Form 990 - Return Of Organization Exempt From Income Tax - 2012 Page 21

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Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Name of organization
Employer identification number
HABITAT FOR HUMANITY OF WESTCHESTER INC
13-3522732
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
(b)
(c)
(d)
No.
Name, address, and ZIP + 4
Total contributions
Type of contribution
19
WILLIAM D ANDERSON
Person
X
24 FAIRVIEW RD
Payroll
$
SCARSDALE
NY
10583
17,000
Noncash
Foreign State or Province:
(Complete Part II if there is
Foreign Country:
a noncash contribution.)
(a)
(b)
(c)
(d)
No.
Name, address, and ZIP + 4
Total contributions
Type of contribution
20
THE REFORMED CHURCH
Person
X
PO BOX 397
Payroll
$
BRONXVILLE
NY
10708
15,800
Noncash
Foreign State or Province:
(Complete Part II if there is
Foreign Country:
a noncash contribution.)
(a)
(b)
(c)
(d)
No.
Name, address, and ZIP + 4
Total contributions
Type of contribution
21
CISCO SYSTEMS
Person
X
170W TASMAN DR
Payroll
$
SAN JOSE
CA
95134
15,000
Noncash
Foreign State or Province:
(Complete Part II if there is
Foreign Country:
a noncash contribution.)
(a)
(b)
(c)
(d)
No.
Name, address, and ZIP + 4
Total contributions
Type of contribution
22
GOODWIN PROCTOR LLP
Person
X
620 8TH AVE FL25
Payroll
$
NEW YORK
NY
10018
15,000
Noncash
Foreign State or Province:
(Complete Part II if there is
Foreign Country:
a noncash contribution.)
(a)
(b)
(c)
(d)
No.
Name, address, and ZIP + 4
Total contributions
Type of contribution
23
BRUCE D MARTIN
Person
X
2 QUAKER HILL DR
Payroll
$
CROTON HDSN
NY
10520
15,000
Noncash
Foreign State or Province:
(Complete Part II if there is
Foreign Country:
a noncash contribution.)
(a)
(b)
(c)
(d)
No.
Name, address, and ZIP + 4
Total contributions
Type of contribution
24
STEVEN A & MARIANNE M MILLS
Person
X
16 PRESCOTT AVE
Payroll
$
BRONXVILLE
NY
10708
15,000
Noncash
Foreign State or Province:
(Complete Part II if there is
Foreign Country:
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

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