MONTHLY REPORTING FORM
Adoption Guarantee Organizations
Year: 2011
  NAME OF ORGANIZATION: Akita Rescue Society of Florida
Annual, Jan 10 - Dec 10
   
Dog
Cat
Total
A BEGINNING SHELTER COUNT
63
0
63
   
  INTAKE (Live Dogs & Cats Only)
  From the Public
  Healthy
3
0
3
  Treatable – Rehabilitatable 
2
0
2
  Treatable – Manageable 
5
0
5
  Unhealthy & Untreatable
2
0
2
B Subtotal Intake from the Public
12
0
12
  Incoming Transfers from Organizations within Community/Coalition
  Healthy
0
0
0
  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
2
0
2
  Incoming Transfers from Organizations outside Community/Coalition
  Healthy
7
0
7
  Treatable – Rehabilitatable 
16
0
16
  Treatable – Manageable 
18
0
18
  Unhealthy & Untreatable
0
0
0
D Subtotal Intake from Incoming Transfers from Orgs outside Community/Coalition
41
0
41
  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]
55
0
55
G Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only) 
0
0
0
H ADJUSTED TOTAL INTAKE  [F minus G]
55
0
55
   
   
  ADOPTIONS (only dogs and cats adopted by the public)
  Involving Dogs and Cats from Animal Control and Traditional Shelters
  Healthy
8
0
8
  Treatable – Rehabilitatable 
9
0
9
  Treatable – Manageable 
12
0
12
  Unhealthy & Untreatable
0
0
0
  Subtotal Adoptions Involving Dogs and Cats from Animal Control
29
0
29
  Involving Dogs and Cats From the Public and Other Organizations
  Healthy
1
0
1
  Treatable – Rehabilitatable 
3
0
3
  Treatable – Manageable 
2
0
2
  Unhealthy & Untreatable
0
0
0
  Subtotal Adoptions Involving Dogs and Cats From the Public and Other Organizations
6
0
6
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 Orgs within Community/Coalition
0
0
0
   
  OUTGOING TRANSFERS to Organizations outside Community/Coalition
  Healthy
1
0
1
  Treatable – Rehabilitatable 
1
0
1
  Treatable – Manageable 
0
0
0
  Unhealthy & Untreatable
0
0
0
K TOTAL OUTGOING TRANSFERS to Orgs outside Community/Coalition
2
0
2
   
L RETURN TO OWNER/GUARDIAN
1
0
1
   
L(1) RETURN TO HABITAT (Community/feral cats)
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) 
8
0
8
R Total Euthanasia    [M + N + O + P + Q]
8
0
8
S Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only) 
0
0
0
T ADJUSTED TOTAL EUTHANASIA  [R minus S]
8
0
8
         
U SUBTOTAL  OUTCOMES   [I + J + K + L +L1+ T]  Excludes Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only)  
46
0
46
   
V DIED OR LOST IN SHELTER/CARE
1
0
1
   
W TOTAL OUTCOMES   [U + V]   Excludes Owner/Guardian Requested Euthanasia (Unhealthy & Untreatable Only)  
47
0
47
   
X ENDING SHELTER COUNT
0
0
0
In a perfect world, the Ending Count is equal to the Beginning Count (A) plus Total Intake (F) minus all Outcomes (S+V).  ------->
71
0
71
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:
C) Transfer Intake From Coalition Groups (Group Name, # Dogs, # Cats):
D) Subtotal Intake Transfers from Orgs outside Community/Coalition (Group Name, # Dogs, # Cats):
J) Outgoing Transfers to Coalition Groups (Group Name, # Dogs, # Cats):
K) Total Outgoing Transfers to Orgs outside Community/Coalition (Group Name, # Dogs, # Cats):
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: _____________________