Maddie's Data Collection Grant
ANNUAL REPORTING FORM
Adoption Guarantee Organizations
YEAR: 2007
	NAME OF ORGANIZATION: Lake Shore Animal Shelter	2007
		Dog	Cat	Total
A	BEGINNING SHELTER COUNT	14		14
	INTAKE (Live Dogs & Cats Only)
	From the Public
	Healthy	48	3	51
	Treatable – Rehabilitatable	0	0	0
	Treatable – Manageable	1	0	1
	Unhealthy & Untreatable	0	0	0
B	Subtotal Intake from the Public	49	3	52
	Incoming Transfers from Organizations within Community/Coalition
	Healthy	4	0	4
	Treatable – Rehabilitatable	1	0	1
	Treatable – Manageable	0	0	0
	Unhealthy & Untreatable	0	0	0
C	Subtotal Intake from Incoming Transfers from Orgs within Community/Coalition	5	0	5
	Incoming Transfers from Organizations outside Community/Coalition
	Healthy	17	0	17
	Treatable – Rehabilitatable	2	0	2
	Treatable – Manageable	0	0	0
	Unhealthy & Untreatable	0	0	0
D	Subtotal Intake from Incoming Transfers from Orgs outside Community/Coalition	19	0	19
	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]	73	3	76
G	Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only)	0	0	0
H	ADJUSTED TOTAL INTAKE  [F minus G]	73	3	76
	ADOPTIONS (only dogs and cats adopted by the public)
	Involving Dogs and Cats from Animal Control and Traditional Shelters
	Healthy	5	0	5
	Treatable – Rehabilitatable	0	0	0
	Treatable – Manageable	0	0	0
	Unhealthy & Untreatable	0	0	0
	Subtotal Adoptions Involving Dogs and Cats from Animal Control	5	0	5
	Involving Dogs and Cats From the Public and Other Organizations
	Healthy	63	3	66
	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	63	3	66
I	TOTAL ADOPTIONS	68	3	71
	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 Orgs within Community/Coalition	0	0	0
	OUTGOING TRANSFERS to Organizations outside Community/Coalition
	Healthy	4	0	4
	Treatable – Rehabilitatable	0	0	0
	Treatable – Manageable	0	0	0
	Unhealthy & Untreatable	0	0	0
K	TOTAL OUTGOING TRANSFERS to Orgs outside Community/Coalition	4	0	4
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)	73	3	76
U	DIED OR LOST IN SHELTER/CARE	0	0	0
V	TOTAL OUTCOMES   [T + U]   Excludes Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only)	73	3	76
W	ENDING SHELTER COUNT	14		14
In a perfect world, the Ending Count is equal to the Beginning Count (A) plus Total Intake (F) minus all Outcomes (R+V).  ------->		14	0	14
Signature: ________________________________________________________         Date: _____________________