Animal Statistics Table: Adoption Guarantee Organization
	NAME OF ORGANIZATION: Felines	Dog	Cat	Total
	DATE OF REPORT:  (January 2008 – December 2008)
A	BEGINNING SHELTER COUNT (January 1, 2008)	0	130	130
	INTAKE (Live Dogs & Cats Only)
	From the Public
	Healthy	0	123	123
	Treatable – Rehabilitatable	0	0	0
	Treatable – Manageable	0	0	0
	Unhealthy & Untreatable	0	0	0
B	Subtotal Intake from the Public	0	123	123
	Incoming Transfers from Maddie Partner Organizations (specify orgs)
	Healthy	0	34	34
	Treatable – Rehabilitatable	0	101	101
	Treatable – Manageable	0	0	0
	Unhealthy & Untreatable	0	0	0
C	Subtotal Intake from Incoming Transfers from Maddie Partner Orgs	0	135	135
	Incoming Transfers from Non-Partner Organizations (specify orgs)
	Healthy	0	14	14
	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	14	14
	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	272	272
G	Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only)	0	0	0
H	ADJUSTED TOTAL INTAKE  [F minus G]	0	272	272
	ADOPTIONS (only dogs and cats adopted by the public)
	Involving Dogs and Cats from Animal Control and Traditional Shelters in Project
	Healthy	0	108	108
	Treatable – Rehabilitatable	0	21	21
	Treatable – Manageable	0	0	0
	Unhealthy & Untreatable	0	0	0
	Subtotal Adoptions Involving Dogs and Cats from Animal Control and Traditional Shelters	0	129	129
	Involving Dogs and Cats From the Public and Other Organizations
	Healthy	0	142	142
	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	0	142	142
I	TOTAL ADOPTIONS	0	271	271
	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	10	10
Q	Total Euthanasia    [M + N + O + P]	0	10	10
R	Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only)	0	0	0
S	ADJUSTED TOTAL EUTHANASIA  [Q minus R]	0	10	10
T	SUBTOTAL  OUTCOMES   [I + J + K + L + S]  Excludes Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only)	0	281	281
U	DIED OR LOST IN SHELTER/CARE	0	0	0
V	TOTAL OUTCOMES   [T + U]   Excludes Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only)	0	281	281
W	ENDING SHELTER COUNT (December 31, 2008)	0	116	116
In a perfect world, the Ending Count is equal to the Beginning Count (A) plus Total Intake (F) minus all Outcomes (R+V).  ------->		0	121	121
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: _____________________