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Form 990 (2001 ) ST PETERS HUMAN SERVICES INCORPORATED 31 - 1480633 Page 6 Part VII Analysis of Income - Producing Activities (See Specific Instructions on page 32. ) . Note : Enter gross amounts unless otherwise Unrelated business income Excluded by section 512, 513, or 514 ( E ) indicated. (A) ( B ) EP ( D ) Related or exempt B siness Amount coon Amount 93 Program service revenue: function income a CHILD CARE FEES 159f115 * b UNIFORM FEES 202 . c FIELD TRIP FEES 1 , 634o d e f Medicare/Medicaid payments . . . . . . . . . . . . . . . . . . . . g Fees and contracts from government agencies . . . . . . . . . . . . 94 Membership dues and assessments . . . . . . . . . . . . . . . . . . . . . . . . 95 Interest on savings and temporary cash investments 14 15 , 425 * . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 Dividends and interest from securities . . . . . . . . . . . . . . . . • , , , , 97 Net rental income or (loss ) from real estate: a debt-financed property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b not debt-financed property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 Net rental income or ( loss ) from personal property . . . . . . 99 Other investment income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 Gain or (loss) from sales of assets other than inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 Net income or (loss) from special events . . . . . . . . . . . . . . . . . . 5 , 323 * 102 Gross profit or (loss ) from sales of inventory . . . . . . . . . . . . 103 Other revenue: a b c d e 104 Subtotal (add columns ( B ), ( D ), and ( E ) ) . . . . . . . . . . . . . . . . 0 . 15 , 425o 16 6 2 7 4 " 105 Total (add line 104 , columns ( B ), ( D), and ( E ) ) . . . . . . . . * * . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pop 181 , 699 * Note : Line 105 plus line 1d, Part 1, should equal the amount on line 12, Part 1. Part VIII I Relationship of Activities to the Accomplishment of Exempt Purposes (See Specific Instructions on page 32. ) Line No . Explain how each activity for which income is reported in column ( E ) of Part VII contributed importantly to the accomplishment of the organization ' s V exempt purposes ( other than by providing funds for such purposes). HESE ACTIVITIES ARE DIRECTLY RELATED TO PROVIDING SERVICES TO THE STUDENTS OF THE SCHOOL . Part IX Information Regarding Taxable Subsidiaries and Disregarded Entities (See Specific Instructions on page 33. ) A 8 C D E Name, address, and )EIN of corporation, Percentage ) ge of Nature (C) factivities Total income End-of-year partnership, or disre arded entity ownership interest assets N / A % Part X Information Regarding Transfers Associated with Personal Benefit Contracts (See Specific Instructions on page 33.) ( a ) Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? . . . . . . . . . . . . 0 Yes ® No (b ) Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . . . . . . 0 Yes ® No Note : If " Yes " to b file Form 8870 and Form 4720 see instructions). Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge. Please "( Y � ; J �z Sign 3 1� .C'i. � Ek Z) Here ' Signature of officer Date ' Type or print name and title Preparer's ¢ Date ? s�f ck if Preparer's SSN or PTIN Paid signature C �` 1 112 � %7 '� ployed ► 0 Preparer's Firm's name (or yo11rair "F1 J COBY , THURN , BOYLE & ASSOC PA EIN ►Use Only self-employed), T T 123161 address, and 0 , -02-02 zIP + 4 VERO EACH , FL 3 2 9 6 0 Phone no. - ( 772 ) 562 - 4158 6 Form 990 (2001 ) 09411209 781701 ST . PETER 2001 . 06020 ST PETERS HUMAN SERVICES IN ST PETE1