Form 990 - Return Of Organization Exempt From Income Tax - 2012 Page 37
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503
HABITAT FOR HUMANITY OF WESTCHESTER INC
13-3522732
Schedule G (Form 990 or 990-EZ) 2012
Page
11
Does the organization operate gaming activities with nonmembers? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
13
Indicate the percentage of gaming activity operated in:
a The organization's facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13a
%
b An outside facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
13b
14
Enter the name and address of the person who prepares the organization's gaming/special events books
and records:
Name
Address
15a Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
b If "Yes," enter the amount of gaming revenue received by the organization
$
0 and the
amount of gaming revenue retained by the third party
$
0 .
c If "Yes," enter name and address of the third party:
Name
Address
16
Gaming manager information:
Name
Gaming manager compensation
$
0
Description of services provided
Director/officer
Employee
Independent contractor
17
Mandatory distributions:
a Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations
or spent in the organization's own exempt activities during the tax year
$
0
Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, columns
Part IV
(iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to
provide any additional information (see instructions).
Schedule G (Form 990 or 990-EZ) 2012
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