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.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
HUMANE SOCIETY OF SOUTHERN ARIZONA
Employer identification number
86-0112798
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
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(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
Provide the following information about the supported organization(s).
(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.") ....
3,333,001
3,476,360
3,420,074
3,231,349
3,872,599
17,333,383
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..
3,333,001
3,476,360
3,420,074
3,231,349
3,872,599
17,333,383
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)..
405,579
6
Public Support. Subtract line 5 from line 4.
16,927,804
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..
3,333,001
3,476,360
3,420,074
3,231,349
3,872,599
17,333,383
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
255,120
141,376
278,930
410,308
395,240
1,480,974
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..
243,484
399,524
643,008
11
Total support (Add lines 7 through 10).
19,457,365
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
6,616,297
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
87.000 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
81.420 %
16a
33 1/3% support test—2011.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2010.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
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.") .
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......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
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.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
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...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2011.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2010.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
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:
Software Version:
-
TIN:
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.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
HUMANE SOCIETY OF SOUTHERN ARIZONA
Employer identification number
86-0112798
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
HSSA IS A NONPROFIT ORGANIZATION DEDICATED TO THE GENERAL WELFARE, SHELTERING AND PLACEMENT OF ANIMALS; PREVENTION OF CRUELTY TO ANIMALS AND ANIMAL OVERPOPULATION; EDUCATION CONCERNING HUMANE TREATMENT OF ANIMALS; AND INVOLVEMENT IN OTHER ANIMAL WELFARE ISSUES.
ADDITIONAL INFORMATION
FORM 990
FORM 990, PART VIII, STATEMENT OF REVENUE LINE 1H, 3,872,599 REPORTED AS CONTRIBUTION INCOME. OF THIS TOTAL 859,106 WAS GENERATED AS GIFTS AND/OR PLEDGES FOR HSSA'S CAPITAL CAMPAIGN AND IS NOT AVAILABLE FOR OPERATIONS. GIFT AND CONTRIBUTIONS AVAILABLE FOR OPERATIONS FOR FISCAL YEAR 2012 WAS 3,013,493 (COMPARED TO 3,146,948 AVAILABLE FOR OPERATIONS IN FISCAL YEAR 2011).
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS
FORM 990, PAGE 1, PART I, LINE 6
VOLUNTEERS WORK WITH THE HUMANE SOCIETY OF SOUTHERN ARIZONA TO SAVE ANIMAL LIVES IN MANY DIFFERENT WAYS: ADMINISTRATION ADOPTION GREETER CAT CARE AND SOCIALIZATION DOG WALKING AND SOCIALIZATION EDUCATION FOSTERING UNDERAGE, SICK OR INJURED ANIMALS OFF-SITE ADOPTIONS/PET SUPPLY STORES PET VISITATION PROGRAM SPAY/NEUTER CLINIC/VACCINE CLINICS SPECIAL EVENTS
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
OFFSITE ADOPTION MODEL OF PETSMART LOCATIONS, RETAIL AND ADOPTION CENTERS AT TWO LOCAL MALLS, AND MULTIPLE COMMUNITY SPECIAL EVENTS. HSSA OPENED THE FIRST RETAIL AND ADOPTION CENTER, PAWSH, IN 2009 AT A CENTRAL TUCSON MALL. LESS THAN ONE YEAR LATER A SECOND RETAIL AND ADOPTION CENTER OPENED UP IN AN UPSCALE MALL ON THE CENTRAL NORTH SIDE. THE HSSA RETAIL STORES CARRY A VARIETY OF MERCHANDISE FOR THE NEW ADOPTER AND CASUAL SHOPPER. IN FISCAL YEAR 2012, 1186 CATS AND 924 DOGS WERE ADOPTED INTO NEW HOMES FROM THE OFFSITE LOCATIONS, 33% OF THE TOTAL ORGANIZATION'S ADOPTIONS.
SECOND ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4B
-19 HSSA KIDS TOURS -16 COMMUNITY SERVICE PRESENTATIONS FOR CHILDREN -5 ADULT AND CHILD FAIRS / BOOTHS AT LOCAL FESTIVALS - SUCH AS EDUCATIONAL BOOTHS AT THE TED WALTER DAY AT OLD TUCSON STUDIOS AND EARTH DAY FAIR AT REID PARK CRUELTY PREVENTION PROGRAMS WERE BROADLY EMPLOYED BY THE HUMANE SOCIETY OF SOUTHERN ARIZONA TO ADDRESS ACTS OF VIOLENCE OR NEGLECT DIRECTED TOWARD ANIMALS. WE HAVE TWO PART-TIME STAFF DEDICATED TO ANIMAL CRUELTY INVESTIGATIONS AND WHO ASSIST AS A RESOURCE FOR ALL ENFORCEMENT AGENCIES IN SOUTHERN ARIZONA. THIS INCLUDED FIELD INVESTIGATIONS; ANIMAL RESCUES OF ALL SIZES AND DESCRIPTIONS; EVIDENCE GATHERING AND THE COORDINATION OF EMERGENCY MEDICAL SERVICES FOR ANIMAL VICTIMS. OUR CRUELTY INVESTIGATOR WAS RESPONSIBLE FOR DIRECTING ALL CRUELTY COMPLAINTS FROM THE PUBLIC TO THE APPROPRIATE AGENCY FOR FOLLOW UP INVESTIGATION. HE ALSO PROVIDED VARIOUS TRAINING FOR INVESTIGATORS FROM DIFFERENT ENFORCEMENT AGENCIES THROUGHOUT THE COUNTRY, INCLUDING SOUTHERN ARIZONA ASSOCIATION OF COURT REPORTERS, REPORTING ANIMAL CRUELTY TO EQUINES IN COCHISE COUNTY, CRUELTY INVESTIGATIONS TO THE ANIMAL LAW CLUB AT THE UNIVERSITY OF ARIZONA, TRAINING IN FLORIDA TO VETERINARIANS REGARDING CRIME SCENE INVESTIGATIONS, A TWO DAY PRESENTATION IN LAUGHLIN, ARIZONA FOR THE ARIZONA ANIMAL CONTROL OFFICER'S ASSOCIATION REGARDING ADVANCED CRIME SCENE INVESTIGATIONS, AND PARTICIPATION AT THE TUCSON ELECTRIC POWER EMPLOYEE SAFETY FAIR.
THIRD ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4C
IN ADDITION TO PROVIDING VACCINATIONS AND OTHER WELLNESS TREATMENTS TO THE COMPANION ANIMALS IN OUR CARE, WE ALSO PROVIDED LOW-COST VACCINATIONS TO COMPANION ANIMALS IN OUR COMMUNITY THROUGH ON-SITE AND OFF-SITE VACCINATION CLINICS. WE CONTINUED TO EXTEND OUR SERVICES IN DOUGLAS, AZ AND TO SEVERAL COMMUNITIES IN THE OUTLYING AREAS OF TUCSON. WE SERVED 8,210 ANIMALS WHO RECEIVED 12,982 VACCINES ALONG WITH AN ACCOMPANYING WELLNESS EXAM AND MANY OTHER ADDITIONAL SERVICES SUCH AS DEWORMING AND HEARTWORM TESTING BY OUR TEAM OF VETERINARIANS. RESCUE GROUPS: IN ADDITION TO SURGICAL STERILIZATION, WE PROVIDED MEDICAL TREATMENT FOR SEVERAL RESCUE GROUP ORGANIZATIONS: WEE CARE ANIMAL SHELTER, ARIZONA CHIHUAHUA RESCUE, D-S RESCUE, NEW HOPE CATTLE DOG RESCUE, BOXER RESCUE, ARIZONA CATTLE DOG, AND THE IRONWOOD PIG SANCTUARY. WE SERVED IN EXCESS OF 150 ANIMALS FOR THESE ORGANIZATIONS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
REVIEW WILL FIRST BE CONDUCTED BY MEMBERS OF THE FINANCE & INVESTMENT COMMITTEE WHO WILL RECEIVE A DRAFT COPY ELECTRONICALLY. IT IS FORWARDED ELECTRONICALLY TO THE FULL BOARD FOR REVIEW BEFORE SUBMISSION TO THE IRS.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
ANNUAL STATEMENTS ARE REQUIRED TO BE COMPLETED AND SUBMITTED FOR APPROVAL.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
COMPARATIVE REVIEW OF PRESIDENT/CEO COMPENSATION FOR OTHER NONPROFIT ORGANIZATIONS AND HUMANE SOCIETIES WAS DONE; REVIEW OF AMY EADES', PRESIDENT/CEO, PERFORMANCE WAS DONE BY EXECUTIVE COMMITTEE OF BOARD OF DIRECTORS. RECOMMENDATION FOR AMY EADES' COMPENSATION WAS UNANIMOUSLY APPROVED BY THE BOARD OF DIRECTORS ON JANUARY 25, 2011; EFFECTIVE FEBRUARY 1, 2011.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
ALL ORGANIZATION'S DOCUMENTS ARE AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS ARE MADE PUBLIC VIA HSSA'S WEBSITE AND OTHER CHARITY EVALUATION WEBSITES SUCH AS CHARITY NAVIGATOR AND GUIDESTAR.
ADDITIONAL INFORMATION
FORM 990, PART XI
LINE 5, DECREASE IN TRUSTS AND INVESTMENTS, NET LOSS OF 276,971
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.