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8779 12/24/2002 7:44 AM Form 990 (2001 ) I . R . C . HEALTHY START COALITION , INC 65 - 0363222 Page6 Part VII Analysis of Income -ProducingActivities See Specific Instructions on page 32 . Note: Enter gross amounts unless otherwise Unrelated business income Excluded by sec. 512, 513 , or 514 (E) indicated . (A) (B) (C) (D) Related or Business code Amount Exclusion Amount exempt function 93 Program service revenue : code income a GOVERNMENTAL PROGRAM REVENUE 687 816 b C d e f Medicare/Medicaid payments 65 9 9 7 g Fees and contracts from government agencies . . . . . . . . . . . . . 94 Membership dues and assessments . . . . . . . . . . . . . . . . . . . . . . . 95 Interest on savings and temporary cash investments 14 1 , 143 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 — 2 466 101 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 r 3231 753 t 813 105 Total (add line 104, columns (B), (D), and (E)) ► 752 , 4 90 Note: Line 105 plus line 1d , Part I , should equal the amount on line 12, Part I . PartVIII 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 • 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 11 Part IX Information Regarding Taxable Subsidiaries and Disregarded Entities seeSpecific Instructions on page 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 o� o� G/ Part X Information Regarding Transfers Associated with Personal Benefit Contracts see Specific 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 ( ) g g y pay premiums, direct) or indirectly, on a personal benefit contract . Yes No b Did the organization , Burin the year, a y y p contract? . 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 ' Sign Here Signature of officer Date ' Type or print name and title. Preparer's Date Check If Preparer's SSN or PTIN (See Gen. Instr. W) Paid signature em to ed ► F1 P00293972 Preparer's Firm's name (or yours ' OI HAIRE FCMETZ 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 )