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 | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 2,124,858 | 1,055,980 | 1,004,807 | 2,054,856 | 1,117,768 | 7,358,269 |
| 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 | 184,849 | 253,616 | 453,171 | 365,168 | 558,920 | 1,815,724 |
| 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 | 2,309,707 | 1,309,596 | 1,457,978 | 2,420,024 | 1,676,688 | 9,173,993 |
| 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.) | 9,173,993 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 2,309,707 | 1,309,596 | 1,457,978 | 2,420,024 | 1,676,688 | 9,173,993 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 47,834 | 13,522 | 17,151 | 78,507 | ||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 47,834 | 13,522 | 17,151 | 78,507 | ||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | 1,117 | 1,117 | ||||
| 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.).. | 2,309,707 | 1,357,430 | 1,459,095 | 2,433,546 | 1,693,839 | 9,253,617 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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) |
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| 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): |
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| 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 0.015 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 0.035 | 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 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2021 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2021 |
(iii) Distributable Amount for 2021 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2021 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2021: | ||||
| a From 2016....... | ||||
| b From 2017....... | ||||
| c From 2018....... | ||||
| d From 2019....... | ||||
| e From 2020....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2021 distributable amount | ||||
|
i
Carryover from 2016 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2021 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2021 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2022. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2017..... | ||||
| b Excess from 2018..... | ||||
| c Excess from 2019..... | ||||
| d Excess from 2020..... | ||||
| e Excess from 2021..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990 | IN 2020 WE HELD A VIRTUAL HOLIDAY SIT, STAY BRUNCH EVENT. WHILE IT WAS NOT AS GOOD AS OUR IN-PERSON EVENT, WE WERE ABLE TO NET APPROXIMATELY 114,000 FROM THE EVENT TO BE USED TO HELP MORE PETS AND PET PARENTS IN NEED. SCHEDULE D, PART IX: OUR INCOME LOOKS INFLATED BECAUSE OF THE 1,000,000 PLEDGE WE RECEIVED IN 2020. THE PLEDGE WILL BE PAID OUT OVER 15 YEARS AND THE ACTUAL CASH AMOUNT RECEIVED IN 2020 WAS 278.08. |
| FORM 990, PAGE 2, PART III, LINE 4A | TEMPORARY CARE PROGRAM: LOST OUR HOME HAS THE MOST COMPREHENSIVE PROGRAM IN THE VALLEY THAT OFFERS TEMPORARY CARE FOR PETS OF PET PARENTS IN CRISIS. WE OFFER UP TO 120 DAYS OF SHELTER, MEDICAL CARE, FOOD, AND ENRICHMENT TO ASSIST PET PARENTS EXPERIENCING A CRISIS SUCH AS DOMESTIC VIOLENCE, HOMELESSNESS, FORECLOSURE, EVICTION, MEDICAL NEEDS, AND OTHER LIFE CHALLENGES. WE ALSO PROVIDE LIGHT SOCIAL WORK SERVICES TO HELP THEM RESOLVE THE CRISIS. IN 2021 WE PROVIDED 14,671 NIGHTS OF SAFE SHELTER TO 217 PETS TO HELP THEIR HUMAN FAMILIES RESOLVE THEIR CRISIS. RESCUE TO ADOPTION PROGRAM: FORECLOSURE AND EVICTION OFTEN LEAD TO PETS BEING ABANDONED WITHOUT FOOD OR WATER. WE GIVE THESE FORGOTTEN FRIENDS THE COMFORT AND CARE THEY NEED AND THE OPPORTUNITY TO FIND NEW LOVING HOMES. PET PARENTS WHO CAN NO LONGER CARE FOR THEIR PETS CAN TAKE SOLACE IN KNOWING THAT THEY WILL BE SAFE WITH US, AND WE TRANSFER IN PETS FROM HIGH-RISK RURAL SHELTERS. IN 2021 WE ADOPTED 946 DOGS AND CATS INTO FOREVER LOVING HOMES. FOOD BANK PROGRAM: NO PET SHOULD EVER GO HUNGRY, AND NO PET PARENT SHOULD HAVE TO SUFFER THE STRESS OF NOT BEING ABLE TO PROVIDE A BASIC NECESSITY FOR THEIR PET. WE PROVIDE PET FOOD AND SUPPLIES TO FINANCIALLY STRUGGLING INDIVIDUALS SO THEY DO NOT HAVE TO GIVE THEIR PETS UP SIMPLY BECAUSE THEY CANNOT AFFORD PET FOOD DURING THEIR TIME OF NEED. IN 2021 39,840 MEALS WERE SERVED TO HUNGRY PETS DOMESTIC VIOLENCE: STATISTICS SHOW THAT 45% OF WOMEN WILL NOT LEAVE AN ABUSIVE SITUATION FOR FEAR OF WHAT WOULD HAPPEN TO THEIR PETS IF LEFT BEHIND. OF WOMEN AND CHILDREN ENTERING A SHELTER, 85% REPORT THAT THEIR ABUSER HAD THREATENED, INJURED, MAIMED, OR KILLED THE FAMILY PET FOR REVENGE OR PSYCHOLOGICAL CONTROL. THAT IS WHY WE SPECIALIZE IN HELPING DOMESTIC VIOLENCE VICTIMS. WHETHER SOMEONE IS STAYING WITH FAMILY OR FRIENDS OR FINDS HOUSING IN A SHELTER, WE'RE HERE TO PROVIDE CARE FOR THEIR PETS THROUGH OUR TEMPORARY CARE PROGRAM UNTIL THEY FIND A SAFE, PERMANENT HOME. WE PARTNER WITH SOJOURNER CENTER, A DOMESTIC VIOLENCE SHELTER, TO HELP THEM OPERATE A PET SHELTER ON THEIR CAMPUS. THE COST WE INCUR FOR OUR STAFFING AT THEIR SHELTER AND FOR MEDICAL COSTS OF PETS HOUSED AT THEIR SHELTER ARE REIMBURSED BY SOJOURNER. IN 2021 WE WORKED WITH SOJOURNER TO HELP CARE FOR 45 NUMBER OF PETS WHOSE FAMILY WAS STAYING AT SOJOURNER. TEMPE POLICE DEPARTMENT AS PART OF OUR RESCUE TO ADOPTION PROGRAM, WE PROVIDE THE TEMPE POLICE DEPARTMENT ACCESS TO OUR SHELTER 24/7 TO DROP OFF PETS INTO OUR SHELTER WHEN THEY ARE ON A CALL AND HAVE A PET INVOLVED. THESE COMPASSIONATE OFFICERS BRING IN STRAY PETS, PETS THAT THEY HAVE RESCUED, AND PETS THAT HAVE NO ONE TO CARE FOR THEM IF THE OWNER IS ARRESTED, BROUGHT TO A HOSPITAL, SHELTER OR OTHER CIRCUMSTANCE. IN 2021 171 PETS WERE TAKEN IN THROUGH OUR PARTNERSHIP WITH THE TEMPE POLICE DEPARTMENT. |
| FORM 990, PAGE 6, PART VI, LINE 2 | BRENDA BREIT JODI POLANSKI DIRECTOR EXEC. DIR. FAMILY |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE TREASURER OF THE ORGANIZATION DISTRIBUTES A PDF COPY OF THE 990 TO ALL BOARD MEMBERS FOR REVIEW AND COMMENT PRIOR TO THE RETURN BEING FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | AT EACH BOARD AND COMMITTEE MEETING, IF THERE IS A DISCUSSION OF SELECTING OR ENGAGING A VENDOR OR SERVICE PROVIDER, ALL IN ATTENDANCE ARE ASKED TO RECUSE THEMSELVES FROM THIS DISCUSSION IF THERE COULD BE A PERCEIVED CONFLICT. ANNUALLY, THE ORGANIZATION REVIEWS AND DISCUSSES THE CONFLICT OF INTEREST POLICY AND REQUESTS THAT EACH BOARD MEMBER LIST AND ACKNOWLEDGE ANY KNOWN CONFLICTS |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD MAY HIRE AND COMPENSATE INDIVIDUALS FOR NECESSARY SERVICES RENDERED TO THE ORGANIZATION SO LONG AS SUCH COMPENSATION IS REASONABLE. THE BOARD SHALL DETERMINE REASONABLE COMPENSATION AMOUNTS BASED UPON COMPENSATION PAID BY SIMILARLY SITUATED NONPROFITS FOR LIKE SERVICES. THE BOARD MAY RELY UPON SALARY STUDIES, AS WELL AS DATA REGARDING COMPENSATION PAID BY PEER ORGANIZATIONS OF SIMILAR SIZE TO DETERMINE REASONABLE COMPENSATION. THE TERMS OF SUCH COMPENSATION AND INFORMATION RELIED UPON SHALL BE RECORDED IN WRITING. AN INDIVIDUAL WHO IS A MEMBER OF THE BOARD WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY FROM THE ORGANIZATION FOR SERVICES, IS PRECLUDED FROM PARTICIPATING IN DISCUSSIONS OR VOTES PERTAINING TO THEIR OWN COMPENSATION. CURRENTLY, ALL DIRECTORS ARE VOLUNTEERS |
| FORM 990, PAGE 6, PART VI, LINE 15B | SAME PROCESS AS CEO, EXECUTIVE DIRECTOR AND TOP MANAGEMENT. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION WILL PROVIDE IN A TIMELY MANNER, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS INCLUDING ITS CONFLICT OF INTEREST POLICIES WHEN REQUESTED IN WRITING OR IN PERSON. |
| Software ID: | |
| Software Version: |