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F o r m 990 Department of the Treasury tntemal Revenue Service
Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
• Do not enter Social Security numbers on this form as rt may be made public.
• Information about Form 990 and its instructions is at w w w . i r s . g o v / f o r m 9 9 0 .
OMB No. 1545-0047
2013 Open to Public
Inspection A For the 2013 calendar year, or tax year beginning and ending
B Check if applicable:
1 1 Address 1 Ichanae
C N a m e o f o r g a n i z a t i o n
PETS ALIVE, INC.
D Employer Identification number
11-2975276 1 ir^ame 1 [change D o i n g B u s i n e s s A s
D Employer Identification number
11-2975276 1 [Initial [ [return [ iTermin-1 tated
N u m b e r a n d s t r e e t ( o r P . O . b o x i f m a i l i s n o t d e l i v e r e d t o s t r e e t a d d r e s s ) R o o m / s u i t e 36 3 DERBY ROAD
E T e l e p h o n e n u m b e r (845) 386-5408
[ [Amended 1 [return C i t y o r t o v i f n , s t a t e o r p r o v i n c e , c o u n t r y , a n d Z I P o r f o r e i g n p o s t a l c o d e
MIDDLETOWN, NY 10940 G Gross receipts $ 1,044,419.
1 lApptica-1 III on
pending
C i t y o r t o v i f n , s t a t e o r p r o v i n c e , c o u n t r y , a n d Z I P o r f o r e i g n p o s t a l c o d e MIDDLETOWN, NY 10940 H(a) Is this a g r o u p r e t u r n
f o r s u b o r d i n a t e s ? IVes 1 X 1 No H(b) Are all subordinates included? 1 1 YeS 1 1 No
I f " N o , " a t t a c h a l i s t , ( s e e i n s t r u c t i o n s )
H(c) G r o u p e x e m p t i o n n u m b e r •
1 lApptica-1 III on
pending F N a m e a n d a d d r e s s o f p r i n c i p a l o f f i c e r : JENESSA CUTLER 36 3 DERBY ROAD, MIDDLETOWN, NY 10940
H(a) Is this a g r o u p r e t u r n
f o r s u b o r d i n a t e s ? IVes 1 X 1 No H(b) Are all subordinates included? 1 1 YeS 1 1 No
I f " N o , " a t t a c h a l i s t , ( s e e i n s t r u c t i o n s )
H(c) G r o u p e x e m p t i o n n u m b e r • 1 T a x - e x e m p t s t a t u s : L X J 5 0 1 ( c ) ( 3 ) 1 1 5 0 1 ( c ) ( ) < ( i n s e r t n o . ) 1 1 4 9 4 7 ( a ) ( 1 ) o r I ] 5 2 7
H(a) Is this a g r o u p r e t u r n
f o r s u b o r d i n a t e s ? IVes 1 X 1 No H(b) Are all subordinates included? 1 1 YeS 1 1 No
I f " N o , " a t t a c h a l i s t , ( s e e i n s t r u c t i o n s )
H(c) G r o u p e x e m p t i o n n u m b e r • J W e b s i t e : • WWW.PETSALIVE.COM
H(a) Is this a g r o u p r e t u r n
f o r s u b o r d i n a t e s ? IVes 1 X 1 No H(b) Are all subordinates included? 1 1 YeS 1 1 No
I f " N o , " a t t a c h a l i s t , ( s e e i n s t r u c t i o n s )
H(c) G r o u p e x e m p t i o n n u m b e r • K F o r m o f o r o a n i z a t i o n : [XJ C o r p o r a t i o n 1 T r u s t 1 U A s s o c i a t i o n [
n O t h e r s L Y e a r o f f o r m a t i o n : 1994 M S t a t e o f l e g a l d o m i c i l e : NY
Part 1 S u m m a r y 1 B r i e f l y d e s c r i b e t h e o r g a n i z a t i o n ' s m i s s i o n o r m o s t s i g n i f i c a n t a c t i v i t i e s : ADOPTION OF ANIMALS
C h e c k t h i s b o x • i f t h e o r g a n i z a t i o n d i s c o n t i n u e d i t s o p e r a t i o n s o r d i s p o s e d o f m o r e t h a n 2 5 % o f i t s n e t a s s e t s .
N u m b e r o f v o t i n g m e m b e r s o f t h e g o v e r n i n g b o d y ( P a r t V I , l i n e l a )
N u m b e r o f i n d e p e n d e n t v o t i n g m e m b e r s o f t h e g o v e r n i n g b o d y ( P a r t V I , l i n e l b )
T o t a l n u m b e r o f i n d i v i d u a l s e m p l o y e d i n c a l e n d a r y e a r 2 0 1 3 ( P a r t V , l i n e 2 a )
T o t a l n u m b e r o f v o l u n t e e r s ( e s t i m a t e i f n e c e s s a r y )
7 a T o t a l u n r e l a t e d b u s i n e s s r e v e n u e f r o m P a r t V I I I , c o l u m n ( C ) , l i n e 1 2
b N e t u n r e l a t e d b u s i n e s s t a x a b l e i n c o m e f r o m F o r m 9 9 0 - T , l i n e 3 4
7a 7b
25 25 0. 0.
8 C o n t r i b u t i o n s a n d g r a n t s ( P a r t V I I I , l i n e 1 h )
9 P r o g r a m s e r v i c e r e v e n u e ( P a r t V I I I , l i n e 2 g )
10 I n v e s t m e n t i n c o m e ( P a r t V I I I , c o l u m n ( A ) , l i n e s 3 , 4 , a n d 7 d )
11 O t h e r r e v e n u e ( P a r t V I I I , c o l u m n ( A ) , l i n e s 5 , 6 d , 8 c , 9 c , 1 0 c , a n d l i e )
12 T o t a l r e v e n u e - a d d l i n e s 8 t h r o u g h 1 1 ( m u s t e q u a l P a r t V I I I , c o l u m n ( A ) , l i n e 1 2 )
Prior Year Current Year 1,145,824 898,363,
0. 90,500. 7,049. 20,249
0 0, 1,152,873 1,009,112
10
c X
LU
13 G r a n t s a n d s i m i l a r a m o u n t s p a i d ( P a r t I X , c o l u m n ( A ) , l i n e s 1 - 3 ) 14 B e n e f i t s p a i d t o o r f o r m e m b e r s ( P a r t I X , c o l u m n ( A ) , l i n e 4 )
15 S a l a r i e s , o t h e r c o m p e n s a t i o n , e m p l o y e e b e n e f r t s ( P a r t I X , c o l u m n ( A ) , l i n e s 5 - 1 0 )
16a P r o f e s s i o n a l f u n d r a i s i n g f e e s ( P a r t I X , c o l u m n ( A ) , l i n e l i e )
b T o t a l f u n d r a i s i n g e x p e n s e s ( P a r t I X , c o l u m n ( D ) , l i n e 2 5 ) • 26, 740. 17 O t h e r e x p e n s e s ( P a r t I X , c o l u m n ( A ) , l i n e s 1 l a - l i d , 1 1 f - 2 4 e )
0 0 0 0
481,732 400,428, 0 0,
607,153 465,898. 18 T o t a l e x p e n s e s . A d d l i n e s 1 3 - 1 7 ( m u s t e q u a l P a r t I X , c o l u m n ( A ) , l i n e 2 5 )
1 9 R e v e n u e l e s s e x p e n s e s . S u b t r a c t l i n e 1 8 f r o m l i n e 1 2
1,088,885 63,988
866,326. 142,786
</)ca 20 T o t a l a s s e t s ( P a r t X , l i n e 1 6 )
21 T o t a l l i a b i l i t i e s ( P a r t X , l i n e 2 6 ) 22 N e t a s s e t s o r f u n d b a l a n c e s . S u b t r a c t l i n e 2 1 f r o m l i n e 2 0 ._j«f«i
glnnina ot Current Year r ty^20 / 8"4T"
End of Year
85, 42 8 1,865,351
90_l631 1,774,720.
Par t H S igna ture B lock U n d e r p e n a l t i e s o f p e r j u r y , I d e c l a r e t t i a t I t i a v e e x a m i n e d t h i s r e t u r n , i n c l u d i n g a c c o m p a l p a w i n l ^ m n t i r e s a n d s t a t e m e n t s , a n d t o t h e b e s t o f m y k n o w l e d g e a n d b e l i e f , i t i s
Sign Y S i g n a t u r e o f o f f i c e r D a t e
Here Y T y p e o r p r i n t n a m e a n d t i t l e
Paid P r i n t / T y p e p r e p a r e r ' s n a m e SARY C THEODORE, CPA
P r e p a r e r ' s s i g n a t u r e ^ D a t e
04/24/14 Ched< 1 1 11 ssl^emploied
P T I N
P00129967 Preparer F i r m ' s n a m e fc. NUGENT & HAEUSSLER, P.C. F i m i ' s E l N k . 14-1567370 Use Only F i r m ' s a d d r e s s • 101 BRACKEN ROAD
MONTGOMERY, NY 12549 P h o n e n o . 8 4 5 - 457-1100 M a y t h e I R S d i s c u s s t h i s r e t u r n w i t h t h e p r e p a r e r s h o w n a b o v e ? ( s e e i n s t r u c t i o n s ) [Xj Y e s I 1 No 332001 10-29-13 L H A For Paperwork Reduction Act Noticc, 566 the Separate Instructions. Form 990 ( 2 0 1 3 )
F o r m 9 3 0 ( 2 0 1 3 ) PETS ALIVE, INC. 11-2975276 P a q e 2 i l l i i t i H i S t a t e m e n t of P r o g r a m S e r v i c e A c c o m p l i s h m e n t s
C h e c k i f S c h e d u l e O c o n t a i n s a r e s p o n s e o r n o t e t o a n y l i n e i n t h i s P a r t I
1 B r i e f l y d e s c r i b e t h e o r g a n i z a t i o n ' s m i s s i o n : ANIMAL WELFARE AND ADOPTION
2 D i d t h e o r g a n i z a t i o n u n d e r t a k e a n y s i g n i f i c a n t p r o g r a m s e r v i c e s d u r i n g t h e y e a r w h i c h w e r e n o t l i s t e d o n
t h e p r i o r F o r m 9 9 0 o r 9 9 0 - E Z ? C Z l Y e s fXl No I f " Y e s , " d e s c r i b e t h e s e n e w s e r v i c e s o n S c h e d u l e O .
3 D i d t h e o r g a n i z a t i o n c e a s e c o n d u c t i n g , o r m a k e s i g n i f i c a n t c h a n g e s i n h o w i t c o n d u c t s , a n y p r o g r a m s e r v i c e s ? I I Y e s I X I No I f " Y e s , " d e s c r i b e t h e s e c h a n g e s o n S c h e d u l e O .
4 D e s c r i b e t h e o r g a n i z a t i o n ' s p r o g r a m s e r v i c e a c c o m p l i s h m e n t s f o r e a c h o f i t s t h r e e l a r g e s t p r o g r a m s e r v i c e s , a s m e a s u r e d b y e x p e n s e s .
S e c t i o n 5 0 1 ( c ) ( 3 ) a n d 5 0 1 (c)(4) o r g a n i z a t i o n s a r e r e q u i r e d t o r e p o r t t h e a m o u n t o f g r a n t s a n d a l l o c a t i o n s t o o t h e r s , t h e t o t a l e x p e n s e s , a n d
r e v e n u e , i f a n y , f o r e a c h p r o g r a m s e r v i c e r e p o r t e d .
4a (code: ) (Expenses $ 737 , 809 . including grants of $ ) (Revenues 90,500 . ) PETS ALIVE I S A NO-KILL ANIMAL SHELTER, LOCATED IN THE FOOTHILLS OF THE CATSKILL MOUNTAINS, ABOUT 1 1/2 HOURS FROM NEW YORK C I T Y . OUR MISSION I S TO IMPROVE THE L I V E S OF COMPANION ANIMALS EVERYWHERE BY ANY MEANS POSSIBLE, INCLUDING RESCUE, ADOPTION, ADVOCACY, COLLABORATION, INTERVENTION AND EDUCATION. ANIMALS AT THE SANCTUARY RANGE FROM DOGS AND CATS TO FARM ANIMALS, EXOTIC BIRDS, AND MANY OTHERS. MANY OF THE ANIMALS AT PETS ALIVE ARE OLDER, HAVE SPECIAL NEEDS OR REQUIRE SPECIAL CARE.
4b (code: ) (Expenses $ including grants of $ ) (Revenue $ _
4c (Code: ) (Expenses $ including grants of $ ) (Revenue $ _
4d O t h e r p r o g r a m s e r v i c e s ( D e s c r i b e i n S c h e d u l e 0 . )
(Expenses $ including grants of $ ) (Revenue $ ) 4e T o t a l p r o q r a m s e r v i c e e x p e n s e s • 737,809.
F o n m 9 9 0 ( 2 0 1 3 ) 332002 10-29-13
F o r m 9 9 0 ( 2 0 1 3 ) PETS ALIVE, INC. 11-2975276 P a q e 3 Part tV C h e c k l i s t of Required S c h e d u l e s
Y e s N o 1 I s t h e o r g a n i z a t i o n d e s c r i b e d i n s e c t i o n 5 0 1 ( c ) ( 3 ) o r 4 9 4 7 ( a ) ( 1 ) ( o t h e r t h a n a p r i v a t e f o u n d a t i o n ) ?
If "Yes," complete Schedule A 1 X 2 I s t h e o r g a n i z a t i o n r e q u i r e d t o c o m p l e t e Schedule B, Schedule of Contributors 2 X 3 D i d t h e o r g a n i z a t i o n e n g a g e i n d i r e c t o r i n d i r e c t p o l i t i c a l c a m p a i g n a c t i v i t i e s o n b e h a l f o f o r i n o p p o s i t i o n t o c a n d i d a t e s f o r
p u b l i c o f f i c e ? If "Yes," complete Schedule C, Part 1 3 X 4 Section 501 (c)(3) organizations. D i d t h e o r g a n i z a t i o n e n g a g e i n l o b b y i n g a c t i v i t i e s , o r h a v e a s e c t i o n 5 0 1 ( h ) e l e c t i o n i n e f f e c t
d u r i n g t h e t a x y e a r ? If "Yes," complete Schedule C, Part II 4 X 5 I s t h e o r g a n i z a t i o n a s e c t i o n 5 0 1 ( c ) ( 4 ) , 5 0 1 ( c ) ( 5 ) , o r 5 0 1 ( c ) ( 6 ) o r g a n i z a t i o n t h a t r e c e i v e s m e m b e r s h i p d u e s , a s s e s s m e n t s , o r
s i m i l a r a m o u n t s a s d e f i n e d i n R e v e n u e P r o c e d u r e 9 8 - 1 9 ? If "Yes," complete Schedule C, Part III 5 X 6 D i d t h e o r g a n i z a t i o n m a i n t a i n a n y d o n o r a d v i s e d f u n d s or a n y s i m i l a r f u n d s o r a c c o u n t s f o r w h i c h d o n o r s h a v e t h e r i g h t t o
p r o v i d e a d v i c e o n t h e d i s t r i b u t i o n o r i n v e s t m e n t o f a m o u n t s i n s u c h f u n d s o r a c c o u n t s ? If "Yes," complete Schedule D, Part 1
7 D i d t h e o r g a n i z a t i o n r e c e i v e o r h o l d a c o n s e r v a t i o n e a s e m e n t , i n c l u d i n g e a s e m e n t s t o p r e s e r v e o p e n s p a c e , t h e e n v i r o n m e n t , h i s t o r i c l a n d a r e a s , o r h i s t o r i c s t r u c t u r e s ? If "Yes," complete Schedule D, Part II
6 X 6 D i d t h e o r g a n i z a t i o n m a i n t a i n a n y d o n o r a d v i s e d f u n d s or a n y s i m i l a r f u n d s o r a c c o u n t s f o r w h i c h d o n o r s h a v e t h e r i g h t t o
p r o v i d e a d v i c e o n t h e d i s t r i b u t i o n o r i n v e s t m e n t o f a m o u n t s i n s u c h f u n d s o r a c c o u n t s ? If "Yes," complete Schedule D, Part 1
7 D i d t h e o r g a n i z a t i o n r e c e i v e o r h o l d a c o n s e r v a t i o n e a s e m e n t , i n c l u d i n g e a s e m e n t s t o p r e s e r v e o p e n s p a c e , t h e e n v i r o n m e n t , h i s t o r i c l a n d a r e a s , o r h i s t o r i c s t r u c t u r e s ? If "Yes," complete Schedule D, Part II 7 X
8 D i d t h e o r g a n i z a t i o n m a i n t a i n c o l l e c t i o n s o f w o r k s o f a r t , h i s t o r i c a l t r e a s u r e s , o r o t h e r s i m i l a r a s s e t s ? If "Yes," complete
Schedule D, Part III 8 X 9 Did t h e o r g a n i z a t i o n r e p o r t a n a m o u n t i n P a r t X , l i n e 2 1 , f o r e s c r o w o r c u s t o d i a l a c c o u n t l i a b i l i t y ; s e r v e a s a c u s t o d i a n f o r
a m o u n t s n o t l i s t e d i n P a r t X ; o r p r o v i d e c r e d i t c o u n s e l i n g , d e b t m a n a g e m e n t , c r e d i t r e p a i r , o r d e b t n e g o t i a t i o n s e r v i c e s ? If "Yes," complete Schedule D, Part IV 9 X
10 D i d t h e o r g a n i z a t i o n , d i r e c t l y o r t h r o u g h a r e l a t e d o r g a n i z a t i o n , h o l d a s s e t s i n t e m p o r a r i l y r e s t r i c t e d e n d o w m e n t s , p e r m a n e n t e n d o w m e n t s , o r q u a s i - e n d o w m e n t s ? If "Yes," complete Schedule D, Part V 10 X
11 I f t h e o r g a n i z a t i o n ' s a n s w e r t o a n y o f t h e f o l l o w i n g q u e s t i o n s i s " Y e s , " t h e n c o m p l e t e S c h e d u l e D , P a r t s V I , V I I , V I I I , I X , o r X a s a p p l i c a b l e .
a D i d t h e o r g a n i z a t i o n r e p o r t a n a m o u n t f o r l a n d , b u i l d i n g s , a n d e q u i p m e n t i n P a r t X , l i n e 1 0 ? If "Yes," complete Schedule D,
Pari VI 11a X b Did t h e o r g a n i z a t i o n r e p o r t a n a m o u n t f o r i n v e s t m e n t s • o t h e r s e c u r i t i e s i n P a r t X , l i n e 1 2 t h a t i s 5 % o r m o r e o f i t s t o t a l
a s s e t s r e p o r t e d i n P a r t X , l i n e 1 6 ? / f " V e s , " complete Schedule D, Part VII 11b X c D i d t h e o r g a n i z a t i o n r e p o r t a n a m o u n t f o r i n v e s t m e n t s • p r o g r a m r e l a t e d i n P a r t X , l i n e 1 3 t h a t i s 5 % o r m o r e o f i t s t o t a l
a s s e t s r e p o r t e d i n P a r t X , l i n e 1 6 ? If " Y e s , " complete Schedule D, Part VIII 11c X d D i d t h e o r g a n i z a t i o n r e p o r t a n a m o u n t f o r o t h e r a s s e t s i n P a r t X , l i n e 1 5 t h a t i s 5 % o r m o r e o f i t s t o t a l a s s e t s r e p o r t e d i n
P a r t X , l i n e 1 6 ? If "Yes," complete Schedule D, Part IX l i d X e D i d t h e o r g a n i z a t i o n r e p o r t a n a m o u n t f o r o t h e r l i a b i l i t i e s i n P a r t X , l i n e 2 5 ? If "Yes," complete Schedule D, Part X 11e X f D i d t h e o r g a n i z a t i o n ' s s e p a r a t e o r c o n s o l i d a t e d f i n a n c i a l s t a t e m e n t s f o r t h e t a x y e a r i n c l u d e a f o o t n o t e t h a t a d d r e s s e s
t h e o r g a n i z a t i o n ' s l i a b i l i t y f o r u n c e r t a i n t a x p o s i t i o n s u n d e r F I N 4 8 ( A S C 7 4 0 ) ? If "Yes," complete Schedule D, Part X 11f X 12a D i d t h e o r g a n i z a t i o n o b t a i n s e p a r a t e , i n d e p e n d e n t a u d i t e d f i n a n c i a l s t a t e m e n t s f o r t h e t a x y e a r ? If "Yes," complete
Schedule D, Parts XI and XII 12a X b W a s t h e o r g a n i z a t i o n i n c l u d e d i n c o n s o l i d a t e d , i n d e p e n d e n t a u d i t e d f i n a n c i a l s t a t e m e n t s f o r t h e t a x y e a r ?
If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional 12b X 13 I s t h e o r g a n i z a t i o n a s c h o o l d e s c r i b e d i n s e c t i o n 1 7 0 ( b ) ( 1 ) ( A ) ( i i ) ? If "Yes," complete Schedule E 13 X 14a D i d t h e o r g a n i z a t i o n m a i n t a i n a n o f f i c e , e m p l o y e e s , o r a g e n t s o u t s i d e o f t h e U n i t e d S t a t e s ? 14a X
b D i d t h e o r g a n i z a t i o n h a v e a g g r e g a t e r e v e n u e s o r e x p e n s e s o f m o r e t h a n $ 1 0 , 0 0 0 f r o m g r a n t m a k i n g , f u n d r a i s i n g , b u s i n e s s , i n v e s t m e n t , a n d p r o g r a m s e r v i c e a c t i v i t i e s o u t s i d e t h e U n i t e d S t a t e s , o r a g g r e g a t e f o r e i g n i n v e s t m e n t s v a l u e d a t $ 1 0 0 , 0 0 0 o r m o r e ? If "Yes," complete Schedule F, Parts 1 and IV 14b X
15 D i d t h e o r g a n i z a t i o n r e p o r t o n P a r t I X , c o l u m n ( A ) , l i n e 3 , m o r e t h a n $ 5 , 0 0 0 o f g r a n t s o r o t h e r a s s i s t a n c e t o o r f o r a n y
f o r e i g n o r g a n i z a t i o n ? If "Yes," complete Schedule F, Parts II and IV 15 X 16 D i d t h e o r g a n i z a t i o n r e p o r t o n P a r t I X , c o l u m n ( A ) , l i n e 3 , m o r e t h a n $ 5 , 0 0 0 o f a g g r e g a t e g r a n t s o r o t h e r a s s i s t a n c e t o
o r f o r f o r e i g n i n d i v i d u a l s ? If "Yes," complete Schedule F, Parts III and IV 16 X 17 D i d t h e o r g a n i z a t i o n r e p o r t a t o t a l o f m o r e t h a n $ 1 5 , 0 0 0 o f e x p e n s e s f o r p r o f e s s i o n a l f u n d r a i s i n g s e r v i c e s o n P a r t I X ,
c o l u m n ( A ) , l i n e s 6 a n d 1 1 e ? / f "Yes," complete Schedule G, Part 1 17 X 18 Did t h e o r g a n i z a t i o n r e p o r t m o r e t h a n $ 1 5 , 0 0 0 t o t a l o f f u n d r a i s i n g e v e n t g r o s s i n c o m e a n d c o n t r i b u t i o n s o n P a r t V I I I , l i n e s
1 c a n d 8 a ? If "Yes," complete Schedule G, Part II ... . 18 X 19 D i d t h e o r g a n i z a t i o n r e p o r t m o r e t h a n $ 1 5 , 0 0 0 o f g r o s s i n c o m e f r o m g a m i n g a c t i v i t i e s o n P a r t V I I I , l i n e 9 a ? If "Yes,"
complete Schedule G, Part III 19 X 20a Did t h e o r g a n i z a t i o n o p e r a t e o n e o r m o r e h o s p i t a l f a c i l i t i e s ? If "Yes," complete Schedule H 20a X
b I f " Y e s " t o l i n e 2 0 a , d i d t h e o r g a n i z a t i o n a t t a c h a c o p y o f i t s a u d i t e d f i n a n c i a l s t a t e m e n t s t o t h i s r e t u r n ? 20b F o n m 9 9 0 ( 2 0 1 3 )
332003 10-29-13
F o r m 9 9 0 ( 2 0 1 3 ) PETS ALIVE, INC. 11-2975276 P a q e 4 Par t tV C h e c k l i s t of Required S c h e d u l e s (continued)
Y e s No 21 D i d t h e o r g a n i z a t i o n r e p o r t m o r e t h a n $ 5 , 0 0 0 o f g r a n t s o r o t h e r a s s i s t a n c e t o a n y d o m e s t i c o r g a n i z a t i o n o r
g o v e r n m e n t o n P a r t I X , c o l u m n ( A ) , l i n e 1 ? If "Yes," complete Schedule 1, Parts 1 and II 21 X 22 D i d t h e o r g a n i z a t i o n r e p o r t m o r e t h a n $ 5 , 0 0 0 o f g r a n t s o r o t h e r a s s i s t a n c e t o i n d i v i d u a l s i n t h e U n i t e d S t a t e s o n P a r t I X ,
c o l u m n ( A ) , l i n e 2 ? If "Yes," complete Schedule 1, Parts 1 and III 22 X 23 D i d t h e o r g a n i z a t i o n a n s w e r " Y e s " t o P a r t V I I , S e c t i o n A , l i n e 3 , 4 , o r 5 a b o u t c o m p e n s a t i o n o f t h e o r g a n i z a t i o n ' s c u r r e n t
a n d f o r m e r o f f i c e r s , d i r e c t o r s , t r u s t e e s , k e y e m p l o y e e s , a n d h i g h e s t c o m p e n s a t e d e m p l o y e e s ? If "Yes," complete
Schedule J 23 X 24a D i d t h e o r g a n i z a t i o n h a v e a t a x - e x e m p t b o n d i s s u e w i t h a n o u t s t a n d i n g p r i n c i p a l a m o u n t o f m o r e t h a n $ 1 0 0 , 0 0 0 a s o f t h e
l a s t d a y o f t h e y e a r , t h a t w a s i s s u e d a f t e r D e c e m b e r 3 1 , 2 0 0 2 ? If "Yes," answer lines 24b through 24d and complete
Schedule K. If "No", go to line 25a 24a X b D i d t h e o r g a n i z a t i o n i n v e s t a n y p r o c e e d s o f t a x - e x e m p t b o n d s b e y o n d a t e m p o r a r y p e r i o d e x c e p t i o n ? 24b c D i d t h e o r g a n i z a t i o n m a i n t a i n a n e s c r o w a c c o u n t o t h e r t h a n a r e f u n d i n g e s c r o w a t a n y t i m e d u r i n g t h e y e a r t o d e f e a s e
a n y t a x - e x e m p t b o n d s ? 24c d D i d t h e o r g a n i z a t i o n a c t a s a n " o n b e h a l f o f " i s s u e r f o r b o n d s o u t s t a n d i n g a t a n y t i m e d u r i n g t h e y e a r ? 24d
25a Section 501 (c)(3) and 501 (c)(4) organizations. D i d t h e o r g a n i z a t i o n e n g a g e i n a n e x c e s s b e n e f i t t r a n s a c t i o n w i t h a d i s q u a l i f i e d p e r s o n d u r i n g t h e y e a r ? If "Yes," complete Schedule L, Part 1 25a X
b Is t h e o r g a n i z a t i o n a w a r e t h a t it e n g a g e d i n a n e x c e s s b e n e f i t t r a n s a c t i o n w i t h a d i s q u a l i f i e d p e r s o n in a p r i o r y e a r , a n d t h a t t h e t r a n s a c t i o n h a s n o t b e e n r e p o r t e d o n a n y o f t h e o r g a n i z a t i o n ' s p r i o r F o r m s 9 9 0 o r 9 9 0 - E Z ? If "Yes," complete
Schedule L, Part 1 25b X 26 D i d t h e o r g a n i z a t i o n r e p o r t a n y a m o u n t o n P a r t X , l i n e 5 , 6 , o r 2 2 f o r r e c e i v a b l e s f r o m o r p a y a b l e s t o a n y c u r r e n t o r
f o r m e r o f f i c e r s , d i r e c t o r s , t r u s t e e s , k e y e m p l o y e e s , h i g h e s t c o m p e n s a t e d e m p l o y e e s , o r d i s q u a l i f i e d p e r s o n s ? I f s o , c o m p l e t e S c h e d u l e L , P a r t II 26 X
27 D i d t h e o r g a n i z a t i o n p r o v i d e a g r a n t o r o t h e r a s s i s t a n c e t o a n o f f i c e r , d i r e c t o r , t r u s t e e , k e y e m p l o y e e , s u b s t a n t i a l
c o n t r i b u t o r o r e m p l o y e e t h e r e o f , a g r a n t s e l e c t i o n c o m m i t t e e m e m b e r , o r t o a 3 5 % c o n t r o l l e d e n t i t y o r f a m i l y m e m b e r
o f a n y o f t h e s e p e r s o n s ? If "Yes," complete Schedule L, Part III 27 X 28 W a s t h e o r g a n i z a t i o n a p a r t y t o a b u s i n e s s t r a n s a c t i o n w i t h o n e o f t h e f o l l o w i n g p a r t i e s ( s e e S c h e d u l e L , P a r t I V
i n s t r u c t i o n s f o r a p p l i c a b l e f i l i n g t h r e s h o l d s , c o n d i t i o n s , a n d e x c e p t i o n s ) : a A c u r r e n t o r f o r m e r o f f i c e r , d i r e c t o r , t r u s t e e , o r k e y e m p l o y e e ? If "Yes," complete Schedule L, Part IV 28a X b A f a m i l y m e m b e r o f a c u r r e n t o r f o r m e r o f f i c e r , d i r e c t o r , t r u s t e e , o r k e y e m p l o y e e ? If "Yes," complete Schedule L, Part IV 28b X c A n e n t i t y o f w h i c h a c u r r e n t o r f o r m e r o f f i c e r , d i r e c t o r , t r u s t e e , o r k e y e m p l o y e e ( o r a f a m i l y m e m b e r t h e r e o f ) w a s a n o f f i c e r ,
d i r e c t o r , t r u s t e e , o r d i r e c t o r i n d i r e c t o w n e r ? If "Yes," complete Schedule L, Part IV 28c X 29 Did t h e o r g a n i z a t i o n r e c e i v e m o r e t h a n $ 2 5 , 0 0 0 in n o n - c a s h c o n t r i b u t i o n s ? If "Yes," complete Schedule M 29 X 30 D i d t h e o r g a n i z a t i o n r e c e i v e c o n t r i b u t i o n s o f a r t , h i s t o r i c a l t r e a s u r e s , o r o t h e r s i m i l a r a s s e t s , o r q u a l i f i e d c o n s e r v a t i o n
c o n t r i b u t i o n s ? If "Yes," complete Schedule l\/l 30 X 31 D i d t h e o r g a n i z a t i o n l i q u i d a t e , t e r m i n a t e , o r d i s s o l v e a n d c e a s e o p e r a t i o n s ?
If "Yes," complete Schedule N, Part 1 31 X 32 D i d t h e o r g a n i z a t i o n s e l l , e x c h a n g e , d i s p o s e o f , o r t r a n s f e r m o r e t h a n 2 5 % o f i t s n e t a s s e t s ? / f "Yes," complete
Schedule N, Part II 32 X 33 D i d t h e o r g a n i z a t i o n o w n 1 0 0 % o f a n e n t i t y d i s r e g a r d e d a s s e p a r a t e f r o m t h e o r g a n i z a t i o n u n d e r R e g u l a t i o n s
s e c t i o n s 3 0 1 . 7 7 0 1 - 2 a n d 3 0 1 . 7 7 0 1 - 3 ? If "Yes," complete Schedule R, Part 1 33 X 34 W a s t h e o r g a n i z a t i o n r e l a t e d t o a n y t a x - e x e m p t o r t a x a b l e e n t i t y ? If "Yes," complete Schedule R, Part II, III, or IV, and
Part V, line 1 34 X 35a D i d t h e o r g a n i z a t i o n h a v e a c o n t r o l l e d e n t i t y w i t h i n t h e m e a n i n g o f s e c t i o n 5 1 2 ( b ) ( 1 3 ) ? 35a X
b I f " Y e s " t o l i n e 3 5 a , d i d t h e o r g a n i z a t i o n r e c e i v e a n y p a y m e n t f r o m o r e n g a g e i n a n y t r a n s a c t i o n w i t h a c o n t r o l l e d e n t i t y w i t h i n t h e m e a n i n g o f s e c t i o n 5 1 2 ( b ) ( 1 3 ) ? if "Yes," complete Schedule R, Part V, line 2 35b
36 Section 501 (c)(3) organizations. D i d t h e o r g a n i z a t i o n m a k e a n y t r a n s f e r s t o a n e x e m p t n o n - c h a r i t a b l e r e l a t e d o r g a n i z a t i o n ?
If "Yes," complete Schedule R, Part V, line 2 36 X 37 Did t h e o r g a n i z a t i o n c o n d u c t m o r e t h a n 5 % o f its a c t i v i t i e s t h r o u g h a n e n t i t y t h a t is n o t a r e l a t e d o r g a n i z a t i o n
a n d t h a t i s t r e a t e d a s a p a r t n e r s h i p f o r f e d e r a l i n c o m e t a x p u r p o s e s ? If "Yes," complete Schedule R, Part VI 37 X 38 D i d t h e o r g a n i z a t i o n c o m p l e t e S c h e d u l e O a n d p r o v i d e e x p l a n a t i o n s i n S c h e d u l e 0 f o r P a r t V I , l i n e s 1 1 b a n d 1 9 ?
Note. A l l F o r m 9 9 0 f i l e r s a r e r e q u i r e d t o c o m p l e t e S c h e d u l e 0 38 X Form 990(2013)
332004 10-29-13
F o r m 9 9 0 ( 2 0 1 3 ) PETS A L I V E ^ INC. 11-2975276 P a g e S ;iiji;:jl^:;J S t a t e m e n t s Regard ing Other I R S Fi l ings and Tax C o m p l i a n c e
C h e c k i f S c h e d u l e O c o n t a i n s a r e s p o n s e o r n o t e t o a n y l i n e i n t h i s P a r t V
1a b c
1a 1b
2a
3a b
2a
E n t e r t h e n u m b e r r e p o r t e d i n B o x 3 o f F o r m 1 0 9 6 . E n t e r - O - i f n o t a p p l i c a b l e
E n t e r t h e n u m b e r o f F o r m s W - 2 G i n c l u d e d i n l i n e 1 a . E n t e r - 0 - i f n o t a p p l i c a b l e
D i d t h e o r g a n i z a t i o n c o m p l y w i t h b a c k u p w i t h h o l d i n g r u l e s f o r r e p o r t a b l e p a y m e n t s t o v e n d o r s a n d r e p o r t a b l e g a m i n g
( g a m b l i n g ) w i n n i n g s t o p r i z e w i n n e r s ?
E n t e r t h e n u m b e r o f e m p l o y e e s r e p o r t e d o n F o r m W - 3 , T r a n s m i t t a l o f W a g e a n d T a x S t a t e m e n t s ,
f i l e d f o r t h e c a l e n d a r y e a r e n d i n g w i t h o r w i t h i n t h e y e a r c o v e r e d b y t h i s r e t u r n
I f a t l e a s t o n e i s r e p o r t e d o n l i n e 2 a , d i d t h e o r g a n i z a t i o n f i l e a l l r e q u i r e d f e d e r a l e m p l o y m e n t t a x r e t u r n s ?
N o t e . I f t h e s u m o f l i n e s 1 a a n d 2 a i s g r e a t e r t h a n 2 5 0 , y o u m a y b e r e q u i r e d t o e-file ( s e e i n s t r u c t i o n s )
D i d t h e o r g a n i z a t i o n h a v e u n r e l a t e d b u s i n e s s g r o s s i n c o m e o f $ 1 , 0 0 0 o r m o r e d u r i n g t h e y e a r ?
If " Y e s , " h a s i t f i l e d a F o r m 9 9 0 - T f o r t h i s y e a r ? If "No," to line 3b, provide an explanation in Schedule O
4a A t a n y t i m e d u r i n g t h e c a l e n d a r y e a r , d i d t h e o r g a n i z a t i o n h a v e a n i n t e r e s t i n , o r a s i g n a t u r e o r o t h e r a u t h o r i t y o v e r , a
f i n a n c i a l a c c o u n t i n a f o r e i g n c o u n t r y ( s u c h a s a b a n k a c c o u n t , s e c u r i t i e s a c c o u n t , o r o t h e r f i n a n c i a l a c c o u n t ) ?
b If " Y e s , " e n t e r t h e n a m e o f t h e f o r e i g n c o u n t r y : •
25
S e e i n s t r u c t i o n s f o r f i l i n g r e q u i r e m e n t s f o r F o r m T D F 9 0 - 2 2 . 1 , R e p o r t o f F o r e i g n B a n k a n d F i n a n c i a l A c c o u n t s .
5a W a s t h e o r g a n i z a t i o n a p a r t y t o a p r o h i b i t e d t a x s h e l t e r t r a n s a c t i o n a t a n y t i m e d u r i n g t h e t a x y e a r ?
b D i d a n y t a x a b l e p a r t y n o t i f y t h e o r g a n i z a t i o n t h a t i t w a s o r i s a p a r t y t o a p r o h i b ' r t e d t a x s h e l t e r t r a n s a c t i o n ?
c I f " Y e s , " t o l i n e 5 a o r 5 b , d i d t h e o r g a n i z a t i o n f i l e F o r m 8 8 8 6 - T ?
6a D o e s t h e o r g a n i z a t i o n h a v e a n n u a l g r o s s r e c e i p t s t h a t a r e n o r m a l l y g r e a t e r t h a n $ 1 0 0 , 0 0 0 , a n d d i d t h e o r g a n i z a t i o n s o l i c i t
a n y c o n t r i b u t i o n s t h a t w e r e n o t t a x d e d u c t i b l e a s c h a r i t a b l e c o n t r i b u t i o n s ?
b I f " Y e s , " d i d t h e o r g a n i z a t i o n i n c l u d e w i t h e v e r y s o l i c i t a t i o n a n e x p r e s s s t a t e m e n t t h a t s u c h c o n t r i b u t i o n s o r g i f t s
w e r e n o t t a x d e d u c t i b l e ?
7 O r g a n i z a t i o n s t h a t m a y r e c e i v e d e d u c t i b l e c o n t r i b u t i o n s u n d e r s e c t i o n 1 7 0 ( c ) .
a D i d t h e o r g a n i z a t i o n r e c e i v e a p a y m e n t i n e x c e s s o f $ 7 5 m a d e p a r t l y a s a c o n t r i b u t i o n a n d p a r t l y f o r g o o d s a n d s e r v i c e s p r o v i d e d t o t h e p a y o r ?
b I f " Y e s , " d i d t h e o r g a n i z a t i o n n o t i f y t h e d o n o r o f t h e v a l u e o f t h e g o o d s o r s e r v i c e s p r o v i d e d ?
c D i d t h e o r g a n i z a t i o n s e l l , e x c h a n g e , o r o t h e n w i s e d i s p o s e o f t a n g i b l e p e r s o n a l p r o p e r t y f o r w h i c h i t w a s r e q u i r e d
t o f i l e F o r m 8 2 8 2 ? 7d
10
11
If " Y e s , " i n d i c a t e t h e n u m b e r o f F o r m s 8 2 8 2 f i l e d d u r i n g t h e y e a r
D i d t h e o r g a n i z a t i o n r e c e i v e a n y f u n d s , d i r e c t l y o r i n d i r e c t l y , t o p a y p r e m i u m s o n a p e r s o n a l b e n e f i t c o n t r a c t ?
D i d t h e o r g a n i z a t i o n , d u r i n g t h e y e a r , p a y p r e m i u m s , d i r e c t l y o r i n d i r e c t l y , o n a p e r s o n a l b e n e f i t c o n t r a c t ? I f t h e o r g a n i z a t i o n r e c e i v e d a c o n t r i b u t i o n o f q u a l i f i e d i n t e l l e c t u a l p r o p e r t y , d i d t h e o r g a n i z a t i o n f i l e F o r m 8 8 9 9 a s r e q u i r e d ? . . . If t h e o r g a n i z a t i o n r e c e i v e d a c o n t r i b u t i o n o f c a r s , b o a t s , a i r p l a n e s , o r o t h e r v e h i c l e s , d i d t h e o r g a n i z a t i o n f i l e a F o r m 1 0 9 8 - C ? S p o n s o r i n g o r g a n i z a t i o n s m a i n t a i n i n g d o n o r a d v i s e d f u n d s a n d s e c t i o n 5D9 (a) (3) s u p p o r t i n g o r g a n i z a t i o n s . D i d t h e s u p p o r t i n g o r g a n i z a t i o n , o r a d o n o r a d v i s e d f u n d m a i n t a i n e d b y a s p o n s o r i n g o r g a n i z a t i o n , h a v e e x c e s s b u s i n e s s h o l d i n g s a t a n y t i m e d u r i n g t h e y e a r ? Sponsoring organizations maintaining donor advised funds.
D i d t h e o r g a n i z a t i o n m a k e a n y t a x a b l e d i s t r i b u t i o n s u n d e r s e c t i o n 4 9 6 6 ? D i d t h e o r g a n i z a t i o n m a k e a d i s t r i b u t i o n t o a d o n o r , d o n o r a d v i s o r , o r r e l a t e d p e r s o n ?
Section 501(c ) (7 ) organizations. E n t e r :
I n i t i a t i o n f e e s a n d c a p i t a l c o n t r i b u t i o n s i n c l u d e d o n P a r t V l l l , l i n e 1 2
G r o s s r e c e i p t s , i n c l u d e d o n F o r m 9 9 0 , P a r t V l l l , l i n e 1 2 , f o r p u b l i c u s e o f c l u b f a c i l i t i e s
Section 501 (c)(12) organizations. E n t e r :
G r o s s i n c o m e f r o m m e m b e r s o r s h a r e h o l d e r s
G r o s s i n c o m e f r o m o t h e r s o u r c e s ( D o n o t n e t a m o u n t s d u e o r p a i d t o o t h e r s o u r c e s a g a i n s t a m o u n t s d u e o r r e c e i v e d f r o m t h e m . )
10a 10b
11a
l i b 12a Section 4947(a)(1) non-exempt charitable trusts. I s t h e o r g a n i z a t i o n f i l i n g F o r m 9 9 0 i n l i e u o f F o r m 1 0 4 1 ?
b I f " Y e s , " e n t e r t h e a m o u n t o f t a x - e x e m p t i n t e r e s t r e c e i v e d o r a c c r u e d d u r i n g t h e y e a r 112b 13 Section 501 (c)(29) qualified nonprofit health insurance issuers.
a I s t h e o r g a n i z a t i o n l i c e n s e d t o i s s u e q u a l i f i e d h e a l t h p l a n s i n m o r e t h a n o n e s t a t e ?
Note. S e e t h e i n s t r u c t i o n s f o r a d d i t i o n a l i n f o r m a t i o n t h e o r g a n i z a t i o n m u s t r e p o r t o n S c h e d u l e O .
b E n t e r t h e a m o u n t o f r e s e r v e s t h e o r g a n i z a t i o n i s r e q u i r e d t o m a i n t a i n b y t h e s t a t e s i n w h i c h t h e
o r g a n i z a t i o n i s l i c e n s e d t o i s s u e q u a l i f i e d h e a r t h p l a n s
c E n t e r t h e a m o u n t o f r e s e r v e s o n h a n d
14a D i d t h e o r g a n i z a t i o n r e c e i v e a n y p a y m e n t s f o r i n d o o r t a n n i n g s e r v i c e s d u r i n g t h e t a x y e a r ?
13b 13c
1c
2b
3a 3b
4a
5a 5b 5c
6a
6b
7a 7b
7c
7e 7f
l a . 7 h
9a 9b
b I f ' Y e s , ' h a s i t f i l e d a F o r m 7 2 0 t o r e p o r t t h e s e p a y m e n t s ? If "No," provide an explanation in Schedule O
Y e s N o
12a
13a
U a 14b F o r m 990 ( 2 0 1 3 )
332005 10-29-13
F o r m 9 9 0 ( 2 0 1 3 ) PETS ALIVE, INC 11-2975276 PaoeS W^(Mm G o v e r n a n c e , Management , a n d D i s c l o s u r e For each "Yes" response to lines 2 through 7b below, and for a "No" response
to line 8a, 8b, or 10b below, describe the circumstances, p r o c e s s e s , or changes in Schedule O. See instructions.
C h e c k i f S c h e d u l e O c o n t a i n s a r e s p o n s e o r n o t e t o a n y l i n e i n t h i s P a r t V I [ S ] S e c t i o n A . Govern ing Body a n d Management
l a
i b
l a E n t e r t h e n u m b e r o f v o t i n g m e m b e r s o f t h e g o v e r n i n g b o d y a t t h e e n d o f t h e t a x y e a r
I f t h e r e a r e m a t e r i a l d i f f e r e n c e s i n v o t i n g r i g h t s a m o n g m e m b e r s o f t h e g o v e r n i n g b o d y , o r if t h e g o v e r n i n g
b o d y d e l e g a t e d b r o a d a u t h o r i t y t o a n e x e c u t i v e c o m m i t t e e o r s i m i l a r c o m m i t t e e , e x p l a i n i n S c h e d u l e 0 .
b E n t e r t h e n u m b e r o f v o t i n g m e m b e r s i n c l u d e d i n l i n e 1 a , a b o v e , w h o a r e i n d e p e n d e n t
2 D i d a n y o f f i c e r , d i r e c t o r , t r u s t e e , o r k e y e m p l o y e e h a v e a f a m i l y r e l a t i o n s h i p o r a b u s i n e s s r e l a t i o n s h i p w i t h a n y o t h e r
o f f i c e r , d i r e c t o r , t r u s t e e , o r k e y e m p l o y e e ?
3 D i d t h e o r g a n i z a t i o n d e l e g a t e c o n t r o l o v e r m a n a g e m e n t d u t i e s c u s t o m a r i l y p e r f o r m e d b y o r u n d e r t h e d i r e c t s u p e r v i s i o n
o f o f f i c e r s , d i r e c t o r s , o r t r u s t e e s , o r k e y e m p l o y e e s t o a m a n a g e m e n t c o m p a n y o r o t h e r p e r s o n ?
4 D i d t h e o r g a n i z a t i o n m a k e a n y s i g n i f i c a n t c h a n g e s t o i t s g o v e r n i n g d o c u m e n t s s i n c e t h e p r i o r F o r m 9 9 0 w a s f i l e d ?
5 D i d t h e o r g a n i z a t i o n b e c o m e a w a r e d u r i n g t h e y e a r o f a s i g n i f i c a n t d i v e r s i o n o f t h e o r g a n i z a t i o n ' s a s s e t s ?
6 D i d t h e o r g a n i z a t i o n h a v e m e m b e r s o r s t o c k h o l d e r s ?
7a D i d t h e o r g a n i z a t i o n h a v e m e m b e r s , s t o c k h o l d e r s , o r o t h e r p e r s o n s w h o h a d t h e p o w e r t o e l e c t o r a p p o i n t o n e o r
m o r e m e m b e r s o f t h e g o v e m i n g I s o d y ?
b A r e a n y g o v e m a n c e d e c i s i o n s o f t h e o r g a n i z a t i o n r e s e r v e d t o ( o r s u b j e c t t o a p p r o v a l b y ) m e m l j e r s , s t o c k h o l d e r s , o r
p e r s o n s o t h e r t h a n t h e g o v e r n i n g b o d y ?
D i d t h e o r g a n i z a t i o n c o n t e m p o r a n e o u s l y d o c u m e n t t h e m e e t i n g s h e l d o r w r i t t e n a c t i o n s u n d e r t a k e n d u r i n g t h e y e a r b y t h e f o l l o w i n g :
T h e g o v e r n i n g b o d y ?
E a c h c o m m i t t e e w i t h a u t h o r i t y t o a c t o n b e h a l f o f t h e g o v e r n i n g t x > d y ?
I s t h e r e a n y o f f i c e r , d i r e c t o r , t r u s t e e , o r k e y e m p l o y e e l i s t e d i n P a r t V I I , S e c t i o n A , w h o c a n n o t b e r e a c h e d a t t h e
o r g a n i z a t i o n ' s m a i l i n g a d d r e s s ? If "Yes," provide the names and addresses in Schedule O
8
7a
7b
8a 8b
Y e s
X
S e c t i o n B. Po l i c i es (This Section 5 requests information about policies not required by the Internal Revenue Code.) Y e s No
10a D i d t h e o r g a n i z a t i o n h a v e l o c a l c h a p t e r s , b r a n c h e s , o r a f f i l i a t e s ? 10a X b I f " Y e s , " d i d t h e o r g a n i z a t i o n h a v e w r i t t e n p o l i c i e s a n d p r o c e d u r e s g o v e r n i n g t h e a c t i v i t i e s o f s u c h c h a p t e r s , a f f i l i a t e s ,
a n d b r a n c h e s t o e n s u r e t h e i r o p e r a t i o n s a r e c o n s i s t e n t w i t h t h e o r g a n i z a t i o n ' s e x e m p t p u r p o s e s ? 10b 11a H a s t h e o r g a n i z a t i o n p r o v i d e d a c o m p l e t e c o p y o f t h i s F o r m 9 9 0 t o a l l m e m b e r s o f i t s g o v e r n i n g b o d y b e f o r e f i l i n g t h e f o n r i ?
b D e s c r i b e i n S c h e d u l e O t h e p r o c e s s , i f a n y , u s e d b y t h e o r g a n i z a t i o n t o r e v i e w t h i s F o r m 9 9 0 .
12a D i d t h e o r g a n i z a t i o n h a v e a w r i t t e n c o n f l i c t o f i n t e r e s t p o l i c y ? If "No," go to line 13
11a X 11a H a s t h e o r g a n i z a t i o n p r o v i d e d a c o m p l e t e c o p y o f t h i s F o r m 9 9 0 t o a l l m e m b e r s o f i t s g o v e r n i n g b o d y b e f o r e f i l i n g t h e f o n r i ?
b D e s c r i b e i n S c h e d u l e O t h e p r o c e s s , i f a n y , u s e d b y t h e o r g a n i z a t i o n t o r e v i e w t h i s F o r m 9 9 0 .
12a D i d t h e o r g a n i z a t i o n h a v e a w r i t t e n c o n f l i c t o f i n t e r e s t p o l i c y ? If "No," go to line 13 12a b W e r e o f f i c e r s , d i r e c t o r s , o r t r u s t e e s , a n d k e y e m p l o y e e s r e q u i r e d t o d i s c l o s e a n n u a l l y i n t e r e s t s t h a t c o u l d g i v e r i s e t o c o n f l i c t s ? 12b X c D i d t h e o r g a n i z a t i o n r e g u l a r l y a n d c o n s i s t e n t l y m o n i t o r a n d e n f o r c e c o m p l i a n c e w i t h t h e p o l i c y ? If "Yes," describe
in Schedule 0 how this was done 12c X 13 D i d t h e o r g a n i z a t i o n h a v e a w r i t t e n w h i s t l e b l o w e r p o l i c y ? 13 X 14 D i d t h e o r g a n i z a t i o n h a v e a w r i t t e n d o c u m e n t r e t e n t i o n a n d d e s t n j c t i o n p o l i c y ? 14 X 15 D i d t h e p r o c e s s f o r d e t e r m i n i n g c o m p e n s a t i o n o f t h e f o l l o w i n g p e r s o n s i n c l u d e a r e v i e w a n d a p p r o v a l b y i n d e p e n d e n t
p e r s o n s , c o m p a r a b i l i t y d a t a , a n d c o n t e m p o r a n e o u s s u b s t a n t i a t i o n o f t h e d e l i b e r a t i o n a n d d e c i s i o n ?
a T h e o r g a n i z a t i o n ' s C E O , E x e c u t i v e D i r e c t o r , o r t o p m a n a g e m e n t o f f i c i a l 15a X b O t h e r o f f i c e r s o r k e y e m p l o y e e s o f t h e o r g a n i z a t i o n 15b X
I f " Y e s " t o l i n e 1 5 a o r 1 5 b , d e s c r i b e t h e p r o c e s s i n S c h e d u l e 0 ( s e e i n s t n j c t i o n s ) .
16a D i d t h e o r g a n i z a t i o n i n v e s t i n , c o n t r i b u t e a s s e t s t o , o r p a r t i c i p a t e i n a j o i n t v e n t u r e o r s i m i l a r a r r a n g e m e n t w i t h a
t a x a b l e e n t i t y d u r i n g t h e y e a r ? 16a b I f " Y e s , " d i d t h e o r g a n i z a t i o n f o l l o w a w r i t t e n p o l i c y o r p r o c e d u r e r e q u i r i n g t h e o r g a n i z a t i o n t o e v a l u a t e i t s p a r t i c i p a t i o n
i n j o i n t v e n t u r e a r r a n g e m e n t s u n d e r a p p l i c a b l e f e d e r a l t a x l a w , a n d t a k e s t e p s t o s a f e g u a r d t h e o r g a n i z a t i o n ' s
e x e m p t s t a t u s w i t h r e s p e c t t o s u c h a r r a n g e m e n t s ? 16b
S e c t i o n C . D i s c l o s u r e 17 18
19
20
L i s t t h e s t a t e s w i t h w h i c h a c o p y o f t h i s F o r m 9 9 0 i s r e q u i r e d t o b e f i l e d •NY S e c t i o n 6 1 0 4 r e q u i r e s a n o r g a n i z a t i o n t o m a k e i t s F o r m s 1 0 2 3 ( o r 1 0 2 4 i f a p p l i c a b l e ) , 9 9 0 , a n d 9 9 0 - T ( S e c t i o n 5 0 1 ( c ) ( 3 ) s o n l y ) a v a i l a b l e f o r p u b l i c i n s p e c t i o n . I n d i c a t e h o w y o u m a d e t h e s e a v a i l a b l e . C h e c k a l l t h a t a p p l y .
I I O w n w e b s i t e IZH A n o t h e r ' s w e b s i t e [X] U p o n r e q u e s t C H O t h e r (explain in Schedule O)
D e s c r i b e i n S c h e d u l e O w h e t h e r ( a n d i f s o , h o w ) , t h e o r g a n i z a t i o n m a d e i t s g o v e m i n g d o c u m e n t s , c o n f l i c t o f i n t e r e s t p o l i c y , a n d f i n a n c i a l s t a t e m e n t s a v a i l a b l e t o t h e p u b l i c d u r i n g t h e t a x y e a r .
S t a t e t h e n a m e , p h y s i c a l a d d r e s s , a n d t e l e p h o n e n u m b e r o f t h e p e r s o n w h o p o s s e s s e s t h e b o o k s a n d r e c o r d s o f t h e o r g a n i z a t i o n : • JENESSA CUTLER - (845) 386-5408 36 3 DERBY ROAD, MIDDLETOWN, NY 10940
332006 10-29-13 F o r m 990 ( 2 0 1 3 )
F o r m 9 9 0 ( 2 0 1 3 ) PETS A L I V E , INC. 11-2975276 P a g e ? W^&m C o m p e n s a t i o n of Of f icers , D i rectors , T r u s t e e s , K e y E m p l o y e e s , H ighest C o m p e n s a t e d
E m p l o y e e s , a n d Independent Cont rac to rs C h e c k i f S c h e d u l e O c o n t a i n s a r e s p o n s e o r n o t e t o a n y l i n e i n t h i s P a r t V I I
Section A. Officers, Directors, Trustees, Key Employees, and Highest C o m p e n s a t e d Employees l a C o m p l e t e t h i s t a b l e f o r a l l p e r s o n s r e q u i r e d t o b e l i s t e d . R e p o r t c o m p e n s a t i o n f o r t h e c a l e n d a r y e a r e n d i n g w i t h o r w i t h i n t h e o r g a n i z a t i o n ' s t a x y e a r .
• L i s t a l l o f t h e o r g a n i z a t i o n ' s current o f f i c e r s , d i r e c t o r s , t m s t e e s ( w h e t h e r i n d i v i d u a l s o r o r g a n i z a t i o n s ) , r e g a r d l e s s o f a m o u n t o f c o m p e n s a t i o n . E n t e r - 0 - i n c o l u m n s ( D ) , ( E ) , a n d ( F ) i f n o c o m p e n s a t i o n w a s p a i d .
• L i s t a l l o f t h e o r g a n i z a t i o n ' s current k e y e m p l o y e e s , i f a n y . S e e i n s t r u c t i o n s f o r d e f i n i t i o n o f " k e y e m p l o y e e . " • L i s t t h e o r g a n i z a t i o n ' s f i v e c u r r e n t h i g h e s t c o m p e n s a t e d e m p l o y e e s ( o t h e r t h a n a n o f f i c e r , d i r e c t o r , t r u s t e e , o r k e y e m p l o y e e ) w h o r e c e i v e d r e p o r t
a b l e c o m p e n s a t i o n ( B o x 5 o f F o r m W - 2 a n d / o r B o x 7 o f F o r m 1 0 9 9 - M I S C ) o f m o r e t h a n $ 1 0 0 , 0 0 0 f r o m t h e o r g a n i z a t i o n a n d a n y r e l a t e d o r g a n i z a t i o n s . • L i s t a l l o f t h e o r g a n i z a t i o n ' s former o f f i c e r s , k e y e m p l o y e e s , a n d h i g h e s t c o m p e n s a t e d e m p l o y e e s who r e c e i v e d m o r e t h a n $ 1 0 0 , 0 0 0 of
r e p o r t a b l e c o m p e n s a t i o n f r o m t h e o r g a n i z a t i o n a n d a n y r e l a t e d o r g a n i z a t i o n s . • L i s t a l l o f t h e o r g a n i z a t i o n ' s former d i r e c t o r s or trustees t h a t r e c e i v e d , i n t h e c a p a c i t y a s a f o r m e r d i r e c t o r o r t r u s t e e o f t h e o r g a n i z a t i o n ,
m o r e t h a n $ 1 0 , 0 0 0 o f r e p o r t a b l e c o m p e n s a t i o n f r o m t h e o r g a n i z a t i o n a n d a n y r e l a t e d o r g a n i z a t i o n s . L i s t p e r s o n s i n t h e f o l l o w i n g o r d e r : i n d i v i d u a l t r u s t e e s o r d i r e c t o r s ; i n s t i t u t i o n a l t r u s t e e s ; o f f i c e r s ; k e y e m p l o y e e s ; h i g h e s t c o m p e n s a t e d e m p l o y e e s ; a n d f o r m e r s u c h p e r s o n s .
I I C h e c k t h i s b o x i f n e i t h e r t h e o r g a n i z a t i o n n o r a n y r e l a t e d o r g a n i z a t i o n c o m p e n s a t e d a n y c u r r e n t o f f i c e r , d i r e c t o r , o r t r u s t e e .
(A) N a m e a n d T i t l e
(B) A v e r a g e
h o u r s p e r w e e k
( l i s t a n y h o u r s f o r
r e l a t e d o r g a n i z a t i o n s
b e l o w l i n e )
(C) P o s i t i o n
(do not check more than one box, unless person is both an officer and a director/trustee)
(D) R e p o r t a b l e
c o m p e n s a t i o n f r o m t h e
o r g a n i z a t i o n ( W - 2 / 1 0 9 9 - M I S C )
(E) R e p o r t a b l e
c o m p e n s a t i o n f r o m r e l a t e d
o r g a n i z a t i o n s ( W - 2 / 1 0 9 9 - M I S C )
(F) E s t i m a t e d a m o u n t o f
o t h e r c o m p e n s a t i o n
f r o m t h e o r g a n i z a t i o n a n d r e l a t e d
o r g a n i z a t i o n s
( 1 ) KERRY CLAIR-RESIGNED 8/10/13 PRESIDENT
40.00 36,385 0^
0, (2) JOY SARNELLI-RESIGNED 12/7/13 VICE PRESIDENT
10.00
(3) MARY ANN KUHENS-REMOVED 8/11/13 S ECRETARY / TREASURER
10.00 _0,
_0 ,
_0_
0
( 4 ) MARISOL THOMAS MEMBER
10.00 0.
(5) ROB THOMAS MEMBER
10.00
(6) MARIA MALDONADO SECRETARY
10.00
( 7 ) SANDY MOZDIERZ MEMBER
10.00 _0j
0 (8) SHERRY FAUST MEMBER
10.00 0.
332007 10-29-13 F o r m 990 ( 2 0 1 3 )
F o r m 9 9 0 ( 2 0 1 3 ) PETS A L I V E , INC. 11-2975276 PageS mmm Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A) N a m e a n d t i t l e
(B) A v e r a g e
h o u r s p e r w e e k
( l i s t a n y h o u r s f o r
r e l a t e d o r g a n i z a t i o n s
b e l o w l i n e )
(C) P o s i t i o n
(do not check more than one box, unless person is both an officer and a director/tnjstee)
(D) R e p o r t a b l e
c o m p e n s a t i o n f r o m t h e
o r g a n i z a t i o n ( W - 2 / 1 0 9 9 - M I S C )
(E) R e p o r t a b l e
c o m p e n s a t i o n f r o m r e l a t e d
o r g a n i z a t i o n s ( W - 2 / 1 0 9 9 - M I S C )
(F) E s t i m a t e d a m o u n t o f
o t h e r c o m p e n s a t i o n
f r o m t h e o r g a n i z a t i o n a n d r e l a t e d
o r g a n i z a t i o n s
(A) N a m e a n d t i t l e
(B) A v e r a g e
h o u r s p e r w e e k
( l i s t a n y h o u r s f o r
r e l a t e d o r g a n i z a t i o n s
b e l o w l i n e )
o
••5 o
1 3
T 3 • 5 • 5
s 1 •ss 2 1 s
•o
It
(D) R e p o r t a b l e
c o m p e n s a t i o n f r o m t h e
o r g a n i z a t i o n ( W - 2 / 1 0 9 9 - M I S C )
(E) R e p o r t a b l e
c o m p e n s a t i o n f r o m r e l a t e d
o r g a n i z a t i o n s ( W - 2 / 1 0 9 9 - M I S C )
(F) E s t i m a t e d a m o u n t o f
o t h e r c o m p e n s a t i o n
f r o m t h e o r g a n i z a t i o n a n d r e l a t e d
o r g a n i z a t i o n s
l b Sub-total • • •
36,385. 0. 0. c Total from continuation sheets to Part VII, Section A d Total (add lines l b and 1 c )
• • •
0. 0. 0. c Total from continuation sheets to Part VII, Section A d Total (add lines l b and 1 c )
• • • 36,385. 0. 0.
2 T o t a l n u m b e r o f i n d i v i d u a l s ( i n c l u d i n g b u t n o t l i m i t e d t o t h o s e l i s t e d a b o v e ) w h o r e c e i v e d m o r e t h a n $ 1 0 0 , 0 0 0 o f r e p o r t a b l e c o m p e n s a t i o n f r o m t h e o r g a n i z a t i o n •
D i d t h e o r g a n i z a t i o n l i s t a n y former o f f i c e r , d i r e c t o r , o r t r u s t e e , k e y e m p l o y e e , o r h i g h e s t c o m p e n s a t e d e m p l o y e e o n
l i n e 1 a ? "Yes," complete Sctiedule J for such Individual
F o r a n y i n d i v i d u a l l i s t e d o n l i n e l a , i s t h e s u m o f r e p o r t a b l e c o m p e n s a t i o n a n d o t h e r c o m p e n s a t i o n f r o m t h e o r g a n i z a t i o n a n d r e l a t e d o r g a n i z a t i o n s g r e a t e r t h a n $ 1 5 0 , 0 0 0 ? If "Yes," complete Schedule J for such individual
D i d a n y p e r s o n l i s t e d o n l i n e l a r e c e i v e o r a c c r u e c o m p e n s a t i o n f r o m a n y u n r e l a t e d o r g a n i z a t i o n o r i n d i v i d u a l f o r s e r v i c e s r e n d e r e d t o t h e o r g a n i z a t i o n ? If "Yes," complete Schedule J for such person
Y e s No
Section B. Independent Contractors
C o m p l e t e t h i s t a b l e f o r y o u r f i v e h i g h e s t c o m p e n s a t e d i n d e p e n d e n t c o n t r a c t o r s t h a t r e c e i v e d m o r e t h a n $ 1 0 0 , 0 0 0 o f c o m p e n s a t i o n f r o m
(A) N a m e a n d b u s i n e s s a d d r e s s NONE
(B) D e s c r i p t i o n o f s e r v i c e s
(C) C o m p e n s a t i o n
2 T o t a l n u m b e r o f i n d e p e n d e n t c o n t r a c t o r s ( i n c l u d i n g b u t n o t l i m i t e d t o t h o s e l i s t e d a b o v e ) w h o r e c e i v e d m o r e t h a n $ 1 0 0 , 0 0 0 o f c o m p e n s a t i o n f r o m t h e o r g a n i z a t i o n • 0
F o r m 9 9 0 ( 2 0 1 3 ) 332008 10-29-13
F o r m 9 9 0 ( 2 0 1 3 ) i P a r t V J H
PETS ALIVE, INC. 11-2975276 P a g e 9 S t a t e m e n t of Revenue C h e c k i f S c h e d u l e O c o n t a i n s a r e s p o n s e o r n o t e t o a n y l i n e i n t h i s P a r t V l l l
(A) T o t a l r e v e n u e
(B) R e l a t e d o r
e x e m p t f u n c t i o n r e v e n u e
(C) U n r e l a t e d b u s i n e s s r e v e n u e
(D) R e v e n u e e x c l u d e d
f r o m t a x u n d e r s e c t i o n s
5 1 2 - 5 1 4
1 a b c d e f
9 h
F e d e r a t e d c a m p a i g n s
M e m b e r s h i p d u e s
F u n d r a i s i n g e v e n t s
R e l a t e d o r g a n i z a t i o n s
G o v e r n m e n t g r a n t s ( c o n t r i b u t i o n s )
A l l o t h e r c o n t r i b u t i o n s , g i f t s , g r a n t s , a n d
s i m i l a r a m o u n t s n o t i n c l u d e d a b o v e
Noncash contributions included in lines l a - U $_
Total. A d d l i n e s 1 a - 1 f
l a l b 1c I d 1e
I f 898,363.
898,363. Business Code:
2 a b c d e f g
ANIMAL CARE
A l l o t h e r p r o g r a m s e r v i c e r e v e n u e
Total. A d d l i n e s 2 a - 2 f
812900 90,500. 90,500
90,500
4 5
6 a b c d
7 a
c d
8 a
b c
9 a
b c
10 a
b c
I n v e s t m e n t i n c o m e ( i n c l u d i n g d i v i d e n d s , i n t e r e s t , a n d
o t h e r s i m i l a r a m o u n t s )
I n c o m e f r o m i n v e s t m e n t o f t a x - e x e m p t b o n d p r o c e e d s
R o y a l t i e s
• • •
15,514
G r o s s r e n t s
L e s s : r e n t a l e x p e n s e s
R e n t a l i n c o m e o r ( l o s s )
N e t r e n t a l i n c o m e o r ( l o s s ) . G r o s s a m o u n t f r o m s a l e s o f a s s e t s o t h e r t h a n i n v e n t o r y L e s s : c o s t o r o t h e r b a s i s
a n d s a l e s e x p e n s e s
G a i n o r ( l o s s )
N e t g a i n o r ( l o s s ) G r o s s i n c o m e f r o m f u n d r a i s i n g e v e n t s ( n o t i n c l u d i n g $ o f
c o n t r i b u t i o n s r e p o r t e d o n l i n e 1 c ) . S e e
P a r t I V , l i n e 1 8 a L e s s : d i r e c t e x p e n s e s b N e t i n c o m e o r ( l o s s ) f r o m f u n d r a i s i n g e v e n t s G r o s s i n c o m e f r o m g a m i n g a c t i v i t i e s . S e e
P a r t I V , l i n e 1 9 a L e s s : d i r e c t e x p e n s e s b N e t i n c o m e o r ( l o s s ) f r o m g a m i n g a c t i v i t i e s .. G r o s s s a l e s o f i n v e n t o r y , l e s s r e t u r n s
a n d a l l o v i f a n c e s a L e s s : c o s t o f g o o d s s o l d b N e t i n c o m e o r ( l o s s ) f r o m s a l e s o f i n v e n t o r y ..
( i ) R e a l f i i ) P e r s o n a l
( i ) S e c u r i t i e s ( i i ) O t h e r 40,042.
35, 307 . 4, 735 .
4,735
15,514
4,735,
M i s c e l l a n e o u s R e v e n u e Business Code
11 a b c d e
12
A l l o t h e r r e v e n u e Total. A d d l i n e s 1 l a - l i d
T o t a l r e v e n u e . S e e i n s t r u c t i o n s .
• • 1,009,112 90,500 0 . 1 20,249.
332009 10-29-13 F o r m 990 ( 2 0 1 3 )
F o r m 9 9 0 ( 2 0 1 3 ) PETS A L I V E ^ INC. 11-2975276 P a g e l O i j i i j l l s t a t e m e n t of Funct iona l E x p e n s e s
Section 501(c)(3) and 501(cj(4) organizations must complete all columns. All other organizations must complete column (A).
C h e c k i f S c h e d u l e O c o n t a i n s a r e s p o n s e o r n o t e t o a n y l i n e i n t h i s P a r t I X . D o n o t i n c l u d e a m o u n t s r e p o r t e d o n l i n e s 6 b , 7 b , 8 b , 9 b . a n d 10b o f P a r t Vlll.
T o t a l e x p e n s e s (B)
P r o g r a m s e r v i c e e x p e n s e s
(C) M a n a g e m e n t a n d g e n e r a l e x p e n s e s
(D) F u n d r a i s i n g
e x p e n s e s
4 5
7 8
9 10 11
a b c d e f
g
12 13 14 15 16 17 18
19 20 21 22 23 24
G r a n t s a n d o t h e r a s s i s t a n c e t o g o v e r n m e n t s a n d
o r g a n i z a t i o n s i n t h e U n i t e d S t a t e s . S e e P a r t I V , l i n e 2 1
G r a n t s a n d o t h e r a s s i s t a n c e t o i n d i v i d u a l s i n
t h e U n i t e d S t a t e s . S e e P a r t I V , l i n e 2 2
G r a n t s a n d o t h e r a s s i s t a n c e t o g o v e r n m e n t s ,
o r g a n i z a t i o n s , a n d i n d i v i d u a l s o u t s i d e t h e
U n i t e d S t a t e s . S e e P a r t I V , l i n e s 1 5 a n d 1 6 ...
B e n e f i t s p a i d t o o r f o r m e m b e r s
C o m p e n s a t i o n o f c u r r e n t o f f i c e r s , d i r e c t o r s ,
t r u s t e e s , a n d k e y e m p l o y e e s
C o m p e n s a t i o n n o t i n c l u d e d a b o v e , t o d i s q u a l i f i e d
p e r s o n s ( a s d e f i n e d u n d e r s e c t i o n 4 9 5 8 ( f ) ( 1 ) ) a n d
p e r s o n s d e s c r i b e d i n s e c t i o n 4 9 5 8 ( c ) ( 3 ) ( B )
O t h e r s a l a r i e s a n d w a g e s
P e n s i o n p l a n a c c r u a l s a n d c o n t r i b u t i o n s ( i n c l u d e
s e c t i o n 4 0 1 ( k ) a n d 4 0 3 ( b ) e m p l o y e r c o n t r i b u t i o n s )
O t h e r e m p l o y e e b e n e f i t s
P a y r o l l t a x e s
F e e s f o r s e r v i c e s ( n o n - e m p l o y e e s ) :
M a n a g e m e n t
L e g a l
A c c o u n t i n g
L o b b y i n g
P r o f e s s i o n a l f u n d r a i s i n g s e n / i c e s . S e e P a r t I V , l i n e 1 7
I n v e s t m e n t m a n a g e m e n t f e e s
O t h e r . ( I f l i n e 1 1 g a m o u n t e x c e e d s 1 0 % o f l i n e 2 5 ,
c o l u m n ( A ) a m o u n t , l i s t l i n e 1 1 g e x p e n s e s o n S c h 0 . )
A d v e r t i s i n g a n d p r o m o t i o n
O f f i c e e x p e n s e s
I n f o r m a t i o n t e c h n o l o g y
R o y a l t i e s
O c c u p a n c y
T r a v e l
P a y m e n t s o f t r a v e l o r e n t e r t a i n m e n t e x p e n s e s
f o r a n y f e d e r a l , s t a t e , o r l o c a l p u b l i c o f f i c i a l s
C o n f e r e n c e s , c o n v e n t i o n s , a n d m e e t i n g s
I n t e r e s t
P a y m e n t s t o a f f i l i a t e s
D e p r e c i a t i o n , d e p l e t i o n , a n d a m o r t i z a t i o n
I n s u r a n c e O t h e r e x p e n s e s . I t e m i z e e x p e n s e s n o t c o v e r e d a b o v e . ( L i s t m i s c e l l a n e o u s e x p e n s e s i n l i n e 2 4 e . If l i n e 2 4 e a m o u n t e x c e e d s 1 0 % o f l i n e 2 5 , c o l u m n ( A ) a m o u n t , l i s t l i n e 2 4 e e x p e n s e s o n S c h e d u l e 0 . )
a ANIMAL CARE b REPAIRS AND MAINTENANCE c POSTAGE & PRINTING
SUPPLIES e A l l o t h e r e x p e n s e s
25 T o t a l f u n c t i o n a l e x p e n s e s . A d d l i n e s 1 t h r o u g h 2 4 e
240,062 42,383 19,660 8,946 6, 823
866,326
36,385.
309,397
23,959 30,687
21,554
1,820 16,105
42,806 2,214
6,679
38,965 17,881
30,927 3,639
2 45,699 48,228
19,167 3,594. 24,550. 4,603
21,554
1,820 12,884
34,355 2,214
6,679.
38,965. 14,305.
240,062 33,906 19,660 7,157 5,459
737,809
2,416
6,338
2,682
6,358
1,342 1,023
101,777
1,819
15,470
1,198. 1,534
805.
2,113.
894.
2,119
447 341
26,740. 26 J o i n t c o s t s . C o m p l e t e t h i s l i n e o n l y i f t h e o r g a n i z a t i o n
r e p o r t e d i n c o l u m n ( B ) j o i n t c o s t s f r o m a c o m b i n e d e d u c a t i o n a l c a m p a i g n a n d f u n d r a i s i n g s o l i c i t a t i o n .
Check here • if fnllnwinq S O P 98-2 (ASC 958-720)
332010 10-29-13 F o r m 990 ( 2 0 1 3 )
F o r m 9 9 0 ( 2 0 1 3 ) PETS ALIVE, INC. 11-2975276 Paqe11 Par t X B a l a n c e S h e e t
C h e c k i f S c h e d u l e O c o n t a i n s a r e s p o n s e o r n o t e t o a n y l i n e i n t h i s P a r t X
(A) B e g i n n i n g o f y e a r
(B) E n d o f y e a r
1 C a s h - n o n - i n t e r e s t - b e a r i n g
2 S a v i n g s a n d t e m p o r a r y c a s h i n v e s t m e n t s
3 P l e d g e s a n d g r a n t s r e c e i v a b l e , n e t
4 A c c o u n t s r e c e i v a b l e , n e t
5 L o a n s a n d o t h e r r e c e i v a b l e s f r o m c u r r e n t a n d f o r m e r o f f i c e r s , d i r e c t o r s ,
t r u s t e e s , k e y e m p l o y e e s , a n d h i g h e s t c o m p e n s a t e d e m p l o y e e s . C o m p l e t e
P a r t I I o f S c h e d u l e L
6 L o a n s a n d o t h e r r e c e i v a b l e s f r o m o t h e r d i s q u a l i f i e d p e r s o n s ( a s d e f i n e d u n d e r
s e c t i o n 4 9 5 8 ( f ) ( 1 ) ) , p e r s o n s d e s c r i b e d i n s e c t i o n 4 9 5 8 ( c ) ( 3 ) ( B ) , a n d c o n t r i b u t i n g
e m p l o y e r s a n d s p o n s o r i n g o r g a n i z a t i o n s o f s e c t i o n 5 0 1 ( c ) ( 9 ) v o l u n t a r y
e m p l o y e e s ' b e n e f i c i a r y o r g a n i z a t i o n s ( s e e i n s t r ) . C o m p l e t e P a r t I I o f S c h L
7 N o t e s a n d l o a n s r e c e i v a b l e , n e t
8 I n v e n t o r i e s f o r s a l e o r u s e
9 P r e p a i d e x p e n s e s a n d d e f e r r e d c h a r g e s
10a L a n d , b u i l d i n g s , a n d e q u i p m e n t : c o s t o r o t h e r
b a s i s . C o m p l e t e P a r t V I o f S c h e d u l e D
b L e s s : a c c u m u l a t e d d e p r e c i a t i o n
I n v e s t m e n t s - p u b l i c l y t r a d e d s e c u r i t i e s
I n v e s t m e n t s - o t h e r s e c u r i t i e s . S e e P a r t I V , l i n e 1 1
I n v e s t m e n t s - p r o g r a m - r e l a t e d . S e e P a r t I V , l i n e 1 1
I n t a n g i b l e a s s e t s
O t h e r a s s e t s . S e e P a r t I V , l i n e 1 1
401,895.
10a 10b
1,033,612 222,545
Total asse ts . A d d l i n e s 1 t h r o u g h 1 5 ( m u s t e q u a l l i n e 3 4 )
826,624. 10c 492,325. 11
0, 1,720,844.
12 13 14 15 16
341,609
811,067 658,850
53,825 1,865,351.
17 18 19 20 21 22
23 24 25
26
A c c o u n t s p a y a b l e a n d a c c n j e d e x p e n s e s
G r a n t s p a y a b l e
D e f e r r e d r e v e n u e
T a x - e x e m p t b o n d l i a b i l i t i e s
E s c r o w o r c u s t o d i a l a c c o u n t l i a b i l i t y . C o m p l e t e P a r t I V o f S c h e d u l e D
L o a n s a n d o t h e r p a y a b l e s t o c u r r e n t a n d f o r m e r o f f i c e r s , d i r e c t o r s , t r u s t e e s ,
k e y e m p l o y e e s , h i g h e s t c o m p e n s a t e d e m p l o y e e s , a n d d i s q u a l i f i e d p e r s o n s .
C o m p l e t e P a r t I I o f S c h e d u l e L
S e c u r e d m o r t g a g e s a n d n o t e s p a y a b l e t o u n r e l a t e d t h i r d p a r t i e s
U n s e c u r e d n o t e s a n d l o a n s p a y a b l e t o u n r e l a t e d t h i r d p a r t i e s
O t h e r l i a b i l i t i e s ( i n c l u d i n g f e d e r a l i n c o m e t a x , p a y a b l e s t o r e l a t e d t h i r d
p a r t i e s , a n d o t h e r l i a b i l i t i e s n o t i n c l u d e d o n l i n e s 1 7 - 2 4 ) . C o m p l e t e P a r t X o f
S c h e d u l e D
Total liabilities. A d d l i n e s 1 7 t h r o u g h 2 5
17 18 19 20 21
22 85,428. 23
24
25 85,428. 26
9,290
81,341
90,631
27 28 29
30 31 32 33 34
Organizations that follow S F A S 117 (ASC 958), check here • complete lines 27 through 29, and lines 33 and 34. U n r e s t r i c t e d n e t a s s e t s
T e m p o r a r i l y r e s t r i c t e d n e t a s s e t s
P e r m a n e n t l y r e s t r i c t e d n e t a s s e t s
and
27 28 29
Organizations that do not follow S F A S 117 (ASC 958), check here • I and complete lines 30 through 34. C a p i t a l s t o c k o r t r u s t p r i n c i p a l , o r c u r r e n t f u n d s
P a i d - i n o r c a p i t a l s u r p l u s , o r l a n d , b u i l d i n g , o r e q u i p m e n t f u n d
R e t a i n e d e a r n i n g s , e n d o w m e n t , a c c u m u l a t e d i n c o m e , o r o t h e r f u n d s ....
T o t a l n e t a s s e t s o r f u n d b a l a n c e s
T o t a l l i a b i l i t i e s a n d n e t a s s e t s / f u n d b a l a n c e s
30 0 31
1,635,416 32 1,635,416 33 1,720,844 34
0. 0.
1,774,720 1,774,720. 1,865,351.
F o r m 990 ( 2 0 1 3 )
332011 10-29-13
F o r m 9 9 0 ( 2 0 i 3 ) PETS ALIVE, INC. 11-2975276 P a a e 1 2
:::Part::XI:i Reconc i l i a t ion of Net A s s e t s C h e c k i f S c h e d u l e O c o n t a i n s a r e s p o n s e o r n o t e t o a n y l i n e i n t h i s P a r t X I 1 1
1 T o t a l r e v e n u e ( m u s t e q u a l P a r t V l l l , c o l u m n ( A ) , l i n e 1 2 ) 1 1,009, 112 . 2 T o t a l e x p e n s e s ( m u s t e q u a l P a r t I X , c o l u m n ( A ) , l i n e 2 5 ) 2 866, 326 . 3 R e v e n u e l e s s e x p e n s e s . S u b t r a c t l i n e 2 f r o m l i n e 1 . . . . . 3 142,786. 4 N e t a s s e t s o r f u n d b a l a n c e s a t b e g i n n i n g o f y e a r ( m u s t e q u a l P a r t X , l i n e 3 3 , c o l u m n ( A ) ) 4 1,635,416. 5 N e t u n r e a l i z e d g a i n s ( l o s s e s ) o n i n v e s t m e n t s . . . 5 -3,482. 6 D o n a t e d s e r v i c e s a n d u s e o f f a c i l i t i e s 6
7 I n v e s t m e n t e x p e n s e s 7
8 P r i o r p e r i o d a d j u s t m e n t s 8
9 O t h e r c h a n g e s i n n e t a s s e t s o r f u n d b a l a n c e s ( e x p l a i n i n S c h e d u l e 0 ) 9 0 . 10 N e t a s s e t s o r f u n d b a l a n c e s a t e n d o f y e a r . C o m b i n e l i n e s 3 t h r o u g h 9 ( m u s t e q u a l P a r t X , l i n e 3 3 ,
c o l u m n ( B ) ) 10 1,774,720. iiiiltillXtB F i n a n c i a l S t a t e m e n t s and Report ing
C h e c k i f S c h e d u l e O c o n t a i n s a r e s p o n s e o r n o t e t o a n y l i n e i n t h i s P a r t X I I
A c c o u n t i n g m e t h o d u s e d t o p r e p a r e t h e F o r m 9 9 0 : C a s h I X I A c c r u a l I O t h e r
I f t h e o r g a n i z a t i o n c h a n g e d i t s m e t h o d o f a c c o u n t i n g f r o m a p r i o r y e a r o r c h e c k e d " O t h e r , " e x p l a i n i n S c h e d u l e O .
2a W e r e t h e o r g a n i z a t i o n ' s f i n a n c i a l s t a t e m e n t s c o m p i l e d o r r e v i e v i ^ e d b y a n i n d e p e n d e n t a c c o u n t a n t ?
I f " Y e s , " c h e c k a b o x b e l o v i f t o i n d i c a t e v ^ h e t h e r t h e f i n a n c i a l s t a t e m e n t s f o r t h e y e a r w e r e c o m p i l e d o r r e v i e w e d o n a
s e p a r a t e b a s i s , c o n s o l i d a t e d b a s i s , o r b o t h :
I B o t h c o n s o l i d a t e d a n d s e p a r a t e b a s i s S e p a r a t e b a s i s C o n s o l i d a t e d b a s i s
W e r e t h e o r g a n i z a t i o n ' s f i n a n c i a l s t a t e m e n t s a u d i t e d b y a n i n d e p e n d e n t a c c o u n t a n t ? I f " Y e s , " c h e c k a b o x b e l o w t o i n d i c a t e w h e t h e r t h e f i n a n c i a l s t a t e m e n t s f o r t h e y e a r w e r e a u d i t e d o n a s e p a r a t e b a s i s ,
c o n s o l i d a t e d b a s i s , o r bo\h:
I X I S e p a r a t e b a s i s C o n s o l i d a t e d b a s i s B o t h c o n s o l i d a t e d a n d s e p a r a t e b a s i s
c I f " Y e s " t o l i n e 2 a o r 2 b , d o e s t h e o r g a n i z a t i o n h a v e a c o m m i t t e e t h a t a s s u m e s r e s p o n s i b i l i t y f o r o v e r s i g h t o f t h e a u d i t ,
r e v i e w , o r c o m p i l a t i o n o f i t s f i n a n c i a l s t a t e m e n t s a n d s e l e c t i o n o f a n i n d e p e n d e n t a c c o u n t a n t ?
I f t h e o r g a n i z a t i o n c h a n g e d e i t h e r i t s o v e r s i g h t p r o c e s s o r s e l e c t i o n p r o c e s s d u r i n g t h e t a x y e a r , e x p l a i n i n S c h e d u l e O .
3a A s a r e s u l t o f a f e d e r a l a w a r d , w a s t h e o r g a n i z a t i o n r e q u i r e d t o u n d e r g o a n a u d i t o r a u d i t s a s s e t f o r t h i n t h e S i n g l e A u d i t
A c t a n d O M B C i r c u l a r A - 1 3 3 ?
b I f " Y e s , " d i d t h e o r g a n i z a t i o n u n d e r g o t h e r e q u i r e d a u d i t o r a u d i t s ? I f t h e o r g a n i z a t i o n d i d n o t u n d e r g o t h e r e q u i r e d a u d i t
o r a u d i t s , e x p l a i n w h y i n S c h e d u l e O a n d d e s c r i b e a n y s t e p s t a k e n t o u n d e r g o s u c h a u d i t s
2a
2b
2c
3a
3b
Y e s No
F o r m 990 ( 2 0 1 3 )
332012 10-29-13
S C H E D U L E A (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Sen/ice
Public Charity Status and Public Support Complete if the organization is a section 501 (c)(3) organization or a section
4947(a)(1) nonexempt charitable trust. • Attach to Form 990 or Form 990-EZ.
• Information about Schedule A (Form 990 or 990-E2) and its instructions is at W W W . i r s . g o v / f o r r n 9 9 0 .
ON/IB No. 1545-0047
2013 (^lefl to PubSc
inspection Name of the organization
PETS ALIVE, INC. Employer identification number
11-2975276 P a r t i R e a s o n for P u b l i c Char i ty S ta tus ( A l l o r g a n i z a t i o n s m u s t c o m p l e t e t h i s p a r t . ) S e e i n s t r u c t i o n s .
T h e o r g a n i z a t i o n i s n o t a p r i v a t e f o u n d a t i o n b e c a u s e i t i s : ( F o r l i n e s 1 t h r o u g h 11 , c h e c k o n l y o n e b o x . )
1 I I A c h u r c h , c o n v e n t i o n o f c h u r c h e s , o r a s s o c i a t i o n o f c h u r c h e s d e s c r i b e d i n section 170(b)(1)(A)(i). 2 • A s c h o o l d e s c r i b e d i n section 170(b)(1)(A)(ii). ( A t t a c h S c h e d u l e s . )
3 I I A h o s p i t a l o r a c o o p e r a t i v e h o s p i t a l s e r v i c e o r g a n i z a t i o n d e s c r i b e d in section 170(b)(1)(A)(iii). 4 I I A m e d i c a l r e s e a r c h o r g a n i z a t i o n o p e r a t e d i n c o n j u n c t i o n v / i t h a h o s p ' r t a l d e s c r i b e d i n section 170(b)(1)(A)(iii). E n t e r t h e h o s p i t a l ' s n a m e ,
c i t y , a n d s t a t e :
5 I I A n o r g a n i z a t i o n o p e r a t e d f o r t h e b e n e f i t o f a c o l l e g e o r u n i v e r s i t y o w n e d o r o p e r a t e d b y a g o v e r n m e n t a l u n i t d e s c r i b e d i n
s e c t i o n 1 7 0 ( b ) ( 1 ) ( A ) ( i v ) . ( C o m p l e t e P a r t I I . )
6 I I A f e d e r a l , s t a t e , o r l o c a l g o v e r n m e n t o r g o v e r n m e n t a l u n i t d e s c r i b e d i n s e c t i o n 1 7 0 ( b ) ( 1 ) ( A ) ( v ) .
7 I X I A n o r g a n i z a t i o n t h a t n o r m a l l y r e c e i v e s a s u b s t a n t i a l p a r t o f i t s s u p p o r t f r o m a g o v e r n m e n t a l u n i t o r f r o m t h e g e n e r a l p u b l i c d e s c r i b e d i n
s e c t i o n 1 7 0 ( b ) ( 1 ) ( A ) ( v i ) . ( C o m p l e t e P a r t I I . )
8 I I A c o m m u n i t y t r u s t d e s c r i b e d i n s e c t i o n 1 7 0 ( b ) ( 1 ) ( A ) ( v i ) . ( C o m p l e t e P a r t I I . )
9 I I A n o r g a n i z a t i o n t h a t n o r m a l l y r e c e i v e s : ( 1 ) m o r e t h a n 3 3 1 / 3 % o f i t s s u p p o r t f r o m c o n t r i b u t i o n s , m e m b e r s h i p f e e s , a n d g r o s s r e c e i p t s f r o m
a c t i v i t i e s r e l a t e d t o i t s e x e m p t f u n c t i o n s • s u b j e c t t o c e r t a i n e x c e p t i o n s , a n d ( 2 ) n o m o r e t h a n 3 3 1 / 3 % o f i t s s u p p o r t f r o m g r o s s i n v e s t m e n t
i n c o m e a n d u n r e l a t e d b u s i n e s s t a x a b l e i n c o m e ( l e s s s e c t i o n 5 1 1 t a x ) f r o m b u s i n e s s e s a c q u i r e d b y t h e o r g a n i z a t i o n a f t e r J u n e 3 0 , 1 9 7 5 .
S e e s e c t i o n 5 0 9 ( a ) ( 2 ) . ( C o m p l e t e P a r t I I I . )
1 0 I I A n o r g a n i z a t i o n o r g a n i z e d a n d o p e r a t e d e x c l u s i v e l y t o t e s t f o r p u b l i c s a f e t y . S e e s e c t i o n 5 0 9 ( a ) ( 4 ) .
1 1 I I A n o r g a n i z a t i o n o r g a n i z e d a n d o p e r a t e d e x c l u s i v e l y f o r t h e b e n e f i t o f , t o p e r f o r m t h e f u n c t i o n s o f , o r t o c a r r y o u t t h e p u r p o s e s o f o n e o r
m o r e p u b l i c l y s u p p o r t e d o r g a n i z a t i o n s d e s c r i b e d i n s e c t i o n 5 0 9 ( a ) ( 1 ) o r s e c t i o n 5 0 9 ( a ) ( 2 ) . S e e s e c t i o n 5 0 9 ( a ) ( 3 ) . C h e c k t h e b o x t h a t
d e s c r i b e s t h e t y p e o f s u p p o r t i n g o r g a n i z a t i o n a n d c o m p l e t e l i n e s 1 1 e t h r o u g h 1 1 h .
a I I T y p e I b I I T y p e I I c I I T y p e I I I - F u n c t i o n a l l y i n t e g r a t e d d I I T y p e I I I • N o n - f u n c t i o n a l l y i n t e g r a t e d
e I I B y c h e c k i n g t h i s b o x , I c e r t i f y t h a t t h e o r g a n i z a t i o n i s n o t c o n t r o l l e d d i r e c t l y o r i n d i r e c t l y b y o n e o r m o r e d i s q u a l i f i e d p e r s o n s o t h e r t h a n
f o u n d a t i o n m a n a g e r s a n d o t h e r t h a n o n e o r m o r e p u b l i c l y s u p p o r t e d o r g a n i z a t i o n s d e s c r i b e d i n s e c t i o n 5 0 9 ( a ) ( 1 ) o r s e c t i o n 5 0 9 ( a ) ( 2 ) .
f I f t h e o r g a n i z a t i o n r e c e i v e d a w r i t t e n d e t e r m i n a t i o n f r o m t h e I R S t h a t i t i s a T y p e I , T y p e I I , o r T y p e I I I
s u p p o r t i n g o r g a n i z a t i o n , c h e c k t h i s b o x I I g S i n c e A u g u s t 1 7 , 2 0 0 6 , h a s t h e o r g a n i z a t i o n a c c e p t e d a n y g i f t o r c o n t r i b u t i o n f r o m a n y o f t h e f o l l o w i n g p e r s o n s ?
(i) A p e r s o n w h o d i r e c t l y o r i n d i r e c t l y c o n t r o l s , e i t h e r a l o n e o r t o g e t h e r w i t h p e r s o n s d e s c r i b e d i n Oi) a n d ( i iO b e l o w . Y e s No t h e g o v e r n i n g b o d y o f t h e s u p p o r t e d o r g a n i z a t i o n ? 1l9(i)
(ii) A f a m i l y m e m b e r o f a p e r s o n d e s c r i b e d i n (i) a b o v e ? 1l9(ii) (iii) A 3 5 % c o n t r o l l e d e n t i t y o f a p e r s o n d e s c r i b e d i n (1) o r ( i i ) a b o v e ? 11g(iii)
h P r o v i d e t h e f o l l o w i n g i n f o r m a t i o n a b o u t t h e s u p p o r t e d o r g a n i z a t i o n ( s ) .
(i) N a m e o f s u p p o r t e d o r g a n i z a t i o n
( l l ) E I N (iii) T y p e o f o r g a n i z a t i o n ( d e s c r i b e d o n l i n e s 1 - 9
a b o v e o r I R C s e c t i o n ( s e e i n s t r u c t i o n s ) )
i v ) I s t h e o r g a n i z a t i o n n c o l . (i) l i s t e d i n y o u r
g o v e r n i n g d o c u m e n t ?
(v) D i d y o u n o t i f y t h e o r g a n i z a t i o n i n c o l . ( i ) o f y o u r s u p p o r t ?
( v i ) l s t h e o r g a n i z a t i o n i n c o l . (1) o r g a n i z e d i n t h e
U . S . ?
( v i i ) A m o u n t o f m o n e t a r y s u p p o r t
(i) N a m e o f s u p p o r t e d o r g a n i z a t i o n
( l l ) E I N (iii) T y p e o f o r g a n i z a t i o n ( d e s c r i b e d o n l i n e s 1 - 9
a b o v e o r I R C s e c t i o n ( s e e i n s t r u c t i o n s ) )
Y e s No Y e s No Y e s No
( v i i ) A m o u n t o f m o n e t a r y s u p p o r t
Total L H A For Paperwork Reduction Act Notice, see the Instructions for Schedule A (Form 990 or 990-EZ) 2013 Form 990 or 990-EZ.
332021 09-25-13
S c h e d u l e A ( F o r m 9 9 0 o r 9 9 0 - E Z ) 2 0 1 3 P E T S A L I V E , I N C . 1 1 - 2 9 7 5 2 7 6 P a g e 2 Support S c h e d u l e for Organizat ions D e s c r i b e d in S e c t i o n s 170(b)(1)(A)(iv) a n d 170(b)(1)(A){vi) ( C o m p l e t e o n l y i f y o u c h e c k e d t h e b o x o n l i n e 5 , 7 , o r 8 o f P a r t I o r i f t h e o r g a n i z a t i o n f a i l e d t o q u a l i f y u n d e r P a r t I I I . I f t h e o r g a n i z a t i o n f a i l s t o q u a l i f y u n d e r t h e t e s t s l i s t e d b e l o w , p l e a s e c o m p l e t e P a r t I I I . )
S e c t i o n A. Publ ic Suppor t C a l e n d a r y e a r ( o r f i s c a l y e a r b e g i n n i n g i n ) ^
1 G i f t s , g r a n t s , c o n t r i b u t i o n s , a n d m e m b e r s h i p f e e s r e c e i v e d . ( D o n o t i n c l u d e a n y " u n u s u a l g r a n t s . " )
2 T a x r e v e n u e s l e v i e d f o r t h e o r g a n i z a t i o n ' s b e n e f i t a n d e i t h e r p a i d t o o r e x p e n d e d o n i t s b e h a l f
(a) 2 0 0 9 ( b ) 2 0 1 0 ( c ) 2 0 1 1 ( d ) 2 0 1 2 ( e ) 2 0 1 3 (f) T o t a l C a l e n d a r y e a r ( o r f i s c a l y e a r b e g i n n i n g i n ) ^
1 G i f t s , g r a n t s , c o n t r i b u t i o n s , a n d m e m b e r s h i p f e e s r e c e i v e d . ( D o n o t i n c l u d e a n y " u n u s u a l g r a n t s . " )
2 T a x r e v e n u e s l e v i e d f o r t h e o r g a n i z a t i o n ' s b e n e f i t a n d e i t h e r p a i d t o o r e x p e n d e d o n i t s b e h a l f
3 4 6 , 7 0 0 . 9 5 0 , 5 7 2 . 8 4 8 , 3 6 1 . 1 1 4 5 8 2 4 . 8 9 8 , 3 6 3 . 4 1 8 9 8 2 0 .
C a l e n d a r y e a r ( o r f i s c a l y e a r b e g i n n i n g i n ) ^
1 G i f t s , g r a n t s , c o n t r i b u t i o n s , a n d m e m b e r s h i p f e e s r e c e i v e d . ( D o n o t i n c l u d e a n y " u n u s u a l g r a n t s . " )
2 T a x r e v e n u e s l e v i e d f o r t h e o r g a n i z a t i o n ' s b e n e f i t a n d e i t h e r p a i d t o o r e x p e n d e d o n i t s b e h a l f
3 T h e v a l u e o f s e r v i c e s o r f a c i l i t i e s f u r n i s h e d b y a g o v e r n m e n t a l u n i t t o t h e o r g a n i z a t i o n w i t h o u t c h a r g e
4 Total. A d d l i n e s 1 t h r o u g h 3
5 T h e p o r t i o n o f t o t a l c o n t r i b u t i o n s b y e a c h p e r s o n ( o t h e r t h a n a g o v e r n m e n t a l u n i t o r p u b l i c l y s u p p o r t e d o r g a n i z a t i o n ) i n c l u d e d o n l i n e 1 t h a t e x c e e d s 2 % o f t h e a m o u n t s h o w n o n l i n e 1 1 , c o l u m n ( f )
3 T h e v a l u e o f s e r v i c e s o r f a c i l i t i e s f u r n i s h e d b y a g o v e r n m e n t a l u n i t t o t h e o r g a n i z a t i o n w i t h o u t c h a r g e
4 Total. A d d l i n e s 1 t h r o u g h 3
5 T h e p o r t i o n o f t o t a l c o n t r i b u t i o n s b y e a c h p e r s o n ( o t h e r t h a n a g o v e r n m e n t a l u n i t o r p u b l i c l y s u p p o r t e d o r g a n i z a t i o n ) i n c l u d e d o n l i n e 1 t h a t e x c e e d s 2 % o f t h e a m o u n t s h o w n o n l i n e 1 1 , c o l u m n ( f )
3 4 6 , 7 0 0 . 9 5 0 , 5 7 2 . 8 4 8 , 3 6 1 . 1 1 4 5 8 2 4 . 8 9 8 , 3 6 3 . 4 1 8 9 8 2 0 .
3 T h e v a l u e o f s e r v i c e s o r f a c i l i t i e s f u r n i s h e d b y a g o v e r n m e n t a l u n i t t o t h e o r g a n i z a t i o n w i t h o u t c h a r g e
4 Total. A d d l i n e s 1 t h r o u g h 3
5 T h e p o r t i o n o f t o t a l c o n t r i b u t i o n s b y e a c h p e r s o n ( o t h e r t h a n a g o v e r n m e n t a l u n i t o r p u b l i c l y s u p p o r t e d o r g a n i z a t i o n ) i n c l u d e d o n l i n e 1 t h a t e x c e e d s 2 % o f t h e a m o u n t s h o w n o n l i n e 1 1 , c o l u m n ( f )
6 Public support, subtract line 5 from line 4. 4 1 8 9 8 2 0 .
S e c t i o n B. Total Suppor t C a l e n d a r y e a r ( o r f i s c a l y e a r b e g i n n i n g i n ) ^
7 A m o u n t s f r o m l i n e 4
8 G r o s s i n c o m e f r o m i n t e r e s t ,
d i v i d e n d s , p a y m e n t s r e c e i v e d o n
s e c u r i t i e s l o a n s , r e n t s , r o y a l t i e s
a n d i n c o m e f r o m s i m i l a r s o u r c e s ...
9 N e t i n c o m e f r o m u n r e l a t e d b u s i n e s s
a c t i v i t i e s , w h e t h e r o r n o t t h e
b u s i n e s s i s r e g u l a r i y c a r r i e d o n ...
10 O t h e r i n c o m e . D o n o t i n c l u d e g a i n
o r l o s s f r o m t h e s a l e o f c a p i t a l
a s s e t s ( E x p l a i n i n P a r t I V . )
T o t a l s u p p o r t . A d d l i n e s 7 t t i r o u g h 1 0 11 12 13
( a ) 2 0 0 9 (b) 2 0 1 0 (c) 2 0 1 1 (d) 2 0 1 2 ( e ) 2 0 1 3 (f) T o t a l 3 4 6 , 7 0 0 . 9 5 0 , 5 7 2 . 8 4 8 , 3 6 1 . 1 1 4 5 8 2 4 . 8 9 8 , 3 6 3 . 4 1 8 9 8 2 0 .
7 , 0 4 9 . 2 0 , 2 4 9 . 2 7 , 2 9 8 .
4 2 1 7 1 1 8 .
, e t c . ( s e e i n s t r u c t i o n s ) 12 1 First five years. I f t h e F o r m 9 9 0 i s f o r t h e o r g a n i z a t i o n ' s f i r s t , s e c o n d , t h i r d , f o u r t h , o r f i f t h t a x y e a r a s a s e c t i o n 5 0 1 ( c ) ( 3 )
o r g a n i z a t i o n , c h e c k t h i s b o x a n d s t o p here S e c t i o n C . Computa t ion of P u b l i c Support Pe rcen tage
14 15
9 9 . 3 5 9 9 . 8 0 o/„
14 P u b l i c s u p p o r t p e r c e n t a g e f o r 2 0 1 3 ( l i n e 6 , c o l u m n ( f ) d i v i d e d b y l i n e 1 1 , c o l u m n ( f ) ) 15 P u b l i c s u p p o r t p e r c e n t a g e f r o m 2 0 1 2 S c h e d u l e A , P a r t I I , l i n e 1 4
16a 33 1/3% support test - 2013. I f t h e o r g a n i z a t i o n d i d n o t c h e c k t h e t x j x o n l i n e 1 3 , a n d l i n e 1 4 i s 3 3 1 / 3 % o r m o r e , c h e c k t h i s b o x a n d
stop here. T h e o r g a n i z a t i o n q u a l i f i e s a s a p u b l i c l y s u p p o r t e d o r g a n i z a t i o n • I X | b 33 1/3% support test - 2012. I f t h e o r g a n i z a t i o n d i d n o t c h e c k a b o x o n l i n e 1 3 o r 1 6 a , a n d l i n e 1 5 i s 3 3 1 / 3 % o r m o r e , c h e c k t h i s b o x
a n d stop here. T h e o r g a n i z a t i o n q u a l i f i e s a s a p u b l i c l y s u p p o r t e d o r g a n i z a t i o n • I I
17a 10%. - facts-and-circumstances test - 2013. I f t h e o r g a n i z a t i o n d i d n o t c h e c k a b o x o n l i n e 1 3 , 1 6 a , o r 1 6 b , a n d l i n e 1 4 i s 1 0 % o r m o r e , a n d i f t h e o r g a n i z a t i o n m e e t s t h e " f a c t s - a n d - c i r c u m s t a n c e s " t e s t , c h e c k t h i s b o x a n d stop here. E x p l a i n i n P a r t I V h o w t h e o r g a n i z a t i o n
m e e t s t h e " f a c t s - a n d - c i r c u m s t a n c e s " t e s t . T h e o r g a n i z a t i o n q u a l i f i e s a s a p u b l i c l y s u p p o r t e d o r g a n i z a t i o n • I 1 b 10% -facts-and-circumstances test - 2012. I f t h e o r g a n i z a t i o n d i d n o t c h e c k a b o x o n l i n e 1 3 , 1 6 a , 1 6 b , o r 1 7 a , a n d l i n e 1 5 i s 1 0 % o r
m o r e , a n d i f t h e o r g a n i z a t i o n m e e t s t h e " f a c t s - a n d - c i r c u m s t a n c e s " t e s t , c h e c k t h i s b o x a n d stop here. E x p l a i n i n P a r t I V h o w t h e
o r g a n i z a t i o n m e e t s t h e " f a c t s - a n d - c i r c u m s t a n c e s " t e s t . T h e o r g a n i z a t i o n q u a l i f i e s a s a p u b l i c l y s u p p o r t e d o r g a n i z a t i o n
18 Private foundation. I f t h e o r g a n i z a t i o n d i d n o t c h e c k a b o x o n l i n e 1 3 , 1 6 a , 1 6 b , 1 7 a , o r 1 7 b , c h e c k t h i s b o x a n d s e e i n s t n j c t i o n s • 1 • I
Schedule A (Form 990 or 990-EZ) 2013
332022 09-25-13
S c h e d u l e A ( F o r m 9 9 0 o r 9 9 0 - E Z ) 2 0 1 3 l l i l l i l Suppor t S c h e d u l e for Organ iza t ions D e s c r i b e d in Sec t ion 509(a)(2)
( C o m p l e t e o n l y i f y o u c h e c k e d t h e b o x o n l i n e 9 o f P a r t I o r i f t h e o r g a n i z a t i o n f a i l e d t o q u a l i f y u n d e r P a r t I I . I f t h e o r g a n i z a t i o n f a i l s t o q u a l i f y u n d e r t h e t e s t s l i s t e d b e l o w , p l e a s e c o m p l e t e P a r t I I . )
S e c t i o n A. P u b l i c Support
P a g e s
C a l e n d a r y e a r ( o r f i s c a l y e a r b e g i n n i n g i n ) ^
1 G i f t s , g r a n t s , c o n t r i b u t i o n s , a n d m e m b e r s h i p f e e s r e c e i v e d . ( D o n o t i n c l u d e a n y " u n u s u a l g r a n t s . " )
2 G r o s s r e c e i p t s f r o m a d m i s s i o n s , m e r c h a n d i s e s o l d o r s e r v i c e s p e r f o r m e d , o r f a c i l i t i e s f u r n i s h e d i n a n y a c t i v i t y t h a t i s r e l a t e d t o t h e o r g a n i z a t i o n ' s t a x - e x e m p t p u r p o s e
3 G r o s s r e c e i p t s f r o m a c t i v i t i e s t h a t a r e n o t a n u n r e l a t e d t r a d e o r b u s i n e s s u n d e r s e c t i o n 5 1 3
( a ) 2 0 0 9 ( b ) 2 0 1 0 ( c ) 2 0 1 1 ( d ) 2 0 1 2 ( e ) 2 0 1 3 ( f ) T o t a l C a l e n d a r y e a r ( o r f i s c a l y e a r b e g i n n i n g i n ) ^
1 G i f t s , g r a n t s , c o n t r i b u t i o n s , a n d m e m b e r s h i p f e e s r e c e i v e d . ( D o n o t i n c l u d e a n y " u n u s u a l g r a n t s . " )
2 G r o s s r e c e i p t s f r o m a d m i s s i o n s , m e r c h a n d i s e s o l d o r s e r v i c e s p e r f o r m e d , o r f a c i l i t i e s f u r n i s h e d i n a n y a c t i v i t y t h a t i s r e l a t e d t o t h e o r g a n i z a t i o n ' s t a x - e x e m p t p u r p o s e
3 G r o s s r e c e i p t s f r o m a c t i v i t i e s t h a t a r e n o t a n u n r e l a t e d t r a d e o r b u s i n e s s u n d e r s e c t i o n 5 1 3
C a l e n d a r y e a r ( o r f i s c a l y e a r b e g i n n i n g i n ) ^
1 G i f t s , g r a n t s , c o n t r i b u t i o n s , a n d m e m b e r s h i p f e e s r e c e i v e d . ( D o n o t i n c l u d e a n y " u n u s u a l g r a n t s . " )
2 G r o s s r e c e i p t s f r o m a d m i s s i o n s , m e r c h a n d i s e s o l d o r s e r v i c e s p e r f o r m e d , o r f a c i l i t i e s f u r n i s h e d i n a n y a c t i v i t y t h a t i s r e l a t e d t o t h e o r g a n i z a t i o n ' s t a x - e x e m p t p u r p o s e
3 G r o s s r e c e i p t s f r o m a c t i v i t i e s t h a t a r e n o t a n u n r e l a t e d t r a d e o r b u s i n e s s u n d e r s e c t i o n 5 1 3
C a l e n d a r y e a r ( o r f i s c a l y e a r b e g i n n i n g i n ) ^
1 G i f t s , g r a n t s , c o n t r i b u t i o n s , a n d m e m b e r s h i p f e e s r e c e i v e d . ( D o n o t i n c l u d e a n y " u n u s u a l g r a n t s . " )
2 G r o s s r e c e i p t s f r o m a d m i s s i o n s , m e r c h a n d i s e s o l d o r s e r v i c e s p e r f o r m e d , o r f a c i l i t i e s f u r n i s h e d i n a n y a c t i v i t y t h a t i s r e l a t e d t o t h e o r g a n i z a t i o n ' s t a x - e x e m p t p u r p o s e
3 G r o s s r e c e i p t s f r o m a c t i v i t i e s t h a t a r e n o t a n u n r e l a t e d t r a d e o r b u s i n e s s u n d e r s e c t i o n 5 1 3
4 T a x r e v e n u e s l e v i e d f o r t h e o r g a n i z a t i o n ' s b e n e f i t a n d e i t h e r p a i d t o o r e x p e n d e d o n i t s b e h a l f
5 T h e v a l u e o f s e r v i c e s o r f a c i l i t i e s f u r n i s h e d b y a g o v e r n m e n t a l u n i t t o t h e o r g a n i z a t i o n w i t h o u t c h a r g e
6 T o t a l . A d d l i n e s 1 t h r o u g h 5
5 T h e v a l u e o f s e r v i c e s o r f a c i l i t i e s f u r n i s h e d b y a g o v e r n m e n t a l u n i t t o t h e o r g a n i z a t i o n w i t h o u t c h a r g e
6 T o t a l . A d d l i n e s 1 t h r o u g h 5
7 a A m o u n t s i n c l u d e d o n l i n e s 1 , 2 , a n d 3 r e c e i v e d f r o m d i s q u a l i f i e d p e r s o n s
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
7 a A m o u n t s i n c l u d e d o n l i n e s 1 , 2 , a n d 3 r e c e i v e d f r o m d i s q u a l i f i e d p e r s o n s
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
c A d d l i n e s 7 a a n d 7 b
8 P u b l i c SUDDOrt (Subtract iirie 7c from line a i i i i i i l i i i s s i s ^
S e c t i o n B. Tota l Support C a l e n d a r y e a r ( o r f i s c a l y e a r b e g i n n i n g i n ) ^
9 A m o u n t s f r o m l i n e 6
( a ) 2 0 0 9 ( b ) 2 0 1 0 ( c ) 2 0 1 1 ( d ) 2 0 1 2 ( e ) 2 0 1 3 (f) T o t a l C a l e n d a r y e a r ( o r f i s c a l y e a r b e g i n n i n g i n ) ^
9 A m o u n t s f r o m l i n e 6 1 0 a G r o s s i n c o m e f r o m i n t e r e s t ,
d i v i d e n d s , p a y m e n t s r e c e i v e d o n s e c u r i t i e s l o a n s , r e n t s , r o y a l t i e s a n d i n c o m e f r o m s i m i l a r s o u r c e s ...
b U n r e l a t e d b u s i n e s s t a x a b l e i n c o m e ( l e s s s e c t i o n 5 1 1 t a x e s ) f r o m b u s i n e s s e s a c q u i r e d a f t e r J u n e 3 0 , 1 9 7 5
1 0 a G r o s s i n c o m e f r o m i n t e r e s t , d i v i d e n d s , p a y m e n t s r e c e i v e d o n s e c u r i t i e s l o a n s , r e n t s , r o y a l t i e s a n d i n c o m e f r o m s i m i l a r s o u r c e s ...
b U n r e l a t e d b u s i n e s s t a x a b l e i n c o m e ( l e s s s e c t i o n 5 1 1 t a x e s ) f r o m b u s i n e s s e s a c q u i r e d a f t e r J u n e 3 0 , 1 9 7 5
c A d d l i n e s 1 0 a a n d 1 0 b 1 1 N e t i n c o m e f r o m u n r e l a t e d b u s i n e s s
a c t i v i t i e s n o t i n c l u d e d i n l i n e 1 0 b , w h e t h e r o r n o t t h e b u s i n e s s i s r e g u l a r l y c a r r i e d o n
1 2 O t h e r i n c o m e . D o n o t i n c l u d e g a i n o r l o s s f r o m t h e s a l e o f c a p i t a l
a s s e i s ^ t i x p i a i n i n r a n i v . ) 1 3 T o t a l s u p p o r t . (Add lines 9, 10c, 11 , and 12.) 1 4 F i r s t f i v e y e a r s . I f t h e F o r m 9 9 0 i s f o r t h e o r g a n i z a t i o n ' s f i r s t , s e c o n d , t h i r d , f o u r t h , o r f i f t h t a x y e a r a s a s e c t i o n 5 0 1 ( c ) ( 3 ) o r g a n i z a t i o n ,
c h e c k t h i s b o x a n d s t o p h e r e S e c t i o n C . C o m p u t a t i o n of Publ ic Suppor t P e r c e n t a g e 15 P u b l i c s u p p o r t p e r c e n t a g e f o r 2 0 1 3 ( l i n e 8 , c o l u m n ( f ) d i v i d e d b y l i n e 1 3 , c o l u m n I 16 P u b l i c s u p p o r t p e r c e n t a g e f r o m 2 0 1 2 S c h e d u l e A , P a r t I I I , l i n e 1 5
15 16 %
S e c t i o n D. C o m p u t a t i o n of Investment I n c o m e P e r c e n t a g e 17 18
17 I n v e s t m e n t i n c o m e p e r c e n t a g e f o r 2013 ( l i n e 1 0 c , c o l u m n ( f ) d i v i d e d b y l i n e 1 3 , c o l u m n ( f ) ) 18 I n v e s t m e n t i n c o m e p e r c e n t a g e f r o m 2012 S c h e d u l e A , P a r t I I I , l i n e 1 7 19a 33 1/3% support tests - 2013. I f t h e o r g a n i z a t i o n d i d n o t c h e c k t h e b o x o n l i n e 1 4 , a n d l i n e 1 5 Is m o r e t h a n 3 3 1 / 3 % , a n d l i n e 1 7 i s n o t
m o r e t h a n 3 3 1 / 3 % , c h e c k t h i s b o x a n d stop here. T h e o r g a n i z a t i o n q u a l i f i e s a s a p u b l i c l y s u p p o r t e d o r g a n i z a t i o n • [
b 3 3 1/3% support t e s t s - 2 0 1 2 . I f t h e o r g a n i z a t i o n d i d n o t c h e c k a b o x o n l i n e 1 4 o r l i n e 1 9 a , a n d l i n e 1 6 i s m o r e t h a n 3 3 1 / 3 % , a n d l i n e 1 8 i s n o t m o r e t h a n 3 3 1 / 3 % , c h e c k t h i s b o x a n d stop here. T h e o r g a n i z a t i o n q u a l i f i e s a s a p u b l i c l y s u p p o r t e d o r g a n i z a t i o n • [
20 Private foundation. I f t h e o r g a n i z a t i o n d i d n o t c h e c k a b o x o n l i n e 1 4 , 1 9 a , o r 1 9 b , c h e c k t h i s b o x a n d s e e i n s t r u c t i o n s • 1 332023 09-25-13 Schcdule A (Form 990 or 990-EZ)
%
2013
S c h e d u l e A ( F o r m 9 9 0 o r 9 9 0 - E Z ) 2 0 1 3 PETS ALIVE, INC. 11-2975276 P a g e 4
Par t IV 1 Supp lementa l Information. P r o v i d e t h e e x p l a n a t i o n s r e q u i r e d b y P a r t I I , l i n e 1 0 ; P a r t I I , l i n e 1 7 a o r 1 7 b ; a n d P a r t I I I , l i n e 1 2 .
A l s o c o m p l e t e t h i s p a r t f o r a n y a d d i t i o n a l i n f o r m a t i o n . ( S e e i n s t r u c t i o n s ) .
332024 09-25-13 Schedule A (Fonn 990 or 990-EZ) 2013
Schedule B (Form 990, 990-EZ, or 990-PF) Department of ttie Treasury Interna) Revenue Service
Schedule of Contributors • Attach to Form 990, Form 990-EZ, or Form 990-PF.
• Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at w w w . i r s . g o v / f o r m 9 9 a
OMB No, 1545-0047 Schedule B (Form 990, 990-EZ, or 990-PF) Department of ttie Treasury Interna) Revenue Service
Schedule of Contributors • Attach to Form 990, Form 990-EZ, or Form 990-PF.
• Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at w w w . i r s . g o v / f o r m 9 9 a 2013
Name of the organization
PETS ALIVE, INC.
Employer identification number
11-2975276 Organization type ( c h e c k o n e ) :
Filers of:
F o r m 9 9 0 o r 9 9 0 - E Z
Section:
F o r m 9 9 0 - P F
X I 5 0 1 ( c ) ( 3 ) ( e n t e r n u m b e r ) o r g a n i z a t i o n
I 4 9 4 7 ( a ) ( 1 ) n o n e x e m p t c h a r i t a b l e t r u s t not t r e a t e d a s a p r i v a t e f o u n d a t i o n
I I 5 2 7 p o l i t i c a l o r g a n i z a t i o n
i I 5 0 1 ( c ) ( 3 ) e x e m p t p r i v a t e f o u n d a t i o n
I I 4 9 4 7 ( a ) ( 1 ) n o n e x e m p t c h a r i t a b l e t r u s t t r e a t e d a s a p r i v a t e f o u n d a t i o n
c m 5 0 1 ( c ) ( 3 ) t a x a b l e p r i v a t e f o u n d a t i o n
C h e c k i f y o u r o r g a n i z a t i o n i s c o v e r e d b y t h e General Rule o r a Special Rule. Note. O n l y a s e c t i o n 5 0 1 ( c ) ( 7 ) , ( 8 ) , o r ( 1 0 ) o r g a n i z a t i o n c a n c h e c k b o x e s f o r b o t h t h e G e n e r a l R u l e a n d a S p e c i a l R u l e . S e e i n s t r u c t i o n s .
General Rule
F o r a n o r g a n i z a t i o n f i l i n g F o r m 9 9 0 , 9 9 0 - E Z , o r 9 9 0 - P F t h a t r e c e i v e d , d u r i n g t h e y e a r , $ 5 , 0 0 0 o r m o r e ( i n m o n e y o r p r o p e r t y ) f r o m a n y o n e
c o n t r i b u t o r . C o m p l e t e P a r t s I a n d I I .
Special Rules
[X] F o r a s e c t i o n 5 0 1 ( c ) ( 3 ) o r g a n i z a t i o n f i l i n g F o r m 9 9 0 o r 9 9 0 - E Z t h a t m e t t h e 3 3 1 / 3 % s u p p o r t t e s t o f t h e r e g u l a t i o n s u n d e r s e c t i o n s
5 0 9 ( a ) ( 1 ) a n d 1 7 0 ( b ) ( 1 ) ( A ) ( v i ) a n d r e c e i v e d f r o m a n y o n e c o n t r i b u t o r , d u r i n g t h e y e a r , a c o n t r i b u t i o n o f t h e g r e a t e r o f (1) $ 5 , 0 0 0 o r (2) 2 %
o f t h e a m o u n t o n ( i ) F o r m 9 9 0 , P a r t V l l l , l i n e 1 h , o r ( i i ) F o r m 9 9 0 - E Z , l i n e 1 . C o m p l e t e P a r t s I a n d I I .
F o r a s e c t i o n 5 0 1 ( c ) ( 7 ) , ( 8 ) , or ( 1 0 ) o r g a n i z a t i o n f i l i n g F o r m 9 9 0 o r 9 9 0 - E Z t h a t r e c e i v e d f r o m a n y one c o n t r i b u t o r , d u r i n g t h e y e a r ,
t o t a l c o n t r i b u t i o n s o f m o r e t h a n $ 1 , 0 0 0 f o r u s e exclusively f o r r e l i g i o u s , c h a r i t a b l e , s c i e n t i f i c , l i t e r a r y , o r e d u c a t i o n a l p u r p o s e s , or t h e p r e v e n t i o n o f c r u e l t y t o c h i l d r e n o r a n i m a l s . C o m p l e t e P a r t s I , I I , a n d I I I .
F o r a s e c t i o n 5 0 1 ( c ) ( 7 ) , ( 8 ) , o r ( 1 0 ) o r g a n i z a t i o n f i l i n g F o r m 9 9 0 o r 9 9 0 - E Z t h a t r e c e i v e d f r o m a n y o n e c o n t r i b u t o r , d u r i n g the y e a r ,
c o n t r i b u t i o n s f o r u s e exclusively f o r r e l i g i o u s , c h a r i t a b l e , e t c . , p u r p o s e s , b u t t h e s e c o n t r i b u t i o n s d i d n o t t o t a l t o m o r e t h a n $ 1 , 0 0 0 .
I f t h i s b o x i s c h e c k e d , e n t e r h e r e t h e t o t a l c o n t r i b u t i o n s t h a t w e r e r e c e i v e d d u r i n g t h e y e a r f o r a n exclusively r e l i g i o u s , c h a r i t a b l e , e t c . ,
p u r p o s e . Do not c o m p l e t e any of the p a r t s u n l e s s t h e General Rule a p p l i e s t o t h i s o r g a n i z a t i o n b e c a u s e i t r e c e i v e d nonexclusively
r e l i g i o u s , c h a r i t a b l e , e t c . , c o n t r i b u t i o n s o f $ 5 , 0 0 0 o r m o r e d u r i n g t h e y e a r • $
Caution. A n o r g a n i z a t i o n t h a t i s n o t c o v e r e d b y t h e G e n e r a l R u l e a n d / o r t h e S p e c i a l R u l e s d o e s n o t f i l e S c h e d u l e B ( F o r m 9 9 0 , 9 9 0 - E Z , o r 9 9 0 - P F ) ,
b u t it must a n s w e r " N o " o n P a r t I V , l i n e 2 , o f i t s F o r m 9 9 0 ; o r c h e c k t h e b o x o n l i n e H o f i t s F o r m 9 9 0 - E Z o r o n i t s F o r m 9 9 0 - P F , P a r t I , l i n e 2 , t o
c e r t i f y t h a t i t d o e s n o t m e e t t h e f i l i n g r e q u i r e m e n t s o f S c h e d u l e B ( F o r m 9 9 0 , 9 9 0 - E Z , o r 9 9 0 - P F ) .
L H A For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF. Sctiedule B (Form 990, 990-EZ, o r 990-PF) (2013)
323451 10-24-13
S c h e d u l e B ( F o r m 9 9 0 , 9 9 0 - E Z , o r 9 9 0 - P F ) ( 2 0 1 3 ) P a g e 2
Name of organization Employer identification number
PETS A L I V E , INC. 11-2975276 Par t I Contr ibutors ( s e e i n s t r u c t i o n s ) . U s e d u p l i c a t e c o p i e s o f P a r t I i f a d d i t i o n a l s p a c e i s n e e d e d .
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution
1 DIANE AND DAVID STERN
$ 8,000.
Person 1 X | Payroll | | Noncash | |
( C o m p l e t e P a r t II f o r n o n c a s h c o n t r i b u t i o n s . )
16 OVERLOOK ROAD $ 8,000.
Person 1 X | Payroll | | Noncash | |
( C o m p l e t e P a r t II f o r n o n c a s h c o n t r i b u t i o n s . ) SCARSDALE, NY 10583
Person 1 X | Payroll | | Noncash | |
( C o m p l e t e P a r t II f o r n o n c a s h c o n t r i b u t i o n s . )
Person 1 X | Payroll | | Noncash | |
( C o m p l e t e P a r t II f o r n o n c a s h c o n t r i b u t i o n s . )
(a) No.
(b) Name, address, and ZIP 4
(c) Total contributions
(d) Type of contribution
2 SIDEWALK ANGELS, INC.
$ 100,000.
Person 1 X |
9255 SUNSET BLVD $ 100,000. Payroll | | Noncash | |
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . ) WEST HOLLYWOOD, CA 90069
Payroll | | Noncash | |
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . )
Payroll | | Noncash | |
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . )
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution
3 THE ESTATE OF TINA JACOBS MARTIN
$ 97,397.
Person 1 X |
405 ARCH ST. $ 97,397. Payroll | | Noncash | |
( C o m p l e t e P a r t II f o r n o n c a s h c o n t r i b u t i o n s . ) PERKASIE, PA 18944
Payroll | | Noncash | |
( C o m p l e t e P a r t II f o r n o n c a s h c o n t r i b u t i o n s . )
Payroll | | Noncash | |
( C o m p l e t e P a r t II f o r n o n c a s h c o n t r i b u t i o n s . )
(a) No.
(b) Name, address, and ZIP -t- 4
(c) Total contributions
(d) Type of contribution
4 MAYOR'S ALLIANCE
$ 90,500.
Person 1 X |
244 F I F T H AVE SET R2 9 0 $ 90,500. Payroll | | Noncash { |
( C o m p l e t e P a r t II f o r n o n c a s h c o n t r i b u t i o n s . ) NEW YORK, NY 10001
Payroll | | Noncash { |
( C o m p l e t e P a r t II f o r n o n c a s h c o n t r i b u t i o n s . )
Payroll | | Noncash { |
( C o m p l e t e P a r t II f o r n o n c a s h c o n t r i b u t i o n s . )
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution
5 DANIELE CHURCHILL
$ 22,500.
Person 1 X |
6 8 QUARRY LANE $ 22,500. Payroll | | Noncash | |
( C o m p l e t e P a r t II f o r n o n c a s h c o n t r i b u t i o n s . ) BEDFORD, NY 105 0 6
Payroll | | Noncash | |
( C o m p l e t e P a r t II f o r n o n c a s h c o n t r i b u t i o n s . )
Payroll | | Noncash | |
( C o m p l e t e P a r t II f o r n o n c a s h c o n t r i b u t i o n s . )
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution
6 THE SANDRA ATLAS BASS AND EDYTHE
$ 10,000.
Person 1 X |
185 GREAT NECK RD $ 10,000. Payroll | | Noncash | |
( C o m p l e t e P a r t II f o r n o n c a s h c o n t r i b u t i o n s . ) GREAT NECK, NY 11021
Payroll | | Noncash | |
( C o m p l e t e P a r t II f o r n o n c a s h c o n t r i b u t i o n s . )
Sctiedule B (Form 990, ggO-EZ, or g90-PF) (2013)
S c h e d u l e B ( F o r m 9 9 0 , 9 9 0 - E Z , o r 9 9 0 - P F ) ( 2 0 1 3 ) P a g e 2 Name of organization Employer identification number
PETS ALIVE, INC. 11-2975276 P a r t i Contr ibutors ( s e e i n s t r u c t i o n s ) . U s e d u p l i c a t e c o p i e s o f P a r t I i f a d d i t i o n a l s p a c e i s n e e d e d .
(a) No.
(b) Name, address, and ZIP - f 4
(c) Total contributions
(d) Type of contribution
7 TIMOTHY AND LYNN HUTCHINSON
$ 10,000.
Person 1 X | Payroll | | Noncash | |
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . )
21 MOHAWK RD $ 10,000.
Person 1 X | Payroll | | Noncash | |
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . ) OSSINING, NY 10562
Person 1 X | Payroll | | Noncash | |
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . )
Person 1 X | Payroll | | Noncash | |
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . )
(a) No.
(b) Name, address, and ZIP ••• 4
(c) Total contributions
(d) Type of contribution
8 BOB AND MARY ELLEN CHANDA
$ 10,000.
Person 1 X | Payroll | | Noncash { |
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . )
915 H I L L S I D E AVE $ 10,000.
Person 1 X | Payroll | | Noncash { |
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . ) PLAINFIELD, NJ 0 70 60
Person 1 X | Payroll | | Noncash { |
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . )
Person 1 X | Payroll | | Noncash { |
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . )
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution
9 DARCY SARSFIELD
$ 5,770.
Person I X |
760 ORCHARD DR $ 5,770. Payroll | | Noncash | {
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . ) WALLKILL, NY 12 5 89
Payroll | | Noncash | {
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . )
Payroll | | Noncash | {
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . )
(a) No.
(b) Name, address, and ZIP -t- 4
(c) Total contributions
(d) Type of contribution
10 MARLA GELLEHER
$ 5,500.
Person 1 X |
50 STREAM LANE $ 5,500. Payroll | | Noncash
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . ) PLEASANT VALLEY, NY 125 69
Payroll | | Noncash
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . )
Payroll | | Noncash
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . )
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution
11 THE WORTHY PAUSE
$ 5,500.
Person 1 X |
213-05 29TH AVE $ 5,500. Payroll | | Noncash { {
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . ) BAYSIDE, NY 11360
Payroll | | Noncash { {
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . )
Payroll | | Noncash { {
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . )
(a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution
12 TINY TIM RESCUE FUND
$ 5,000.
Person 1 X |
32 BANK ST APT 2F $ 5,000. Payroll | | Noncash { |
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . ) NEW YORK, NY 10014
Payroll | | Noncash { |
( C o m p l e t e P a r t I I f o r n o n c a s h c o n t r i b u t i o n s . )
Sctiedule B (Form 990, 990-EZ, or 990-PF) (2013)
S c h e d u l e B ( F o r m 9 9 0 , 9 9 0 - E Z , o r 9 9 0 - P F ) ( 2 0 1 3 ) P a g e 3 Name of organization Employer identification number
PETS ALIVE, INC. 11-2975276 Part M N o n c a s h Property ( s e e i n s t r u c t i o n s ) . U s e d u p l i c a t e c o p i e s o f P a r t I I i f a d d i t i o n a l s p a c e i s n e e d e d .
(a) No.
from Parti
(b) Description of noncash property given
(c) FMV (or estimate) (see instructions)
(d) Date received
$ $ $ $
(a) No.
from Part !
(b) Description of noncash property given
(c) FMV (or estimate) (see instructions)
(d) Date received
$ $ $ $
(a) No.
from Part !
(b) Description of noncash property given
(c) FMV (or estimate) (see instructions)
(d) Date received
$ $ $
(a) No.
from Part i
(b) Description of noncash property given
(c) FMV (or estimate) (see instructions)
(d) Date received
$ $ $ $
(a) No.
from Part i
(b) Description of noncash property given
(c) FMV (or estimate) (see instructions)
(d) Date received
$ $ $ $
(a) No.
from Part i
(b) Description of noncash property given
(c) FMV (or estimate) (see instructions)
(d) Date received
$ $ $ $ Schedule B (Form 990. 9gO-EZ, or 990-PF) (2013)
S c h e d u l e B ( F o r m 9 9 0 , 9 9 0 - E Z , o r 9 9 0 - P F ) ( 2 0 1 3 ) P a g e 4 Name of organization Employer identification number
PETS A L I V E , INC. 11-2975276 l l l p Ex-c/us/Ve/y religious, ctiaritable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations that total more than $1,000 for the
year. C o m p l e t e c o l u m n s (a) t h r o u g h (e) and t h e f o l l o w i n g l i n e e n t r y . F o r o r g a n i z a t i o n s c o m p l e t i n g P a r t I I I , e n t e r t h e t o t a l o f e x c / u s / V e / y r e l i g i o u s , c h a r i t a b l e , e t c . , c o n t r i b u t i o n s o f $1,000 or less f o r t h e y e a r . (Enterwsinformtion once.) ^ $
U s e d u p l i c a t e c o p i e s o f P a r t I I I i f a d d i t i o n a l s p a c e i s n e e d e d . (a) No. from Part i
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
(e) Transfer of gift
Transferee's name, address, and ZIP -i- 4 Relationship of transferor to transferee
(a) No. from Par t !
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
(e) Transfer of gift
Transferee's name, address, and ZIP -i- 4 Relationship of transferor to transferee
(a) No. from Par t i
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
(e) Transfer of gift
Transferee's name, address, and ZIP -K 4 Relationship of transferor to transferee
(a) No. from Par t i
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
(e) Transfer of gift
Transferee's name, address, and ZIP -i- 4 Relationship of transferor to transferee
Schedule B (Form 990, 990-EZ, or ggO-PF) (2013)
SCHEDULE D (Form 9 9 0 )
Department of the Treasury Interna! Revenue Service
Supplemental Financial Statements • Complete if the organization answered "Yes," to Form 9 9 0 ,
Part IV, line 6 , 7 , 8 , 9 , 1 0 , 1 1 a, 1 1 b, 11 c , 11 d, 11 e, 11 f, 12a, or 12b. • Attach to Form 9 9 0 .
• Information about Schedule D (Form 9 9 0 ) and its instructions is at w w w . i r s . g o v / f o r m 9 9 0 .
OMB No. 1545-0047
2013 Open to Putjiic Inspection
Name of the organization PETS A L I V E , INC.
Employer identification number 11-2975276
r t l Organ iza t ions Maintaining Donor Advised F u n d s or Other Simi lar F u n d s or A c c o u n t s . C o m p l e t e i f t h e o r g a n i z a t i o n a n s w e r e d " Y e s " t o F o r m 9 9 0 , P a r t I V , l i n e 6 .
1 T o t a l n u m b e r a t e n d o f y e a r
(a) D o n o r a d v i s e d f u n d s ( b ) F u n d s a n d o t h e r a c c o u n t s
1 T o t a l n u m b e r a t e n d o f y e a r
2 A g g r e g a t e c o n t r i b u t i o n s t o ( d u r i n g y e a r )
3 A g g r e g a t e g r a n t s f r o m ( d u r i n g y e a r )
4 A g g r e g a t e v a l u e a t e n d o f y e a r
D i d t h e o r g a n i z a t i o n i n f o r m a l l d o n o r s a n d d o n o r a d v i s o r s i n w r i t i n g t h a t t h e a s s e t s h e l d i n d o n o r a d v i s e d f u n d s
a r e t h e o r g a n i z a t i o n ' s p r o p e r t y , s u b j e c t t o t h e o r g a n i z a t i o n ' s e x c l u s i v e l e g a l c o n t r o l ?
D i d t h e o r g a n i z a t i o n i n f o r m a l l g r a n t e e s , d o n o r s , a n d d o n o r a d v i s o r s i n w r i t i n g t h a t g r a n t f u n d s c a n b e u s e d o n l y
f o r c h a r i t a b l e p u r p o s e s a n d n o t f o r t h e b e n e f i t o f t h e d o n o r o r d o n o r a d v i s o r , o r f o r a n y o t h e r p u r p o s e c o n f e r r i n g
i m p e r m i s s i b l e p r i v a t e b e n e f i t ?
Y e s
Y e s
No
No C o n s e r v a t i o n E a s e m e n t s . C o m p l e t e i f t h e o r g a n i z a t i o n a n s w e r e d " Y e s " t o F o r m 9 9 0 , P a r t I V , l i n e 7 .
1 P u r p o s e ( s ) o f c o n s e r v a t i o n e a s e m e n t s h e l d b y t h e o r g a n i z a t i o n ( c h e c k a l l t h a t a p p l y ) .
I I P r e s e r v a t i o n o f l a n d f o r p u b l i c u s e ( e . g . , r e c r e a t i o n o r e d u c a t i o n ) I I P r e s e r v a t i o n o f a n h i s t o r i c a l l y i m p o r t a n t l a n d a r e a
I I P r o t e c t i o n o f n a t u r a l h a b i t a t I I P r e s e r v a t i o n o f a c e r t i f i e d h i s t o r i c s t r u c t u r e
I I P r e s e r v a t i o n o f o p e n s p a c e
2 C o m p l e t e l i n e s 2 a t h r o u g h 2 d i f t h e o r g a n i z a t i o n h e l d a q u a l i f i e d c o n s e r v a t i o n c o n t r i b u t i o n i n t h e f o r m o f a c o n s e r v a t i o n e a s e m e n t o n t h e l a s t
a T o t a l n u m b e r o f c o n s e r v a t i o n e a s e m e n t s
H e l d a t t h e E n d o f t h e T a x Y e a r
a T o t a l n u m b e r o f c o n s e r v a t i o n e a s e m e n t s 2a b T o t a l a c r e a g e r e s t r i c t e d by c o n s e r v a t i o n e a s e m e n t s 2b c N u m b e r o f c o n s e r v a t i o n e a s e m e n t s o n a c e r t i f i e d h i s t o r i c s t r u c t u r e i n c l u d e d i n ( a ) 2c
d N u m b e r o f c o n s e r v a t i o n e a s e m e n t s i n c l u d e d i n ( c ) a c q u i r e d a f t e r 8 / 1 7 / 0 6 , a n d n o t o n a h i s t o r i c s t m c t u r e
l i s t e d i n t h e N a t i o n a l R e g i s t e r 2d N u m t j e r o f c o n s e r v a t i o n e a s e m e n t s m o d i f i e d , t r a n s f e r r e d , r e l e a s e d , e x t i n g u i s h e d , o r t e r m i n a t e d b y t h e o r g a n i z a t i o n d u r i n g t h e t a x
y e a r •
N u m b e r o f s t a t e s w h e r e p r o p e r t y s u b j e c t t o c o n s e r v a t i o n e a s e m e n t i s l o c a t e d •
Y e s D o e s t h e o r g a n i z a t i o n h a v e a w r i t t e n p o l i c y r e g a r d i n g t h e p e r i o d i c m o n i t o r i n g , i n s p e c t i o n , h a n d l i n g o f
v i o l a t i o n s , a n d e n f o r c e m e n t o f t h e c o n s e r v a t i o n e a s e m e n t s i t h o l d s ?
S t a f f a n d v o l u n t e e r h o u r s d e v o t e d t o m o n i t o r i n g , i n s p e c t i n g , a n d e n f o r c i n g c o n s e r v a t i o n e a s e m e n t s d u r i n g t h e y e a r •
A m o u n t o f e x p e n s e s i n c u r r e d i n m o n i t o r i n g , i n s p e c t i n g , a n d e n f o r c i n g c o n s e r v a t i o n e a s e m e n t s d u r i n g t h e y e a r • $
D o e s e a c h c o n s e r v a t i o n e a s e m e n t r e p o r t e d o n l i n e 2 ( d ) a b o v e s a t i s f y t h e r e q u i r e m e n t s o f s e c t i o n 1 7 0 ( h ) ( 4 ) ( B ) ( i )
a n d s e c t i o n 1 7 0 ( h ) ( 4 ) ( B ) ( i i ) ?
I n P a r t X I I I , d e s c r i b e h o w t h e o r g a n i z a t i o n r e p o r t s c o n s e r v a t i o n e a s e m e n t s i n i t s r e v e n u e a n d e x p e n s e s t a t e m e n t , a n d b a l a n c e s h e e t , a n d
i n c l u d e , i f a p p l i c a b l e , t h e t e x t o f t h e f o o t n o t e t o t h e o r g a n i z a t i o n ' s f i n a n c i a l s t a t e m e n t s t h a t d e s c r i b e s t h e o r g a n i z a t i o n ' s a c c o u n t i n g f o r
c o n s e r v a t i o n e a s e m e n t s .
I Y e s
No
No
Par t Kt I Organ iza t ions Maintaining Co l lec t ions of Art, Histor ica l T r e a s u r e s , or Other S imi la r A s s e t s . C o m p l e t e i f t h e o r g a n i z a t i o n a n s w e r e d " Y e s ' t o F o r m 9 9 0 , P a r t I V , l i n e 8 .
1a I f t h e o r g a n i z a t i o n e l e c t e d , a s p e r m i t t e d u n d e r S F A S 1 1 6 ( A S C 9 5 8 ) , n o t t o r e p o r t i n i t s r e v e n u e s t a t e m e n t a n d b a l a n c e s h e e t w o r k s o f a r t ,
h i s t o r i c a l t r e a s u r e s , o r o t h e r s i m i l a r a s s e t s h e l d f o r p u b l i c e x h i b i t i o n , e d u c a t i o n , o r r e s e a r c h i n f u r t h e r a n c e o f p u b l i c s e r v i c e , p r o v i d e , i n P a r t X I I I ,
t h e t e x t o f t h e f o o t n o t e t o i t s f i n a n c i a l s t a t e m e n t s t h a t d e s c r i b e s t h e s e i t e m s ,
b I f t h e o r g a n i z a t i o n e l e c t e d , a s p e r m i t t e d u n d e r S F A S 1 1 6 ( A S C 9 5 8 ) , t o r e p o r t i n i t s r e v e n u e s t a t e m e n t a n d b a l a n c e s h e e t w o r k s o f a r t , h i s t o r i c a l
t r e a s u r e s , o r o t h e r s i m i l a r a s s e t s h e l d f o r p u b l i c e x h i b i t i o n , e d u c a t i o n , o r r e s e a r c h i n f u r t h e r a n c e o f p u b l i c s e r v i c e , p r o v i d e t h e f o l l o w i n g a m o u n t s
r e l a t i n g t o t h e s e i t e m s :
( i ) R e v e n u e s i n c l u d e d i n F o r m 9 9 0 , P a r t V l l l , l i n e 1 • $
O i ) A s s e t s i n c l u d e d i n F o r m 9 9 0 , P a r t X • $
2 I f t h e o r g a n i z a t i o n r e c e i v e d o r h e l d w o r k s o f a r t , h i s t o r i c a l t r e a s u r e s , o r o t h e r s i m i l a r a s s e t s f o r f i n a n c i a l g a i n , p r o v i d e
t h e f o l l o w i n g a m o u n t s r e q u i r e d t o b e r e p o r t e d u n d e r S F A S 1 1 6 ( A S C 9 5 8 ) r e l a t i n g t o t h e s e i t e m s :
a R e v e n u e s i n c l u d e d i n F o r m 9 9 0 , P a r t V l l l , l i n e 1 • $
b / ^ s e t s i n c l u d e d i n F o r m 9 9 0 , P a r t X • $
L H A For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule D (Form 990) 2013 332051 09-25-13
S c h e d u l e D ( F o r m 9 9 0 ) 2 0 1 3 PETS ALIVE, INC. 11-2975276 P a Q e 2
j j i i i i l B i l Organ iza t ions Maintaining Co l lec t ions of Art, Historical T r e a s u r e s , or Other S imi la r Assets(continued)
3 U s i n g t h e o r g a n i z a t i o n ' s a c q u i s i t i o n , a c c e s s i o n , a n d o t h e r r e c o r d s , c h e c l < a n y o f t h e f o l l o w i n g t h a t a r e a s i g n i f i c a n t u s e o f i t s c o l l e c t i o n i t e m s ( c h e c k a l l t h a t a p p l y ) :
P u b l i c e x h i b i t i o n d I I L o a n or e x c h a n g e p r o g r a m s S c h o l a r l y r e s e a r c h e I I O t h e r P r e s e r v a t i o n for f u t u r e g e n e r a t i o n s
a b c
P r o v i d e a d e s c r i p t i o n o f t h e o r g a n i z a t i o n ' s c o l l e c t i o n s a n d e x p l a i n h o w t h e y f u r t h e r t h e o r g a n i z a t i o n ' s e x e m p t p u r p o s e i n P a r t XIII. D u r i n g t h e y e a r , d i d t h e o r g a n i z a t i o n s o l i c i t o r r e c e i v e d o n a t i o n s o f a r t , h i s t o r i c a l t r e a s u r e s , o r o t h e r s i m i l a r a s s e t s t o b e s o l d t o r a i s e f u n d s r a t h e r t h a n t o b e m a i n t a i n e d a s p a r t o f t h e o r g a n i z a t i o n ' s c o l l e c t i o n ? Y e s No
E s c r o w and C u s t o d i a l Ar rangements . C o m p l e t e i f t h e o r g a n i z a t i o n a n s w e r e d " Y e s " 4 o F o r m 9 9 0 , P a r t I V , l i n e 9 , o r r e p o r t e d a n a m o u n t o n F o r m 9 9 0 , P a r t X, l i n e 2 1 .
l a I s t h e o r g a n i z a t i o n a n a g e n t , t r u s t e e , c u s t o d i a n o r o t h e r i n t e r m e d i a r y f o r c o n t r i b u t i o n s o r o t h e r a s s e t s n o t i n c l u d e d
o n F o r m 9 9 0 , P a r t X ? Y e s No
c B e g i n n i n g b a l a n c e
A m o u n t
c B e g i n n i n g b a l a n c e 1c
d A d d i t i o n s d u r i n g t h e y e a r I d
e D i s t r i b u t i o n s d u r i n g t h e y e a r 1e
f E n d i n g b a l a n c e I f
2a b
D i d t h e o r g a n i z a t i o n i n c l u d e a n a m o u n t o n F o n m 9 9 0 , P a r t X, l i n e 2 1 ? I f ' Y e s , ' e x p l a i n t h e a r r a n g e m e n t i n P a r t X I I I . C h e c k h e r e i f t h e e x p l a n a t i o n h a s b e e n p r o v i d e d i n P a r t X l l l
I Y e s No
P ^ r t V : E n d o w m e n t F u n d s . C o m p l e t e i f t h e o r g a n i z a t i o n a n s w e r e d ' Y e s ' t o F o r m 9 9 0 , P a r t I V , l i n e 1 0 .
l a B e g i n n i n g o f y e a r b a l a n c e b C o n t r i b u t i o n s c N e t i n v e s t m e n t e a r n i n g s , g a i n s , a n d l o s s e s d G r a n t s o r s c h o l a r s h i p s e O t h e r e x p e n d i t u r e s f o r f a c i l i t i e s
a n d p r o g r a m s f A d m i n i s t r a t i v e e x p e n s e s g E n d o f y e a r b a l a n c e
(a) C u r r e n t y e a r (b) P r i o r y e a r (c) T w o y e a r s b a c k (d) T h r e e y e a r s b a c k ( e ) F o u r y e a r s b a c k
Z P r o v i d e t h e e s t i m a t e d p e r c e n t a g e o f t h e c u r r e n t y e a r e n d b a l a n c e ( l i n e 1 g , c o l u m n ( a ) ) h e l d a s :
a B o a r d d e s i g n a t e d o r q u a s i - e n d o w m e n t • %
b P e r m a n e n t e n d o w m e n t • % c T e m p o r a r i l y r e s t r i c t e d e n d o w m e n t • %
T h e p e r c e n t a g e s i n l i n e s 2 a , 2 b , a n d 2 c s h o u l d e q u a l 1 0 0 % . 3a A r e t h e r e e n d o w m e n t f u n d s n o t i n t h e p o s s e s s i o n o f t h e o r g a n i z a t i o n t h a t a r e h e l d a n d a d m i n i s t e r e d f o r t h e o r g a n i z a t i o n
b y :
( i ) u n r e l a t e d o r g a n i z a t i o n s (ii) r e l a t e d o r g a n i z a t i o n s
b I f " Y e s " t o 3 a ( i i ) , a r e t h e r e l a t e d o r g a n i z a t i o n s l i s t e d a s r e q u i r e d o n S c h e d u l e R ? 4 D e s c r i b e i n P a r t X l l l t h e i n t e n d e d u s e s o f t h e o r g a n i z a t i o n ' s e n d o w m e n t f u n d s .
Y e s No 3a(i) 3a(ii)
3b
P a r t VI L a n d , Bui ld ings , a n d Equipment .
D e s c r i p t i o n o f p r o p e r t y (a) C o s t o r o t h e r b a s i s ( i n v e s t m e n t )
(b) C o s t o r o t h e r b a s i s ( o t h e r )
( c ) A c c u m u l a t e d d e p r e c i a t i o n
(d) B o o k v a l u e
1a L a n d 105,000. 105,000. b B u i l d i n g s 636,500. 134,920. 501,580. c L e a s e h o l d i m p r o v e m e n t s
d E q u i p m e n t 224,012. 55,156. 168,856. e O t h e r 68,100. 32,469. 35,631.
Total. A d d l i n e s 1 a t h r o u g h 1 e . (Column (d) must equal Fonn 990, Part X, column (Bl line 10(c).) .... • 811,067. Schedule D (Form 990) 2013
332052 09-25-13
S c h e d u l e D ( F o r m 9 9 0 ) 2 0 1 3 PETS ALIVE, INC. 11-2975276 P a q e 3 : ; i aWi | Inves tments - Other Secur i t i es .
C o m p l e t e i f t h e o r g a n i z a t i o n a n s w e r e d ' Y e s " t o F o r m 9 9 0 , P a r i I V , l i n e l i b . S e e F o r m 9 9 0 , P a r t X , l i n e 1 2 . (a) D e s c r i p t i o n o f s e c u r i t y o r c a t e g o r y (including name of security) ( b ) B o o k v a l u e ( c ) M e t h o d o f v a l u a t i o n : C o s t o r e n d - o f - y e a r m a r k e t v a l u e
( 1 ) F i n a n c i a l d e r i v a t i v e s
( 2 ) C l o s e l y - h e l d e q u i t y i n t e r e s t s
( 3 ) O t h e r
( A )
( B )
( C )
( D )
( E )
( F )
( G )
( H ) T o t a l . ( C o l . ( b ) m u s t e q u a l F o r m 9 9 0 , P a r t X , c o l . ( B ) l i n e 1 2 . ) • i i i i i i i i i i i i i l B ^ ^ ^ ^ Par t V i l i j I nves tments - P r o g r a m Rela ted .
C o m p l e t e i f t h e o r g a n i z a t i o n a n s w e r e d " Y e s " t o F o r m 9 9 0 , P a r t I V , l i n e 1 1 c . S e e F o r m 9 9 0 , P a r t X , l i n e 1 3 . (a) D e s c r i p t i o n o f i n v e s t m e n t ( b ) B o o k v a l u e ( c ) M e t h o d o f v a l u a t i o n : C o s t o r e n d - o f - y e a r m a r k e t v a l u e
( 1 ) ( 2 )
( 3 )
( 4 )
( 5 ) ( 6 )
( 7 )
( 8 )
( 9 ) T o t a l . ( C o l . ( b ) m u s t e q u a l F o r m 9 9 0 , P a r t X , c o l . ( B ) l i n e 1 3 . ) • Par t DC Other A s s e t s .
(a) D e s c r i p t i o n ( b ) B o o k v a l u e
( 1 ) ( 2 )
( 3 )
( 4 ) ( 5 )
( 6 ) ( 7 )
( 8 )
( 9 ) T o t a l . (Column (b) must eaual Form 990. Part X, col. (B) line 15.) • P a r t X Other Liabi l i t ies.
C o m p l e t e i f t h e o r g a n i z a t i o n a n s w e r e d " Y e s " t o F o r m 9 9 0 , P a r t I V , l i n e l l e o r 1 1 f . S e e F o r m 9 9 0 , P a r t X , l i n e 2 5 . 1 _ ( a ) D e s c r i p t i o n o f l i a b i l i t y ( b ) B o o k v a l u e
( 1 ) F e d e r a l i n c o m e t a x e s
( 2 )
( 3 )
( 4 ) ( 5 )
( 6 )
( 7 ) ( 8 ) ( 9 )
T o t a l . (Column (b) must equal Form 990, Part X, col. (B) line 25.) • 2. L i a b i l i t y f o r u n c e r t a i n t a x p o s i t i o n s . I n P a r t X l l l , p r o v i d e t h e t e x t o f t h e f o o t n o t e t o t h e o r g a n i z a t i o n ' s f i n a n c i a l s t a t e m e n t s t h a t r e p o r t s t h e
o r g a n i z a t i o n ' s l i a b i l i t y f o r u n c e r t a i n t a x p o s i t i o n s u n d e r F I N 4 8 ( A S C 7 4 0 ) . C h e c k h e r e i f t h e t e x t o f t h e f o o t n o t e h a s b e e n p r o v i d e d i n P a r t X l l l Schedule D (Form 990) 2013
332053 09-25-13
S c h e d u l e D ( F o r m 9 9 0 ) 2 0 1 3 PETS ALIVE, INC. 1 1 - 2975276 P a q e 4 Part X I Reconci l ia t ion of R e v e n u e per Audited F inanc ia l S t a t e m e n t s With R e v e n u e per R e t u r n .
C o m p l e t e i f t h e o r g a n i z a t i o n a n s w e r e d " Y e s " t o F o r m 9 9 0 , P a r t I V , l i n e 1 2 a .
1 T o t a l r e v e n u e , g a i n s , a n d o t h e r s u p p o r t p e r a u d i t e d f i n a n c i a l s t a t e m e n t s 1 1,005,630. 2 A m o u n t s i n c l u d e d o n l i n e 1 b u t n o t o n F o r m 9 9 0 , P a r t V l l l , l i n e 1 2 :
a N e t u n r e a l i z e d g a i n s o n i n v e s t m e n t s 2a b D o n a t e d s e r v i c e s a n d u s e o f f a c i l i t i e s 2b c R e c o v e r i e s o f p r i o r y e a r g r a n t s 2c d a h e r ( D e s c r i b e i n P a r t X l l l . ) 2d e A d d l i n e s 2a t h r o u g h 2d 2e 0.
3 S u b t r a c t l i n e 2e f r o m l i n e 1 3 1,005,630. 4 A m o u n t s i n c l u d e d o n F o r m 9 9 0 , P a r t V l l l , l i n e 1 2 , b u t n o t o n l i n e 1 :
a I n v e s t m e n t e x p e n s e s n o t i n c l u d e d o n F o r m 9 9 0 , P a r t V l l l , l i n e 7 b 4a b O t h e r ( D e s c r i b e i n P a r t X l l l . ) 4b 3,482. c A d d l i n e s 4a a n d 4b 4 c 3,482.
5 T o t a l r e v e n u e . A d d l i n e s 3 a n d 4c . (This must equal Form 990, Part 1, line 12.) 5 1,009,112. P a r t X H Reconc i l ia t ion of E x p e n s e s per Audited F inanc ia l S t a t e m e n t s With E x p e n s e s per R e t u r n .
C o m p l e t e i f t h e o r g a n i z a t i o n a n s w e r e d " Y e s " t o F o r m 9 9 0 , P a r t I V , l i n e 1 2 a .
1 T o t a l e x p e n s e s a n d l o s s e s p e r a u d i t e d f i n a n c i a l s t a t e m e n t s 1 866,326. 2 A m o u n t s i n c l u d e d o n l i n e 1 b u t n o t o n F o r m 9 9 0 , P a r t I X , l i n e 25:
a D o n a t e d s e r v i c e s a n d u s e o f f a c i l i t i e s 2a b P r i o r y e a r a d j u s t m e n t s 2b
c O t h e r l o s s e s 2c d O t h e r ( D e s c r i b e i n P a r t X l l l . ) 2d
e A d d l i n e s 2a t h r o u g h 2d 2e 0. 3 S u b t r a c t l i n e 2e f r o m l i n e 1 3 866,326. 4 A m o u n t s i n c l u d e d o n F o r m 9 9 0 , P a r t I X , l i n e 2 5 , b u t n o t o n l i n e 1 :
a I n v e s t m e n t e x p e n s e s n o t i n c l u d e d o n F o r m 9 9 0 , P a r t V l l l , l i n e 7 b 4a
b O t h e r ( D e s c r i b e i n P a r t X l l l . ) _ 4b
c A d d l i n e s 4a a n d 4b 4 c 0. 5 T o t a l e x p e n s e s . A d d l i n e s 3 a n d 4c. (This must equal Form 990, Part 1, line 18.) 5 866,326.
P a r t X t t I Supp lementa l Information. P r o v i d e t h e d e s c r i p t i o n s r e q u i r e d f o r P a r t I I , l i n e s 3 , 5 , a n d 9 ; P a r t 111, l i n e s l a a n d 4 ; P a r t I V , l i n e s l b a n d 2 b ; P a r t V , l i n e 4 ; P a r t X , l i n e 2 ; P a r t X I ,
l i n e s 2 d a n d 4 b ; a n d P a r t X I I , l i n e s 2 d a n d 4 b . A l s o c o m p l e t e t h i s p a r t t o p r o v i d e a n y a d d i t i o n a l i n f o r m a t i o n .
PART X I , LINE 4B - OTHER ADJUSTMENTS;
UNREALIZED LOSSES ON INVESTMENTS 3,482 .
332054 09-25-13 Schedule D (Form 990) 2013
S C H E D U L E 0 (Form 990 or 990-EZ)
Department of the Treasury Intemal Revenue Sen/ice
Supplemental Information to Form 990 or 990-EZ Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information. • Attach to Form 990 or 990-EZ.
• Information about Schedule O (Form 990 or 990-EZ) and its instructions is at www.irs.aov/form990.
OIVIB No. 1545-0047 S C H E D U L E 0 (Form 990 or 990-EZ)
Department of the Treasury Intemal Revenue Sen/ice
Supplemental Information to Form 990 or 990-EZ Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information. • Attach to Form 990 or 990-EZ.
• Information about Schedule O (Form 990 or 990-EZ) and its instructions is at www.irs.aov/form990.
2013 O p « Y to Puirfic tnspeotion
Name of the organizat ion PETS ALIVE, INC.
Employer identification number 11-2975276
FORM 990, PART V I , SECTION A, LINE 2:
EXPLANATION: MARISOL THOMAS AND ROB THOMAS ARE MARRIED
FORM 990, PART V I , SECTION B, LINE 1 1 :
EXPLANATION: THE 990 I S SUBMITTED TO THE BOARD PRIOR TO F I L I N G FOR THEM TO
REVIEW AND APPROVE.
FORM 990, PART V I , SECTION B, LINE 12C;
EXPLANATION: THE BOARD HAS A PERSONNEL COMMITTEE THAT MEETS AND REVIEWS
P O L I C I E S .
FORM 990, PART V I , SECTION C, LINE 19:
EXPLANATION: THE DOCUMENTS ARE AVAILABLE UPON REQUEST.
L H A For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule O (Form 990 or 990-EZ) (2013) 332211 09-04-13