Attach to Form 990 or Form 990-EZ.
See separate instructions.| (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? |
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|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
| 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.") .... | 6,491 | 19,151 | 7,022 | 14,614 | 101,205 | 148,483 |
| 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.. | 6,491 | 19,151 | 7,022 | 14,614 | 101,205 | 148,483 |
| 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).. | 71,891 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 76,592 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 6,491 | 19,151 | 7,022 | 14,614 | 101,205 | 148,483 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 33,475 | 30,206 | 26,168 | 34,099 | 57,312 | 181,260 |
| 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). | 329,743 | |||||






| 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.) | ||||||
| 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.). | ||||||




| Facts And Circumstances Test |
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| 1.PERCENTAGE OF FINANCIAL SUPPORT FACTOR. THE ANIMAL HEALTH FOUNDATION OF CALIFORNIA IS A PUBLIC SUPPORTED NON-PROFIT ORGANIZATION, WHICH WAS INITIALLY SETUP BY CONTRIBUTIONS FROM THE SOUTHERN CALIFORNIA VETERINARY MEDICAL ASSOCIATION. THEREAFTER, IT RECEIVED FUNDS FROM THE GENERAL PUBLIC AND IN PARTICULAR, FROM TWO PRIVATE INDIVIDUALS WHO DONATED A SIGNIFICANT AMOUNT OF MONEY. THE PUBLIC SUPPORT, AS REFLECTED IN AHFS CURRENT RETURNS,OVER THE LAST FIVE YEARS HAS DECREASED FROM 31.53% TO 23.23%, PRIMARILY CAUSED BY EXTERNAL FACTORS AFFECTING THE LOCAL GENERAL ECONOMY. IN AN EFFORT TO ADDRESS THE CURRENT ECONOMIC DOWNTREND, THE BOARD OF TRUSTEES HAS DEVELOPED OVER THE LAST 30 MONTHS A COMPREHENSIVE WEBSITE PROFILING AND SHOWCASING BOTH OUR CURRENT PROGRAMS, SUCH AS THE ANGEL FUND PET PARTNER PROGRAM, THE MEMORIAL PROGRAM AND SCHOLARSHIP PROGRAM AS WELL AS PROGRAMS SUCH AS PET MEALS ON WHEELS, PET BEREAVEMENT HOTLINE, DISASTER RELIEF DONATION MADE TO THE SPCA (STATION FIRE IN LOS ANGELES COUNTY) AND THE GUARDIAN ANGEL FUND. IN THE LAST SIX MONTHS, THESE EFFORTS HAVE RESULTED IN 2.SOURCES OF SUPPORT FACTOR. IN THE LAST FOUR YEARS THE MAJORITY OF AHF PUBLIC SUPPORT COMES FROM DONATIONS MADE BY THE GENERAL PUBLIC AND THE RETURN ON INVESTMENT. IN 1996 A LARGE DONATION IN THE AMOUNT OF 417,989.22 WAS MADE BY ONE PRIVATE INDIVIDUAL THROUGH HER ESTATE TO THE AHF. THAT AMOUNT HAS SIGNIFICANTLY AFFECTED THE PERCENTAGE OF FINANCIAL SUPPORT FACTOR. 3.REPRESENTATIVE GOVERNING BODY FACTOR. THE BOARD OF TRUSTEES HAS TRADITIONALLY BEEN COMPRISED OF INDIVIDUALS WITH TIES TO THE VETERINARY COMMUNITY AND THE GENERAL PUBLIC. FOR THE PAST FIVE YEARS, MEMBERS OF THE BOARD OF TRUSTEES COME FROM A VARIETY OF PROFESSIONALS, INCLUDING ACCOUNTS, ATTORNEYS, ANIMAL BEHAVIORISTS AND MEMBERS OF THE AEROSPACE COMMUNITY AS WELL AS VETERINARIANS. 4.AVAILABILITY OF PUBLIC FACILITIES OR SERVICES FACTOR. THE ANIMAL HEALTH FOUNDATIONS PET PARTNER PROGRAM SPONSORS OVER 100 THERAPY ANIMAL TEAMS THAT VOLUNTEER THEIR TIME WITHIN THE SOUTHERN CALIFORNIA REGION AND A VARIETY OF ACTIVITIES. THE TEAMS PARTICIPATE IN ANIMAL ASSISTANT ACTIVITIES, ANIMAL ASSISTANT THERAPY WITHIN ACUTE CARE FACILITIES, HOSPICE, ASSISTED LIVING FACILITIES, ADULT DAYCARE AND SCHOOLS. THIS IS ONE OF THE LARGEST LOCALIZED THERAPY ANIMAL PROGRAMS IN THE UNITED STATES AND THE ONLY PROGRAM OF THIS SIZE WHERE THE TESTING, REGISTRATION FEES, THERAPY ANIMAL VESTS, INSURANCE AND THERAPY ANIMAL BUSINESS CARDS IS SPONSORED BY A NONPROFIT ORGANIZATION. THE FINANCIAL SUPPORT OF THIS PROGRAM BY THE AHF ALLOWS MANY TEAMS TO PARTICIPATE IN COMMUNITY OUTREACH AND SUPPORTIVE ROLES VISITING PATIENTS AND STUDENTS IN THERAPEUTIC CAPACITY. ADDITIONALLY, THROUGH ANGEL FUND THE ANIMAL HEALTH FOUNDATION DONATES GRANTS TO VARIOUS VETERINARIAN HOSPITALS THROUGHOUT THE SOUTHERN CALIFORNIA VETERINARY MEDICAL COMMUNITY TO ASSIST PRIVATE INDIVIDUALS THAT HAVE DEMONSTRATED A FINANCIAL NEED FOR ASSISTANCE TO PAY FOR THEIR COMPANION PET SURGERIES AND/OR MEDICAL CARE. THE AMOUNT DONATED BY AHF IS UP TO 500 PER PROCEDURE AND OVER THE LAST FOUR YEARS THE AHF HAS DONATED IN EXCESS OF 30,000 TO THE ANGEL FUND. AHF HAS ALSO SOUGHT TO ASSIST THE INTERNATIONAL COMMUNITY THROUGH DONATIONS AND RECENTLY IN 2010 THE AHF DONATED MONEY TO THE SUMATRA ORANGUTAN VETERINARY COLLEGE TO SPONSOR LOCAL STUDENTS IN THE VETERINARIAN SCHOOL WITH THE INTENT TO ASSIST THE COMMUNITY THROUGH EDUCATION TO PRESERVE THE ORANGUTAN. 5.ADDITIONAL FACTORS. THE AHF SOLICITS DONATIONS FROM THE GENERAL PUBLIC AS WELL AS CONTRIBUTIONS FROM THE VETERINARIAN COMMUNITY TO ASSIST IN SUPPORTING THE VARIOUS PROGRAMS THAT ARE SPONSORED BY THE AHF. THE ANIMAL HEALTH FOUNDATIONS GOAL IS TO ENCOURAGE THE HUMAN-ANIMAL-BOND RELATIONSHIP, PROMOTE PUBLIC EDUCATION ABOUT ANIMALS AND IN THAT REGARD, SUPPORT THE STUDY AND ADVANCEMENT OF ANIMAL HEALTH, AID DOMESTIC ANIMALS AND THEIR OWNERS IN FINANCIAL TIMES OF NEEDS, AND SUPPORT PROJECTS AIDING WILDLIFE. |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| ALL OTHER ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4D | ASSISTED ANIMALS WITH VETERINARY CARE. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | NO REVIEW WAS OR WILL BE CONDUCTED. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | AVAILABLE AT PLACE OF BUSINESS |
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