2017-06-29T08:54:20-05:00 2016-12-31 481292483 HENJES CONNER & WILLIAMS PC PO BOX 1528 SIOUX CITY IA 51102 990 2016-01-01 426000336 SIOUXLAND HUMANE SOCIETY INC SIOU 7122522614 1015 TRIVIEW AVE SIOUX CITY IA 51103 JERRY DOMINICAK EXECUTIVE DIRECTOR 7122522614 2017-06-28 1 MELISSA J WILLER P00121904 7122773931 2017-06-27 12.132.90.26 2017-06-28 15:34:06 CD P 5062D1BEC469E1CD284A6DC0DB601E3016574839 A9E970886C7286205C329B8E94BB8C82F487B2DB 2016 2021-01-29 14:40:06Z JERRY DOMINICAK 1015 TRIVIEW AVE SIOUX CITY IA 51103 2798223 0 X WWW.SIOUXLANDHUMANESOCIETY.ORG X 1889 IA SHELTER FOR UNWANTED ANIMALS AND INVESTIGATION OF INHUMANE TREATMENT OF ANIMALS. 21 21 17 0 0 0 177578 250137 340951 384079 266566 83236 176470 189789 961565 907241 0 0 0 0 443012 473022 0 0 72553 375753 378358 818765 851380 142800 55861 3094909 3884302 18490 17286 3076419 3867016 X PROVIDE SERVICES AND PROGRAMS THAT PROMOTE HUMANE TREATMENT OF ANIMALS IN THE SIOUXLAND AREA. THE ORGANIZATION OPERATES A SHELTER, ADOPTS ANIMALS TO THE PUBLIC, PROMOTES THE SPAY/NEUTER OF PETS, PROVIDES EDUCATIONAL PROGRAMS AND MATERIALS TO THE PUBLIC, AND INVESTIGATES AND PURSUES PROSECUTION OF REPORTS OF ANIMAL CRUELTY/NEGLECT. 0 0 694080 384079 PROMOTION OF HUMANE TREATMENT OF ANIMALS IN THE SIOUXLAND AREA. 694080 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 17 1 0 0 0 0 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X JERRY DOMINICAK 7122522614 1015 TRI VIEW AVE SIOUX CITY IA 51103 LOAN HENSLEY VICEPRESIDENT 1.00 X X 0 0 0 STEPHEN LIEBETRAU MEMBER 1.00 X 0 0 0 JILL MILLER MEMBER 1.00 X 0 0 0 TODD TROBAUGH MEMBER 1.00 X 0 0 0 LUCINDA TRYON MEMBER 1.00 X 0 0 0 CHRIS HOLMAN TREASURER 1.00 X X 0 0 0 PAULA KLEEN SECRETARY 1.00 X X 0 0 0 TAMMI GAGNON MEMBER 1.00 X 0 0 0 TERRI KJELDSETH PRESIDENT 1.00 X X 0 0 0 MARK MOHRING MEMBER 1.00 X 0 0 0 MARK RAWLINGS MEMBER 1.00 X 0 0 0 ANDREA WAITT HONORARY DIRECTOR 1.00 X 0 0 0 KEN ROACH HONORARY DIRECTOR 1.00 X 0 0 0 MARY BAKLUND MEMBER 1.00 X 0 0 0 DEBORAH CURRIER SCOLLARD MEMBER 1.00 X 0 0 0 BROOKE GILBERT MEMBER 1.00 X 0 0 0 JUDY GRIMSLEY MEMBER 1.00 X 0 0 0 LESLIE WALKER MEMBER 1.00 X 0 0 0 AARON BESSMER MEMBER 1.00 X 0 0 0 BETSY MALIN MEMBER 1.00 X 0 0 0 LORI NOLTZE MEMBER 1.00 X 0 0 0 JERRY DOMINICAK EXECUTIVE DIRECTOR 40.00 X 90725 0 0 90725 0 0 0 0 0 0 0 32809 217328 30238 250137 SERVICE/LOCAL GOVT FEES 900099 164203 164203 ADOPTIONS 900099 114569 114569 MISCELLANEOUS FEES 900099 89951 89951 INCOMING FEES 900099 15356 15356 384079 45494 45494 1850122 1812380 37742 37742 37742 268391 32809 78602 189789 189789 907241 384079 0 273025 90726 54435 27218 9073 331347 266569 9480 55298 18839 14329 1637 2873 32110 24423 2790 4897 2805 2805 13910 13910 18305 18305 22597 16584 6013 28044 25240 2804 8719 4360 4359 102126 102126 15756 14180 1576 MISCELLANEOUS 66484 59836 6648 VETERINARIAN SERVICES 37015 37015 REPAIRS & MAINTENANCE 31984 28786 3198 PRINTING & PUBLICATIONS 24636 23543 1093 5977 4349 1216 412 851380 694080 84747 72553 34546 52755 45402 29957 21898 0 2213939 1026532 1239138 1187407 1753925 1884425 729758 3094909 3884302 18490 17286 18490 17286 X 3004840 3068423 20194 17450 51385 781143 3076419 3867016 3094909 3884302 55861 24528 710208 0 X X 1 X 0 1 0 X 322250 407282 360874 354048 439926 1884380 311718 325121 339105 340951 384079 1700974 633968 732403 699979 694999 824005 3585354 0 0 0 3585354 114381 183553 117535 266566 83236 765271 114381 183553 117535 266566 83236 765271 748349 915956 817514 961565 907241 4350625 0.82410 0.81260 0.17590 0.18740 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1753925 53838 106793 16221 13910 1884425 1912467 -46797 96932 14813 1753925 1829664 56550 74258 34248 13757 1912467 1866496 101744 347576 472007 14145 1829664 1630174 41287 224130 15257 13838 1866496 0.96350 0.00930 0.02720 0 0 4703 4703 1556765 549643 1007122 6507 2306 4201 560714 428574 132140 85250 46009 39241 1187407 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 729758 C 729758 PAYROLL LIABILITY 17286 17286 X PART V, LINE 4: EARNINGS FROM THE ENDOWMENT FUNDS ARE TO BE USED FOR GENERAL OPERATIONS OF THE SOCIETY. PART X, LINE 2: SIOUXLAND HUMANE SOCIETY IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501C(3) OF THE INTERNAL REVENUE CODE. AS SUCH, INCOME EARNED IN THE PERFORMANCE OF ITS EXEMPT PURPOSE IS NOT SUBJECT TO INCOME TAX AND ACCORDINGLY, THE FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION FOR INCOME TAXES. MANAGEMENT HAS CONCLUDED THAT ANY UNCERTAIN TAX POSITIONS WOULD BE IMMATERIAL TO THE FINANCIAL STATEMENTS TAKEN AS A WHOLE. ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT INCLUDE ANY PROVISION FOR UNCERTAIN TAX POSITIONS, AND NO RELATED INTEREST OR PENALTIES HAVE BEEN RECORDED IN THE OPERATING STATEMENT OR ACCRUED IN THE BALANCE SHEET. APPLE SALES 203630 203630 63509 PETS ON PARADE 55066 30382 24684 8779 3 42504 2427 40077 6314 301200 32809 268391 78602 78602 189789 X ADVERTISING 5 22385 X SUPPLIES 1 5097 X DOG AND CAT FOOD 10 2756 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION REVIEWED AND SUBMITTED RETURN UPON COMPLETION BY PREPARER. FORM 990, PART VI, SECTION B, LINE 12C EXECUTIVE DIRECTOR MONITORS ANNUALLY FORM 990, PART VI, SECTION B, LINE 15 ANNUAL WRITTEN REVIEW, WAGE/SALARY SURVEY AND SUMMARY FROM OTHER ORGANIZATIONS, INDUSTRY STANDARD COMPARISON, BOARD PRESENTATION AND APPROVAL FORM 990, PART VI, SECTION C, LINE 19 ORGANIZATION'S DOCUMENTS ARE AVAILABLE UPON REQUEST. PART XII, LINE 2C NO CHANGES