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8010 02/07/2003 12: 12 PM Schedule A (Form 990 or 990-EZ) 2001 SUBSTANCE ABUSE COUNCIL 65 - 0202835 Page 3 !# IVA •,• Support Schedule (Complete only if you checked a box online 10, 11 , or 12.) Use cash method of accounting. Note: You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting. Calendar year (or fiscal year beginning in ► (a) 2000 (b) 1999 (c) 1998 (d) 1997 e) Total 15 Gifts, grants, and contributions received. (Do not include -unusual rants. See line 28.) . . . . . . . . . . . . . . . . . 514f239 402 079 384r564 182P797 1 , 483r679 16 Membership fees received - 5 4 96 1 r 080 6 f235 6 160 18f971 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 7 631 11r366 13 703 20r791 53r491 18 Gross inc. from int. , dividends, amounts received from pymt on securities loans (section 512(x)(5)), rents, royattim, & unrelated busn. taxable inc. (less sec. 511 taxes) from businesses acquired by the organization after June 30, 1975 . . - . - 696 1 320 1 151 1 , 226 4 393 19 Net income from unrelated business . activities not included in line 18 . . . . . . . . 20 Tax revn. levied for the organization's ben. & either paid to it or expended on its beftlf • 21 The value of sm. or facl, furnished to the org- by a governmental unit without charge Do not incl. the value of serv. or fac. gen eralty fumished to the DublIc without charge 22 Other income. Attach a schedule. Do not include gain or (loss) . from sale of cap. assets 607 607 23 " Total offines 15through 22 . . - . . - . - - 528 , 669 415f845 405 ,r653 210r974 1 561 141 24 Line 23 minus line 17 . . . . . . . . . . . . . . . . 521f038 404r479 391 . 950 190 , 183 l 507 r 650 25 Enter s % of line 23 5 287 4 r 158 4 O57 2 110 26 Organizations described on lines 10 or 11 : a Enter 2% of amount in column (e), line 24 —No WN ► 26a 30 153 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, retum. Enter the total of all these excess amounts. ► 261b " c Total support for section 509(a)(1 ) test: Enter line 24, column (e) ► 26c 1 507 650 . . . . . . . . . . . . . . . . . . : : . . . .. . .. . .. . . . . . . . . . . . . . d Add: Amounts from column '(e) for fines: 18 4 , 3 93 19 22 607 26b ► 26d 5 000 e Public support (line 26c minus fine 26d total) . • . • - • . • • • • - ► 26e 1 502 650 If Public support percentage line 26e numerator divided by line 26c denominator . . . . . ► 26f 9906684 % 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. N /A ( 7) (2000) . . . . . . . . . . . . . . . . . . . . . . (1999) - • - - • - - . . . . . . - . . . . 1998 ( ). . . . . . . . . . . . . . . . . . . . . . . . . . . 199 . . . . - b For any amount included in line 17 that was received from each person (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 (2), enter the sum of these differences (the excess amounts) for each year: N/A (2000) . . . . . . . . . . . . . . . . . . . . . . . (19%) . - . . . . . . (1998) . . . . . . . . . . . . . . (1997) . . - . . . . . . - - . . . . . . . . . . . . c Add: Amounts from column (e) for lines: 15 16 . . . . . . 17 20 21 ► 27c and line 27b total d Add: Line 27a total • . . • . • . . • - - - ► 27d . . . . . . . - - . . . . . . . . . . e Public support (line 27c total minus line 27d total) ► 27e Total support for section 509(a)(2) test: Enter amount on line 23, column (e) ► 47fuc" g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) ► Y7g % h Investment income percentage (line 18, column (e) (numerator) divided by line 27f (denominator)) ► 27h % 28 Unusual Grants : For an organization described in line 101 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 returnDo not include these grants in line 1 S DAA Schedule A (Form 990 or 9904EZ) 2001