2011-2012 Report

12
,': \ /2=\ m\// L=.r' +=+l tt ' U OMB No. 1545-0047 ** 990 Return of Organization Exempt From lncome Tax Under section 501(c), 527, or 4947(a)(1) ol the lnternal Revenue Code (except black lung benefit trust or private loundation) Oepartment of the TreasurY >The organization have to use a copy of this return to satisfy state requirements. A For the 2011 iax B Check it applicable: I Address cnange [-l Name change I-l rniti"t r.turn f] Terminated I Amended return Tl Application pending I Tax-exempl status: J Website: ) s01 (c) ( K Form of organizalion: frl co,poration |-l rrust [-l Association l-l o,n", > M State ol legal domicile: Wl UNWANTED OR ABANDONED ANIMALS IN THE OSHKOSH AREA. Check this box >[] it rnr organization discontinued its operations or disposed of more than 25% of its net assets. Number of voting members of the governing body (Part Vl, line 1a) . Number of independent voting members of the governing body (Part Vl, line 1b) ' Total number of individuals employed in calendar year 2011 (Part V, line 2a) . Total number of volunteers (estimate if necessary) . Total unrelated business revenue from Part Vlll, column (C), line 12 . Net unrelated busi income from Form 990-T Current Year 874.958 End of Year Signature o{ officer o o 6 o o o o! o o := (, 2 3 4 5 6 7a b 14 14 o o o o o. x ul o z ! l u 2@11 D Employer identilication number 1 E Telephone number G Gross receipts $ 870.610 H(a) ls this a group return for atfiliates? I lYesl X I No H(b) Are all affiliates includedz [ves[-l No ll "No," anach a lisl. (see instructions) ) < (insert no.) [-l otor(")(, t o, [-l uz, Number and street (or P.O. box if mail is not delivered to street address) City or town, state or country, and ZIP + 4 F Name and address o, principal otficer: 1925 Shelter Ct. Oshkosh. Wl 54901 L Year of formation: 1gg1 8 Contributions and grants (Part Vlll, line t h) ' 9 Program service revenue (Pan Vlll, line 29) . 10 lnvestment income (Part Vlll, column (A), lines 3' 4, and 7d) . 11 Other revenue (Part Vlll, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) . 12 Total revenue-add lines 8 through 11 (OUqt equal Part Vlll, c 13 14 15 16a b 17 18 19 Grants and similar amounts paid (Part lX, column (A), lines 1-3) . Benefits paid to or for members (Part lX, column (A), line 4) . Salaries, other compensation, employee benefits (Part lX, column (A), lines 5-10) . Professional fundraising fees (Part lX, column (A), line 1 1 e) . Total fundraising expenses (Part lX, column (D)' line 25) > - - Other expenses (Part lX, column (A), lines 11a-1ld, 111-24e) . Totalexpenses.lidd lines 13-17 (must equalPart lX, column (A), line 25) ' 18 from line 12 20 Total assets (Part X, line 16) . 21 Total liabilities (Part X, line 26) . 21 0 or print name and title Paid Preparer Use Only 1945841 542-8401 May the IRS discuss this return with the preparer shown above? (see instructions) . ffiv"" I*o For Paperwork Reduction Act Notice, see the separate instructions' (HTA) rorm 990 (eol)

Transcript of 2011-2012 Report

Page 1: 2011-2012 Report

,': \ /2=\ m\//L=.r' +=+l tt ' U

OMB No. 1545-0047

** 990 Return of Organization Exempt From lncome TaxUnder section 501(c), 527, or 4947(a)(1) ol the lnternal Revenue Code (except black lung

benefit trust or private loundation)Oepartment of the TreasurY

>The organization have to use a copy of this return to satisfy state requirements.

A For the 2011 iaxB Check it applicable:

I Address cnange

[-l Name change

I-l rniti"t r.turn

f] Terminated

I Amended return

Tl Application pending

I Tax-exempl status:

J Website: )s01 (c) (

K Form of organizalion: frl co,poration |-l rrust [-l Association l-l o,n", > M State ol legal domicile: Wl

UNWANTED OR ABANDONED ANIMALS IN THE OSHKOSH AREA.

Check this box >[] it rnr organization discontinued its operations or disposed of more than 25% of its net assets.

Number of voting members of the governing body (Part Vl, line 1a) .

Number of independent voting members of the governing body (Part Vl, line 1b) 'Total number of individuals employed in calendar year 2011 (Part V, line 2a) .

Total number of volunteers (estimate if necessary) .

Total unrelated business revenue from Part Vlll, column (C), line 12 .

Net unrelated busi income from Form 990-TCurrent Year

874.958

End of Year

Signature o{ officer

oo6

oooo!oo

:=(,

234567ab

14

14

ooooo.xul

o

z!

lu

2@11

D Employer identilication number

1

E Telephone number

G Gross receipts $ 870.610H(a) ls this a group return for atfiliates? I lYesl X I No

H(b) Are all affiliates includedz [ves[-l No

ll "No," anach a lisl. (see instructions)) < (insert no.) [-l otor(")(, t o, [-l uz,

Number and street (or P.O. box if mail is not delivered to street address)

City or town, state or country, and ZIP + 4

F Name and address o, principal otficer:

1925 Shelter Ct. Oshkosh. Wl 54901

L Year of formation: 1gg1

8 Contributions and grants (Part Vlll, line t h) '9 Program service revenue (Pan Vlll, line 29) .

10 lnvestment income (Part Vlll, column (A), lines 3' 4, and 7d) .

11 Other revenue (Part Vlll, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) .

12 Total revenue-add lines 8 through 11 (OUqt equal Part Vlll, c

13141516a

b171819

Grants and similar amounts paid (Part lX, column (A), lines 1-3) .

Benefits paid to or for members (Part lX, column (A), line 4) .

Salaries, other compensation, employee benefits (Part lX, column (A), lines 5-10) .

Professional fundraising fees (Part lX, column (A), line 1 1 e) .

Total fundraising expenses (Part lX, column (D)' line 25) > - -

Other expenses (Part lX, column (A), lines 11a-1ld, 111-24e) .

Totalexpenses.lidd lines 13-17 (must equalPart lX, column (A), line 25) '

18 from line 12

20 Total assets (Part X, line 16) .

21 Total liabilities (Part X, line 26) .

21

0

or print name and title

PaidPreparerUse Only

1945841

542-8401

May the IRS discuss this return with the preparer shown above? (see instructions) . ffiv"" I*oFor Paperwork Reduction Act Notice, see the separate instructions'(HTA)

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,orl gso tzo,l osxxosFt RREA HUMANE socrEw, rNC 3e-17nq813 paoe 2

check if schedule o contains a response to any question in this part lll .

Briefly describe the organization's mission:

Did the organization undertake any significant program services during the year which were not listed onthe prior Form 990 or 990-EZ? . I v"" E r,olf "Yes," describe these new services on Schedule O.Did the organization cease conducting, or make significant changes in how it conducts, any programservices? .

lf "Yes," describe these changes on Schedule O.

_9.)

f] v"" E *o

Describe the organization's program service accomplishments lor each of its three largest program services, as measured byexpenses. Section 501(c)(3) and 50'l (c)(4) organizations and seclion 4947(a)(1) trusts are required to report the amount ofgrants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4a (Code: - )(Expenses$ -__-_-_7-+-Z_,-626 inctudinggrantsof $-___---_-----_.0- )(Revenue$ ....----qgpzg.tM4NAAE-4Np-9eEmT-q-r-riF-QIIY-qF-9-qHKq-s-Lr-ANTMA!-$HE-r=rER.-pB.q-vlpF__vEr-E-B![rABy_s-EB-yLqFS-,-rqqpaNa_-

_

.S_UE|=TEB_tQRABAI-{p-qNEP_QB--S_U.BRENQF-BF_AANIMALS_REU-r,'rLTE_ANtl{l&E_W-II_H-gWNERq_AN-A-pLAqF-U-r-,rwAr-,rlF_p

ANlr-vlAr=s-wLIL|-N-EW _aWNEBQ. _ _ - _ - _ _

4b (Code: - )(Expenses$._---__--_-_--_q includinggrantsof g _0_ )(Revenue$

4c (Code: - ) (Expenses $ Q including grants of $ 0, ) (Revenue $

4d Other program services. (Describe in Schedule O.)

/ExoensesS 0includinoorantsof $ 0)(Revenue$4e Total proqram service expenses ) 742,626

0)

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=,,- -:,

.fm seo (2011) OSHKOSH SOCIETY tNc

1 ls the organization described in section 501 (c)(3) or 4947(a)(1) (other than a private foundation)? lf "Yes,"complete Schedule A .

ls the organization required to complete Schedule B, Schedule of Contributors (see instructions)? .

Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition tocandidates for public office? lf 'Yes," complete Schedule C, Paft I .

Section 501(cX3) organizations. Did the organization engage in lobbying activities, or have a section 501 (h)

election in effect during the tax year? lf "Yes," complete Schedule C, Part ll ,

ls the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,assessments, or similar amounts as defined in Revenue Procedure 98-19? lf "Yes," complete Schedule C,

Part lll "

Did the organization maintain any donor advised funds or any similar funds or accounts for which donorshave the right to provide advice on the distribution or investment of amounts in such funds or accounts? /f"Yes," complete Schedule D, Part I .

Did the organization receive or hold a conservation easement, including easements to preserve open space,the environment, historic land areas, or historic structures? lf uYes,u complete Schedule D, Part ll .

Did the organization maintain collections of works of art, historical treasures, or other similar assets? lf "Yes,"complete Schedule D, Part lll -

Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in PartX; or provide credit counseling, debt managemenl, credit repair, or debt negotialion services? lf "Yes,"complete Schedule D, Part lV .

Did the organization, directly or through a related organization, hold assets in temporarily restrictedendowments, permanent endowments, or quasi-endowments? lf "Yes," complete Schedule D, Part V .

lf the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts Vl,Vll, Vlll, lX, or X as applicable.

a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? lf "Yes," completeSchedule D, Part Vl. .

b Did the organization report an amount for investments--other securities in Part X, line 12 that is 5% or moreof its total assets reported in Part X, line 16? lf "Yes," complete Schedule D, Part Vll. .

c Did the organization report an amount for investments-program related in Part X, line 13 that is 5% or more

of its total assets reported in Part X, line 16? lf "Yes," complete Schedule D, Part Vlil. .

d Did the organization report an amount for other assets in Part X, line 15 that is 5olo or more of its total assets

reported in Part X, line 16? lf "Yes," complete Schedule D, Part lX. .

e Did the organization report an amount for other liabilities in Part X, line 25? lf "Yes," complete Schedule D, Part X.

f Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses

the organization's liability for uncertain tax positions under FIN 48 (ASC 740\? lf "Yes," complete Schedu/e D, Parl X . .

12a Did the organization obtain separate, independent audited financial statements for the tax year? lf "Yes," complete

Schedule D, Parts Xl, Xll, and Xlll . .

b Was the organization included in consolidated, independent audited financial statements for the tax year? lf "Yes,"

and if the organization answered uNo'to line 12a, then completing Schedule D, Parts Xl, Xll, and Xlll is optional .

ls the organization a schooldescribed in section 170(b)(lXAXii)? lf "Yes," complete Schedule E .

Did the organization maintain an office, employees, or agents outside of the United States? .

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking,

fundraising, business, investment, and program service activities outside the United States, or aggregate

foreign investments vaiued at $100,000 or more? lf "Yes," complete Schedule F, Parts I and lV '

Did the organization report on Part lX, column (A), line 3, more than $5,000 of grants or assistance to any

organization or entity located outside the United States? lf "Yes," complete Schedule F, Parts ll and lV .

Did the organization report on Part lX, column (A), line 3, more than $5,000 of aggregate grants or assistance

to individuals located outside the United States? lf 'Yes," complete Schedule F, Parts lll and lV .

Did the organization report a total of more than $15,000 of expenses for professional fundraising services

on Part lX, column (A), lines 6 and 1 1e? lf "Yes," complete SChedule G, Part I (see instructions) .

Did the organization report more than $15,000 total of fundraising event gross income and contributions on

Part Vlll, lines 1c and 8a? lf "Yes," complete Schedule G, Part ll .

Did the organization report more than $15,000 of gross income lrom gaming activities on Part Vlll, line 9a?

lf "Yes," complete Schedule G, Part lll .

Did the organization operate one or more hospital facilities? lf "Yes," complete Schedule H .

--

F't

23

10

11

13

14ab

15

16

17

18

19

20ab

X

X

lf "Yes" to line attach a of its statements to thisrorm 990 (eot t )

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,m 990 (201 1 )

21 Did the organization report more than $5,000 of grants and other assistance to any government or organizationin the United States on Part lX, column (A), line 1? lf "Yes," complete Schedule l, Parts I and ll .

22 Did the organization report more than $5,000 of grants and other assistance to individuals in theUnited States on Part lX, column (A), line 2? lf "Yes," complete Schedule l, Pafts I and lll .

23 Did the organization answer "Yes" to Part Vll, Section A, line 3, 4, or 5 about compensation of theorganization's current and former ofiicers, directors, trustees, key employees, and highest compensatedemployees? lf "Yes," complete Schedule J .

24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than

$100,000 as of the last day of the year, that was issued after December 31 , 20A2? ff "Yes," answer lines24b through 24d and complete Schedule K. lf "No," go to line 25 .

b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? .

c Did the organization maintain an escrow account other than a refunding escrow at any time during the yearto defease anytax-exempt bonds? .

d Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? .

25a Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transactionwith a disqualified person during the year? lf "Yes," complete Schedule L, Paft I .

b ls the organization aware that it engaged in an excess benetit transaction with a disqualified person in aprior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or990-EZ? lf "Yes," complete Schedule L, Part I .

26 Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, ordisqualified person outstanding as of the end of the organization's tax year? lf "Yes," complete Schedule L, Pan ll .

27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee,

substantial contributor or employee lhereof, a grant selection committee member, or to a 35o/o controlled

entity or family member of any of these persons? lf "Yes," complete Schedule L, Part lll28 Was the organization a party to a business transaction with one of the following parties (see Schedule L,

Part lV instructions for applicable filing thresholds, conditions, and exceptions):

a A current or former officer, director, trustee, or key employee? lf "Yes," complete Schedule L, Part tV .

b A family member of a current or former officer, director, trustee, or key employee? lf "Yes," complete

Schedule L, Part lVAn entity of which a current or former officer, director, trustee, or key employee (or a family member thereoflwas an officer, director, trustee, or direct or indirect owner? lf "Yes," complete Schedule L, Part lV .

Did the organization receive more than $25,000 in non-cash contributions? lf 'Yes,'complete Schedule M .

Did the organization receive contributions of art, historical treasures, or other similar assels, or qualified

conservation contributions? lf "Yes," complete Schedule M .

Did the organization liquidate, terminate, or dissolve and cease operations? lf "Yes," complete Schedule N,

Part I .

Did the organization sell, exchange, dispose of, or transfer more than 25"/o of its net assets?

lf 'Yes," complete Schedule N, Part ll .

Did the organization own 100o/o of an entity disregarded as separate from the organization under Regulations

sections 3O1.7701-2 and 301.7701 -3? lf 'Yes," complete Schedule R, Part I -

Was the organization related to any tax-exempl or taxable entity? lf "Yes," complete Schedule R, Parts ll,

lll, lV, and V, line 1 ; .

Did the organization have a controlled entity within the meaning of section 51 2(b)(1 3)? .

Did the organization receive any payment from or engage in any transaction with a controlled entity within

the meaning of section 512(b)(13)? lf "Yes," complete Schedule R, Part V' line 2

Section SOI (cxg) organizations. Did the organization make any transfers to an exempt non-charitable related

organization? lf 'Yes," complete Schedule R, Part V, line 2 .

Did the organization conduct more than 5% of its activities through an entity that is not a related organization

and that is treated as a partnership for federal income tax purposes? lf "Yes," complete Schedule R, Part

VI,

38 Did the organization complete Schedule O and provide explanations in Schedule O for Part Vl, lines 11 and

39-1 70981 3

2930

31

32

35ab

34

37

X

19? Note. All Form 990 filers are required to Schedule O. .

rorm 990 (zot t)

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[F #IHl?Hio";,* :,:L::'J#:: 1:nt:r -0- ir not app,icab,e Lthe organization

"orot, with backrrn ra,i+,...^rj,__ Entel -o- if not applicable . . . . H5 ifl*on comply with backup w1ni"io,"n trnrer -o' if not applicable .

.-. ^-. . f-, b l-rng (gamblingf "i""i,ig'. to prize winners? . : "'"t

for reportable payments to vendors "ffipon"ot"*_:uTb:r-of emptoyees reporred on Form Wernents, fired for the calendar vear 6n.ri6^ ...,., -_

s,.J1ansmittal of wage "no

,", I '

| 'ernents, nred ror the carendar v"", "roirg;il;;il';T1,ffi::J':,Hil,0,n11i",r,, I ." I

rer one is reporred on.'13": o,orn" ,rn""izrtion tre r,, ,"or,oo i"irra "rptoyr"rt t"ffihllr lf the sum of rines 1a and 2a

" gr"*, ii]; io ,, ,n-", ;;1";;i,"0 , o

1+i!e (see instructions)he organization have ,n::11:d O*N"., gr;""',in*r" of $ j,000 o, ,*" during the year? .;;#:Xi::1;i:i[^1'"Tl":::fi l"":,:j13i ',"1,:;r, an exptanation in schedute oL!"H'*'J:1llilif :il,:tTJ:.'tr[jilr*"x?,:"::i,f,,$Ih{ii^:fl'*.,nerau,n.r,ymt)? . ." . .

-. ": ,:":,,:" a oanx account, securities accounf, o, otneriinanciaf

rsfructions for firing reou.iremeits ro, eo'r, io'cb-o-le.i, Repil;i-i;;;is;-B;;k-;;;_iir;;;i;iAil;;d,'e organization a party to a prohibiteai"-.t[r,", transaction

", il;; during rhe tax year? .

I,ffi3ffiI,;:i[ l[:ffi]::H: l;jli*:xf_;,*n, to a prohibited rax she,rer kansaction?

"Hffiffl1Tff',"Ji,:,'*:'iyiri:l-t'ingir,"r"", r,i i

s'to line 5a or 5b, did the "ri"r,iri,"" il;;ff"

or ts a party to a prohibited tax sherteriransaction? . .

ffi?,ffiy,lffi ,ffi1fr,,;#;i*h#ff Ir,,,#;;;,i,oo"o,o"no0,,n"Lt*f*"'f#:?iliJrincrude wi*r ererv sor,"]i,,on an express ri"**"n, tnui.r.n conirioutions o,Eafions tfi at may ro",yrl

.l"Orctibte' contriOutions u naer section r r.,.ffiHllJll,:lffi;jfl,T:'ii".";;;;ii]u ,.0" n",try,.

"lonirioution and parry ror soods

, "frffi:T::?t:H:t't the donor oi tne vatue oi,n" nooo" o,

""ri""" prvided? . . . 'O O nle f rriiieiil,,,dnSe, or otherwise dispose of tangibte p*or",.pr"perty for which it was

organ'zation receive any funds, o"*rr rurolrr"i,* 11T", premiums on'- ^^-^^-i, ,r I z=o r

org,nizarion' during the ve ?', pav premiums, airecuv oiina,;";it;";"?.:;:ff:lffi."jm":Il,,izatbo received a contribution;ffi;;ffii#::Iry*ry oio ui. o,sr#.r,rn fire Form s,ee as iequired?

pizat'on received a contribution otil; ffi;: #ilnes, or other renicres, Jii'*,e organization ,,u a iorm 1098-c?.:Lrg organizarions maintaining donor;;& tunds and ."iirorirrt x3) supportingffi ?I"H::'J,",fl ::+,,ilff :x;:lir":milkg#*11,";;i,$;;;ffi srhg otuanizations h.i^+-:-:-- r-- vv,rrg ltle year! 'rirg organizations maintaining aoro,

"jri""oil;::'- vear? -

rganizarion make anv taxabre aismourions un-JJr slci;; 4966? .

ffi"ffi"|{ffi:r,|]:'.Tlil.to " oono,., ioli,ror,"or, or rerated person? . . . . . . . .

bes and capital contributions included on part Vlll, line 12 .

ffiiltr;:t1ili,?#"1?;eart vrri

';; ;;, Lr puoric use orcrub racirities .

nrne from members or shareholders .

ffiJJL:,:::"'":T,:?Ir: ro,-* urornrr or" o, puio.,o onur..or,.u, l*rnqJnts due or received from them.) . . -:

. :sv vr Pqru ru elner sources

I I

ffillfi.l"if[f"::il11g,flI;;:,"1."-tanization riring Formeeo in ri"u or,Pftl-1di?

of (cX29| qualified n.r^, r:. h^^r.L !- - or accrued during the year . I r za I

- '

t(c)!es). euatified nonprofit hearth ,r"ri""""-f"r"ueu qunng the year . l12ol

vtization licensed to issue qualified treartr ptans in more than one state?

ffi l*:::fi :: ;:1*::: j:lT1''3: ;; o-rsan ization m usr reporr on s "r,"0,

r" ounount or reserves the o1ryn],z3t,o, ,. ,"qrir"#ffiffi ffi: ffl:lrt;ffii.,aation is licensed to issue quatified t"urir., pi"illEnization receivp an\, ^ar.B^-.^ r-- !

ffi5: HilHIi3ffiT"':: :.* :::y lq^tiT,:ti e*, g * " o",",,i

Page 6: 2011-2012 Report

OSHKOSH AREA HUMANE SOCIETY. I 1 70981 3response to llnes 2through lb below, and for a, lrrsr.suv'..vrrr, 5.re

response to line 8a, 8b, or 10b below, describe the circumsfances, processes, or changes tn Schedule 0. SeeCheck if Schedule O contains a response to any question in this Part Vl

instrucfions.

tr

1a Enter the number of voting members of the governing body at the end of the tax year .

lf there are material differences in voting rights among members of the governing body, orif the governing body delegated broad authority to an executive committee or similarcommittee, explain in Schedule O.

Enter the number of voting members included in line 1a, above, who are independent .

Did any officer, director, trustee, or key employee have a family relatiohship or a business relationship withany other officer, director, trustee, or key employee? .

Did the organization delegate control over management duties customarily performed by or under the directsupervision of officers, directors, or trustees, or key employees to a management company or other person? .

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .

Did the organization become aware during the year of a significant diversion of the organization's assets? .

Did the organization have members or stockholders? .

Did the organization have members, stockholders, or other persons who had the power to elect or appointone or more members of the governing body? .

Are any governance decisions of the organization reserved to (or subject to approval by) members,

stockholders, or persons other than the governing body? .

Did the organization contemporaneously document the meetings held or written actions undertaken during

the year by the followingThe governing body? .

Each committee with authority to act on behalf of the governing body? .

ls there any officer, director, trustee, or key employee listed in Part Vll, Section A, who cannot be reached

3

4567a

b

I

a

b9

10a

b

XX

XX

11a

b12a

bc

at the address? lf "Yes," the names and addresses in Schedub aSection B. B information about the lnternalRevenue

Did the organization have local chapters, branches, or affiliates? .

lf "Yes," did the organization have written policies and procedures governing the activities of such chapters,

affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? .

Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ,

Describe in Schedule O the process, if any, used by the organization to review this Form 990.

Did the organization have a written conflict of interest policy? lf "No," go to line 13 .

Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts?

Did the organization regularly and consistently monitor and enlorce compliance with the policy? lf 'Yes,'describe in Schedule O how this was done .

13 Did the organization have a written whistleblower policy? .

14 Did the organization have a written document retention and destruction policy? .

15 Did the process for determining compensation of the following persons include a review and approval by

independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

a The organization's CEO, Executive Director, or top management official.

b Other officers or key employees of the organization .

lf ',Yes" to line 15a or 15b, describe the process in Schedule O (see instructions)'

16a Did the organization invest in, contribute assets to, or participate in a ioint venture or similar arrangement

with a taxable entity during the year? .

b lf ,yes," did the organization follow a written policy or procedure requiring the organization to evaluate its

participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard

the status with to such

Section1? L,stthestateswithwhichacopyof thisFormgg0isrequiredtobefiled > w,!-------18 Section 6104 requires an organization to make its Forms 1023 (or 1024it applicable),990, and 990-T (Section 501(c)(3)s only)

available for public inspection. lndicate how you made these available. Check all that apply'

D O*n website I I Rnotner's website [.Xl Upon request

19 Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest

policy, and financial statements available to the public.

20 btut" tn" name, physical address, and telephone number ofthe person who possesses the books and records ofthe

orsanization: >----------J-QN.l-9-E-l-qEB-- ---19?9)-*?!:?1?9------------

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-/ \- L.l

.rsca011) OSHKOSH AREA HUMANE SOC|ETY, tNC 99_1209813 paoel

Employees, and lndependent Gontractorscheck if schedule o contains a response to any question in this part Vll

Section A. Directors1a Cromplete this table for all persons required to be listed. Report compensation for the calendar year ending with or within theorganization's lax year.

- ' List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amountof compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

' List all of the organization's current key employees, if any., See instructions for definition of ,,key employee.,,o List the organization's five current highest compensated employees (other than an officer, direitor, iruitee, or key employee)who received reportable compensation (Box 5 of Form W-2 andlor Box 7 of Form 1099-MISC) oi rnoru than g.t00,000 frlm theorganization and any related organizations

o List all of the organization's former officers, key employees, and highest compensated employees who received more than$100,000 of reportable compensation from the organization and any related organizations.

' List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of theorganization, more than $10'000 of reportable compensation from the organization and any ietateO organizations.List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highestcompensated employees; and former such persons.

E] check this box if neither the organization noj 3!y:9!g9q organization compensated any current officer, director, or trustee.

(A)Name and Title

- .(2)- - MARIHA. TR U-qYPRESIDENT

. -(3)- _ _q_oEE-E_r!_!EN9Fr!

_ _(4)_ _ MEqHANN -KASPER

- .(s)- _ _qaI_ryy._c_rJ [,llvr! N_q$DI

_ _(7)_ - _S-L|AB9.N_BABLQW .DIRECTOR

_ _(8)_ -.B.gF_ -q-osllatlE9EDIRECTOR

_ _(e)- _ ME_Ll9-q4-l5!g-s-l!!q-EBDI

_(-1 _0) - - -JF-ANlr E JAa 9-E $

_(1 -1)_ _ _D-Ayt p- y_AN-Q E'-B tt Np EN

0?)-- LINErIE BApTKE

(REstimatedamount of

othercompensation

from theorganizationand related

organizalions

(B)Averagehours per

week(describehours lorrelated

organizalionsin Schedule

o)

(o)Reportable

compensationfromthe

organization(w-2l1oss-Mrsc)

(E)FleportablB

compensationfrom related

organizationsw-2/109s-MtSC)

rorm 990 lzor r1

-(-1_4)-_MARK_YQKgM

Page 8: 2011-2012 Report

"lF\ b

OSHKOSH 39-1 70981 3

A. Officers

(A)Name and title

_0-s)

(1_6)

_(-1_4

_(_1_8)

-(?l)

cTotalfromcontinuationsheetstoPartVll,SectionA.'>

2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 offrom the

Did the organization list any former officer, director, or trustee, key employee, or highest comPensated

employee on line 1a? lf "Yes," complete Schedule J tor such individual .

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from

the organization and related organizations greater than $150;000? lf 'Yes,' complete Schedule J for such

individual .

Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual

for seruices rendered to the lf 'Yes.' Schedule J for such

(F)

Estimatedamount ol

othercompensation

from theorganizationand relaled

organizations

-(?_0)

-(??)

(?3)

l?!)

(B)Averagehours per

week(describehours forrelaled

organizationsin Schedule

o)

(c)Position

(do not check more than onebox, unloss person is both an

(D)Reportable

compensationfromthe

organizalion(vv-2/10s9-Mlsc)

{E)Reponable

compensationfrom relatedorganizations

(w-2l1099-MrSC)

Section B.

t Comptete this table for your five highest compensated independent contractors that received more than $'100,000 of

compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax

(A)

Name and business address

Total number of independent contractors (including but not limited to those listed above) who received

(c)Compensation

Page 9: 2011-2012 Report

KOSH AREA HUMANE

tn

oo6i5do,lt

oEo

ococ)Go.9tqroE(,(noo.

(D)

Revenueexcluded from

lax under sections1

0

oJcootrLo

o

rorm 990 (zot t)

Page 10: 2011-2012 Report

AREA INC 39-1 70981 3

Functional ExoensesSOl (c)(S) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are

ired to complete columns (B), (C), and

Check if Schedule O contains a response to any question in this Part lX . n

45

7I

91011

Do not include amounts repofted on lines 6b,7b, 8b, 9b, and lOb ol Part Vlil.

1 Grants and other assistance to governments and

a

bcde

fg

12

131415161718

192021

222324

organizations in the United States. See Part lV, line 21

Grants and other assistance to individuals in theUnited States. See Part lV, line 22 .

Grants and other assistance to governments,

organizations, and individuals outside the

United States. See Part lV, lines 15 and 16 .

Benefits paid to or for members .

Compensation of current officers, directors,

trustees, and key emPloYees .

Compensation not included above, to disqualifiedpersons (as defined under section 4958(0(1)) andpersons described in section +958(c)(3XB) .

Other salaries and wages .

Pension plan accruals and contributions (include

section 401(k) and 403(b) employer contributions) .

Other employee benefits .

Payroll taxes .

Fees for services (non-employees):

Management.Legal .

Accounting .

Lobbying .

Professionalfundraising services. See Part lV, line 17 .

lnvestment management fees .

Other.Advertising and promotion .

Office expenses .

lnformation technologY .

Royalties.Occupancy.Travel .

Payments ol travel or entertainment expenses

for any federal, state, or local public officials .

Conferences, conventions, and meetings .

lnterest.Payments to affiliates .

Depreciation, depletion, and amortization .

lnsurance.Other expenses. ltemize expenses not covered

above (List miscellaneous expenses in line 24e. lf

line 24e amount exceeds 10o/o of line 25' column(A) amount, list line 24e expenses on Schedule O.)

PBaff-q9!a_r,JA-L- F_E_E-S_ _ _ _

.S-UF-EL!E-S..-

R E FA!.89- S- MA IN]-E IIANg.E.

uE_qLQA_L--oARE-F_-o8ANl!441.s-S-F-qg-q--All other expenses -SanL Fg-e-s- I lUisp- / -Iel-ep-hqng- - -

a

bcde

Total26 Joint costs. Complete this line only if the

organization reported in column (B) joint costs

from a combined educational campaign and

fundraising solicitation. Check here > [l itsoP 98-2

Page 11: 2011-2012 Report

39-1709813

ooosoEt,calrooq,oo

oz

1.7A4 j170

00

0

533

3

rorm 990 (zor r)

Page 12: 2011-2012 Report

39-1709813Reconciliation of Net AssetsCheck if Schedule O contains a response to any question in this Part Xl

1

23456

Total revenue (must equal Part Vlll, column (A), line 12) .

Total expenses (must equal Part lX, column (A), line 25) .

Revenue less expenses. Subtract line 2 from line 1 ,

Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) .

Other changes in net assets or fund balances (explain in Schedule O) .

Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33,column

Financial Statements and ReportingCheck if Schedule O contains a response to any question in this Part Xll

-85.112

Accounting method used to prepare the Form 990:lf the organization changed its method of accountingSchedule O.

Were the organization's financial statements compiled or reviewed by an independent accountant? .

Were the organization's financial statements audited by an independent accountant?lf "Yes" to line 2a or 2b, does the organization have a comrnittee that assumes responsibility for oversight ofthe audit, review, or compilation of its financial statements and selection of an independent accountant? .

If the organization changed either its oversight process or selection process during the tax year, explain in

Schedule O.

lf "Yes" to line 2a or 2b, check a box below to indicate whether the financial statements for the year were

issued on a separate basis, consolidated basis, or both:

l-l Separate basis I Consotioated basis I nom consolidated and separate basis

3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth inthe Single Audit Act and OMB Circular A-133?

b lf "Yes," did the organization undergo the required audit or audits? lf the organization did not undergo theired audit or audits, in Schedule O and describe taken to such audits.

nfrom

Cash [}-llccruala prior year or checked "Other," explain in

Other

2abc

rorm 9!X) (eor r)