CrO 2 ca (..)2 S Form 990 OMB No. 1545-0047 Department of the Treasury Internal Revenue Service Return of Organization Exempt From Income Tax 2015 Under section 501(c), 527, or 4947(aK1) of the IINEITIal Revenue Code (except private foundations) o. Do not enter social security numbers on this form as it may be made public. 1- Intonation about Fong 990 and its instructions is at wantirs.govifom7990. Open to Public Inspection , 2015, and ending A For the 2015 calendar year, or tax year beginning M Check if applicable: Name change 1.■ Initial return Employer Identification number E Telephone number 46-3960722 HICALIBER HORSE RESCUE, INC. P.O. BOX 1588 VALLEY CENTER, CA 92082 Address change ta■O I) (760) 443-9424 immmi fitM rebre/terminsted 0■I ••••• G Amended net= APplication pending Tax exempt status - ROMNEY SNYDER P.O. BOX 1588 VALLEY CENTER, CA 92046 F mffm ""damadirmil'swlim: IXI501(c)(3) 3 1501(c) ( ) 4 (insert no.) Activities AGovernance Revenue I I Expenses I L Tear of formation: 2 I M State of legal domicile: 1 2 3 4 5 6 7a b Check this box l■ Erd the organization discontinued its operations or disposed of more than 25% of Its net 3 Number of voting members of the governing body (Part VI, line la) . .. 4 lt2A.:itiV. Number of independent voting members of the governing body (Part VI, I 5 0,,. norr.rn.Vn Total number of individuals employed in calendar year 2015 (Part V, link Total number of volunteers (estimate if necessary) 6 7a Total unrelated business revenue from Part VIII, column (C), line 12 7b Net unrelated business taxable income from Form 990-T, line 34 Mrs. CA HICALIBER HORSE RESCUE IS DEDICATED TO THE PROTECTION AND RESCUE OF ABANDONED AND ABUSED HORSES WHILE EMPHASIZING COMMUNITY EDUCATION, ENCOURAGING COMPASSION AND SUPPORTING RESPONSIBLE OWNERS. 6 6 r) itCe 0 0 0. 0. 4ov..2. 2. 2016 8 9 10 11 12 13 14 Kega rY Ul PLOW Yeaf Contributions and grants (Part VIII, line 1h) -jhatitab" n-IrtiSr164, 510. Program service revenue (Part VIII, line 2g) 12,245. Investment income (Part VIII, column (A), lines 3,4. and 7d) Other revenue (Part VIII, column (A), lines 5, 6d, 8c. 9c, 10c, and 11e) Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), tine 12) 176,755. 1,515. Grants and similar amounts paid (Part IX, column (A), lines 1-3) Benefits paid to or for members (Part IX, column (A), line 4) 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) Current Year 235,929. 54,174. 290,103. 16a Professional fundraising fees (Part IX, column (A), line 11e) b Total fundraising expenses (Part IX, column (D), line 25) a 17 18 19 Other expenses (Part IX, column (A), lines ha-lid. I lf-24e) Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) Revenue less expenses. Subtract line 18 from line 12 a 129,818. 295,303. 131,333. 45,422. 295,303. 5,200. - End of Year Beginning of Current Year 1sl 20 ... 21 'a 013 i aummarY Briefly describe the organization's mission or most significant activities: [ I ran 1 Yee 14(c) Group exemption number lw Form ot organization: IXI Corporation I I Ins! II Association I I K Ths MN Are all subordinates included? If No: attach a list. (see instructions) 14947(a)(1) or I 3527 WWW.HICALIBER.ORG J Websaw 290 103 Gross receipts $ N(a) Is this a group return for subordinates? 22 45,580. 1,550. 4 4 , 030. Total assets (Part X, line 16) 7otal liabilities (Part X, line 26) Net assets or fund balances. Subtract line 21 from line 20 14,961. 13,471. 1,490. Part II I Signature Block Under penalties of perluniggare that I (other than complete. Declarabon of Sign Here this return. including accompanying schedules and statements, and lo the best of my knowledge and belief, it is true, corned. and based on,p21 information of which prewar tuts any knowledge. protons of officer Ilia PRESIDENT ROMNEY SNYDER Type or print name and title. Runt/type preparers name targrus 0. Paid Preparer Firm's name Use Only Fires addresS Prepater'S signature )CrldV.T.T.P 0. NELSON, CPA NELSON, CPA LLP MANN,, URRUTIA, NELSON, CPAS & AS 290 2$01 DOUGLAS BLVD, ROSEVILLE, CA 95661-3824 May the IRS discuss this return with the preparer shown above? (see instructions) BAA For Paperwork Reduction Act Notice, see the separate instructions. Date Check U if PTIN Self-emPloreil P00453363 firm's EIN • 20-0276349 Phone no. (916) 774-4208 jNo IX, Yes Form 990 (2015) NEEA01131 10/12115 I. r. .. I. ?Mr. .3. a .. I .II. I. 1 IfLat. u. . . Int.II[.th I.I..IJI .. . ...45III?nib I I. . . I. Ii. Fir-.Form 990 (2015) 46-3960722 HICALIBER HORSE RESCUE, INC . Page 2 I Part III I Statement of Program Service Accomplishments Check if Schedule 0 contains a response or note to any line in this Part III 1 Briefly describe the organization's mission: HICALIBER HORSE RESCUE IS DEDICATED TO THE PROTECTION AND RESCUE OF ABANDONED AND ABUSED HORSES WHILE EMPHASIZING COMMUNITY EDUCATION, ENCOURAGING COMPASSION AND SUPPORTING RESPONSIBLE OWNERS. 2 Did the organization undertake any significant program services during the year which were not listed on the prior 3 Forrn 990 or 990-ED If 'Yes, describe these new services on Schedule 0. Did the organization cease conducting, or make significant changes in how it conducts, any program services' 4 D Yes gi No Yes 1;3 No If 'Yes,' describe these changes on Schedule 0. Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. 4a (Code: ) (Expenses $ 286, 7 80 including grants of $ ) (Revenue $ SEE SCHEDULE 4b (Code: ) (Expenses $ including grants of $ ) (Revenue $ 4c (Code' ) (Expenses $ including grants of $ ) (Revenue $ 4d Other program services. ()escribe in Schedule 0.) (Expenses $ 4e Total program service expenses 11. BAA including grants of $ ) (Revenue $ 286,780. 71MA01Ma_ 1012/15 Form 990 (2015) . . . . l?pn lip-5.; . . . rut..- . .ng . ?q a. c. at.tiu (.nt} I a all. .. {vii .ti96-3960722 HICALIBER HORSE RESCUE, INC . I Part IV [Checklist of Required Schedules Form 990 (2015) Page 3 Yes No 1 Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? Schedule A 2 Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? If 'Yes,' complete 1 X 2 X 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If Yes,' complete Schedule C. Part 1 3 X 4 Section 50l(c)Ø organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during thetax year? If 'Yes,' complete Schedule C. Part II 4 X 5 X ) 5 Is the organization a section 501(c)(4), 501(0(5), or 501(0(6) organization that receives membership dues, assessments, or similar amounts as defined on Revenue Procedure 98-19? If Yes,' complete Schedule C, Part III 6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If 'Yes, complete Schedule D, Part I 6 X 7 Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If 'Yes,' complete Schedule D, Part II 7 X 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If Yes,' complete Schedule D, Part Ill 8 X 9 Did the or nization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation for services? If 'Yes,' complete Schedule D, Part IV 9 X 10 X 10 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If 'Yes,' complete Schedule D, Part V 11 If the organization's answer to any of the following questions is 'Yes', then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable. a Did the organization report an amount for land, buildings and equipment in Part X, line 10? If Yes,' complete Schedule D, Part VI 11 a X b Did the organization report an amount for investments — other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If 'Yes,' complete Schedule D, Part VII 11 h X 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? If 'Yes,' complete Schedule D, Part VIII 11 c X d Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If 'Yes,' complete Schedule D, Part IX e Did the organization report an amount for other liabilities in Part X, line 25? If 'Yes,' complete Schedule D, Part X 11 d X 11e X I 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)? If 'Yes,' complete Schedule D, Part X . . 11 f X 12a X 12 b X 12a Did the organization obtain separate, independent audited financial statements for the tax year? If Yes,' complete Schedule D, Parts XI, and XII b Was the organization included in consolidated, independent audited financial statements for the tax year? If Yes,' and if the organization answered 'No' to line 12a, then completing Schedule D, Parts XI and XII is optional Is the organization a school described in section 170(b)(1)(A)(ii)? 13 If 'Yes,' complete Schedule E 14a Did the organization maintain an office, employees, or agents outside of the United States? b Did the organization have aggregate revenues or expenses of more than $10,000 from goal hooking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If Yes,' complete Schedule F, Parts land IV 13 X 14a X 14b X 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If Yes,' complete Schedule F, Parts II and IV 15 X 16 Did the organization report on Part IX, column (A), line 3, more than $5,093 of aggregate grants or other assistance to *edule F, Parts III and IV or for foreign individuals? If 'Yes,' complete Sth 16 X 17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and lie? If 'Yes,' complete Schedule G, Part I (see instructions) 17 X 18 Did the organization report more than $15,000 total of fundraising event grass income and contributions on Part VIII, lines lc and 8a? If Yes,' complete Schedule G, Part II 18 X 19 Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If Yes,' complete Schedule G, Part Ill 19 X BAA 1EEA01031. 10112115 Form 990 (2015) Form 990 (2015) Partly HICALIBER HORSE RESCUE, INC. 46-3960722 Page 4 Checklist of Required Schedules (continued) Yes No 20a Did the organization operate one or more hospital facilities? If 'Yes', complete Schedule H b If Yes to line 20a, did the organization attach a copy of its audited financial statements to this return" 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If 'Yes,' complete Schedule I, Parts! and!! 22 Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If Yes/ complete Schedule I, Parts I and III 23 Did the organization answer 'Yes' to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If Yes,' complete Schedule J Ma Did the organization have a tax-exempt bond issue with an outstanding principal amount at more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If 'Yes,' answer lines 24b through 24c1 and complete Schedule K. If 'No. 'go to line 25a 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 year to defease any tax-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(cX3), 501(44), and 501(429) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If 'Yes,' complete Schedule L. Part I X 20a 20b 21 X 22 X 23 X Ma X Mb 24c 24d 25a X b is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If Yes,' complete Schedule L, Part I 25b X Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If Yes', complete Schedule L, Part IL 26 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If 'Yes,' complete Schedule L, Part III 27 26 27 X X 23 Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable tiling thresholds, conditions, and exceptions): a A current or former officer, director, trustee, or key employee? If 'Yes,' complete Schedule 1, Part IV b A family member of a current or former officer, director, trustee, or key employee? If Yes,' complete Schedule L, Part IV c An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If 'Yes,' complete Schedule L, Part IV 29 Did the organization receive more than $25,000 in non-cash contributions? If 'Yes,' complete Schedule M 211b X 29c X 29 X Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If 'Yes,• complete Schedule M Did the organization liquidate, terminate, or dissolve and cease operations? If Yes,' complete Schedule N, Part I 30 31 X X Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If 'Yes,' complete Schedule N, Part II 32 X 33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If 'Yes,' complete Schedule P. Part I 33 X Was the organization related to any tax-exempt or taxable entity? If 'Yes,' complete Schedule P. Part 11, Ill, or IV, and Part V. line 7 35a Did the organization have a controlled entity within the meaning of section 512(b)(13)? 34 X 35a X 30 31 32 34 b if 'Yes' to line 35a, 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,' complete Schedule R, Part V, line 2 36 Section 501(43) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If Yes,' complete Schedule Ft, Part V, line 2 37 Did the organization conduct more than 5% of its activities fivough an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If Yes,' complete Schedule P. Part VI 313 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines I lb and 19? Note. All Form 990 filers are required to complete Schedule 0 BAA TEEA01041. 10112115 35b 36 X 37 X x 36 Form 990 (2015) . .[cl guru . Id! . I .illItr. . kl. Form 990 (2015) Page 5 46-3960722 HICALIBER HORSE RESCUE, INC. Part V J Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule 0 contains a response or note to any line in this Part V Yes No 1a lbl 1 a Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable b Enter the number of Forms W-2G included in line la. Enter -0- if not applicable 0 0 c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners' 2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax State2 al ments, filed for the calendar year ending with or within the year covered by this return b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e- file (see instruct ons) 0 2b 3a 3 a Did the organization have unrelated business gross income of $1,000 or more during the year" b If 'Yes' has it filed a Form 990-T for this rar? If Ws' to line 3b, provide an explanation in Schedule 0 I T- 3b 4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? 4a X b If 'Yes,' enter the name of the foreign country: • See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts. ( BAR) 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year' b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction' 5a 5b X X Sc c If 'Yes,' to line 5a or 5b, did the organization file Form 8886-T" 6 a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions' 6a b If 'Yes,' did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible' 7 Organizations that may receive deductible contributions under section 170(c). 6b a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor" b If 'Yes,' did the organization notify the donor of the value of the goods or services provided' c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282" d If 'Yes,' indicate the number of Forms 8282 filed during the year 7d1 e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract" lb 7c X if If _ 7g X _ 7h X 8 X I f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract" g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required' Ii If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C" 8 Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year" 9 Sponsoring organizations maintaining donor advised funds. a Did the sponsoring organization make any taxable distributions under section 4966? b Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? 10 Section 501(cX7) organizations. Enter: a Initiation fees and capital contributions included on Part VIII, line 12 b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities 11 Section 501(c)(12) organizations. Enter: a Gross income from members or shareholders X 9a 9b 10 lob 11 a b Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) 12a Section 4947(aX1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041' 12b b If 'Yes,' enter the amount of tax-exempt interest received or accrued during the year 12a 13 Section 501(c)(29) qualified nonprofi t health Insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state' Nate. See the instructions for additional information the organization must report on Schedu e 0. 13a b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans X 131 13c c Enter the amount of reserves on hand 14a Did the organization receive any payments for indoor tanning,services during the tax year' b If 'Yes,' has it filed a Form 720 to report these payments? If 'No,' provide an explanation in Schedule (2 TEEA0105L 101 12115 BAA 14a 14b Form 990 (2015) Form I Page 6 46-3960722 990 (2015) HICALIBER HORSE RESCUE, INC. Pad VI I Governance, Management, and Disclosure For each 'Yes' response to lines 2 through 76 below, and for a 'No' response to tine 8a, 8b, or 106 below, describe the circumstances, processes, or changes in Schedule 0. See instructions. Check if Schedule 0 contains a response or note to any line in this Part VI Section A. Governing Body and Management Yes No la Enter the number of voting members of the governing body at the end of the tax year 1a If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule 0. II b Enter the number of voting members included in line la, above, who are independent 2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee' 6 2 3 Did the organization delegate control over management duties customarily performed by or under the direct supervision 4 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 5 since the prior Form 990 was filed" Did the organization become aware during the year of a significant diversion of the organization's assets' 6 Did the organization have members or stockholders' 7 a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? b 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 following: a The governing body' b Each committee with authority to act on behalf of the governing body' 9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A. who cannot be reached at the organization's mailing address? If Yes: provide the names and addresses in Schedule 0 X X HH 7b 8a 8b X IX I9I Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) Yes No X 10a 10a Did the organization have local chapters, branches, or affiliates' b If 'Yes,' did the organization have written policies and proceiures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes' 11 a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form' b Describe in Schedule 0 the process, if any, used by the organization to review this Form 990. 12a Did the organization have a written conflict of interest policy? If 'No,' go to line 13 10 b 11 a X SEE SCHEDULE 0 b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts' c Did the organization regularly and consistently monitor and enforce compliance with the policy? If Yes, describe in Schedule 0 how this was done. . . SEE. .SCHEDULE .0 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? 12a X 12b X 12e X 13 X 14 X 15a a The organization's CEO, Executive Director, or top management official b Other officers or key employees of the organization.. SEE SCHEDULE 0 15b X If Yes' to line 15a or 15b, describe the process in Schedule 0 (see instructions). 16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? 16. X b If 'Yes,' did the organization follow a written policy or procedure requiring the organization to evaluate its participaton in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements' Section C. Disclosure 17 List the states with which a copy of this Form 990 is required to be filed 0. lii CA 18 Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (Section 501(c)(3)s only) available for public inspection. Indicate taw you made these available. Check all that apply. Upon request [] Mother's website 0 Own website g3 0 Other (explain in Schedule 0) 19 Describe in Schedule 0 whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. SEE SCHEDULE 0 20 State the name, address, and telephone number of the person who possesses the organization's boots and records: MICHELLE COCHRAN P.O. BOX 1588 VALLEY CENTER CA 92085 (760) 443-9424 TEEA01061. 10112115 Form 990 (2015) . . . . . . . .I. ?01 I. . allul in it. I A I. . 5.0 Form 994 (2015) Page l 4 6 -3 9 6 0 722 HI CALIBER HORSE RESCUE, INC . 1 Part VII l Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule 0 contains a response or note to any line in this Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1 a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. • List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. • List all of the organization's content key employees, if any. See instructions for definition of 'key employee.' • List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations. • List all of the organization's fanner 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 fanner directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees; and former such persons. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (0) (A) Name and Title fffla191 aaOrrns doffed line) th==== is both an officer and a (*rector/trustee) - 3 . 9. a 1: e 2 1 .g... a Nictest cemenseted IcelPf ores OM Average hours per o week st anz 3-11 sz Reportable compeination from (0) X) Reportable compensation from Orte=a) rerVted i-2/1=Cr (F) Esbmated amount of other campensabon from the organizabon and related organumbons (1) MICHELLE COCHRAN MEMBER 17) ROMNEY SNYDER PRESIDENT (3) BRITTANY BAGDASARIAN TREASURER (4) JENNIFER SMITH SECRETARY (9) DANIEL GROVE MEMBER (6) INGRID ABRASH MEMBER (7) 0 1 0 1 0 1 0 1 0 1 0 X O. O. O. X X O. O. O. X X 0. O. 0. X X 0. 0. 0. X O. O. 0. X 0. 0. 0. 04 (9) 0 0) (11) Oa (1 3) (14) TF-EA01071_ 10/12/15 Fotm 990 (2015) Form 990 (2015) Page 8 46-3960722 HICALIBER HORSE RESCUE, INC. 1 Part VII 1 Section A. Officers, Directors, Trustees, Key Employees, and Highest Com_pensated Employees ( 3) Average hens Per (A) Name and title week (0) Position (do not check more than one box unless person is both an after and a direetefflrusike) any °id hours for p rerate 'Pit (continued) li ,z2 2 I I a)) Reportable compensation from . (Z2MnirillRe) (E) (IF) Reportable compensation from related nonagons (W-2/10%AlISC) Estimated amount of other compensation from the organization and related organizations a (15) (16) — (17) OM (15) 6i0) (21) cza (23) (24) (25) .. e. e. 1 b Sub4otal c Total from continuation sheets to Part VII, Section A d Total (add lines lb and lc) 0. 0. 0. 0. 0. 0. O. O. O. 2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization I .' 0 3 Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line la? If 'Yes,' complete Schedule J for such individual X 4 For any individual listed on line la, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If 'Yes' complete Schedule J for such individual 5 Did any person listed on line la receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If 'Yes,' complete Schedule J for such person X Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of from the omanization. ReDort compensation for the calendar .,year endinq with or within the or nization's tax year. comoensation .. _ . . (B) (A) Description of services Name and business address (C) Compensation 2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization I''' g 1F.EA010EL 10E12115 Form 990 (2015) . . .- t...fuu 0. Lfr1.? .r .. .. . .. .15lullTige 9 Form 990 (2015) HICALIBER HORSE RESCUE, INC. 'Part VIIII Statement of Revenue Check if Schedule 0 contains a response or note to any line in this Part VIII (A) (C) (D) Unrelated business revenue Revenue excluded from tax under sections 512-514 (D) Total revenue .0 and Other Edinilar Amounte 9.0.ntrlitt41 .rts1,P!fte. Pp.n. Ps I Related or exempt function revenue 1 a Federated campaigns 1a b Membership dues c Fundraising events d Related organizations lb 1 c 1d e Government grants (contributions) I All other conbibutions, gifts, grants, and similar amounts not included above if g Noncash contributions included in lines la It 235.929. $ . h Total. Add lines la-it • 3 g t 235,929. Busbless Code .. 54,174. 59,174. 2a ADOPTION FEES & TRAINING b cc 0 0 e c a I d 7 All other program service revenue ... . g Tata& Add lines 2a-2f 3 Investment income (including dividends, interest and other similar amounts) 4 Income from investment of tax-exempt bond proceeds..! sm. Royalties 00 Personal Q) Real 5 54,174. 8.. 6a Gross rents b Less . rental expenses c Rental income Or (iOSS) 0. d Net rental income or (loss) 7a Gross amount from sales of assets other than inventory (ii) Other (0 Securities b Less: cost or other basis and sales expenses _ c Gain or (loss) d Net gain or (loss) 1 . . 8 a Gross income from fundraising events (not including.. $ of contributions reported on line lc) g It i 0 See Part IV, line 18 a b b Less: direct expenses c Net income or (loss) from fundraising events I... 9 a Gross income from gaming activities. See Part IV, line 19 a b b Less direct expenses c Net income or (loss) from gaming activities ".. 10a Gross sales of inventory, less retums a and allowances b Less: cost of goods sold _ b ___,_ _ • c Net income or (loss) from sales of inventory Business Code Miscellaneous Revenue 11 a b C d All other revenue e Tata& Add lines 11a-11d 12 Total revenue. See instructions • 290,103. 1EE_A0109L 10112115 59,179. O. O. OTTO Form 990 (2015) Page 10 46- 3960722 HICALIBER HORSE RESCUE, INC. I Part IX I Statement of Functional Expenses Section 501(0(3) and 501(c) (4) organizations must complete all columns. An other organizations must complete column (A). X Check if Schedule 0 contains a response or note to any line in this Part IX Do not Include amounts 66, 76, 81a, 96, and 10b of on lines VW. OP 010 Total expenses (C) Management and general expenses Program service expenses (D) Fundraising expenses Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 Grants and other assistance to domestic individuals. See Part IV, line 22 1 2 Grants and other assistance to foreign organizations, foreign governments, and foreign Individuals. See Part IV, lines 15 and 16 Benefits paid to or for members Compensation of current officers, directors, trustees, and key employees Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) Other salaries and wages Pension plan accruals and contributions (include section 40103 and 403(10 employer contributions) 3 4 5 6 7 g 9 10 11 0. 0. 0. 0. 0. 0. 0. 0. 300. 5,110. 1,942. 300. 5,110. 36,898. 36,898. 2,480. 2,480. 107.595. 46.947. 26.814. 18.419. 48,798. 295,303. 107.595. 46.947. 26.814. 18.419. 42,217. 286,780. Other employee be Payroll taxes Fees for services (non-employees): a Management b Legal c Accounting d Lobbying • Professional fundraising services. See Part IV, line 17 t Investment management fees g 12 13 Other. (II line hg amount exceeds 10% of line 25, column (A) amourrt, list line I lg expenses on Schedule 0 ) Advertising and promotion Office expenses Information technology 15 Royalties 16 Occupancy 17 Travel 18 Payments of travel or entertainment expenses for any federal, state, or local public officials 19 Conferences, conventions, and meetings 20 Interest 21 Payments to affiliates 22 Depreciation, depletion, and amortization 1,942. 14 23 Insurance 24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule 03 HAy bHORSE PURCHASES cVETERINARY SERVICES dFARRIER a 0 e All other expenses...SEZ .Scrii 25 Total functional menses. Add lines 1 through 24e , 6,581. 8,523. 0. 26 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 ••fl if following 720) SOP 98-2 (ASC BAA WXAM101_ 11/19115 Form 990 (2015) I #13: . Jill: II ?1 xli? .I. on). .li 3t. Tiers}! .. Piaf.? . ti .111! . .- Form 990 (2015) HICALIBER HORSE RESCUE, INC. 46 - 3960722 Pagell IPartX Balance Sheet Check if Schedule 0 contains a response or note to any line in this Part X End o? year Beginning of year 1 2 3 0 5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L _ ... 5 6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)13), and contributing . employers and sponsoring organizations of section 501(0(9 voluntary employees beneficiary organizations (see instructions). Complete Part II of Schedule L 7 8 9 Notes and loans receivable, net 14 • 15 16 17 18 19 20 21 22 a Net Assets or FundBalances I 7 3 4 23 24 25 7 4,957. Inventories for sale or use Prepaid expenses and deferred charges 10. Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D b Less: accumulated depreciation 11 Investments - publicly traded securities 12 Investments - other securities. See Part IV, line 11 13 Investments - program-related. See Part IV, line 11 _E3 14,961. 1 2 Pledges and grants receivable, net Accounts receivable, net 4 1 40,295. 327. Cash - non-interest-bearing Savings and temporary cash investments 8 9 10. 10 b i 10c 11 12 13 Intangible assets. Other assets. See Part IV, line 11 Total assets. Add lines 1 through 15 (must equal line 34) Accounts payable and accrued expenses Grants payable Deferred revenue Tax-exempt bond liabilities Escrow or custodial account liability. Complete Part IV of Schedule D Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons. Complete Part II of Schedule L Secured mortgages and notes payable to unrelated third parties Unsecured notes and loans payable to unrelated third parties 14 1. 15 45,580. 16 14,961. 550. ' 17 ' 18 19 20 21 22 12,471. 1,000. 24 1,000. Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D. 25 13,471. 1,550. 26 Total liabilities. Add lines 17 through 25 27 28 29 Organizations that follow SFAS 117 (MC 958), check here *lines 27 through 29, and lines 33 and 34. Unrestricted net assets Temporarily restricted net assets. Permanently restricted net assets x and complete Organizations that do not follow WAS 117 (ASC 958), check hem • and complete lines 30 through 34. 30 31 32 Capital stock or trust principal, or current funds Paid-in or capital surplus, or land, building, or equipment fund Retained earnings, endowment, accumulated income, or other funds 33 34 Total net assets or fund balances Total liabilities and net assets/fund balances. -- 44,030. 27 1,490. 28 29 I 31 32 44,030. 33 45,580. 34 1,490. 14 961. Form 990 (2015) BAA TFTJW1111 Form 990 (2015) Page 12 46-3960722 HICALIBER HORSE RESCUE, INC. I Part XI I Reconciliation of Net Assets LI Check if Schedule 0 contains a response or note to any line in this Part XI Total revenue (must equal Part VIII, column (A), line 12) Total expenses (must equal Part IX, column (A), line 25) Revenue less expenses. Subtract line 2 from line 1 1 2 3 4 1 2 Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) 3 4 290,103. 295.303 — 5,200. 44,030. . 5 6 7 8 Net unrealized gains (losses) on investments Donated services and use of facilities Investment expenses Prior period adjustments 5 6 7 9 Other changes in net assets or fund balances (explain in Schedule 0) Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B)) a 0. 10 1,490. 10 a — 37.340 . :Financial Statements and Reporting Check if Schedule 0 contains a response or note to any line in this Part XII Yes No Accounting method used to prepare the Form 990: 1 gi Cash []Accrual 0 Other If the organization changed its method of accounting from a prior year or checked 'Other,' explain in Schedule 0. 2 a Were the organization's financial statements compiled or reviewed by an independent accountant? 2a [fa If 'Yes,' check a box below to indicate whether the financial statements for the year were compiled or reviewed on a serate basis, consolidated basis, or both: []Both consolidated and separate basis ['Consolidated basis Separate basis b Were the organization's financial statements audited by an independent accountant? If 'Yes,' check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both: 0 Both consolidated and separate basis 9Consolidated basis Separate basis 2b X 0 C If 'Yes' to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the 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 0. 3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? b 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 Schedule 0 and describe any steps taken to undergo such audits BAA TEEA01121 10/20115 2c 33 X 3b Form 990 (2015) Public Charity Status and Public Support SCHEDULE A (Form 99001 990-fl) Department of the Treasury Internal Revenue Service OMB Pt. 1545-0047 2015 Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. • Attach to Fonn 990 or Form 990-1M. *. information about Schedule A (Form 990 or 990-E2) and its instructions is at svmetb540vfl04fl7990. Open to Public ' Inspection , I Employer Identification met kerne of the ofganization 146-3960722 HICALIBER HORSE RESCUE, INC . I Part I I Reason for Public Charity Status (All organizations must complete this part.) See instructions. The organization is not a private foundation because it is: (For lines 1 through 1 1, check only one box.) 1 A church, convention of churches, or association of churches described in section 1700bXIXA)(0. A school described in section 170(b)(1XAXii). (Attach Schedule E (Form 990 or 990-EZ)) 2 3 A hospital or a cooperative hospital service organization described in section 170(b)(1X4)010. A medical research organization operated in conjunction with a hospital described in section 170(bElNA)(iii). Enter the hospital's 4 name, city, and state: An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section El 170(INOXA)Cm). (Complete Part II.) A federal, state, or local government or governmental unit described in section 170(b)(1)(AXv). 6 An organization that normally receives a substantial part of its support from a governmental unit or from the general public described 7 — in section 1700N(1 NA)(14). (Complete Part II.) 8 E3 A community trust described in section 170(b)(1)(A)b4). (Complete Part II.) 5 n ri An organization that normally receives: (1) more than 33-1/3% of its support from contributions, membership fees, and gross receipts 9 E Ifrom activities related to its exempt functions — subject to certain exceptions, and (2) no more than 33-1/3% 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 Ill.) 10 fl An organization organized and operated exclusively to test for public safety. See section 5090X4 An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one 11 — or more publicly supported organizations described in section 509(a)(1) or section 509(4(4 See section 5090)(3). Check the box in lines 11a through lid that describes the type of supporting organization and complete lines lie, Ilf, and 11g. a 9 Type LA supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B. ]Type U. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C. Type Ill functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported c organization(s) (see instructions). You must complete Part IV, Sections A, D, and E. d itype Illnon-function*Dy integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must cmtmlete Part IV, Sections A and D, and Part V. e El Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization f Enter the number of supported organizations g Provide the following information about the supported organization(s). n b [ (0 Name of supported organization (U) E1N OD) lYpe of organization (dew- abed on lines 1-9 above (see instructions)) (19 Is the CeClemzetial Wed in your gOVarrillg &cornett? Yes (v) Amount of monetary SUPPOrt (see InstructionS) 0.1) Amount of other support (see instructions) No (A) (B) (C) (I)) (E) Total EtAA For Papenvork Reduction Act Notice, see the Instructions for Form 990 or 990-12. 1EEA0401L 10112115 Schedule A (Form 990 or 990-EZ) 2015 ivtau-?Irx?t? I InJ?q uL?15?;13' - "If..--.-. . . . .?llr-?uII.--IISchedule A (Form 990 or 990-EZ) 2015 I Page 2 46-3960722 HICALIBER HORSE RESCUE, INC. Part II ISupport Schedule for Organizations Described in Sections 170(b)(1XAXiv) and 170(b)(1XAXvi) (Complete only if you checked the box on line 5, 7, or Sot Part I or if the organization failed to quality under Part III. If the organization fails to qualify under the tests listed below, please complete Part II .) Section A. Public Support Calendar year (or fiscal year beginning in) I.. ra nhis, contributions, and . 1 0.... ipi fees received. (Do not ;cirri& tmusual grants.). 2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf 3 The value of services or facilities furnished by a governmental unit to the organization without charge 4 5 6 (c) 2013 Q)2012 (a) 2011 7 Amounts from line 4 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources (f) Total 164,510. 235,929. 400,439. 0. 0. 0. 164,510. O. 400,439. 235,929. 0. Public support. Subtract line 5 from line 4 day year (or fiscal year (e)2015 0. 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 line 11, column (f) beg! (d) 2014 , (c) 2013 (b) 2012 (a) 2011 0. 0. O. 400,439. (f) Total (d) 2014 (e) 2015 164,510. 235,929. • 400,439. 0. Net income from unrelated business activities, whether or not the business is regularly carried on Other income. Do not include gain or loss from the sale of capital assets (Explain in Part V1.) 9 10 0. 0. Total support. Add lines 7 th rough Gross receipts from related activities, etc. (see instructions) 11 12 400,439. I 12 I HH H 419 13 First five years. If the Furl 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 Section C. Computation of Public Support Percentage Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) Public support percentage from 2014 Schedule A, Part II, line 14 14 15 14 15 check this box 16a 33-113% support test — 2015. If the organization did not check the box on line 13, and line 14 is 33-1/3% or more, and stop here. The organization qualifies as a publicly supported organization - b 33-113% support test — 2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33-1/3% or more check this box and stop here. The organization qualifies as a publicly supported organization 14 is 10% 17a 10%4acts-and-drcumstances test — 201t If the organization did not check a box on line 13, 16a, or 16b, and line or More, and if the organization meets the 'facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the 'facts-and-circumstances test. The organization qualifies as a publicly supported organization LI - b 10%-facts-and-circumstances test — 21714 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 VI how the organization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization 18 Private foundation.11 the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions Schedule A (Form 990 or 990-EZ) 2015 BAA TEEADIca lonvis . .I..ILII.5..qu a .. .Im.ISchedule A (Form 990 or 990-Ea 2015 46 3960722 HICALIBER HORSE RESCUE, INC . Page 3 - I Part III 'Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 901 Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part I.) n A. Public SuDoort Calendar year (or fiscal year beginning in) • 1 Gifts, grants, contributions and membership fees received. po not include any 'unusual grants.) 2 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 3 Gross receipts from activities that are not an unrelated trade or business under section 513 4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf 5 The value of services or facilities furnished by a governmental unit to the organization without charge 6 Total. Add lines 1 through 5 7a Amounts included on lines 1, 2, and 3 received from disqualified persons. b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year 8 (a) 2011 0)2012 (c) 2013 (d) 2014 (e) 2015 (0 Total c Add lines 7a and 7ti Public support (Subtract line 7c from line 6.) (e) 2015 (b) 2012 (c) 2013 (d) 2014 (a) 2011 Cale ru ar year (or fiscal year beginning in) • 9 Amounts from line 6 10 a 3ross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 Add lines 10a and 10b Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) 13 Total support. (Add lines 9, 10c, 11, and 12.) 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 (f) Total -H Section C. Computation of Public Support Percentage 15 Public support percentage for 2015 (line 8, column (f) divided by line 13, column (0) 16 Public support percentage from 2014 Schedule A, Part III, line 15. 15 16 Section D. Computation of Investment Income Percentage $ 1 17 1 17 Investment income percentage for 2015 (line Mc, column (0 divided by line 13, column (0) $ 18 18 Investment income percentage from 2014 Schedule A, Part III, line 17 19 a 33-1/354 support tests —2015. If the organization did not check the box on line 14, and line 15 is more than 33-1/3%, and line 17 Bi- 0 is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization b 33-1/3% support tests — 2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33-113%, and t• line 18 is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization a20 Private foundation. If the organization did not check a box on line 14, 19a, or 1%, check this box and see instructions .1■1. I■11 BAA TEEAD4D3L 10/12115 Schedule A (Fomi 990 or 990-EZ) 2015 Schedule A (Form 990 or 990-EZ) 2015 I Part IV HICALIBER HORSE RESCUE, INC. Page 4 46 3960722 - Supporting Organizations (Complete only if you checked a box in line 11 on Part I. If you checked 11a of Part I, complete Sections A and B. If you checked llb of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked lid of Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations Yes No Are all of the organizations supported organizations listed by name in the organization's governing documents? If 'No,' describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe The designation. If historic and continuing relationship, explain 1 1 2 Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If 'Yes,' explain in Pan VI how The organization determined that the supported organization was described in section 509(a)(1) or (2) 3a Did the organization have a supported organization described in section 50I(c)(4), (5), or (6)? If 'Yes,' answer (b) and (c) below 3a b Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If 'Yes,' describe in Part VI when and how the organization made the determination C Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If 'Yes,' explain in Pan VI vreW controls the organization put in place to ensure such use 4a Was any supported organization not organized in the United States (*foreign supported organization)? If 'Yes' and if you checked I la or I lb in Part I, answer (b) and (c) below b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If Yes,' describe in Past VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations c Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If 'Yes,' explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section I 70(c)(2)(B) purposes 4c 5 a Did the organization add, substitute, or remove any supported organizations during the tax year? If 'Yes,' answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document) b Type I or Type It only. Was any added or substituted supported organization part of a class already designated in the organizations organizing document? 6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization's supported organizations? If 'Yes,' provide detail in Part VI 7 Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If 'Yes,' complete Part I of Schedule L (Form 990 or 990-EZ) 8 Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? complete Part 1 of Schedule L (Form 990 or 990-EZ) If 'Yes,' 9a Was the organization controlled directly or indirectly at any time diming the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If Yes,' provide detail in Part VI b Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If 'Yes,' provide detail in Part VI c Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? if Yes,' provide detail in Part VI 10a Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(0 (regarding certain Type II supporting organizations, and all Type Ill non-functionally integrated supporting organizations)? If Yes,' answer 10b below business holdings in the tax year? (Use Scheo'ule C, Form 4723, to determine Did the organization, have any er whether the organization had excess business holdings.) TEEA04041. 10/12115 5b Sc c Substitutions only. Was the substitution the result of an event beyond the organization's control? BAA 5a 8 9a 9b 9c 31;" 10b Schedule A (Form 990 or 990-EZ) 2015 . .Schedule A (Form 990 or 990-EZ) 2015 Page 5 46-3960722 HICALIBER HORSE RESCUE, INC. !Part IV I Supporting Organizations (continued) Yes No Has the organization accepted a gift or contribution from any of the following persons? 11 a A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization? 11a llb b A family member of a person described in (a) above? c A 35% controlled entity of a person described in (a) or (b) above? If Yes' to a, b, or c, provide detail in Part VI 11c Section B. Type I Supporting Organizations Yes No 1 Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization's directors or trustees at all times during the tax year? If 'No,' describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year 1 Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If Yes,' explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization 2 Section C. Type II Supporting Organizations Yes No Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)? If 'No,' describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).. . 1 1 Section D. All Type III Supporting Organizations Yes No 1 Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization's tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization's governing documents in effect on the date of notification, to the extent not previously provided? 2 3 1 Were any of the organization's officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If 'No,' explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s) 2 By reason of the relationship described in (2), did the organization's supported organizations have a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year? If 'Yes 'describe in Part VI the role the organization's supported organizations played in this regard 3 Section E. Type III Functionally-Integrated Supporting Organizations Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions): 1 a El The organization satisfied the Activities Test. Complete line 2 below. b c 2 D The organization is the parent of each of its supported organizations. Complete line 3 below. The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions). Yes No Activities Test. Answer (e)and (b) below. a Did substantially all of the organization's activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If Yes,' then in Part VI Identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities 2a b Did the activities described in (a) constitute activities that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged in? If Yes,' explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the organization's involvement 3 2b Parent of Supported Organizations. Answer (a) and (b) below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If 'Yes,' describe in Part VI the role played by the organization in this regard TEEA0405L 10112/15 3a 3b Schedule A (Form 990 or 990-EZ) 2015 Page 6 HICALIBER HORSE RESCUE, INC. Part V (Type Ill Non-Functionally Integrated 509(a)(3) Supporting Organizations Schedule A (Form 990 or 990-EZ) 2015 Check here if the organization satisfied the Integral Part Test as a qualifying trust on November 20, 1970- See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E. 03) Current Year (A) Prior Year (optional) Section A — Adjusted Net Income 1 9 1 2 Net short-term capital gain 1 Recoveries of prior-year distributions 2 3 Other gross income (see instructions) 3 4 Add lines 1 through 3 4 5 Depreciation and depletion 5 6 Portion of operating expenses paid or incurred for production or collection of gross income Or for management, conservation, or maintenance of property held for production of income (see instructions). 6 7 Other expenses (see instructions). 7 8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) a (A) Prior Year Section B — Minimum Asset Amount 03) Current Year (optional) Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1 a Average monthly value of securities la b Average monthly cash balances lb c Fair market value of other non-exempt-use assets lc d Total (add lines la, lb, and 10 ld e Discount claimed for blockage or other factors (explain in detail in Past VI): 2 3 4 5 Acquisition indebtedness applicable to non-exempt-use assets Subtract line 2 from line id Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions) Net value of non-exempt-use assets (subtract line 4 from line 3) 2 3 4 5 6 Multiply line 5 by .035 6 7 Recoveries of prior-year distributions 7 8 Minimum Asset Amount (add line 7 to line 6) 5 Current Year Section C — Distributable Amount 1 Adjusted net income for prior year (from Section A, line 8, Column A). 1 2 Enter 85% of line 1 2 3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3 4 Enter greater of line 2 or line 3 4 5 Income tax imposed in prior year 5 6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions). 6 7 BAA Check here if the current year is the organization's first as a non-functionally-integrated Type 111 supporting organization uctions). (see Schedule A (Form 990 or 990-EZ) 2015 1rFAL121161 10112115 . v?r: Page 7 46-3960722 HICALIBER HORSE RESCUE, INC. Schedule A (Form 990 or 990 EZ) 2015 continue Organizations a Supporting Part V I Type III Non-Functionally Integrated Current Year Section D — Distributions purposes exempt accomplish to 1 Amounts paid to supported organizations - 3 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity Administrative expenses paid to accomplish exempt purposes of supported organizations 4 Amounts paid to acquire exempt-use assets 2 5 Qualified set-aside amounts (prior IRS approval required) 6 Other distributions (describe in Part VI). See instructions 7 Total annual distributions. Add lines 1 through 6 8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions 9 Distributable amount for 2015 from Section C, line 6 Line 8 amount divided by Line 9 amount 10 (0 Section E — Distribution Allocations (see instructions) Excess Distributions (u) Underdistributions Pre-2015 e i DistrGrutabl Amount for 2015 Distributable amount for 2015 from Section C, line 6 Underdistributions, of any, for years prior to 2015 (reasonable cause required — see instructions) Excess distributions carryover , if any, to 2015: 1 2 3 a b c d From 2013 e From 2014 f Total of lines 3a through e g Applied to underdistributions of prior years h Applied to 2015 distributable amoun t i Carryover from 2010 not applied (see instructions) j Remainder. Subtract lines 3g 3h and 3i from 3f 4 Distributions for 2015 from Section D $ line 7: a Applied to underdistributions of prior years b Applied to 2015 distributable amount c Remainder. Subtract lines 4a and 4b from 4 5 6 7 8 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) Remaining underdistributions for 2015. Subtract lines 3h and 4h from line 1 (if amount greater than zero, see instructions) Excess distributions carryover to 2016. Add lines 31 and 4c Breakdown of line 7: a b c Excess from 2013 d Excess from 2014 e Excess from 2015 Schedule A (Forrn 990 or 990-EZ) 2015 1EEA041371. 10112115 3:.?ulSchedule A (Form 990 or 990-EZ) 2015 I Part VI HICALIBER HORSE RESCUE, INC. 96-3960722 Page 8 ISupplemerrtal Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 1713;Part III, line 12; Part IV, Section A, lines 1,2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, Ila,11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines lc, 2a, 2b, 33 and 3h; Part V, line 'I; Part V, Section B, line le; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.) 1EEA0408L 10(12115 Schedule A (Form 9900; 990-E2) 2015 (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service OMB No. 1545-0047 Transactions With Interested Persons SCHEDULE L 2015 Complete if the organization answered 'Yes' on Fonn 990, Part IV, line 25a, 25b, 26, 29. a 29b, or 213c, or Form 990-fl, Part V, line 38a or 40b. • Attach to Font, 990 or Form 990-fl, Infonnation about Schedule I. (Form 990 or 990-fl) and Its instructions is at tantirs4ovilorm990. Open To Public Inspection Employer Identification member Name of the organization 4 6-3960722 Excess Benefit Transactions (section 501 (c)(3), section 501 (c)(4), and 501(c)(29) organizations only). HICALIBER HORSE RESCUE, INC . Part I Complete if the organization answered 'Yes on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b. (a) Name of disqualified person 1 ? (d) (c) Description of trareaction (b) Relationship between disqualified person and organization yes No (1 ) (.4 (3) (4) (5) (6) Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958 3 Enter the amount of tax, if any, on line 2, above, reimbursed by the organization 2 LPart I1—T Loans to and/or From Interested Persons. Complete if the organization answered 'Yes' on Form 990-El, Part V, line 38a or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22. (a) Name of interested Per3011 (b) Reiabonship with organization (c) Purpose of loan (d) Loan to or from the organization? To (e) Original principal amount 60 in def mit? M Strode due Yes From No (h) approved by board or committee? Yes No (I) Written agreement? Yes No (1) MICHELLE C OCHRAN (2) (3) (4) FOUNDER OPERATING LAN 12,471. X 12,471. X X X (5) (6) (7) 00 (9) (10) Total [Part Ill Ili 12,471. G rants or Assistance Benefiting Interested Persons. Complete if the organization answered 'Yes' on Form 990, Part IV, line 27. (a) NMI. of interested person (b) Rectorship between interested person (c) Amount of assistance (4) Type of assistance (e) Purpose of assistance and the organization CO (2) (3) (4) (5) (6) (7) (0) (9) (10) BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-fl. TEEA4501L 01315 Schedule I. (Form 990 or 990-E2) 2015 . .?in ?rut plin.31afar . . .. .. . . .- vsuLItii 1HICALIBER HORSE RESCUE, INC . I Part IV I Business Transactions Involving Interested Persons. Complete if the organization answered 'Yes' on Form 990, Part IV, fine 28a, 28b, or 28c. Schedule I (Fomi 990 or 990-EZ) 2015 (a)Name of interested person (b) Relationship between interested person and the organization (0 Anicsrd of transaction Page 2 46-3960722 (d) Description of trarsaclien (a) Sharing of organization's reveilles? Yee Na (1) Ca (3) (4) (5) (6) (7) (8) (9) (10) Part V I Supplemental Infonn ation Provide additional information for responses to questions on Schedule L (see instructions). Schedule L (Form 990 or 990-E2) 2015 lEF_A4501L 06/03E15 SCHEDULE 0 (Form 990 or 990-a) Department of the Treasury Internal Revenue Service Supplemental Information to Form 990 or 990-EZ Complete to provide information for responses to specific questions on Form 990 or 990-fl or to provide any additional information. g• Attach to Form 990 or 990-EZ. Information about Schedule 0 (Form 990 or 990-EZ) and its instructions is at twar.irs.gorNonn990. 2015 Open to Public Inspection emiomiderrffinthrimmber Maimetheorgammdm 46-3960722 HICALIBER HORSE RESCUE, INC. FORM 990, PART III, UNE 4A 0W3W196-0047 - PROGRAM SERVICE ACCOMPUSHMENTS HICALIBER HORSE RESCUE PROGRAM CONSISTS OF RESCUE, COMMUNITY EDUCATION, AND OWNER SUPPORT RESCUE HICALIBER HORSE RESCUE SAVES HORSES FROM EXTREME NEGLECT, HORSES IN JEOPARDY, AND THOSE WHO ARE IN NEED OF AN IMMEDIATE SAFE HAVEN WHEN A FINANCIAL OR HEALTH CRISIS STRIKES THEIR HUMAN COUNTERPART. WE RESCUE FROM AUCTION/SLAUGHTER, IN PARTNERSHIP WITH LOCAL SHELTERS, OFF OF CRAIGSLIST POSTINGS, THROUGH OWNER SURRENDERS AND IN PARTNERSHIP WITH OTHER REPUTABLE RESCUE ORGANIZATIONS. COMMUNITY EDUCATION KNOWLEDGE ENCOURAGES RESPONSIBLE HORSE OWNERSHIP. WE ARE COMMITTED TO EDUCATING THE COMMUNITY ON TOPICS OF COMPASSIONATE CARE, HORSEMANSHIP AND TRAINING. WE WELCOME DEBATE AND DISCUSSION ON TOUGH, OFTEN—AVOIDED TOPICS THROUGH OUR SOCIAL MEDIA POSTS ON FACEBOOK. OWNER SUPPORT TRANSITIONAL BOARDING ONE OF THE WAYS WE FULFILL OUR CORE VALUE TO "SUPPORT RESPONSIBLE OWNERS" WHILE FUNDING HICALIBER HORSE RESCUE IS BY OFFERING OWNER SUPPORT TO ADOPTERS OF RESCUE HORSES. MANY PEOPLE WHO RESCUE, DO SO SIGHT—UNSEEN AND NEED A LITTLE HELP WITH BASIC HANDLING, HUSBANDRY, TUNE—UPS, RIDING EVALUATIONS, VET CARE AND/OR TEMPORARY HOUSING. BAA ForPapetwork ReductionActNotice, seethe Instructionsfortorm 990 or990-EL TEMOWK 10112115 Schedule 0 (Form 990 or 990-El) (2015) . .. I.II.. .II 15.th II I .. If..II..LI..min11.1...I .I.r .I I. L.It..not.In..I. . . .-.. vis{E?s-5.8.1.. Page 2 Schedule 0 (Form 990 or 990 EZ) 2015 - l Mmeoftheorganizaton HICALIBER HORSE RESCUE INC FORM 990, PARTIII,LINE4A - emooyeekslima*mmmthr 46-3960722 PROGRAM SERVICE ACCOMPLISHMENTS BY OFFERING TRANSITIONAL BOARD TO FELLOW RESCUERS, WE OFFER A HELPFUL AND ENCOURAGING ENVIRONMENT FOR OWNERS TO GET COMFORTABLE WITH THEIR NEW ADDITION. WITH ON-SITE TRAINERS, MEDICAL STAFF AND OUR FARRIER WHO ARE READILY AVAILABLE TO ASSIST WHERE NEEDED, WE ARE ABLE TO HELP ADOPTERS ESTABLISH SUCCESSFUL RELATIONSHIPS WITH THEIR HORSES BY WORKING OUT THE "KINKS" BEFORE THEY TARE THEIR ANIMALS HOME. RE-HOMING ASSISTANCE PROGRAM THERE IS A NEVER-ENDING LIST OF REASONS A PERSON MAY NEED TO RE-HOME THEIR HORSE: THE HORSE REQUIRES A HIGHER LEVEL OF SKILL THAN THE OWNER HAS, BEHAVIORAL OR TRAINING ISSUES, HEALTH OR MEDICAL ISSUES, CHANGES IN HOUSING OR FINANCIAL CRISIS, AND THE LIST GOES ON. HORSES SUFFER WHEN THEY START GETTING TOSSED FROM HOME TO HOME AND CAN END UP FINDING THEMSELVES AT AUCTION AND FACING SLAUGHTER. HICALIBER HORSE RESCUE OFFERS A SAFE HAVEN TO THE HORSE IN NEED OF A NEW FOREVER HOME, AND THE OWNER WHO WANTS TO DO RIGHT BY THEIR HORSE BUT DOES NOT HAVE THE KNOWLEDGE, SKILL OR RESOURCES TO PROPERLY RE-HOME THEIR HORSE WITHOUT SUPPORT. WE BELIEVE SEEKING HELP TO RE-HOME THEIR HORSE IS THE RESPONSIBLE ACT FOR MANY OWNERS, AND THAT RESPONSIBILITY CONTINUES THROUGH THE SPONSORSHIP OF THE BOARD, FARRIER OR NECESSARY MEDICAL EXPENSES UNTIL THE NEW ADOPTION IS FINALIZED. IN 2015: HICALIBER RESCUED 129 HORSES HICALIBER SERVED A TOTAL OF 178 HORSES HICALIBER PLACED 58 HORSES IN FOREVER HOMES OR SANCTUARIES HICALIBER PROVIDED SUPPORT TO 20 OWNERS IN NEED OF HELP Schedule 0 (Form 990 or 990-EZ) (2015) BAA TEEA4902L 10112115 Page 2 Schedule 0 (Fonn 990 or 990-EZ) 2015 lemkw amsticammmow 146-3960722 Name of the organczabon HICALIBER HORSE RESCUE, INC. FORM990,PARTVLUNE11B-FORM990REVIEWPROCESS THE FORM 990 IS GIVEN TO EACH BOARD MEMBER FOR REVIEW. A BOARD RESOLUTION IS APPROVED BY THE BOARD INDICATING THAT THE 990 WAS REVIEWED AND APPROVED. THE FORM 990 IS SIGNED BY THE PRESIDENT AND MAILED FROM THE ORGANIZATION'S OFFICE. FORM 990, PART VI, LiNE 12C EXPLANA11ON OF MONITORING AND ENFORCEMENT OF CONFLiCTS - ANNUALLY THE BOARD REVIEWS THE CONFLICT OF INTEREST POLICY. CONFLICTS OF INTEREST ARE DISCUSSED DURING THIS BOARD MEETING. FORM 990, PART VI, LiNE 158 COMPENSATION REVIEW & APPROVAL PROCESS OFFICERS & KEY EMPLOYEES - - COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS ANNUALLY. FORM 990, PART VI, LiNE 19 OThER ORGANIZAtiON DOCUMENTS PUBLiCLY AVAILABLE - GOVERNING DOCUMENTS, FINANCIAL INFORMATION, AND POLICIES ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORM 990, PART IX, LINE 24E OTHER EXPENSES (A) BANK CHARGES BEE REMOVAL GIFTS HAUL FEE HORSE CHIROPRACTOR MEALS AND ENTERTAINMENT MISCELLANEOUS OTHER GENERAL AND ADMIN EXP POSTAGE AND SHIPPING REMOVAL COSTS REPAIRS AND MAINTENANCE SUPPLIES TRAINING/BOARDING VEHICLE EXPENSE TOTAL $ TOTAL 4,905. 450. 98. 4,650. 1,025. 1,508. 261. 6,223. 891. 4,440. 4,061. 2,036. 16,135. 2,115. 48,798. $ (B) PROGRAM SERVICES 4,905. 450. (C) MANAGEMENT & GENERAL (D) FUNDRAISING 98. 4,650. 1,025. 1,508. 261. 631. 4,440. 4,061. 2,036. 16,135. 2,115. 42,217. $ 6,223. 260. 6,581. $ 0. Schedule 0 (Form 990 or 990-E2) (2015) BAA TEEA49021. 10/12/15 II. int-lav I II . ‘20:00.$4fice Ntkfr NOI 2 2 059 RegOliffinAll- THIS FORM TO THE FTB Date Accepted California e-file Return Authorizatice Exempt Organizations TAXABLE YEAR 2015 FORM 8453-EO IdentrIying number Exempt Organization name HICALIBER HORSE RESCUE, INC. Pan I Electronic Return Information 46-3960722 (whole dollars only) 290,103. 290,103. 295,303. 1 1 Total gross receipts (Form 199, line 4) 2 Total gross income (Form 199, line 8) 3 Total expenses and disbursements (Form 199, Line 9) 2 3 Part II Settle Your Account Electronically for Taxable Year 2015 4 [] Electronic funds withdrawal Part III Banking Information 4a Amount 412 Withdrawal date (mmiddiyyyy) (Have you verified the exempt organization's banking information?) 5 Routing number 6 Account number 7 Type of account: D Checking Savings Part IV Declaration of Officer I authorize the exempt organizations account to be settled as designated in Part II. If I check Part II, Box 4, I authorize an electronic funds withdrawal for the amount listed on line 4a. Under penalties of perjury, I declare that I am an officer of the above exempt organization and that the information I provided to my electronic return originator (ER0), transmitter, or intermediate service provider and the amounts in Part I above agree with the amounts on the corresponding lines of the exempt organization's 2015 California electronic return. To the best of my knowledge and belief, the exempt organization's return is true, correct, and complete. If the exempt organization is filing a balance due return, I understand that if the Franchise Tax Board (FTB) does not receive full and timely payment of the exempt organization's fee liability, the exempt organization will remain liable for the fee liability and all applicable interest and penalties. I authorize the exempt organization return and accompanying schedules and statements be transmitted to the FIB by the ERO, transmitter, or intermediate service provider. lithe processing of the exempt organization's return or refund is delayed, I authorize the FTB to disclose to the ERO or intermediate service provider, the reason(s) for the delay. Sign Here PRESIDENT Title nature of officer Part V Declaration of Electronic Return Originator (ERO) and Paid Preparer. See instructions I declare that I have reviewed the above exempt organization's return and that the entries on form F7B 8453-EO are complete and correct to the best of my knowledge. (If I am only an intermediate service provider, I understand that I am not responsible for reviewing the exempt organization's return. I declare, however, that form F7B 8453-EO accurately reflects the data on the return.) I have obtained the organization officer's signature on form ITS 8453-EO before transmitting this return to the FIB; I have provided the organization officer with a copy of all forms and information that I will file with the FIB, and I have followed all other requirements described in FIB Pub. 1345, 2015 e-file Handbook for Authorized e-file Providers. I will keep form FEB 8453-EO on file for four years from the due date of the return or four years from the date the exempt organization return is filed, whichever is later, and I will make a copy available to the FIB upon request. If I am also the paid preparer, under penalties of perjury, I declare that I have examined the above exempt organization's return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. I make this declaration based on all information of which I have knowledge. I Date ERO Must Sign sei Check rf ERO's PUN ICilecLil also Held MICHELLE 0. NELSON, CPA preparer MANN, URRUTIA, NELSON, CPAS & ASSOC., LI: Firm's name (of yours ■ selt-emPleYed) and • 2901 DOUGLAS BLVD, SUITE 290 address RU SEVILLE sEVaZure °I. I ernPloYed 1P00453363 FEIN 20-0276349 CA IZIP Cads 95661-3824 Under penalties of perjury, I dedare that I have etamined the above organization's return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct and complete_ I make this declaration based on all information of which I have knowledge. Paid Preparer Must Sign Laid prepares MIN Pad prepares signature Firm's name (orYowsrfseff- I rite p. Check if sett- ILI FEIN ZIP code =sad) and FIB 8453-EO 2015 For Privacy Notice, get FIB 1131 ENG/SP. C4EA70011 12)21/15 Form 8868 Application for Extension of Time To File an Exempt Organization Return (Rev January 2014) OMB No. 1545-1709 "File a separate application for each return. *information about Form 8868 and its instructions is at Invw.Irs.goviattm88138. Department of the Treasury Internal Revenue Service If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box If you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part II (on page 2 of this form). • • Do not complete Part II unless you have already been granted an automatic 3-month extension on a previously filed Form 8868. Electronic filing (e4/1e). You can electronically file Form 8868 if you need a 3-month automatic extension of time to file (6 months for a corporation required to file Form 990-1), or an additional (not automatic) 3-month extension of time. You can electronically file Form 8868 to request an extension of time to file any of the forms listed in Pad I or Part II with the exception of Form 8870, Information Return for Transfers Associated With Certain Personal Benefit Contracts, which must be sent to the IRS in paper format (see instructions). For more details on the electronic filing of this form, visit sinvvcirs.goviefile and click on e-file for Charities & Nonprofits. I Automatic 3-Month Extension of Time. Only submit original (no copies needed). Pan 0- A corporation required to file Form 990-T and requesting an automatic 6-month extension - check this box and complete Part I only..... All other corporations (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time to file income tax returns. Enter filer's identifying number, see instructions Employer identification number (EIN) or ns othattr HIIHrf ssee nstruttoons nstru I tfaammee HttHrrietH CaljaarritHaabbooHH: otl Type or pnM File by the due date for fding your return. See instructiors. HICALIBER HORSE RESCUE, INC. 46-3960722 Number, street and room or suite number. If a P.O. box. see insbuctions Social security member (SSN) P.O. BOX 1588 City. town or. office, state, aid ZIP code. For a foreign address, see instructions. VALLEY CENTER, CA 92082 01 Enter the Return code for the return that this application is for (file a separate application for each return) Return Code Application Is For Return Code Application Is For Form 990 or Form 990-EZ 01 Form 990-T (corporation) 07 Form 990-BL Form 4720 (individual) 02 03 04 Form 1041-A Form 4720 (other than individual) Form 5227 as os 10 05 06 Form 6069 Form 8870 11 12 Form 990-PF Form 990-T (section 401(a) or 408(a) trust) Form 990-T (trust other than above) • The books are in the care of • • • Fax No. • Telephone No. • J7601 443 - 9424 If the organization does not have an office or place of business in the United States, check this box If this is for a Group Return, enter the organization's four digit Group Exemption Number (GE N) check this box 1 MICHELLE COCHRAN . If this is for the whole group, • 0 . If it is for part of the group, check this box ... • nand attach a list with the names and EINs of all members the extension is for I request an automatic 3-month (6 months for a corporation required to file Form 990-1) extension of time , 20 15 , to file the exempt organization return for the organization named above. 8/15 until The extension is for the organization's return for: • E3 calendar year 20 15 or tax year beginning 2 , 20 , and ending , 20 If the tax year entered in line 1 is for less than 12 months, check reason: []Initial return Final return 9 Change in accounting period 3 a If this application is for Forms 990-BL, 990-PF, 990-7, 4729, or 6069, enter the tentative tax, less any nonrefundable credits. See instructions 3a 0. b If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit 3b$ 0. c Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions 3c$ 0. Caution. If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-EO and Form 8879-EO for payment instructions. Form 8868 (Rev 1-2014) BAA For Privacy Act and Paperwork Reduction Act Notice, see instructions. F1F-105011.. 12/31113 Page 2 Form 8868 (Rev 1-2014) • If you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part II and check this box Note. Only complete Part 11 11 you have already been granted an automatic 3-month extension on a previously filed Form 8868. • If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1). Part 11 Additional (Not Automatic) 3-Month Extension of lime. Only file the original (no copies needed). Enter files identifying number, see instructions Type or print Name of exempt organization or other filer, see instructions. Employer identification number (EIN) or HICALIBER HORSE RESCUE, INC. 46-3960722 Social security number (SSN) Number, street. and room or suite number. It a P.O. box. see instructions. File by the due datebx Mire your return. See instead/Pm City, town or post office. slate, and 21P code. For a foreign address, see instruct:cm. MANN, URRUTIA, NELSON, CPAS & ASSOC., LLP 2901_WUGLAS BLVD. SUITE 290 ROSEVILLE. CA 95661-3824 Enter the Return code for the return that this application is for (file a separate application for each return) Return Code Application Is For Form 990 or Form 990-EZ Form 990-BL Form 4720 (individual) Form 990-PF Form 990-T (section 401(a) or 408(a) trust) Form 990-T (trust other than above) 01 02 03 04 05 06 Return Code Application Is For 08 09 10 11 12 Form 1041-A Form 4720 (other than individual) Form 5227 Form 6069 Form 8870 STOP! Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868. MICHELLE cocnRAN The books are in the care of • Fax No • Telephone No. • 17601 443 - 9424 lithe organization does not have an office or place of business in the United States, check this box ... • . If this is for the • If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN)... and attach a list with the names and EINs of all . If it is for part of the group, check this box • whole group, check this box ... • • members the extension is for. 5 I request an additional 3-month extension of time until 11/15 For calendar year _2015 , or other tax year beginning 6 If the tax year entered in lines is for less than 12 months, check reason: 7 Change in accounting period State in detail why you need the extension.. 4 .20 16, 20 20 , and ending El Initial return []Final return 0 TAXPAYER RESPECTFULLY REQUESTS ADDITIONAL TIME TO GATHER INFORMATION NECESSARY TO FILE A COMPLETE AND ACCURATE TAX RZTURN. 8 a If this application is for Forms 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits. See instructions 8a$ b If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit and any amount paid previously with Form 8868. 8 b $ c Balance due. Subtract line 8b from line 8a. Include your payment with this form, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions 8c Signature and Verification must be completed for Part II only. Under penalties of perjury. I dedare that I have examined this ham. includbe azcompartying schedules and sudeneaL., and to the best of my knowledge and belief, it is true, correct, end compleftz, and that I arm authojized to prepare this form. Signature ex Two "' PRESIDENT Form 88138 (Rev 1-2014) BAA FIFZ05412L 12/31113 an1.. --.- .Ir