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4562 OMB No 1545 -0172 Form Depreciation and Amortization ( Rev. March 2002 ) (Including Information on Listed Property) 990 200 01 Department of the Treasury Attachment Internal Revenue Service ► See separate instructions. ► Attach to your tax return . sequence No. 67 Name(s) shown on return Business or activity to which this form relates Identifying number ST PETERS HUMAN SERVICES INCORPORATED ORM 990 PAGE 2 31 - 1480633 Part ! I Election To Expense Certain Tangible Property Under Section 179 Note : If you have any listed property, complete Part V before you complete Part [. 1 Maximum amount . See instructions for a higher limit for certain businesses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 4 0 0 0 . 2 Total cost of section 179 property placed in service (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 9 7 3 6 . 3 Threshold cost of section 179 property before reduction in limitation 3 $200 ,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 0 4 . 4 . . . . . . . . . . . 4 Reduction in limitation . Subtract line 3 from line 2 . If zero or less, enter -0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 0 . 5 Dollar limitation for tax ear. Subtract line 4 from line 1 . If zero or less enter -0-. If married filin separately, see instructions 5 2 4 , 000 . 6 (a) Description of property (b) Cost (business use only) (c) Elected cost 7 Listed property. Enter amount from line 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6666 7 8 Total elected cost of section 179 property. Add amounts in column (c) , lines 6 and 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 9 Tentative deduction . Enter the smaller of line 5 or line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 10 Carryover of disallowed deduction from line 13 of your 2000 Form 4562 . . . . . . . . . . . . . . . . . . . . . . . . . . . 666 , 6 - - 6666 . - . . . . . . . * . . . 4 . - 0004 - - 10 11 Business income limitation . Enter the smaller of business income (not less than zero) or line 5 . . . . . . . . . . . . . . . . . . . . . . . . 11 24 , 000 * 12 Section 179 expense deduction . Add lines 9 and 10, but do not enter more than line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F 12 13 Carryover of disallowed deduction to 2002 . Add lines 9 and 10, less line 12 . . . . . . . ► 13 Note: Do not use Part 11 or Part 111 below for listed property. Instead, use Part V. Part 111 Special Depreciation Allowance and Other Depreciation Do not include listed property. 14 Special depreciation allowance for certain property (other than listed property) acquired after September 10, 2001 (see instructions) . . . . . . . . . . . . . . . . . . . . . 14 15 Property subject to section 168(0(1 ) election (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 16 Other depreciation (including ACRS see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Part 1111 MACRS Depreciation Do not include listed property. ) (See instructions . Section A 17 MACRS deductions for assets placed in service in tax years beginning before 2001 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 8 2 7 4 . 18 If you are electing under section 168(1)(4) to group any assets placed in service during the tax year into one or more general asset accounts, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section B - Assets Placed in Service During 2001 Tax Year Using the General De reciation S stem (b) Month and (c) Basis for depreciation (d) Recovery (a) Classification of property year placed (businessfinvestment use period (e) Convention (f) Method (g) Depreciation deduction in service only - see instructions) 19a 3-year property 3 , 340o 3 . 0 MM SL 93 * b 5-year property 21 7 0 2 . 5 . 0 MM SL 2 , 808 * c 7-year property 4 , 694 * 7 . 0 MM SL 614 * d 10 ear property e 15 ear property f 20 ear property 25 ear property 25 yrs. S/L / 27 .5 yrs . MM S/L h Residential rental property / 27 .5 yrs . MM S/L / 39 rs . MM S/L i Nonresidential real property MM S/L Section C - Assets Placed in Service During 2001 Tax Year Using the Alternative Depreciation System 20a Class life S/L b 12 ear 12 yrs . S/L C 40-year / 40 yrs . MM S/L Part ! Summary (See instructions .) 21 Listed property. Enter amount from line 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 22 Total . Add amounts from line 12 , lines 14 through 17 , lines 19 and 20 in column (g) , and line 21 . Enter here and on the appropriate lines of your return . Partnerships and S corporations - see instr. . . . . . . . . . . . . . . . . . . . . . 22 11 7 8 9 . 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 7 116251 03-21 -02 LHA For Paperwork Reduction Act Notice, see separate instructions. Form 4562 (2001 ) (Rev. 3-2002) 17 12361121 781701 ST . PETER 2001 . 06020 ST PETERS HUMAN SERVICES IN ST PETE1