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Schedule A (Form 990 or 990-EZ) 2001 ST PETERS HUMAN SERVICES INCORPORATED 31 - 1480633 Page 3 Part IV-A Support Schedule (Complete only if you checked a box on line 10, 11 , or 12 .) Use cash method of accounting. N / A Note: You may use the worksheet in the instructions for convertin from the accrual to the cash method of accountin . Calendar year (or fiscal year be innin in . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 ( a ) 2000 ( b ) 1999 (c ) 1998 ( d ) 1997 ( e ) Total 15 Gifts, grants, and contributions received. (Do not include unusual grants. See line 28. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Membership fees received . . . _ . . . . . 17 Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization ' s charitable, etc., purpose . . . . . . . . . . . . 18 Gross income from interest, dividends, amounts received from payments on securities loans (sec- tion 512(a)( 5) ), rents, royalties, and unrelated business taxable income ( less section 511 taxes) from businesses acquired by the organization after June 30, 1975 19 Net income from unrelated business activities not included in line 18 20 Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge _ . . . . ._ _ . . Y2 Other income. Attach a schedule. Do not include gain or (loss) from sale of capital assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Total of lines 15 through 22 00 0 " 00 " 0 " 24 Line 23 minus line 17 " . . . . . . . . . . . . . . . 25 Enter 1 % of line 23 26 Organizations described on lines 10 or 11 : a Enter 2% of amount in column (e ), line 24 . . ► 26a N / A b Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental unit or publicly supported organization ) whose total gifts for 1997 through 2000 exceeded the amount shown in line 26a. Do not file this list with your return . Enter the total of all these excess amounts c Total support for section 509(a)( 1 ) test: Enter line 24, column (e) . . ► 26c N / A d Add: Amounts from column (e ) for lines: 18 19 22 26b ► 26d N / A e Public support ( line 26c minus line 26d total) . 00- 26e N / A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Public s ort ercenta a line 26e numerator divided b line 26c. . . .deno. . . . . . mi.nator . . . . . 27 Organizations described on line 12: a For amounts included in lines 15, 16, and 17 that were received from a "disqualified person; prepare a list for your records to show the name of, and total amounts received in each year from, each "disqualified person' Do not file this list with your return . Enter the sum of such amounts for each year: 2000 ( 1999) ( ) ( 1998 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b For any amount included in line 17 that was received from each peson (other than "disqualified persons"), prepare a list for your records to show the name of, and amount received for each year, that was more than the larger of ( 1 ) the amount on line 25 for the year or (2) $5,000. ( Include in the list organizations described in lines 5 through 11 , as well as individuals. ) Do not file this list with your return . After computing the difference between the amount received and the larger amount described in ( 1 ) or (21 enter the sum of these differences (the excess amounts) for each year: (2000) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( 1999) ( 1998 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( 1997) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Add: Amounts from column (e ) for lines: 15 16 17 20 21 ► 27c N / A d Add: Line 27a total . . and line 27b total . . . . . . . . . . . . . ► 27d N / A e Public support ( line 27c total minus line 27d total) . ► 27e N A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Total support for section 509(a)( 2) test: Enter amount on line 23, column (e ) . . . . . . . . . ► 27f . . . .N A g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) . 10- 27 N / A % . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . h Investment income percentage line 18 column a numerator divided b line 27f denominator ► 27h N / A % 28 Unusual Grants : For an organization described in line 10, 11 , or 12, that received any unusual grants during 1997 through 2000, prepare a list for your records to show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant. Do not file this list with your return . Do not include these grants in line 15. ,zsizt , z -zs-o , 9 Schedule A ( Form 990 or 990-EZ) 2001 09411209 781701 ST " PETER 2001 . 06020 ST PETERS HUMAN SERVICES IN ST PETE1