990-EZ ?1 OMB No. 1545?1150 Short Form Return of Organization Exempt From Income Tax Under section 501 527, or 4047(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Sponsoring organizations of donor advised funds, organizations that operate one or more hospital facilities, ft and certain controlling organizations as de?ned in section 512(b)(13) must ?le Form 990 (see instructions). Open. tO PU I All other organizations with gross receipts less than $200,000 and total assets less than $500,000 . I . t. .. .?len'l Department of the Treasury at the end of the year may use this form. pec '0 . 212'}: 'mema' Revenue 39m? The orggnization may have to use a copy of this return to satisfy state reporting requirements. . . i . A For the 2012 calendar year, or tax year beginning 9 i - I 2012, and ending a a 20 I Check If applicable: Address change I: Name change Initial return Terminath El Amended return Application pending Accounting Method: Website: Tax-exempt status Heck only one) Check not more than $50,000. . the organization chooses to frle a return, be sure to file a complete return. Add lines 5b, 6c, and 7b, line 25. column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ WRevenue, Expenses, and Changes-in _Net Assets or Fund Bala Check if the organization used Schedule 0 to respond to any question in this Part . I{Name of organization Number and street (or P.O. box, if marl is not delivered to street address) Crty or town, state or country, and ZIP 4 Employer identi?cation number Telephone number Group Exemption Gr Room/suite {cad A. IN 17m 0 TQLK Tee?s Number N/g ash CI Accrual Othei (specify) Check Ci if the organization is not requrred to attach Schedule $461830) 501(c)( 4 (insert 4947(a)(1)or 527 (Form 990, 990452. or 990-PF). if the organization is not a section 509(a)(3) supporting organization or a section 527 organization and its gross receipts are normally A Form QQO-EZ or Form 990 return is not required though Form 990-N (e-postcard) may be required (see instructions). But If to line 9 to detemrrne gross receipts. lf gross receipts are $200,000 or more, or if total assets (Part II. . ions for Part I) noes (see the instruct $15,000) . Revenue Gross income from gaming (attach Schedule if greater than Gross income from fundraising events (not from fundraising events reported on line 1) (attach Schedule if the Contributions, gifts, grants, and similar amounts received . 1 Ll Program service revenue including government .fees and contracts 2 0 Membership dues and assessments . - 3 0 Investment income . . . . . . . . . . . . . . . . . 0 Gross amount from sale of assets other than inventory 5a )2 Less: cost or other basis and sales expenses . . . .. . . 5b . Ga?in or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) . 5c 0 Gaming and fundraising events . 6aL 0 including of contributions sum of such gross income and contributions exceeds $15,000) . 6), 0 Less: direct expenses from gaming and f?hdraising events Sc Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract lineSc) - Gross sales of inventory, less returns and allowances 7a Less: cost of goods sold . . . . . . . . . . . 7b . Gross profit or (loss) from sales of inventory (Subtract line Tb from line 7a) 7c 0 Other revenue (describe in Schedule 0) . . . . 8 Total revenue. Add lines Grants and similar amounts paid (list in Schedule 0) . . 10 (1 Benefits paid to or for members . . . . . . 11 3 Salaries, other compensation, and employee benefits . 12 2 Professional fees and other payments to independent con 0. 13 5 3. Occupancy, rent, utilities, and maintenance 14 7 0 IE Printing, publications, postage, and shipping . . . . . . . . . g. 15 0 Other expenses (describe in Schedule Total expenses. Add lines 10 through Excess or (deficit) for the year (Subtract line 17 from line Net assets or fund balances at beginning of year (from line 27, column (must agree with i 2 end-of-year figure reported on prior year's returnOther changes in net assets or fund balances (explain in Schedule Net assets or fund balances at end oiyear. Combine lines 18 through 20 . 21 9 For Papemork Reduction Act Notice, see the separate instructions. Cat. No. 10342r Form 990-EZ (2012) Form 990-EZ (2012) Page 2 Balance Sheets (see the instructions for Bart ll)? Checklif therorganization 'used Schedule 0 to 'r'espond to any question in this Part (A) Beginning of year (B) End of year 22 Cash, savings, and investments . . . . . . . . . . . .- . . . . . 22 ,23__Lanc_llandbuildingsOther assets(describein-Schedule-TotalassetsTotal liabilities (describe in Schedule Net assets or fund balances (line'27 of'colurnn (B) must agree'with'line 21Statement of Program Service Accomplishments (see the instructions for Part MII39?!Ies :"Check used Schedule 0 to regagnd to any question in this Part .. . (new,de section What is the organization's primary exempt purpose? Kg 1m bil .1450 Sahel-oar 501(c)(3) and 501(c)(4) organizations and section IlDescribe ther?organization 3 program sewice accomplishments for each of its three largest program semces. opuonal as measured by expenses. in a clear and concise manner, describe the services provided, the number of mothers.) persons benefited, and other relevant information for each program title. 23 mirelate."reheaasmatua -snt -2an my 5 Ne Mia (Grants:$ If this amount includes foreign grants, check here . . . . 28a 50 I 7 29 educaJ-an abou+ the importance. aF preSeNaHon lanai-s. ?0 peoplen?iauj?j?. - 9 (Grants$ 0? If this amount includes foreign grants, check here . . . . 29a 2 9 0 30 Wildlife. Pr: Rescue, - bk. sc?ccpl- anal Cam-? liar We. animatsn?iei no one else myml-QL 'ean hous?lncluJ-?nq oncs .S?u-FFer-?nq me . (Grants If this amount includes foreign grants, check herer . 30a /57 31 Other program services (describe in Schedule (Grants 55 If this amount includes foreign grants, check here . . . . El 31a 32 Total program service expenses '(addlines 28a through 31aPart IV List of Officers, Directors, Trustees, and Key Employees List each one even if not compensated (see the instructions for Part lV) Check if the used Schedule 0 to to in this Part Reportable Health bene?ts. compensation to (Forms benefit plans, and (if not paid. enter -0-) deferred compensation- Average hours per week devoted to position 50 5 lo (9) Estimated amount of Name and title other compensation do, gob-? Form 990-EZ (2012) Form 990-EZ (2012) Other Information (Note the Schedule A and personal benefit contract statement requirements in the Page 3 . instructions for Part V) Check if the organization used Schedule 0 to- respond to any question .in this Part Yes No .315; Did the organization engage in any significant activity not previously reported to the If ?Yes,? provide a detailed description of each activity in Schedule Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed - copy of the amended documents if they reflect a change to the organization's name. Otherwise, explain the; . changeon ScheduleO(seeinstructions35a Did the organization have unrelated business gross income of $1,000 or more.during the year-from business activities (such as those reported on lines 2.6a, and 7a, among others'353 If "Yes," to line 35a, has the organization filed a Form 990-T for the year? If provide an explanation in.Schedu e - 35b Was the organization a section 501 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C. Part . . 359 36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If "Yes," complete applicable parts of Schedule . . . . . 37a Enter amount of political expenditures, direct or indirect, as described in the instructions 37a 1" 7 Did the organization file Form 1120-POL for this year38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? If "Yes," complete Schedule L, Part II and enter the total amount involved 39 Section 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on line 9 . Gross receipts, included on line 9, for public use of club facilities . . . . 39b 40a Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under: section 4911 section 4912 section 4955 13 Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or If "Yes," complete Schedule L, Part I . Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on I. organization managers or disqualified persons during the year under sections 4912, . 7 .b Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 400 i reimbursed by the organization . . . . . . . . . . . . . . 0 All organizations. At any time during the tax year. was the organization a party to a prohibited tax shelter transaction? If ?Yes,? complete Form . . . . . . . . . . . . . . . . . . 41 List the states with which a copy of this return is filed d" a ,76_ 42a The organization's books are in care of Telephone no. Located at ZIP 4 5171/1 At any time during the calendar year, did organization have an interest in or a signature or other authority over Yes No a financial account in a foreign country (such as a bank account, securities account, or other financial account)? 42b If "Yes," enter the name of the foreign country: See the instructions for exceptions and filing requirements for Form TD 90-221, Report of Foreign Bank and Financial Accounts. At any time during the calendar year, did the organization maintain an office outside the . 42c If enter the name of the foreign country: 43 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041 ?Check here and enter the amount of tax-exempt interest received or accrued during the tax year . L43 I 44a Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must be completedinsteadof Form990?Did the organization operate one or more hospital facilities during the year? If "Yes." Form 990 must be completed instead of Form 990-Did the organization receive any payments for indoor tanning services during the year"Yes" to line 44c, has the organization filed a Form 720 to report these payments? If provide an 45a Did the organization have a controlled entity within the meaning of section 512(b)(1345b Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," Form 990 and Schedule Ft may need to be completed instead of . Form (see instructions) . Form 990-EZ (5012) Form 990-EZ (2012) Page 4 46 Did the organization engage, directly or indirectly. in political campaign activities on behalf of or in opposition to candidates for public office? If ?Yes,? complete Schedule 0, Part I Section 501(c)(3) organizations only All section 501(c)(3) organizations must answer questions 47?49b and 52,.and complete the tables for lines 50 and 51 Check if the org: anization used' Schedule 0 to respond to any question in this Part Vi Yes No 46 )t 47 Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If ?Yes,? complete Schedule C, Part II 48 is the organization a school as described in section 170(b)(1) Did the organization make any transfers to an exempt non-charitable related organization? . If ?Yes.? was the related organization a section 527 organization? . . . . 50 Complete this table for the organization?s five highest compensated employe 49a If "Yes," complete Schedule . Yes(other than officers, directors, trustees and key tion. If there is none, enter ?None.? employees) who each received more than $100,000 of compensation from'the organiza Health_benef ts. Name and title of each employee horszsAgglfaf;k 3353:9213: contributions to employee Estimated amount of paid more than $100.000 devoted to position (Forms other compensation None, - Alp/La Mme [Von C. 1' Total number of other employees paid over $100,000 51 Complete this table for the organization's ?ve highest compensated ir?pendent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None." Name and address of each independent contractor paid more than $100,000 Total number of other independent contractors each receiving over $100,000 52 Did the organization complete Schedule Note: All section 501(c)(3) org nonexempt charitable trusts. must attach a completed Schedule A . . . Type of sarvuce . anizations ?and 4947(a)(1 Compensation [E/Yes No Under penalties of perjury. I declare that I have examined this return. including accompanying schedules and statements. and to the best of my knowledge and belief, it (5 true. correct, and complete Declaration of preparer (other than of?cer) :5 based on all Information of which preparer has any knowledge 1 Sign Slgna re of officer Date a Here - ?71 1 (kg; ace: 0 43 Type or print name and title Print/Type preparer's name Preparer's signature Date Cheek If PTIN self-employed Preparer Finn?s name Firm's EIN Use Only FIrm's address Phone no. May the IRS discuss this return with the preparer shown above? See instructions 9 .D. Fem 990- E2 (2012) G3 5. GOVERNMENT PRINTING OFFICE. 2013?378467180029 I SCHEDULE A (Form Department of the Treasury Interpol Revenue Service Public Charity Status and Public Support Complete if the organization is a section 501 (9N3) organization or a section 4947(a)(1) nonexempt charitable trust. Attach to Form 990 or Form 990-52. See separate instructions. Medium-x: .72 Amiga. s? 990 or 990-EZ) Open to-Pubtlic . 4. Inspection Name the anization' 13% .277 Reason for Public Charity Status (All organizations r?nust complete this part.) See instructions. The organization is not a private foundation because it is: (For lines 1 through 11. check only one box.) 1 A church, convention of churches, or association of churches described in section 2 A school described in section (Attach Schedule E.) 3 A hospital or a cooperative hospital service organization described in section 4 El A medical research organization operated in conjunction with a hospital described in section Enter the hospital's name, city, and state: 5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section (Complete Part II.) 6 A federal, state. or local government or governmental unit described in section . 7 An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section (Corriplete Part ll.) 8 A community trust described in section (Complete Part II.) 9 An organization that normally receives: (1) more than Sal/3% of its support from contributions, membership fees. and gross receipts from activities related to its exempt functions?subject to certain exceptions, and (2) no more than 331/a% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part 10 CI An organization organized and operated exclusively to test for public safety. See section 509(a)(4). 11 Elm organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h. a CI Type I Type ll Type Ill?Functionally integrated Type integrated By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disquali?ed persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). If the organization received a written determination from the IRS that it is a Type l, Type ll, or Type supporting 9 Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons? A person who directly or indirectly controls, either alone or together with persons described .in (ii) and. below, the governing body of the supported organization? . . . 11 (ii) Afamily member of a person described in above35% controlled entity of a person described in or (ii) aboveProvide the following information about the supported organization(s). Name of supported (Ii) EIN Type of organization (iv) Is the organization you notify (VI) Is the (VII) Amount of monetary organization (described on lines 1?9 In col listed in your the organization In organization In col. support above or me section governing document? col. of your organized in the (see instructions? support(A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice. see the Instructions for Form Schedule A (Form 990 or BSD-E2) 2012 Cat. No 1 1285F 990 or BSD-E2. Schedule A (Fom't 990 or 990-EZ) 2012 Page 2 Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and (Complete only if- you checked the box on line 5, 7, or 8 of Part I or if the organization failed-to qualify under Part If the organization fails to qualify under the tests listed below, please cc?plete Part Section A. Public Support Calendar?year (or fiscal year beginning in) 1 6 2011 . "i'lz 2012 Total 2008 -. 2009 2010 . Gifts, grants, contributions, and membership fees received. (Do not include:any "unusual grants.") . Tax revenues levied for the organization's benefit and either paid to or expended on its behalf The value of services or facilities . furnished by a governmental unit to the organization without charge . Total. Add lines 1 through 3 . The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on lin_e11,column (1). Public support. Subtract line 5 from line 4. Section B. Total Support Calendar year (or fiscal year beginning in) 2008 2009 2010 201 1 2012 Total 7 Amounts from line4 . . . . . . 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources 9 Net income from unrelated business activities, whether or not the business is regularlcharried on . . 10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IVTotal support. Add lines 7through10 A . .g . .- 12 Gross receipts from related activities, etc. (see instructionsFirst five years. If the Form 990 is for the organization's first, second, third, fourth. or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . [3 Section c. Computation of Public Support Percentage 14 Public support percentage for 2012 (line 6, column (1) divided byline 11, column (0) 14 15 Public support percentage from 2011 Schedule A. Part II, line 16a 331/3% support test?2012. If the organization did not check the box on line 13, and line 14 is 331/396 or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . 33?Ia%, support test?2011. If the organization did not check a box on line 13 or 16a, and line 15 is 331/3% -or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . [3 17a 10?Vo-facts-and-circumstances test?2012. If the organization did not check a box on line 13, 16a, or 16b, and 'line 14 is 10%_ or more, and if the organization meets the ?facts-and~circumstances" test, check this box and stop here. Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported 10%-facts-and-circumstances test?2011. If the organization did not check a box on line 13, 16a. 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly >13 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see Schedule A (Form 990 or 990-EZ) 2012 Schedule A (Form 990 or 201 2 Support Schedule for Organizations Described in Section 509(a)(2). (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify'unde?r Part II. ?1 I- If the organization fails to qualify under the tests listed below, please complete Part II.) Sef-tion A. Public Support Page 3 .1 - - Calendar year (or fiscal year beginning in) 1 2 0 Gifts, grants, contributions,'and membership fees received. (Do not include any "unusual grants") Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose . Gross receipts from activities that are not an unrelated trade or business under section 513 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf The value of services or facilities furnished by a governmental unit to the organization without charge . Total. Add lines 1 through 5 . Amounts included on lines 1, 2, and 3 received from disqualified persons Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or1%ofthe amount on Iine13fortheyear Add lines 7a and 7b Public support (Subtract line To from 2008 2009 .. 2010 2011 2012 -Total 413.37 957.17 79.1 5175-79? s93c0 ??yo a p. 141837 57579 K700 line 6.) . . . Section B. Total Suppo Calendar year (or fiscal year beginning in) 2008 2009 2010 2011 2012 Total 9 Amounts from line? - - - 4/23 7 7.1.7 9979?. 5?7 5?7? 54/3121 10a Gross income from interest, dividends, payments received on securities loans, rents, . royalties and income from similar sources . C) Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 . Add lines 10a and 10b . 6) 0 11 Net income from unrelated business activities not included in line 10b, whether - or not the business is regularly carried on 0 0 12 Other income. Do not include gain or 7 loss from the sale of capital assets - (Explain in Part IVTotal support. (Add lines 9, 10c, 11, - . ammo - - - - - - - 31337 457.2 7 99792. 57574 57/360 297290 14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . )3 Section C. Computation of Public Support Percentage 15 Public support percentage for 2012 (line 8, column divided byline 13, column 15 96 16 Public support percent?age from 2011 Schedule A, Part line 15 . . 16 . 71L Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 100, column divided by line 13. column . 17 18 Investment income percentage from 2011 Schedule A, Part line 19a 331/3% support tests?2012. If the organization did not check the box on line 14, and line 15 is more than 331/396, and line 20 17 is not more than 331/396. check this box and stop here. The organization qualifies as a publicly supported organization 33%% support tests?2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/395, and line 18 is not more than 331/396, check this box and stop here. The organization qualifies as a publicly supported organization )3 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions )3 Schedule A (Form 990 or 990-EZ) 2012 Schedule A (Form 990 or 990-EZ) 2012 Page 4 Supplemental Information. Complete this part to provide the explanations required by Part II, line '10; Part II, line .?ln7a or 17b; and Part line 12. Also complete this part for any additional information. (See . instructions). Schedule A (Form 990 or BOO-E2) 2012 Pant-dun Wm one: 3 GOVERNMENT PRINTING OFFICE 2013?376467/80030 ?g?g?i?m_m Supplemental Information to Form 990 or - Complete to provide information for responses to specific questions on Depanmem (?he Treasury Form 990 or 990-EZ or to provide any additional information. Open to public Intean Revenue Service Attach to Form 990 or 990-E2- Inspection Name of the organization 7 . Employer identi?cation number tax/av, 1a In Need 4 (dye/1:2, Zn ?eeci; Inc. 35 20785?5? Form CED-E2. Peri?i Linc: ll, D-re {leery rec?wr'mmems Fer Ceginj Rap on? animals in 20/24 For Paperwork Reduction Act Notice. see the Instructions for Form 990 or 990-Ez. Cat. No. 51056K Schedule 0 (Form 990 or ego-E2) (2012) Page 2 Schedule 0 (Form 990 or 990-EZ) (2012) Employer identi?cation number Name of the organization l3 Schedule 0 (Form 990 or 990-EZ) (2012)