Support Schedule for Organizations Described in Section 509(a)(2) (for 2009 - 2013)
Public support	$414,348
Subtotal	$414,348
Gifts, grants, contributions, and membership fees received	$3,103
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose	$411,245
Gross receipts from activities that are not an unrelated trade or business under section 513	$0
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf	$0
The value of services or facilities furnished by a governmental unit to the organization without charge	$0
Less	$0
Amounts received from disqualified persons	$0
Amounts received from other than disqualified persons that exceed the greater of $5,000 or 1% of the total support	$0
Total support	$414,806
Public support	$414,348
Subtotal	$458
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources	$458
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975	$0
Net income from unrelated business activities, whether or not the business is regularly carried on	$0
Other income	$0

	2000
Revenue, Expenses, and Changes in Net Assets or Fund Balances
Total revenue	$-10,413
Contributions, gifts, grants, and similar amounts received	$0
Program service revenue including government fees and contracts	$0
Membership dues and assessments	$0
Investment income	$519
Gain or (loss) from sales of assets other than inventory	$-24,692
Gross amount from sales of assets other than inventory	$25,000
Less: cost or other basis and sales expenses	$49,692
Net income or (loss) from special events and activities	$0
Gross revenue	$0
Less: direct expenses other than fundraising expenses	$0
Gross profit or (loss) from sales of inventory	$0
Gross sales of inventory, less returns and allowances	$0
Less: cost of goods sold	$0
Other revenue	$13,760
Total expenses	$2,195
Grants and similar amounts paid	$0
Benefits paid to or for members	$0
Salaries, other compensation, and employee benefits	$0
Professional fees and other payments to independent contractors	$0
Occupancy, rent, utilities, and maintenance	$0
Printing, publications, postage, and shipping	$9
Other expenses	$2,186
Net assets or fund balances at end of year	$69,576
Excess or (deficit) for the year	$-12,608
Net assets or fund balances at beginning of year	$102,885
Other changes in net assets or fund balances	$-20,701

	2000
Balance Sheets
Total assets	$69,576
Cash, savings, and investments	$41,477
Land and buildings	$0
Other assets	$28,099
Total liabilities	$0
Net assets or fund balances	$69,576

Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?	No
Was there a liquidation, dissolution, termination, or substantial contraction during the year?	No
Direct and indirect political expenditures	$0
Did the organization file Form 1120-POL for this year?	No
Initiation fees and capital contributions	$0
Gross receipts for public use of club facilities	$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?
Amount of tax imposed on the organization during the year under: section 4911	$0
Amount of tax imposed on the organization during the year under: section 4912	$0
Amount of tax imposed on the organization during the year under: section 4955	$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?	No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958	$0
Amount of tax above, reimbursed by the organization	$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?

Compensation	Contributions to employee benefit plans & deferred compensation	Expense account and other allowances
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2000)
$0	$0	$0
$0	$0	$0
$0	$0	$0
$0	$0	$0
$0	$0	$0

Total number of other employees paid over $50,000	0

Total number of other employees paid over $50,000

Statements About Activities (for 2000)
Expenses paid or incurred in connection with the lobbying activities	$0
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?
Did the organization maintain any donor advised funds?
Did the organization make any taxable distributions under section 4966?
Did the organization make a distribution to a donor, donor advisor, or related person?
The total number of donor advised funds owned at the end of the tax year
The aggregate value of assets held in all donor advised funds owned at the end of the tax year
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts
The aggregate value of assets held in all funds or accounts included above at the end of the tax year

Reason for Non-Private Foundation Status
The organization is not a private foundation because it is	Organization that normally receives: less than 1/3 of its support from gross investment income and unrelated taxable business income and more than 1/3 of its support from contribution, membership fees

	1999
Support Schedule
Total	$3,268
Gifts, grants, and contributions received	$0
Membership fees received	$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose	$2,450
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975	$272
Net income from unrelated business activities not included above	$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf	$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge	$0
Other income	$546

Lobbying Expenditures by Electing Public Charities (for 2000)
Total exempt purpose expenditures	$0
Total lobbying expenditures	$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)	$0
Total lobbying expenditures to influence a legislative body (direct lobbying)	$0
Other exempt purpose expenditures	$0
Lobbying nontaxable amount	$0
Grassroots nontaxable amount	$0

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