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
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 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.") ....
2,007,408
2,052,216
1,759,602
1,231,352
1,595,510
8,646,088
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
2,007,408
2,052,216
1,759,602
1,231,352
1,595,510
8,646,088
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.
8,646,088
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..
2,007,408
2,052,216
1,759,602
1,231,352
1,595,510
8,646,088
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
143,917
30,117
14,819
16,079
44,415
249,347
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.)..
1,551,492
1,505,789
1,487,115
1,700,456
1,834,093
8,078,945
11
Total support (Add lines 7 through 10).
16,974,380
12
Gross receipts from related activities, etc. (see instructions)
..................
12
462,164
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
50.940 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
55.980 %
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
VANCOUVER HUMANE SOCIETY
Employer identification number
91-0759124
Return Reference
Explanation
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.
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.
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
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.
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.
FORM 990, PAGE 6, PART VI, LINE 19
GOVERNING DOCUMENTS AVAILABLE UPON REQUEST
FORM 990, PART IX, LINE 24E
MEDICAL SUPPLIES - SHELTE 38,413 0 0 REPAIRS/MAIN.-ANIMAL CARE 36,478 0 0 MICROCHIPS - ANIMAL CARE 35,043 0 0 ANIMAL SUPPLIES - ANIMAL 25,256 0 0 PRINTING - DEVELOPMENT 0 19,008 0 MAGAZINE (NEWSLTTR) - DEV 0 0 16,988 BANK FEES/OTHER-ANIMAL CA 16,928 0 0 FAC SUPPLIES-ANIMAL CARE 16,799 0 0 MEDICAL SUPPLIES-S/N SURG 16,666 0 0 DISPOSAL-ANIMAL CARE 16,000 0 0 PROF FEES-ANIMAL CARE 15,138 0 0 FAC INS-ANIMAL CARE 15,111 0 0 COMPUTER MAINT &SPLS - A 14,072 0 0 BANK FEE/OTHER-SP EVT/FND 0 0 12,573 TELEPHONE-ANIMAL CARE 10,706 0 0 GEN ACCTG-ANIMAL CARE 10,332 0 0 PROF FEES - RELIEF VET 10,265 0 0 ANIMAL FOOD - ANIMAL CARE 7,893 0 0 VET SERVICES-ANIMAL CARE 7,807 0 0 ADVERTISING-DEVELOPEMENT 0 0 7,069 EXCISE TAX-ANIMAL CARE 6,681 0 0 POSTAGE - DEVELOPEMENT 0 5,673 0 EQUIPMENT LEASE-ANIMAL CA 5,515 0 0 ANIMAL FOOD - A.C. IN KIN 5,082 0 0 OFFICE SPLY-ANIMAL CARE 4,413 0 0 VET SERVICES-FOSTER CARE 3,743 0 0 PRIVATE CREMATION - ANIMA 3,525 0 0 COMPUTER MAINT &SPLS - DE 0 0 3,168 REPAIRS/MAIN.- SHELTER ME 2,833 0 0 TELEPHONE - DEVELOPMENT 0 0 2,208 TELEPHONE-ADOPTIONS 0 0 1,993 RESALE SUPPLIES-VOLUNTEER 1,987 0 0 AUTO INS-ANIMAL CARE 1,986 0 0 VET SERVICES - CHOPPER FU 1,947 0 0 EDUCATION PROGRAMS 1,849 0 0 DUES/SUBCRIPTIONS-ANIMAL 1,830 0 0 UNIFORMS-VOLUNTEER 0 1,710 0 GEN ACCTG-SHELTER MED 1,660 0 0 EUTHANASIA SUPPLY-ANIMAL 1,526 0 0 FAC INS-ADMINISTRATION 0 1,508 0 ANIMAL SUPPLIES - A.C IN 1,490 0 0 AUTO LIC. - DEVELOPEMENT 0 0 1,458 OFFICE SPLY-ADOPTIONS 0 0 1,400 EQUIPMENT LEASE-ADMINISTR 0 1,290 0 COMPUTER MAINT &SPLS - VO 1,204 0 0 ANIMAL FOOD - VET 1,173 0 0 EDUCATION-ANIMAL CARE 1,128 0 0 OFFICE SPLY - DEVELOPEMEN 0 0 1,097 PROF FEES- SPAY & NEUT VE 1,097 0 0 TELEPHONE-VOLUNTEER 1,090 0 0 DUES/SUBSCRIPTIONS-DEVELO 0 0 1,079 FAC SUPPLIES-ADOPTIONS 0 0 1,077 COMPUTER SUPPLIES -ADOPTI 0 0 1,076 GEN ACCTG-ADOPTIONS 0 0 1,067 GASOLINE-ANIMAL CARE 1,064 0 0 GEN ACCTG-ADMINISTRATION 0 981 0 PROF FEES-ADMINISTRATION 0 946 0 REPAIRS/MAIN-ADOPTIONS 945 0 0 LEND A PAW PURCHASES 928 0 0 OTHER TAX/ LICENSE-ANIMAL 925 0 0 OTHER TAX/LIC - SURGERY 916 0 0 FAC SUPPLIES-SHELTER MED 897 0 0 FAC INS-DEVELOPMENT 0 0 873 BRICK & PAVER PURCHASE - 872 0 0 FAC INS-VOLUNTEER 871 0 0 FAC INS-EDUCATION 829 0 0 FAC INS-ADOPTIONS 0 0 798 FAC SUPPLIES-DEVELOPMENT 0 0 774 PRINTING-ANIMAL CARE 757 0 0 GEN ACCTG-DEVELOPEMENT 0 0 755 FAC SUPPLIES-SPAY N NEUTE 703 0 0 UNIFORMS-ANIMAL CARE 683 0 0 GEN ACCTG-VOLUNTEER 662 0 0 OFFICE SPLY-ADMINISTRATIO 0 630 0 REPAIRS/MAINT-DEVELOPEMEN 0 0 622 FAC INS-SPAY N NEUTER 602 0 0 DUES/SUBSCRIPTIONS - VETE 569 0 0 PRINTING-ADOPTIONS 0 0 567 OFFICE SPLY-SHELTER MEDS 559 0 0 COMPUTER MAINT &SPLS - SH 558 0 0 EQUIPMENT LEASE - DEVELOP 0 0 553 EDUCATION-SPAY&NEUTER 548 0 0 BAD DEBT/NSF ITEMS - HSSW 0 536 0 POSTAGE-ANIMAL CARE 522 0 0 TELEPHONE-ADMINISTRATION 0 515 0 REPAIRS/MAIN.- SPAY N NEU 474 0 0 TELEPHONE-SHELTER MED 465 0 0 FAC SUPPLIES-ADMINISTRATI 0 452 0 ADVERTISING-ANIMAL CARE 452 0 0 REPAIRS/MAIN-ADMINISTRATI 446 0 0 REPAIRS/MAIN-VOLUNTEER 446 0 0 OTHER SUPPLIES-ANIMAL CAR 443 0 0 UNIFORMS - EDUCATION 426 0 0 FAC SUPPLIES-VETERINARY 412 0 0 COMPUTER MAINT &SPLS-ADMI 0 412 0 BANK & MERCHANT FEES/ADMI 0 396 0 EQUIP. LEASE-ADOPTIONS 0 0 395 OFFICE SPLY-VOLUNTEER 369 0 0 DUES/SUBSCRIPTIONS - ADOP 0 0 359 IN-KIND DONATIONS REC'D 354 0 0 COMPUTER MAINT &SPLS - S/ 342 0 0 EQUIPMENT LEASE-SHELT MED 325 0 0 AUTO REPAIR-ANIMAL CARE 325 0 0 VOLUNTEERS APPRECIATION 289 0 0 FAC INS-SHELTER MED 270 0 0 EDUCATION-VETERINARY 260 0 0 MEDICAL SUPPLIES - VET/SU 242 0 0 GEN ACCTG-S/N SURGERY 236 0 0 TELEPHONE-S/N SURGERY 226 0 0 PENALTIES-ANIMAL CARE 225 0 0 REPAIRS/MAIN.-EDUCATION 223 0 0 REPAIRS/MAIN.-VETERINARY 219 0 0 COMPUTER MAINT &SPLS - ED 216 0 0 EQUIPMENT LEASE-S/N SURG 197 0 0 PROF FEES-ADOPTIONS 0 0 179 UNIFORMS - VET 155 0 0 EQUIPMENT LEASE-VOLUNTEER 139 0 0 PRINTING-ADMINISTRATION 0 137 0 FAC INS-VETERINARY 134 0 0 TELEPHONE-EDUCATION 129 0 0 AUTO INS - ADMIN 0 124 0 AUTO INS. - DEVELOPMENT 0 0 124 AUTO INS. - VOLUNTEER 124 0 0 AUTO INS-EDUCATION 124 0 0 EQUIPMENT LEASE-EDUCATION 120 0 0 AUTO LIC-ANIMAL CARE 120 0 0 AUTO INS. -VETERINARY 114 0 0 PRINTING-VOLUNTEER 114 0 0 COMMISSIONS - ANIMAL CARE 100 0 0 FAC SUPPLIES-VOLUNTEER 99 0 0 OFFICE SPLY-SPAY N NEUTER 98 0 0 POSTAGE-ADOPTIONS 0 0 92 AUTO INS. - ADOPTIONS 92 0 0 GASOLINE-ADOPTIONS 0 0 85 PROF FEES-VOLUNTEER 64 0 0 COMPUTER MAINT &SPLS - CL 60 0 0 POSTAGE-SHELTER MED 59 0 0 PRINTING-EDUCATION 55 0 0 ADVERTISING-VETERINARY 50 0 0 OFFICE SPLY-EDUCATION 47 0 0 GASOLINE-DEVELOPMENT 0 0 47 FAC SUPPLIES-EDUCATION 45 0 0 UNIFORMS - ADOPTIONS 40 0 0 PRINTING-SHELTER MED 35 0 0 PRINTING - SPAY & NEUTER 33 0 0 POSTAGE-ADMINISTRATION 0 31 0 PROF FEES-EDUCATION 30 0 0 DUES/SUBCRIPTIONS-VOLUNTE 21 0 0 DUES/SUBSCRIPTIONS-ADMIN 0 21 0 POSTAGE-EDUCATION 16 0 0 POSTAGE-SPAY N NEUTER 15 0 0 UNIFORMS - DEVELOPMENT 0 0 12 UNIFORMS - ADMIN 0 12 0 AUTO INSURANCE - SHELTER 11 0 0 DUES/SUBSCRIPTIONS-EDUCAT 10 0 0 ADVERTISING-EDUCATION 10 0 0 OFFICE SPLY-VETERINARY 8 0 0 POSTAGE-VETERINARY 7 0 0 BANKFEES/OTHER -ADOPTIONS 0 0 7 GEN ACCTG-EDUCATION 6 0 0 LOSS ON DISPOSAL OF EQUIP 6 0 0 POSTAGE-VOLUNTEER 5 0 0 TILL OVER/SHORT-ANIMAL CA -205 0 0
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.