Return of Organization Exempt From Income Tax

Transcription

1 Form 99 Department of the Treasury Internal Revenue Servie Return of Organization Exempt From Inome Tax Under setion 1(), 27, or 4947(a)(1) of the Internal Revenue Code (exept lak lung enefit trust or private foundation) The organization may have to use a opy of this return to satisfy state reporting requirements. A For the 211 alendar year, or tax year eginning 211, and ending D Chek if appliale: Address hange Name hange Initial return Amended return Appliation pending C Name of organization HUMANE AMERICA ANIMAL FOUNDATION F Doing Business As Numer and street (or P.O. ox if mail is not delivered to street address) P.O. BO 7 City or town, state or ountry, and ZIP + 4 REDONDO BEACH, CA 9277 Name and address of prinipal offier: Room/suite I Tax-exempt status: 1()(3) 1() ( -^ (insert no.) 4947(a)(1) or 27 J Wesite: WWW. ADOPTAPET. COM D E OMB No iii Open to Puli Inspetion 2 Employer identifiation numer Telephone numer (8) G Gross reeipts $ 2,1,14, H(a) Is this a group return for affiliates? H() Are all affiliates inluded? Yes Yes If "No," attah a list, (see instrutions) H() Group exemption numer K Form of organization: Corporation Trust Assoiation Other L Year of formation: 1999 M State of legal domiile: CA Summary 1 Briefly desrie the organization's mission or most signifiant ativities: _ TO REDUCE EUTHANASIA IN ANIMAL SHELTERS BY INCREASING PUBLIC AWARENESS MAKING INFOMATION ABOU_T PETS IN SHELTERS AVAILABLE ON THE INTERNET & FACI LI TATTNG - VOLUNTEERTs~M ~fn _ S HELTERS _ &" ANIMAL ~RESCUE "ORGAN IZ AT I ONS~ ~ 2 Chek this ox if the organization disontinued its operations or disposed of more than 2% of its net assets 3 Numer of voting memers of the governing ody (Part VI, line 1a) 4 Numer of independent voting memers of the governing ody (Part VI, line l), Total numer of individuals employed in alendar year 211 (Part V, line 2a). 6 Total numer of volunteers (estimate if neessary) 7a Total unrelated usiness revenue from Part VIII, olumn (C), line 12 Net unrelated usiness taxale inome from Form 99-T, line 34 8 Contriutions and grants (Part VIII, line 1h) 9 Program servie revenue (Part VIII, line 2g) 1 Investment inome (Part VIII, olumn (A), lines 3, 4, and 7d) 11 Other revenue (Part VIII, olumn (A), lines, 6d, 8, 9, 1, and 11e) 1 2 Total revenue - add lines 8 through 11 (must equal Part VIII, olumn (A), line 12), 13 Grants and similar amounts paid (Part I, olumn (A), lines 1-3) 14 Benefits paid to or for memers (Part I, olumn (A), line 4) 1 Salaries, other ompensation, employee enefits (Part I, olumn (A), lines -1). 16a Professional fundraising fees (Part I, olumn (A), line 11 e) Total fundraising expenses (Part I, olumn (D), line 2) -l-l^}:^! 17 Other expenses (Part I, olumn (A), lines 11a-11d, 11f-24e) 18 Total expenses. Add lines (must equal Part I, olumn (A), line 2) 19 Revenue less expenses. Sutrat line 18 from line 12 2 Total assets (Part, line 16) 21 Total liailities (Part, line 26) 22 Net assets or fund alanes. Sutrat line 21 from line 2. Signature Blok No No 6. 3,. 8, ,874. Prior Year Current Year 1,46,29. 1,927,134, 3,. 2, ,69. 8,874. 1,92,369. 2,1,14. 68,6 12,13. 44, , ,349 1,49,44, 1,32,48 1,662,621, 267,321 32,33. Beginning of Current Year End of Year 1,169,11 1,1,637, 6, 62 8,279, 1,162,48. 1,7,38. 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 Signature of offier Date Paid Type or print name and title Print/Type preparer's name Preparer's signature CHI YANG self-employed P16876 Preparer Firm's name J- ARTHUR GREENFIELD & CO. LLP Firm's EIN Use Only Firm's address 188 WILSHIRE BLVD. STE 8 LOS ANGELES, CA Phone no May the IRS disuss this return with the preparer shown aove? (see instrutions) Yes No For Paperwork Redution At Notie, see the separate instrutions Date 338 Chek PTIN Form 99 (211)

2 HUMANE AMERICA ANIMAL FOUNDATION Form 99 (211) Page 2 Statement of Program Servie Aomplishments Chek if Shedule ontains a response to any question in this Part 1 Briefly desrie the organization's mission: ATTACHMENT 1 Did the organization undertake any signifiant program servies during the year whih were not listed on the prior Form 99 or 99-EZ? Q Yes No If "Yes," desrie these new servies on Shedule. Did the organization ease onduting, or make signifiant hanges in how it onduts, any program servies? d] Yes [x"! No If "Yes," desrie these hanges on Shedule O. Desrie the organization's program servie aomplishments for eah of its three largest program servies, as measured y expenses. Setion 1()(3) and 1()(4) organizations and setion 4947(a)(1) trusts are required to report the amount of grants and alloations to others, the total expenses, and revenue, if any, for eah program servie reported. 4a (Code: i (Expenses $ 1,429,812. inluding grants of $ 12,13. ) (Revenue$ 1,927,134. MAKING INFORMATION ABOUT PETS IN SHELTERS AVAILABLE ON THE INTERNET AND ENCOURAGING AND FACILITATING VOLUNTEERISM IN SHELTERS AND ANIMAL RESCUE ORGANIZATIONS. 4 (Code: )(Expenses $ inluding grants of $ l(revenue $ 4 (Code: )(Expenses $ inluding grants of $ )(Revenue $ 4d Other program servies (Desrie in Shedule O.) (Expenses $ inluding grants of $ )(Revenue $ 4e Total program servie expenses 1,429,812. IE Form 99 (211)

3 HUMANE AMERICA ANIMAL FOUNDATION Form 99 (211) Page 3 Cheklist of Required Shedules 1 Is the organization desried in setion 1()(3) or 4947(a)(1) (other than a private foundation)? If "Yes," omplete Shedule A 2 Is the organization required to omplete Shedule B, Shedule of Contriutors (see instrutions)? 3 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 4 Setion 1()(3) organizations. Did the organization engage in loying ativities, or have a setion 1(h) eletion in effet during the tax year? If "Yes," omplete Shedule Q Part II Is the organization a setion 1()(4), 1()(), or 1()(6) organization that reeives memership dues, assessments, or similar amounts as defined in Revenue Proedure 98-19? If "Yes," omplete Shedule Q Part III 6 Did the organization maintain any donor advised funds or any similar funds or aounts for whih donors have the right to provide advie on the distriution or investment of amounts in suh funds or aounts? If "Yes,"omplete Shedule D, Part I 7 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 8 Did the organization maintain olletions of works of art, historial treasures, or other similar assets? If "Yes," omplete Shedule D, Part III 9 Did the organization report an amount in Part, line 21; serve as a ustodian 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, 1 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 11 If the organization's answer to any of the following questions is "Yes," then omplete Shedule D, Parts VI, VII, VIII, I, or as appliale. a Did the organization report an amount for land, uildings, and equipment in Part, line 1? If "Yes,"omplete Shedule D, Part VI Did the organization report an amount for investments other seurities in Part, line 12 that is % 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 13 that is % or more of its total assets reported in Part, line 16? If "Yes,"omplete Shedule D, Part VIII d Did the organization report an amount for other assets in Part, line 1 that is % or more of its total assets reported in Part, line 16? If "Yes,"omplete Shedule D, Part I e Did the organization report an amount for other liailities in Part, line 2? If "Yes," omplete Shedule D, Part f Did the organization's separate or onsolidated finanial statements for the tax year inlude a footnote that addresses the organization's liaility for unertain tax positions under FIN 48 (ASC 74)? If "Yes," omplete Shedule D, Part 12a Did the organization otain separate, independent audited finanial statements for the tax year? If "Yes," omplete Shedule D, Parts I, II, and III 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, II, and III is optional 13 Is the organization a shool desried in setion 17()(1)(A)(ii)? If "Yes," omplete Shedule E 14a Did the organization maintain an offie, employees, or agents outside of the United States? Did the organization have aggregate revenues or expenses of more than $1, from grantmaking, fundraising, usiness, investment, and program servie ativities outside the United States, or aggregate foreign investments valued at$1, or more? If "Yes," omplete Shedule F, Parts land IV 1 Did the organization report on Part I, olumn (A), line 3, more than $, of grants or assistane to any organization or entity loated outside the United States? If "Yes," omplete Shedule F, Parts II and IV 16 Did the organization report on Part I, olumn (A), line 3, more than $, of aggregate grants or assistane to individuals loated outside the United States? If "Yes," omplete Shedule F, Parts III and IV 17 Did the organization report a total of more than $1, of expenses for professional fundraising servies on Part I, olumn (A), lines 6 and 11e? If "Yes," omplete Shedule G, Part I (see instrutions) 18 Did the organization report more than $1, total of fundraising event gross inome and ontriutions on Part VIII, lines 1 and 8a? If "Yes," omplete Shedule G, Part II 19 Did the organization report more than $1, of gross inome from gaming ativities on Part VIII, line 9a? If "Yes," omplete Shedule G, Part III 2a Did the organization operate one or more hospital failities? If "Yes," omplete Shedule H If "Yes" to line 2a, did the organization attah a opy of its audited finanial statements to this return? 1E a d 11e 11f 12a a Yes N/A 19 2a 2 Form 99 i^a. (211)

4 Form 99 (211) Cheklist of Required Shedules (ontinued) HUMANE AMERICA ANIMAL FOUNDATION ge a d 2a a Did the organization report more than $, of grants and other assistane to any government or organization in the United States on Part I, olumn (A), line M If "Yes," omplete Shedule I, Parts I and II Did the organization report more than $, of grants and other assistane to individuals in the United States on Part I, olumn (A), line 2? If "Yes," omplete Shedule I, Parts land III Did the organization answer "Yes" to Part VII, Setion A, line 3, 4, or aout ompensation of the organization's urrent and former offiers, diretors, trustees, key employees, and highest ompensated employees? If "Yes," omplete Sheduled Did the organization have a tax-exempt ond issue with an outstanding prinipal amount of more than $1, as of the last day of the year, that was issued after Deemer 31, 22? If "Yes," answer lines 24 through 24d and omplete Shedule K. If "No," go to line 2 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? Did the organization at as an "on ehalf of" issuer for onds outstanding at any time during the year? Setion 1()(3) and 1()(4) organizations. Did the organization engage in an exess enefit transation with a disqualified person during the year? If "Yes," omplete Shedule L, Parti 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 99 or 99-EZ? If "Yes," omplete Shedule L, Parti Was a loan to or y a urrent or former offier, diretor, trustee, key employee, highly ompensated employee, or disqualified person outstanding as of the end of the organization's tax year? If "Yes," omplete Shedule L, Part II. Did the organization provide a grant or other assistane to an offier, diretor, trustee, key employee, sustantial ontriutor or employee thereof, a grant seletion ommittee memer, or to a 3% ontrolled entity or family memer of any of these persons? If "Yes," omplete Shedule L, Part III Was the organization a party to a usiness transation with one of the following parties (see Shedule L, Part IV instrutions for appliale filing thresholds, onditions, and exeptions): 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," Shedule L, Part IV omplete 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 $2, 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, Parti Did the organization sell, exhange, dispose of, or transfer more than 2% of its net assets? If "Yes," omplete Shedule N, Part II Did the organization own 1% of an entity disregarded as separate from the organization under Regulations setions and ? If "Yes," omplete Shedule R, Parti Was the organization related to any tax-exempt or taxale entity? If "Yes," omplete IV, and V, line 1 Did the organization have a ontrolled entity within the meaning of setion 12()(13)? Shedule R, Parts II, III, Did the organization reeive any payment from or engage in any transation with a ontrolled entity within the meaning of setion 12()(13)? If "Yes," omplete Shedule R, Part V, line 2 Setion 1()(3) organizations. Did the organization make any transfers to an exempt related organization? If "Yes," omplete Shedule R, Part V, line 2 non-haritale Did the organization ondut more than % 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 99 filers are required to omplete Shedule O a d 2a a a Yes J^ -^ No h h "x" 38 Form 99 (211)

5 HUMANE AMERICA ANIMAL FOUNDATION Form 99(211) Page Statements Regarding Other IRS Filings and Tax Compliane Chek if Shedule O ontains a response to any question in this Part V. 1a Enter the numer reported in Box 3 of Form 196. Enter--if not appliale Enter the numer of Forms W-2G inluded in line 1a. Enter--if not appliale Did the organization omply with akup withholding rules for reportale payments to vendors and reportale gaming (gamling) winnings to prize winners?. 2a 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 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 la and 2a is greater than 2, you may e required to e-file (see instrutions) 3a Did the organization have unrelated usiness gross inome of $1, or more during the year? If "Yes," has it filed a Form 99-T for this year? If "No,"provide an explanation in Shedule O 4a At any time during the alendar year, did the organization have an interest in, or a signature or other authority over, a finanial aount in a foreign ountry (suh as a ank aount, seurities aount, or other finanial aount)? If "Yes," enter the name of the foreign ountry: See instrutions for filing requirements for Form TD F , Report of Foreign Bank and Finanial Aounts. a Was the organization a party to a prohiited tax shelter transation at any time during the tax year? Did any taxale party notify the organization that it was or is a party to a prohiited tax shelter transation? If "Yes" to line a or, did the organization file Form 8886-T? 6a Does the organization have annual gross reeipts that are normally greater than $1,, and did the organization soliit any ontriutions that were not tax dedutile? If "Yes," did the organization inlude with every soliitation an express statement that suh ontriutions or gifts were not tax dedutile?, 7 Organizations that may reeive dedutile ontriutions under setion 17(). a Did the organization reeive a payment in exess of $7 made partly as a ontriution and partly for goods and 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 I 7d 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? g If the organization reeived a ontriution of qualified intelletual property, did the organization file Form 8899 as required?... h If the organization reeived a ontriution of ars, oats, airplanes, or other vehiles, did the organization file a Form 198-C? 8 Sponsoring organizations maintaining donor advised funds and setion 9(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained y a sponsoring organization, have exess usiness holdings at any time during the year? 9 Sponsoring organizations maintaining donor advised funds. a Did the organization make any taxale distriutions under setion 4966? Did the organization make a distriution to a donor, donor advisor, or related person? 1 Setion 1()(7) organizations. Enter: a Initiation fees and apital ontriutions inluded on Part VIII, line 12 Gross reeipts, inluded on Form 99, Part VIII, line 12, for puli use of lu failities Setion 1()(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.) 12a Setion 4947(a)(1) non-exempt haritale trusts. Is the organization filing Form 99 in lieu of Form 141? If "Yes," enter the amount of tax-exempt interest reeived or arued during the year [ 12l 13 Setion 1 ()(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 14a Did the organization reeive any payments for indoor tanning servies during the tax year? If "Yes," has it filed a Form 72 to report these payments? If "No,"provide an explanation in Shedule O 1E la 1 2a 1a 1 11a a 3 4a a 6a 6 7a 7 7 7e 7f Zfl. 7h 9a 9 12a 13a Yes H ^A Ji IA. AJA N/'<\ ^A A A No x [A 14a x 14l hi / K Form 99 (211)

6 Form 99 (211) HUMANE AMERICA ANIMAL FOUNDATION Page 6 Governane, Management, and Dislosure For eah "Yes" response to lines 2 through 7 elow, and for a "No" response to line 8a, 8, or 1 elow, desrie the irumstanes, proesses, or hanges in Shedule O. See instrutions. Chek if Shedule O ontains a response to any question in this Part VI - Setion A. Governing Body and Management la 4 6 7a 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 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 99 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? 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? 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 the following: 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.) Yes 1a 11a 12a a 16a Did the organization have loal hapters, ranhes, or affiliates? 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?... Has the organization provided a omplete opy of this Form 99 to all memers of its governing ody efore filing the form?.. Desrie in Shedule O the proess, if any, used y the organization to review this Form 99. Did the organization have a written onflit of interest poliy? If "No," go to line 13 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? The organization's CEO, Exeutive Diretor, or top management offiial Other offiers or key employees of the organization If "Yes" to line 1a or 1, desrie the proess in Shedule O (see instrutions.) 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 E a 1 7a 7 8a 8 1a 1 11a 12a a 1 16a 16 Yes Aj% No No d/h List the states with whih a opy of this Form 99 is required to e filed _r_l ^ Setion 614 requires an organization to make its Forms 123 (or 124 if appliale), 99, and 99-T (Setion 1()(3)s only) availale for puli inspetion. Indiate how you made these availale. Chek all that apply. Own wesite [_] Another's wesite Upon request Desrie in Shedule O whether (and if so, how), the organization made its governing douments, onflit of interest poliy, and finanial statements availale to the puli during the tax year. State the name, physial address, and telephone numer of the person who possesses the ooks and reords of the organization: ABBIE MOORE P.P. BO 7 REDONDO BEACH, CA Form 99 (211)

7 Form 99 (211) HUMANE AMERICA ANIMAL FOUNDATION Page 7 3=ffTOl Setion A. Compensation of Offiers, Diretors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contrators Chek if Shedule O ontains a response to any question in this Part VII Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this tale for all persons required to e listed. Report ompensation for the alendar year ending with or within the organization's tax year. List all of the organization's urrent offiers, diretors, trustees (whether individuals or organizations), regardless of amount of ompensation. Enter -- in olumns (D), (E), and (F) if no ompensation was paid. List all of the organization's urrent key employees, if any. See instrutions for definition of "key employee." List the organization's five urrent highest ompensated employees (other than an offier, diretor, trustee, or key employee) who reeived reportale ompensation (Box of Form W-2 and/or Box 7 of Form 199-MISC) of more than $1, from the organization and any related organizations. List all of the organization's former offiers, key employees, and highest ompensated employees who reeived more than $1, of reportale ompensation from the organization and any related organizations. List all of the organization's former diretors or trustees that reeived, in the apaity as a former diretor or trustee of the organization, more than $1, of reportale ompensation from the organization and any related organizations. List persons in the following order: individual trustees or diretors; institutional trustees; offiers; key employees; highest ompensated employees; and former suh persons. I I Chek this ox if neither the organization nor any related organization ompensated any urrent offier, diretor, or trustee. (A) Name and Title (B) Average hours per week (desrie hours for related organizations in Shedule ) (C) Position (do not hek more than one ox, unless person is oth an offier and a diretor/trustee) S 3 S Q. O C w 3 o D) 1 O o at 1 CD 3 s. o < CD CD 3 z O CD < M. CD "» 8 3 o CD tn a. o (D) Reportale ompensation from the organization (W-2/199-MISC) (E) Reportale ompensation from related organizations (W-2/199-MISC) (F) Estimated amount of other ompensation from the organization and related organizations (1j DAVID MEYER PRESIDENT (_21 STEVE ABBEY OFFICER (3} AMY LUWIS OFFICER (_4j ABBIE J MOORE EECUTIVE DIRECTOR ,9. 9,67. LSI <«1 (71 {31 _ J m _lij 111J _li2j -i!3j _ii4) Form 99 (211) 1E

8 Form 99 (211) l3?nlflt HUMANE AMERICA ANIMAL FOUNDATION Setion A. Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees (ontinued)^ (A) Name and title (B) Average hours per week (desrie hours for related organizations in Shedule ) Position (do not hek more than one ox, unless person is oth an offier and a diretor/trustee) S II o o w w 3 W C o a w " CD o 1 1 (t> 3 -o o ^. rr o <D < w CD * CD g 3 TJ (D 1 -n o 1 CD (D) Reportale ompensation from the organization (W-2/199-MISC) (E) Reportale ompensation from related organizations (W-2/199-MISC) (F) Estimated amount of other ompensation from the organization and related organizations Page 8 1 Su-total Total from ontinuation sheets to Part VII, Setion A.. d Total (add lines 1 and 1)., 229, ,17. 2 Total numer of individuals (inluding ut not limited to those listed aove) who reeived more than $1, of reportale ompensation from the organization 1 Did the organization list any former offier, diretor, or trustee, employee on line 1a? If "Yes," omplete Shedule J for suh individual. key employee, or highest ompensated 4 For any individual listed on line 1a, is the sum of reportale ompensation and other ompensation from the organization and related organizations greater than $1,? If 'Yes," omplete Shedule J for suh individual Did any person listed on line 1a reeive or arue ompensation from any unrelated organization or individual for servies rendered to the organization? If "Yes," omplete Shedule J for suh person Setion B. Independent Contrators 1 Complete this tale for your five highest ompensated independent ontrators that reeived more than $1, of ompensation from the organization Report ompensation for the alendar year ending with or within the organization's tax year. Yes No NONE (A) Name and usiness address (B) Desription of servies (C) Compensation 2 Total numer of independent ontrators (inluding ut not limited to those listed aove) who reeived more than $1, in ompensation from the organization 1E Form 99 (211)

9 Form 99 (211) l^ffwit J2J2 a 3 'Bo o O n V 3 C ) > a: HUMANE AMERICA ANIMAL FOUNDATION Page 9 Statement nfrfivfimifi 1 a Federated ampaigns d e f Memership dues Fundraising events Related organizations Government grants (ontriutions). All other ontriutions, gifts, grants, and similar amounts not inluded aove g Nonash ontriutions inluded in lines la-lf $ h Total. Add lines la-lf.. ATTACHMENT. 2a 4 d e f g 6a d 7a d 8a 9a 1a 11a d e 12 1E11 1 All other program servie revenue Total. Add lines 2a-2f Investment inome (inluding dividends, interest, and other similar amounts).. ATTACHMENT 2., _ Inome from investment of tax-exempt ond proeeds Royalties Gross rents Less: rental expenses... Rental inome or (loss).. Net rental inome or (loss). Gross amount from sales of assets other than inventory Less' ost or other asis and sales expenses... Gam or (loss) Net gam or (loss) Gross inome from fundraising events (not inluding $ of ontriutions reported on line 1). See Part IV, line 18 (i) Real 1a 1 1 1d 1e 1f (i) Seurities Less, diret expenses Net inome or (loss) from fundraising events Gross inome from gaming ativities See Part IV, line 19 Less: diret expenses Net inome or (loss) from gaming ativities. Gross sales of inventory, less returns and allowanes Less: ost of goods sold Net inome or (loss) from sales of inventory. Misellaneous Revenue ADVERTISING All other revenue a a a 1,927, IK. Business Code (ii) Personal (ii) Other (A) Total revenue 1,927,134. (B) Related or exempt funtion revenue (C) Unrelated usiness revenue (D) Revenue exluded from tax under setions 12, 13, or14 2,146. 2,146. Total. Add lines 11a-11d Total revenue. See instrutions 2, Form 99 (211)

10 Form 99 (211) HUMANE AMERICA ANIMAL FOUNDATION Page 1 Statement of Funtional Expenses Setion 1()(3) and 1()(4) organizations must omplete all olumns. All other organizations must omplete olumn (A) ut are not required to omplete olumns (B), (C), and (D). Chek if Shedule ontains a response to any question in this Part I Do not inlude amounts reported on lines 6, 7, 8, 9, and 1 of Part VIII. 1 Grants and other assistane to governments and organizations in the United States See Part IV, line Grants and other assistane to individuals in the United States. See Part IV, line 22 3 Grants and other assistane to governments, organizations, and individuals outside the United States. See Part IV, lines 1 and Benefits paid to or for memers S Compensation of urrent offiers, diretors, trustees, and key employees 6 Compensation not inluded aove, to disqualified persons (as defined under setion 498(f)(1)) and persons desried in setion 498()(3)(B) 7 Other salaries and wages 8 Pension plan aruals and ontriutions (inlude setion 41 (k) and 43() employer ontriutions) 9 Other employee enefits 1 Payroll taxes 11 Fees for servies (non-employees). a Management Legal Aounting d Loying e Professional fundraismg servies See Part IV, line 1 7 f Investment management fees g Other 12 Advertising and promotion 13 Offie expenses 14 Information tehnology 1 Royalties 16 Oupany 17 Travel 18 Payments of travel or entertainment expenses for any federal, state, or loal puli offiials 19 Conferenes, onventions, and meetings... 2 Interest 21 Payments to affiliates 22 Depreiation, depletion, and amortization Insurane 24 Other expenses Itemize expenses not overed aove (List misellaneous expenses in line 24e If line 24e amount exeeds 1% of line 2, olumn (A) amount, list line 24e expenses on Shedule O) aauto _E PENSES EQUIPMENT CBANK CHARGES RENTAL & MAINTENAN d BOOKS _&_ RE_FERENCE e All other expenses AJJACBMEM' 3 2 Total funtional expenses. Add lines 1 through 24e 26 Joint osts. Complete this line only if the organization reported in olumn (B) joint osts (A) Total expenses 12, , ,89. 37, ,339. 3,429., , ,188. 1, , ,49. 1,662,621. (B) Program servie expenses 12, , ,89. 32, ,27. 1, , ,746. 1, , ,424. 1,429,812. (C) Management and general expenses 16,48. 2,1. 1,7. 1,777., ,19. 7,294. (D) Fundraismg expenses 19,693. 2, , ,43. 17,1. fundraising soliitation Chek here H if following SOP 98-2 (ASC 98-72) 1E12 1 Form 99 (211) 338

11 HUMANE AMERICA ANIMAL FOUNDATION Form 99 (211) Page 11 Balane Sheet in < $ '2 a 'J 1 ) o s o 3 li. o (A ) < 7 1 Cash - non-interest-earing 2 Savings and temporary ash investments 3 Pledges and grants reeivale, net 4 Aounts reeivale, net Reeivales from urrent and former offiers, diretors, trustees, key employees, and highest ompensated employees. Complete Part II of Shedule L 6 Reeivales from other disqualified persons (as defined under setion 498(f)(1)), persons desried in setion 498()(3)(B), and ontriuting employers and sponsoring organizations of setion 1()(9) voluntary employees' enefiiary organizations (see instrutions) 7 Notes and loans reeivale, net 8 Inventories for sale or use 9 Prepaid expenses and deferred harges AT.CH a Land, uildings, and equipment ost or other asis Complete Part Vl of Shedule D Less: aumulated depreiation 11 Investments - pulily traded seurities 12 Investments - other seurities. See Part IV, line Investments - program-related See Part IV, line Intangile assets 1 Other assets See Part IV, line 11 1a 1 16 Total assets. Add lines 1 through 1 (must equal line 34) 17 Aounts payale and arued expenses 18 Grants payale 19 Deferred revenue 2 Tax-exempt ond liailities 87, , Esrow or ustodial aount liaility. Complete Part IV of Shedule D 22 Payales to urrent and former offiers, diretors, trustees, key employees, highest ompensated employees, and disqualified persons. Complete Part II of Shedule L 23 Seured mortgages and notes payale to unrelated third parties 24 Unseured notes and loans payale to unrelated third p arties 2 Other liailities (inluding federal inome tax, payales to related third parties, and other liailities not inluded on lines Complete Part of Shedule D 26 Total liailities. Add lines 17 through 2 Organizations that follow SFAS 117, hek here J and omplete lines 27 through 29, and lines 33 and Unrestrited net assets 28 Temporarily restrited net assets 29 Permanently restrited net assets Organizations that do not follow SFAS 117, hek here x J and omplete lines 3 through Capital stok or trust prinipal, or urrent funds 31 Paid-in or apital surplus, or land, uilding, or equipment fund 32 Retained earnings, endowment, aumulated inome, or other funds 33 Total net assets or fund alanes 34 Total liailities and net assets/fund alanes (A) Beginning of year 13, ,44. C 23,962 8, C 11 C 12 C 13 C 14 67,1. 1 1,169, , C g 2 21 q 6, C ,162, ,162, ,169, (B) End of year 17, ,38. 83,32. 7, ,1. 1,1,637. 8,279. 8,279. 1,7,38. 1,7,38. 1,1,637. Form 99 (211) 1E

12 HUMANE AMERICA ANIMAL FOUNDATION Form 99 (211) LffiHJ Reoniliation of Net Assets Chek if Shedule O ontains a response to any question in this Part I. 1 Total revenue (must equal Part VIII, olumn (A), line 12) 2 Total expenses (must equal Part I, olumn (A), line 2) 3 Revenue less expenses. Sutrat line 2 from line 1 4 Net assets or fund alanes at eginning of year (must equal Part, line 33, olumn (A)) Other hanges in net assets or fund alanes (explain in Shedule ) 6 Net assets or fund alanes at end of year. Comine lines 3, 4, and (must equal Part, line 33, olumn (B)) ISffRfll Finanial Statements and Reporting Chek if Shedule O ontains a response to any question in this Part II 1 Aounting method used to prepare the Form 99: Cash Lj Arual {^j Other If the organization hanged its method of aounting from a prior year or heked "Other," explain in 2a 3a Shedule O Were the organization's finanial statements ompiled or reviewed y an independent aountant? Were the organization's finanial statements audited y an independent aountant? If "Yes" to line 2a or 2, does the organization have a ommittee that assumes responsiility for oversight of the audit, review, or ompilation of its finanial statements and seletion of an independent aountant? _ If the organization hanged either its oversight proess or seletion proess during the tax year, explain in Shedule O. If "Yes" to line 2a or 2, hek a ox elow to indiate whether the finanial statements for the year were issued on a separate asis, onsolidated asis, or oth: ~~] Separate asis Q Consolidated asis Q Both onsolidated and separate asis As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit At and OMB Cirular A-133? If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Shedule O and desrie any steps taken to undergo suh audits Page 1 2 2,1,14 1,662, ,33. 1,162,48, -7,633, 1,7,38, 2a 2 2 3a 3 Yes No N/A Form 99 (211) 1E

13 SCHEDULEA (Form 99 or 99-EZ) Department of the Treasury Internal Revenue Servie Name of the organization Puli Charity Status and Puli Support Complete if the organization is a setion 1()(3) organization or a setion 4947(a)(1) nonexempt haritale trust. Attah to Form 99 or Form 99-EZ. See separate instrutions. 1 A hurh, onvention of hurhes, or assoiation of hurhes desried in setion 17()(1)(A)(i). 2 A shool desried in setion 17()(1)(A)(ii). (Attah Shedule E.) 3 4 hospital's name, ity, and state: OMB No ill Open to Puli Inspetion Employer identifiation numer HUMANE AMERICA ANIMAL FOUNDATION Reason for Puli Charity Status (All organizations must omplete this part.) See instrutions. The organization is not a private foundation eause it is: (For lines 1 through 11, hek only one ox.) 1 11 (A) g o A hospital or a ooperative hospital servie organization desried in setion 17()(1)(A)(iii). A medial researh organization operated in onjuntion with a hospital desried in setion 17()(1)(A)(iii). Enter the An organization operated for the enefit of a ollege or university owned or operated y a governmental unit desried in setion 17()(1)(A)(iv). (Complete Part II.) A federal, state, or loal government or governmental unit desried in setion 17()(1)(A)(v). An organization that normally reeives a sustantial part of its support from a governmental unit or from the general puli desried in setion 17()(l)(A)(vi). (Complete Part II.) A ommunity trust desried in setion 17{)(1)(A)(vi). (Complete Part II.) An organization that normally reeives: (1) more than 331/3% of its support from ontriutions, memership fees, and gross reeipts from ativities related to its exempt funtions - sujet to ertain exeptions, and (2) no more than 33i/3% of its support from gross investment inome and unrelated usiness taxale inome (less setion 11 tax) from usinesses aquired y the organization after June 3, 197. See setion 9(a)(2). (Complete Part III.) An organization organized and operated exlusively to test for puli safety. See setion 9(a)(4). An organization organized and operated exlusively for the enefit of, to perform the funtions of, or to arry out the purposes of one or more pulily supported organizations desried in setion 9(a)(1) or setion 9(a)(2). See setion 9(a)(3). Chek the ox that desries the type of supporting organization and omplete lines 11e through 11h. a Type I Type II Type III - Funtionally integrated d ] Type III - Other By heking this ox, I ertify that the organization is not ontrolled diretly or indiretly y one or more disqualified persons other than foundation managers and other than one or more pulily supported organizations desried in setion 9(a)(1) or setion 9(a)(2). If the organization reeived a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, hek this ox Sine August 17, 26, has the organization aepted any gift or ontriution from any of the following persons? (i) (ii) A person who diretly or indiretly ontrols, either alone or together with persons desried in (ii) and (iii) elow, the governing ody of the supported organization? A family memer of a person desried in (i) aove? (iii) A 3% ontrolled entity of a person desried in (i) or (ii) aove? Provide the following information aout the supported organization(s). (i) Name of supported organization (ii) EIN (iii) Type of organization (desried on lines 1-9 aove or IRC setion (see instrutions)) (iv) Is the organization in ol. (i) listed in your governing doument? Yes No (v) Did you notify the organization in ol. (i) of your support? Yes No (vi) Is the organization in ol. (i) organized in the U.S.? Yes No HgO) 11 g(") 11g(iii) Yes (vii) Amount of support No (B) (C) (D) (E) Total For Paperwork Redution At Notie, see the Instrutions for Form 99 or 99-EZ. Shedule A (Form 99 or 99-EZ) 211 SA E

14 HUMANE AMERICA ANIMAL FOUNDATION Shedule A (Form 99 or 99-EZ) 211 ge 2 Support Shedule for Organizations Desried in Setions 17()(1)(A)(iv) and 17()(1)(A)(vi) (Complete only if you heked the ox on line, 7, or 8 of Part I or if the organization failed to qualify under Part III If the organization fails to qualify under the tests listed elow, please omplete Part III.) Setion A. Puli Support Calendar year (or fisal year eginning in) (a) 27 () 28 () 29 (d)21 (e)211 (f) Total 1 Gifts, grants, ontriutions, and memership fees reeived. (Do not inlude any "unusual grants.") 644,29. 1,11, ,22. 1,46,29. 1,927,134.,971,9. 2 Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf 3 The value of servies or failities furnished y a governmental unit to the organization without harge 4 Total. Add lines 1 through 3 644,29. 1,11, ,22. 1,46,29. 1,927,134.,971,9. The portion of total ontriutions y eah person (other than a governmental unit or pulily supported organization) inluded on line 1 that exeeds 2% of the amount shown on line 11, olumn (f) 6 Puli support. Sutrat line from line 4 Setion B. Total Support Calendar year (or fisal year eginning in) Amounts from line 4 Gross inome from interest, dividends, payments reeived on seurities loans, rents, royalties and inome from similar soures (a) , () 28 1,11,412. 8,. () ,22. 4,23. (d)21 1,46,29. 3,. (e)211 1,927,134. 4,186,43. 1,784,66. (f) Total,971,9. 1,83. Net inome from unrelated usiness ativities, whether or not the usiness is regularly earned on 38, , ,69. 8,874. 8, Other inome Do not inlude gain or loss from the sale of apital assets (Explain in Part IV.) 11 Total support. Add lines 7 through 1.. 6,792, Gross reeipts from related ativities, et (see instrutions) First five years. If the Form 99 is for the organization's first, seond, third, fourth, or fifth tax year as a setion 1()(3) organization, hek this ox and stop here Setion C. Computation of Puli Support Perentage 14 Puli support perentage for 211 (line 6, olumn (f) divided y line 11, olumn (f)) o /o 1 Puli support perentage from 21 Shedule A, Part II, line /, 16a 33i/3% support test If the organization did not hek the ox on line 13, and line 14 is 33i/3% or more, hek this ox and stop here. The organization qualifies as a pulily supported organization! 33-1/3% support test If the organization did not hek a ox on line 13 or 16a, and line 1 is 33i/3% or more, hek this ox and stop here. The organization qualifies as a pulily supported organization 17a 1%-fats-and-irumstanes test If the organization did not hek a ox on line 13, 16a, or 16, and line 14 is 18 1% or more, and if the organization meets the "fats-and-irumstanes" test, hek this ox and stop here. Explain in Part IV how the organization meets the "fats-and-irumstanes" test. The organization qualifies as a pulily supported organization I I 1%-fats-and-irumstanes test If the organization did not hek a ox on line 13, 16a, 16, or 17a, and line 1 is 1% or more, and if the organization meets the "fats-and-irumstanes" test, hek this ox and stop here. Explain in Part IV how the organzation meets the "fats-and-irumstanes" test. The organization qualifies as a pulily supported organization I I Private foundation. If the organization did not hek a ox on line 13, 16a, 16, 17a, or 17, hek this ox and see instrutions I I L2LI Shedule A (Form 99 or 99-EZ) 211 IE

15 HUMANE AMERICA ANIMAL FOUNDATION Shedule A (Form 99 or 99-EZ) 211 Page 3 Support Shedule for Organizations Desried in Setion 9(a)(2) (Complete only if you heked the ox on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed elow, please omplete Part II.) Setion A. Puli Support Calendar year (or fisal year eginning in) 1 Gifts, grants, ontriutions, and memership fees reeived (Do not inlude any "unusual grants.") 2 Gross reeipts from admissions, merhandise sold or servies performed, or failities furnished in any ativity that is related to the organization's tax-exempt purpose 3 Gross reeipts from ativities that are not an unrelated trade or usiness under setion 13, 4 Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf The value of servies or failities furnished y a governmental unit to the organization without harge 6 Total. Add lines 1 through 7a Amounts inluded on lines 1, 2, and 3 reeived from disqualified persons... Amounts inluded on lines 2 and 3 reeived from other than disqualified persons that exeed the greater of $, or 1% of the amount on line 13 for the year Add lines 7a and 7 8 Puli support (Sutrat line 7 from Iine6.) Setion B. Total Support Calendar year (or fisal year eginning in) 9 Amounts from line 6 1a Gross inome from interest, dividends, payments reeived on seurities loans, rents, royalties and inome from similar soures Unrelated usiness taxale inome (less setion 11 taxes) from usinesses aquired after June 3, 1 97 Add lines 1a and 1 11 Net inome from unrelated usiness ativities not inluded in line 1, whether or not the usiness is regularly 12 Other inome. Do not inlude gain or loss from the sale of apital assets (Explain in Part IV) 13 Total support. (Add lines 9, 1, 11, and 12.) (a) 27 ()28 ()29 (d)21 (e)211 (f) Total (a) 27 ()28 ()29 (d)21 (e)211 (f) Total 14 First five years. If the Form 99 is for the organization's first, seond, third, fourth, or fifth tax year as a setion 1()(3) organization, hek this ox and stop here Setion C. Computation of Puli Support Perentage 1 16 Puli support perentage for 211 (line 8, olumn (f) divided yline 13, olumn {<!))_ Puli support perentage from 21 Shedule A, Part III, line % Setion D. Computation of Investment Inome Perentage 17 Investment inome perentage for 211 (line 1, olumn (f) divided y line 13, olumn (f)) 18 Investment inome perentage from 21 Shedule A, Part III, line 17 19a 331/3% support tests If the organization did not hek the ox on line 14, and line 1 is more than 331/3%, and line 17 is not more than 33i/3%, hek this ox and stop here. The organization qualifies as a pulily supported organization 331/3% support tests If the organization did not hek a ox on line 14 or line 19a, and line 16 is more than 331/3%, and line 18 is not more than 3 31/3%, hek this ox and stop here. The organization qualifies as a pulily supported organization 2 Private foundation. If the organization did not hek a ox on line 14, 19a, or 19, hek this ox and see instrutions Shedule A (Form 99 or 99-EZ) 211 1E % %

16 HUMANE AMERICA ANIMAL FOUNDATION Shedule A (Form 99 or 99-E2) 211 Page 4 fgfflrasuddlemental Information. Cnmplptp this part tn prnvihp thg pyplanatinns rpqnirph hy Part II ling 1; Part II, line 17a or 17; and Part III, line 12. Also omplete this part for any additional information. (See instrutions). Shedule A (Form 99 or 99-EZ) 211 1E

17 Shedule B (Form 99, 99-EZ, or 99-PF) Department of the Treasury Internal Revenue Servie Name of the organization HUMANE AMERICA ANIMAL Organization type (hek one): Filers of: Form 99 or 99-EZ Shedule of Contriutors Attah to Form 99, Form 99-EZ, or Form 99-PF. FOUNDATION Setion: [ x [ 1()(3 ) (enter numer) organization OMB No )11 Employer identifiation numer (a)(1) nonexempt haritale trust not treated as a private foundation 27 politial organization Form 99-PF 1 ()(3) exempt private foundation 4947(a)(1) nonexempt haritale trust treated as a private foundation 1()(3) taxale private foundation Chek if your organization is overed y the General Rule or a Speial Rule. Note. Only a setion 1()(7), (8), or (1) organization an hek oxes for oth the General Rule and a Speial Rule. See instrutions. General Rule I For an organization filing Form 99, 99-EZ, or 99-PF that reeived, during the year, $, or more (in money or property) from any one ontriutor. Complete Parts I and II. Speial Rules For a setion 1()(3) organization filing Form 99 or 99-EZ that met the 33 1/3 % support test of the regulations under setions 9(a)(1) and 17()(1)(A)(vi) and reeived from any one ontriutor, during the year, a ontriution of the greater of (1) $, or (2) 2% of the amount on (i) Form 99, Part VIII, line 1h, or (ii) Form 99-EZ, line 1. Complete Parts I and II. For a setion 1()(7), (8), or (1) organization filing Form 99 or 99-EZ that reeived from any one ontriutor, during the year, total ontriutions of more than $1, for use exlusively for religious, haritale, sientifi, literary, or eduational purposes, or the prevention of ruelty to hildren or animals. Complete Parts I, II, and III. For a setion 1()(7), (8), or (1) organization filing Form 99 or 99-EZ that reeived from any one ontriutor, during the year, ontriutions for use exlusively for religious, haritale, et., purposes, ut these ontriutions did not total to more than $1,. If this ox is heked, enter here the total ontriutions that were reeived during the year for an exlusively religious, haritale, et., purpose. Do not omplete any of the parts unless the General Rule applies to this organization eause it reeived nonexlusively religious, haritale, et., ontriutions of $, or more during the year $ Caution. An organization that is not overed y the General Rule and/or the Speial Rules does not file Shedule B (Form 99, 99-EZ, or 99-PF), ut it must answer "No" on Part IV, line 2, of its Form 99; or hek the ox on line H of its Form 99-EZ or on Part I, line 2, of its Form 99-PF, to ertify that it does not meet the filing requirements of Shedule B (Form 99, 99-EZ, or 99-PF). For Paperwork Redution At Notie, see the Instrutions for Form 99, 99-EZ, or 99-PF. Shedule B (Form 99, 99-EZ, or 99-PF) (211) 1E

18 Shedule B (Form 99, 99-EZ, or99-pf) (211) Page 2 Name of organization HUMANE AMERICA ANIMAL FOUNDATION Employer identifiation numer Contriutors (see instrutions). Use dupliate opies of Part I if additional spae is needed. (a) No. () Name, address, and ZIP + 4 () Total ontriutions (d) Type of ontriution 1 BAYER ANIMAL P.O. BO 39 HEALTHCARE $ 7^ Y Person A. Payroll Nonash 1. SHAWNEE MISSION, KS 6621 (Complete Part II if there is a nonash ontriu tion.) (a) No. () Name, address, and ZIP + 4 () Total ontriutions (d) Type of ontriution 2 PETSMART CHARITIES 1961 N. 27TH AVE $ 7,^ Person Payroll Nonash 1. PHOENI, CA 827 (Complete Part II if there is a nonash ontriu tion.) (a) No. () Name, address, and ZIP + 4 () Total ontriutions (d) Type of ontriution 3 NESTLE PURINA PETCARE COMPANY CHECKERBOARD SQUARE $ h2**lll*i 1 Person. Payroll Nonash 1 ST. LOUIS, MO (Complete Part II if there is a nonash ontriu tion.) (a) No. () Name, address, and ZIP + 4 () Total ontriutions (d) Type of ontriution Person $ Payroll Nonash (Complete Part II if there is a nonash ontriution.) (a) No. () Name, address, and ZIP + 4 () Total ontriutions (d) Type of ontriution Person $ Payroll Nonash (Complete Part II if there is a nonash ontriution.) (a) No. () Name, address, and ZIP + 4 () Total ontriutions (d) Type of ontriution Person Payroll $ Nonash (Complete Part II if there is A nnnrash rnntrihutinn ^ Shedule B (Form 99, 99-EZ, or99-pf) (211) 1E

19 Shedule B (Form 99, 99-EZ, or 99-PF) (211) Page 3 Name of organization HUMANE AMERICA ANIMAL FOUNDATION Employer identifiation numer Eaa (a) No. from Parti Nonash Property (see instrutions). Use dupliate opies of Part II if additional spae is needed. () Desription of nonash property given ( FMV (or estimate) (see instrutions) (d) Date reeived $ (a) No. from Parti () Desription of nonash property given () FMV (or estimate) (see instrutions) (d) Date reeived $ (a) No. from Parti () Desription of nonash property given () FMV (or estimate) (see instrutions) (d) Date reeived $ (a) No. from Parti () Desription of nonash property given () FMV (or estimate) (see instrutions) (d) Date reeived $ (a) No. from Parti () Desription of nonash property given () FMV (or estimate) (see instrutions) (d) Date reeived $ (a) No. from Parti () Desription of nonash property given () FMV (or estimate) (see instrutions) (d) Date reeived $ 1E Shedule B (Form 99, 99-EZ, or 99-PF) (211)

20 Shedule B (Form 99, 99-EZ, or 99-PF) (211) Name of organization HUMANE AMERICA ANIMAL FOUNDATION (a) No. from Parti Employer identifiation numer Exlusively religious, haritale, et., individual ontriutions to setion 1()(7), (8), or (1) organizations that total more than $1, for the year. Complete olumns (a) through (e) and the following line entry. For organizations ompleting Part III, enter the total of exlusively religious, haritale, et., ontriutions of $1, or less for the year. (Enter this information one. See instrutions.) $ Use dupliate opies of Part III if additional spae is needed. () Purpose of gift () Use of gift (d) Desription of how gift is held ge 4 (e) Transfer of gift Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee (a) No. from Parti () Purpose of gift () Use of gift (d) Desription of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee (a) No. from Parti () Purpose of gift () Use of gift (d) Desription of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee (a) No. from Parti () Purpose of gift () Use of gift (d) Desription of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee Shedule B (Form 99, 99-EZ, or 99-PF) (211)

21 SCHEDULE D (Form 99) Department of the Treasury Internal Revenue Servie Supplemental Finanial Statements Complete if the organization answered "Yes," to Form 99, Part IV, line 6, 7, 8, 9, 1, 11a, 11, 11, 11d, 11e, 11f, 12a, or 12. Attah to Form 99. See separate instrutions. OMB No Name of the organization Employer identifiation numer HUMANE AMERICA ANIMAL FOUNDATION Organizations Maintaining Donor Advised Funds or Other Similar Funds or Aounts. Complete if the organization answered "Yes" to Form 99, Part IV, line 6. (a) Donor advised funds in ODen to Puli Inspetion () Funds and other aounts Total numer at end of year Aggregate ontriutions to (during year) Aggregate grants from (during year)... Aggregate value at end of year Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, sujet to the organization's exlusive legal ontrol? I Yes I I No Did the organization inform all grantees, donors, and donor advisors in writing that grant funds an e used only for haritale purposes and not for the enefit of the donor or donor advisor, or for any other purpose onferring impermissile private enefit? I Yes I I No Conservation Easements. Complete if the organization answered "Yes" to Form 99, Part IV, line 7. Purpose(s) of onservation easements held y the organization (hek all that apply) Preservation of land for puli use (e.g., rereation or eduation) Protetion of natural haitat Preservation of open spae Preservation of an historially important land area Preservation of a ertified histori struture Complete lines 2a through 2d if the organization held a qualified onservation ontriution in the form of a onservation easement on the last day of the tax year. Held at the End of the Tax Year Total numer of onservation easements Total areage restrited y onservation easements Numer of onservation easements on a ertified histori struture inluded in (a).... Numer of onservation easements inluded in () aquired after 8/17/6, and not on a histori struture listed in the National Register 2d Numer of onservation easements modified, transferred, released, extinguished, or terminated y the organization during the taxyear Numer of states where property sujet to onservation easement is loated Does the organization have a written poliy regarding the periodi monitoring, inspetion, handling of violations, and enforement of the onservation easements it holds? I I Yes Staff and volunteer hours devoted to monitoring, inspeting, and enforing onservation easements during the year No Amount of expenses inurred in monitoring, inspeting, and enforing onservation easements during the year Does eah onservation easement reported on line 2(d) aove satisfy the requirements of setion 17(h)(4)(B) (i) and setion 17(h)(4)(B)(ii)? Lj Yes LJ No In Part IV, desrie how the organization reports onservation easements in its revenue and expense statement, and alane sheet, and inlude, if appliale, the text of the footnote to the organization's finanial statements that desries the organization's aounting for onservation easements. Organizations Maintaining Colletions of Art, Historial Treasures, or Other Similar Assets. Complete if the organization answered "Yes" to Form 99, Part IV, line 8. 1a If the organization eleted, as permitted under SFAS 116 (ASC 98), not to report in its revenue statement and alane sheet works of art, historial treasures, or other similar assets held for puli exhiition, eduation, or researh in furtherane of puli servie, provide, in Part IV, the text of the footnote to its finanial statements that desries these items. If the organization eleted, as permitted under SFAS 116 (ASC 98), to report in its revenue statement and alane sheet works of art, historial treasures, or other similar assets held for puli exhiition, eduation, or researh in furtherane of puli servie, provide the following amounts relating to these items: (i) Revenues inluded in Form 99, Part VIII, line 1 $ (ii) Assets inluded in Form 99, Part $ 2 If the organization reeived or held works of art, historial treasures, or other similar assets for finanial gain, provide the following amounts required to e reported under SFAS 116 (ASC 98) relating to these items: a Revenues inluded in Form 99, Part VIII, line 1 $ Assets inluded in Form 99, Part $ For Paperwork Redution At Notie, see the Instrutions for Form 99. Shedule D (Form 99) 211 1E a 2 2

22 HUMANE AMERICA ANIMAL FOUNDATION Shedule D (Form 99) 211 Page 2 Organizations Maintaining Colletions of Art, Historial Treasures, or Other Similar Assets (ontinued) 3 Using the organization's aquisition, aession, and other reords, hek any of the following that are a signifiant use of its olletion items (hek all that apply): a Puli exhiition d FH Loan or exhange programs Sholarly researh e Other Preservation for future generations 4 Provide a desription of the organization's olletions and explain how they further the organization's exempt purpose in Part IV. During the year, did the organization soliit or reeive donations of art, historial treasures, or other similar assets to e sold to raise funds rather than to e maintained as part of the organization's olletion? Yes No m&nmvl 1a d e f 2a 1a d e f g 2 a 3a Esrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 99, Part IV line 9, or reported an amount on Form 99, Part, line 21. Is the organization an agent, trustee, ustodian or other intermediary for ontriutions or other assets not inluded on Form 99, Part? Q Yes Q No If "Yes," explain the arrangement in Part IV and omplete the following tale: Amount Beginning alane Additions during the year Distriutions during the year Ending alane 1 1d 1e 1f Did the organization inlude an amount on Form 99, Part, line 21? If "Yes," explain the arrangement in Part IV. Yes No 13 Endowment Funds. Complete if the organization answered "Yes" to Form 99, Part IV, line 1. (a) Current year () Prior year () Two years ak (d) Three years ak (e) Four years ak Beginning of year alane... Contriutions Net investment earnings, gains, and losses Grants or sholarships Other expenditures for failities. and programs Administrative expenses End of year alane Provide the estimated perentage of the urrent year end alane (line 1g, olumn (a)) held as: Board designated or quasi-endowment % Permanent endowment % Temporarily restrited endowment _% The perentages in lines 2a, 2, and 2 should equal 1%. Are there endowment funds not in the possession of the organization that are held and administered for the organization y: (i) unrelated organizations (ii) related organizations If "Yes" to 3a(ii), are the related organizations listed as required on Shedule R? Desrie in Part IV the intended uses of the organization's endowment funds. BSTTUH Land, Buildings, and Equipment. See Form 99, Part, line 1. 1a Land Desription of property (a) Cost or other asis (investment) () Cost or other asis (other) () Aumulated depreiation Yes No 3a(i) 3a(ii) 3 (d) Book value d Equipment 87,137. e Other Total. Add lines 1a through 1e. (Column (d) must equal Form 99, Part, olumn (B), line 1().) 79,684. 7,43. 7,43. Shedule D (Form 99) 211 1E

23 Shedule D (Form 99) 211 HUMANE AMERICA ANIMAL FOUNDATION ISBWIT Investments - Other Seurities. See Form 99, Part, line 12. (a) Desription of seurity or ategory () Book value (inluding name of seurity) (1) Finanial derivatives.. (2) Closely-held equity interests (3) Other (A) () Method of valuation: Cost or end-of-year market value Page 3 (D) _ _ (G) (I) Total. (Column () must equal Form 99. Part, ol (B) line 12) reffwht Investments - Program Related. See Form 99, Part, line 13. (1) (2) (3) (4) () (6) (7) (8) (9) (1) (a) Desription of investment type () Book value Total. (Column () must equal Form 99, Part, ol (B) line 13) Other Assets. See Form 99, Part, line 1. (a) Desription (1) WEBSITE DEVELOPMENT COSTS (NET) (2) (3) (4) () (6) (7) (8) (9) (1) Total. (Column () must equal Form 99, Part, ol (B) line 1). IJFRM Other Liailities. See Form 99, Part, line"2 1. (a) Desription of liaility () Book value (1) Federal inome taxes iil i3l i4l JSL M. izl M. _i?l (1) (11) Total. (Column () must equal Form 99, Part, ol. (B) line 2.) () Method of valuation: Cost or end-of-year market value () Book value 2. FIN 48 (ASC 74) Footnote. In Part IV, provide the text of the footnote to the organization's finanial statements that reports the organization's liaility for unertain tax positions under FIN 48 (ASC 74). 1E ,1. 711,1 Shedule D (Form 99) 211

24 Shedule D (Form 99) 211 HUMANE AMERICA ANIMAL FOUNDATION Reoniliation of Change in Net Assets from Form 99 to Audited Finanial Statements Total revenue (Form 99, Part VIII, olumn (A), line 12) Total expenses (Form 99, Part I, olumn (A), line 2) Exess or (defiit) for the year. Sutrat line 2 from line 1 Net unrealized gains (losses) on investments Donated servies and use of failities Investment expenses Prior period adjustments Other (Desrie in Part IV.) Total adjustments (net). Add lines 4 through 8 Exess or (defiit) for the year per audited finanial statements. Comine lines 3 and ISfflHH Reoniliation of Revenue per Audited Finanial Statements With Revenue per Return Total revenue, gains, and other support per audited finanial statements Amounts inluded on line 1 ut not on Form 99, Part VIII, line 12: Net unrealized gains on investments Donated servies and use of failities Reoveries of prior year grants Other (Desrie in Part IV.) Add lines 2a through 2d Sutrat line 2e from line 1 Amounts inluded on Form 99, Part VIII, line 12, ut not on line 1: Investment expenses not inluded on Form 99, Part VIII, line 7 _ Other (Desrie in Part IV.) Add lines 4a and 4 Total revenue. Add lines 3 and 4. (This must equal Form 99, Part I, line 12.) 2a 2 2 2d 4,487. f!ff 3TH Reoniliation of Expenses per Audited Finanial Statements With Expenses per Return 1 Total expenses and losses per audited finanial statements 2 Amounts inluded on line 1 ut not on Form 99, Part I, line 2: a d e Donated servies and use of failities Prior year adjustments Other losses Other (Desrie in Part IV.) Add lines 2a through 2d 3 Sutrat line 2e from line 1 4 Amounts inluded on Form 99, Part I, line 2, ut not on line 1: a Investment expenses not inluded on Form 99, Part VIII, line 7 Other (Desrie in Part IV.) 4a 4 2a 2 2 2d 129,4. 4a 4 2e 4 Page 4 2,1,14 1,662,621 32,33-83,67-83,67 268,966 2,6,641. 4,487, 2,1,14, 2,1,14, Add lines 4a and 4 4 Total expenses. Add lines 3 and 4. (This must equal Form 99, Parti, line 18.) 1,662,621 Supplemental Information Complete this part to provide the desriptions required for Part II, lines 3,, and 9; Part III, lines 1a and 4; Part IV, lines 1 and 2; Part V, line 4; Part, line 2; Part I, line 8; Part II, lines 2d and 4; and Part III, lines 2d and 4. Also omplete this part to provide any additional information. 1 2e 3 1,791,67 129,4 1,662,621 SEE PAGE Shedule D (Form 99) 211 1E

25 Shedule D (Form 99) 211 HUMANE AMERICA ANIMAL FOUNDATION Page ISfflflfl Supplemental Information (ontinued) 99, SCHEDULE D, PART I, LINE 8 THIS IS THE NET DIFFERENCE BETWEEN THE AMOUNTS ON PART II, LINE 2D AND PART III, LINE 2D. 99, SCHEDULE D, PART II, LINE 2D THE $4,487. DIFFERENCE CONSISTS OF THE FOLLOWINGS: 1) 211 GIFTS & ADVERTISING INCOME REC'D IN 212 $ 1, 2) 21 GIFTS & ADVERTISING INCOME REC'D IN 211 (118,2) 3) MISCELLANEOUS BOOK ADJUSTMENT ON INCOME 84 4) 211 EPENSES RELATED TO UBTI THAT WAS NETTED AGAINST INCOME 8,18 TOTAL $ 4,4 87 Shedule D (Form 99) 211 1E

26 Shedule D (Form 99)211 HUMANE AMERICA ANIMAL FOUNDATION Page l^fflflw Supplemental Information (ontinued) 99, SCHEDULE D, PART III, LINE 2D THE $129,4. DIFFERENCE CONSISTS OF THE FOLLOWINGS: 1) 21 ACCRUED EPENSES PAID IN 211 $ (4,98) 2) 211 ACCRUED EPENSES PAID IN ,868 3) TEMPORARY BOOK/TA DIFFERENCES ON VARIOUS EPENSES 97,9 9 4) EPENSES RELATED TO UBTI THAT WAS NETTED AGAINST INCOME 8,18 TOTAL 129,4 Shedule D (Form 99) 211 IE

27 SCHEDULE I (Form 99) Department of the Treasury Internal Revenue Servie Name of the organization HUMANE AMERICA ANIMAL FOUNDATION Grants and Other Assistane to Organizations, Governments, and Individuals in the United States Complete if the organization answered "Yes" to Form 99, Part IV, line 21 or 22. ^ Attah to Form 99. OMB No in Open to Puli Inspetion Employer identifiation numer General Information on Grants and Assistane 1 Does the organization maintain reords to sustantiate the amount of the grants or assistane, the grantees' eligiility for the grants or assistane, and the seletion riteria used to award the grants or assistane? 2 Desrie in Part IV the organization's proedures for monitoring the use of grant funds in the United States. A Yes Grants and Other Assistane to Governments and Organizations in the United States. Complete if the organization answered "Yes" to Form 99, Part IV, line 21, for any reipient that reeived more than $,. Chek this ox if no one reipient reeived more than $,. Part II an e dupliated if additional spae is needed I 1 (a) Name and address of organization or government (_1J ANIMAL TRUST FOUNDATION L21 (31 (41 (1 P.O. BO SAN DIEGO, CA 9219 ()EIN () IRC setion if appliale 31(C)(3) (d) Amount of ash grant 7,. (e) Amount of nonash assistane (f) Method of valuation (ook, FMV, appraisal olher) (g) Desription of non-ash assistane I I No (h) Purpose of grant or assistane QUALIFIED CHARITABLE (61 1 (71 _ (81 j (91 LLQl LiJl Li 21 J 2 Enter total numer of setion 1()(3) and government organizations listed in the line 1 tale 3. _3 Enter total numer of other organizations listed in the line 1 tale For Paperwork Redution At Notie, see the Instrutions for Form 99. Shedule I (Form 99) (211) 1E

28 HUMANE AMERICA ANIMAL FOUNDATION Shedule I (Form 99) (211) mihb Grants and Other Assistane to Individuals in the United States. Complete if the organization answered "Yes" on Form 99, Part IV, line 22. Part III an e dupliated if additional spae is needed Page 2 (a) Type of grant or assistane () Numer of reipients () Amount of ash grant (d) Amount of non-ash assistane (e) Method of valuation (ook, FMV, appraisal, other) (f) Desription of non-ash assistane tfml T J Supplemental Information. Complete this part to provide the information required in Part 1, line 2, and any other additional information. FORM 99, SCHEDULE I, PART I, LINE 2 - GRANT-MONITORING INFORMATION AVAILABLE UPON REQUEST. Shedule I (Form 99) (211) 1E

29 SCHEDULE (Form 99 or 99-EZ) Department of the Treasury Internal Revenue Servie Name of the organization HUMANE AMERICA ANIMAL FOUNDATION Supplemental Information to Form 99 or 99-EZ Complete to provide information for responses to speifi questions on Form 99 or 99-EZ or to provide any additional information. Attah to Form 99 or 99-EZ. OMB No an Open to Puli Inspetion Employer identifiation numer FORM 99, PART I, LINE 6 - ACTIVITIES & GOVERNANCE THE ORGANIZATION CURRENTLY UTILIZES TWO (2) VOLUNTEERS WHO DO SOME SHELTER OUTREACH WORK. THE ORGANIZATION ALSO MAINTAINS A DATABASE OF OVER 3, VOLUNTEERS WHO HAVE SIGNED UP ON THE WEBSITE TO BE CONSIDERED FOR VOLUNTEER OPPORTUNITIES AT THEIR LOCAL SHELTERS AND RESCUE GROUPS, BUT THE ORGANIZTION CAN ALSO CALL UOPON THESE VOLUNTEERS TO WORK FOR ADOPT-A-PET.COM FORM 99, PART VI, SECTION B, LINE 11 - FORM 99 REVIEW PROCESS THE BOARD OF DIRECTORS MEETS AT A MINIMUM OF QUARTERLY VIA TELECONFERENCE AND REVIEWS ALL IMPORTANT DOCUMENTS AND FILINGS AT THAT TIME. ALL BOARD MEMBERS REVIEW THE FORM 99. FORM 99, PART VI, SECTION B, LINE 1 - COMPENSATION REVIEW PROCESS THE BOARD OF DIRECTORS REVIEWS ALL COMPENSATION-RELATED MATTERS INCLUDING STARTING SALARIES, SALARY INCREASE AND BENEFITS, TAKING INTO ACCOUNT AVAILABLE DATA ON COMPARABLE POSITIONS IN SIMILAR ORGANIZATIONS. FORM 99, PART VI, SECTION C, LINE 19 - DISCLOSURE THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 99, PART I, LINE THE CHANGE IN NET ASSETS IN THE AMOUNT OF $7,633 REPRESENTS PRIOR YEAR For Privay At and Paperwork Redution At Notie, see the Instrutions for Form 99 or 99-EZ. Shedule O (Form 99 or 99-EZ) (211)

30 Shedule (Form 99 or 99-EZ) 211 Name of the organization HUMANE AMERICA ANIMAL FOUNDATION Employer identifiation numer Page 2 ADJUSTMENTS. FORM 99, PART VI, SECTION B, LINE 12 THE BOARD OF DIRECTORS MEETS AT A MINIMUM OF QUARTERLY TO DISCUSS AND REVIEW ALL IMPORTANT MATTERS. ANY CONFLICT OF INTEREST SHALL BE DISCLOSED AT THAT TIME AND REFLECTED IN THE MINUTES OF THE MEETING. FORM 99, PART III, LINE 1 - ORGANIZATION'S MISSION ATTACHMENT 1 HUMANE AMERICA ANIMAL FOUNDATION AIMS TO REDUCE EUTHANASIA IN ANIMAL SHELTERS BY INCREASING PUBLIC AWARENESS AND OWNERSHIP OF SHELTER PETS, MAKING INFORMATION ABOUT PETS IN SHELTERS AVAILBALE ON THE INTERNET, AND ENCOURAGING AND FACILITATING VOLUNTEERISM IN SHELTERS AND ANIMAL RESCUE ORGANIZATIONS. FORM 99, PART VIII - INVESTMENT INCOME DESCRIPTION CITIBANK INTEREST INCOME TOTALS ATTACHMENT 2 (A) (B) (C) (D) TOTAL RELATED OR UNRELATED ECLUDED REVENUE EEMPT REVENUE BUSINESS REV. REVENUE 2,146. 2,146. 2,146. 2,146. ATTACHMENT 3 1E Shedule O (Form 99 or 99-EZ) 211

31 Shedule (Form 99 or 99-EZ) 211 Page 2 Name of the organization HUMANE AMERICA ANIMAL FOUNDATION Employer identifiation numer JTORM 9 9, PART 13^- OTHER EPENSES_ ATTACHMENT 3 (CONT'D) DESCRIPTION (A) TOTAL EPENSES (B) PROGRAM SERVICE EP. (C) (D) MANAGEMENT FUNDRAISING AND GENERAL EPENSES ADMINISTRATIVE EPENSES 2,219. 1, RESEARCH COMPUTER EPENSES 9,864. 8, INTERNET EPENSES/WEBSITE HOST 79, , MAILING SERVICES MEMBERSHIP DUES TRADE SHOW EPENSES 7,72. 7,72. PAYROLL SERVICE FEES 3,82. 2, CONSULTING FEES 37,162. 3,12. 2,1. RENT 3,36. 3, OFFICE SUPPLIES 9,149. 8, , OUTSIDE SERVICES,67.,67. POSTAGE & SHIPPING 3,889. 3, , PRINTING & COPYING TELEPHONE 24, , FEDERAL TAES 17,17. 17,17. STATE TAES 7,3. 7,3. PENALTY VIDEO PRODUCTS 33, ,181. VIDEO PRODUCTION 1,383. 1,383. AD/SPONSORSHIP COMMISSION FEES 141,2. 141,2. FILING FEES FUNDRAISING EPENSES - ^ 7,99. 7,99. 1E Shedule O (Form 99 or 99-EZ) 211

32 Shedule (Form 99 or 99-EZ) 211 Page 2 Name of the organization HUMANE AMERICA ANIMAL FOUNDATION Employer identifiation numer FORM 99, PART I - OTHER EPENSES ATTACHMENT 3 (CONT'D) DESCRIPTION (A) TOTAL EPENSES (B) PROGRAM SERVICE EP. (C) (D) MANAGEMENT FUNDRAISING AND GENERAL EPENSES TOTALS 396,49, 21, ,19. 11,43, FORM 99, PART - PREPAID EPENSES AND DEFERRED CHARGES ATTACHMENT 4 DESCRIPTION ENDING BOOK VALUE PREPAID FEDERAL & STATE TAES 83,32, TOTALS 83,32, 1E Shedule O (Form 99 or 99-EZ) 211

33 HUMANE AMERICA ANIMAL FOUNDATION FORM 99, PART VIII - CONTRIBUTIONS ATTACHMENT NAME AND ADDRESS FEDERATED CAMPAIGNS MEMBERSHIP DUES FUNDRAISING EVENTS RELATED ORGANIZATIONS GOVERNMENT GRANTS ALL OTHER CONTRIBUTIONS BAYER ANIMAL HEALTHCARE 769,127. P.O. BO 39 SHAWNEE MISSION, KS 6621 PETSMART CHARITIES 7, N. 27TH AVE PHOENI, CA 827 MISC. CASH DONATIONS 3,2. MUTT LYNCH WINERY P.O. BO 11 HEALDSBURG, CA /7/211 1,. ONE3TWO, INC. 3 W CARRIAGE DR. SANTA ANA, CA ,611. DAVID BACKES 4/21/211,. NESTLE PURINA PETCARE COMPANY CHECKERBOARD SQUARE ST. LOUIS, MO ,48, ,134. ATTACHMENT

34 F 462 Department of the Treasury Internal Revenue Servie (99) Name(s) shown on return HUMANE AMERICA ANIMAL Depreiation and Amortization (Inluding Information on Listed Property) See separate instrutions. Attah to your tax return. FOUNDATION Business or ativity to whih this form relates GENERAL DEPRECIATION Eletion To Expense Certain Property Under Setion 179 Note: If you have any listed property, omplete Part V efore you omplete Part I. Maximum amount (see instrutions) Total ost of setion 179 property plaed in servie (see instrutions) Threshold ost of setion 179 property efore redution in limitation (see instrutions) Redution in limitation. Sutrat line 3 from line 2. If zero or less, enter -- Dollar limitation for tax year Sutrat line 4 from line 1 If zero or less, enter-- If married filing separately, see instrutions (a) Desription of property () Cost (usiness use only) () Eleted ost OMB No mi Attahment Sequene No 179 Identifying numer Listed property. Enter the amount from line 29 Total eleted ost of setion 179 property. Add amounts in olumn (), lines 6 and 7 Tentative dedution. Enter the smaller of line or line 8 Carryover of disallowed dedution from line 13 of your 21 Form 462 Business inome limitation. Enter the smaller of usiness inome (not less than zero) or line (see instrutions) 12 Setion 179 expense dedution. Add lines 9 and 1, ut do not enter more than line Carryover of disallowed dedution to 212. Add lines 9 and 1, less line Note: Do not use Part II or Part III elow for listed property. Instead, use Part V. Speial Depreiation Allowane and Other Depreiation (Do not inlude listed property.) (See instrutions.; 14 Speial depreiation allowane for qualified property (other than listed property) plaed in during the tax year (see instrutions) 1 Property sujet to setion 168(f)(1) eletion 16 Other depreiation (inluding ACRS) MACRS Depreiation (Do not inlude listed property.) (See instrutions.) Setion A 17 MACRS dedutions for assets plaed in servie in tax years eginning efore If you are eleting to group any assets plaed in servie during the tax year into one or more general asset aounts, hek here Setion B - Assets Plaed in Servie During 211 Tax Year Using the General Depreiation System 19a (a) Classifiation of property 3-year property -year property 7-year property d 1-year property e 1-year property f 2-year property g 2-year property h Residential rental property i Nonresidential real property 2a Class life 12-year 4-year () Month and year plaed In servie SEE DETAIL () Basis for depreiation (usiness/investment use only - see instrutions) 4,28. (d) Reovery period. 2 yrs. 27. yrs. 27. yrs. 39 yrs. (e) Convention MM MM MM MM (f) Method 2DB Setion C - Assets Plaed in Servie During 211 Tax Year Using the Alternative De preiation System Summary (See instrutions. 21 Listed property. Enter amount from line yrs. 4 yrs. MM 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 2 in olumn (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S orporations - see instrutions.. 23 For assets shown aove and plaed in servie during the urrent year, enter the portion of the asis attriutale to setion 263A osts 23 SA For Paperwork Redution At Notie, see separate instrutions S/L S/L S/L S/L S/L S/L S/L S/L 17 4,2. 21 (g) Depreiation dedution ,88, Form 462 (211)

35 Form 462 (211) Page 2 Listed Property (Inlude automoiles, ertain other vehiles, ertain omputers, and property used for entertainment, rereation, or amusement.) Note: For any vehile for whih you are using the standard mileage rate or deduting lease expense, omplete only 24a, 24, olumns (a) through () of Setion A, all of Setion B, and Setion C if appliale. Setion A - Depreiation and Other Information (Caution: See the instrutions for limits for passenger automoiles.) 24a Do you have evidene to support the usiness/investment use laimed? (a) Type of property (list vehiles first) () Date plaed in servie () Business/ investment use perentage (d) Cost or other asis Yes No (e) Basis for depreiation (usiness/investment use only) 2 Speial depreiation allowane for qualified listed property plaed in servie during the tax 24 If "Yes," is the evidene written? Yes No (f) Reovery period (g) Method/ Convention year and used more than % in a qualified usiness use (see instrutions) 2 26 Property used more than % in a qualified usiness use: % % % 27 Property used % o r less in a qualified usiness use: 28 Add amounts in olumn (h), lines 2 through 27. Enter here and on line 21, page 1 29 Add amounts in olumn (i), line 26. Enter here and on line 7, page 1... % % % S/L- S/L- S/L- 28 (h) Depreiation dedution 29 (i) Eleted setion 179 ost Setion B - information on Use of Vehiles Complete this setion for vehiles used y a sole proprietor, partner, or other "more than % owner," or related person. If you provided vehiles to your employees, first answer the questions in Setion C to see if you meet an exeption to ompleting this setion for those vehiles. 3 Total usiness/investment miles driven during the year (do not inlude ommuting miles) Total ommuting miles driven during the year 32 Total other personal (nonommuting) miles driven 33 Total miles driven during the year. Add lines 3 through Was the vehile availale for personal use during off-duty hours? 3 Was the vehile used primarily y a more than % owner or related person? 36 Is another vehile availale for personal use? (a) Vehile 1 Yes No () Vehile 2 Yes No () Vehile 3 Yes No (d) Vehile 4 Yes No (e) Vehile Setion C - Questions for Employers Who Provide Vehiles for Use y Their Employees Yes No (f) Vehiles Answer these questions to determine if you meet an exeption to ompleting Setion B for vehiles used y employees who are not more than % owners or related persons (see instrutions). 37 Do you maintain a written poliy statement that prohiits all personal use of vehiles, inluding ommuting, y your employees? 38 Do you maintain a written poliy statement that prohiits personal use of vehiles, exept ommuting, y your employees? See the instrutions for vehiles used y orporate offiers, diretors, or 1% or more owners 39 Do you treat all use of vehiles y employees as personal use? 4 Do you provide more than five vehiles to your employees, otain information from your employees aout the use of the vehiles, and retain the information reeived? 41 Do you meet the requirements onerning qualified automoile demonstration use? (See instrutions.) Note: If your answer to 37, 38, 39, 4, or 41 is "Yes," do not omplete Setion B for the overed vehiles. Amortization (a) Desription of osts () Date amortization egins () Amortizale amount 42 Amortization of osts that egins during your 211 tax year (see instrutions): SEE AMORTIZATION DETAIL 492,833. (d) Code setion (e) Amortization period or perentage Yes Yes No No (f) Amortization for this year 82, Amortization of osts that egan efore y our 211 tax year 44 Total. Add amounts in olumn (f). See the ; instrutions for where to report ,9 438,729 Form462 (211)

36 HUMANE AMERICA ANIMAL FOUNDATION Desription of Property GENERAL DEPRECIATION DEPRECIATION OFFICE OFFICE OFFICE OFFICE Asset desription EQUIPMENT EQUIPMENT FURNITURE EQUIPMENT HARDWARE UPGRADE OFFICE OFFICE EQUIPMENT EQUIPMENT DELL COMPUTER COMP USA COMPUTER DELL SERVER OFFICE DELL SERVER EQUIPMENT COMPUTER EQUIPMENT DELL SERVER DELL SERVER APPLE COMPUTER COMPUTER EQUIPMENT DELL SERVER DELL SERVER Less: Retired Assets Sutotals Listed Property TELEPHONE SYSTEM COMPUTERS/MONITOR DIGITAL CAMERAS TELEPHONE SYSTEM Less: Retired Assets Sutotals TOTALS AMORTIZATION Asset desription WEBSITE DEV COSTS WEBSITE DEV COSTS WEBSITE DEV COSTS WEBSITE DEV COSTS WEBSITE DEV COSTS TOTALS Assets Retired Date plaed in servie 7/1/2 7/1/21 6/4/22 7/1/22 6/12/23 2/21/23 4/28/23 12/19/2 12/27/2 4/9/26 7/1/26 1/2/27 3/6/27 9/19/27 12/1/27 7/24/27 /1/29 2/17/29 1/8/21 7/1/2 7/1/21 7/1/21 7/1/21 Date plaed in servie 7/1/21 7/1/23 7/1/24 7/1/2 7/1/26 Unadjusted Cost or asis 2,93. 4,229. 1,47. 1,32. 2,2. 1,2. 4,83. 2, ,16. 1,2. 1,81. 2,371. 2,262. 4,38. 1, , ,24. 7,79. 2,42. 1,92. 3, ,137. Cost or asis 4,12. 2,7. 128,21. 6, ,69. 2,182,933. Bus. % exp. redution in asis Basis Redution Basis for depreiation 2,93. 4,229. 1,47. 1,32. 2,2. 1,2. 4,83. 2, ,16. 1,2. 1,81. 2,371. 2,262. 4,38. 1, , ,41. 8,24. 7,79. 2,42. 1,92. 3, , Beginning Aumulated depreiation 2,93. 4,229. 1,47. 1,32. 2,2. 1,2. 4,83. 2, , ,3. 1,961. 1,871. 3,66. 1, , ,14. 8,24. 7,79. 2,42. 1,92. 3, ,826. Aumulated amortization 4,12. 2,7. 128,21. L 6, ,69. 1,33,99. Ending Aumulated depreiation 2,93. 4,229. 1,47. 1,32. 2,2. 1,2. 4,83. 2, ,16. 1,2. 1,743. 2,234. 2,132. 4,18. 1, , ,962. 8,24. 7,79. 2,42. 1,92. 3, ,684. Ending Aumulated amortization 4,12. 2,7. 128,21. 6, ,69. 1,471,828. Method 2DB 2DB 2DB 2DB SL 2DB 2DB 2 DB 2DB 2DB 2DB 2DB 2DB 2DB 2DB 2DB 2DB 2DB 2DB 2DB 2DB 2DB 2DB Code A A A A A Conv. MQ Life Life. 1 MA ACRa CRS lass lass Current-year 179 expense Current-year depreiation , ,88. 4,88. Current-year amortization 438,729.