CHAMP ASSISTANCE DOGS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: CHAMP ASSISTANCE DOGS INC (EIN 43-1803006)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-01-19
IRS object ID: 201320199349300502
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-01-19T14:39:40-06:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BERNHARD W MARTI CPA PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	12476 DREXEL HILL DR	AddressLine1
City	DES PERES	City
State	MO	State
ZIP Code	631313648	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	431803006	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CHAMP ASSISTANCE DOGS INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CHAM	NameControl
Phone	3146539466	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4910 PARKER ROAD	AddressLine1
City	FLORISSANT	City
State	MO	State
ZIP Code	630334651	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	NOLA W EWERS	Name
Title	BOARD PRESIDENT	Title
Phone	3146539466	Phone
Date Signed	2013-01-07	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	BERNHARD W MARTI	Name
Phone	3148225779	Phone
Date Prepared	2013-01-07	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	NOLA W EWERS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	4910 PARKER ROAD	AddressLine1
City	FLORISSANT	City
State	MO	State
ZIP Code	630334651	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	193888	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CHAMPDOGS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1998	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	RAISING & TRAINING SERVICE DOGS TO ASSIST PEOPLE WITH PHYSICAL DISABILITIES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	5	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	8	TotalNbrEmployees
Total Nbr Volunteers	75	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	193669	ContributionsGrantsPriorYear
Contributions Grants Current Year	177951	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	44	InvestmentIncomePriorYear
Investment Income Current Year	70	InvestmentIncomeCurrentYear
Other Revenue Prior Year	28356	OtherRevenuePriorYear
Other Revenue Current Year	10390	OtherRevenueCurrentYear
Total Revenue Prior Year	222069	TotalRevenuePriorYear
Total Revenue Current Year	188411	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	72563	SalariesEtcPriorYear
Salaries Etc Current Year	145413	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	21563	TotalFundrsngExpCurrentYear
Other Expense Prior Year	95238	OtherExpensePriorYear
Other Expenses Current Year	80459	OtherExpensesCurrentYear
Total Expenses Prior Year	167801	TotalExpensesPriorYear
Total Expenses Current Year	225872	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	54268	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-37461	RevenuesLessExpensesCY
Total Assets BOY	218697	TotalAssetsBOY
Total Assets EOY	178710	TotalAssetsEOY
Total Liabilities BOY	2588	TotalLiabilitiesBOY
Total Liabilities EOY	62	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	216109	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	178648	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	RAISING & TRAINING SERVICE DOGS TO ASSIST PEOPLE WITH PHYSICAL DISABILITIES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	126551	Expense
Description	SERVICE DOG PROGRAM - PROMOTES HEALTHY LIVING TO THOSE WITH PHYSICAL DISABILITIES VIA THE PLACEMENT OF CUSTOM TRAINED SERVICE DOGS, INCLUDING TEACHING BASIC OBEDIENCE AND SOCIALIZATION SKILLS TO PUPPIES, TEACHING ADVANCED SKILLS TO MEET THE NEEDS OF THE DOG'S DISABLED PARTNER, AND PLACEMENT SERVICE TRAINING FOR SERVICE DOG USERS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	34279	Expense
Description	COMMUNITY EDUCATIONAL PROGRAM - PROVIDING DISABILITY AWARENESS EDUCATION THROUGH PRESENTATIONS AND DEMONSTRATIONS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	22839	Expense
Description	THERAPY DOG PROGRAM - TRAINS AND PROVIDES HUMAN-CANINE TEAMS TO COLLABERATE WITH HEALTHCARE PROFESSIONALS AT REHABILITATIONS CENTERS, HOSPITALS AND NURSING HOMES FOR THE PURPOSE OF THERAPEUTIC CHANGE.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	2757	Expense
Description	RESCUE DOG PROGRAM - PARTNERSHIP WITH RESCUE/SHELTER ORGANIZATIONS FOR OFFENDER-TRAINERS IN THE PRISON PROGRAM TO TEACH RESCUE DOGS BASIC HOUSE MANNERS, TRICKS AND BASIC OBEDIENCE SKILLS, MAKING THEM MORE ATTRACTIVE FOR ADOPTION.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	2757	TotalOfOtherProgramServiceExp
Total Program Service Expense	186426	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	false	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	8	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	5	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	THERESA DATTILO	NamePerson
Telephone Number	3146539466	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4910 PARKER ROAD	AddressLine1
City	FLORISSANT	City
State	MO	State
ZIP Code	63033	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
NOLA W EWERS
BOARD PRESID	10.00	X	X	0	0	0
KAREN FELTON
BOARD MEMBER	2.00	X		0	0	0
JENNIFER KUEHNLE
BOARD MEMBER	2.00	X		0	0	0
LON D LOWRY
BOARD MEMBER	2.00	X		0	0	0
DAVID DURBIN
BOARD MEMBER	2.00	X		0	0	0
PAMELA BOLTON
EXECUTIVE DI	40.00		X	48620	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	48620	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
All Other Contributions	177951	AllOtherContributions
Noncash Contributions	20534	NoncashContributions
Total Contributions	177951	TotalContributions

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	70	TotalRevenueColumn
Related Or Exempt Function Income	70	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	15867	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	5477	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	10390	TotalRevenueColumn

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	188411	TotalRevenueColumn
Related Or Exempt Function Income	70	RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	135162	Total
Program Services	109492	ProgramServices
Management And General	9908	ManagementAndGeneral
Fundraising	15762	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	10251	Total
Program Services	8518	ProgramServices
Management And General	698	ManagementAndGeneral
Fundraising	1035	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	2700	Total
Management And General	2700	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2432	Total
Program Services	564	ProgramServices
Management And General	666	ManagementAndGeneral
Fundraising	1202	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6115	Total
Program Services	4919	ProgramServices
Management And General	457	ManagementAndGeneral
Fundraising	739	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	674	Total
Program Services	578	ProgramServices
Management And General	96	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2941	Total
Program Services	2773	ProgramServices
Management And General	168	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3084	Total
Program Services	2359	ProgramServices
Management And General	417	ManagementAndGeneral
Fundraising	308	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
VETERINARY EXPENSE	34045	34045
PROGRAM SUPPLIES & EQUIP	11217	11217
OTHER EXPENSE	5449	4395	1049	5
VEHICLE EXPENSE	3514	3514

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	8288	Total
Program Services	4052	ProgramServices
Management And General	1724	ManagementAndGeneral
Fundraising	2512	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	225872	Total
Program Services	186426	ProgramServices
Management And General	17883	ManagementAndGeneral
Fundraising	21563	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	70216	BOY
EOY	55507	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	89142	BOY
EOY	69212	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3103	BOY
EOY	1374	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	79385	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	28918	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	53408	BOY
EOY	50467	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	2828	BOY
EOY	2150	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	218697	BOY
EOY	178710	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2588	BOY
EOY	62	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2588	BOY
EOY	62	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	216109	BOY
EOY	178648	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	216109	BOY
EOY	178648	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	218697	BOY
EOY	178710	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-37461	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	129744	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	113884	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	165446	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	193669	CurrentTaxYearMinus1Year
Current Tax Year	177951	CurrentTaxYear
Total	780694	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	14272	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	25320	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	27356	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	43528	CurrentTaxYearMinus1Year
Current Tax Year	15937	CurrentTaxYear
Total	126413	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	144016	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	139204	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	192802	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	237197	CurrentTaxYearMinus1Year
Current Tax Year	193888	CurrentTaxYear
Total	907107	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	6213	CurrentTaxYearMinus2Years
Total	6213	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9272	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	20320	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	22727	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	33528	CurrentTaxYearMinus1Year
Current Tax Year	10937	CurrentTaxYear
Total	96784	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9272	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	20320	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	28940	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	33528	CurrentTaxYearMinus1Year
Current Tax Year	10937	CurrentTaxYear
Total	102997	Total

Field	Value	IRS element (for citing)
Public Support Total509	804110	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1966	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	268	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	44	CurrentTaxYearMinus1Year
Current Tax Year	70	CurrentTaxYear
Total	2355	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1966	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	268	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	44	CurrentTaxYearMinus1Year
Current Tax Year	70	CurrentTaxYear
Total	2355	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	145982	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	139472	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	192809	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	237241	CurrentTaxYearMinus1Year
Current Tax Year	193958	CurrentTaxYear
Total	909462	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.88420	PublicSupportPercentage509
Prior Year Support Percentage	0.79770	PriorYearSupportPercentage
Investment Income Percentage	0.01000	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01000	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13180	OtherCostOrOtherBasis
Book Value	13180	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	52718	OtherCostOrOtherBasis
Depreciation	16165	Depreciation
Book Value	36553	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13487	OtherCostOrOtherBasis
Depreciation	12753	Depreciation
Book Value	734	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	50467	TotalOfBookValueLandBuildings
Total Revenue	188411	TotalRevenue
Total Expenses	225872	TotalExpenses
Excess Or Deficit For Year	-37461	ExcessOrDeficitForYear
Excess Or Deficit Per FS	-37461	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	188411	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	188411	RevenueSubtotal
Total Revenue Per Form990	188411	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	225872	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	225872	ExpensesSubtotal
Total Expenses Per Form990	225872	TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	TRIVIA NIGHT	NameOfEvent1
Gross Receipts Event1	9692	GrossReceiptsEvent1
Gross Revenue Event1	9692	GrossRevenueEvent1
Cash Prizes Event1	810	CashPrizesEvent1
Rent Facility Costs Event1	860	RentFacilityCostsEvent1
Food And Beverage Event1	505	FoodAndBeverageEvent1
Other Direct Expenses Event1	793	OtherDirectExpensesEvent1
Name Of Event2	COWBOY SHOOTING	NameOfEvent2
Gross Receipts Event2	5251	GrossReceiptsEvent2
Gross Revenue Event2	5251	GrossRevenueEvent2
Non Cash Prizes Event2	905	NonCashPrizesEvent2
Food And Beverage Event2	575	FoodAndBeverageEvent2
Other Direct Expenses Event2	57	OtherDirectExpensesEvent2
Gross Receipts Total	14943	GrossReceiptsTotal
Gross Revenue Total Events	14943	GrossRevenueTotalEvents
Cash Prizes Total Events	810	CashPrizesTotalEvents
Non Cash Prizes Total Events	905	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	860	RentFacilityCostsTotalEvents
Food And Beverage Total Events	1080	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	850	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	4505	DirectExpenseSummaryEvents
Net Income Summary	10438	NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ALL OTHER ACCOMPLISHMENT DESCRIPTION	FORM 990, PAGE 2, PART III, LINE 4D	RESCUE DOG PROGRAM - PARTNERSHIP WITH RESCUE/SHELTER ORGANIZATIONS FOR OFFENDER-TRAINERS IN THE PRISON PROGRAM TO TEACH RESCUE DOGS BASIC HOUSE MANNERS, TRICKS AND BASIC OBEDIENCE SKILLS, MAKING THEM MORE ATTRACTIVE FOR ADOPTION.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	NO REVIEW WAS OR WILL BE CONDUCTED.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	ANNUAL REVIEW AND APPROVAL BY BOARD.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	ANNUAL REVIEW AND APPROVAL BY BOARD.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	NO DOCUMENTS AVAILABLE TO THE PUBLIC

CHAMP ASSISTANCE DOGS INC: Form 990, tax year 2011

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990 IRS990

Address Principal Officer US AddressPrincipalOfficerUS

Activity2 Activity2

Activity3 Activity3

Activity Other ActivityOther

The Books Are In Care Of TheBooksAreInCareOf

Address US AddressUS

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

Investment Income InvestmentIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Total Revenue TotalRevenue

Other Salaries And Wages OtherSalariesAndWages

Payroll Taxes PayrollTaxes

Fees For Services Accounting FeesForServicesAccounting

Office Expenses OfficeExpenses

Occupancy Occupancy

Travel Travel

Depreciation Depletion DepreciationDepletion

Insurance Insurance

Other Expenses OtherExpenses (4 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Cash Non Interest Bearing CashNonInterestBearing

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Total Liabilities TotalLiabilities

Unrestricted Net Assets UnrestrictedNetAssets

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Schedule A IRS990ScheduleA

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Total509 Total509

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Amts From Subst Contributors AmtsFromSubstContributors

Support From DQ Ps Etc SupportFromDQPsEtc

Gross Investment Income509 GrossInvestmentIncome509

Investment Income And UBTI InvestmentIncomeAndUBTI

Total Support Total TotalSupportTotal

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Contributor Name Business ContributorNameBusiness

Contributor Address US ContributorAddressUS

Schedule D IRS990ScheduleD

Land Land

Buildings Buildings

Equipment Equipment

Schedule G IRS990ScheduleG

Events Information EventsInformation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

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