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I � Form 990 (2001 ) HOMELESS ASSISTANCE CENTER INC . 59 - 3129752 Page Part VII I Analysis of Income - Producing Activities (See Specific Instructions on page 32. ) Note : Enter gross amounts unless otherwise Unrelated business income Excluded by section 512 , 513 , or 514 ( E ) indicated. (A) ( B ) EP ( D ) Related or exempt Business Amount s;on Amount 93 Program service revenue: code code function income a b C d e f Medicare/Medicaid payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . g Fees and contracts from government agencies . . . . . . . . . . . . 94 Membership dues and assessments . . . . . . . . . . . . . . . . . . . . . . . . 95 Interest on savings and temporary cash investments 1 710 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 Dividends and interest from securities . . . . . . . . . . . . . . . . . . . . . 97 Net rental income or ( loss) from real estate: a debt-financed property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b not debt-financed property . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . 98 Net rental income or ( loss ) from personal property . . . . . 99 Other investment income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 Gain or (loss ) from sales of assets other than inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . < 678 . > 101 Net income or ( loss) from special events . . . . . . . . . . . . . . . . . . 7 0 5 2 2 " 102 Gross profit or ( loss) from sales of inventory . . . . . . . . . . . . 103 Other revenue: a b C d e 104 Subtotal (add columns (B ), (D ), and (E ) ) . . . . . . . . . . . . . . . . . . 0 . 0 . 71 , 554 * 105 Total (add line 104 , columns ( B), ( D), and (E ) ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► 71 , 554 . Note : Line 105 plus line 1d, Part 1, should equal the amount on line 12, Part L Part'Vill 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 V exempt purposes (other than by providing funds for such purposes ). HE ORGANIZATION IS DEDICATED TO END HOMELESSNESS THROUGH PROVIDING OR THE IMMINENT NEEDS OF THE INDIGENT IN CONCERT WITH OFFERING ONTINUED EDUCATION AND SKILLS NECESSARY TO DEVELOP HEALTHY LIFESTYLES Part IX Infonnation Regarding Taxable Subsidiaries and Disregarded Entities (See Specific Instructions on page 33. ) A 8 C D E Name, address, and )EIN of corporation, Percentage of Nature (C) ( D ) Total income End -of-year partnership, or disregarded entity ownership interest assets N / A % Part x I Information Regarding 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? . . . . . . . . . . . . 0 Yes ® No (b ) Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? 0 Yes ® No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Note : if " Yes " to b file Form 8870 and Form 4720 see instructions). Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge. Please � _ ,a„ ' .1 �`'c�^ F r . Sign ! r`e,.._ e Here ' Signature of ' er Date ' Type or print name and title Preparer's Date Check if Preparer' s SSN or PTIN Paid Z „ 7" o 3 self signature employed ► 0 Preparer's FirrWsname (or Use Only yours if MJA Y , THURN , BOYLE & . AS SOC PA EIN ► self-employed), ' 7H S 123161 address, and 01 -02-02 ZIP + 4 VM AC FL 32960 Phone no. ► 772 562 - 4158 6 Form 990 (2001 )