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
VANCOUVER HUMANE SOCIETY
Employer identification number
91-0759124
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.") ....
4,197,920
2,036,363
2,007,408
2,052,216
1,759,602
12,053,509
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..
4,197,920
2,036,363
2,007,408
2,052,216
1,759,602
12,053,509
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.
12,053,509
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..
4,197,920
2,036,363
2,007,408
2,052,216
1,759,602
12,053,509
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
138,261
-56,265
143,917
30,117
14,819
270,849
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..
845,129
752,556
1,551,492
1,505,789
1,487,115
6,142,081
11
Total support (Add lines 7 through 10).
18,466,439
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
342,629
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
65.270 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
66.610 %
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
VANCOUVER HUMANE SOCIETY
Employer identification number
91-0759124
Identifier
Return Reference
Explanation
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
THE SOCIETY OFFERS SHELTER TO UNWANTED, ABANDONED, LOST & HOMELESS ANIMALS FOR CLARK & SKAMANIA COUNTIES, & PROVIDES ADOPTION & EDUCATIONAL PROGRAMS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
THE 990 IS REVIEWED BY THE FINANCE OFFICERS AND FINANCE COMMITTEE ALONG WITH PROPOSED ADJUSTING JOURNAL ENTRIES TO THE ORGANIZATION'S BOOKS FROM THE CPA FIRM PREPARING THE 990. THE TREASURER SIGNS THE RETURN AFTER CONCURRING WITH THE PROPOSED ADJUSTMENTS INCLUDED ON THE FORM 990.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
EXECUTIVE BOARD ANNUALLY REVIEWS AND UPDATES ANY POTENTIAL CONFLICTS OF INTEREST AND THE CONFLICT OF INTEREST POLICY IS DISUCSSENEW BOAR
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
THE EXECUTIVE BOARD REVIEWS THE SALARY OF THE EXECUTIVE DIRECTOR BASED ON WORK PERFORMANCE, ACHIEVEMENT OR PREDETERMINED GOALS, COMPARABLE SALARY DATA, AND RELATED INFORMATION.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
THE EXECUTIVE DIRECTOR IS RESPONSIBLE FOR ESTABLISHING THE SALARIES FOR KEY EMPLOYEES WITH GUIDANCE FROM THE EXECUTIVE BOARD.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
NO DOCUMENTS AVAILABLE TO THE PUBLIC
OTHER EXPENSES
FORM 990, PART IX, LINE 24E
MICROCHIPS - ANIMAL CARE 39,021 SPL EVNT EXP-SPL EVNT/FND 32,136 HVAC EXP 28,716 MEDICAL SUPPLIES- CTA 26,862 PROF FEES-ANIMAL CARE 26,488 ANIMAL SUPPLIES - ANIMAL 24,866 NEWSLETTER- 20,772 GEN ACCTG-ANIMAL CARE 19,036 REPAIRS/MAIN.-ANIMAL CARE 16,322 DISPOSAL-ANIMAL CARE 16,170 DIRECT MAIL-SPL EVNT/FND 15,673 BANK FEES/OTHER-ANIMAL CA 14,865 COMPUTER MAINT &SPLS - A 14,520 PRINTING-ANIMAL CARE 13,711 TELEPHONE-ANIMAL CARE 11,882 PAYROLL SHARED - VET 11,800 PROF FEES-EDUCATION 10,810 BANK FEE/OTHER-SP EVT/FND 10,807 ANIMAL FOOD - ANIMAL CARE 10,557 FAC INS-ANIMAL CARE 10,466 ANIMAL FOOD - A.C IN KIND 9,336 EXCISE TAX-ANIMAL CARE 8,773 COPIER LEASE-ANIMAL CARE 7,708 OFFICE SPLY-ANIMAL CARE 7,516 FAC SUPPLIES-ANIMAL CARE 5,922 PRIVATE CREMATION - ANIMA 4,441 DUES/SUBCRIPTIONS-ANIMAL 4,257 EUTHANASIA SUPPLY-ANIMAL 4,079 POSTAGE - DEVELOPEMENT 3,953 PROF FEES-ADMINISTRATION 3,571 PROFESSIONAL FEES - RELIE 3,442 PROF FEES-DEVELOPEMENT 3,426 GASOLINE-ANIMAL CARE 3,404 PRINTING - DEVELOPMENT 2,724 PENALTIES-ANIMAL CARE 2,534 UNIFORMS - VOLUNTEER 2,490 AUTO LIC. - DEVELOPEMENT 2,067 EDUCATION PROGRAMS 1,982 VET SERVICES-ANIMAL CARE 1,905 TELEPHONE-VOLUNTEER 1,845 DIRECT MAIL - POSTAGE 1,823 AUTO INS-ANIMAL CARE 1,731 ADVERTISING-DEVELOPEMENT 1,577 OTHER TAX/ LICENSE-ANIMAL 1,575 UNIFORMS-ANIMAL CARE 1,462 BANK FEES/OTHER ADMINISTR 1,429 BRICKS & PAVERS - PURCHAS 1,311 DUES/SUBSCRIPTIONS-DEVELO 1,276 POSTAGE-ANIMAL CARE 1,264 COMPUTER MAINT &SPLS - DE 1,100 PROF FEES - CLINIC 1,095 TELEPHONE-EDUCATION 1,008 COMPUTER MAINT &SPLS - VO 960 CONTRIBUTIONS - DEVELOPME 900 AUTO REPAIR-ANIMAL CARE 898 OFFICE SPLY-VOLUNTEER 878 OFFICE SPLY - DEVELOPEMEN 874 VET SERVICES-FOSTER CARE 865 REPAIRS/MAIN.-VETERINARY 847 VET SERVICES - "CHOPPER F 843 TELEPHONE-ADMINISTRATION 840 TELEPHONE - DEVELOPMENT 790 GEN ACCTG-DEVELOPEMENT 734 COMPUTER MAINT &SPLS - CL 729 COMPUTER MAINT &SPLS-ADMI 719 FAC INS-DEVELOPMENT 674 GEN ACCTG-VETERINARY 670 COMMISSIONS - ANIMAL CARE 659 OFFICE SPLY-ADMINISTRATIO 616 FAC INS-ADMINISTRATION 581 FAC INS-VOLUNTEER 581 FAC INS-VETERINARY 581 PRINTING-EDUCATION 577 GEN ACCTG-EDUCATION 573 GEN ACCTG-ADMINISTRATION 573 PROF FEES-VOLUNTEER 565 GEN ACCTG-VOLUNTEER 552 PRINTING-ADMINISTRATION 528 POSTAGE-ADMINISTRATION 518 TELEPHONE-VETERINARY 495 PRINTING-VOLUNTEER 477 RESALE SUPPLIES - VOLUNTE 473 COMPUTER MAINT &SPLS - ED 468 EXCISE TAX-ADMINISTRATION 459 EXCISE TAX-VETERINARY 459 EXCISE TAX-VOLUNTEER 459 EXCISE TAX- DEVELOPMENT 459 DUES/SUBCRIPTIONS-VOLUNTE 423 DUES/SUBSCRIPTIONS - VETE 419 ANIMAL SUPPLIES - A.C IN 397 PRINTING-VETERINARY 360 MEDICAL/ACCIDENT NON-EMPL 332 OFFICE SPLY-EDUCATION 311 EXCISE TAX-EDUCATION 308 FAC INS-EDUCATION 303 ADVERTISING-ANIMAL CARE 292 OFFICE SPLY-VETERINARY 290 FAC SUPPLIES-ADMINISTRATI 279 FAC SUPPLIES-VETERINARY 242 ANIMAL SUPPLIES - EDUCATI 211 DUES/SUBSCRIPTIONS-EDUCAT 186 COPIER LEASE-ADMINISTRATI 171 COPIER LEASE-VETERINARY 171 COPIER LEASE - DEVELOPMEN 171 COPIER LEASE-VOLUNTEER 171 EDUCATION-VETERINARY 160 AUTO LIC-ANIMAL CARE 152 AUTO INS - VETERINARY 142 AUTO INS. - VOLUNTEER 142 AUTO INS. - DEVELOPMENT 142 AUTO INS - ADMIN 142 GASOLINE-DEVELOPMENT 131 REPAIRS/MAINT-DEVELOPMENT 126 REPAIRS/MAIN-VOLUNTEER 126 REPAIRS/MAIN-ADMINISTRATI 126 FAC SUPPLIES-DEVELOPMENT 121 FAC SUPPLIES-VOLUNTEER 121 DUES/SUBSCRIPTIONS-ADMIN 116 UNIFORMS - VET 110 EDUCATION-EDUCATION 109 FAC SUPPLIES-EDUCATION 108 COPIER LEASE-EDUCATION 101 EDUCATION-ANIMAL CARE 85 EDUCATION-DEVELOPMENT 85 REPAIRS/MAIN.-EDUCATION 73 AUTO INS-EDUCATION 71 POSTAGE-VOLUNTEER 67 AUTO REPAIR-VOLUNTEER 66 AUTO REPAIR - ADMIN. 66 AUTO REPAIR - CLINIC 66 AUTO REPAIR - DEVELOPMENT 66 POSTAGE-EDUCATION 57 VOLUNTEERS-VOLUNTEER 49 POSTAGE-VETERINARY 48 LEND A PAW PURCHASES 44 VOLUNTEERS-DEVELOPMENT 42 AUTO REPAIR-EDUCATION 33 UNIFORMS - DEVELOPMENT 26 LEND A PAW - IN KIND 21 UNIFORMS - ADMIN 14 SP EVNT EXP - POSTAGE 14 UNIFORMS - EDUCATION 13 CONTRIBUTION-ANIMAL CARE 12 AUTO LIC. - ADMIN 12 AUTO LICENSES - VET 12 AUTO LIC-VOLUNTEER 12 ADVERTISING-VOLUNTEER 11 ADVERTISING-VETERINARY 11 ADVERTISING-ADMINISTRATIO 11 OFFICE SPLY-SPL EVNT/FND 11 AUTO LIC-EDUCATION 6 ADVERTISING-EDUCATION 6 TILL OVER/SHORT-ANIMAL CA -207
OTHER CHANGES IN NET ASSETS EXPLANATION
FORM 990, PART XI, LINE 5
ROUNDING
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.