Form 990 (2011) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Size: px
Start display at page:

Download "Form 990 (2011) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~"

Transcription

1

2 Form 990 (011) AMERICAN HUMANE ASSOCIATION Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response to ny question in this Prt III 1 Briefly desrie the orgniztion s mission: SEE SCHEDULE O Pge Did the orgniztion undertke ny signifint progrm servies during the yer whih were not listed on the prior Form 990 or 990-EZ? If "," desrie these new servies on Shedule O. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion ese onduting, or mke signifint hnges in how it onduts, ny progrm servies? ~~~~~~ If "," desrie these hnges on Shedule O. Desrie the orgniztion s progrm servie omplishments for eh of its three lrgest progrm servies, s mesured y expenses. Setion 501()() nd 501()(4) orgniztions nd setion 4947()(1) trusts re required to report the mount of grnts nd llotions to others, the totl expenses, nd revenue, if ny, for eh progrm servie reported. ( Code: ) ( Expenses $ 7,80,868. inluding grnts of $ 187,907. ) ( Revenue $ 1,7,64. ) ANIMAL PROTECTION PROGRAMS SEEK TO ENSURE THE HUMANE TREATMENT OF COMPANION AND FARM ANIMALS AND ANIMAL ACTORS BY ASSISTING ANIMAL SHELTERS ACROSS THE NATION, AIDING COMMUNITIES WITH RESCUE AND SHELTERING EFFORTS DURING DISASTERS, AND PROVIDING COMMUNITY EDUCATION ON THE ETHICAL AND HUMANE TREATMENT OF ANIMALS AND EMERGENCY PREPAREDNESS. OUR LEGACY INITIATIVES INCLUDE PROGRAMS SUCH AS BE KIND TO ANIMALS WEEK, ADOPT-A-DOG MONTH, ADOPT-A-CAT MONTH AND AMERICAN HUMANE ASSOCIATION S TAG DAY. THROUGH ITS FILM AND TV UNIT OFFICE IN LOS ANGELES (NO ANIMALS WERE HARMED), THE ASSOCIATION PROTECTS ANIMALS USED IN FILM AND TELEVISION PRODUCTIONS AND COMMERCIALS. THROUGH ITS AMERICAN HUMANE CERTIFIED FARM ANIMAL CERTIFICATION PROGRAM, THE WELFARE OF ANIMALS IS MONITORED AND CERTIFIED FOR PARTICIPATING ( Code: ) ( Expenses $ 5,558,917. inluding grnts of $ 1,565,640. ) ( Revenue $ 905,78. ) CHILD WELFARE PROGRAMS ARE KNOWN FOR THE RESEARCH, DEVELOPMENT AND DISSEMINATION OF BEST PRACTICES IN CHILD WELFARE. CHILD WELFARE PROGRAMS ASSIST PROFESSIONAL CHILD WELFARE ORGANIZATIONS THAT SERVE ABUSED AND NEGLECTED CHILDREN AND PROVIDE STUDIES AND TRAININGS IN SUCH INITIATIVES AS FAMILY GROUP DECISION MAKING AND DIFFERENTIAL RESPONSE. CHILD WELFARE WORKS TO STRENGTHEN COMMUNITIES AND CHILD PROTECTIVE SERVICES SYSTEMS TO PREVENT CHILD ABUSE AND NEGLECT. IT WORKS WITHIN COMMUNITIES TO BUILD EFFECTIVE, RESPONSIVE SERVICES FOR CHILDREN AND FAMILIES THAT RESULT IN MORE POSITIVE OUTCOMES, AND HELPS SAFEGUARD CHILDREN THROUGH RESEARCH AND EDUCATION THAT IMPROVES SERVICE DELIVERY OF PUBLIC AND PRIVATE AGENCIES AND INDIVIDUAL CHILD CARE PROFESSIONALS. 4,948. 4,595. THE MISSION TO SERVE BOTH CHILDREN AND ANIMALS MEETS AND COALESCES IN THE ASSOCIATION S HUMAN-ANIMAL INTERACTION PROGRAM, THE PRINCIPLES OF WHICH HAVE BEEN INTEGRAL TO THE ASSOCIATION S MISSION SINCE INCEPTION. ACTIVITIES INCLUDE RESEARCH AND TRAINING PROGRAMS BASED ON THE INCREDIBLE BOND BETWEEN ANIMALS AND PEOPLE, AND THE EMPATHY AND COMPASSION LEARNED IN CARING FOR PETS. PRIMARY AMONG THESE EFFORTS ARE ANIMAL-ASSISTED THERAPY AND HUMANE EDUCATION. THE ASSOCIATION ALSO SUPPORTS RESEARCH INTO THE LONG-KNOWN CORRELATION BETWEEN ANIMAL ABUSE AND VIOLENCE TO PEOPLE. ( Code: ) ( Expenses $ inluding grnts of $ ) ( Revenue $ ) 4d Other progrm servies (Desrie in Shedule O.) ( Expenses $ inluding grnts of $ ) ( Revenue $ ) 4e Totl progrm servie expenses J 1,704,7. Form 990 (011) SEE SCHEDULE O FOR CONTINUATION(S)

3 Form 990 (011) AMERICAN HUMANE ASSOCIATION Prt IV Cheklist of Required Shedules d e f 0 Is the orgniztion desried in setion 501()() or 4947()(1) (other thn privte foundtion)? If "," omplete Shedule A~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the orgniztion required to omplete Shedule B, Shedule of Contriutors? ~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion engge in diret or indiret politil mpign tivities on ehlf of or in opposition to ndidtes for puli offie? If "," omplete Shedule C, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Setion 501()() orgniztions. Did the orgniztion engge in loying tivities, or hve setion 501(h) eletion in effet during the tx yer? If "," omplete Shedule C, Prt II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the orgniztion setion 501()(4), 501()(5), or 501()(6) orgniztion tht reeives memership dues, ssessments, or similr mounts s defined in Revenue Proedure 98-19? If "," omplete Shedule C, Prt III ~~~~~~~~~~~~~~ Did the orgniztion mintin ny donor dvised funds or ny similr funds or ounts for whih donors hve the right to provide dvie on the distriution or investment of mounts in suh funds or ounts? If "," omplete Shedule D, Prt I Did the orgniztion reeive or hold onservtion esement, inluding esements to preserve open spe, the environment, histori lnd res, or histori strutures? If "," omplete Shedule D, Prt II~~~~~~~~~~~~~~ Did the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "," omplete Shedule D, Prt III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report n mount in Prt, line 1; serve s ustodin for mounts not listed in Prt ; or provide redit ounseling, det mngement, redit repir, or det negotition servies? If "," omplete Shedule D, Prt IV ~~ Did the orgniztion, diretly or through relted orgniztion, hold ssets in temporrily restrited endowments, permnent endowments, or qusi-endowments? If "," omplete Shedule D, Prt V ~~~~~~~~~~~~~~~~~~~~~~~~ If the orgniztion s nswer to ny of the following questions is "," then omplete Shedule D, Prts VI, VII, VIII, I, or s pplile. Did the orgniztion report n mount for lnd, uildings, nd equipment in Prt, line 10? If "," omplete Shedule D, Prt VI ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report n mount for investments - other seurities in Prt, line 1 tht is 5% or more of its totl ssets reported in Prt, line 16? If "," omplete Shedule D, Prt VII ~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report n mount for investments - progrm relted in Prt, line 1 tht is 5% or more of its totl ssets reported in Prt, line 16? If "," omplete Shedule D, Prt VIII ~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report n mount for other ssets in Prt, line 15 tht is 5% or more of its totl ssets reported in Prt, line 16? If "," omplete Shedule D, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report n mount for other liilities in Prt, line 5? If "," omplete Shedule D, Prt ~~~~~~ Did the orgniztion s seprte or onsolidted finnil sttements for the tx yer inlude footnote tht ddresses the orgniztion s liility for unertin tx positions under FIN 48 (ASC 740)? If "," omplete Shedule D, Prt ~~~~ Did the orgniztion otin seprte, independent udited finnil sttements for the tx yer? If "," omplete Shedule D, Prts I, II, nd III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Ws the orgniztion inluded in onsolidted, independent udited finnil sttements for the tx yer? If "," nd if the orgniztion nswered "" to line 1, then ompleting Shedule D, Prts I, II, nd III is optionl~~~ Is the orgniztion shool desried in setion 170()(1)(A)(ii)? If "," omplete Shedule E ~~~~~~~~~~~~~~ 14 Did the orgniztion mintin n offie, employees, or gents outside of the United Sttes? ~~~~~~~~~~~~~~~~ Did the orgniztion hve ggregte revenues or expenses of more thn $10,000 from grntmking, fundrising, usiness, investment, nd progrm servie tivities outside the United Sttes, or ggregte foreign investments vlued t $100,000 or more? If "," omplete Shedule F, Prts I nd IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report on Prt I, olumn (A), line, more thn $5,000 of grnts or ssistne to ny orgniztion or entity loted outside the United Sttes? If "," omplete Shedule F, Prts II nd IV ~~~~~~~~~~~~~~~~~ Did the orgniztion report on Prt I, olumn (A), line, more thn $5,000 of ggregte grnts or ssistne to individuls loted outside the United Sttes? If "," omplete Shedule F, Prts III nd IV ~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report totl of more thn $15,000 of expenses for professionl fundrising servies on Prt I, olumn (A), lines 6 nd 11e? If "," omplete Shedule G, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report more thn $15,000 totl of fundrising event gross inome nd ontriutions on Prt VIII, lines 1 nd 8? If "," omplete Shedule G, Prt II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report more thn $15,000 of gross inome from gming tivities on Prt VIII, line 9? If "," omplete Shedule G, Prt III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion operte one or more hospitl filities? If "," omplete Shedule H ~~~~~~~~~~~~~~~~ If "" to line 0, did the orgniztion tth opy of its udited finnil sttements to this return? d 11e 11f Pge 0 Form 990 (011)

4 Form 990 (011) AMERICAN HUMANE ASSOCIATION Prt IV Cheklist of Required Shedules (ontinued) d 5 Setion 501()() nd 501()(4) orgniztions. Did the orgniztion engge in n exess enefit trnstion with disqulified person during the yer? If "," omplete Shedule L, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report more thn $5,000 of grnts nd other ssistne to ny government or orgniztion in the United Sttes on Prt I, olumn (A), line 1? If "," omplete Shedule I, Prts I nd II ~~~~~~~~~~~~~~~~~~ Did the orgniztion report more thn $5,000 of grnts nd other ssistne to individuls in the United Sttes on Prt I, olumn (A), line? If "," omplete Shedule I, Prts I nd III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion nswer "" to Prt VII, Setion A, line, 4, or 5 out ompenstion of the orgniztion s urrent nd former offiers, diretors, trustees, key employees, nd highest ompensted employees? If "," omplete Shedule J ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion hve tx-exempt ond issue with n outstnding prinipl mount of more thn $100,000 s of the lst dy of the yer, tht ws issued fter Deemer 1, 00? If "," nswer lines 4 through 4d nd omplete Shedule K. If "", go to line 5 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion invest ny proeeds of tx-exempt onds eyond temporry period exeption? ~~~~~~~~~~~ Did the orgniztion mintin n esrow ount other thn refunding esrow t ny time during the yer to defese ny tx-exempt onds? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion t s n "on ehlf of" issuer for onds outstnding t ny time during the yer? ~~~~~~~~~~~ Is the orgniztion wre tht it engged in n exess enefit trnstion with disqulified person in prior yer, nd tht the trnstion hs not een reported on ny of the orgniztion s prior Forms 990 or 990-EZ? If "," omplete Shedule L, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Ws lon to or y urrent or former offier, diretor, trustee, key employee, highly ompensted employee, or disqulified person outstnding s of the end of the orgniztion s tx yer? If "," omplete Shedule L, Prt II ~~~~~~~~~~~ Did the orgniztion provide grnt or other ssistne to n offier, diretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 5% ontrolled entity or fmily memer of ny of these persons? If "," omplete Shedule L, Prt III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Ws the orgniztion prty to usiness trnstion with one of the following prties (see Shedule L, Prt IV instrutions for pplile filing thresholds, onditions, nd exeptions): A urrent or former offier, diretor, trustee, or key employee? If "," omplete Shedule L, Prt IV ~~~~~~~~~~~ A fmily memer of urrent or former offier, diretor, trustee, or key employee? If "," omplete Shedule L, Prt IV ~~ An entity of whih urrent or former offier, diretor, trustee, or key employee (or fmily memer thereof) ws n offier, diretor, trustee, or diret or indiret owner? If "," omplete Shedule L, Prt IV~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion reeive more thn $5,000 in non-sh ontriutions? If "," omplete Shedule M ~~~~~~~~~ Did the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulified onservtion ontriutions? If "," omplete Shedule M ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion liquidte, terminte, or dissolve nd ese opertions? If "," omplete Shedule N, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion sell, exhnge, dispose of, or trnsfer more thn 5% of its net ssets? If "," omplete Shedule N, Prt II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion own 100% of n entity disregrded s seprte from the orgniztion under Regultions setions nd ? If "," omplete Shedule R, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~ Ws the orgniztion relted to ny tx-exempt or txle entity? If "," omplete Shedule R, Prts II, III, IV, nd V, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 Did the orgniztion hve ontrolled entity within the mening of setion 51()(1)? ~~~~~~~~~~~~~~~~~~ Did the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolled entity within the mening of setion 51()(1)? If "," omplete Shedule R, Prt V, line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Setion 501()() orgniztions. Did the orgniztion mke ny trnsfers to n exempt non-hritle relted orgniztion? If "," omplete Shedule R, Prt V, line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion ondut more thn 5% of its tivities through n entity tht is not relted orgniztion nd tht is treted s prtnership for federl inome tx purposes? If "," omplete Shedule R, Prt VI ~~~~~~~~ Did the orgniztion omplete Shedule O nd provide explntions in Shedule O for Prt VI, lines 11 nd 19? te. All Form 990 filers re required to omplete Shedule O d Pge 4 8 Form 990 (011)

5 Form 990 (011) AMERICAN HUMANE ASSOCIATION Pge 5 Prt V Sttements Regrding Other IRS Filings nd Tx Compline Chek if Shedule O ontins response to ny question in this Prt V 1 Enter the numer reported in Box of Form Enter -0- if not pplile ~~~~~~~~~~~ Enter the numer of Forms W-G inluded in line 1. Enter -0- if not pplile ~~~~~~~~~~ 1 Did the orgniztion omply with kup withholding rules for reportle pyments to vendors nd reportle gming If t lest one is reported on line, did the orgniztion file ll required federl employment tx returns? ~~~~~~~~~~ te. If the sum of lines 1 nd is greter thn 50, you my e required to e-file (see instrutions) 7 Orgniztions tht my reeive dedutile ontriutions under setion 170(). Did the orgniztion reeive pyment in exess of $75 mde prtly s ontriution nd prtly for goods nd servies provided to the pyor? d e f g h If the orgniztion reeived ontriution of rs, ots, irplnes, or other vehiles, did the orgniztion file Form 1098-C? 8 Sponsoring orgniztions mintining donor dvised funds nd setion 509()() supporting orgniztions. Did the supporting orgniztion, or donor dvised fund mintined y sponsoring orgniztion, hve exess usiness holdings t ny time during the yer? Sponsoring orgniztions mintining donor dvised funds. Setion 501()(7) orgniztions. Enter: Setion 501()(1) orgniztions. Enter: 1 Setion 4947()(1) non-exempt hritle trusts. Is the orgniztion filing Form 990 in lieu of Form 1041? (gmling) winnings to prize winners? Enter the numer of employees reported on Form W-, Trnsmittl of Wge nd Tx Sttements, filed for the lendr yer ending with or within the yer overed y this return ~~~~~~~~~~ Did the orgniztion hve unrelted usiness gross inome of $1,000 or more during the yer? ~~~~~~~~~~~~~~ If "," hs it filed Form 990-T for this yer? If "," provide n explntion in Shedule O ~~~~~~~~~~~~~~~ 4 At ny time during the lendr yer, did the orgniztion hve n interest in, or signture or other uthority over, finnil ount in foreign ountry (suh s nk ount, seurities ount, or other finnil ount)?~~~~~~~ If "," enter the nme of the foreign ountry: J See instrutions for filing requirements for Form TD F 90-.1, Report of Foreign Bnk nd Finnil Aounts. 5 Ws the orgniztion prty to prohiited tx shelter trnstion t ny time during the tx yer? ~~~~~~~~~~~~ Did ny txle prty notify the orgniztion tht it ws or is prty to prohiited tx shelter trnstion? ~~~~~~~~~ If "," to line 5 or 5, did the orgniztion file Form 8886-T? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6 Does the orgniztion hve nnul gross reeipts tht re normlly greter thn $100,000, nd did the orgniztion soliit ny ontriutions tht were not tx dedutile? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "," did the orgniztion inlude with every soliittion n express sttement tht suh ontriutions or gifts were not tx dedutile? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "," did the orgniztion notify the donor of the vlue of the goods or servies provided? Did the orgniztion sell, exhnge, or otherwise dispose of tngile personl property for whih it ws required to file Form 88? Setion 501()(9) qulified nonprofit helth insurne issuers. te. See the instrutions for dditionl informtion the orgniztion must report on Shedule O. Did the orgniztion reeive ny pyments for indoor tnning servies during the tx yer? ~~~~~~~~~~~~~~~~ If "," hs it filed Form 70 to report these pyments? If "," provide n explntion in Shedule O 1 ~~~~~~~~~~~~~~~ If "," indite the numer of Forms 88 filed during the yer ~~~~~~~~~~~~~~~~ Did the orgniztion reeive ny funds, diretly or indiretly, to py premiums on personl enefit ontrt? Did the orgniztion, during the yer, py premiums, diretly or indiretly, on personl enefit ontrt? 7d ~~~~~~~ ~~~~~~~~~ If the orgniztion reeived ontriution of qulified intelletul property, did the orgniztion file Form 8899 s required? ~ Did the orgniztion mke ny txle distriutions under setion 4966? ~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion mke distriution to donor, donor dvisor, or relted person? ~~~~~~~~~~~~~~~~~~~ Initition fees nd pitl ontriutions inluded on Prt VIII, line 1 ~~~~~~~~~~~~~~~ Gross reeipts, inluded on Form 990, Prt VIII, line 1, for puli use of lu filities ~~~~~~ Gross inome from memers or shreholders ~~~~~~~~~~~~~~~~~~~~~~~~~~ Gross inome from other soures (Do not net mounts due or pid to other soures ginst mounts due or reeived from them.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "," enter the mount of tx-exempt interest reeived or rued during the yer Is the orgniztion liensed to issue qulified helth plns in more thn one stte? ~~~~~~~~~~~~~~~~~~~~~ Enter the mount of reserves the orgniztion is required to mintin y the sttes in whih the orgniztion is liensed to issue qulified helth plns ~~~~~~~~~~~~~~~~~~~~~~ Enter the mount of reserves on hnd~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ e 7f 7g 7h Form 990 (011) 5

6 Form 990 (011) AMERICAN HUMANE ASSOCIATION Pge 6 Prt VI Governne, Mngement, nd Dislosure For eh "" response to lines through 7 elow, nd for "" response to line 8, 8, or 10 elow, desrie the irumstnes, proesses, or hnges in Shedule O. See instrutions. Chek if Shedule O ontins response to ny question in this Prt VI Setion A. Governing Body nd Mngement 1 Enter the numer of voting memers of the governing ody t the end of the tx yer ~~~~~~ 1 16 If there re mteril differenes in voting rights mong memers of the governing ody, or if the governing Is there ny offier, diretor, trustee, or key employee listed in Prt VII, Setion A, who nnot e rehed t the orgniztion s miling ddress? If "," provide the nmes nd ddresses in Shedule O Setion B. Poliies (This Setion B requests informtion out poliies not required y the Internl Revenue Code.) exempt sttus with respet to suh rrngements? 16 Setion C. Dislosure 17 List the sttes with whih opy of this Form 990 is required to e filed JAL,AK,AZ,AR,CA,CO,CT,FL,GA,HI,IL,IN ody delegted rod uthority to n exeutive ommittee or similr ommittee, explin in Shedule O. Enter the numer of voting memers inluded in line 1, ove, who re independent ~~~~~~ Did ny offier, diretor, trustee, or key employee hve fmily reltionship or usiness reltionship with ny other offier, diretor, trustee, or key employee? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion delegte ontrol over mngement duties ustomrily performed y or under the diret supervision of offiers, diretors, or trustees, or key employees to mngement ompny or other person? ~~~~~~~~~~~~~~ Did the orgniztion mke ny signifint hnges to its governing douments sine the prior Form 990 ws filed? ~~~~~ Did the orgniztion eome wre during the yer of signifint diversion of the orgniztion s ssets? ~~~~~~~~~ Did the orgniztion hve memers or stokholders? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7 Did the orgniztion hve memers, stokholders, or other persons who hd the power to elet or ppoint one or more memers of the governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Are ny governne deisions of the orgniztion reserved to (or sujet to pprovl y) memers, stokholders, or persons other thn the governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion ontemporneously doument the meetings held or written tions undertken during the yer y the following: The governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Eh ommittee with uthority to t on ehlf of the governing ody? Desrie in Shedule O the proess, if ny, used y the orgniztion to review this Form 990. Did the orgniztion hve written onflit of interest poliy? If "," go to line 1 ~~~~~~~~~~~~~~~~~~~~ Were offiers, diretors, or trustees, nd key employees required to dislose nnully interests tht ould give rise to onflits? ~~~~~~ Did the orgniztion regulrly nd onsistently monitor nd enfore ompline with the poliy? If "," desrie in Shedule O how this ws done ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~ 10 Did the orgniztion hve lol hpters, rnhes, or ffilites? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "," did the orgniztion hve written poliies nd proedures governing the tivities of suh hpters, ffilites, nd rnhes to ensure their opertions re onsistent with the orgniztion s exempt purposes? ~~~~~~~~~~~~~ 11 Hs the orgniztion provided omplete opy of this Form 990 to ll memers of its governing ody efore filing the form? Did the orgniztion hve written whistlelower poliy? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion hve written doument retention nd destrution poliy? ~~~~~~~~~~~~~~~~~~~~~~ Did the proess for determining ompenstion of the following persons inlude review nd pprovl y independent persons, omprility dt, nd ontemporneous sustntition of the deliertion nd deision? The orgniztion s CEO, Exeutive Diretor, or top mngement offiil Other offiers or key employees of the orgniztion ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "" to line 15 or 15, desrie the proess in Shedule O (see instrutions). ~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion invest in, ontriute ssets to, or prtiipte in joint venture or similr rrngement with txle entity during the yer? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "," did the orgniztion follow written poliy or proedure requiring the orgniztion to evlute its prtiiption in joint venture rrngements under pplile federl tx lw, nd tke steps to sfegurd the orgniztion s Setion 6104 requires n orgniztion to mke its Forms 10 (or 104 if pplile), 990, nd 990-T (Setion 501()()s only) ville for puli inspetion. Indite how you mde these ville. Chek ll tht pply. Own wesite Another s wesite Upon request Desrie in Shedule O whether (nd if so, how), the orgniztion mde its governing douments, onflit of interest poliy, nd finnil sttements ville to the puli during the tx yer. 0 Stte the nme, physil ddress, nd telephone numer of the person who possesses the ooks nd reords of the orgniztion: CLIFFORD J. ROSE TH STREET NW SUITE 60, WASHINGTON, DC SEE SCHEDULE O FOR FULL LIST OF STATES Form 990 (011)

7 Form 990 (011) AMERICAN HUMANE ASSOCIATION Pge 7 Prt VII Compenstion of Offiers, Diretors, Trustees, Key Employees, Highest Compensted Employees, nd Independent Contrtors Chek if Shedule O ontins response to ny question in this Prt VII Setion A. Offiers, Diretors, Trustees, Key Employees, nd Highest Compensted Employees 1 Complete this tle for ll persons required to e listed. Report ompenstion for the lendr yer ending with or within the orgniztion s tx yer. List ll of the orgniztion s urrent offiers, diretors, trustees (whether individuls or orgniztions), regrdless of mount of ompenstion. Enter -0- in olumns (D), (E), nd (F) if no ompenstion ws pid. List ll of the orgniztion s urrent key employees, if ny. See instrutions for definition of "key employee." List the orgniztion s five urrent highest ompensted employees (other thn n offier, diretor, trustee, or key employee) who reeived reportle ompenstion (Box 5 of Form W- nd/or Box 7 of Form 1099-MISC) of more thn $100,000 from the orgniztion nd ny relted orgniztions. List ll of the orgniztion s former offiers, key employees, nd highest ompensted employees who reeived more thn $100,000 of reportle ompenstion from the orgniztion nd ny relted orgniztions. List ll of the orgniztion s former diretors or trustees tht reeived, in the pity s former diretor or trustee of the orgniztion, more thn $10,000 of reportle ompenstion from the orgniztion nd ny relted orgniztions. List persons in the following order: individul trustees or diretors; institutionl trustees; offiers; key employees; highest ompensted employees; nd former suh persons. Chek this ox if neither the orgniztion nor ny relted orgniztion ompensted ny urrent offier, diretor, or trustee. (A) (B) (C) (D) (E) (F) Nme nd Title Averge hours per week (desrie hours for relted orgniztions in Shedule O) Position (do not hek more thn one ox, unless person is oth n offier nd diretor/trustee) Individul trustee or diretor Institutionl trustee Offier Key employee Highest ompensted employee Former Reportle ompenstion from the orgniztion (W-/1099-MISC) Reportle ompenstion from relted orgniztions (W-/1099-MISC) Estimted mount of other ompenstion from the orgniztion nd relted orgniztions (1) ERIC V. BRUNER CHAIR () MABEL MCKINNEY-BROWNING, EDD VICE CHAIR () MICHAEL A. STEINIG, ESQ. SECRETARY (4) LINDA J. BLESSING, PHD DIRECTOR (5) STEVE DALE DIRECTOR (6) LUCILLE A. ECHOHAWK DIRECTOR (7) DEBRA S. FAIR DIRECTOR (8) ROQUE R. GERALD, PSYD DIRECTOR (9) SUZI GOLDSMITH DIRECTOR (10) ANDREA LEDFORD, MBA DIRECTOR (11) ELIZABETH A. (LIZ) LYMAN, MA DIRECTOR (1) J. MICHAEL MCFARLAND, DVM, DABV DIRECTOR (1) LOIS POPE DIRECTOR (14) WILLIAM L. (BILL) SUTTON, JR., DIRECTOR (15) HUGH H. TEBAULT, III DIRECTOR (16) FREDERIC SCHAEFER DIRECTOR (17) CANDY SPELLING DIRECTOR Form 990 (011) 7

8 Form 990 (011) AMERICAN HUMANE ASSOCIATION Pge 8 Prt VII Setion A. Offiers, Diretors, Trustees, Key Employees, nd Highest Compensted Employees (ontinued) (A) (B) (C) (D) (E) (F) Nme nd title Averge Position (do not hek more thn one Reportle Reportle Estimted hours per ox, unless person is oth n ompenstion ompenstion mount of week offier nd diretor/trustee) from from relted other (desrie the orgniztions ompenstion hours for orgniztion (W-/1099-MISC) from the relted (W-/1099-MISC) orgniztion orgniztions nd relted in Shedule orgniztions O) 1 4 d Su-totl~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Totl from ontinution sheets to Prt VII, Setion A ~~~~~~~~ Totl (dd lines 1 nd 1) Individul trustee or diretor Institutionl trustee Did the orgniztion list ny former offier, diretor, or trustee, key employee, or highest ompensted employee on line 1? If "," omplete Shedule J for suh individul ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 Did ny person listed on line 1 reeive or rue ompenstion from ny unrelted orgniztion or individul for servies rendered to the orgniztion? If "," omplete Shedule J for suh person Setion B. Independent Contrtors 1 Totl numer of individuls (inluding ut not limited to those listed ove) who reeived more thn $100,000 of reportle ompenstion from the orgniztion For ny individul listed on line 1, is the sum of reportle ompenstion nd other ompenstion from the orgniztion nd relted orgniztions greter thn $150,000? If "," omplete Shedule J for suh individul~~~~~~~~~~~~~ Offier (18) ROBIN R. GANZERT PHD PRESIDENT & CEO , ,405. (19) DALE L AUSTIN CHIEF OPERATING OFFICER ,1. 0.,458. (0) CLIFFORD J. ROSE CHIEF FINANCIAL OFFICER (1) SONIA VELAZQUEZ SVP CHILDREN'S WELFARE , ,787. () JOHN FLUKE VP CHILD PROTECTION , ,67. () KAREN ROSA SR. VP FILM & TELEVISION , ,46. (4) FREDERICK JOHNSTON SR. PHILANTHROPIC ADVISOR , ,418. (5) STEPHEN KAMINSKI SVP & GENERAL COUNSEL , ,484. (6) TIMOTHY REDDEN VP PHILANTHROPIC SERVICES , ,980. Complete this tle for your five highest ompensted independent ontrtors tht reeived more thn $100,000 of ompenstion from the orgniztion. Report ompenstion for the lendr yer ending with or within the orgniztion s tx yer. Key employee Highest ompensted employee Former 1,197, , ,197, ,667. (A) (B) (C) Nme nd usiness ddress Desription of servies Compenstion UNLEASHED PUBLIC RELATIONS & MARKETING, 7119 SUNSET BLVD, SUITE 700, HOLLYWOOD, CA MARKETING 186,188. HARBOR PHILANTHROPY SERVICES NON-PROFIT 4 CENTRAL STREET, HUNTINGTON, NY 1174 MANAGEMENT CONSULTIN 115, Totl numer of independent ontrtors (inluding ut not limited to those listed ove) who reeived more thn $100,000 of ompenstion from the orgniztion Form 990 (011)

9 Form 990 (011) AMERICAN HUMANE ASSOCIATION Pge 9 Prt VIII Sttement of Revenue (A) (B) (C) (D) Totl revenue Relted or Unrelted Revenue exluded from exempt funtion usiness tx under revenue revenue setions 51, 51, or Federted mpigns ~~~~~~ 1 196,586. Contriutions, Gifts, Grnts nd Other Similr Amounts Progrm Servie Revenue Other Revenue d e f g nsh ontriutions inluded in lines 1-1f: $ h 4 5 d 6 d d d Memership dues ~~~~~~~~ Fundrising events ~~~~~~~~ Relted orgniztions ~~~~~~ Government grnts (ontriutions) All other ontriutions, gifts, grnts, nd similr mounts not inluded ove ~~ 1 1 1d 1e,686,015. 1f Totl. Add lines 1-1f Investment inome (inluding dividends, interest, nd other similr mounts) ~~~~~~~~~~~~~~~~~ Inome from investment of tx-exempt ond proeeds Roylties Gross rents ~~~~~~~ Less: rentl expenses~~~ Rentl inome or (loss) ~~ Net rentl inome or (loss) 7 Gross mount from sles of ssets other thn inventory Less: ost or other sis nd sles expenses ~~~ Gin or (loss) ~~~~~~~ (i) Rel 89, ,517. (ii) Personl (i) Seurities (ii) Other Net gin or (loss) 8 Gross inome from fundrising events (not inluding $ 178,99. of ontriutions reported on line 1). See Prt IV, line 18 ~~~~~~~~~~~~~ Less: diret expenses~~~~~~~~~~ Net inome or (loss) from fundrising events Gross inome from gming tivities. See Prt IV, line 19 ~~~~~~~~~~~~~ Less: diret expenses ~~~~~~~~~ Net inome or (loss) from gming tivities Gross sles of inventory, less returns nd llownes ~~~~~~~~~~~~~ Less: ost of goods sold ~~~~~~~~ Net inome or (loss) from sles of inventory Misellneous Revenue All other revenue ~~~~~~~~~~~~~ 178,99. 9,905,8. 79,061. Business Code Business Code SERVICE FEES ,95,16.1,65,68. 9,948. HERO DOGS BROADCAST RG , ,000. CONFERENCE/SEMINARS , , ,00. PUBLICATIONS & MERCH ,8. 40, ,74. e f All other progrm servie revenue ~~~~~ ,07. 6,174. 8,85. g Totl. Add lines -f,9, , , , , , , , , ,67. e Totl. Add lines 11-11d ~~~~~~~~~~~~~~~ 1 Totl revenue. See instrutions ,7, Form 990 (011) 9

10 Form 990 (011) AMERICAN HUMANE ASSOCIATION Pge Prt I Sttement of Funtionl Expenses Setion 501()() nd 501()(4) orgniztions must omplete ll olumns. All other orgniztions must omplete olumn (A) ut re not required to omplete olumns (B), (C), nd (D). Chek if Shedule O ontins response to ny question in this Prt I Do not inlude mounts reported on lines 6, (A) (B) (C) (D) Totl expenses Progrm servie Mngement nd Fundrising 7, 8, 9, nd 10 of Prt VIII. expenses generl expenses expenses 1 Grnts nd other ssistne to governments nd orgniztions in the United Sttes. See Prt IV, line 1 1,671,48. 1,671, d e f g d Grnts nd other ssistne to individuls in the United Sttes. See Prt IV, line ~~~ Grnts nd other ssistne to governments, orgniztions, nd individuls outside the United Sttes. See Prt IV, lines 15 nd 16 ~ Benefits pid to or for memers ~~~~~~~ Compenstion of urrent offiers, diretors, trustees, nd key employees ~~~~~~~~ Compenstion not inluded ove, to disqulified persons (s defined under setion 4958(f)(1)) nd persons desried in setion 4958()()(B) Other slries nd wges ~~~~~~~~~~ Pension pln ruls nd ontriutions (inlude setion 401(k) nd setion 40() employer ontriutions) ~~~ Other employee enefits ~~~~~~~~~~ Pyroll txes ~~~~~~~~~~~~~~~~ Fees for servies (non-employees): Mngement ~~~~~~~~~~~~~~~~ Legl ~~~~~~~~~~~~~~~~~~~~ Aounting ~~~~~~~~~~~~~~~~~ Loying ~~~~~~~~~~~~~~~~~~ Professionl fundrising servies. See Prt IV, line 17 Investment mngement fees ~~~~~~~~ Other ~~~~~~~~~~~~~~~~~~~~ Advertising nd promotion Offie expenses~~~~~~~~~~~~~~~ Informtion tehnology ~~~~~~~~~~~ Roylties ~~~~~~~~~~~~~~~~~~ Insurne ~~~~~~~~~~~~~~~~~ Other expenses. Itemize expenses not overed ove. (List misellneous expenses in line 4e. If line 4e mount exeeds 10% of line 5, olumn (A) e All other expenses 5 Totl funtionl expenses. Add lines 1 through 4e 6 Joint osts. Complete this line only if the orgniztion reported in olumn (B) joint osts from omined edutionl mpign nd fundrising soliittion. Chek here if following SOP 98- (ASC ) ~ ~~~~~~~~~ Oupny ~~~~~~~~~~~~~~~~~ Trvel ~~~~~~~~~~~~~~~~~~~ Pyments of trvel or entertinment expenses for ny federl, stte, or lol puli offiils Conferenes, onventions, nd meetings ~~ Interest ~~~~~~~~~~~~~~~~~~ Pyments to ffilites ~~~~~~~~~~~~ Depreition, depletion, nd mortiztion ~~ 8,199. 8, , ,4. 11, ,51. 6,196,605. 4,999, , , , ,.,00. 8, , ,5., , , ,89., , ,56. 9, ,7. 9,90. 60,8. 5,4. 8, ,1. 66,1.,466,448.,6, ,99. 99, ,76. 54,847. 1,50. 5, ,50. 95,69. 4,45. 85,. 0,0. 18,6. 10,554. 5, , ,946. 5,8. 4,864. 1,116,69. 98,17. 1, ,85. 8, ,509. 1,769. 8, ,58. 14,908. 7, ,79. 67, ,719. 4,19. 5,1. mount, list line 4e expenses on Shedule O.) ~~ TRADESHOWS AND EVENTS 77, , ,004. TAES, LICENCES AND FEE 16,90. 50,176. 6,55. 69,661. DONATED GOODS 79, ,061. DUES AND SUBSCRIPTIONS 55,840. 7,887. 9,77. 18, ,08. 4,746. 5,6. 16,86,7. 1,704,7. 78,1.,9, Form 990 (011) 10 10

11 Form 990 (011) AMERICAN HUMANE ASSOCIATION Pge 11 Prt Blne Sheet Net Assets or Fund Blnes Liilities Assets (A) (B) Beginning of yer End of yer 1 Csh - non-interest-ering ~~~~~~~~~~~~~~~~~~~~~~~~~ 19, ,66. Svings nd temporry sh investments ~~~~~~~~~~~~~~~~~~ 7,464.,460,0. Pledges nd grnts reeivle, net ~~~~~~~~~~~~~~~~~~~~~ 44, ,49. 4 Aounts reeivle, net ~~~~~~~~~~~~~~~~~~~~~~~~~~ 1,01,1. 4,811,0. 5 Reeivles from urrent nd former offiers, diretors, trustees, key employees, nd highest ompensted employees. Complete Prt II of Shedule L ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 6 Reeivles from other disqulified persons (s defined under setion 4958(f)(1)), persons desried in setion 4958()()(B), nd ontriuting employers nd sponsoring orgniztions of setion 501()(9) voluntry 7 employees enefiiry orgniztions (see instrutions) ~~~~~~~~~~~ tes nd lons reeivle, net ~~~~~~~~~~~~~~~~~~~~~~~ Inventories for sle or use ~~~~~~~~~~~~~~~~~~~~~~~~~~ 8 9 Prepid expenses nd deferred hrges ~~~~~~~~~~~~~~~~~~ 07, , Lnd, uildings, nd equipment: ost or other sis. Complete Prt VI of Shedule D ~~~ 10 1,11,458. Less: umulted depreition ~~~~~~ ,847.,16, , Investments - pulily trded seurities ~~~~~~~~~~~~~~~~~~~,747, , Investments - other seurities. See Prt IV, line 11 ~~~~~~~~~~~~~~ 1 1 Investments - progrm-relted. See Prt IV, line 11 ~~~~~~~~~~~~~ 1 14 Intngile ssets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other ssets. See Prt IV, line 11 ~~~~~~~~~~~~~~~~~~~~~~ 6,057, ,18, Totl ssets. Add lines 1 through 15 (must equl line 4) 1,688, ,58, Aounts pyle nd rued expenses ~~~~~~~~~~~~~~~~~~,567, ,00, Grnts pyle ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Deferred revenue ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 67, , Tx-exempt ond liilities ~~~~~~~~~~~~~~~~~~~~~~~~~ 0 1 Esrow or ustodil ount liility. Complete Prt IV of Shedule D ~~~~ 1 Pyles to urrent nd former offiers, diretors, trustees, key employees, highest ompensted employees, nd disqulified persons. Complete Prt II of Shedule L ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Seured mortgges nd notes pyle to unrelted third prties ~~~~~~ 464, , Unseured notes nd lons pyle to unrelted third prties ~~~~~~~~ Other liilities (inluding federl inome tx, pyles to relted third 4 prties, nd other liilities not inluded on lines 17-4). Complete Prt of Shedule D ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 8, ,4. 6 Totl liilities. Add lines 17 through 5,94,90. 6,046,69. Orgniztions tht follow SFAS 117, hek here nd omplete lines 7 through 9, nd lines nd 4. 7 Unrestrited net ssets ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1,74, ,55. 8 Temporrily restrited net ssets ~~~~~~~~~~~~~~~~~~~~~~ 761,. 8,601,64. 9 Permnently restrited net ssets ~~~~~~~~~~~~~~~~~~~~~ 6,718, ,81,568. Orgniztions tht do not follow SFAS 117, hek here nd omplete lines 0 through Cpitl stok or trust prinipl, or urrent funds ~~~~~~~~~~~~~~~ Pid-in or pitl surplus, or lnd, uilding, or equipment fund ~~~~~~~~ 0 1 Retined ernings, endowment, umulted inome, or other funds ~~~~ Totl net ssets or fund lnes ~~~~~~~~~~~~~~~~~~~~~~ 8,754,189. 9,1, Totl liilities nd net ssets/fund lnes 1,688, ,58,456. Form 990 (011)

12 Form 990 (011) AMERICAN HUMANE ASSOCIATION Pge 1 Prt I Reonilition of Net Assets Chek if Shedule O ontins response to ny question in this Prt I 1 Totl revenue (must equl Prt VIII, olumn (A), line 1) ~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 17,518,564. Totl expenses (must equl Prt I, olumn (A), line 5) ~~~~~~~~~~~~~~~~~~~~~~~~~~ 16,86,7. Revenue less expenses. Sutrt line from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 68,91. 4 Net ssets or fund lnes t eginning of yer (must equl Prt, line, olumn (A)) ~~~~~~~~~~ 4 8,754, Other hnges in net ssets or fund lnes (explin in Shedule O) ~~~~~~~~~~~~~~~~~~~ 5-4,9. 6 Net ssets or fund lnes t end of yer. Comine lines, 4, nd 5 (must equl Prt, line, olumn (B)) 6 9,1,187. Prt II Finnil Sttements nd Reporting Chek if Shedule O ontins response to ny question in this Prt II 1 Aounting method used to prepre the Form 990: Csh Arul Other d If the orgniztion hnged its method of ounting from prior yer or heked "Other," explin in Shedule O. Were the orgniztion s finnil sttements ompiled or reviewed y n independent ountnt? ~~~~~~~~~~~~ Were the orgniztion s finnil sttements udited y n independent ountnt? ~~~~~~~~~~~~~~~~~~~ If "" to line or, does the orgniztion hve ommittee tht ssumes responsiility for oversight of the udit, review, or ompiltion of its finnil sttements nd seletion of n independent ountnt? ~~~~~~~~~~~~~~~ If the orgniztion hnged either its oversight proess or seletion proess during the tx yer, explin in Shedule O. If "" to line or, hek ox elow to indite whether the finnil sttements for the yer were issued on seprte sis, onsolidted sis, or oth: Seprte sis Consolidted sis Both onsolidted nd seprte sis As result of federl wrd, ws the orgniztion required to undergo n udit or udits s set forth in the Single Audit At nd OMB Cirulr A-1? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "," did the orgniztion undergo the required udit or udits? If the orgniztion did not undergo the required udit or udits, explin why in Shedule O nd desrie ny steps tken to undergo suh udits. Form 990 (011)

13 SCHEDULE A (Form 990 or 990-EZ) Deprtment of the Tresury Internl Revenue Servie Complete if the orgniztion is setion 501()() orgniztion or setion 4947()(1) nonexempt hritle trust. Atth to Form 990 or Form 990-EZ. See seprte instrutions. OMB Open to Puli Inspetion Nme of the orgniztion Employer identifition numer AMERICAN HUMANE ASSOCIATION Prt I Reson for Puli Chrity Sttus (All orgniztions must omplete this prt.) See instrutions. The orgniztion is not privte foundtion euse it is: (For lines 1 through 11, hek only one ox.) e f g h A hurh, onvention of hurhes, or ssoition of hurhes desried in setion 170()(1)(A)(i). A shool desried in setion 170()(1)(A)(ii). (Atth Shedule E.) A hospitl or oopertive hospitl servie orgniztion desried in setion 170()(1)(A)(iii). A medil reserh orgniztion operted in onjuntion with hospitl desried in setion 170()(1)(A)(iii). Enter the hospitl s nme, ity, nd stte: An orgniztion operted for the enefit of ollege or university owned or operted y governmentl unit desried in setion 170()(1)(A)(iv). (Complete Prt II.) A federl, stte, or lol government or governmentl unit desried in setion 170()(1)(A)(v). An orgniztion tht normlly reeives sustntil prt of its support from governmentl unit or from the generl puli desried in setion 170()(1)(A)(vi). (Complete Prt II.) A ommunity trust desried in setion 170()(1)(A)(vi). (Complete Prt II.) An orgniztion tht normlly reeives: (1) more thn 1/% of its support from ontriutions, memership fees, nd gross reeipts from tivities relted to its exempt funtions - sujet to ertin exeptions, nd () no more thn 1/% of its support from gross investment inome nd unrelted usiness txle inome (less setion 511 tx) from usinesses quired y the orgniztion fter June 0, See setion 509()(). (Complete Prt III.) An orgniztion orgnized nd operted exlusively to test for puli sfety. See setion 509()(4). An orgniztion orgnized nd operted exlusively for the enefit of, to perform the funtions of, or to rry out the purposes of one or more pulily supported orgniztions desried in setion 509()(1) or setion 509()(). See setion 509()(). Chek the ox tht desries the type of supporting orgniztion nd omplete lines 11e through 11h. Type I Type II Type III - Funtionlly integrted d Type III - Other By heking this ox, I ertify tht the orgniztion is not ontrolled diretly or indiretly y one or more disqulified persons other thn foundtion mngers nd other thn one or more pulily supported orgniztions desried in setion 509()(1) or setion 509()(). If the orgniztion reeived written determintion from the IRS tht it is Type I, Type II, or Type III supporting orgniztion, hek this ox Sine August 17, 006, hs the orgniztion epted ny gift or ontriution from ny of the following persons? (i) (ii) (iii) Puli Chrity Sttus nd Puli Support ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A person who diretly or indiretly ontrols, either lone or together with persons desried in (ii) nd (iii) elow, the governing ody of the supported orgniztion? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A fmily memer of person desried in (i) ove? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A 5% ontrolled entity of person desried in (i) or (ii) ove? ~~~~~~~~~~~~~~~~~~~~~~~~ Provide the following informtion out the supported orgniztion(s). 011 (iii) Type of (i) Nme of supported (ii) EIN (iv) Is the orgniztion (v) Did you notify the (vi) Is the (vii) orgniztion in ol. (i) listed in your orgniztion in ol. orgniztion in ol. Amount of orgniztion (desried on lines 1-9 (i) orgnized in the support governing doument? (i) of your support? U.S.? ove or IRC setion (see instrutions) ) 11g(i) 11g(ii) 11g(iii) Totl LHA For Pperwork Redution At tie, see the Instrutions for Form 990 or 990-EZ. Shedule A (Form 990 or 990-EZ)

14 Shedule A (Form 990 or 990-EZ) 011 AMERICAN HUMANE ASSOCIATION Pge Prt II Support Shedule for Orgniztions Desried in Setions 170()(1)(A)(iv) nd 170()(1)(A)(vi) (Complete only if you heked the ox on line 5, 7, or 8 of Prt I or if the orgniztion filed to qulify under Prt III. If the orgniztion fils to qulify under the tests listed elow, plese omplete Prt III.) Setion A. Puli Support Clendr yer (or fisl yer eginning in) Totl. Add lines 1 through ~~~ 6 Puli support. Sutrt line 5 from line 4. Clendr yer (or fisl yer eginning in) ssets (Explin in Prt IV.) ~~~~ Totl support. Add lines 7 through 10 () 007 () 008 () 009 (d) 010 (e) 011 (f) Totl () 007 () 008 () 009 (d) 010 (e) 011 (f) Totl First five yers. If the Form 990 is for the orgniztion s first, seond, third, fourth, or fifth tx yer s setion 501()() 17 10% -fts-nd-irumstnes test If the orgniztion did not hek ox on line 1, 16, or 16, nd line 14 is 10% or more, 18 Gifts, grnts, ontriutions, nd memership fees reeived. (Do not inlude ny "unusul grnts.") ~~ Tx revenues levied for the orgniztion s enefit nd either pid to or expended on its ehlf ~~~~ The vlue of servies or filities furnished y governmentl unit to the orgniztion without hrge ~ The portion of totl ontriutions y eh person (other thn governmentl unit or pulily supported orgniztion) inluded on line 1 tht exeeds % of the mount shown on line 11, olumn (f) ~~~~~~~~~~~~ Setion B. Totl Support Amounts from line 4 ~~~~~~~ Gross inome from interest, dividends, pyments reeived on seurities lons, rents, roylties nd inome from similr soures ~ Net inome from unrelted usiness tivities, whether or not the usiness is regulrly rried on ~ Other inome. Do not inlude gin or loss from the sle of pitl Gross reeipts from relted tivities, et. (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~ 1/% support test If the orgniztion did not hek ox on line 1 or 16, nd line 15 is 1/% or more, hek this ox nd stop here. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ nd if the orgniztion meets the "fts-nd-irumstnes" test, hek this ox nd stop here. Explin in Prt IV how the orgniztion meets the "fts-nd-irumstnes" test. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~~~~~~~~ 10% -fts-nd-irumstnes test If the orgniztion did not hek ox on line 1, 16, 16, or 17, nd line 15 is 10% or more, nd if the orgniztion meets the "fts-nd-irumstnes" test, hek this ox nd stop here. Explin in Prt IV how the ,45. 85, , ,90. 9,998.,151.,55. 66, ,44,978. orgniztion, hek this ox nd stop here Setion C. Computtion of Puli Support Perentge 14 Puli support perentge for 011 (line 6, olumn (f) divided y line 11, olumn (f)) ~~~~~~~~~~~~ Puli support perentge from 010 Shedule A, Prt II, line 14 ~~~~~~~~~~~~~~~~~~~~~ /% support test If the orgniztion did not hek the ox on line 1, nd line 14 is 1/% or more, hek this ox nd stop here. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ orgniztion meets the "fts-nd-irumstnes" test. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~ Privte foundtion. If the orgniztion did not hek ox on line 1, 16, 16, 17, or 17, hek this ox nd see instrutions Shedule A (Form 990 or 990-EZ) 011 % %

15 Shedule A (Form 990 or 990-EZ) 011 Prt III Support Shedule for Orgniztions Desried in Setion 509()() Clendr yer (or fisl yer eginning in) The vlue of servies or filities furnished y governmentl unit to the orgniztion without hrge ~ Totl. Add lines 1 through 5 ~~~ 7 Amounts inluded on lines 1,, nd reeived from disqulified persons Amounts inluded on lines nd reeived from other thn disqulified persons tht exeed the greter of $5,000 or 1% of the mount on line 1 for the yer ~~~~~~ Add lines 7 nd 7 ~~~~~~~ 8 Puli support (Sutrt line 7 from line 6.) Clendr yer (or fisl yer eginning in) 9 Amounts from line 6 ~~~~~~~ 10 Gross inome from interest, dividends, pyments reeived on seurities lons, rents, roylties nd inome from similr soures ~ Unrelted usiness txle inome (less setion 511 txes) from usinesses quired fter June 0, 1975 ~~~~ () 007 () 008 () 009 (d) 010 (e) 011 (f) Totl () 007 () 008 () 009 (d) 010 (e) 011 (f) Totl 14 First five yers. If the Form 990 is for the orgniztion s first, seond, third, fourth, or fifth tx yer s setion 501()() orgniztion, hek this ox nd stop here Setion C. Computtion of Puli Support Perentge Puli support perentge from 010 Shedule A, Prt III, line 15 Setion D. Computtion of Investment Inome Perentge Pge Puli support perentge for 011 (line 8, olumn (f) divided y line 1, olumn (f)) ~~~~~~~~~~~~ 15 % 19 1/% support tests If the orgniztion did not hek the ox on line 14, nd line 15 is more thn 1/%, nd line 17 is not 0 (Complete only if you heked the ox on line 9 of Prt I or if the orgniztion filed to qulify under Prt II. If the orgniztion fils to qulify under the tests listed elow, plese omplete Prt II.) Setion A. Puli Support Gifts, grnts, ontriutions, nd memership fees reeived. (Do not inlude ny "unusul grnts.") ~~ Gross reeipts from dmissions, merhndise sold or servies performed, or filities furnished in ny tivity tht is relted to the orgniztion s tx-exempt purpose Gross reeipts from tivities tht re not n unrelted trde or usiness under setion 51 ~~~~~ Tx revenues levied for the orgniztion s enefit nd either pid to or expended on its ehlf ~~~~ Setion B. Totl Support Add lines 10 nd 10 ~~~~~~ Net inome from unrelted usiness tivities not inluded in line 10, whether or not the usiness is regulrly rried on ~~~~~~~ Other inome. Do not inlude gin or loss from the sle of pitl ssets (Explin in Prt IV.) ~~~~ Totl support (Add lines 9, 10, 11, nd 1.) Investment inome perentge for 011 (line 10, olumn (f) divided y line 1, olumn (f)) Investment inome perentge from 010 Shedule A, Prt III, line 17 ~~~~~~~~~~~~~~~~~~ 16 ~~~~~~~~ 17 % more thn 1/%, hek this ox nd stop here. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~~~ 1/% support tests If the orgniztion did not hek ox on line 14 or line 19, nd line 16 is more thn 1/%, nd line 18 is not more thn 1/%, hek this ox nd stop here. The orgniztion qulifies s pulily supported orgniztion~~~~ Privte foundtion. If the orgniztion did not hek ox on line 14, 19, or 19, hek this ox nd see instrutions Shedule A (Form 990 or 990-EZ) % %

Part III Statement of Program Service Accomplishments

Part III Statement of Program Service Accomplishments Form 990 (0) DEATH WITH DIGNITY NATIONAL CENTER 9-666 Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion's

More information

Part III Statement of Program Service Accomplishments

Part III Statement of Program Service Accomplishments Form 990 (0) NC STATE UNIVERSITY PARTNERSHIP CORP 6-87 Pge Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion's

More information

** PUBLIC DISCLOSURE COPY ** OMB No

** PUBLIC DISCLOSURE COPY ** OMB No ** PUBLIC DISCLOSURE COPY ** OMB. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury

More information

Part III Statement of Program Service Accomplishments

Part III Statement of Program Service Accomplishments August, 0 Form 990 (0) SPIRIT OF AMERICA WORLDWIDE 0- Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion's

More information

2015 Department of the Treasury

2015 Department of the Treasury OMB No. -00 Return of Orgniztion Exempt From Inome Tx Form 0 Under setion 0(),, or ()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not enter soil seurity numers

More information

2014 Department of the Treasury

2014 Department of the Treasury - STATE REGISTRATION NO. 11788 OMB No. 1-007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 01(), 7, or 97()(1) of the Internl Revenue Code (exept privte foundtions) 01 Deprtment of the

More information

FOR PUBLIC DISCLOSURE

FOR PUBLIC DISCLOSURE Form 990 (06) GATES PHILANTHROPY PARTNERS 7-90897 Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion s mission:

More information

Part III Statement of Program Service Accomplishments

Part III Statement of Program Service Accomplishments NORTH CAROLINA STATE UNIVERSITY ALUMNI Form 0 (01) ASSOCIATION, INC 56-605544 Prt III Sttement of Progrm Servie Aomplishments 1 Chek if Shedule O ontins response or note to ny line in this Prt III Briefly

More information

2015 Department of the Treasury

2015 Department of the Treasury ETENDED TO NOVEMBER, 0 OMB No. -00 Return of Orgniztion Exempt From Inome Tx Form 0 Under setion 0(),, or ()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not enter

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Under setion 01(), 7, or 97()(1) of the Internl Revenue Code (exept lk lung enefit trust or privte foundtion) Deprtment of the Tresury Internl Revenue Servie The orgniztion my hve to use opy of this

More information

Do not enter Social Security numbers on this form as it may be made public.

Do not enter Social Security numbers on this form as it may be made public. OMB. -007 Return of Orgniztion Exempt From Inome Tx Form 0 Under setion 0(), 7, or 7()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Internl Revenue Servie Do not enter

More information

2014 Department of the Treasury Internal Revenue Service

2014 Department of the Treasury Internal Revenue Service ETENDED TO AUGUST, 0 OMB -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Internl Revenue

More information

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service OMB No. 155-007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 501(), 57, or 97()(1) of the Internl Revenue Code (exept privte foundtions) 01 Deprtment of the Tresury Do not enter Soil

More information

** PUBLIC DISCLOSURE COPY **

** PUBLIC DISCLOSURE COPY ** ** PUBLIC DISCLOSURE ** *** ELECTRONICALLY FILED ON /0/07 *** Form 990 (06) SHRM FOUNDATION, INC. -660067 Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny

More information

** PUBLIC DISCLOSURE COPY ** Return of Organization Exempt From Income Tax

** PUBLIC DISCLOSURE COPY ** Return of Organization Exempt From Income Tax Form Deprtment of the Tresury Internl Revenue Servie Under setion 01(),, or ()(1) of the Internl Revenue Code (exept lk lung enefit trust or privte foundtion) The orgniztion my hve to use opy of this return

More information

Part III Statement of Program Service Accomplishments

Part III Statement of Program Service Accomplishments 0/0/ Form 990 (0) NEW YORK TRI-STATE AREA, INC. - Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion's mission:

More information

Do not enter social security numbers on this form as it may be made public. Open to Public

Do not enter social security numbers on this form as it may be made public. Open to Public ETENDED TO NOVEMBER, 08 OMB -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 07 Deprtment of the Tresury Do not

More information

9 9 BRENTWOOD, TN Phone no. (615)

9 9 BRENTWOOD, TN Phone no. (615) Form Deprtment of the Tresury Internl Revenue Servie Under setion 01(), 7, or 97(1) of the Internl Revenue Code (exept lk lung enefit trust or privte foundtion) The orgniztion my hve to use opy of this

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Deprtment of the Tresury Internl Revenue Servie Under setion 01(), 7, or 97()(1) of the Internl Revenue Code (exept lk lung enefit trust or privte foundtion) The orgniztion my hve to use opy of this

More information

** PUBLIC DISCLOSURE COPY ** Return of Organization Exempt From Income Tax

** PUBLIC DISCLOSURE COPY ** Return of Organization Exempt From Income Tax Form Deprtment of the Tresury Internl Revenue Servie Under setion 01(), 7, or 7()(1) of the Internl Revenue Code (exept lk lung enefit trust or privte foundtion) The orgniztion my hve to use opy of this

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Deprtment of the Tresury Internl Revenue Servie Under setion 01(), 7, or 97()(1) of the Internl Revenue Code (exept lk lung enefit trust or privte foundtion) The orgniztion my hve to use opy of this

More information

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service ** PUBLIC DISCLOSURE COPY ** OMB. 1-007 Return of Orgniztion Exempt From Inome Tx Form 0 Under setion 01(), 7, or 7()(1) of the Internl Revenue Code (exept privte foundtions) 01 Deprtment of the Tresury

More information

PUBLIC DISCLOSURE COPY

PUBLIC DISCLOSURE COPY PUBLIC DISCLOSURE COPY Form 990 (0) TEAM RUBICON, INC. 7-7080 Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion

More information

Do not enter social security numbers on this form as it may be made public. Open to Public

Do not enter social security numbers on this form as it may be made public. Open to Public PUBLIC DISCLOSURE COPY OMB -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not enter

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Deprtment of the Tresury Internl Revenue Servie Under setion 01(), 7, or 97()(1) of the Internl Revenue Code (exept lk lung enefit trust or privte foundtion) The orgniztion my hve to use opy of this

More information

Form 990 (2013) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Form 990 (2013) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Form 990 (01) KOREATOWN YOUTH AND COMMUNITY CENTER 9-77989 Prt III Sttement of Progrm Servie Aomplishments 1 Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion

More information

Do not enter social security numbers on this form as it may be made public. Open to Public

Do not enter social security numbers on this form as it may be made public. Open to Public ETENDED TO NOVEMBER, 0 OMB -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not enter

More information

Form 990 (2017) WILDLIFE RESCUE AND REHABILITATION, INC Page 2

Form 990 (2017) WILDLIFE RESCUE AND REHABILITATION, INC Page 2 July 0, 0 Form 990 (0) WILDLIFE RESCUE AND REHABILITATION, INC. -09 Pge Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie

More information

Do not enter social security numbers on this form as it may be made public. Open to Public

Do not enter social security numbers on this form as it may be made public. Open to Public OMB. - Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not enter soil seurity numers on

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Deprtment of the Tresury Internl Revenue Servie Under setion 01(), 7, or 97()(1) of the Internl Revenue Code (exept lk lung enefit trust or privte foundtion) The orgniztion my hve to use opy of this

More information

Form 990 (2016) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Form 990 (2016) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Form 990 (0) DELTA GAMMA FOUNDATION -000 Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion s mission: THE

More information

PUBLIC DISCLOSURE COPY

PUBLIC DISCLOSURE COPY Cution: Forms printed from within Adoe Arot produts my not meet IRS or stte txing geny speifitions. When using Arot 9.x produts nd lter produts, selet "ne"in the "Pge Sling" seletion ox in the Adoe "Print"

More information

Public Inspection Copy

Public Inspection Copy Form 990 (0) THE CENTER FOR PUBLIC INTEGRITY -77 Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion s mission:

More information

2015 Department of the Treasury

2015 Department of the Treasury ** PUBLIC DISCLOSURE COPY ** OMB. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury

More information

2014 Department of the Treasury Internal Revenue Service

2014 Department of the Treasury Internal Revenue Service ** PUBLIC DISCLOSURE COPY ** OMB. -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Internl

More information

2014 Department of the Treasury Internal Revenue Service

2014 Department of the Treasury Internal Revenue Service OMB No. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Internl Revenue Servie Do

More information

Part III Statement of Program Service Accomplishments

Part III Statement of Program Service Accomplishments Form 990 (0) OF SCIENCES FOUNDATION, INC. 8-89 Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion's mission:

More information

2015 Department of the Treasury

2015 Department of the Treasury ETENDED TO MAY, 07 OMB. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not enter

More information

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service OMB. -007 Return of Orgniztion Exempt From Inome Tx Form 0 Under setion 0(), 7, or 7()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not enter Soil Seurity numers

More information

GENESYS WORKS

GENESYS WORKS Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion's mission: GENESYS WORKS 0-00 OUR MISSION IS TO PROVIDE

More information

Do not enter social security numbers on this form as it may be made public. Open to Public

Do not enter social security numbers on this form as it may be made public. Open to Public ETENDED TO MAY, 0 OMB. -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not enter soil

More information

PUBLIC DISCLOSURE COPY

PUBLIC DISCLOSURE COPY Cution: Forms printed from within Adoe Arot produts my not meet IRS or stte txing geny speifitions. When using Arot.x produts, unhek the "Shrink oversized pges to pper size" nd unhek the "Expnd smll pges

More information

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service OMB. 1-007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 01(), 7, or 97()(1) of the Internl Revenue Code (exept privte foundtions) 01 Deprtment of the Tresury Do not enter Soil Seurity

More information

2016 Department of the Treasury

2016 Department of the Treasury OMB No. -00 Return of Orgniztion Exempt From Inome Tx Form 0 Under setion 0(),, or ()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not enter soil seurity numers

More information

2016 Department of the Treasury

2016 Department of the Treasury ** PUBLIC DISCLOSURE COPY ** OMB. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury

More information

PUBLIC DISCLOSURE COPY

PUBLIC DISCLOSURE COPY OMB. 1-007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 01(), 7, or 97()(1) of the Internl Revenue Code (exept privte foundtions) 01 Deprtment of the Tresury Internl Revenue Servie Do

More information

Do not enter social security numbers on this form as it may be made public. Open to Public

Do not enter social security numbers on this form as it may be made public. Open to Public ** PUBLIC DISCLOSURE COPY ** OMB. -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do

More information

PUBLIC DISCLOSURE COPY

PUBLIC DISCLOSURE COPY PUBLIC DISCLOSURE COPY 0900 99 GIC.CSHWP 0.000 GW COMMERCIAL SERVICES, I GIC.C OMB. -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept

More information

Do not enter social security numbers on this form as it may be made public. Open to Public

Do not enter social security numbers on this form as it may be made public. Open to Public OMB No. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not enter soil seurity

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Deprtment of the Tresury Internl Revenue Servie Under setion 01, 7, or 97(1) of the Internl Revenue Code (exept lk lung enefit trust or privte foundtion) The orgniztion my hve to use opy of this return

More information

EACH ORIGINAL SHOULD BE DATED, SIGNED AND FILED IN ACCORDANCE WITH THE FILING INSTRUCTIONS. THE COPY SHOULD BE RETAINED FOR YOUR FILES.

EACH ORIGINAL SHOULD BE DATED, SIGNED AND FILED IN ACCORDANCE WITH THE FILING INSTRUCTIONS. THE COPY SHOULD BE RETAINED FOR YOUR FILES. MARCH, 01 CAPITAL SENIOR CENTER, INC 10 PARK CIRCLE COLUMBIA, SC 901 ATTENTION: MARY KESSLER, EECUTIVE DIRECTOR DEAR MARY: ENCLOSED ARE THE ORIGINAL AND ONE COPY OF THE 01 EEMPT ORGANIZATION RETURN, AS

More information

2017 Department of the Treasury

2017 Department of the Treasury ETENDED TO NOVEMBER, 08 OMB -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0, 7, or 97() of the Internl Revenue Code (exept privte foundtions) 07 Deprtment of the Tresury Do not enter

More information

2015 Department of the Treasury

2015 Department of the Treasury Extended to vemer, 0 OMB. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not

More information

Do not enter social security numbers on this form as it may be made public. Open to Public

Do not enter social security numbers on this form as it may be made public. Open to Public OMB No. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 06 Deprtment of the Tresury Do not enter soil seurity

More information

Do not enter social security numbers on this form as it may be made public. Open to Public

Do not enter social security numbers on this form as it may be made public. Open to Public ** PUBLIC DISCLOSURE COPY ** OMB -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not

More information

2014 Department of the Treasury

2014 Department of the Treasury ** PUBLIC DISCLOSURE COPY ** OMB No. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury

More information

Do not enter social security numbers on this form as it may be made public. Open to Public

Do not enter social security numbers on this form as it may be made public. Open to Public ** PUBLIC DISCLOSURE COPY ** OMB -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not

More information

2017 Department of the Treasury

2017 Department of the Treasury ** PUBLIC DISCLOSURE COPY ** OMB. -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do

More information

2014 Department of the Treasury Internal Revenue Service

2014 Department of the Treasury Internal Revenue Service ** PUBLIC DISCLOSURE COPY ** OMB -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0, 7, or 97() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Internl

More information

2017 Department of the Treasury

2017 Department of the Treasury OMB No. -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not enter soil seurity numers

More information

** PUBLIC INSPECTION COPY **

** PUBLIC INSPECTION COPY ** OMB. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not enter soil seurity numers

More information

*** PUBLIC DISCLOSURE COPY ***

*** PUBLIC DISCLOSURE COPY *** *** PUBLIC DISCLOSURE COPY *** Form 990 (07) MCE SOCIAL CAPITAL 0-0 Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the

More information

2014 Department of the Treasury

2014 Department of the Treasury ** PUBLIC DISCLOSURE COPY ** OMB No. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury

More information

PROVIDE COMPREHENSIVE AFTER-SCHOOL PROGRAMS THAT KEEP CHILDREN SAFE AND HELP THEM SUCCEED IN SCHOOL AND IN LIFE.

PROVIDE COMPREHENSIVE AFTER-SCHOOL PROGRAMS THAT KEEP CHILDREN SAFE AND HELP THEM SUCCEED IN SCHOOL AND IN LIFE. Form 990 (0) AFTER SCHOOL ALL-STARS 9-08 Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion s mission: PROVIDE

More information

2017 Department of the Treasury. Do not enter social security numbers on this form as it may be made public. Open to Public

2017 Department of the Treasury. Do not enter social security numbers on this form as it may be made public. Open to Public ETENDED TO NOVEMBER, 0 OMB. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 07 Deprtment of the Tresury Do not

More information

Do not enter social security numbers on this form as it may be made public. Open to Public

Do not enter social security numbers on this form as it may be made public. Open to Public ** PUBLIC DISCLOSURE COPY ** OMB No. -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury

More information

2016 Department of the Treasury

2016 Department of the Treasury ** PUBLIC DISCLOSURE COPY ** OMB -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do

More information

Form 990 (2016) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Form 990 (2016) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Form 990 (06) PATH DRUG SOLUTIONS 9-800 Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion s mission: PATH

More information

Form 990 (2017) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Form 990 (2017) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Form 990 (07) SHENG-YEN LU FOUNDATION -77 Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion s mission: SHENG-YEN

More information

Form 990 (2017) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Form 990 (2017) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Form 990 (07) THE ADOPTION ECHANGE INC 8-0797 Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion s mission:

More information

2016 Department of the Treasury

2016 Department of the Treasury PUBLIC DISCLOSURE COPY OMB. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not

More information

2017 Department of the Treasury

2017 Department of the Treasury OMB No. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 07 Deprtment of the Tresury Do not enter soil seurity

More information

Do not enter Social Security numbers on this form as it may be made public.

Do not enter Social Security numbers on this form as it may be made public. OMB. 1-007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 01(), 7, or 97()(1) of the Internl Revenue Code (exept privte foundtions) 01 Deprtment of the Tresury Internl Revenue Servie Do

More information

** PUBLIC DISCLOSURE COPY **

** PUBLIC DISCLOSURE COPY ** ** PUBLIC DISCLOSURE COPY ** JANE M. SEARING //6 Form 990 (0) GLOBAL PARTNERSHIPS 8-079 Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt

More information

Form 990 (2013) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Form 990 (2013) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Form 990 (01) ST. PATRICK CENTER -1699 Prt III Sttement of Progrm Servie Aomplishments 1 Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion s mission: ST.

More information

2015 Department of the Treasury

2015 Department of the Treasury ** PUBLIC DISCLOSURE COPY ** OMB No. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury

More information

PUBLIC DISCLOSURE COPY

PUBLIC DISCLOSURE COPY PUBLIC DISCLOSURE COPY ** PUBLIC DISCLOSURE COPY ** OMB No. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions)

More information

2016 Department of the Treasury

2016 Department of the Treasury ETENDED TO MAY, 0 OMB No. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not

More information

Public Disclosure Copy

Public Disclosure Copy ** PUBLIC DISCLOSURE COPY ** OMB. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 07 Deprtment of the Tresury

More information

2017 Department of the Treasury

2017 Department of the Treasury ETENDED TO MAY, 09 OMB. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 07 Deprtment of the Tresury Do not enter

More information

2017 Department of the Treasury

2017 Department of the Treasury ETENDED TO MAY, 09 OMB. -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not enter

More information

2017 Department of the Treasury

2017 Department of the Treasury OMB. -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not enter soil seurity numers

More information

2016 Department of the Treasury

2016 Department of the Treasury ** PUBLIC DISCLOSURE COPY ** OMB. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 06 Deprtment of the Tresury

More information

2017 Department of the Treasury

2017 Department of the Treasury ETENDED TO NOVEMBER, 0 OMB. -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not enter

More information

2014 Department of the Treasury Internal Revenue Service

2014 Department of the Treasury Internal Revenue Service OMB No. -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Internl Revenue Servie Do not

More information

PUBLIC DISCLOSURE

PUBLIC DISCLOSURE 0 990 PUBLIC DISCLOSURE ** PUBLIC DISCLOSURE COPY ** OMB. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 0

More information

Form 990 (2015) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Form 990 (2015) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Form 990 (0) THE MARYLAND FOOD BANK, INC. -90 Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion s mission:

More information

Do not enter social security numbers on this form as it may be made public. Open to Public Internal Revenue Service

Do not enter social security numbers on this form as it may be made public. Open to Public Internal Revenue Service ** PUBLIC DISCLOSURE COPY ** OMB -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0, 7, or 97() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not

More information

2014 Department of the Treasury

2014 Department of the Treasury ETENDED TO JANUARY 1, 016 OMB. 1-007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 01(), 7, or 97()(1) of the Internl Revenue Code (exept privte foundtions) 01 Deprtment of the Tresury

More information

** PUBLIC DISCLOSURE COPY **

** PUBLIC DISCLOSURE COPY ** ** PUBLIC DISCLOSURE COPY ** JANE M. SEARING //6 Form 990 (0) GLOBAL PARTNERSHIPS Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly

More information

Form 990 (2017) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Form 990 (2017) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Digitlly signed y Angel Klinowski Dte: 0.0. :0:0-0'00' Form 990 (0) SPECIAL OLYMPICS COLORADO -09 Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in

More information

Form 990 (2016) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Form 990 (2016) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Form 990 (0) INC. 7-000 Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion s mission: SEEKING TO PUT GOD'S

More information

2014 Department of the Treasury

2014 Department of the Treasury ETENDED TO MAY, 0 OMB -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not enter

More information

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service ** PUBLIC DISCLOSURE COPY ** OMB. 1-007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 01(), 7, or 97()(1) of the Internl Revenue Code (exept privte foundtions) 01 Deprtment of the Tresury

More information

Do not enter social security numbers on this form as it may be made public. Open to Public

Do not enter social security numbers on this form as it may be made public. Open to Public ** PUBLIC DISCLOSURE COPY ** OMB. -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do

More information

** PUBLIC DISCLOSURE COPY ** *** ELECTRONICALLY FILED ON 05/25/2017 *** COPY

** PUBLIC DISCLOSURE COPY ** *** ELECTRONICALLY FILED ON 05/25/2017 *** COPY ** PUBLIC DISCLOSURE ** *** ELECTRONICALLY FILED ON 0//07 *** Form 990 (0) EVERY MOTHER COUNTS -0 Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in

More information

2017 Department of the Treasury

2017 Department of the Treasury ** PUBLIC DISCLOSURE COPY ** OMB No. -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury

More information

2015 Department of the Treasury

2015 Department of the Treasury ** PUBLIC DISCLOSURE COPY ** OMB -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not

More information

2016 Department of the Treasury

2016 Department of the Treasury ETENDED TO MAY, 0 OMB. -00 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(),, or 9()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Do not enter soil

More information

Hospice of the Northwest Foundation Form 990 Public Disclosure Copy

Hospice of the Northwest Foundation Form 990 Public Disclosure Copy Hospie of the rthwest Foundtion 07 Form 990 Puli Dislosure Copy ETENDED TO NOVEMBER, 08 OMB -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue

More information