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.") .... | 137,225 | 709,952 | 742,051 | 727,537 | 888,782 | 3,205,547 |
| 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.. | 137,225 | 709,952 | 742,051 | 727,537 | 888,782 | 3,205,547 |
| 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. | 3,205,547 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 137,225 | 709,952 | 742,051 | 727,537 | 888,782 | 3,205,547 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 272 | 471 | 80 | 823 | ||
| 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). | 3,206,370 | |||||






| 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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| Explanation |
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| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990 Part VI | 11A | The 990 is reviewed by the Board Treasurer and Executive Director prior to submission. Additionally, the organization strives to ensure an audit is performed by an independent accountant. |
| Form 990 Part VI | 12C | Conflict of interest policy compliance - In connection with any conflict of interested person must disclose the existence of such interest and all material facts to the governing Board, to be followed by a discussion with the interested person and a determination by the Board. If the Board has reasonable cause to believe a Board member has failed to disclose a conflict of interst, it shall inform the Board member of the basis for such belief and afford the Board member the opportunity to explain the alleged failure to disclose. If, after hearing the Board members response and investigating further, the governing Board determines the Board member has failed to disclose an actual or possible conflict of interest, the Board shall take appropriate disciplinary and corrective action. |
| Form 990 Part VI | 15a | The process used to determine compensation for the organizations Executive Director is carried out by the member of the Board with no conflicts of interest with respect to the compensation agreement and/or Executive Director. A Board committee assembles a compensation package based on compensation provided to individuals holding comparable positions at other animal sheltering organizations in the region, our organizations financial position, and the Executive Directors level of experience, education, training, certifications and job performance. The compensation package is reviewed and approved by the Board, and this process is repeated in conjunction with the Executive Directors annual reviews. These reviews and compensation packages are properly documented. |
| Form 990 Part VI | 15b | Other office or key employee compensation. The Business Manager and Board Treasurer jointly fulfill the position of Top Financial Official. The Business Manager is an employee of the organization therefore, her compensation is reviewed annually by the Executive Director in conjunction with the Business Managers annual evaluations. Officers of the Board of directors do not receive compensation. |
| Form 990 Part VI | 19 | The organization makes all documents and policies available on its website for public inspection. Such documents can also be requested via phone, email, fax or in person. |
| Form 990 Part VI Section B Line 11A The 990 is reviewed by the Board Treasurer and Executive Director prior to submission. Additionally, the organization strives to ensure an audit is performed by an independent accountant. Form 990 Part VI Section B Line 12C Conflict of interest policy compliance - In connection with any conflict of interested person must disclose the existence of such interest and all material facts to the governing Board, to be followed by a discussion with the interested person and a determination by the Board. If the Board has reasonable cause to believe a Board member has failed to disclose a conflict of interst, it shall inform the Board member of the basis for such belief and afford the Board member the opportunity to explain the alleged failure to disclose. If, after hearing the Board members response and investigating further, the governing Board determines the Board member has failed to disclose an actual or possible conflict of interest, the Board shall take appropriate disciplinary and corrective action. Form 990 Part VI Section B Line 15a The process used to determine compensation for the organizations Executive Director is carried out by the member of the Board with no conflicts of interest with respect to the compensation agreement and/or Executive Director. A Board committee assembles a compensation package based on compensation provided to individuals holding comparable positions at other animal sheltering organizations in the region, our organizations financial position, and the Executive Directors level of experience, education, training, certifications and job performance. The compensation package is reviewed and approved by the Board, and this process is repeated in conjunction with the Executive Directors annual reviews. These reviews and compensation packages are properly documented. Form 990 Part VI Section B Line 15b Other office or key employee compensation. The Business Manager and Board Treasurer jointly fulfill the position of Top Financial Official. The Business Manager is an employee of the organization therefore, her compensation is reviewed annually by the Executive Director in conjunction with the Business Managers annual evaluations. Officers of the Board of directors do not receive compensation. Form 990 Part VI Section C Line 19 The organization makes all documents and policies available on its website for public inspection. Such documents can also be requested via phone, email, fax or in person. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |