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 |
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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 grant.") .. | 867,793 | 2,533,537 | 2,876,933 | 2,316,407 | 2,817,868 | 11,412,538 |
| 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 | 867,793 | 2,533,537 | 2,876,933 | 2,316,407 | 2,817,868 | 11,412,538 |
| 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) .. | 1,148,425 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 10,264,113 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 867,793 | 2,533,537 | 2,876,933 | 2,316,407 | 2,817,868 | 11,412,538 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 97,546 | 70,087 | 83,075 | 28,268 | 30,755 | 309,731 |
| 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.).. | 12,855 | 12,195 | 15,581 | 34,668 | 17,701 | 93,000 |
| 11 | Total support. Add lines 7 through 10 | 11,900,093 | |||||
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.") . | ||||||
| 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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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 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.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| 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 |
|---|---|
| PART II, LINE 10 | OTHER 93,000 |
| 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 - ORGANIZATION'S MISSION | FROM ADOPTION AND PET RETENTION PROGRAMS, TO SPAY/NEUTER AND WELLNESS SERVICES, TO COMMUNITY OUTREACH AND EDUCATION, WE WORK TIRELESSLY TO PREVENT THE INCIDENCE OF EUTHANASIA AND TO PROMOTE THE HAPPINESS, SAFETY, AND WELL-BEING OF PETS AND THE PEOPLE WHO LOVE THEM. |
| FORM 990, PAGE 2, PART III, LINE 4A | HUMANE FORT WAYNE IS COMPRISED OF A LIMITED INTAKE SHELTER AND LOW-COST SPAY/NEUTER AND WELLNESS CLINIC FOR CATS AND DOGS. OUR ADOPTABLE SHELTER ANIMALS COME TO THE ORGANIZATION THROUGH COMMUNITY MEMBERS WHO CAN NO LONGER TAKE CARE OF THEIR PETS AS OWNER SURRENDERS AND THROUGH OUR TRANSFER PROGRAM, WHICH SUPPORTS HUNDREDS OF ANIMALS FROM MUNICIPAL AND PRIVATE SHELTERS THROUGHOUT NORTHEAST INDIANA AND OHIO. THE ANIMALS IN THE TRANSFER PROGRAM WOULD OTHERWISE BE EUTHANIZED. OUR LOW-COST SPAY/NEUTER AND WELLNESS CLINIC SERVES PRIMARILY NORTHEAST INDIANA AND REGIONAL CLIENTS FROM OHIO AND MICHIGAN. HUMANE FORT WAYNE ALSO PROVIDES SUPPORTIVE SERVICES TO PET OWNERS IN AN EFFORT TO KEEP PETS IN LOVING HOMES AND OUT OF SHELTERS. SERVICES INCLUDE A PET FOOD PANTRY, LIMITED FINANCIAL ASSISTANCE FOR ANIMALS, WELLNESS/STERILIZATION/VETERINARY CARE, IN-HOME SERVICES FOR THE ELDERLY OR DISABLED AND COMPASSION FOSTER SERVICES FOR PET OWNERS IN CRISIS. ANIMAL CARE DIVISION ALL SERVICES CONCERNED WITH ANIMAL CARE ARE ATTRIBUTABLE TO THIS AREA INCLUDING ANIMAL ADMISSION, FOSTER CARE, ADOPTIONS, ADOPTION COUNSELING, LOST PET PROGRAM, HOUSING, NUTRITION, KENNEL SANITATION, SECURITY, BUILDING MAINTENANCE, EQUIPMENT MAINTENANCE, SUPPLIES FOR ALL ASPECTS OF ANIMAL CARE, MOTOR VEHICLE MAINTENANCE AND UPKEEP, GROUNDS AND SPECIAL PROJECTS. IN 2022, WE PROVIDED 40,202 SHELTERING NIGHTS FOR 1,909 ANIMALS AND COMPLETED 1,750 ADOPTIONS. ANIMAL HEALTH DIVISION THIS DIVISION IS CRUCIAL TO SATISFYING THE OVERALL MISSION OF THE ORGANIZATION. OUR SPAY/NEUTER AND WELLNESS CLINICS OFFER QUALITY, AFFORDABLE SERVICES FOR OWNED ANIMALS, PETS HOUSED IN OTHER SHELTERS/RESCUES, AND COMMUNITY CATS. THROUGH OUR SPAY/NEUTER CLINIC, WE NOT ONLY ENSURE THAT ANIMAL WELFARE ORGANIZATIONS ARE ABLE TO SPAY/NEUTER PETS BEFORE ADOPTION, BUT ALSO PROMOTE RESPONSIBLE PET OWNERSHIP BY LIMITING ANIMAL OVERPOPULATION THROUGH THE PREVENTION OF UNWANTED PREGNANCIES. IN 2022, OUR CLINIC COMPLETED 11,635 SPAY/NEUTER SURGERIES. OUR WELLNESS CLINIC OFFERS BASIC VETERINARY CARE FOR PRIMARILY OWNED CATS AND DOGS. WE PROVIDE ALL MAINTENANCE AND PREVENTATIVE NEEDS FOR THE ANIMAL INCLUDING MEDICAL EXAMINATIONS, VACCINES/BOOSTERS, HEARTWORM TESTING/PREVENTATIVE, TESTING FOR DEADLY DISEASES, LABORATORY DIAGNOSTIC, GROOMING, THERAPY, PARASITE CONTROL, PERSONNEL TRAINING, AND LIAISING WITH FULL SERVICE VETERINARY PROFESSIONALS AS NEEDED. IT INCLUDES SPECIAL PROJECTS AND UNIQUE MEDICAL CHALLENGES AS NECESSARY. IN 2022, THE WELLNESS CLINIC SERVED A TOTAL OF 11,696 PETS. HUMANE SERVICES DIVISION THIS AREA IS UTILIZED TO PROMOTE THE HUMANE TREATMENT OF ANIMALS, EDUCATE THE COMMUNITY ABOUT OUR ORGANIZATION'S PROGRAMS AND SERVICES AS WELL AS ASKING FOR CORPORATIONS, FOUNDATIONS AND INDIVIDUALS TO FINANCIALLY SUPPORT OUR MISSION. THE SPECIFIC SERVICES IN THIS AREA INCLUDE OUR VOLUNTEER PROGRAM, OUR COMMUNITY OUTREACH PROGRAM, OUR MEMBERSHIP PROGRAM, MARKETING, PUBLIC RELATIONS, RESOURCE DEVELOPMENT AND SPECIAL PROJECTS. WE HAD 446 VOLUNTEERS PROVIDE 16,961 HOURS OF SERVICE TO OUR ORGANIZATION WITH DUTIES RANGING FROM SOCIALIZATION OF OUR ANIMALS INCLUDING WALKS AND SOCIAL STIMULATION AS WELL AS STAFFING COMMUNITY OUTREACH EVENTS, AIDING IN MONTHLY MAILINGS OF OUR COMMUNICATION PIECES, FOSTERING ANIMALS WITH SPECIAL NEEDS, AND GENERAL UP KEEP OF THE SHELTER. OUR VOLUNTEERS ARE ALSO VITAL TO THE CONTINUATION AND FACILITATION OF OUR WEEKLY PET FOOD PANTRY WHICH PROVIDES MORE THAN 175 FAMILIES A WEEK WITH CAT FOOD, DOG FOOD AND PET SUPPLIES. THE FOOD PROVIDED IS FROM OUR COLLECTIONS FROM SPECIAL EVENTS, LOCAL FOOD DRIVES AND DOZENS OF INDIVIDUALS WHO GIVE REGULARLY TO OUR SHELTER. |
| FORM 990, PAGE 6, PART VI, LINE 11B | BEFORE THE RETURN IS PREPARED BY OUR OUTSIDE CPA FIRM, A DETAILED BACKGROUND QUESTIONNAIRE IS PREPARED. UPON COMPLETION, THE RETURN IS REVIEWED IN DETAIL BY THE EXECUTIVE DIRECTOR, THE TREASURER, AND THE GOVERNING BOARD BEFORE BEING FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EACH EMPLOYEE, BOARD MEMBER, AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT THAT AFFIRMS SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; B. HAS READ AND UNDERSTOOD THE POLICY; C. HAS AGREED TO COMPLY WITH THE POLICY; AND D. UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS: AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE WILL LEAVE THE GOVERNING BOARD OR COMMITTEE WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR CHAIR MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST A. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION INVOLVING THE POSSIBLE CONFLICT OF INTEREST. B. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. C. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER HUMANE FORT WAYNE CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. D. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS, WHETHER THE TRANSACTION OR ARRANGEMENT IS IN HUMANE FORT WAYNE'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. E. IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH A BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. F. IF, AFTER HEARING THE MEMBER'S RESPONSE AND MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE MEMBER HAD FAILED TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. OTHER MONITORING PROCEDURES: TO ENSURE THAT THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, AN ANNUAL REVIEW IS CONDUCTED. THE ANNUAL REVIEW IS CONDUCTED BY THE TREASURER OF THE BOARD AND, AT MINIMUM,INCLUDES THE OBTAINING ASSURANCE THAT: A. COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED UPON COMPETENT SURVEY INFORMATION, AND THE RESULTS OF ARM'S LENGTH BARGAINING; B. PARTNERSHIPS, JOINT VENTURES, AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS CONFORM TO THE ORGANIZATION'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OF PAYMENTS FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT,IMPERMISSABLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION. C. ALL EMPLOYEES, BOARD MEMBERS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS HAVE EXECUTED THE ANNUAL STATEMENT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | TO ENSURE THAT THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, AN ANNUAL REVIEW IS CONDUCTED. THE ANNUAL REVIEW IS CONDUCTED BY THE TREASURER OF THE BOARD INCLUDES THE OBTAINING ASSURANCE THAT COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED UPON COMPETENT SURVEY INFORMATION, AND THE RESULTS OF ARM'S LENGTH BARGAINING. |
| FORM 990, PAGE 6, PART VI, LINE 19 | FORM 990 FOR THE PAST THREE YEARS ARE AVAILABLE ON GUIDESTAR. THE ORGANIZATION DOES NOT MAKE IT'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. |
| FORM 990, PAGE 12, PART XII, LINE 2C | THE EXECUTIVE COMMITTEE HAS OVERSIGHT OF THE AUDIT PROCESS. |
| Software ID: | |
| Software Version: |