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Form 990 (2001 ) HIBISCUS CHILDREN ' S CENTER Analysis of Income- Producing Activities (See Specific instructions on page 32.) 59 - 2632361 Page 6 Note : Entergross amounts unless otherwise Unrelated business income Excluded b section 512, 513, or 514 indicated. (A) B 93 Program service revenue: Business Amount sigCn- ( D) (E) Amount Related or exempt a code code function income b C d e I Medicare/Medicaid payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Fees and contracts from government agencies . . _ . . . . . 94 Membership dues and assessments 95 Interest on savings and temporary cash investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 Dividends and interest from securities . 97 Net rental income or (loss ) from real este . _ .•. 41 14 12 , 200a a debt-financedproperty :;•:;.:•: ::::<;:•;:• •;;>:::: ::»;::: .:•:;•;:•;::;::;:;:.:•;•;•;:::�;<.: :.::.:�:;:>:;:;•::.:•:;:• ::::::s 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 18 < 1 475 * 102 Gross profit or (loss ) from sales of inventory 103 Other revenue: A . 0 . . . . 0 5 217 , 7 4 3 a a b C d e 104 Subtotal (add columns (B ), (D) , and (E) ) . . . . . . . . . . . . . . . . . . ::.:::;:.;:.;:.;:.::.... . . .. . X:X IN 105 Total (add line 104, columns B , (D), and E 0 ' ''' 2 2 8 4 6 8 . ( ) ( ) ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Note: Line 105 plus line 1 d, Pan I, should equal the amount on line 12, Part 1. . . . . . . . . . . . . . . ► 228 , 468 = (f( 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 ♦ exempt purposes (other than by providing funds for such purposes ). I?a1C '? Information Regarding Taxable Subsidiaries and Disregarded Entities (see specific Instructions on page 33.) A B C Name , address , and EIN of corporation , Peroeotage of D Partnershipor disre arded enti 0 Perce i interest Nature of activities Total income E End oflear N / A % assets 'P > ' Information Re ardin 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? (b) Did the organization , during the year, pay premiums, directly or indirectly, on a Personal benefit contract . . . . . . . . . . " " " 0 Yes I A% No Note : If "Yes " to h rile Form 8870 and Form 4720 see instructions . P 0 Yes 0 No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Under penalties of perjury, l declare that I have examined this return, inducting accompanying schedules and statements, and to the gest of correct, and complete. Declaration of preparer (other than officer) is based on all Information of which Please Preparer has any knowledge. � knowletlge and belief, It is true, Sign Here ' Signature of officer Paid Preparer s _ ' WE; or print name and title signature , f Date Check PreparersssNorPnN Preparer's Fim+ sname (or ` '/,l employed ► Use Only ycursir BE ER , TOOMBS , ELAM & FRANK , CPA ' S 700115391 address, )' 759 S FEDERAL HWY . , SUITE 321 EIN ► 59 - 1785250 1231 s1 STUART FL 34994 01 -02-02 ZIP + 4 13550208 781536 18252A 6 Phone no. ► ( 772 ) 219-0220 Form 990 2001 . 08000 HIBISCUS CHILDREN ' S CENTER 18252A(211 )