Animal Statistics Table: Adoption Guarantee Organization
	NAME OF ORGANIZATION: Lake Shore Animal Shelter	Dog	Cat	Total
	DATE OF REPORT:  (January 2008 – December 2008)
A	BEGINNING SHELTER COUNT (January 1, 2008)	24	0	24
	INTAKE (Live Dogs & Cats Only)
	From the Public
	Healthy	65	3	68
	Treatable – Rehabilitatable	0	0	0
	Treatable – Manageable	1	0	1
	Unhealthy & Untreatable	0	0	0
B	Subtotal Intake from the Public	66	3	69
	Incoming Transfers from Maddie Partner Organizations (specify orgs)
	Healthy	7	0	7
	Treatable – Rehabilitatable	0	0	0
	Treatable – Manageable	0	0	0
	Unhealthy & Untreatable	0	0	0
C	Subtotal Intake from Incoming Transfers from Maddie Partner Orgs	7	0	7
	Incoming Transfers from Non-Partner Organizations (specify orgs)
	Healthy	24	0	24
	Treatable – Rehabilitatable	1	0	1
	Treatable – Manageable	0	0	0
	Unhealthy & Untreatable	0	0	0
D	Subtotal Intake from Incoming Transfers from Non-Partner Orgs	25	0	25
	From Owners/Guardians Requesting Euthanasia
	Healthy	3	0	3
	Treatable – Rehabilitatable	0	0	0
	Treatable – Manageable	0	0	0
	Unhealthy & Untreatable	0	0	0
E	Subtotal Intake from Owners/Guardians Requesting Euthanasia	3	0	3
F	Total Intake    [B + C + D + E]	101	3	104
G	Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only)	0	0	0
H	ADJUSTED TOTAL INTAKE  [F minus G]	101	3	104
	ADOPTIONS (only dogs and cats adopted by the public)
	Involving Dogs and Cats from Animal Control and Traditional Shelters in Project
	Healthy	10	0	10
	Treatable – Rehabilitatable	0	0	0
	Treatable – Manageable	0	0	0
	Unhealthy & Untreatable	0	0	0
	Subtotal Adoptions Involving Dogs and Cats from Animal Control and Traditional Shelters	10	0	10
	Involving Dogs and Cats From the Public and Other Organizations
	Healthy	80	3	83
	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	80	3	83
I	TOTAL ADOPTIONS	90	3	93
	OUTGOING TRANSFERS to Maddie Partner Organizations (specify orgs)
	Healthy	1	0	1
	Treatable – Rehabilitatable	0	0	0
	Treatable – Manageable	0	0	0
	Unhealthy & Untreatable	0	0	0
J	TOTAL OUTGOING TRANSFERS to Maddie Partner Orgs	1	0	1
	OUTGOING TRANSFERS to Non-Partner Organizations (specify orgs)
	Healthy	8	0	8
	Treatable – Rehabilitatable	0	0	0
	Treatable – Manageable	0	0	0
	Unhealthy & Untreatable	0	0	0
K	TOTAL OUTGOING TRANSFERS to Non-Partner Orgs	8	0	8
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)	5	0	5
Q	Total Euthanasia    [M + N + O + P]	5	0	5
R	Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only)	0	0	0
S	ADJUSTED TOTAL EUTHANASIA  [Q minus R]	5	0	5
T	SUBTOTAL  OUTCOMES   [I + J + K + L + S]  Excludes Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only)	104	3	107
U	DIED OR LOST IN SHELTER/CARE	0	0	0
V	TOTAL OUTCOMES   [T + U]   Excludes Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only)	104	3	107
W	ENDING SHELTER COUNT (December 31, 2008)	20	0	20
In a perfect world, the Ending Count is equal to the Beginning Count (A) plus Total Intake (F) minus all Outcomes (R+V).  ------->		21	0	21
If your reported Ending Count does not match these numbers, please go back through your data and be sure you didn't miss something (i.e., animals in foster, adoptions, transfers, etc.).  If all animals have been accounted for and the reported Ending Count is different, please indicate in the comment section.
COMMENTS:
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: ______________________________________         Date: _____________________