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Form 990 (2001 ) ST PETERS HUMAN SERVICES INCORPORATED 31 - 1480633 Page 5 + Part VI I Other Information Yes No 76 Did the organization engage in any activity not previously reported to the IRS? If "yes; attach a detailed description of each activity . . . . . . . . . . . . 76 X 77 Were any changes made in the organizing or governing documents but not reported to the IRS? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 X If "Yes,' attach a conformed copy of the changes. 78 a Did the organization have unrelated business gross income of $ 1 ,000 or more during the year covered by this return? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78a X b If "Yes; has it filed a tax return on Form 990-T for this year? . . . . . . . . . . . . . . . . . N / A . . . . . . . . . 78b 79 Was there a liquidation, dissolution, termination, or substantial contraction during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79 X If "Yes,' attach a statement 80 a Is the organization related ( other than by association with a statewide or nationwide organization ) through common membership , governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80a X b If "Yes; enter the name of the organization ► and check whether it is 0 exempt OR ED nonexempt 81 a Enter direct or indirect political expenditures. See line 81 instructions . . . . . . . . . . . . . . 81a 0 . b Did the organization file Form 1120-POL for this year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81b X 82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at substantially less than fairrental value? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82a X b If "Yes; you may indicate the value of these items here. Do not include this amount as revenue in Part I or as an expense in Part ll. (See instructions in Part III.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82b N / A 83 a Did the organization comply with the public inspection requirements for returns and exemption applications? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83a X b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83b X 84 a Did the organization solicit any contributions or gifts that were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 . . . . . _ . . . . _ . . _ . . . . . . . 84a X b If "Yes; did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? 85 501 (c)(4), (5), or (6) organizations. a Were substantially all dues nondeductible by members? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N / A . . . . . 4 . . . 85a b Did the organization make only in-house lobbying expenditures of $2 ,000 or less? . . . . . . . . . . . . N / A . . . . . . , . . 85b If "Yes' was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a waiver for proxy tax owed for the prior year. c Dues, assessments, and similar amounts from members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85c N / A d Section 162( e ) lobbying and political expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . . . 4 . . . . . . . . . . . . . 85d N / A e Aggregate nondeductible amount of section 6033(e )( 1 )(A) dues notices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85e N / A f Taxable amount of lobbying and political expenditures (line 85d less 85e ) „ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85f N / A g Does the organization elect to pay the section 6033(e) tax on the amount in 85f? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N /A . . . . . . . . . 85 h If section 6033(e )( 1 ) (A) dues notices were sent, does the organization agree to add the amount in 85f to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N / A . . . . . . . . . 85h 86 501 (c)(7) organizations. Enter: a Initiation fees and capital contributions included on line 12 . . . . . . , . . . . . 86a N / A b Gross receipts, included on line 12, for public use of club facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86b N / A 87 501 (c)(12) organizations. Enter: a Gross income from members or shareholders . . _ . . . . . . 87a N / A b Gross income from other sources. ( Do not net amounts due or paid to other sources against amounts due or received from them. ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87b N / A 88 At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership, or an entity disregarded as separate from the organization under Regulations sections 301 .7701 -2 and 301 .7701 -3? If "Yes; complete Part IX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88 X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 a 501 (c)(3) organizations. Enter: Amount of tax imposed on the organization during the year under: section 4911 ► 0 . ; section 4912 ► 0 . ; section 4955 ► 0 . b 501 (c)(3) and 501 (c)(4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year? If "Yes; attach a statement explaining each transaction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89b X c Enter: Amount of tax imposed on the organization managers or disqualified persons during the year under sections4912, 4955, and 4958 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► 0 . d Enter: Amount of tax on line 89c, above , reimbursed by the organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► 0 90 a List the states with which a copy of this return is filed ► FLORIDA b Number of employees employed in the pay period that includes March 12, 2001 . . . . . . . . . . . . . . . . . . . . . 90b 24 91 The books are in care of ► RUTH JEFFERSON Telephone no. ► ( 7 7 2 ) 562 - 1963 Located at ► 4250 3 8TH AVENUE GI FFORD FL ZIP + 4 ► 32967 92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041 - Check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► 0 and enter the amount of tax-exempt interest received or accrued during the tax year . . . . . . . . . . . . . . . . . . . . . ► 92 N / A of of o2 5 Form 990 (2001 ) 10471209 781701 ST . PETER 2001 . 06020 ST PETERS HUMAN SERVICES IN ST PETE1