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) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 4,413,240 | 3,794,456 | 3,903,870 | 4,380,240 | 5,839,045 | 22,330,851 |
| 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 | 2,255,764 | 2,056,364 | 1,712,790 | 1,923,799 | 1,909,515 | 9,858,232 |
| 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 | 6,669,004 | 5,850,820 | 5,616,660 | 6,304,039 | 7,748,560 | 32,189,083 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 684,182 | 94,752 | 630,564 | 994,475 | 100,481 | 2,504,454 |
| 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. | 0 | |||||
| c | Add lines 7a and 7b.. | 684,182 | 94,752 | 630,564 | 994,475 | 100,481 | 2,504,454 |
| 8 | Public support. (Subtract line 7c from line 6.) | 29,684,629 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 6,669,004 | 5,850,820 | 5,616,660 | 6,304,039 | 7,748,560 | 32,189,083 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 57,698 | 189,458 | 1,183 | 7,493 | 56,978 | 312,810 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 57,698 | 189,458 | 1,183 | 7,493 | 56,978 | 312,810 |
| 11 | Net income from unrelated business activities not included on 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.) .. | 918 | 686 | 360 | 196 | 19 | 2,179 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 6,727,620 | 6,040,964 | 5,618,203 | 6,311,728 | 7,805,557 | 32,504,072 |
| 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 2022 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-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | OTHER REVENUE - 2018 AMOUNT: $ 918. 2019 AMOUNT: $ 686. 2020 AMOUNT: $ 360. 2021 AMOUNT: $ 196. 2022 AMOUNT: $ 19. |
| 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, PART III, LINE 1 | KHS IS COMMITTED TO PROVIDING POSITIVE LIFE-CHANGING SOLUTIONS TO PEOPLE AND COMPANION ANIMALS. IT DOES SO BY: ACCEPTING, SHELTERING AND REHABILITATING COMPANION ANIMALS IN NEED. PROVIDING HUMANE RESCUE, PROTECTION, PREVENTION, ADOPTION AND EDUCATION SERVICES. IMPLEMENTING PROGRESSIVE LIFE-SAVING AND LIFE-AFFIRMING PROGRAMS AND CREATIVELY COLLABORATING AND PARTNERING WITH OUR REGION AND SUPPORTERS TO BUILD A MODEL HUMANE COMMUNITY. KHS, AS AN ANIMAL WELFARE ORGANIZATION, EXISTS TO PROTECT ANIMALS AND PROMOTE THEIR HUMANE AND RESPONSIBLE TREATMENT. FOUNDED IN 1908, AND LOCATED IN SILVERDALE, WA, KHS FILLS A UNIQUE ROLE IN OUR REGION AS THE PRINCIPAL ANIMAL SHELTER AND SAFETY NET ORGANIZATION FOR LOST AND HOMELESS ANIMALS IN KITSAP COUNTY AND NEIGHBORING COUNTIES. OUR PRIMARY PURPOSE IS TO ADVANCE ANIMAL WELFARE THROUGH COMPASSIONATE, INDIVIDUALIZED, LIFESAVING VETERINARY CARE AND SHELTERING TO RESCUE, REHABILITATE AND REHOME THOUSANDS OF HOMELESS ANIMALS EVERY YEAR. KHS IS IN THE TOP-TIER OF LARGE, OPEN-ADMISSION ANIMAL SHELTERS IN THE U.S., EXCEEDING THE 90% SAVE RATE THAT IS THE "GOLD-STANDARD" NATIONALLY IN THE FIELD (UNAUDITED) OUR COMPREHENSIVE VETERINARY MEDICINE, BEHAVIOR REHABILITATION, AND FOSTER CARE PROGRAMS FOLLOW BEST PRACTICES IN THE FIELD AND ARE EXAMPLES OF THE SPECIALIZED PROGRAMS THAT ENABLE KHS TO RESCUE AND SAVE THE LIVES OF THOUSANDS OF ANIMALS EACH YEAR. IT IS WITH THE SUPPORT OF OUR COMPASSIONATE AND GENEROUS COMMUNITY ADOPTERS, DONORS, VOLUNTEERS, AND OTHERS THAT WE CAN ACHIEVE THIS LEVEL OF SUCCESS. KHS'S MISSION GOES WELL BEYOND SAVING ANIMALS. OVER 30,000 PEOPLE COME TO KHS EACH YEAR, MOST LOOKING TO ADOPT, INCLUDING FINANCIALLY AT-RISK FAMILIES SEEKING REDUCED-COST VETERINARY SERVICES AND PET FOOD SUPPLIES. WE ACTIVELY ENGAGE OVER 500 COMMUNITY MEMBERS IN MEANINGFUL VOLUNTEER WORK. WE IMPROVE THE LIVES OF THOUSANDS OF LOCAL RESIDENTS BY CONNECTING THEM WITH ANIMALS, PROVIDING THE DOCUMENTED BENEFITS OF PET OWNERSHIP, SUCH AS DECREASED STRESS, IMPROVED HEART HEALTH, DEVELOPMENT OF EMOTIONAL AND SOCIAL SKILLS FOR CHILDREN, AND LESS LONELINESS AND ANXIETY. OUR REDUCED FEE SERVICES AND PET FOOD PANTRY PROVIDE CONSIDERABLE SUPPORT TO HOUSEHOLDS THAT ARE CONSIDERED LOW-INCOME, HELPING THEM KEEP THEIR PETS, RATHER THAN SURRENDER THEM DUE TO LACK OF FUNDS, ALLOWING KHS TO SERVE AS A SAFETY NET TO KEEP FAMILIES TOGETHER. |
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE SERVES AT THE PLEASURE OF THE KHS BOARD PRESIDENT AND FULL BOARD. IT IS RESPONSIBLE FOR WORKING IN SUPPORT OF, OR OCCASIONALLY IN PLACE OF, THE FULL BOARD. THE EXECUTIVE COMMITTEE SHALL NOT HAVE POWER TO AMEND THE KHS MISSION, BYLAWS, FILL BOARD VACANCIES, OR APPROVE THE BUDGET AS THESE ARE FULL BOARD RESPONSIBILITIES. THIS IS A STANDING COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE EXECUTIVE DIRECTOR, DIRECTOR OF FINANCE AND MEMBERS OF THE FINANCE COMMITTEE, ARE PROVIDED COPIES OF THE 990 PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS, THE EXECUTIVE DIRECTOR AND SENIOR MANAGERS. EACH INDIVIDUAL GOVERNED BY THIS POLICY SHALL FILE A DISCLOSURE STATEMENT ANNUALLY WITH KHS BY THE BOARD OF DIRECTORS ANNUAL MEETING OF EACH YEAR. A DISCLOSURE STATEMENT MUST ALSO BE PROMPTLY FILED BY ANY PERSON WHO HAS BEEN APPOINTED OR ELECTED TO A KHS POSITION. THE DISCLOSURE STATEMENTS SHALL COVER THE SUBJECTS IDENTIFIED IN THIS POLICY AND SHALL BE IN THE FORM AS PRESCRIBED BY THE BOARD OF DIRECTORS. DISCLOSURE STATEMENTS SHALL BE REVIEWED BY THE BOARD PRESIDENT. THE DISCLOSURE STATEMENTS FILED BY THE BOARD PRESIDENT SHALL BE REVIEWED BY THE EXECUTIVE DIRECTOR. ANY INFORMATION PROVIDED IN THE DISCLOSURE STATEMENT WILL BE TREATED AS CONFIDENTIAL. IT WILL NOT BE REVIEWED BY ANY PERSON EXCEPT AS PROVIDED HEREIN. A NEUTRAL PARTY WILL BE ASSIGNED THE DUTY OF REVIEWING A CHECKLIST OF ALL REQUIRED INDIVIDUALS WHO MUST SUBMIT A DISCLOSURE STATEMENT. AN INDIVIDUAL WHO HAS MADE A DISCLOSURE THAT UPON REVIEW DOES APPEAR TO CONSTITUTE AN ISSUE OF SUFFICIENT MAGNITUDE TO WARRANT FURTHER ACTION WILL BE SO INFORMED IN WRITING BY THE BOARD PRESIDENT. THE BOARD PRESIDENT WILL PROMPTLY REFER THE MATTER TO THE FULL BOARD. THE INDIVIDUAL WILL HAVE THE OPPORTUNITY TO FULLY PRESENT HIS OR HER VIEW OF THE SITUATION (BY LETTER, TELECONFERENCE, OR OTHER AGREED UPON MEANS) TO THE BOARD. IF THAT BODY DETERMINES (BY A SIMPLE MAJORITY VOTE OF A QUORUM OF ITS MEMBERS) THAT THE DISCLOSURE POSES A CONFLICT OF INTEREST OR COULD CREATE A SUBSTANTIAL PERCEPTION OF A CONFLICT OF INTEREST, IT SHALL ASK THE INDIVIDUAL TO WITHDRAW VOLUNTARILY FROM THE SERVICE THAT HE OR SHE CURRENTLY PERFORMS (OR, IN THE CASE OF NOMINEES, HOPES TO PERFORM) ON BEHALF OF KHS. SUCH VOLUNTARY WITHDRAWAL SHALL COMPLETE THE CONSIDERATION OF THE POTENTIAL CONFLICT. IN THE CASE OF A TIE VOTE THE INDIVIDUAL SHALL BE PERMITTED TO CONTINUE IN SERVICE TO KHS. SHOULD THE INDIVIDUAL DECLINE TO WITHDRAW, THE MATTER MUST BE RECONSIDERED BY A QUORUM OF THE BOARD. THE INDIVIDUAL SHALL HAVE THE OPPORTUNITY (BY LETTER, TELECONFERENCE, OR OTHER AGREED UPON MEANS) TO STATE THE GROUNDS UPON WHICH HE OR SHE BELIEVES THAT THE BOARD SHOULD REVERSE ITS DECISION. IF THE BOARD DECIDES NOT TO ALTER ITS EARLIER DETERMINATION, IT SHALL HAVE THE RIGHT BY A SIMPLE MAJORITY VOTE OF A QUORUM TO TERMINATE THE INDIVIDUAL'S SERVICE TO KHS. IN THE CASE OF A TIE VOTE THE INDIVIDUAL SHALL BE PERMITTED TO CONTINUE IN SERVICE TO KHS. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION AND BYLAWS) AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON OUR WEBSITE. |
| FORM 990, PART XII, LINE 2C | THE PROCESS FOR OVERSEEING AND SELECTING AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE THE PRIOR YEAR. |
| Software ID: | |
| Software Version: |