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2003-253A
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2003-253A
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Last modified
11/22/2016 11:25:08 AM
Creation date
9/30/2015 6:48:14 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
09/23/2003
Control Number
2003-253A
Agenda Item Number
7.D.
Entity Name
Catholic Charities
Subject
Children's Servces Advisory Contract
Samaritan Center
Archived Roll/Disk#
3207
Supplemental fields
SmeadsoftID
3410
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Form 990 (2001 ) 59 -2470479 Pace I <br /> Analysis of lncome-Producin Activities See Specific Instructions on page 32 . <br /> Note: Entargross amounts unless otherwise Unrelated business income Excluded by section 512 513 or 514 (E) <br /> indicated. (A) (g) (0) ( ) Related or <br /> Business Exc usion D exempt function <br /> 93 Prograrri service revenue code Amount code Amount income - <br /> a COUNSELING 4913- 60 <br /> b SHELTERS fRE.SIDENCE 196 , 454 <br /> c OUTREACH es 820 <br /> d ELDER AFFAIRS 164 , 118 <br /> e <br /> f Medicare/Medicaid payments 99f973 <br /> g Fees and contracts from government agencies 862 , 136 <br /> 94 Membership dues and assessments . . <br /> 95 Interest on savings and temporary cash mvestrnerft <br /> 96 Dividends and interest from securities . , 14 1 142w261 , 1 <br /> � . . . <br /> Net rental income or (loss) from -real estate <br /> W. <br /> a debt-financed property . . . . . . . <br /> b not debt-financed property . . . . . <br /> 98 Net rental income or (toss) from personal property , <br /> 99 Other investment income , <br /> 100 Gain or (loss) from sales of assets other than inventory I 18 I 49r736 , 1 <br /> 101 Net income or (loss) from special events , 1 1 122 , 660 . 1 <br /> . 102 Gross profit or (loss) 'from sales of inventory <br /> 103 Other revenue: a <br /> b THRIFT SALES 5 1 r 935 . . <br /> C RENT 16 . 3r900 .1 <br /> d MGT SERVICE FEES 114 . 045 . <br /> . e <br /> 104 Subtotal (add columns (B), (D), and (l)) . . 320 492 . 1 591 706 . <br /> 105 .Tota1 (add line 104, columns (B), (D), and (E)) . . . . . . . . . . . . . . . . . <br /> . . . . . . I r 912 r 198 , <br /> Note: Line 105 plus line Id. Part 1, should equal the amount on line 12, Part 1. <br /> Relationship of Activities to the Accomplishment of Exempt Purposes See S ecific Instructions on a e 32 . <br /> Line No. Explain how each activity for which .income is reported in column (E) of Part VII contributed importantly to the accomplishment <br /> T of the o anization's exempt purposes other than by providingfunds for such purposes). <br /> t7MT 21 <br /> Information Reciarding Taxable Subsidiaries and Disregarded Entities ee Specific Instructions on page 33 . <br /> (A) (s) . (R) (o) <br /> Name address, and EIN of c�poration, Peice )oe of Nature of activities Total income wear <br /> rtnershi or disregarded entfly ownership interest asseTs <br /> OW <br /> % <br /> off, <br /> Information Regarding Transfers Associated with Personal Benefit Contracts See Specific Instructions on page 33 . <br /> (a) Did the organization , during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? Yes <br /> XNo <br /> (b) Did the organisation, during the year, pay premiums, directly r. indiret :t(y, on a personal benefit contract? Yes g <br /> No <br /> Note: if "Yes" to file Form 8870 an Form 4720 see intro on . <br /> Under penalf of perjury, I e I that I have examined is ret in$i . ing accom crying schedules and statements, and to th <br />hest of in knowledge <br /> and belief, rue, eprrect a co plate. Declaration of ep r (other officer its bas mon all information of which prepare has any kn edge. <br /> Please <br /> SignL <br /> Signature of officer r Date <br /> Here Els � lk t , : � . <br /> ' Type or print name and title. <br /> Preparer's Date Check if preparers SSN or PTIN (See Gen. Instself- <br /> M <br /> Paidsignat 're , `) * em loved ► 265 - 72 - 8052 <br /> PreparerrS Firm's name �pryo rs CALER DONTEN LEVINE ET AL P . A . EIN ► 59 —..2831281 <br /> Use Only itself employe ` 505 .SOUTH FLAGLER DRIVE. SUITE 900 Phone <br /> address, and P' + 4 WEST PALM BEXCHF FL 33401 no. low 561 - 832 - 9292 <br /> Form 990 (2001) <br /> Jsok <br /> i >=rosin 7 rho <br />
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