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TAXPAYER' S RO z Return of Organization Exempt From Income Tax OMB No. 1545-0047 Form 990 Under section 501 (c ) , 527 , or 4947 ( a )( 1 ) of the Internal Revenue Code ( except black lung 2001 Department of the Treasury benefit trust or private foundation ) Open to Public Internal 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 f 2001 and ending JUN 3 0 2002 B Check if please C Name of organization D Employer identification number applicable: use IRS Address label or ® change print orHOMELESS ASSISTANCE CENTER INC . 59 - 3129752 lhanrne ge tsee Number and street (or P.O. box if mail is not delivered to street address ) Room/suite E Telephone number aretur 715 4TH PLACE 772 - 567 - 2766 return Specific Final Instruc- �return tions. rER or town, state or country, and ZIP + 4 F Accounting method : ® Cash Accrual Amended Other =return O BEACH FL 32962 5 �� ► a Application • Section 501 ( c )( 3) organizations and 4947( a )( 1 ) nonexempt charitable trusts H and I are not applicable to section 527 organizations. pending must attach a completed Schedule A ( Form 990 or 990-EZ) . H( a ) Is this a group return for affiliates . � Yes ® No G Web site: N A H( b ) If "Yes; enter number of affiliates ► H( c ) Are all affiliates included? N / A Yes No J Organization type (check only one) ► ® 501 (c ) ( 3 ) (insert no.) = 4947(a )( 1 ) or Q 527 ( If °No," attach a list ) K Check here Pilo- = 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 rulin ? Yes ® No in the mail, it should file a return without financial data. Some states require a complete return . I Enter 4 -di it GEN ► M Check ► 1=1 if the organization is not required to attach L Gross receipts: Add lines 6b , Sb, 9b, and 10b to line 12 ► 1 , 1121021 * 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . la 229f376 * b Indirect public support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 b c Government contributions ( grants) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . is 810r413 . d Total (add lines 1a through 1c ) (cash $ 1 , 0 3 9 , 7 8 9 . noncash $ ) .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 d 1 , 039t789 * 2 Program service revenue including government fees and contracts (from PartVII , line 93 ) . . . . . . . . . . . 2 3 Membership dues and assessments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4 Interest on savings and temporary cash investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 4 1 710 . 5 Dividends and interest from securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 6 a Gross rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6a b Less: rental expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . . . . . . . . . . . . . . . . . . . . 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 8 Other tx than inventory 8a b Less: cost or other basis and sales expenses . . . . . . . . . 8b 678 . c Gain or ( loss ) (attach schedule ) . . . . . . . . . . . . . . . . . . . . . . . . . . . 8c < 678 . d Net gain or ( loss ) (combine line 8c, columns (A) and ( B )) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .STMT . . . 1. . . . Sd < 678 . > 9 Special events and activities (attach schedule ) a Gross revenue ( not including $ 0 . of contributions reported on line 1a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . . . 9a 701522 , b Less: direct expenses other than fundraising expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I 9b c Net income or ( loss ) from special events ( subtract line 9b from line 9a ) . . . _ _ . . . . . . SEE , . STATEMENT . . . 2. . . . 9c 7 0 5 2 2 . 10 a Gross sales of inventory, less returns and allowances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I10a b Less: cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10b c Gross profit or ( loss ) from sales of inventory (attach schedule ) ( subtract line 10b from line 10a) 10c 11 Other revenue (from Part VII , line 103 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . 11 12 Total revenue add lines id 2 31 4 5 6c 7 8d 9c 10c and 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 1 111 1 343 . 13 Program services (from line 44, column ( B )) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 798 967 . 14 Management and general (from line 44, column (C )) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 253 953 . CIL 15 Fundraising ( from line 44, column ( D ) ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 125 302 . X 16 Payments to affiliates (attach schedule ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 17 Total expenses add lines 16 and 44 column A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 1 178 f 222 . 18 Excess or (deficit) for the year ( subtract line 17 from line 12 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 < 66 879 . > N y 19 Net assets or fund balances at beginning of year (from line 73, column (A)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 1 , 134 , 917 . Zu) 20 Other changes in net assets or fund balances (attach explanation ) 20 0 . 21 Net assets or fund balances at end of year combine lines 18, 19, and 20 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 1 1 068 038 . 123001 01 -04-02 LHA For Paperwork Reduction Act Notice , see the separate instructions Form 990 (2001 ) TANCE CENTER HOMELESI