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8779 11 /Of 9/2002 9: 11 AM Schedule A Form 990 or 990-EZ 2001 I . R . C . HEALTHY START COALITION INC 65 - 0363222 Pae 2 Part III Statements About Activities (See page 2 of the instructions . ) Yes No 1 During the year, has the organization attempted to influence national , state , or local legislation , including any attempt to influence public opinion on a legislative matter or referendum? If "Yes ," enter the total expenses paid 1 X or incurred in connection with the lobbying activities ►$ (Must equal amount on line 38, Part VI-A, or line 1 of Part VI-B . ) Organizations that made an election under section 501 (h ) by filing Form 5768 must complete Part VI-A. Other organizations checking "Yes ," must complete Part VI-B AND attach a statement giving a detailed description of the lobbying activities. 2 During the year, has the organization , either directly or indirectly, engaged in any of the following acts with any substantial contributors , trustees , directors , officers, creators, key employees, or members of their families, or with any taxable organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary? (If the answer to any question is "Yes," attach a detailed statement explaining the transactions. ) a Sale , exchange, or leasing of property? 2a X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Lending of money or other extension of credit? . . . 2b X . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Furnishing of goods, services , or facilities? . 2c X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Payment of compensation (or payment or reimbursement of exp. if more than $ 1 ,000)? 2d X e Transfer of any part of its income or assets? 2e X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Does the organization make grants for scholarships , fellowships , student loans , etc.? (See Note below.) 3 X . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Do you have a section 403(b ) annuity plan for your employees? 4 X Note: Attach a statement to explain how the organization determines that individuals or organizations receiving grants or loans from it in furtherance of its charitable programs " uali ' to receive pavments. Part IV Reason for Non -Private Foundation Status (See pages 3 through 6 of the instructions . ) The organization is not a private foundation because it is: (Please check only ONE applicable box. ) 5 A church , convention of churches , or association of churches. Section 170(b)( 1 )(Axi). 6 A school. Section 170(b)(1 )(A)(ii). (Also complete Part V.) 7 A hospital or a cooperative hospital service organization. Section 170(b)( 1 )(A)(iii). 8 A Federal, state , or local government or governmental unit. Section 170(b)( 1 )(A)(v). 9 A medical research organization operated in conjunction with a hospital. Section 170(b)( 1 )(A)(iii). Enter the hospital's name, city, and state . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)( 1 )(A)(iv). (Also complete the Support Schedule in Part IV-A.) 11a ® An organization that normally receives a substantial part of its support from a governmental unit or from the general public. Section 170(b)( 1 )(A)(vi). (Also complete the Support Schedule in Part IV-A. ) 11b 8A community trust. Section 170(b )( 1 )(A)(vi). (Also complete the Support Schedule in Part IV-A. ) 12 An organization that normally receives : (1 ) more than 33 1 /3% of its support from contributions , membership fees , and gross receipts from activities related to its charitable, etc. , functions-subject to certain exceptions , and (2) no more than 33 1 /3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30 , 1975. See section 509(a )(2). (Also complete the Support Schedule in Part IV-A. ) 13 An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations described in : (1 ) lines 5 through 12 above ; or (2) section 501 (c)(4 ), (5), or (6 ), if they meet the test of section 509(a)(2). (See section 509(a)(3) .) Provide the following information about the supported organizations . See page 5 of the instructions . (a) Name(s) of supported organization(s) (b) Line number from above 14 I I An organization organized and operated to test for public safety. Section 509(a) (4) (See page 6 of the instructions .) DAA Schedule A ( Form 990 or 990-EZ) 2001