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990 4 • OMB No 1545-0047
Form Return of Organization Exempt From Income Tax2008
Under section 501(c), 527, or 4947(axl) of the Internal Revenue Code- (except black lung benefit trust or private foundation)
Department of the TreasuryInternal Revenue Service ► The organization may have to use a copy of this return to satisfy state reporting requirements Open 16 Pubk nspect
For the 2008 calendar year, or tax year beginning , 2008, and ending
B Check if applicable D Employer Identification Number
Address changePlease useIRS label LITTLE SHELTER ANIMAL ADOPTION 11-6000821
Name changeor print CENTER INC. E Telephone numberor type.
Initial return5^ 33 WARNER ROAD (631) 368-8770specif c
HUNTINGTON, NY 11743-5918ruInst c-Termination dons.
Amended return G Gross receipts $ 2,317,911.
Application pending F Name and address of principal officer H(s) Is this a group return for affiliates Yes X No
SAME AS C ABOVE K(b) Are all affiliates included' Yes NoIf 'No,' attach a list (see instructions)
Tax-exem pt statuI s X 501 c 3 ( insert no.) 4947 (a)( 1 ) or 527
.1 Website : ► WWW. LITTLESHELTER. COM H(c) Group exemption number ►
K Type of organization X Corporation Trust Association Other L Year of Formation 1927 M State of legal domicile NY
Part 1 Summary
0c^a
UImo!
LU
00
1 Briefly describe the organization's mission or most significant activities. DEDICATED TO SAVING ANIMALS FROM KILL
SHELTERS A1JD HROVTDING EDUCATION TO THE PUBLI- C -10-PROPERLY -CARE IDR PAS IN THEIR -^HEII R LQPEET4 APT QYEEPQPUJJILQL AND LA EEQM SI^IITL S^^ITTEEQNL rS ^I^IDE
. .---__ _mIMALa iKuYINGaQMEa- ----------------- ----------
0-- ---------------- -
2 Check this box 0- if the organization discontinued its operations or disposed of more than 25% of its assets.3 Number of voting members of the governing body (Part VI, line la) 3 3
4 Number of independent voting members of the governing body (Part VI, line 1b) 4 0
5 Total number of employees (Part V, line 2a) 5 94
6 Total number of volunteers (estimate if necessary) 6 125
a 7a Total gross unrelated business revenue from Part VIII, line 12, column (C) 7a 0.
b Net unrelated business taxable income from Form 990-T, line 34 7b 0.
Prior Year Current Year8 Contributions and grants (Part Vlll, line 1h) 1 , 871 , 613. 1 , 986 , 874.9 Program service revenue (Part Vlll, line 2g) X1ENS^®^ 98 , 179. 116 501.
10 Investment Income (Part VIII, column (A), lines 3, 4, and 43 512. 17 , 063.^a11 Other revenue (P art VIII, column (A) , lines 5, 6d, 8c, 9c, 1 OWED 165 758. 59, 126.
12 Total revenue - add lines 8 through 11 (must equal Part VIII, column (A) , line 12) 2, 179, 062. 2, 179, 564.
13 Grants and similar amounts paid (Part IX, column (A), lines 1-3)
14 Benefits paid to or for members (Part IX, column (A), line 4)
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) 772, 541. 954, 902.
16a Professional fundraising fees (Part IX, column (A), line l Ie) 234, 020. 322, 606.
C b Total fundraising expenses (Part IX, column (D), line 25) 9, 344,674.
17 Other expenses (Part IX, column (A), lines 1la-1ld 11f-24 1 , 299 , 521. 1 , 424 , 468.
18 Total expenses Add lines 13.17 (must equal Pa IX, c( ^lIV^5'D 2 , 306 , 082. 2 , 701 , 976.
19 Revenue less expenses Subtract line 18 from II e 1 -127 , 020. -522 , 412.
^g
NOV 2 0 2009 Q Beginning of Year End of Year° 20 Total assets (Part X, line 16) 'O th 1 , 421 , 553, 1 , 01-8 , 844.
aV 21 Total liabilities (Part X, line 26) 171 316. 308 , 324.
z2 22 Net assets or fund balances Subtract Ilne 21 fro Ilne 1 , 250 , 237. 710 , 520.Part Si gnature Block
Under penalties of perry I declare that I have examined this retu including accompanying schedules and statements, and to the bes of my knowledge and belief, it isct, and complete Declarabo^nof preparer (other than officer) is based on al^informabon of which preparer has any knowledge
Sign /U,i, vwZytHere ► Signahrre of officer ^/v
/'^^^/• 0 r"^
Type oorpnnntt name and title
Paid
Pre-Preparer'ssignature ► KENNETH KALMUS CPA
par@rS,
Firm's name (or KALMUS, SIEGEL, HARRIS &use ou rs ifememployed),
d► 585 STEWART AVE STE 550__
ZIP+ 4 anGARDEN CITY , NY 11530
May the IRS discuss th is return with the DreDarer shown above? (se
BAA For Privacy Act and Paperwork Reduction Act Notice, see the
Form 990 2008 LITTLE SHELTER ANIMAL ADOPTION 11-6000821 Page 2Part III Statement of Program Service Accomplishments (see instructions)
1 Briefly describe the organization's mission
SEE SCHEDULE-0 _ _ _ _ _ - _ _
Did the organization undertake any significant program services during the year which were not listed on the prior
Form 990 or 990-EZ? LI Yes a No
If Yes,' describe these new services on Schedule 0
Did the organization cease conducting, or make significant changes in how it conducts, any program services? LI Yes No
If 'es,' describe these changes on Schedule 0
Describe the exempt purpose achievements for each of the organization's three largest program services by expenses Section 501 (c)(3)and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the totalexpenses, and revenue, if any, for each program service reported
4a (Code ) (Expenses $ 1, 494, 927. including grants of $ ) (Revenue $
LITTLE-SHELTER-MAJORITY OF THE ANIMALS-HAVE BEEN RESCUED FROM- KILL -SHELTERS ON -LONG------------------------------------------------------------ISLAND AND -NEW -YORK CITY._ THESE ANIMALS THEN- RECEIVE-THE-HIGHEST-QUALITY-MEDICAL ___-CAREJ_ARE-SPAY/NEUTERED,- SOCIALIZED, REHABILITATED AND-LOVED UNTIL ADOPTED. _______-- --- ------ -------- ----------------------------
4b (Code ) (Expenses $ 601, 249. including grants of $ ) (Revenue $
ANIMAL WELFARE EDUCATION-THROUGH INFORMATIVE MAILINGS, ADDRESS -THE -PROBLEMS THAT ----CREATE OVERPOPUTION, THE IMPORTANCE OF SPAYING AND NEUTERING AND PET RESPONSIBILITY.---------------N--PROGRAM------THAT---GOES------INTO--SCH---OOLS -AND-------ORGANIZATIO--NS----ALSO------PARTICIPATE
ACTIVE EDUCATIOPARTICIPATE IN-VARIOUS COMMUNITY EVENTS AND-HOST MANY EVENTS AT THE SHELTER.- ---- -----
4
---------------------------------------------------------------
c (Code' _)(Expenses $ 123, 337. including grants of $ ) (Revenue $
FERAL CAT PROGRAM-TEMPORATILY REMOVES FERAL CATS FROM THEIR COLONIES^_BRINGS THEM TO-COOPERATING VETERINARIANS FOR EXAMINATION VACCINATION AND_STERILIZATION,_AND_THEN___-----------------------------
RETURNS THESECATS TO THEIR ORIGINAL LOCATION. - ALSO PROVIDES-FOOD AND WATER TO THESE-DISPLACED-FELINES -----------------------------------------------------------------
4d Other program services (Describe in Schedule O) SEE SCHEDULE 0
(Expenses $ 30, 173. including grants of $ ) (Revenue $ 5, 400.
4e Total program service expenses ► $ 2, 249, 686. (Must equal Part IX, Line 25, column (B) )
BAA TEEA0102L 12/24/08 Form 990 (2008)
Form 9902008 LITTLE SHELTER ANIMAL ADOPTION 11-6000821 Page 3Patt 1Y Checklist of Required Schedules
Yes No
1 Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If 'Yes,'completeSchedule A
2 Is the organization required to complete Schedule B, Schedule of Contributors?
3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidatesfor public office? If 'Yes,' complete Schedule C, Part I
4 Section 501 (c)(3) organizations Did the organization engage in lobbying activities? If 'Yes, ' complete Schedule C, Part ll
5 Section 501 (cX4), 501 (c)(5), and 501(cX6) organizations. Is the organization subject to the section 6033(e) notice andreporting requirement and proxy tax? If 'Yes, 'complete Schedule C, Part 111
6 Did the organization maintain any donor advised funds or any accounts where donors have the right to provide adviceon the distribution or investment of amounts in such funds or accounts? If 'Yes, ' complete Schedule D, Part I
7 Did the organization receive or hold a conservation easement , including easements to preserve open space, theenvironment , historic land areas or historic structures? If 'Yes,' complete Schedule D, Part ll
8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If 'Yes,'complete Schedule D, Part 111
9 Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X,or provide credit counseling, debt management, credit repair, or debt negotiation services? If 'Yes,' completeSchedule D, Part IV
10 Did the organization hold assets in term, permanent, or quasi-endowments? If 'Yes,' complete Schedule D, Part V
11 Did the organization report an amount in Part X, lines 10, 12, 13, 15, or 25? If 'Yes,' complete Schedule D, Parts Vl,VII, VIII, IX, or X as applicable
12 Did the organization receive an audited financial statement for the year for which it is completing this return that wasprepared in accordance with GAAP? If 'Yes, ' complete Schedule D, Parts Xl, Xll, and Xlll
13 Is the organization a school described in section 170(b)(1)(A)(ii)? I f 'Yes,' complete Schedule E
14a Did the organization maintain an office, employees, or agents outside of the U.S.?
b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising,business, and program service activities outside the U.S ? If 'Yes, ' complete Schedule F, Part I
15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organizationor entity located outside the United States? If 'Yes, ' complete Schedule F, Part ll
16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance toindividuals located outside the United States? If 'Yes,' complete Schedule F, Part III
17 Did the organization report more than $15,000 on Part IX, column (A), line 11e' If 'Yes,' complete Schedule G, Part I
18 Did the organization report more than $15,000 total on Part VIII, lines lc and 8a? If 'Yes,' complete Schedule G, Part 11
19 Did the organization report more than $15,000 on Part VIII, line 9a' If 'Yes,' complete Schedule G, Part Ill
20 Did the organization operate one or more hospitals? If 'Yes,' complete Schedule H
21 Did the organization report more than $5,000 on Part IX, column (A), line 1? If Yes,' complete Schedule 1, Parts l and ll
22 Did the organization report more than $5,000 on Part IX, column (A), line 27 If Yes,' complete Schedule 1, Parts 1 and Ill
23 Did the organization answer 'Yes' to Part VII, Section A, questions 3, 4, or 5? If 'Yes,' completeSchedule J
24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000as of the last day of the year, and that was issued after December 31, 2002? If 'Yes, 'answer questions 24b-24d andcomplete Schedule K If 'No, 'go to question 25
b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?
c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defeaseany tax-exempt bonds?
d Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?
25a Section 501(c)(3) and 501 (cX4) organizations . Did the organization engage in an excess benefit transaction with adisqualified person during the year? If 'Yes, 'complete Schedule L, Part I
b Did the organization become aware that it had engaged in an excess benefit transaction with a disqualified person froma prior year? If 'Yes, ' complete Schedule L, Part I
26 Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, ordisqualified person outstanding as of the end of the organization's tax year? If 'Yes,' complete Schedule L, Part Il
27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, or substantialcontributor, or to a person related to such an in dividual? If 'Yes,' complete Schedule L, Part 111
BAA
1 X2 X
3 X4 X
5
6 X
7 X
8 X
9 X
10 X
11 X
12 X
13 X
14a X
14b X
15 X
16 X
17 X
18 X
20 X
21 X
22 X
23 X
24a X
24b
24c
24d
25a X
25b X
26 X
27 X
Form 990 (2008)
TEEA0103L 10/13/08
Form 9902008 LITTLE SHELTER ANIMAL ADOPTION 11-6000821 Page 4part IV Checklist of Required Schedules (continued)
Yes No
28 During the tax year, did any person who is a current or former officer, director, trustee, or key employee:
a Have a direct business relationship with the organization (other than as an officer, director, trustee, or employee),or an indirect business relationship through ownership of more than 35% in another entity (individually or collectivelywith other person(s) listed in Part VII, Section A)? If 'Yes,' complete Schedule L, Part IV 28a X
b Have a family member who had a direct or indirect business relationship with the organization? If 'Yes,' completeSchedule L, Part IV 28b X
c Serve as an officer, director, trustee, key employee, partner, or member of an entity (or a shareholder of a professionalcorporation) doing business with the organization? If 'Yes, ' complete Schedule L, Part IV 28c X
29 Did the organization receive more than $25,000 in non-cash contributions? If 'Yes,' complete Schedule M 29 X
30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservationcontributions? If 'Yes, ' complete Schedule M 30 X
31 Did the organization liquidate, terminate, or dissolve and cease operations? If 'Yes,' complete Schedule N, Part 1 31 X
32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If 'Yes,' completeSchedule N, Part 11 32 X
33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections301 7701-2 and 301 7701-37 If 'Yes,' complete Schedule R, Part 1 33 X
34 Was the organization related to any tax-exempt or taxable entity? If 'Yes,' complete Schedule R, Parts ll, lll, IV, and V,line 1 34 X
35 Is any related organization a controlled entity within the meaning of section 512(b)(13)' If 'Yes,' complete Schedule R,Part V, line 2 35 X
36 Section 501(c)(3) organizations . Did the organization make any transfers to an exempt non-charitable relatedorganization? If 'Yes,' complete Schedule R, Part V, line 2 36 X
37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that istreated as a partnershi p for federal income tax purposes? If 'Yes, ' com lete Schedule R, Part V/ 37 X
BAA Form 990 (2008)
TEEA0104L 12118/08
F
nas and tax
-6000821 Paae 5
1 a Enter the number reported in Box 3 of form 1096, Annual Summary and Transmittal of U.S.Information Returns. Enter -0- if not applicable 1 a 5
b Enter the number of Forms W-2G included in line 1 a. Enter -0- i f not applicable 1 b 1
c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming(gambling) winnings to prize winners?
2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for thecalendar year ending with or within the year covered by this return 2a 94
2b If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines la and 2a is greater than 250, you may be required to e-file this return. (see instructions)
3a Did the organization have unrelated business gross income of $1,000 or more during the year covered bythis return?
b If 'Yes' has it filed a Form 990-T for this year? If 'No,' provide an explanation in Schedule 0
4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, afinancial account in a foreign country (such as a bank account, securities account, or other financial account)?
b If 'Yes,' enter the name of the foreign country: ►See the instructions for exceptions and filing requirements for Form TO F 90-22.1, Report of Foreign Bank andFinancial Accounts.
5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?
b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
c If 'Yes,' to question 5a or 5b, did the organization file Form 8886-T, Disclosure by Tax-Exempt Entity RegardingProhibited Tax Shelter Transaction?
6a Did the organization solicit any contributions that were not tax deductible'
b If 'Yes,' did the organization include with every solicitation an express statement that such contributions or gifts were notdeductible?
7 Organizations that may receive deductible contributions under section 170(c).
a Did the organization provide goods or services in exchange for any quid pro quo contribution of more than $75?
b If 'Yes,' did the organization notify the donor of the value of the goods or services provided?
c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to fileForm 8282?
d If 'Yes,' indicate the number of Forms 8282 filed during the year I 7dI
e Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personalbenefit contract?
f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
g For all contributions of qualified intellectual property, did the organization file Form 8899 as required?
h For all contributions of cars, boats, airplanes, and other vehicles, did the organization file a Form 1098-C as required?
8 Section 501(c)(3) and other sponsoring organizations maintaining donor advised funds and section 509(aX3)supporting organizations. Did the supporting organization, or a fund maintained by a sponsoring organization, haveexcess business holdings at any time during the year?
9 Section 501(c)(3) and other sponsoring organizations maintaining donor advised funds.
a Did the organization make any taxable distributions under section 4966?
b Did the organization make any distribution to a donor, donor advisor, or related person?
10 Section 501(c)(7) organizations. Enter:
a Initiation fees and capital contributions included on Part VIII, line 12 10a
b Gross Receipts, included on Form 990, Part VIII, line 12, for public use of club facilities 10b
11 Section 501(cX12) organizations. Enter:
a Gross income from other members or shareholders 11 a
b Gross income from other sources (Do not net amounts due or paid to other sources againstamounts due or received from them.) 11 b
12a Section 4947(aXl) nonexempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041
b If 'Yes,' enter the amount of tax-exempt interest received or accrued during the year 112b1
BAA
Yes No
1c X
2b X
3a X
4al I X
Sa l I X
5b X
5c
6a X
6b
7a X
7b
7c X
7e X7f X
7 X7h X
8
9a
Form 990 (2008)
TEEA0105L 04/08/09
Form 990 (2008) LITTLE SHELTER ANIMAL ADOPTION 11-6000821 Paae 6Pat'tVE Governance , Management and Disdosure (Sections A, B, and C request information about policies not
required by the Internal Revenue Code )
Section A. Goveming Body and Management
For each 'Yes' response to lines 2-7b below, and for a 'No' response to lines 8 or 9b below, describe the circumstances, Yes No
processes, or changes in Schedule 0 See instructions
1 a Enter the number of voting members of the governing body 1 a 3
b Enter the number of voting members that are independent 1 b
2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any otherofficer, director, trustee or key employee? SEE SCHEDULE 0 2 X
3 Did the organization delegate control over management duties customarily performed by or under the direct supervisionof officers, directors or trustees, or key employees to a management company or other person? 3 X
4 Did the organization make any significant changes to its organizational documents 4 X
since the prior Form 990 was filed?
5 Did the organization become aware during the year of a material diversion of the organization's assets? 5 X
6 Does the organization have members or stockholders? 6 X
7a Does the organization have members, stockholders , or other persons who may elect one or more members of thegoverning body?
b Are any decisions of the governing body subject to approval by members , stockholders , or other persons?
8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year bythe following:
a The governing body?
b Each committee with authority to act on behalf of the governing body?
9a Does the organization have local chapters, branches , or affiliates?
b If 'Yes,' does the organization have written policies and procedures governing the activities of such chapters, affiliates,and branches to ensure their operations are consistent with those of the organization?
10 Was a copy of the Form 990 provided to the organization ' s governing body before it was filed? All organizations mustdescribe in Schedule 0 the process , if any, the organization uses to review the Form 990 SEE SCHEDULE 0
11 Is there any officer , director or trustee, or key employee listed in Part VII, Section A, who cannot be reached at theorganization ' s mailing address? If 'Yes , ' provide the names and addresses In Schedule 0
7a X
7b X
8a X
8b X
9a X
9b
10 X
11 X
iection B. PoliciesYes No
12a Does the organization have a written conflict of interest policy? If 'No,' go to line 13 12a X
b Are officers, directors or trustees, and key employees required to disclose annually interests that could give riseto conflicts? 12b X
c Does the organization regularly and consistently monitor and enforce compliance with the policy? If 'Yes, ' describe inSchedule 0 how this is done 12c X
13 Does the organization have a written whistleblower policy? 13 X
14 Does the organization have a written document retention and destruction policy? 14 X
15 Did the process for determining compensation of the following persons include a review and approval by independentpersons, comparability data, and contemporaneous substantiation of the deliberation and decision:
a The organization's CEO, Executive Director, or top management official? 15a X
b Other officers of key employees of the organization? 15b X
Describe the process in Schedule 0. (see instructions)
16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxableentity during the year? 16a X
b If 'Yes,' has the organization adopted a written policy or procedure requiring the organization to evaluate its participationin joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization ' s exemptstatus with respect to such arrangements? 16b
Section C . Disdosures
17 List the states with which a copy of this Form 990 is required to be filed ► NY------------------------------
18 Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable ), 990, and 990 -T (501(c)(3)s only) available for publicinspection. Indicate how you make these available. Check all that apply
F] Own website XN Another's website XM Upon request
19 Describe in Schedule 0 whether (and if so how) the orqanization makes its governing documents , conflict of interest policy, and financialstatements available to the public . SEt SCHEDULE 0
20 State the name, physical address , and telephone number of the person who possesses the books and records of the organization-
► MARYANN CHERNOVSKY-33-WARNER ROAD
- -HUNTINGTON
-NY 11743 (631)368-8770------------------------------------------------------------
BAA Form 990 (2008)
TEEA0106L 12118/08
• List all of the organization's current officers directors, trustees (whether individuals or organizations), regardless of amount ofcompensation, and current key employees. Enter -6- in columns (D), (E), and (F) if no compensation was paid.
• List the organization' s five current highest compensated employees (other than an officer, director, trustee, or key employee) whoreceived reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) or more than $100,000 from the organization and anyrelated organizations.
• List all of the organization 's former officers, key employees, and highest compensated employees who received more than $100,000 ofreportable compensation from the organization and any related organizations.
• List all of the organization' s former directors or trustees that received, in the capacity as a former director or trustee of theorganization, more than $10,000 of reportable compensation from the organization and any related organizations.
List persons in the following order: individual trustees or directors; institutional trustees; officers, key employees; highest compensatedemployees; and former such persons.
F] Check this box if the organization did not compensate any officer, director, trustee, or key employee.
(A)
Name and Title
(B)
Averageh
(c)Position (check all that apply)
(D)
Reportable
(E)
Reportable
(F)
Estimatedours
per week oa
0-c
n cg w
H
6
0
n
'
m`
3v0
0 oR ?.
, .'2m
3
og
a
compensation fromthe organization(W-2/1099-MISC)
compensation fromrelated organizations(W-2/l099-MISC)
amount of othercompensation
from theorganizationand related
organizations
MARYANN CHERNOVSKYPRESIDENT 40 X 3 , 000. 0. 0.ALEXANDRA DEGENNARO _ --- --VICE PRESIDENT 15 X 0. 0. 0.ANDREW CHERNOVSKYSECRETARY 25 X 0. 0. 0.
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BAA TEEA0107L 04/24/09 Form 990 (2008)
Section A. Officers , Directors, Trustees , Key Employees, and Highest Compensated Employees
1 a Complete this table for all persons required to be listed. Use Schedule J-2 if additional space is needed.
Form 990 (2008) LITTLE SHELTER ANIMAL ADOPTION 11-6000821 Page 8ran YH Section A. vtncers Directors I rustees Re tm io ees ana ni nesi Gom ensatea tm io ees conr
(A)
Name and Title
(B)
Aharse
(C)Position (check all that apply)
(D)
Reportable
(E)
Reportablef
(F)
Estimated
weekper n- <0
g of
>
`c
M
O
n`=
--qm
3-0
x0 ,o
.
mo3M
compensation fromthe org anization(W-211099-MISC)
romcompensationrelated org anizations(W-2/1099-MISC)
amount of othercompensation
from theorganizationand related
organizations
- - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - -
1 b Total 3 , 000. 1 0. 0.
2 Total number of individuals (including those in la) who received more than $100,000 in reportable compensation from the
organization ► 0
3 Did the organization list any former officer, director or trustee, key employee, or highest compensated employeeon line la? If 'Yes,' complete Schedule J for such individual 3 X
4 For any individual listed on line la, is the sum of reportable compensation and other compensation fromthe organization and related organizations greater than $150,000? If 'Yes' complete Schedule J for suchindividual 4 X
5 Did any person listed on line 1 a receive or accrue compensation from any unrelated organization for servicesrendered to the organization? If 'Yes,' complete Schedule J for such person 5 X
Section B. Independent Contractors
1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of
and(A) I - (B) I (C)
2 Total number of independent contractors (including those in 1) who received more than $100,000 in
compensation from the orcianlzatlon ► 0
BAA TEEAOIOSL 10/13/08 Form 990 (2008)
Form 990 (2008) LITTLE SHELTER ANIMAL ADOPTION 11-6000821 Page 9Part Vtt[ Statement of Revenue
rev13)
aCe a venTotal enue Rel ted or Unr tedll Re ue
exempt business excluded from taxfunction revenue under sectionsrevenue 512, 513, or 514
O,,, la Federated campaigns la 348.
b Membership dues lb
Q c Fundraising events 1 c
IZ W d Related organizations l d
V; f e Government grants (contributions) 1 eZ V;
W f All other contributions, gifts, grants, andsimilar amounts not included above if 1,986,526.
_= g Noncash contrlbns included in Ins ]a -If: $ 1 , 508.
Wa h Total . Add lines la-1t ► 1,986,874.Business Code
W 2a _SH_ELT_ER_V_AL_E__ ________ 5 , 400. 5 , 400.b LITTLE SHELTER ADOPTIONS-----------------
111 101. 111 , 101.-
C -----------------
ItWW
-
de -------------
o-- ---
f All other program service revenue
g Total . Add lines 2a-2f ► 116 501.
3 Investment income (including dividends, interest andother similar amounts) 0. 22,741. 22,741.
4 Income from investment of tax-exempt bond proceeds
5 Royalties 10.
() Real (ii) Personal
6a Gross Rents
b Less rental expenses
c Rental income or (loss)
d Net rental income or (lo ss
7a Gross amount from sales of ( i) Secunttes (i) Other
assets other than inventory 74 606.
b Less cost or other basisand sales expenses 80 , 284.
c Gain or (loss) -5 , 678. 1
d Net gain or (loss) -5 , 678. -5 678.
8a Gross income from fundraising events(not including $
of contributions reported on line 1 c).
See Part IV, line 18 a 55 , 979.
b Less- direct expenses b 30 , 530.° c Net income or (loss) from fundraising events 25,449. 25 4 449.
9a Gross income from gaming activities.See Part IV, line 19 a 60 , 100.
b Less direct expenses b 27 , 533.c Net income or (loss) from gaming activiti es 32 4 567. 32 , 567.
10a Gross sales of inventory, less returnsand allowances a
b Less cost of goods sold b
c Net income or (loss) from sales of InventorMiscellaneous Revenue Business Code
11a MISCELLANEOUS-INCOME---------- ----- - 1 , 110. 1 , 110.b------------------
c----------------- -
d All other revenue
e Total . Add lines 11 a-1 1 d 1 , 110.
12 Total Revenue. Add lines lh, 2g, 3, 4, 5, 6d, 7d, 8c, 9c,1Oc, and 11e ► 2 179 564. 0. 0. 192 690.
BAA TEEA0109L 12/18/2008 Form 990(2008)
Form 990 (2008) LITTLE SHELTER ANIMAL ADOPTION 11-6000821
Section 501(c)(3) and 501(cX4) organizations must complete all columns.
A ll otner organizations must compiete column (A) our are not requirea io compiete columns (es), (G), ana dui.
Do not include amounts reported on lines6b, 7b, 8b, 9b, and 10b of Part V/U,
Total expenses(B)
Program serviceexpenses
(C)Management andgeneral expenses
(D)Fundraisingexpenses
1 Grants and other assistance to governmentsand organizations in the U S See Part IV,line 21
2 Grants and other assistance to individuals inthe U S See Part IV, line 22
3 Grants and other assistance to governments,organizations, and individuals outside theU S See Part IV, lines 15 and 16
4 Benefits paid to or for members5 Compensation of current officers, directors,
trustees, and key employees 3 , 000. 0. 3 , 000. 0.6 Compensation not included above, to
disqualified persons (as defined undersection 4958(f)(1) and persons described insection 4958(c)(3)(B) . . . .
7 Other salaries and wages 821 592. 821 , 592.8 Pension plan contributions (include section
401(k) and section 403(b) employercontributions)
9 Other employee benefits 62 , 742. 51 , 065. 11 , 677.10 Payroll taxes 67 , 568. 67 , 305. 263.
11 Fees for services (non-employees)
a Management
b Legal 11 , 233. 11 , 233.c Accounting 3 , 850. 3 , 850.d Lobbying
e Prof fundraising svcs See Part IV, In 17 322 606. 322 606.
f Investment management fees,
g Other
12 Advertising and promotion 44 , 442. 35 , 764. 3 , 932. 4 , 746.13 Office expenses 12 , 011. 2 , 402. 9 , 008. 601.
14 Information technology 16 , 406. 16 , 406.
15 Royalties
16 Occupancy
17 Travel18 Payments of travel or entertainment
expenses for any federal, state, or localpublic officials
19 Conferences, conventions, and meetings
20 Interest 2. 2.
21 Payments to affiliates
22 Depreciation, depletion, and amortization 29 , 667. 22 , 891. 6 , 776.
23 Insurance 35,157. 32 , 920. 2,237.24 Other expenses Itemize expenses not
covered above (Expenses grouped togetherand labeled miscellaneous may not exceed5% of total expenses shown on line 25below.)
a EDUCATIONAL MATERIALS 601 Z 249. 601 , 249.- - - - -----------------bMEDICAL -VETERINARIAN 240 451. 240 , 451.- - - - -----------------c FERAL EXPENSESCAT - 123 337. 123 , 337.- - - - - -------------- -d SUPPLIES 107,909. 107,909.
- - - - - - - - - - - - - --------e UTILITIES 48 , 298. 48 , 298.--------------
If All other expenses 150 456. 94 , 503. 39 , 232. 16 , 721.25 Total functional ex eoses .Add lines 1 throug h 24f 2 701 976. 2 , 249 , 686. 107 616. 344 674.26 Joint Costs. Check here ► 11 if following
SOP 98-2 Complete this line only if theorganization reported in column (B) jointcosts from a combined educationalcam pai gn and fundraisin g solicitation 01 66. 01 , 50. 1 1 00 416.
BAA Form 990 (2008)
TEEA0110L 12/19/08
Form 9902008 LITTLE SHELTER ANIMAL ADOPTION 11-6000821 Page 11
Pmt X Balance Sheet
(A)Beginning of year
(B)End of year
1 Cash - non-interest-bearing 85. 1
2 Savings and temporary cash investments 841 076. 2 155 238.
3 Pledges and grants receivable, net 3
4 Accounts receivable, net 4
5 Receivables from current and former officers, directors, trustees, key employees,or other related parties. Complete Part II of Schedule L 5
6 Receivables from other disqualified persons (as defined under section 4958(f)(1))
and persons described in section 4958(c)(3)(B). Complete Part II of Schedule L 6A
s7 Notes and loans receivable, net 7 2,214.
E 8 Inventories for sale or use 8T
9 Prepaid expenses and deferred charges 28, 018. 9 23, 622.
10a Land, buildings, and equipment: cost basis 10a 1, 014, 372.
b Less: accumulated depreciation Complete Part VI of
Schedule D 10b 232, 169. 454, 488. 10c 782, 203.
11 Investments - publicly-traded securities 97, 686. 11 1, 606.
12 Investments - other securities. See Part IV, line 11 12 53, 761.
13 Investments - program-related. See Part IV, line 11 13
14 Intangible assets 14
15 Other assets. See Part IV, line 11 200. 15 200.
16 Total assets Add lines 1 through 15 (must equal line 34) 1, 421, 553. 16 1,018,844'
17 Accounts payable and accrued expenses 171, 316. 17 308,324.
18 Grants payable 18
19 Deferred revenue 19
1 20 Tax-exempt bond liabilities 20A 21 Escrow account liability. Complete Part IV of Schedule D 21
1L 22 Payables to current and former officers, directors, trustees, key employees,highest compensated employees, and disqualified persons Complete Part II
of Schedule L 2E
23 Secured mortgages and notes payable to unrelated third parties 23
24 Unsecured notes and loans payable 24
25 Other liabilities Complete Part X of Schedule D 25
26 Total liabilities . Add lines 17 through 25 171 316. 26 308 , 324.
Organizations that follow SFAS 117, check here ► X and complete lines
27 through 29 and lines 33 and 34.
27 Unrestricted net assets 1 , 250 , 237. 27 710 , 520.
28 Temporarily restricted net assets 28
29 Permanently restricted net assets 29
Organizations that do not follow SFAS 117, check here ► [] and complete
lines 30 through 34.
30 Capital stock or trust principal, or current funds 30
31 Paid-in or capital surplus, or land, building, and equipment fund 31
32 Retained earnings, endowment, accumulated income, or other funds 32
33 Total net assets or fund balances. 1 , 250 , 237. 33 710 , 520.
S 34 Total liabilities and net assets/fund balances. 1 , 421 , 553. 34 1 , 018 , 844.
RattXl Financial Statements and ReportingYes No
1 Accounting method used to prepare the Form 990 [] Cash [] Accrual Other
2a Were the organization's financial statements compiled or reviewed by an independent accountant? 2a X
b Were the organization's financial statements audited by an independent accountant' 2b X
c If 'Yes' to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit,review, or compilation of its financial statements and selection of an independent accountant? 2c X
3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the SingleAudit Act and OMB Circular A-1337 3a X
b If 'Yes,' did the organization undergo the re quired audit or audits? 3b
BAA Form um (LUUtS)
TEEA0111L 12/22108
OMB No 1545.0047
SCHEDULE A Public Charity Status and Public Support 2008(Form 990 or 990-MTo be completed by all section 501 (c)(3) organizations and section 4947(a)(1)
nonexempt charitable trusts.Open to Public
Department of the Treasury InspectionInternal Revenue Service ► Attach to Form 990 or Form 990-EZ ► See separate instructions.
Name of the organization LITTLE SHELTER ANIMAL ADOPTION Employerldeutlfleatlon number
CENTER INC. 11-6000821Patt I I Reason for Public Chari ty Status (All or anizations must com p lete this p art. ) (see instructions )
The organization is not a private foundation because it is: (Please check only one organization )
1 A church, convention of churches or association of churches described in section 170(bX1XA)(i).
2 A school described in section 170(b)(1XA)(i). (Attach Schedule E )
3 A hospital or cooperative hospital service organization described in section 170(b)(1XA)l[iii). (Attach Schedule H.)
4 A medical research organization operated in conjunction with a hospital described in section 170(bX1XA)(1ii). Enter the hospital's
name, city, and state:th---benefit--of-a---college-or-----university---owned--or-operated-----by-a-governmental-------unit-----described- In
---section
-----5 An organization operate d-for -eq
170(b)(1XA)Cjv). (Complete Part II.)
6
H in
A federal, state, or local government or governmental unit described In section 170(bx1XAXv).
7 An organization that normally receives a substantial part of Its support from a governmental unit or from the general public describedsection 170(b)(1XAXvi). (Complete Part II.)
8 q A community trust described in section 170(b)(1XAXvi). (Complete Part II.)
9 An organization that normally receives- (1) more than 33-1/3 % of its support from contributions, membership fees, and gross receiptsfrom activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33-1/3 % of its support from grossinvestment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization afterJune 30, 1975. See section 509(a)(2). (Complete Part III )
10 8 An organization organized and operated exclusively to test for public safety. See section 509(aX4). (see instructions)
11 An organization organized and operated exclusively for the benefit of, to perform the functions of, or carry out the purposes of one ormore publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(a)(3). Check the box thatdescribes the type of supporting organization and complete lines 11e through 11h
a []Type I b []Type II c q Type III - Functionally integrated d q Type III- Other
e q By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons otherthan foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section509(a)(2).
f If the organization received a written determination from the IRS that is a Type I, Type II or Type III supporting organization, qcheck this box
g Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
Yes No
(I) a person who directly or indirectly controls, either alone or together with persons described in (ii) and (Ill)below, the governing body of the supported organization? 11
(ii) a family member of a person described in (I) above? 11 ii
(ii) a 35% controlled entity of a person described in (I) or (ii) above? 11 (ii
h Provide the following information about the organizations the organization supports
(() Name of SupportedOrganization
01) EIN Oil) Type of organization(described on lines 1-9above or IRC section(see Instructions))
Ov) Is theorganization in colp) listed in your
govemingdocument
(v) Did you notifythe organization in
col 0) ofyour support?
NO Is theorganization in colQ) organized in the
U S 7
(vU) Amount of Support
Yes No Yes No Yes No
Total
BAA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule A (Form 990 or 990-EZ) 2008
TEEAD401L 12/17/08
Schedule A (Form 990 or 990-EZ) 2008 LITTLE SHELTER ANIMAL ADOPTION 11-6000821 Page 2
Pali li Support Schedule for Organizations Described in Sections 170(b)(1XA)(iv) and 170(b)(1XAXvi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I )
Sac-tinn A - Public Sunnort
Calendar year (or fiscal yearbeginning in)
(a) 2004 (b) 2005 (c) 2006 (d) 2007 (e) 2008 (f) Total
1 Gifts, grants, contributions andmembership fees received. (Donot include 'unusual grants.')
2 Tax revenues levied for theorganization's benefit andeither paid to it or expendedon its behalf
3 The value of services orfacilities furnished to theorganization by a governmentalunit without charge. Do notinclude the value of services orfacilities generally furnished tothe public without charge
4 Total . Add lines 1-3
5 The portion of totalcontributions by each person(other than a governmentalunit or publicly supportedorganization) included on line 1that exceeds 2% of the amountshown on line 11, column (f)
6 Public support. Subtract line 5from line 4
Section B. Total Support
Calendar year (or fiscal year (a) 2004 (b) 2005 (c) 2006 (d) 2007 (e) 2008 (f) Totalbeginning in)
7 Amounts from line 4
8 Gross income from interest,dividends, payments receivedon securities loans, rents,royalties and income formsimilar sources
9 Net income form unrelatedbusiness activities, whether ornot the business is regularlycarried on
10 Other income. Do not includegain or loss form the sale ofcapital assets (Explain inPart IV )
11 Total support. Add lines 7through 10
12 Gross receipts from related activities, etc. (see instructions)
13 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501 (c)(3)organization, check this box and stop here n
Section C . Computation of Public Support Percentage
14 Public support percentage for 2008 (line 6, column (f) divided by line 11, column (f) 14 %
15 Public support percentage for 2007 Schedule A, Part IV-A, line 26f 15 %
16a 33-1 /3 support test - 2008. If the organization did not check the box on line 13, and the line 14 is 33-1/3 % or more, check this box qand stop here. The organization qualifies as a publicly supported organization. 10-
b 33-1/3 support test - 2007. If the organization did not check a box on line 13, or 16a, and line 15 is 33-1/3% or more, check this box qand stop here. The organization qualifies as a publicly supported organization.
17a 10%-facts-and-circumstances test - 2008. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10%or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here . Explain in Part IV how qthe organization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization.
b 10%-facts-and-circumstances test - 2007. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10%or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part IV how theorganization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization. 11E18 Private foundation. If the organization did not check a box on line, 13, 16a, 16b, 17a, or 17b, check this box and see instructions
BAA Schedule A (Form 990 or 990-EZ) 2008
TEEA0402L 12/17/08
Schedule A (Form 990 or 990-EZ) 2008 LITTLE SHELTER ANIMAL ADOPTION 11-6000821 Page 3Pad ID Support Schedule for Organizations Described in Section 509(aX2)
(Complete only if you checked the box on line 9 of Part I )
Section A. Public Support
Calendar year (or fiscal yr beginning (a) 2004 2005 (c) 2006 2007 (e) 2008 Total
1 Gifts, grants, contributions andmembership fees received Donot include unusual grants 1 , 450 , 675, 1 1 566 1 083. 1 1 824 1 273. 1 , 87-5 , 876. 1 , 99-1 , 974, 8 , 70-8 , 881.
2 Gross receipts fromadmissions, merchandise soldor services performed, orfacilities furnished in a activitythat is related to theorganization's tax-exemptpurpose 206, 916. 242 269. 265 221. 285, 744. 301, 076. 1, 301, 226.
3 Gross receipts from activities that arenot an unrelated trade or businessunder section 513 0.
4 Tax revenues levied for theorganization's benefit andeither paid to or expended onits behalf 0.
5 The value of services orfacilities furnished by agovernmental unit to theorganization without charge 0.
6 Total . Add lines 1-5 1, 657, 591. 1, 808, 352. 2, 089, 494. 2, 161, 620. 2, 293, 050. 10 010, 107.7a Amounts included on lines 1,
2, 3 received from disqualifiedpersons 0. 0. 0. 0. 0. 0.
b Amounts included on lines 2and 3 received from other thandisqualified persons thatexceed the greater of 1% ofthe total of lines 9, 10c, 11,and 12 for the year or $5,000 0. 138 , 0 2. 237 754. 177 841. 49,289. 602 886.
c Add lines 7a and 7b 0. 138 002. 237 754. 177 841. 49 , 289. 602 886.
8 Public support (Subtract line
7c from line 6. 9 407 221.
Section B. Total Support
Calendaryear (or fiscal yr beginning in)
9 Amounts from line 610a Gross income from interest,
dividends, payments receivedon securities loans, rents,royalties and income formsimilar sources
b Unrelated business taxableincome (less section 511taxes) from businessesacquired after June 30, 1975
c Add lines 10a and 10b
11 Net income from unrelated businessactivities not included inline 10b,whether or not the business isregularly carried on
12 Other income. Do not includegain or loss from the sale of
ParttIV)sSEE PARTinIV
13 Total support. ( add ins 10c, 11, and 12)
14 First five years. If the Form 990 isorganization, check this box and s
iection C . Computation of Put
the organization's first, second, third, fourth, or fifth tax year as a section 501 (c)(3)here
15 Public support percentage for 2008 (line 8, column (f) divided by line 13, column (f)) 15 92.7%
16 Public support percentage from 2007 Schedule A, Part IV-A, line 27g 16 94.0%
Section D. Computation of Investment Income Percentage
17 Investment income percentage for 2008 (line 10c, column (f) divided by line 13, column (f)) 17 1.4 %
18 Investment income percentage from 2007 Schedule A, Part IV-A, line 27h 18 1 . 1 %
19a 33-1/3 support tests - 2008. If the organization did not check the box on line 14, and line 15 is more than 33-1/3%, and line 17 is notmore than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization XQ
b 33-1/3 support tests - 2007. If the organization did not check a box on line 14 or 19a, and line 16 is more than 33-1/3%, and line 18is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
20 Private foundation . If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions H
(a) 2004 2005 (c) 2006 2007 (e) 2008 Total
1 , 657 , 591* 1 , 80-8 1 -3-52, 21089,494. 2 1 161 1 620. 2 1 293 1 050. 10 010 107.
10 497. 2-4 , 50-7. 37 , 197. 43,512. 22,741. 138 454.
0.10,497. 24,507. 37,197. 43,512. 22,741. 138,454.
0.
133. 1 1 1 , 110. 1 1 243.
1 10 , 149 , 804.
BAA TEEA04MML 01/29/09 Schedule A (Form 990 or 990-EZ) 2008
Schedule A (Form 990 or 990-E 2008 LITTLE SHELTER ANIMAL ADOPTION 11-6000821 Page 4P IV I Supplemental Information . Complete this part to provide the explanation required by Part II, line 10;
Part II, line 17a or 17b; or Part III, line 12. Provide any other additional information. (see instructions)
ADDITIONAL EXPLANATION OF OTHER INCOME
MISCELLANOUS INCOME-----------------------------------------------------------
BAA TEEA04oML 10/07/08 Schedule A (Form 990 or 990-EZ) 2008
SCHEDULE D OMB No 1545-0047
(Form 990) Supplemental Financial Statements 2008
Department of the Treasury Attach to Form 990. To be completed by organizations that Open to PublicInternal Revenue Service answered 'Yes, to Form 990, Part IV, lines 6,7,8,9, 10, 11, or 12. ImspedlonName of the organlntlon Employer Identtf catlon number
LITTLE SHELTER ANIMAL ADOPTION 11-6000821
Marti Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts Complete ifthe organization answered 'Yes' to Form 990, Part IV, line 6.
(a) Donor advised funds Funds and other accounts
1 Total number at end of year
2 Aggregate contributions to (during year)
3 Aggregate grants from (during year)
4 Aggregate value at end of year
5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advisedfunds are the organization's property, subject to the organization's exclusive legal control? j Yes No
6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may beused only for charitable purposes and not for the benefit of the donor or donor advisor or otherimpermissible private benefit?? F1 Yes No
Part II Conservation Easements Complete if the organization answered 'Yes' to Form 990, Part IV, line 7.
1 Purpose(s) of conservation easements held by the organization (check all that apply).
Preservation of land for public use (e.g , recreation or pleasure) H Preservation of an historically important land area
Protection of natural habitat Preservation of certified historic structure
Preservation of open space
2 Complete lines 2a-2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last dayof the tax year.
Held at the End of the Year
a Total number of conservation easements 2a
b Total acreage restricted by conservation easements 2b
c Number of conservation easements on a certified historic structure included in (a) 2c
d Number of conservation easements included in (c) acquired after 8/17/06 2d
3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the taxable
year ►4 Number of states where property subject to conservation easement is located ►
5 Does the organization have a written policy regarding the periodic monitoring, inspection, violations, andenforcement of the conservation easement it holds? LI Yes No
6 Staff or volunteer hours devoted to monitoring, inspecting, and enforcing easements during the year ►7 Amount of expenses incurred in monitoring, inspecting, and enforcing easements during the year ► $
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section170(h)(4)(B)(i) and 170(h)(4)(B)(ii)7 n Yes No
9 In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, andinclude, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting forconservation easements.
[ Part ill Organizations Maintaining Collections of Art, Historical Treasures , or Other Similar AssetsComplete if the organization answered 'Yes' to Form 990, Part IV, line 8.
1 a If the organization elected , as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of art, historicaltreasures , or other similar assets held for public exhibition, education , or research in furtherance of public service, provide, in Part XIV,the text of the footnote to its financial statements that describes these items
b If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of art, historicaltreasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the followingamounts relating to these items:
(I) Revenues included in Form 990, Part VIII, line 1 ► $
(i) Assets included in Form 990, Part X ► $
2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the followingamounts required to be reported under SFAS 116 relating to these items:
a Revenues Included in Form 990, Part VIII, line 1 ► $
b Assets Included in Form 990, Part X ► $
BAA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 . Schedule D (Form 990) 2008
TEEA3301L 12/23/08
Schedule D (Form 990 2008 LITTLE SHELTER ANIMAL ADOPTION 11-6000821 Page 2Part 10 Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3 Using the organization's accession and other records, check any of the following that are a significant use of its collection items (check allthat apply):
a Public exhibition d B Loan or exchange programs
b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose inPart XIV.
5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similarassets to be sold to raise funds rather than to be maintained as part of the organization's collections Yes No
fart tV Trust, Escrow and Custodial Arrangements Complete if organization answered 'Yes' to Form 990, PartIV, line 9, or reported an amount on Form 990, Part X, line 21.
1 a Is the organization an agent, trustee, custodian, or other intermediary for contributions or other assets notincluded on Form 990, Part X? [] Yes F] No
b If 'Yes,' explain the arrangement in Part XIV and complete the following table:
c Beginning balance
d Additions during the year
e Distributions during the year
f Ending balance
2a Did the organization include an amount on Form 990, Part X, line 217
b If 'Yes,' exp lain the arrangement in Part XIV.
Part V Endowment Funds Com p lete if org anization answered 'Yes' to Form 990 Part IV , line 10.
1 a Beginning of year balance
b Contributions
c Investment earnings or losses
d Grants or scholarships
e Other expenditures for facilitiesand programs
f Administrative expenses
g End of year balance
(a ) current year (b ) Prior year (c) Two years back (d ) Three years back (e) Four years back
2 Provide the estimated percentage of the year end balance held as:
a Board designated or quasi-endowment
b Permanent endowment ►c Term endowment ►
3a Are there endowment funds not in the possession of the organization that are held and administered for theorganization by Yes No
(I) unrelated organizations i
(ii) related organizations ii
b If 'Yes' to 3a(ii), are the related organizations listed as required on Schedule R' 3b
4 Describe in Part XIV the intended uses of the organization's endowment funds.
Part Vf Investments-Land , Buildings , and Equipment . See Form 990, Part X, line 10.Description of investment (a) Cost or other basis
(investment)(b) Cost or otherbasis (other)
(c) Depreciation (d) Book Value
1 a Land 350, 000. 98,521. 448, 521.
b Buildings 310, 084. 86,485. 223,599.c Leasehold improvements 102, 320. 62,190. 40 , 130.
dEquipment 151, 649. 82,915'
68 , 734.e Other 1,798. 579. 1 , 219.
Total . Add lines 1a-le (Column (d) should equal Form 990, Part X, column (B), line 10(c) 782, 203.
BAA Schedule D (Form 990) 2008
TEEA3302L 12/23/08
Schedule D (Form 990 2008 LITTLE SHELTER ANIMAL ADOPTION 11-6000821 Page 3Part VII Investments-Other Securities See Form 990. Part X. line 12.
(a) Description of security or category(includin g name of securi ty)
(b) Book value (c) Method of valuationCost or end-of-year market value
Financial derivatives and other financial products
Closely-held equity interests
Other 1000 GRUBB & ELLIS HEALTHCARE RE 9,912. END OF YEAR MARKET VALUE------------------------
1500 LIGHTSTON VALUE PLUS R/E INV TR 15,000. END OF YEAR MARKET VALUE1500 STRATEGIC STORAGE TRUST INC.
--14,900. END OF YEAR MARKET VALUE
---------------------- --REITII900 WELLS 8 949. END OF YEAR MARKET VALUE_
500 WELLS TIMBERLAND 5, 000. END OF YEAR MARKET VALUE_ _--------------------------------------------------------------------------------------------------------------------------------------------Total . (Column (b) should equal Form 990 Part X, col. (B) line 12.) ► 53, 7 61 .
Part Vlll Investments- Program Related (See Form 990, Part X, Ilne 13) N/A(a) Description of investment type (b) Book value (c) Method of valuation
Cost or end-of-ear market value
Total . Column (b)(should equal Form 990, Part X, Col. (B) line 13
In Part XIV, provide the text of the footnote to the organization ' s financial statements that reports the organization ' s liability for uncertain taxpositions under FIN 48
BAA TEEA3303L 10/29/08 Schedule D (Form 990) 2008
Schedule D (Form 990 2008 LITTLE SHELTER ANIMAL ADOPTION 11-6000821 Page 4Part X[ Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part Vlll,column (A), line 12) 2 , 179 , 564.
2 Total expenses (Form 990, Part IX, column (A), line 25) 2 , 701 , 976.3 Excess or (deficit) for the year. Subtract line 2 from line 1 -522 , 412.
4 Net unrealized gains (losses) on investments -17 , 304.5 Donated services and use of facilities
6 Investment expenses
7 Prior period adjustments
8 Other (Describe in Part XIV)
9 Total adjustments (net). Add lines 4-8 -17 , 304.
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 -539 , 716.
Par XI[, Reconciliation of Revenue per Audited Financial Statements With Revenue per Return1 Total revenue, gains, and other support per audited financial statements 1 -2 1 1-79 , 564.
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments 2a
b Donated services and use of facilities 2b
c Recoveries of prior year grants 2c
d Other (Describe in Part XIV) 2d
e Add lines 2a through 2d e
3 Subtract line 2e from line 1 3 2 , 179 , 564.
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1
a Investments expenses not included on Form 990, Part VIII, line 7b 4a
b Other (Describe in Part XIV) 4b
c Add lines 4a and 4h c
5 Total revenue Add lines 3 and 4c. (T his should e qual Form 990, Part I, line 12. ) 5 2 , 179 , 564.
Part XII[ Reconciliation of Expenses per Audited Financial Statements With Expenses per Return1 Total expenses and losses per audited financial statements 1 2 , 701 , 976.
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities 2a
b Prior year adjustments 2b
c Losses reported on Form 990, Part IX, line 25 2c
d Other (Describe in Part XIV) 2d
e Add lines 2a through 2d 2e
3 Subtract line 2e from line 1 3 2- 1 701 , 976.
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investments expenses not included on Form 990, Part VIII, line 7b 4a
b Other (Describe in Part XIV) 4b
c Add lines 4a and 4b c
5 Total expenses Add lines 3 and 4c (T his should equal Form 990, Part I, line 18. ) 5 2 , 701 , 976.
PartXIV Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines la and 4, Part IV, lines lb and 2b, Part V,line 4; Part X; Part XI, line 8, Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b.
BAA TeEA33o4L 12n3io8 Schedule D (Form 990) 2008
Schedule D Form 990 2008 Page 5
[ Part )(IV Supplemental Information (continued)
BAA TEEA3305L 07/24/08 Schedule D (Form 990) 2008
SCHEDULE G(Form 990 or 990-EZ)
Department of the TreasuryInternal Revenue Service
Supplemental Information RegardingFundraising or Gaming Activities
► Must be completed by organizations that answer 'Yes' to Form 990, Part IV, lines 17, 18,or 19, and by organizations that enter more than $15,000 on Form 990-EZ, line 6a.
OMB No 1545-0047
2008O inss^ uWbtlic
Name of the organization LITTLE SHELTER ANIMAL ADOPTION Employer IdentIflcatlon number
CENTER INC. 111-6000821Part1 Fundraisina Activities . Complete if the oraanlzatlon answered 'Yes' to Form 990. Part IV. line 17.
1 Indicate whether the organization raised funds through any of the following activities. Check all that apply.
X Mail solicitations Solicitation of non-government grants
X Email solicitations Solicitation of government grants
X Phone solicitations X Special fundraising events
In-person solicitations
2a Did the organization have written or oral agreement with any individual (including officers, directors, trustees or keyemployees listed in Form 990, Part VII) or entity in connection with professional fundraising services? F] Yes N No
b If 'Yes,' list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to becompensated at least $5,000 by the organization. Form 990EZ filers are not required to complete this table.
(I) Name of Individualor entity (fundraiser)
(ii) Activity (111) Did fundraiserhave custody or control
of contributions ?
(iv) Gross receiptsfrom activity
(v Amount paid to(or retained by)
fundraiser listed incol (1)
(vi) Amount paid to(or retained by)organization
Yes No
NEWPORT CREATIVECOMMUNICATIONS MAILINGS X 1 , 466 , 034. 33 , 000. 1 , 433 , 034.
L.G. WILSON & ASSOCIATES MAILINGS X 61 , 834. 9 , 500. 52 , 334.
Total ► 1 1 527 , 868. 42 500. 1 , 485 , 368.
3 List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registrationor licensing
AZ DC ND __VA WA_
_
-----------------------------------------------------------------
BAA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule G (Form 990 or 990-EZ) 2008
TEEA3701L 12/18/08
Schedule G (Form 990 or 990-EZ) 2008 LITTLE SHELTER ANIMAL ADOPTION 11-6000821 Page 2P tt Fundraising Events . Complete if the organization answered 'Yes' to Form 990, Part IV, line 18, or
reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.(a) Event #1 (b) Event #2 (c) Other Events (d) Total Events
MONTE CARLO NI OTHERS 1 (Add col. (a) throughC IO . (c))
R (event atype) (event type) (total number)
EVEN
1 Gross receipts 20 , 535. 18 , 474. 16 , 970. 55 , 979.UE
2 Less: Charitable contributions
3 Gross revenue line 1 minus line 2 20 , 535. 18 , 474. 16 , 970. 55 , 979.
4 Cash prizes
D
5 Non-cash prizes
EC
T 6 Rent/facility costsEX
N 7 Other direct expenses 8 , 737. 1 15 151. 6 , 642. 30 , 530.SES 8 Direct expense summary. Add lines 4- through 7 in column (d) op. 30 , 530.
9 Net income summary . Combine lines 3 and 8 in column ► 25 , 449.Part iii Gaming . Complete if the organization answered 'Yes' to Form 990, Part IV, line 19, or reported more than
$15.000 on Form 990-EZ. line 6a.
R (a) Bingo (b) Pull tabs/Instant (c) Other gaming (d) Total gamingE bingo/progressive (Add col. (a) throughE bingo col (c))NU
E 1 Gross revenue 15 , 000. 45 , 100. 60 , 100.
2 Cash prizes 25 , 000. 25 , 000.E
D X
R E 3 Non -cash prizesE NC S
T E 4 Rent/facility costs
5 Other direct expenses 2 , 533. 2 , 533.
N
es 3 o H 0 %Yes 0 0Yes
6 Volunteer labor o No&
No
7 Direct expense summary Add lines 2 through 5 in column (d) 110. 7 , 533.
8 Net g aming income summary . Combine lines 1 and 7 in column ► 32 , 567.
YES NO
9 Enter the state(s) in which the organization operates gaming activities: NY
a Is the organization licensed to operate gaming activities in each of these states? 9a X
b If 'No,' Explain-
------------------------------------------------------ --
------------------------------------------------------10a Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year?
--10a X
b If 'Yes,' Explain:
------------------------------------------------------ --
------------------------------------------------------11 Does the organization operate gaming activities with nonmembers?
--11 X
12 Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity formed toadminister charitable gaming? 12 X
BAA TEEA37o2L 08/15/08 Schedule G (Form 990 or 990-EZ) 2008
Schedule G (Form 990 or 990-E Z) 2008 LITTLE SHELTER ANIMAL ADOPTION 11-6000821 Pa e 3YES NO
13 Indicate the percentage of gaming activity operated in:
a The organization ' s facility 13a %
bAn outside facility 13b 100.0%
14 Provide the name and address of the person who prepares the organization ' s gaming/special events books and records:
Name: ►
Address: ►--------------------------------------------------
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue? 15a X
b If 'Yes,' enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $
c If 'Yes,' enter name and address,
Name: ►
Address: ►---------------------------------------------------
16 Gaming manager information
Name ►
Gaming manager compensation ► $
Description of services provided. ► - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ElDirector/officer Fl Employee Independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain thestate gaming license? 17a X
b Enter the amount of distributions required under state law distributed to other exempt organizations or spent in the
or ganization ' s own exemp t activities durin g the tax year. ► $
BAA TEEA3703L 07118108 Schedule G (Form 990 or 990-EZ) 2008
SCHEDULE 0 Supplemental Information to Form 990OMB No 1545-0047
(Form 990) 2008
► Attach to Form 990. To be completed by organizations to provide
Department of the Treasuryadditional information for responses to specific questions for the Open to public
Internal Revenue Service Form 990 or to provide any additional Information . rn^pt}
Name of the organization LITTLE SHELTER ANIMAL ADOPTION Employer Identification number
CENTER INC . 1 11-6000821
FORM 990,PART III LINE 1_ ORGANIZATION MISSION --------------------------------
LITTLE-SHELTER-ANIMAL ADOPTION-CENTER,-ONE-OF LONG-ISLAND'S OLDEST-NO-KILL-SHELTERS, __
_ _ IS-DEDICATED TO SAVING-ALL-COMPANION ANIMALS WHOSE-LIVES ARE IN JEOPARDY._ _THROUGH_ _ _ _
- - RESCUE-FROM KILL FACILITIES, REHABILITATION OF-SICK AND UN-SOCIALIZED PETS AND A --- -
- _ 100% SPAY/NEUTER PROGRAMJ_ LITTLE SHELTER HOPES-TO END PET OVERPOPULATION AND PLACE----
ALL DOGS AND CATS IN LOVING HOMES.- LOCATED IN_HUNTINGTON,-LITTLE SHELTER IS THE
ONLY ANIMAL ORGANIZATION OUTSIDE NEW YORK CITY-THAT-IS-A MEMBER OF-THE-MAYOR'S-------------------------------------------------------------- -
_ ALLIANCE.
__ FORM 990, PART III LINE 4D -OTHER PROGRAM SERVICES DESCRIPTION--------------------
SHELTERVALE PET CEMETERY - PROVIDES A SECURE, SERENE RESTING PLACE FOR PETS------------------------------------------------------------------
--------------------------------------------------------------------
SANCTUARY - ESTABLISHED AS A LIFETIME CARE FACILITY FOR THOSE DOGS WHOSE PROLONGED--------------------------------------------------------------------
_ LIFE AT THE SHELTER WAS BECOMING INCREASINGLY STRESSFUL FOR THEM AND WHOSE-ADOPTION _--------------------- --
SEEMED UNLIKELY. IT IS THE HOPE THAT ALL OF THESE DOGS WILL ULTIMATELY BE ADOPTED,--------------------------------------------------------------------
BUT IF NOT, THEY WILL BE ABLE TO LIVE OUT THEIR LIVES IN AN ENVIRONMENT WITH ALL OF-------------------------------------------------------------------
_ THE COMFORTS OF HOME.---------------------------------------------------------------
--------------------------------------------------------------------
FORM 990, PART VI , LINE 2 - BUSINESS OR FAMILY RELATIONSHIP OF OFFICERS , DIRECT--------------------------------------------------------------------
MARYANN CHERNOVSKY & ANDREW CHERNOVSKY ARE MARRIED.------------------------------------------------------------------
FORM 990, PART VI , LINE 10 - FORM 990 REVIEW PROCESS--------------------------------------------------------------------
THE EXECUTIVE DIRECTOR AND THE TREASURER REVIEW THE MATERIALS INCLUDED IN THE 990----------------------------------------------------------------
BEFORE IT IS FILED.
BAA For Prlvary Act and paperwork Reduction Act Notice , seethe Instructions for Fo rm 990 . TEEA4901L 12/19/08 Schedule 0 (Form 990) 2008
Schedule 0 (Form 990) 2008 Page 2Name of the organization
LITTLE SHELTER ANIMAL ADOPTIONEmployerldeneficatlon number
CENTER INC. 11-6000821
FORM 990, PART VI, LINE 19 - OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE--------------------------------------------------------------------
DISCLOSURE OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL--------------------------------------------------------------------
STATEMENTS ARE MADE IN WRITTEN FORM UPON REQUEST.------------------------------------------------------------------
BAA Schedule 0 (Form 990) 2008
TEEA4902L 12/11 r2008
Form 8868 Application for Extension of Time To File an(Rev April 2009)
Exempt Organization Return 0MB No 1545-1709
Department of the TreasuryInternal Revenue Service ► File a separate application for each return .
• If you are filing for an Automatic 3-Month Extension , complete only Part I and check this box ► X
• If you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part 11 (on page 2 of this form)Do not complete Part //unless you have already been granted an automatic 3-month extension on a previously filed Form 8868.
FEW I Automatic 3-Month Extension of Time . Only submit original (no copies needed).
A corporation required to file Form 990 -T and requesting an automatic 6-month extension - check this box and complete Part I only ► F]
All other corporations (including 1120-C filers), partnersh ips, REMICS, and trusts must use Form 7004 to request an extension of time to fileincome tax returns
Electronic Filing (e-fl/e) Generally, you can electronically file Form 8868 if you want a 3-month automatic extension of time to file one of thereturns noted below (6 months for a corporation required to file Form 990-T) However, you cannot file Form 8868 electronically if (1) you wantthe additional (not automatic) 3-month extension or (2) you file Forms 990-BL, 6069, or 8870, group returns, or a composite or consolidatedForm 990-T Instead, you must submit the fully completed and signed page 2 (Part II) of Form 8868. For more details on the electronic filing ofthis form, visit www irs gov/efile and click on e-file for Charities & Nonprofits
Type orpunt
Name of Exempt Organization
LITTLE SHELTER ANIMAL ADOPTIONCENTER INC.Number, street , and room or suite number If a P 0 box, see instructionsFile by the
due date forfiling yourreturn Seeinstructions
ROAD
Employer Identification number
11-6000821
City, town or post office , state , and ZIP code For a foreign address, see instructions
INGTON. NY 11743-5918
Check type of return to be filed (file a separate application for each return):
X Form 990 Form 990-T (corporation) Form 4720
Form 990-BL Form 990-T (section 401(a) or 408(a) trust) Form 5227
Form 990-EZ Form 990-T (trust other than above) Form 6069
Form 990-PF Form 1041-A Form 8870
• The books are in the care of ► MARYANN CHERNOVSKY------------------------------------
TelephoneNo . 631)_368-8770 -__--_ FAX No• If the organization does not have an office or place of business in the United States, check this box ►• If this is for a Group Return , enter the organization ' s four digit Group Exemption Number (GEN) . If this is for the whole group,
check this box ► . If it is for part of the group , check this box ► and attach a list with the names and EINs of all members
the extension will cover.
1 I request an automatic 3-month (6 months for a corporation required to file Form 990-T) extension of time
until 8/15___ , 20 09-, to file the exempt organization return for the organization named above.
The extension is for the organization ' s return for.
► calendar year 20 08- orXX
► tax year beginning - _ - - - - - _, 20 and ending - - - _ - - _ , 20
2 If this tax year is for less than 12 months, check reason [] Initial return F] Final return F] Change in accounting period
3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less anynonrefundable credits See Instructions 3a $ 0.
b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax paymentsmade. Include any p rior year overpayment allowed as a credit 3b $ 0.
c Balance Due. Subtract line 3b from line 3a. Include your payment with this form, or, if required,deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System).See instructions 3c $ 0.
Caution . If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO forpayment instructions.
BAA For Privacy Act and Paperwork Reduction Act Notice, see instructions. Form 8868 (Rev. 4-2009)
FIFZ0501L 03/11/09
Form 8868 (Rev 4-2009) Page 2
• If you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part II and check this box ► WNote. Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868.
• If you are filin g for an Automatic 3-Month Extension , complete only Part I (on page 1 ) .
Part[ Additional (Not Automatic) 3-Month Extension of Time . Only file the original (no copies needed).Name of Exempt Organization Employer Identiflcatlon number
Type or LITTLE SHELTER ANIMAL ADOPTIONpunt CENTER INC.
Number, street , and room or suite number If a P 0 box , see instructions
File by theextended KALMUS, SIEGEL, HARRIS & GOLDFARB, LLPdue date forriling the 585 STEWART AVE STE 550return Seeinstruc bons City, town or post office , state , and ZIP code For a foreign address, see instructions
(GARDEN CITY, NY 11530Check type of return to be filed (File a separate application for each return).
11-6000821For IRS use only
X Form 990 Form 990-PF Form 1041-A Form 6069
Form 990-BL Form 990-T (section 401(a) or 408(a) trust) Form 4720 Form 8870
Form 990-EZ Form 990-T (trust other than above) Form 5227
STOP! Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868.
• The books are in care of ► MARYANN CHERNOVSKY------------------------------------
Telephone No. No. _________________
• If the organization does not have an office or place of business in the United States, check this box ► LI
• If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) . If this is for the
whole group, check this box ► . If it is for part of the group, check this box ► Fland attach a list with the names and EINs of all
members the extension is for.
4 I request an additional 3-month extension of time until 11/ 15_ _ _ _ _ , 20 09.
5 For calendar year 2008 , or other tax year beginning _ 20 _ _ , and ending _ _ _ _ _ _ _ _ _ , 20--.
6 If this tax year is for less than 12 months, check reason . TJ Initial return LIFlnal return FIChange in accounting period
7 State in detail why you need the extension - TAXPAYER WAITING FOR ADDITIONAL INFORMATION TO -PROPERLY-PREPARE RETURN.-----------------------------------------------------------------
8e If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less anynonrefundable credits See Instructions Ba $
b If this application is for Form 990 - PF, 990 -T, 4720, or 6069, enter any refundable credits and estimated taxpayments made . Include any prior year overpayment allowed as a credit and any amount paid previouslywith Form 8868 8b$
c Balance Due. Subtract line 8b from line 8a. Include your payment with this form, or, if required, depositwith FTD couaon or. If required. by uslno EFTPS (Electronic Federal Tax Payment System). See mstrs 8c $
Signature and VerificationUnder penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true,correct, and complete, and that I am authorized to prepare this form
► Title ► Date ►
BAA FIFZ0502L 03/11/09 Form 8868 (Rev 4-2009)
2008 SCHEDULE A, PART IV - SUPPLEMENTAL INFORMATION PAGE 5LITTLE SHELTER ANIMAL ADOPTION
CENTER INC. 11-6000821
PART III, LINE 12 - OTHER INCOME
NATURE AND SOURCE 2008 2007 2006 2005 2004
MISCELLANEOUS INCOME 1,110. 133.TOTAL $ 1,110. $ 0. $ 133. $ 0. $ 0.
