Form990-EZ
Click to see attachment
Department of the Treasury
Internal Revenue Service
Short Form
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except black lung benefit trust or private foundation)
bullet Sponsoring organizations of donor advised funds, organizations that operate one or more hospital facilities, and certain controlling organizations as defined in section 512(b)(13) must file Form 990 (see instructions).
All other organizations with gross receipts less than $200,000 and total assets less than $500,000 at the end of the year may use this form.
bulletThe organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-1150
2011
Open to Public
Inspection
A
For the 2011 calendar year, or tax year beginning 01-01-2011, and ending 12-31-2011
B
Check if applicable:
C Name of organization
D A W G
dba Safe Humane Chicago
Number and street (or P. O. box, if mail is not delivered to street address)PO Box 7342
  Room/suite
City or town, state or country, and ZIP + 4 Chicago, IL606807342
D Employer identification number

36-4366285
E Telephone number

(312) 409-4790
F Group Exemption
Number. . bullet  
G Accounting method: Other (specify) bullet   H Check bulletI Website:bulletwww.safehumanechicago.orgJ Tax-Exempt status(check only one)—Click to see attachment(   ) bullet(insert no.) or
K Check bullet A Form 990-EZ or Form 990 return is not required though Form 990-N (e-postcard) may be required (see instructions). But if the organization chooses to file a return, be sure to file a complete return.
L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts; If gross receipts are $200,000 or more, or if total assets (Part II, line 25, column (B) below) are $500,000 or more,file Form 990 instead of Form 990-EZ........... bullet $ 89,434
Part IRevenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I.)Check if the organization used Schedule O to respond to any question in this Part I...........
VerticalRevenue 1 Contributions, gifts, grants, and similar amounts received............... 1 89,434
2 Program service revenue including government fees and contracts ............ 2 0
3 Membership dues and assessments...................... 3 0
4 Investment income........................... 4 0
5a Gross amount from sale of assets other than inventory........ 5a 0
b Less: cost or other basis and sales expenses........... 5b 0
c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ...... 5c 0
6 Gaming and fundraising events
a Gross income from gaming (attach Schedule G if greater than $15,000) . 6a 0
b Gross income from fundraising events (not including $ 0 of contributions
from fundraising events reported on line 1) (attach Schedule G if the
sum of such gross income and contributions exceeds $15,000) 6b 0
c Less: direct expenses from gaming and fundraising events....... 6c 0
d Net income or (loss) from gaming and fundraising events (Add lines 6a and 6b and subtract line 6c) 6d 0
7a Gross sales of inventory, less returns and allowances........ 7a 0
b Less: cost of goods sold................. 7b 0
c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) ......... 7c 0
8 Other revenue (describe in Schedule O) ..................... 8 0
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8................. 9 89,434
VerticalExpenses 10 Grants and similar amounts paid (list in Schedule O) ................. 10 1,050
11 Benefits paid to or for members........................ 11 0
12 Salaries, other compensation, and employee benefits................ 12 0
13 Professional fees and other payments to independent contractors............ 13 58,503
14 Occupancy, rent, utilities, and maintenance................... 14 2,732
15 Printing, publications, postage, and shipping................... 15 5,505
16 Other expenses (describe in Schedule O) .................... 16 17,159
17 Total expenses. Add lines 10 through 16 .................... 17 84,949
VerticalNetAssets 18 Excess or (deficit) for the year (Subtract line 17 from line 9)............ 18 4,485
19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
end-of-year figure reported on prior year’s return)................ 19 20,505
20 Other changes in net assets or fund balances (explain in Schedule O) .......... 20 0
21 Net assets or fund balances at end of year. Combine lines 18 through 20.........Bullet 21 24,990
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 10642I Form 990-EZ (2011)
Form 990-EZ (2011)
Page 2
Part IIBalance Sheets (see the instructions for Part II.)Check if the organization used Schedule O to respond to any question in this Part II.............

(See the instructions for Part II.)(A) Beginning of year(B) End of year
22Cash, savings, and investments................
20,505
22
28,612
23Land and buildings....................
0
23
0
24Other assets (describe in Schedule O) ..........
0
24
0
25Total assets......................
20,505
25
28,612
26
Total liabilities (describe in Schedule O) .............
0
26
3,622
27Net assets or fund balances (line 27 of column (B) must agree with line 21)..
20,505
27
24,990
Part IIIStatement of Program Service Accomplishments (see the instructions for Part III.) Check if the organization used Schedule O to respond to any question in this Part III . Expenses
(Required for section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts; optional for others.)
What is the organization's primary exempt purpose? Public outreach, education, charitable and scientific purposes: issues related to dogs and other companion animals in communities
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 Youth Leaders for Safe Humane Chicago. The Youth Leaders program in Chicago is a school-year elective that trains Chicago Public high school students to give presentations about the humane treatment of animals and the importance of compassion and respect for others to Chicago Public elementary school children living in some of the poorest, most dangerous, disadvantaged neighborhoods in Chicago. Adult volunteers mentor the high school students, teaching them about compassion and respect, animal safety and civic responsibility and giving them hands-on experience with dogs. The Youth Leaders individualize and deliver a 40-minute interactive, educational presentation to the elementary school children and introduce them to a real dog (a Safe Humane Ambassador Dog). Consistent with Positive Youth Development (PYD) principles, Youth Leaders are provided opportunities to participate in structured activities; develop skills such as teamwork, communication, and leadership; form pro-social relationships with adults, peers, younger children and companion animals; and give back to the community by serving as leaders in an effort to stop animal cruelty and inspire positive relationships with animals, providing access to needed resources for companion animals, and ultimately making Chicago a safer and more humane city. The program was developed at Payton College Prep High School, and we completed a pilot of the program in 2010 at a second school, Lindblom Math and Science Academy. In calendar year 2011, 49 Youth Leaders from the two high schools gave interactive, educational presentations to 1,845 elementary school children at 16 different schools. Those children reported having 2,086 companion animals in their homes; and the neighborhoods in which they live have among the largest reported number of stray animals and violent crimes in Chicago. Of the stray animals, most are community cats and pit-bull-type dogs. Since its inception in 2008, the Youth Leaders program has graduated 180 Youth Leaders who have reached almost 6,000 elementary school children in disadvantaged neighborhoods. Reaching children in high-risk neighborhoods is particularly important because of the alarming number of Chicago children exposed to violence, particularly dog fighting, which is associated with other risks such as family violence, illegal weapons, illegal drugs, gambling and gang activity. The primary population the program serves is Chicago Public high school students ages 14-18 of diverse race/ethnicity. The majority are females from low- to middle-income families living in neighborhoods throughout Chicago. The secondary but equally essential population the program serves is Chicago Public elementary school children. They are mainly in the third through sixth grades, ages 8-12, with equal numbers of males and females. They are primarily of African-American and Hispanic ethnicity and mainly from low-income or poor families who live in the south and west sides of Chicago in communities most impacted by violence (including abuse of both people and animals) and lack of resources for their human family members as well as their companion animals. The program successes are due in large measure to the commitment of 45 volunteers who gave 434 hours to classroom and event programming. Moreover, more than 75% of our Youth Leaders continue to volunteer with us or other nonprofit/community-service organizations during their school breaks, even when they come home from college.
(Grants $ 0) If this amount includes foreign grants, check here ...MediumBullet		 28a 27,995
29 Lifetime Bonds. Lifetime Bonds programming continued in 2011 at the Illinois Youth Center in Chicago (IYCC) for incarcerated males ages 13-18. Initiated in 2009, the program is a collaboration among IYCC, Chicago Animal Care and Control, Chicago Canine Rescue Foundation and Safe Humane Chicago (SHC). Working with adult volunteers, youth learn to bond with, socialize, and train shelter dogs, saving their lives and making them more adoptable. Consistent with Positive Youth Development (PYD) principles, incarcerated youth are provided opportunities to participate in structured activities; develop skills; form pro-social relationships with adults, peers and dogs; and engage in efforts that benefit the community. The Lifetime Bonds goal at IYCC is to help incarcerated youth develop valuable relationships and lifetime skills while in custody and the assets needed to successfully reenter the community and avoid re-offending. The 12-week program involves weekly, 60-90 minute sessions during which 10-15 boys work with adult volunteers and dog trainers. Key objectives include teaching boys dog handling and training skills using only positive, relationship-based reinforcement; helping boys learn and practice communication skills by interpreting dogs' body language and responding appropriately and compassionately; developing boys' sense of social responsibility by educating them about animal abuse and population issues and allowing them to give back to the community by saving dogs' lives; educating boys about facts and fictions regarding dogs, particularly pit-bull-looking dogs, and animal-related careers; using guest speakers to introduce boys to people with animal-related careers ; and placing shelter dogs in forever homes. Upon release from IYCC, Lifetime Bonds graduates are offered paid internships with our Court Case Dog program (part of Collaborate Justice programming), helping to socialize and advocate for dogs who are victims in animal abuse or cruelty cases. These jobs allow youth to build on the pro-social skills they learned in the program and further support their successful reentry into the community, significantly reducing the likelihood of recidivism. In 2011, 52 youth graduated from the four three-month-long sessions along with 18 who continued for most of a second three-month session. At IYCC, they worked with 59 shelter dogs over the course of the year, all but two of whom were adopted by year's end. And 7 of the youth contacted us about volunteering or interning with our Court Case Dog Program. The primary populations served in the IYCC program and other Lifetime Bonds programs that have been conducted in the community in 2009 and 2010 are youth between the ages of 12 and 21, primarily of African-American, Hispanic and Caucasian ethnicity and from low-income families who live in the south and west sides of Chicago in communities most impacted by violence (including abuse of both people and animals) and lack of resources for their human family members as well as their companion animals. The majority are male. A minority but significant number of the youth at IYCC is from low-income families who live in Chicago suburbs and Illinois counties west of Cook (particularly the Joliet and Rockford areas). The successes at IYCC in 2011 were due in large measure to the commitment of 26 volunteers who staffed 59 events - one a week for 48 weeks plus field trips and other events - for a total of 1,005 hours at classes and events. 32 volunteers also participated in dog-handling seminars for themselves for an additional 29.5 hours.
(Grants $ 0) If this amount includes foreign grants, check here ...MediumBullet		 29a 17,218
30 Collaborative Justice programming, including the Court Case Animals, Court Advocacy and training programs, promotes identification, arrest, prosecution, and effective sentencing of perpetrators of animal abuse or cruelty and ensures, where possible, their animal victims are placed in safe, forever homes. The program seeks to train police, prosecutors, and judges on best practices for enforcing animal cruelty laws and the link between animal abuse and interpersonal violence; recruit, train, and support community volunteers to serve as court advocates; recruit and train community volunteers to socialize and help train victimized dogs at Chicago Animal Care and Control (CACC); and form partnerships with, and provide support to, rescues that accept victimized animals who are part of the Court Case Animals Program. All of these programs address facts and fictions about dog breeds, particularly pit-bull-type dogs. The populations served by this programming are diverse in species (humane, canine, feline and, less often, equine and others), race/ethnicity, income, education, employment and age; and they live throughout Cook and its collar Illinois counties. Overall, the programming includes in some way community members and stakeholders as well as abused or neglected animals. In 2011, approximately 100 volunteer Court Advocates went to court almost every day of the week in Cook County and other nearby counties to follow some 125 cases that had multiple hearings and included more than 500 animal victims in addition to human victims. A majority of the animal victims were dogs and, of those, approximately 80% were identified as pit-bull types. Volunteer Court Advocates donated more than 1,000 hours of their time in court. 68 of them also spent 427.5 hours in training and monthly planning sessions. During the same period of time, 142 volunteers gave 2,451.5 hours to our Court Case Dog program. In 2011 95 court case dogs were added, bringing the 2-year program total to 146 dogs. Of these, 93 dogs were transferred to some 40 rescues; and 75 were adopted into forever homes. In addition, the average length of stay at CACC was cut in half by the end of 2011 as all the Collaborative Justice programming was put in place. Last, 3 presenters and 15 volunteers with Safe Humane Ambassador dogs trained 1,040 Chicago police officers in 9 police districts for a total of 240 hours in training sessions; and two presenters discussed animal-related procedures with ten judges (approximately three hours).
(Grants $ 1,050) If this amount includes foreign grants, check here ...MediumBullet		 30a 22,936
Other Safe Humane Chicago (SHC) programming includes community outreach and special projects mainly with Best Friends Animal Society and Chicago Animal Care and Control (CACC) as well as other government agencies. Community outreach includes presentations for children, youth and adults outside of the three primary, funded program areas discussed elsewhere. These presentations are designed to empower community members to further our mission. There are three main types of outreach: (1) "Kids, Animals and Kindness" presentations that teach children how to connect with animals safely, including proper techniques for approaching and handling animals, thus helping to avoid bites; humane treatment and proper care of animals, including the importance of spay/neuter programs and adequate veterinary care; why dog fighting and animal abuse are bad; and beneficial activities with dogs; (2) "It's All Connected" presentations that explain the connection between animal abuse and interpersonal violence and their significance to safe neighborhoods; and (3) participation in community events and professional conferences that further our mission. In addition, we partner with CACC and engage volunteers to help adopt out animals or transfer them to rescue groups, provide support for low-cost and free services for companion animals, and provide education and training for community residents or CACC visitors. In 2011, in addition to the work with the Court Case Dogs at CACC (reported with Collaborative Justice programs), 157 of our volunteers donated 1,096 hours to CACC animals and associated events. 186 volunteers also gave almost 2,500 hours to support other Safe Humane outreach efforts, special projects with other agencies and organizations, and critical administrative tasks. Overall in 2011, SHC successes are due in large measure to the commitment of 365 volunteers who gave more than 9,000 hours. The populations served/included in SHC programming are diverse in species, race/ethnicity, income, education, employment and age; and they live throughout Cook and its collar Illinois counties.
(Grants $ 0) If this amount includes foreign grants, check here ...MediumBullet		 16,800
31 Other program services (describe in Schedule O) ..................
(Grants $   ) If this amount includes foreign grants, check here...MediumBullet		 31a
32 Total program service expenses (add lines 28a through 31a)..............bullet 32 84,949
Part IV List of Officers, Directors, Trustees, and Key Employees. List each one even if not compensated. (see the instructions for Part IV.)Check if the organization used Schedule O to respond to any question in this Part IV..........
(a) Name and title (b) Average
hours per week
devoted to position		 (c)Reportable compensation
(Forms W-2/1099-MISC)
(if not paid, enter -0-) 		(d) Health benefits, contributions to employee benefit plans,
and deferred compensation		 (e) Estimated amount
of other compensation
Cynthia L Bathurst
PO Box 7342
Chicago,IL606807342
 Non-Dog-Owning Co-Chair10 0 0 0
Ananda Z Breslof
PO Box 7342
Chicago,IL606807342
 Director2 0 0 0
Melia A Carter
PO Box 7342
Chicago,IL606807342
 Director1 0 0 0
Stacey Hawk
PO Box 7342
Chicago,IL606807342
 Dog-Owning Co-Chair4 0 0 0
Stephen A Jackson
PO Box 7342
Chicago,IL606807342
 Treasurer4 0 0 0
Carrie Nutter Novak
PO Box 7342
Chicago,IL606807342
 Secretary2 0 0 0
Janis E Taylor
PO Box 7342
Chicago,IL606807342
 Director1 0 0 0
Form 990-EZ (2011)
Form 990-EZ (2011)
Page 3
Part VOther Information(Note the Schedule A and personal benefit contract statement requirements in the instructions for Part V.) Check if the organization used Schedule O to respond to any question in this Part V
Yes
No
33
Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a detailed description of each activity in Schedule O ...................
33
 
No
34
Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the amended documents if they reflect a change to the organization’s name. Otherwise, explain the changeon Schedule O (see instructions). ..........................
34
 
No
35a
Did the organization have unrelated business gross income of $1,000 or more during the year from business activities (such as those reported on lines 2, 6a, and 7a, among others)? ............
35a
 
No
b
If ‘Yes’ to line 35a, has the organization filed a Form 990-T for the year? If ‘No,’ provide an explanation in Schedule O.
35b
 
 
c
Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part III.
35c
 
No
36
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If “Yes,” complete applicable parts of Schedule N ................
36
 
No
37a
Enter amount of political expenditures, direct or indirect, as described in the instructions. bullet
37a
0
b
Did the organization file Form 1120-POL for this year?...................
37b
 
No
38a
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?..
38a
 
No
b
If “Yes,” complete Schedule L, Part II and enter the total amount involved .
38b
 
39
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on line 9.......
39a
 
b
Gross receipts, included on line 9, for public use of club facilities.....
39b
 
40a
Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
section 4911 bullet0 ; section 4912 bullet0 ; section 4955 bullet0
b
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefittransaction 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? If “Yes,” complete Schedule L, Part I. ......
40b
 
No
c
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958...bullet0
d
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed by the organization....................bullet0
e
All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886-T. ......................
40e
 
No
41List the states with which a copy of this return is filed. bulletIL
42aThe organization's books are in care of bulletJames F Rodgers Telephone no. bullet (312) 543-7963
Located at bullet201 N Westshore Drive
Apartment 1705
Chicago,IL ZIP + 4bullet606017264
b
At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)?
Yes
No
42b
 
No
If “Yes,” enter the name of the foreign country: bullet  
See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
c
At any time during the calendar year, did the organization maintain an office outside the U.S.?
42c
 
No
If “Yes,” enter the name of the foreign country: bullet  
43.......bullet
and enter the amount of tax-exempt interest received or accrued during the tax year....bullet43
 
Yes
No
44a
Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must be completed instead of
Form 990-EZ.................................
44a
 
No
b
Did the organization operate one or more hospital facilities during the year? If ‘Yes,’ Form 990 must be completedinstead of Form990-EZ.............................
44b
 
No
c
Did the organization receive any payments for indoor tanning services during the year?.........
44c
 
No
d
If 'Yes' to line 44c, has the organization filed a Form 720 to report these payments? If ‘No,’ provide an explanationin Schedule O................................
44d
 
 
45a
Did the organization have a controlled entity within the meaning of
section 512(b)(13)?............................
45a
 
No
45b
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," Form 990 and Schedule R may need to be completed instead of Form990-EZ (see instructions).....................
45b
 
No
Form 990-EZ (2011)
Form 990-EZ (2011)
Page 4
Yes
No
46
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition tocandidates for public office? If “Yes,” complete Schedule C, Part I. ..............
46
 
No
Part VI
Section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts only. All section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts must answer questions 47-49b and 52. Check if the organization used Schedule O to respond to any question in this Part VI ...........
Yes
No
47
Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II .......................
47
 
No
48
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ....
48
 
No
49a
Did the organization make any transfers to an exempt non-charitable related organization?......
49a
 
No
b
If "Yes," was the related organization a section 527 organization?................
49b
 
 
50
Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and title of each employee paid more than $100,000 (b) Average
hours per week
devoted to position		 (c) Reportable compensation
(Forms W-2/1099-MISC) 		(d) Health benefits, contributions to employee benefit plans, and deferred compensation (e) Estimated amount of other compensation
NONE
f
Total number of other employees paid over $100,000 .................bullet  

51
Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and address of each independent contractor paid more than $100,000 (b) Type of service (c) Compensation
NONE
d
Total number of other independent contractors each receiving over $100,000..........bullet  
52
Did the organization complete Schedule A? NOTE:All Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A .....................
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid preparer use only
Print/type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name Right pointing arrowhead image

Firm's EIN Right pointing arrowhead image
Firm's address Right pointing arrowhead image



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
Form 990-EZ (2011)

Additional Data


Software ID: 11000129
Software Version: v1.00

Form 990-EZ, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
D A W G
dba Safe Humane Chicago
Employer identification number

36-4366285
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% 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. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 7,523 84,876 132,546 92,147 89,434 406,526
2 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...... 0 0 11,696 0 0 11,696
3 Gross receipts from activities that are not an unrelated trade or business under section 513.. 0 0 0 0 0 0
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... 0 0 0 0 0 0
5 The value of services or facilities furnished by a governmental unit to the organization without charge.. 0 0 0 0 0 0
6 Total. Add lines 1 through 5. 7,523 84,876 144,242 92,147 89,434 418,222
7a Amounts included on lines 1, 2, and 3 received from disqualified persons... 0 0 0 0 0 0
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. 0 0 0 0 0 0
c Add lines 7a and 7b.. 0 0 0 0 0 0
8 Public Support (Subtract line 7c from line 6.)           418,222
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
9 Amounts from line 6... 7,523 84,876 144,242 92,147 89,434 418,222
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 0 0 0 0 0 0
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. 0 0 0 0 0 0
c Add lines 10a and 10b. 0 0 0 0 0 0
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. 0 0 0 0 0 0
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) 0 0 0 0 0 0
13 Total support (Add lines 9, 10c, 11 and 12.). 7,523 84,876 144,242 92,147 89,434 418,222
14
Section C. Computation of Public Support Percentage
15
15
100 %
16
16
100 %
Section D. Computation of Investment Income Percentage
17
17
0 %
18
18
0 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2011

Additional Data


Software ID: 11000129
Software Version: v1.00
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2011
Name of organization
D A W G
dba Safe Humane Chicago
Employer identification number

36-4366285
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
D A W G
dba Safe Humane Chicago 		Employer identification number

36-4366285
Part I
Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
D A W G
dba Safe Humane Chicago 		Employer identification number

36-4366285
Part II
Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
D A W G
dba Safe Humane Chicago 		Employer identification number

36-4366285
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
Use duplicate copies of Part III if additional space is needed
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Additional Data


Software ID: 11000129
Software Version: v1.00
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
D A W G
dba Safe Humane Chicago
Employer identification number

36-4366285
Identifier Return Reference Explanation
F99Z_P01_S00_L10 Form 990-EZ, Part I, Line 10 3 $350.00 grants to rescues taking ownership of 3 court case dogs; one $350.00 grant went to an animal rescue group in Manitoba, Canada
F99Z_P01_S00_L16 Form 990-EZ, Part I, Line 16 Description;Amount^Supplies;2901|Animal Supplies;1043|Information Technology;1398|Transportation;4506|Meeting and Conference Expense;2652|Other Program Expense;2854|Business Expenses;1365|Animal Care;440^Total;17159^
F99Z_P02_S00_L26 Form 990-EZ, Part II, Line 26 Credit Card Liabilities, $3,622
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2011

Additional Data


Software ID: 11000129
Software Version: v1.00