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Schedule B Schedule of Contributors OMB No. 1545 -0047
<br /> (Form 990, 990-EZ, or
<br /> 990-PF) Supplementary Information for 200
<br /> Department of the Treasury line 1 of Form 990, 990-EZ and 990-PF (see instructions)
<br /> Internal Revenue Service
<br /> Name of organization Employer identification number
<br /> HOMELESS ASSISTANCE CENTER INC . 59 - 3129752
<br /> Organization type (check one) :
<br /> Filers of: Section:
<br /> Form 990 or 990-EZ ® 501 (c)( 3 ) (enter number) organization
<br /> 4947(a)(1 ) nonexempt charitable trust not treated as a private foundation
<br /> 527 political organization
<br /> Form 990-PF E-1 501 (c)(3) exempt private foundation
<br /> 4947(a)(1 ) nonexempt charitable trust treated as a private foundation
<br /> 501 (c)(3) taxable private foundation
<br /> Check if your organization is covered by the General rule or a Special rule. (Note: Only a section 501 (c)(7), (8), or (10) organization
<br /> can check box(es)
<br /> for both the General rule and a Special rule-see instructions.)
<br /> General Rule-
<br /> For organizations filing Form 990, 990-EZ, or 990-PF that received , during the year, $5 ,000 or more (in money or property) from anyone
<br /> contributor. (Complete Parts I and II .)
<br /> Special Rules-
<br /> For a section 501 (c) (3) organization filing Form 990, or Form 990-EZ, that met the 33 1 /3% support test of the regulations under
<br /> sections 509(a)(1 )/170(b)(1 )(A)(v) and received from any one contributor, during the year, a contribution of the greater of $5,000 or 2%
<br /> of the amount on line 1 of these forms. (Complete Parts I and II .)
<br /> For a section 501 (c)(7) , (8) , or (10) organization filing Form 990, or Form 990-EZ, that received from any one contributor, during the
<br />year,
<br /> aggregate contributions or bequests of more than $1 ,000 for use exclusively for religious, charitable, scientific , literary, or educational
<br /> purposes, or the prevention of cruelty to children or animals. (Complete Parts I , 11 , and III .)
<br /> El For a section 501 (c)(7) , (8) , or (10) organization filing Form 990, or Form 990-EZ, that received from any one contributor, during
<br /> the year,
<br /> some contributions for use exclusively for religious , charitable, etc. , purposes, but these contributions did not aggregate to more than
<br /> $ 1 ,000. (If this box is checked , enter here the total contributions that were received during the year for an exclusively religious ,
<br /> charitable , etc. , purpose . Do not complete any of the Parts unless the General rule applies to this organization because it received
<br /> nonexclusively religious, charitable , etc. , contributions of $5 ,000 or more during the year.) . . . . . . . . . . . . . . . . . . . . . . . . .
<br />. . ► $
<br /> Caution: Organizations that are not covered by the General rule and/or the Special rules do not file Schedule B (Form 990, 990-EZ, or 990-PF),
<br />but
<br /> they must check the box in the heading of their Form 990, Form 990-EZ, or on line 1 of their Form 990-PF, to certify that they do not meet
<br /> the filing
<br /> requirements of Schedule B (Form 990, 990-EZ, or 990-P17.
<br /> Schedule B ( Form 990 , 990-EZ , or 990 -PF ) (200 1 )
<br /> 123451 12-29-01
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