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of ra IuZw. NVG / AV AM Form 990 OMB No. 1545.0047 Return of Organization Exempt From Income Tax 2001 Under section 501 ( c), 527, or 4947(a) ( 1 ) of the Internal Revenue Code (except black lung 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 re ortin re uirements. Inspection A For the 2001 calendar year or tax year beginning 7 / 01 / 01 and endin 6 / 30 / 02 B Check if applicable: Please C Name of organization use IR D Employer ID number Address change label or 65 - 0363222 Name change print or I . R " C " HEALTHY START COALITIONf INC E Telephone number Initial return type. Number and street (or P.O. box If mail is not delivered to street address) Room/suite 772 - 563 - 9118 Final return See 1603 10TH AVENUE Specific F Accounting method: Cash Amended return Instruc City or town , state or country, and ZIP + 4 ® Accrual Other (specify) Application pending Ltions . VERO BEACH FL 32960 ► * Section 501 (c)(3) organizations and 4947(a)(1 ) nonexempt charital leH and I are not applicable to section 527 organizations. trusts must attach a completed Schedule A (Form 990 or 990-EZ). H(a) Is this a group return for affiliates? 0 Yes No G Web site : H(b) If "Yes," enter no. of affiliates ► NIA J Organization type H(C) Are all affiliates included? ® N/A D Yes No check onl one ► 501 (c) 3 s insertno. 4947(a )( 1 ) or 527 (If "No," aft. a list See Instr. ) K Check here ► if the organization's gross receipts are normally not more than H(d) Is this a separate return filed by an N/A $25,000. The organization need not file a return with the IRS; but if the organization organization covered by a group rutin ? Yes No received a Form 990 Package in the mail, it should file a return without financial data. I Enter 4-di it GEN ► Some states require a complete return. M Check ► W if the organization is not required L Gross receipts: Add lines 6b 8b 9b, and 10b to line 12 ► 900 151 to attach Sch. B Form 990, 990-EZ or 990-PF) . Part I Revenue Expenses , and Changes in Net Assets or Fund Balances See Specific Instructions on paqe 16 . 1 Contributions , gifts , grants , and similar amounts received : a Direct public support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1a 4 0 68 7 b Indirect public support lb 4 9 r 5 10 c Government contributions . . . . (grants) . . . _ . 1c 54r998 d Total (add lines 1a through 1c) (cash $ 145 , 195 noncash $ ) 1d 145 r 195 2 Program service revenue including government fees and contractsfrom Part VII , line 93 ( ) . . . . . . . . . . . . . . . . . . . . . . s 753 813 3 Membership dues and assessments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . 4 Interest on savings and temporary cash investments � 0I 4 1 143 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Dividends and interest from securities , . , , . , , . 9 5 6a Grossrents6a b Less: rental expenses 6b c Net rental income or (loss) (subtr ine 6b from line 6a ) R 7 Other investment income (describe ► 7 e . . . . . . v 8a Gross amount from sales of assets other A Securities B Other eIn than inventory u b Less: cost or other basis and sales expenses8b 2 466 c Gain or (loss) (attach schedule) 8c — 2 466 O O) . SEE . STMT 1 Sd — 2 466 d Net gain or (loss ) (combine line 8c, columns A and B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Special events and activities (attach schedule) a Gross revenue (not including $ of contributions reported on line 1a ) ga . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Less : direct expenses other than fundraising expenses 9b . . . . . . . . . . . . . . . . . . . . . . . c Net income or (loss ) from special events (subtract line 9b from line 9a ) 9c . . . . . . . . . . . . . . . . 10a Gross sales of inventory, less returns and allowances 10a b Less : cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10b c Gross profit or (loss ) from sales of inventory (aft. sch . ) (subtract line 10b from lia ne 10a ) 10c 11 Other revenue (from Part VII , line 103) . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 12 Total revenue add lines 1d , 2 31 4 5 , 6c, 7 , 8d , 9c, 10c, and 11 . , . 12 897r685 E 13 Program services (from line 44 , column (B)) x 13 913 865 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p 14 Management and general (from line 44 , column (C)) _ 14 13 , 278 n 15 Fundraising (from line 44, column (D)) 5 s 16 Payments to affiliates (attach schedule ) 1 esc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s 17 Total expenses add lines 16 and 44 , column A 17 927 r 143 A 18 Excess or (deficit) for the year (subtract line 17 from line 12) 18 — 29 , 458 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N s ee 19 Net assets or fund balances at beginning of year (from line 73 , column (A)) 19 14 9 7 31 t t 20 Other changes in net assets or fund balances (attach explanation) Y0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s 21 Net assets or fund balances at end of year combine lines 18 , 19 and 20 21 120 , 273 For Paperwork Reduction Act Notice, see the separate instructions . DAA Form 990 (2001 )