Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 32,625 | 32,625 | ||||
| 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 | 32,625 | 32,625 | ||||
| 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. | 32,625 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 32,625 | 32,625 | ||||
| 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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | 32,625 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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.) | 0 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 0 | 0 | 0 | 0 | 0 | 0 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | 0 | |||
| 2 | Enter 85% of line 1 | 2 | 0 | |||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | 0 | |||
| 4 | Enter greater of line 2 or line 3 | 4 | 0 | |||
| 5 | Income tax imposed in prior year | 5 | 0 | |||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | 0 | |||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 0 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
0 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 0 | |
| 4 Amounts paid to acquire exempt-use assets | 0 | |
| 5 Qualified set-aside amounts (prior IRS approval required) | 0 | |
| 6 Other distributions (describe in Part VI). See instructions | 0 | |
| 7Total annual distributions. Add lines 1 through 6. | 0 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
0 | |
| 9 Distributable amount for 2019 from Section C, line 6 | 0 | |
| 10 Line 8 amount divided by Line 9 amount | 0 % | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | 0 | |||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
0 | |||
| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014.......0 | ||||
| b From 2015.......0 | ||||
| c From 2016.......0 | ||||
| d From 2017.......0 | ||||
| e From 2018.......0 | ||||
| fTotal of lines 3a through e | 0 | |||
| g Applied to underdistributions of prior years | 0 | |||
| h Applied to 2019 distributable amount | 0 | |||
|
i
Carryover from 2014 not applied (see instructions) |
0 | |||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | 0 | |||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ 0 | ||||
| a Applied to underdistributions of prior years | 0 | |||
| b Applied to 2019 distributable amount | 0 | |||
| c Remainder. Subtract lines 4a and 4b from 4. | 0 | |||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
0 | |||
|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
0 | |||
|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
0 | |||
| 8 Breakdown of line 7: | ||||
| a Excess from 2015.....0 | ||||
| b Excess from 2016.....0 | ||||
| c Excess from 2017.....0 | ||||
| d Excess from 2018.....0 | ||||
| e Excess from 2019.....0 | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Schedule O: | Rescue tags 2-Jan-18 99 Dogcom slip leads 25ea 2-Jan-18 257 Walmart and gas rescue bill 3-Jan-18 153 Icelyn vet bill 5-Jan-18 393 Renegar vet bill 8-Jan-18 600 Renegar vet bill 10-Jan-18 569 Jessie vet bill 12-Jan-18 86 Gregory smith payment 13-Jan-18 127 Shelter adoption and rescue gas 15-Jan-18 116 Renegar vet bill 19-Jan-18 1392 Renegar vet bill 20-Jan-18 39 Rescue gas bill 20-Jan-18 36 Renegar vet bill 22-Jan-18 98 Rescue gas bill 24-Jan-18 31 Renegar vet bill 27-Jan-18 235 Rescue gas bill 27-Jan-18 39 Stacey albertson payment 27-Jan-18 193 Cedarwood vet bill 29-Jan-18 47 Renegar vet bill 30-Jan-18 296 Rescue gas bill 2-Feb-18 27 Renegar vet bill 2-Feb-18 832 Rescue gas bill 6-Feb-18 37 East central vet bill 7-Feb-18 60 East central vet bill 7-Feb-18 80 Walmart rescue bill 8-Feb-18 56 Eastside vet bill 8-Feb-18 41 Renegar vet bill 8-Feb-18 350 Petsense rescue bill 12-Feb-18 93 Cedarwood vet bill 12-Feb-18 266 Rescue gas bill 13-Feb-18 36 Walmart rescue bill 14-Feb-18 43 Eastside vet bill 15-Feb-18 41 PCAS rescue 16-Feb-18 20 Renegar vet bill 17-Feb-18 295 PCAS rescue 19-Feb-18 20 PCAS rescue 21-Feb-18 20 Rescue gas bill 22-Feb-18 26 Walmart rescue bill 28-Feb-18 43 Rescue gas bill 28-Feb-18 31 Renegar vet bill 28-Feb-18 1046 Tinker rescue bill 3-Mar-18 103 Renegar vet bill 6-Mar-18 400 Hilbert vet bill 7-Mar-18 266 Renegar vet bill 9-Mar-18 1263 Rescue gas bill 12-Mar-18 37 Renegar vet bill 17-Mar-18 1017 Rescue gas bill 18-Mar-18 34 Kiamitchi vet bill 19-Mar-18 111 Walmart rescue bill 21-Mar-18 47 PCAS rescue 21-Mar-18 20 PCAS rescue 23-Mar-18 20 Rescue gas bill 26-Mar-18 39 Renegar vet bill 30-Mar-18 243 Happy grooming bill 1-Apr-18 55 Rescue gas bill 2-Apr-18 33 Renegar vet bill 4-Apr-18 319 Rescue gas bill 9-Apr-18 34 Renegar vet bill 12-Apr-18 603 Lincoln vet bill 20-Apr-18 226 Glacier vet bill 27-Apr-18 75 Sweat pea vet bill 5-May-18 76 rescue tags 7-May-18 99 Clio vet bill 11-May-18 113 Rachel linthicum payment 20-May-18 45 Kiamitchi vet bill 31-May-18 100 Renegar vet bill 1-Jun-18 449 East central vet hospital 4-Jun-18 226 Rescue vet bill 6-Jun-18 50 Renegar vet bill 13-Jun-18 1437 Blackweel hosp bill 14-Jun-18 95 Rescue dog transport fee 25-Jun-18 270 Eastside vet bill 27-Jun-18 668 Angela Flom payment 28-Jun-18 100 Rescue vet bill 29-Jun-18 70 June rescue gas bills 30-Jun-18 214 June walmart bills 30-Jun-18 176 Renegar vet bill 2-Jul-18 1362 Rescue gas bill 2-Jul-18 36 Shelter manager LTD payment 2-Jul-18 340 Rhiannon vetting 3-Jul-18 118 Walmart rescue expenses 4-Jul-18 325 Rescue gas bill 8-Jul-18 39 Walmart rescue expenses 11-Jul-18 36 Gregory smith payment 12-Jul-18 60 Sissy vet bill 12-Jul-18 60 Rescue gas bill 13-Jul-18 26 Walmart rescue expenses 14-Jul-18 28 Rescue gas bill 15-Jul-18 41 Stacy albertson payment 18-Jul-18 258 Renegar vet bill 18-Jul-18 1200 Melissa hyde payment 19-Jul-18 84 shelby soden payment 19-Jul-18 135 Walmart rescue expenses 18-Jul-18 104 Melissa hyde payment 20-Jul-18 112 Renegar vet bill 23-Jul-18 1500 Vet bill 18-Jul-18 300 Tracor supply rescue expense 19-Jul-18 95 Haley craig payment 22-Jul-18 26 Rescue gas bill 22-Jul-18 37 Brandy vet bill 26-Jul-18 100 Vet bill 26-Jul-18 275 Renegar vet bill 27-Jul-18 721 Haley craig payment 28-Jul-18 32 Rescue gas bill 28-Jul-18 37 Rescue gas bill 31-Jul-18 35 Jacob goodsell payment 31-Jul-18 100 Delaney cisneros payment 1-Aug-18 100 Melissa hyde payment 1-Aug-18 25 Renegar vet bill 3-Aug-18 886 Rescue gas bill 4-Aug-18 38 Rescue gas bill 8-Aug-18 33 Haley craig payment 8-Aug-18 68 PCAS rescue 8-Aug-18 20 Walmart rescue expenses 9-Aug-18 39 Renegar vet bill 20-Aug-18 800 Kiamichi vet bill 27-Aug-18 163 Walmart rescue bill 29-Aug-18 105 August rescue gas bill 31-Aug-18 123 Renegar vet bill 1-Sep-18 1500 Renegar vet bill 4-Sep-18 463 Perkins pet clinic bill 5-Sep-18 297 Renegar vet bill 15-Sep-18 1000 Renegar vet bill 18-Sep-18 771 Hatco panacure bill 20-Sep-18 135 Rescue tags bill 25-Sep-18 100 Renegar vet bill 26-Sep-18 574 Renegar vet bill 28-Sep-18 237 September rescue gas bill 30-Sep-18 170 Renegar vet bill 1-Oct-18 177 Spay and neuter bill KC 1-Oct-18 55 Renegar vet bill 5-Oct-18 257 Renegar vet bill 10-Oct-18 41 Renegar vet bill 17-Oct-18 384 Renegar vet bill 20-Oct-18 88 1800pet supplies bill slip leads 22-Oct-18 153 Renegar vet bill 23-Oct-18 266 Renegar vet bill 26-Oct-18 545 October rescue monthly gas bill 31-Oct-18 189 Mulvane vet bill 3-Nov-18 164 Rescue gas bill 4-Nov-18 39 NOV OCT AUG PCAS adoptions 7-Nov-18 140 Walmart and gas rescue bill 7-Nov-18 73 Karen Oneil payment 7-Nov-18 45 Renegar vet bill 8-Nov-18 1200 Reascue gas bill 15-Nov-18 35 Renegar vet bill 15-Nov-18 264 Rescue gas bill 20-Nov-18 35 Renegar vet bill 21-Nov-18 519 Rescue gas bill 29-Nov-18 30 Walmart bill rescue 30-Nov-18 48 Walmart bill rescue 1-Dec-18 58 Renegar vet bill 1-Dec-18 232 Rescue gas bill 3-Dec-18 36 Skiatok animal clinic bill 4-Dec-18 92 Walmart bill rescue 8-Dec-18 39 Renegar vet bill 8-Dec-18 947 Rescue gas bill 11-Dec-18 37 Renegar vet bill 21-Dec-18 169 Rescue gas bill 24-Dec-18 29 Renegar vet bill 24-Dec-18 595 Renegar vet bill 27-Dec-18 255 |
| Software ID: | |
| Software Version: |