| Exhibit B | ||||
| Annual Reporting Form/Adoption Guarantee Organizations | ||||
| NAME OF ORGANIZATION: Southern Shih Tzu Rescue | Dog | Cat | Total | |
| DATE OF REPORT: (MONTH/YEAR - MONTH/YEAR) Jan 2007 - Dec 2007 | ||||
| A | BEGINNING SHELTER COUNT (date) January 1, 2007 | 21 | 0 | 21 |
| INTAKE (Live Dogs & Cats Only) | ||||
| From the Public | ||||
| Healthy | 19 | 0 | 19 | |
| Treatable – Rehabilitatable | 2 | 0 | 2 | |
| Treatable – Manageable | 2 | 0 | 2 | |
| Unhealthy & Untreatable | 0 | 0 | 0 | |
| B | Subtotal Intake from the Public | 23 | 0 | 23 |
| Incoming Transfers from Organizations within Community/Coalition | ||||
| Healthy | 28 | 0 | 28 | |
| Treatable – Rehabilitatable | 1 | 0 | 1 | |
| Treatable – Manageable | 1 | 0 | 1 | |
| Unhealthy & Untreatable | 0 | 0 | 0 | |
| C | Subtotal Intake from Incoming Transfers from Orgs within Community/Coalition | 30 | 0 | 30 |
| Incoming Transfers from Organizations outside Community/Coalition | ||||
| Healthy | 0 | 0 | 0 | |
| Treatable – Rehabilitatable | 0 | 0 | 0 | |
| Treatable – Manageable | 0 | 0 | 0 | |
| Unhealthy & Untreatable | 0 | 0 | 0 | |
| D | Subtotal Intake from Incoming Transfers from Orgs outside Community/Coalition | 0 | 0 | 0 |
| From Owners/Guardians Requesting Euthanasia | ||||
| Healthy | 0 | 0 | 0 | |
| Treatable – Rehabilitatable | 0 | 0 | 0 | |
| Treatable – Manageable | 0 | 0 | 0 | |
| Unhealthy & Untreatable | 0 | 0 | 0 | |
| E | Subtotal Intake from Owners/Guardians Requesting Euthanasia | 0 | 0 | 0 |
| F | Total Intake (B + C + D + E) | 53 | 0 | 53 |
| G | Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only) | 0 | 0 | 0 |
| H | ADJUSTED TOTAL INTAKE (F minus G) | 53 | 0 | 53 |
| ADOPTIONS (only dogs and cats adopted by the public) | ||||
| Involving Dogs and Cats from Animal Control and Traditional Shelters | ||||
| Healthy | 22 | 0 | 22 | |
| Treatable – Rehabilitatable | 1 | 0 | 1 | |
| Treatable – Manageable | 0 | 0 | 0 | |
| Unhealthy & Untreatable | 1 | 0 | 1 | |
| Subtotal Adoptions Involving Dogs and Cats from Animal Control and Traditional Shelters | 24 | 0 | 24 | |
| Involving Dogs and Cats from the Public and Other Organizations | ||||
| Healthy | 11 | 0 | 11 | |
| Treatable – Rehabilitatable | 0 | 0 | 0 | |
| Treatable – Manageable | 0 | 0 | 0 | |
| Unhealthy & Untreatable | 0 | 0 | 0 | |
| Subtotal Adoptions Involving Dogs and Cats from the Public and Other Organizations | 11 | 0 | 11 | |
| I | TOTAL ADOPTIONS | 35 | 0 | 35 |
| OUTGOING TRANSFERS to Organizations within Community/Coalition | ||||
| Healthy | 0 | 0 | 0 | |
| Treatable – Rehabilitatable | 0 | 0 | 0 | |
| Treatable – Manageable | 0 | 0 | 0 | |
| Unhealthy & Untreatable | 0 | 0 | 0 | |
| J | TOTAL OUTGOING TRANSFERS to Organizations within Community/Coalition | 0 | 0 | 0 |
| OUTGOING TRANSFERS to Organizations outside Community/Coalition | ||||
| Healthy | 0 | 0 | 0 | |
| Treatable – Rehabilitatable | 0 | 0 | 0 | |
| Treatable – Manageable | 0 | 0 | 0 | |
| Unhealthy & Untreatable | 0 | 0 | 0 | |
| K | TOTAL OUTGOING TRANSFERS to Orgs outside Community/Coalition | 0 | 0 | 0 |
| L | RETURN TO OWNER/GUARDIAN | 0 | 0 | 0 |
| DOGS & CATS EUTHANIZED | ||||
| M | Healthy (Includes Owner/Guardian Requested Euthanasia) | 0 | 0 | 0 |
| N | Treatable – Rehabilitatable (Includes Owner/Guardian Requested Euthanasia) | 0 | 0 | 0 |
| O | Treatable – Manageable (Includes Owner/Guardian Requested Euthanasia) | 0 | 0 | 0 |
| P | Unhealthy & Untreatable (Includes Owner/Guardian Requested Euthanasia) | 1 | 0 | 1 |
| Q | Total Euthanasia (M + N + O + P) | 1 | 0 | 1 |
| R | Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only) | 0 | 0 | 0 |
| S | ADJUSTED TOTAL EUTHANASIA (Q minus R) | 1 | 0 | 1 |
| T | SUBTOTAL OUTCOMES (I + J + K + L + S) Excludes Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only) | 36 | 0 | 36 |
| U | DIED OR LOST IN SHELTER/CARE | 1 | 0 | 1 |
| V | TOTAL OUTCOMES (T + U) Excludes Owner/Guardian Requested Euthansia (Unhealthy & Untreatable Only) | 37 | 0 | 37 |
| W | ENDING SHELTER COUNT - December 31, 2007 | 37 | 0 | 37 |
| To check the accuracy of the shelter data you've compiled, the Beginning Shelter Count (A) plus the Adjusted Total Intake (H) should equal the Total Outcomes (V) plus the Ending Shelter Count (W): A + H =V + W. | ||||
| I agree that in completing this form, we have used the Maddie's Fund definitions of "Healthy," "Treatable - Manageable," "Treatable - Rehabilitatable," and "Unhealthy & Untreatable" as set forth in the attached document titled, "Maddie's Fund Categorizations/Definitions of Shelter Animals." | ||||
| Signature:Lacey Estes Date:10/15/08 | ||||