Open to Public Inspection A For the 2015 calendar year, or tax year beginning, 2015, and ending,
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1 Form 990 Department of the Treasury Internal Revenue Servie OMB No Return of Organization Exempt From Inome Tax 2015 Under setion 501(), 527, or 4947(a)(1) of the Internal Revenue Code (exept private foundations) G Do not enter soial seurity numers on this form as it may e made puli. G Information aout Form 990 and its instrutions is at Open to Puli Inspetion A For the 2015 alendar year, or tax year eginning, 2015, and ending, B Chek if appliale: C D Address hange ANIMAL PROTECTION ASSOCIATION, INC Name hange 854 GOODMAN ST E Telephone numer Initial return MEMPHIS, TN (901) Final return/terminated Amended return F G Employer identifiation numer Gross reeipts Appliation pending Name and address of prinipal offier: H(a) Is this a group return for suordinates? CATHY SIMMONS H() Are all suordinates inluded? SAME AS C ABOVE If 'No,' attah a list. (see instrutions) I Tax-exempt status 501()(3) 501() ( )H (insert no.) 4947(a)(1) or 527 J Wesite: G H() Group exemption numer G K Form of organization: Corporation Trust Assoiation OtherG L Year of formation: 1978 M State of legal domiile: TN Part I 1 Summary Briefly desrie the organization's mission or most signifiant ativities: DEDICATED TO REDUCING PET OVER POPULATION THROUGH AFFORDABLE SPAY & NEUTER SERVICES. $ 550, Chek this ox G if the organization disontinued its operations or disposed of more than 25% of its net assets. 3 Numer of voting memers of the governing ody (Part VI, line 1a) Numer of independent voting memers of the governing ody (Part VI, line 1) Total numer of individuals employed in alendar year 2015 (Part V, line 2a) Total numer of volunteers (estimate if neessary) a Total unrelated usiness revenue from Part VIII, olumn (C), line a Net unrelated usiness taxale inome from Form 990-T, line Contriutions and grants (Part VIII, line 1h) Program servie revenue (Part VIII, line 2g) Investment inome (Part VIII, olumn (A), lines 3, 4, and 7d) Other revenue (Part VIII, olumn (A), lines 5, 6d, 8, 9, 10, and 11e) Total revenue ' add lines 8 through 11 (must equal Part VIII, olumn (A), line 12)..... Grants and similar amounts paid (Part I, olumn (A), lines 1-3) Benefits paid to or for memers (Part I, olumn (A), line 4) Salaries, other ompensation, employee enefits (Part I, olumn (A), lines 5-10) a Professional fundraising fees (Part I, olumn (A), line 11e) Part II Total fundraising expenses (Part I, olumn (D), line 25) G 1,834. Other expenses (Part I, olumn (A), lines 11a-11d, 11f-24e) Total expenses. Add lines -17 (must equal Part I, olumn (A), line 25) Revenue less expenses. Sutrat line 18 from line Total assets (Part, line 16) Total liailities (Part, line 26) Net assets or fund alanes. Sutrat line 21 from line Signature Blok Prior Year Current Year 107, , , , , , , , , , , , , , ,089. 5,761. Beginning of Current Year End of Year 219, ,920. 5,811. 3,057. 2, ,863. Under penalties of perjury, I delare that I have examined this return, inluding aompanying shedules and statements, and to the est of my knowledge and elief, it is true, orret, and omplete. Delaration of preparer (other than offier) is ased on all information of whih preparer has any knowledge. Sign Here A Signature of offier A CATHY SIMMONS Type or print name and title. Print/Type preparer's name Preparer's signature Date Chek if PTIN GAYLE T DETHLOFF GAYLE T DETHLOFF 7/19/16 self-employed P Paid Preparer Firm's name GGT DETHLOFF CPA PLLC Use Only Firm's address G3012 CENTRE OAK WAY STE. 101 Firm's EIN G GERMANTOWN, TN 388 Phone no May the IRS disuss this return with the preparer shown aove? (see instrutions) For Paperwork Redution At Notie, see the separate instrutions. TEEA01L 10/12/15 Form 990 (2015) Date PRESIDENT
2 Form 990 (2015) ANIMAL PROTECTION ASSOCIATION, INC Page 2 Part III Statement of Program Servie Aomplishments Chek if Shedule O ontains a response or note to any line in this Part III Briefly desrie the organization's mission: DEDICATED TO REDUCING PET OVER POPULATION THROUGH AFFORDABLE SPAY & NEUTER SERVICES. 2 Did the organization undertake any signifiant program servies during the year whih were not listed on the prior Form 990 or 990-EZ? Yes No If 'Yes,' desrie these new servies on Shedule O. 3 Did the organization ease onduting, or make signifiant hanges in how it onduts, any program servies?.... Yes No If 'Yes,' desrie these hanges on Shedule O. 4 Desrie the organization's program servie aomplishments for eah of its three largest program servies, as measured y expenses. Setion 501()(3) and 501()(4) organizations are required to report the amount of grants and alloations to others, the total expenses, and revenue, if any, for eah program servie reported. 4 a (Code: ) (Expenses $ 275,257. inluding grants of $ ) (Revenue $ 311,854. ) AFFORDABLE SPAY AND NEUTER PET SERVICES ALONG WITH BASIC VETERINARY CARE AT THE TIME OF SPAY & NEUTER SERVICES 4 (Code: ) (Expenses $ inluding grants of $ ) (Revenue $ ) 4 (Code: ) (Expenses $ inluding grants of $ ) (Revenue $ ) 4 d Other program servies. (Desrie in Shedule O.) (Expenses $ inluding grants of $ ) (Revenue $ ) 4 e Total program servie expenses G 275,257. TEEA0102L 10/12/15 Form 990 (2015)
3 Form 990 (2015) ANIMAL PROTECTION ASSOCIATION, INC Page 3 Part IV Cheklist of Required Shedules 1 Is the organization desried in setion 501()(3) or 4947(a)(1) (other than a private foundation)? If 'Yes,' omplete Shedule A Is the organization required to omplete Shedule B, Shedule of Contriutors (see instrutions)? Did the organization engage in diret or indiret politial ampaign ativities on ehalf of or in opposition to andidates for puli offie? If 'Yes,' omplete Shedule C, Part I Setion 501()(3) organizations. Did the organization engage in loying ativities, or have a setion 501(h) eletion in effet during the tax year? If 'Yes,' omplete Shedule C, Part II Is the organization a setion 501()(4), 501()(5), or 501()(6) organization that reeives memership dues, assessments, or similar amounts as defined in Revenue Proedure 98-19? If 'Yes,' omplete Shedule C, Part III Did the organization maintain any donor advised funds or any similar funds or aounts for whih donors have the right 6 to provide advie on the distriution or investment of amounts in suh funds or aounts? If 'Yes,' omplete Shedule D, Part I Did the organization reeive or hold a onservation easement, inluding easements to preserve open spae, the environment, histori land areas, or histori strutures? If 'Yes,' omplete Shedule D, Part II Did the organization maintain olletions of works of art, historial treasures, or other similar assets? If 'Yes,' omplete Shedule D, Part III Did the organization report an amount in Part, line 21, for esrow or ustodial aount liaility; serve as a ustodian 9 for amounts not listed in Part ; or provide redit ounseling, det management, redit repair, or det negotiation servies? If 'Yes,' omplete Shedule D, Part IV Did the organization, diretly or through a related organization, hold assets in temporarily restrited endowments, permanent endowments, or quasi-endowments? If 'Yes,' omplete Shedule D, Part V If the organization's answer to any of the following questions is 'Yes', then omplete Shedule D, Parts VI, VII, VIII, I, 11 or as appliale. Did the organization report an amount for land, uildings and equipment in Part, line 10? If 'Yes,' omplete Shedule a D, Part VI Did the organization report an amount for investments ' other seurities in Part, line 12 that is 5% or more of its total assets reported in Part, line 16? If 'Yes,' omplete Shedule D, Part VII Did the organization report an amount for investments ' program related in Part, line that is 5% or more of its total assets reported in Part, line 16? If 'Yes,' omplete Shedule D, Part VIII Did the organization report an amount for other assets in Part, line 15 that is 5% or more of its total assets reported d in Part, line 16? If 'Yes,' omplete Shedule D, Part I e Did the organization report an amount for other liailities in Part, line 25? If 'Yes,' omplete Shedule D, Part Did the organization's separate or onsolidated finanial statements for the tax year inlude a footnote that addresses f the organization's liaility for unertain tax positions under FIN 48 (ASC 740)? If 'Yes,' omplete Shedule D, Part.... Did the organization otain separate, independent audited finanial statements for the tax year? If 'Yes,' omplete 12 a Shedule D, Parts I, and II a Was the organization inluded in onsolidated, independent audited finanial statements for the tax year? If 'Yes,' and if the organization answered 'No' to line 12a, then ompleting Shedule D, Parts I and II is optional Is the organization a shool desried in setion 170()(1)(A)(ii)? If 'Yes,' omplete Shedule E a Did the organization maintain an offie, employees, or agents outside of the United States? a Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, usiness, investment, and program servie ativities outside the United States, or aggregate foreign investments valued at $100,000 or more? If 'Yes,' omplete Shedule F, Parts I and IV Did the organization report on Part I, olumn (A), line 3, more than $5,000 of grants or other assistane to or for any foreign organization? If 'Yes,' omplete Shedule F, Parts II and IV Did the organization report on Part I, olumn (A), line 3, more than $5,000 of aggregate grants or other assistane to or for foreign individuals? If 'Yes,' omplete Shedule F, Parts III and IV Did the organization report a total of more than $15,000 of expenses for professional fundraising servies on Part I, olumn (A), lines 6 and 11e? If 'Yes,' omplete Shedule G, Part I (see instrutions) Did the organization report more than $15,000 total of fundraising event gross inome and ontriutions on Part VIII, lines 1 and 8a? If 'Yes,' omplete Shedule G, Part II Did the organization report more than $15,000 of gross inome from gaming ativities on Part VIII, line 9a? If 'Yes,' omplete Shedule G, Part III a d 11 e 11 f TEEA0103L 10/12/15 Form 990 (2015)
4 Form 990 (2015) ANIMAL PROTECTION ASSOCIATION, INC Page 4 Part IV Cheklist of Required Shedules (ontinued) 20a Did the organization operate one or more hospital failities? If 'Yes', omplete Shedule H a If 'Yes' to line 20a, did the organization attah a opy of its audited finanial statements to this return? Did the organization report more than $5,000 of grants or other assistane to any domesti organization or domesti government on Part I, olumn (A), line 1? If 'Yes,' omplete Shedule I, Parts I and II Did the organization report more than $5,000 of grants or other assistane to or for domesti individuals on Part I, olumn (A), line 2? If 'Yes,' omplete Shedule I, Parts I and III Did the organization answer 'Yes' to Part VII, Setion A, line 3, 4, or 5 aout ompensation of the organization's urrent 23 and former offiers, diretors, trustees, key employees, and highest ompensated employees? If 'Yes,' omplete Shedule J Did the organization have a tax-exempt ond issue with an outstanding prinipal amount of more than $100,000 as of 24 a the last day of the year, that was issued after Deemer 31, 2002? If 'Yes,' answer lines 24 through 24d and omplete Shedule K. If 'No, 'go to line 25a Did the organization invest any proeeds of tax-exempt onds eyond a temporary period exeption? Did the organization maintain an esrow aount other than a refunding esrow at any time during the year to defease any tax-exempt onds? d Did the organization at as an 'on ehalf of' issuer for onds outstanding at any time during the year? a Setion 501()(3), 501()(4), and 501()(29) organizations. Did the organization engage in an exess enefit transation with a disqualified person during the year? If 'Yes,' omplete Shedule L, Part I Is the organization aware that it engaged in an exess enefit transation with a disqualified person in a prior year, and that the transation has not een reported on any of the organization's prior Forms 990 or 990-EZ? If 'Yes,' omplete Shedule L, Part I Did the organization report any amount on Part, line 5, 6, or 22 for reeivales from or payales to any urrent or 26 former offiers, diretors, trustees, key employees, highest ompensated employees, or disqualified persons? If 'Yes', omplete Shedule L, Part II Did the organization provide a grant or other assistane to an offier, diretor, trustee, key employee, sustantial of any of these persons? If 'Yes,' omplete Shedule L, Part III ontriutor or employee thereof, a grant seletion ommittee memer, or to a 35% ontrolled entity or family memer Was the organization a party to a usiness transation with one of the following parties (see Shedule L, Part IV 28 instrutions for appliale filing thresholds, onditions, and exeptions): a A urrent or former offier, diretor, trustee, or key employee? If 'Yes,' omplete Shedule L, Part IV A family memer of a urrent or former offier, diretor, trustee, or key employee? If 'Yes,' omplete Shedule L, Part IV An entity of whih a urrent or former offier, diretor, trustee, or key employee (or a family memer thereof) was an offier, diretor, trustee, or diret or indiret owner? If 'Yes,' omplete Shedule L, Part IV Did the organization reeive more than $25,000 in non-ash ontriutions? If 'Yes,' omplete Shedule M Did the organization reeive ontriutions of art, historial treasures, or other similar assets, or qualified onservation ontriutions? If 'Yes,' omplete Shedule M Did the organization liquidate, terminate, or dissolve and ease operations? If 'Yes,' omplete Shedule N, Part I Did the organization sell, exhange, dispose of, or transfer more than 25% of its net assets? If 'Yes,' omplete Shedule N, Part II Did the organization own 100% of an entity disregarded as separate from the organization under Regulations setions and ? If 'Yes,' omplete Shedule R, Part I Was the organization related to any tax-exempt or taxale entity? If 'Yes,' omplete Shedule R, Part II, III, or IV, and Part V, line a Did the organization have a ontrolled entity within the meaning of setion 512()()? a If 'Yes' to line 35a, did the organization reeive any payment from or engage in any transation with a ontrolled entity within the meaning of setion 512()()? If 'Yes,' omplete Shedule R, Part V, line a d 25a 25 28a Setion 501()(3) organizations. Did the organization make any transfers to an exempt non-haritale related organization? If 'Yes,' omplete Shedule R, Part V, line Did the organization ondut more than 5% of its ativities through an entity that is not a related organization and that is treated as a partnership for federal inome tax purposes? If 'Yes,' omplete Shedule R, Part VI Did the organization omplete Shedule O and provide explanations in Shedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to omplete Shedule O Form 990 (2015) TEEA0104L 10/12/15
5 Form 990 (2015) ANIMAL PROTECTION ASSOCIATION, INC Page 5 Part V Statements Regarding Other IRS Filings and Tax Compliane Chek if Shedule O ontains a response or note to any line in this Part V a Enter the numer reported in Box 3 of Form Enter -0- if not appliale a Enter the numer of Forms W-2G inluded in line 1a. Enter -0- if not appliale Did the organization omply with akup withholding rules for reportale payments to vendors and reportale gaming (gamling) winnings to prize winners? a Enter the numer of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the alendar year ending with or within the year overed y this return a If at least one is reported on line 2a, did the organization file all required federal employment tax returns? Note. If the sum of lines 1a and 2a is greater than 250, you may e required to e-file (see instrutions) 3 a Did the organization have unrelated usiness gross inome of $1,000 or more during the year? a If 'Yes' has it filed a Form 990-T for this year? If 'No' to line 3, provide an explanation in Shedule O At any time during the alendar year, did the organization have an interest in, or a signature or other authority over, a 4 a finanial aount in a foreign ountry (suh as a ank aount, seurities aount, or other finanial aount)? a If 'Yes,' enter the name of the foreign ountry: G See instrutions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Finanial Aounts. (FBAR) 5 a Was the organization a party to a prohiited tax shelter transation at any time during the tax year? a Did any taxale party notify the organization that it was or is a party to a prohiited tax shelter transation? If 'Yes,' to line 5a or 5, did the organization file Form 8886-T? Does the organization have annual gross reeipts that are normally greater than $100,000, and did the organization 6 a soliit any ontriutions that were not tax dedutile as haritale ontriutions? a If 'Yes,' did the organization inlude with every soliitation an express statement that suh ontriutions or gifts were not tax dedutile? Organizations that may reeive dedutile ontriutions under setion 170(). Did the organization reeive a payment in exess of $75 made partly as a ontriution and partly for goods and a servies provided to the payor? If 'Yes,' did the organization notify the donor of the value of the goods or servies provided? Did the organization sell, exhange, or otherwise dispose of tangile personal property for whih it was required to file Form 8282? d If 'Yes,' indiate the numer of Forms 8282 filed during the year d e Did the organization reeive any funds, diretly or indiretly, to pay premiums on a personal enefit ontrat? f Did the organization, during the year, pay premiums, diretly or indiretly, on a personal enefit ontrat? If the organization reeived a ontriution of qualified intelletual property, did the organization file Form 8899 g as required? h If the organization reeived a ontriution of ars, oats, airplanes, or other vehiles, did the organization file a Form 1098-C? Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained y the sponsoring organization have exess usiness holdings at any time during the year? Sponsoring organizations maintaining donor advised funds. a Did the sponsoring organization make any taxale distriutions under setion 4966? Did the sponsoring organization make a distriution to a donor, donor advisor, or related person? Setion 501()(7) organizations. Enter: a Initiation fees and apital ontriutions inluded on Part VIII, line Gross reeipts, inluded on Form 990, Part VIII, line 12, for puli use of lu failities Setion 501()(12) organizations. Enter: a Gross inome from memers or shareholders Gross inome from other soures (Do not net amounts due or paid to other soures against amounts due or reeived from them.) a Setion 4947(a)(1) non-exempt haritale trusts. Is the organization filing Form 990 in lieu of Form 1041? a If 'Yes,' enter the amount of tax-exempt interest reeived or arued during the year Setion 501()(29) qualified nonprofit health insurane issuers. a Is the organization liensed to issue qualified health plans in more than one state? Note. See the instrutions for additional information the organization must report on Shedule O. Enter the amount of reserves the organization is required to maintain y the states in whih the organization is liensed to issue qualified health plans Enter the amount of reserves on hand a Did the organization reeive any payments for indoor tanning servies during the tax year? a If 'Yes,' has it filed a Form 720 to report these payments? If 'No,' provide an explanation in Shedule O TEEA0105L 10/12/15 Form 990 (2015) 10 a a a e 7 f 7 g 7 h 9 a 9 a Yes No
6 Form 990 (2015) ANIMAL PROTECTION ASSOCIATION, INC Page 6 Part VI Governane, Management, and Dislosure For eah 'Yes' response to lines 2 through 7 elow, and for a 'No' response to line 8a, 8, or 10 elow, desrie the irumstanes, proesses, or hanges in Shedule O. See instrutions. Chek if Shedule O ontains a response or note to any line in this Part VI Setion A. Governing Body and Management 1 a Enter the numer of voting memers of the governing ody at the end of the tax year If there are material differenes in voting rights among memers 1 a of the governing ody, or if the governing ody delegated road authority to an exeutive ommittee or similar ommittee, explain in Shedule O. Enter the numer of voting memers inluded in line 1a, aove, who are independent Did any offier, diretor, trustee, or key employee have a family relationship or a usiness relationship with any other offier, diretor, trustee, or key employee? Did the organization delegate ontrol over management duties ustomarily performed y or under the diret supervision of offiers, diretors, or trustees, or key employees to a management ompany or other person? Did the organization make any signifiant hanges to its governing douments sine the prior Form 990 was filed? Did the organization eome aware during the year of a signifiant diversion of the organization's assets? Did the organization have memers or stokholders? a Did the organization have memers, stokholders, or other persons who had the power to elet or appoint one or more memers of the governing ody? a Are any governane deisions of the organization reserved to (or sujet to approval y) memers, stokholders, or persons other than the governing ody? Did the organization ontemporaneously doument the meetings held or written ations undertaken during the year y 8 the following: a The governing ody? Eah ommittee with authority to at on ehalf of the governing ody? Is there any offier, diretor, trustee, or key employee listed in Part VII, Setion A, who annot e reahed at the organization's mailing address? If 'Yes,' provide the names and addresses in Shedule O Setion B. Poliies (This Setion B requests information aout poliies not required y the Internal Revenue Code.) 10 a Did the organization have loal hapters, ranhes, or affiliates? a If 'Yes,' did the organization have written poliies and proedures governing the ativities of suh hapters, affiliates, and ranhes to ensure their operations are onsistent with the organization's exempt purposes? a Has the organization provided a omplete opy of this Form 990 to all memers of its governing ody efore filing the form? a Desrie in Shedule O the proess, if any, used y the organization to review this Form 990. SEE SCHEDULE O 12 a Did the organization have a written onflit of interest poliy? If 'No,' go to line a Were offiers, diretors, or trustees, and key employees required to dislose annually interests that ould give rise to onflits? Did the organization regularly and onsistently monitor and enfore ompliane with the poliy? If 'Yes,' desrie in Shedule O how this was done Did the organization have a written whistlelower poliy? Did the organization have a written doument retention and destrution poliy? Did the proess for determining ompensation of the following persons inlude a review and approval y independent persons, omparaility data, and ontemporaneous sustantiation of the delieration and deision? a The organization's CEO, Exeutive Diretor, or top management offiial Other offiers or key employees of the organization If 'Yes' to line 15a or 15, desrie the proess in Shedule O (see instrutions). 16 a Did the organization invest in, ontriute assets to, or partiipate in a joint venture or similar arrangement with a taxale entity during the year? If 'Yes,' did the organization follow a written poliy or proedure requiring the organization to evaluate its partiipation in joint venture arrangements under appliale federal tax law, and take steps to safeguard the organization's exempt status with respet to suh arrangements? Setion C. Dislosure 17 List the states with whih a opy of this Form 990 is required to e filed G TN Setion 6104 requires an organization to make its Forms 1023 (or 1024 if appliale), 990, and 990-T (Setion 501()(3)s only) availale 18 for puli inspetion. Indiate how you made these availale. Chek all that apply. Own wesite Another's wesite Upon request Other (explain in Shedule O) Desrie in Shedule O whether (and if so, how) the organization made its governing douments, onflit of interest poliy, and finanial statements availale to 19 the puli during the tax year. SEE SCHEDULE O 20 State the name, address, and telephone numer of the person who possesses the organization's ooks and reords: G BRITTANY PACE 854 GOODMAN ST MEMPHIS TN (901) TEEA0106L 10/12/15 Form 990 (2015) 7 8 a a a 16
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