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
DOUGLAS ANIMAL WELFARE GROUP
Employer identification number
30-0028975
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.") ....
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.
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..
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.)..
11
Total support (Add lines 7 through 10).
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
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
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.") .
9,829
109,573
113,747
120,812
136,385
490,346
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......
880
1,527
1,997
24,431
9,835
38,670
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.
10,709
111,100
115,744
145,243
146,220
529,016
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.)
529,016
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...
10,709
111,100
115,744
145,243
146,220
529,016
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
183
159
40
17
399
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
183
159
40
17
399
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.)..
10,892
111,259
115,784
145,260
146,220
529,415
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
99.920 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
99.460 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
0 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
1.000 %
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.
TO FACILITATE THE ADOPTION OF DOGS AND CATS AT THE DOUGLAS COUNTY ANIMAL SHELTER, GARDNERVILLE, NV. AND TO PROVIDE A HEALTHY AND STIMULATING ENVIRONMENT WHILE THEY AWAIT ADOPTION. WE HOLD ADOPTION EVENTS, PAY FOR MEDICAL TREATMENT, PROVIDE TRAINING AND AFTER-ADOPTION FOLLOW-UP AND SUPPORT TO HELP KEEP THE ANIMATLS IN THEIR NEW HOMES. WE CONTINUE TO DEVELOP OUR FOSTER HOME PROGRAM FOR THE ANIMALS THAT FAIL TO THRIVE WHILE AT THE SHELTER. OUR PURPOSE HAS ALSO BEEN EXTENDED TO HELP DOUGLAS COUNTY INDIVIDUALS IN NEED FO MEDICAL CARE FOR THEIR ANIMALS. WE ALSO EDUCATE THE COMMUNITY IN PROPER ANIMAL CARE AND PROVIDE LOW-COST SPAY/NEUTER AND VACCINATION OPPORTUNITIES FOR RESIDENT'S PETS. WE ALSO PROVIE TNR (TRAP-SPAY/NEUTER- VACCINATE-RELAESE) ASSISTANCE FOR FERAL CAT COMMUNITIES.
FORM 990-EZ, PART III, LINE 28
TOTAL VOLUNTEER HOURS: 17,906. TOTAL ADOPTIONS: 284 WITH DOUGLAS ANIMAL WELFARE GROUP (DAWG) BEING DIRECTLY INVOLVED IN 148 ADOPTIONS AND ASSISTING WITH MANY OTHERS.DAWG COVERED 25,308 IN MEDICAL EXPENSES FOR THE SHELTER ANIMALS. DAWG ALSO COVERED 50,720 FOR COMMUNITY ASSISTANCE PROGRAMS INCLUDING MEDICAL FOR PETS OF LOW INCOME FAMILIES, SPAY/NEUTER PROGRAMS FOR FAMILY PETS AND TRAP AND NEUTER FOR FERAL CAT COMMUNITIES. ADOPTION ASSISTANCE THAT INCLUDES MAINTAINING A HEALTHY AND STIMULATING ENVIRONMENT WHILE AWAITING ADOPTION, PROVIDING TRAINING/SOCIALIZING/GROOMING TO IMPROVE ADOPTABILITY, ADVERTISING AND ADOPTION EVENTS FOR PUBLIC EXOSURE, AND POST-ADOPTION FOLLOW-UPS AND ASSISTANCE TO HELP KEEP ADOPTED ANIMALS IN THEIR NEW HOMES: 23,874. DURING THE PAST YEAR, DOUGLAS ANIMAL WELFARE GROUP STARTED THREE NEW COMMUNITY ASSISTANCE PROGRMS. OUR FIX-A-FAMILY PET PROGRAM OFFERS A LOW- COST COPAY TO INDIVIDUALS THAT HAVE DOMESTIC DOGS AND/OR CATS IN THEIR HOMES THAT NOT BEEN SPAYED OR NEUTERED. WE CONTRACTED ITH LOCAL VETERINARIANS TO GIVE US A BREAK IN THEIR CHARGES SO THE OWNERS PAY A 30- 60 CO-PAY PER DOG OR CAT AND DAWG ABSORBS THE 90-150 SPAY/NEUTER CHARGE AND THE 15 RABIES SHOT. THIS HAS RESULTED IN THE SPAY/NEUTER OF NEARLY 100 DOMESTIC DOGS AND 150 DOMESTIC CAATS. FIX-A-PIT BULL IS A SIMILAR PROGRAM WITH A LOWER COPAY. PIT BULLS MAKE UP A LARGE PORTION OF SHELTER ANIMALS AND OF THOSE THAT ARE EUTHANIZED. THEY ALSO TYPICALLY HAVE LARGE LITTERS (9-11 PUPS). CONSEQUENTLY, A SPECIAL INCENTIVE IS NEEDED TO CONTROL THIS POPULATION. THIS PROGRAM IS FAIRLY NEW BUT HAS ALREADY RESULTED IN OVER 50 SPAY/NEUTERS AND RABIES VACCINATIONS. WE ALSO BEGAN A TNR (TRAP/NEUTER OR SPAY/RELEASE) PROGRAM FOR COMMUNITY FERAL CATS WHICH HAS ALREADY SHOWN AN IMPACT ON CONTROLLING SUCH POPULATIONS. OUR VOLUNTEERS HAVE KEPT THE SHELTER OPEN FOR ADOPTIONS ON SUNDAYS FOR FIVE YEARS SINCE COUNTY BUDGET RESULTED IN STAFFING CUTS AT THE SHELTER AND THE SHELTER HAD TO CLOSE ON SUNDAYS. OUR VOLUNTEERS WALK, SOCIALIZE AND TRAIN THE DOGS AND CLEAN, FEED AND SOCIALIZE THE CATS 365 DAYS A YEAR.
FORM 990-EZ, PART III, LINE 31
PROVIDE FOR ADOPTIONS AND ASSISTANCE, VETERINARY CARE
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.