Animal Statistics Table: Adoption Guarantee Organization
	NAME OF ORGANIZATION: Harmony House for Cats	Dog	Cat	Total
	DATE OF REPORT:  (January 2008 – December 2008)
A	BEGINNING SHELTER COUNT (January 1, 2008)	0	136	136
	INTAKE (Live Dogs & Cats Only)
	From the Public
	Healthy	0	8	8
	Treatable – Rehabilitatable	0	78	78
	Treatable – Manageable	0	1	1
	Unhealthy & Untreatable	0	0	0
B	Subtotal Intake from the Public	0	87	87
	Incoming Transfers from Maddie Partner Organizations (specify orgs)
	Healthy	0	0	0
	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	0	0	0
	Incoming Transfers from Non-Partner Organizations (specify orgs)
	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 Non-Partner Orgs	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]	0	87	87
G	Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only)	0	0	0
H	ADJUSTED TOTAL INTAKE  [F minus G]	0	87	87
	ADOPTIONS (only dogs and cats adopted by the public)
	Involving Dogs and Cats from Animal Control and Traditional Shelters in Project
	Healthy	0	0	0
	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	0	0	0
	Involving Dogs and Cats From the Public and Other Organizations
	Healthy	0	70	70
	Treatable – Rehabilitatable	0	0	0
	Treatable – Manageable	0	3	3
	Unhealthy & Untreatable	0	0	0
	Subtotal Adoptions Involving Dogs and Cats From the Public and Other Organizations	0	73	73
I	TOTAL ADOPTIONS	0	73	73
	OUTGOING TRANSFERS to Maddie Partner Organizations (specify orgs)
	Healthy	0	0	0
	Treatable – Rehabilitatable	0	0	0
	Treatable – Manageable	0	0	0
	Unhealthy & Untreatable	0	0	0
J	TOTAL OUTGOING TRANSFERS to Maddie Partner Orgs	0	0	0
	OUTGOING TRANSFERS to Non-Partner Organizations (specify orgs)
	Healthy	0	0	0
	Treatable – Rehabilitatable	0	0	0
	Treatable – Manageable	0	0	0
	Unhealthy & Untreatable	0	0	0
K	TOTAL OUTGOING TRANSFERS to Non-Partner Orgs	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)	0	12	12
Q	Total Euthanasia    [M + N + O + P]	0	12	12
R	Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only)	0	0	0
S	ADJUSTED TOTAL EUTHANASIA  [Q minus R]	0	12	12
T	SUBTOTAL  OUTCOMES   [I + J + K + L + S]  Excludes Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only)	0	85	85
U	DIED OR LOST IN SHELTER/CARE	0	0	0
V	TOTAL OUTCOMES   [T + U]   Excludes Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only)	0	85	85
W	ENDING SHELTER COUNT (December 31, 2008)	0	138	138
In a perfect world, the Ending Count is equal to the Beginning Count (A) plus Total Intake (F) minus all Outcomes (R+V).  ------->		0	138	138
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: _____________________