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
2012
Open to Public Inspection
Name of the organization
LARIMER HUMANE SOCIETY
Employer identification number
84-0611804
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 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 monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
617,950
493,167
649,223
942,142
1,180,681
3,883,163
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
617,950
493,167
649,223
942,142
1,180,681
3,883,163
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)..
51,340
6
Public support. Subtract line 5 from line 4.
3,831,823
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
617,950
493,167
649,223
942,142
1,180,681
3,883,163
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
104,836
75,626
77,410
72,071
88,232
418,175
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
135,379
124,799
177,022
188,770
224,580
850,550
11
Total support (Add lines 7 through 10).
5,151,888
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13,035,960
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 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
74.380 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
74.260 %
16a
33 1/3% support test—2012.
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—2011.
If the organization did not check a 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—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012
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
2012
Open to Public Inspection
Name of the organization
LARIMER HUMANE SOCIETY
Employer identification number
84-0611804
Identifier
Return Reference
Explanation
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
AND EVEN YEARS. WE WERE HONORED TO REUNITE FAMILIES WHO HAD LONG AGO GIVEN UP HOPE. IN FISCAL YEAR 2013 LARIMER HUMANE SOCIETY: - "WELCOMED 6,325 ANIMALS INTO OUR SHELTER, MORE THAN 15 ANIMALS PER DAY OR TWO EVERY HOUR. - "PLACED 2,818 FURRY, FEATHERED AND SCALY CRITTERS INTO LOVING HOMES. - "REUNITED 1,897 FAMILIES BY RETURNING LOST PETS TO THEIR OWNERS. IN FACT, ONE IN EVERY THREE ANIMALS THAT CAME TO US WAS RETURNED BACK TO THEIR OWNERS. - "CELEBRATED A LIVE RELEASE RATE OF 87%. - "PARTNERED WITH 110 OTHER SHELTERS, HUMANE SOCIETIES AND BREED-SPECIFIC RESCUE GROUPS TO GIVE THESE PETS A SECOND CHANCE AT LOVE.
SECOND ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4B
UNINCORPORATED LARIMER COUNTY. - "INCREASED PARK AND NEIGHBORHOOD PATROLS BY 1,251 OR 35% OVER 2012. - "CELEBRATED AVERAGE RESPONSE TIMES FOR PRIORITY CALLS AT 15 MINUTES. - "INVESTIGATED 1,674 ANIMAL WELFARE CASES.
THIRD ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4C
- "COMPLETED 211 DENTAL PROCEDURES ON SHELTER ANIMALS, AN INCREASE OF MORE THAN 100% OVER 2012. - "PARTNERED WITH COLORADO STATE UNIVERSITY'S VETERINARY TEACHING HOSPITAL TO PROVIDE OPPORTUNITIES FOR FOURTH-YEAR VETERINARY STUDENTS TO PERFORM 192 SPAY/NEUTER SURGERIES ON SHELTER ANIMALS, INCREASING OUR ORGANIZATION'S CAPACITY AND PROVIDING HANDS-ON LEARNING TO STUDENTS. - "SAVED MORE LIVES THROUGH PARTNERSHIP WITH COLORADO STATE UNIVERSITY'S SAVING ANIMALS IN SHELTERS THROUGH TEACHING (SAST) PROGRAM, WHICH PROVIDED 14 ADDITIONAL SPECIALIZED SURGERIES TO SHELTER ANIMALS.
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
OTHER SERVICES: THESE SERVICES INCLUDE LICENSING, WILDKIND, AND COMMUNITY RELATIONS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
THE FORM 990 IS REVIEWED BY EXECUTIVE DIRECTOR, FINANCE DIRECTOR, MEMBERS OF THE FINANCE COMMITTEE AND MEMBERS OF THE BOARD OF DIRECTORS BEFORE IT IS FILED.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST CERTIFICATION DISCLOSURE STATEMENT ANNUALLY.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
THE SOCIETY USES SALARY SURVEYS THAT ARE INDUSTRY AND NON-PROFIT SPECIFIC (FOR EXAMPLE SOCIETY OF ANIMAL WELFARE ADMINISTRATORS) AS PROVIDED BY THE MOUNTAIN STATES EMPLOYERS COUNCIL. IN ADDITION, THE SOCIETY RECEIVED INPUT FROM RECRUITING FIRMS AND COMPARED THE EXECUTIVE DIRECTOR'S SALARY TO PREVIOUS EXECUTIVE DIRECTOR'S SALARIES.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
THE SOCIETY USES THE SAME SURVEY INFORMATION AS IS USED FOR DETERMINING THE CEO COMPENSATION, AS WELL AS FOR-PROFIT COMPARISONS FOR SIMILAR POSITIONS FOR DIRECTOR OF HUMAN RESOURCES AND DIRECTOR OF FINANCE. THE SOCIETY HAS ALSO DEVELOPED A COMPREHENSIVE COMPENSATION PLAN THAT HELPS THEM ATTRACT THE VERY BEST STAFF TO KEEP THE ORGANIZATION OPERATING AS EFFICIENTLY AS POSSIBLE."
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
THE SOCIETY PROVIDES INFORMATION REGARDING ITS GOVERNING DOCUMENTS UPON REQUEST.
RECONCILIATION OF CHANGES - OTHER
FORM 990, PART XI, LINE 9
SPECIAL EVENT EXPENSES NETTED AGAINST PROCEEDS 66,206 SPECIAL EVENT EXPENSES NETTED AGAINST PROCEEDS -66,206
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
Software Version:
-
TIN:
TY 2012 AveragingAttachment
Name:
LARIMER HUMANE SOCIETY
EIN: 84-0611804
Explanation:
THE SOCIETY FILED FORM 5768 DURING ITS 2011 FISCAL YEAR TO MAKE THE ELECTION UNDER SECTION 501(H). AS SUCH, INFORMATION FOR 2009 IS NOT REQUIRED.