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. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ALCHEMY ACRES ANIMAL SANCTUARY
Employer identification number
03-0559816
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
44,612
58,365
70,117
79,480
69,096
321,670
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
44,612
58,365
70,117
79,480
69,096
321,670
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)..
7,136
6
Public support. Subtract line 5 from line 4.
314,534
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
44,612
58,365
70,117
79,480
69,096
321,670
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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
46,511
52,636
43,014
30,187
27,786
200,134
11
Total support (Add lines 7 through 10).
521,804
12
Gross receipts from related activities, etc. (see instructions)
..................
12
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 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
60.280 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
57.740 %
16a
33 1/3% support test—2013.
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—2012.
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—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
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) 2013
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.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ALCHEMY ACRES ANIMAL SANCTUARY
Employer identification number
03-0559816
Return Reference
Explanation
FORM 990-EZ, PART I, LINE 8
BOARDING 1,295 RECYCLING 568 MISCELLANEOUS/REBATES 60 TOTAL 1,923
KENNELS 12,200 12,200 LESS ACCUMULATED DEPRECIATION 8,000 8,886 CRATES 1,000 1,000 LESS ACCUMULATED DEPRECIATION 964 964 FENCE 2,000 2,000 LESS ACCUMULATED DEPRECIATION 1,893 1,964 FURNACE 1,000 1,000 LESS ACCUMULATED DEPRECIATION 929 1,000 FISH TANK 0 850 LESS ACCUMULATED DEPRECIATION 0 61 HOSPITAL BUILDING 3,325 3,325 LESS ACCUMULATED DEPRECIATION 597 682 ADDITION TO HOSPITAL BUILDING 1,800 1,800 LESS ACCUMULATED DEPRECIATION 273 319 2004 FORD F350 TRUCK 14,705 14,705 LESS ACCUMULATED DEPRECIATION 13,858 14,705 1969 INTERNATIONAL DUMP TRUCK 6,200 6,200 LESS ACCUMULATED DEPRECIATION 1,860 3,100 FORD BACKHOE 12,052 12,052 LESS ACCUMULATED DEPRECIATION 3,616 6,026 COMPUTER EQUIPMENT 4,504 4,504 LESS ACCUMULATED DEPRECIATION 450 1,351 TOTAL 26,346 20,578
FORM 990-EZ, PART III
MISSION TO RELIEVE THE SUFFERING THAT FAR TOO MANY ANIMALS ARE FORCED TO ENDURE, OUR MISSION IS TO PROVIDE A NO-KILL SANCTUARY FOR ABANDONED AND ABUSED DOMESTIC ANIMALS WHERE LOVE FOR THE SOUL AND MEDICAL CARE FOR THE BODY WILL BE PROVIDED TO ALL WHO ENTER OUR GROUNDS. ALCHEMY ACRES PROVIDES ADEQUATE HOUSING, CARE, EXERCISE, AND ENRICHMENT - OFTEN INDIVIDUALIZED BASED ON THE ANIMALS' NEEDS. WE ALSO PROVIDE ALL OF THE ANIMALS' MEDICAL WORK, INITIAL SHOTS, WORMING AND CARE, MONTHLY PREVENTIONS (FLEA AND HEARTWORM), YEARLY VACCINES, AND ROUTINE CHECK-UPS AND EXAMS AS WELL AS CARE FOR SPECIFIC MEDICAL CONDITIONS. ALCHEMY ACRES IS A PLACE WHERE ANIMALS MAY RESIDE THEIR ENTIRE LIVES IF NEED BE.
FORM 990-EZ, PART III, LINE 28
ADOPTION AND ANIMAL CARE SERVICES: LOVING, SAFE HOMES ARE SOUGHT OUT FOR OUR RESIDENTS AND ANY ANIMAL THAT IS DEEMED UNADOPTABLE IS ALLOWED TO LIVE OUT ITS NATURAL LIFE AT THE SANCTUARY. ANIMALS IN NEED OF PHYSICAL AND PSYCHOLOGICAL CARE RECEIVE PROFESSIONAL VETERINARY SERVICES; INCLUDING BUT NOT LIMITED TO VACCINES, PSYCHOLOGICAL CARE, SPAYING AND NEUTERING, ETC. TOWARD THIS GOAL MANY SERVICES AND FOOD ITEMS ARE DONATED. DURING 2013 WE RECEIVED APPROXIMATELY 30,568 VOLUNTEER HOURS FROM LOCAL VETERINARIANS AND THE COMMUNITY AT LARGE. SOME OF THE SERVICES PROVIDED BY THE COMMUNITY VOLUNTEERS INCLUDE DISH- WASHING, DOG BATHING, ANIMAL SOCIALIZATION, ANIMAL EXERCISE, CLEAN-UP DUTY AND FUNDRAISING. IN ADDITION, APPROXIMATELY 16 TONS OF DOG AND PUPPY FOOD, 4 TONS OF CAT LITTER AND 4.5 TONS OF CANNED CAT FOOD WERE RECEIVED AS DONATIONS DURING 2013. THE APPROXIMATE VALUE OF THE DONATED GOODS IS 23,915. ALCHEMY ACRES CARES FOR OVER 300 DOGS PER YEAR (HOUSING 90 AT A TIME), OVER 200 CATS PER YEAR (HOUSING 70 AT A TIME), IN ADDITION TO OVER 200 WILDLIFE INTAKES AND RELEASES PER YEAR AND OTHER VARIOUS ANIMALS.
FORM 990-EZ, PART III, LINE 29
EDUCATION: WE PROVIDE EDUCATION ABOUT AND FUNDS FOR SPAY AND NEUTER PROGRAMS. WE ATTEMPT TO RAISE AWARENESS ABOUT THE IMPORTANCE OF GENERAL PET CARE, VACCINATIONS AND NUTRITION. WE PROVIDE EDUCATION TO THOSE WE INTERACT WITH IN AN ATTEMPT TO PREVENT ANIMAL CRUELTY.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.