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8779 12/24/2002 7:34 AM Form990 (2001 ) I . R . C . HEALTHY START COALITION , INC 65 - 0363222 Page6 Part VII Analysis of Income-Producin Activities See Specific Instructions on paqe 32 . Note : Enter gross amounts unless otherwise Unrelated business income Excluded by sec. 512, 513 , or 514 (E) indicated. A g C D Related or Business code Amount clusion Amount exempt function 93 Program service revenue: code income a GOVERNMENTAL PROGRAM REVENUE 687 816 b c d e f Medicare/Medicaid payments . . . . . . . . . . . . . . . . . 65r997 g Fees and contracts from government agencies . . . . . . . . . . . . . 94 Membership dues and assessments . . . . . . . . . . . . . . . . . . . . . . . 95 Interest on savings and temporary cash investments 14 1 14 3 96 Dividends and interest from securities . . . . . . . . . . . . . . . . . . . . . 97 Net rental income or (loss ) from real estate : a debt-financed property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 1 - 214166 101 Net income or (loss) from special events . . . . . . . . . . . . . . . . . . . 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 — 1 323 753 813 105 Total (add line 104, columns (B), (D), and (E)) ► 752 , 490 _Note: Line 105 plus line 1d , Part 1 , should equal the amount on line 12 Part I . Part Vill Relationship of Activities to the Accomplishment of Exempt Purposes seeSpecific 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 0 of the organization's exempt purposes other than by providingfunds for such purposes) . 93C INCOME FROM GOVERNMENTAL GRANTS PROVIDE FOR PRENATAL CARE TO INFANTS ; ASSISTS WOMEN IN ESTABLISHING AND MAINTAINING BEHAVIORS WHICH ARE CONDUCTIVE TO THE OPTIMUM HEALTH AND SEE STATEMENT Part IX Information Re ardin Taxable Subsidiaries and Disreciarded Entities seeSpecific Instructions on paqe 33. (A) ( B) (C) ( D) ( E) Name , address, and EIN of corporation , Percentage of Nature of activities Total income End-of-year partnership, or disregarded entity_ ownership interest assets N /A q o� o� o� Part X Information Regarding Transfers Associated with Personal Benefit Contracts SeeSpecific Instructions on 33. (a) Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? Yes No . . . . . . . . . . . . . . . . . . . . (b) Did the organization , during the year, pay premiums , directly or indirectly, on a personal benefit contract? Yes No . . . . . . . . . . . . . . . . . . . . . . . . Note : If "Yes" to b file Form 8870 and Form 4720 see instructions) . Under penalties of perjury, I declare that 1 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 Sign Here Signature of officer EEUUU Date Type or Print n ;ndtitle. Preparer's Date Check if Preparees SSN or PTIN (See Gen. Instr. W) Paid signature self- employed ► P00293972 Preparer's Firm's name (or yours ' O ' HAIRS KMETZI NUTTALL FIELD & CO . EIN ► 59 - 1718139 Use Only if self-employed ), 3111 CARDINAL DR , Phone address, and ZIP + 4 VERO BEACH FL 32963 no. ► 772 - 231 - 6902 DAA Form 990 (2001 )