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Form 990 Return of Organization Exempt From Income Tax DMB No. 1545-0047 Under section 501 ( c ) , 527 , or 4947 ( a )( 1 ) of the Internal Revenue Code ( except black lung 2001 benefit trust or private foundation ) DepartmentottheTreasury Open to Public Intennal Revenue Service ► The organization may have to use a copy of this return to satisfy state reporting requirements. Inspection A For the 2001 calendar year, or tax year period beginning JUL 1 2001 and ending JUN 30v 2002 B check if please C Name of organization D Employer identification number applicable: use IRS Address label or change print or ST PETERS HUMAN SERVICES INCORPORATED 31 - 1480633 0Name�ange `see Number and street ( or P.O. box if mail is not delivered to street address ) Room/suite E Telephone number DretIniur 4250 38TH AVENUE 772 562 - 1963 return Specific 42450 Final Instruc- return tions. City or town, state or country, and ZIP + 4 F Accounting method: Cash ® Accrual =re urnded I FFORD FL 32967 0 0t amity) ► [=]pendin ttion • Section 501 (c )( 3 ) organizations and 4947( a )( 1 ) nonexempt charitable trusts Hand 1 are not applicable to section 527 organizations. must attach a completed Schedule A ( Form 990 or 990 EZ) . H ( a ) Is this a group return for affiliates? Q Yes ® No G Web site: ► HTTP : STPETERS . INDIAN — RIVER . K12 . FL . US H ( b ) If 'Yes; enter number of affiliates pop H ( c ) Are all affiliates included? N / A 0 Yes F No J Organization type (check only one) ► ® 501 ( c) ( 3 ) (insert no.) 0 4947( a)( 1 ) or 0 527 ( If 'No; attach a list. ) K Check here ► 0 if the organization ' s gross receipts are normally not more than $25,000. The H ( d ) Is this a separate return filed by an or- organization need not file a return with the IRS; but if the organization received a Form 990 Package ganization covered by a group ruling? Yes ® No in the mail, it should file a return without financial data. Some states require a complete return . I Enter 4-digit GEN ► M Check ► 0 if the organization is not required to attach L Gross receipts: Add lines 6b , 8b, 9b, and 10b to line 12 ► 783 , 691 * Sch. B (Form 990, 990-EZ, or 990-PF). Part I Revenue , Expenses , and Changes in Net Assets or Fund Balances 1 Contributions, gifts, grants, and similar amounts received: a Direct public support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i s 5 , 375 e b Indirect public support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b c Government contributions (grants ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1c 596 , 617 . d Total (add lines 1a through 1c) (cash $ 6 01 , 9 9 2 . noncash $ ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 d 601 , 992 * 2 Program service revenue including government fees and contracts ( from Part VII, line 93 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 160 f 951 . 3 Membership dues and assessments . . . . . . . . . . . . . 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Interest on savings and temporary cash investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 15 42 5 . 5 Dividends and interest from securities 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 a Gross rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6a b Less: rental expenses . . . . . . . . . . . . . . . . 6b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . c Net rental income or ( loss ) ( subtract line 6b from line 6a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6c 'c 7 Other investment income ( describe ► 7 m > 8 a Gross amount from sale of assets other A Securities B Other m °C than inventor 8a b Less: cost or other basis and sales expenses . . . . . . . . . 8b c Gain or ( loss) (attach schedule ) . . . . . . . . . . . . . . . . . . . . . . . . . . . 8c d Net gain or ( loss ) ( combine line 8c, columns (A) and ( B)) 8d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Special events and activities (attach schedule ) a Gross revenue ( not including $ 0 . of contributions reported on line 1a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9a15 , 323a b Less: direct expenses other than fundraising expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9b c Net income or ( loss ) from special events (subtract line 9b from line 9a) . . . . . . . I . . . . SEE . _ STATEMENT . . _ 1. . . . 9c 5 , 323a 10 a Gross sales of inventory, less returns and allowances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10a b Less: cost of goods sold . . . . 10b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . c Gross profit or ( loss ) from sales of inventory (attach schedule ) (subtract line 10b from tine 10a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10c 11 Other revenue (from Part VII , line 103 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . . . . . . . . . . . . 11 12 Total revenue add lines 1d 2 3 4 5 6c 7 8d9 9c 10c and 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 783 , 691 * 13 Program services ( from line 44, column ( B )) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 597 455 . y 14 Management and general ( from line 44 , column (C ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 123 592 . CL 15 Fundraising (from line 44 , column ( D )) . . . . . . . . . . . . . . . . . . . . . . . . . 15 X 16 Payments to affiliates (attach schedule ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 17 Total expenses add lines 16 and 44 column A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 721 t 047 e 18 Excess or ( deficit) for the year ( subtract line 17 from line 12 ) 18 62 644 . W 19 Net assets or fund balances at beginning of year (from line 73, column (A)) 19 697 360 . Z N 20 Other changes in net assets or fund balances (attach explanation ) SEE . . . $ TATEMENT 2. . . . 20 < 18 038 . > a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Net assets or fund balances at end of year (combine lines 18, 19, and 20 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . 21 741 966 . 123001 01 -04-02 LHA For Paperwork Reduction Act Notice , see the separate instructionsl Form 990 (2001 ) 09411209 781701 ST . PETER 2001 . 06020 ST PETERS HUMAN SERVICES IN ST PETE1