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? |
|||
|---|---|---|---|---|---|---|---|---|---|
| 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.") .... | ||||||
| 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. | ||||||
| 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). | ||||||






| 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.") . | 76,965 | 70,316 | 51,549 | 71,746 | 66,958 | 337,534 |
| 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. | 76,965 | 70,316 | 51,549 | 71,746 | 66,958 | 337,534 |
| 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.) | 337,534 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 76,965 | 70,316 | 51,549 | 71,746 | 66,958 | 337,534 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 3,112 | 2,540 | 1,484 | 2,961 | 3,171 | 13,268 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 3,112 | 2,540 | 1,484 | 2,961 | 3,171 | 13,268 |
| 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.). | 80,077 | 72,856 | 53,033 | 74,707 | 70,129 | 350,802 |




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. List of grants and similar amounts paid (Part I, line 10) | ACTIVITY RESEARCH AND EDUCATION GRANTEE TAKE THE LEAD ADDRESS PO BOX 6353 WATERTOWN NY 13601 AMOUNT 2500 ACTIVITY RESEARCH GRANTEE AKC CANINE HEALTH FOUNDATION ADDRESS PO BOX 37941 RALEIGH NC 27627 AMOUNT 2500 ACTIVITY RESEARCH GRANTEE AKC HUMANE FUND ADDRESS 260 MADISON AVENUE NEW YORK NY 10016 AMOUNT 1000 ACTIVITY RESEARCH AND EDUCATION GRANTEE NATIONAL ANIMAL INTEREST ALLIANCE ADDRESS PO BOX 66579 PORTLAND OR 97290 AMOUNT 5000 | |
| 02. Description of other expenses (Part I, line 16) | DESCRIPTION AMOUNT SCHOLARSHIPS 5000 LICENSES AND FEES 125 RESCUE AND VETERINARY SERVICES 34249 CONFERENCES 450 INSURANCE 562 MERCHANDISE AND MATERIALS 3647 |
| Software ID: | |
| Software Version: |
| Person Name | Explanation |
|---|---|
| KRYSTN MESSER | THE OFFICERS ARE NOT COMPENSATED |
| SUSAN BEACHAM | THE OFFICERS ARE NOT COMPENSATED |
| ROBERT PICCIRILLO | THE OFFICERS ARE NOT COMPENSATED |
| KATHY KOZAKIEWICZ | THE OFFICERS ARE NOT COMPENSATED |
| DR ALBERT BIANCHI JR | THE OFFICERS ARE NOT COMPENSATED |
| Person Name | Explanation |
|---|---|
| KRYSTN MESSER | THE OFFICERS ARE NOT COMPENSATED |
| SUSAN BEACHAM | THE OFFICERS ARE NOT COMPENSATED |
| ROBERT PICCIRILLO | THE OFFICERS ARE NOT COMPENSATED |
| KATHY KOZAKIEWICZ | THE OFFICERS ARE NOT COMPENSATED |
| DR ALBERT BIANCHI JR | THE OFFICERS ARE NOT COMPENSATED |
| Person Name | Explanation |
|---|---|
| KRYSTN MESSER | THE OFFICERS ARE NOT COMPENSATED |
| SUSAN BEACHAM | THE OFFICERS ARE NOT COMPENSATED |
| ROBERT PICCIRILLO | THE OFFICERS ARE NOT COMPENSATED |
| KATHY KOZAKIEWICZ | THE OFFICERS ARE NOT COMPENSATED |
| DR ALBERT BIANCHI JR | THE OFFICERS ARE NOT COMPENSATED |
| Person Name | Explanation |
|---|---|
| KRYSTN MESSER | THE OFFICERS ARE NOT COMPENSATED |
| SUSAN BEACHAM | THE OFFICERS ARE NOT COMPENSATED |
| ROBERT PICCIRILLO | THE OFFICERS ARE NOT COMPENSATED |
| KATHY KOZAKIEWICZ | THE OFFICERS ARE NOT COMPENSATED |
| DR ALBERT BIANCHI JR | THE OFFICERS ARE NOT COMPENSATED |
| Person Name | Explanation |
|---|---|
| KRYSTN MESSER | THE OFFICERS ARE NOT COMPENSATED |
| SUSAN BEACHAM | THE OFFICERS ARE NOT COMPENSATED |
| ROBERT PICCIRILLO | THE OFFICERS ARE NOT COMPENSATED |
| KATHY KOZAKIEWICZ | THE OFFICERS ARE NOT COMPENSATED |
| DR ALBERT BIANCHI JR | THE OFFICERS ARE NOT COMPENSATED |