Form 990 - Return Of Organization Exempt From Income Tax

Annual Filing for Charitable Organizations

CHAR500

2 0 12

New York State Department of Law (Office of the Attorney General)

Form

Charities Bureau - Registration Section

120 Broadway

This form used for

Open to Public

Article 7-A, EPTL and dual filers

New York, NY 10271

(replaces forms CHAR 497,

Inspection

CHAR 010 and CHAR 006)

1. General Information

07/01

06/30/2013

a. For the fiscal year beginning

/ 2 0 1 2 and ending

(mm/dd/yyyy)

b. Check if applicable for NYS:

Name of organization

Fed. employer ID no. (EIN ) (##-#######)

Address change

13-3522732

Name change

NY State registration no. (##-##-##)

HABITAT FOR HUMANITY OF WESTCHESTER INC

04-82-07

Initial filing

Number and street (or P.O. box if mail not delivered to street address)

Room/suite

Telephone number

Final filing

524 MAIN STREET

(914) 636-8335

Amended filing

City or town, state or country and zip + 4

NY registration pending

NEW ROCHELLE, NY 10801

2. Certification - Two Signatures Required

We certify under penalties of perjury that we reviewed this report, including all attachments, and to the best of our knowledge and belief, they are

true, correct and complete in accordance with the laws of the State of New York applicable to this report.

JIM KILLORAN

EXEC DIR

Signature

Printed Name

Title

Date

WAYNE VOGEL

CFO

Signature

Printed Name

Title

Date

3. Annual Report Exemption Information

Article 7-A annual report exemption (Article 7-A registrants and dual registrants)

Check

if total contributions from NY State (including residents, foundations, corporations, government agencies, etc.) did not exceed

$25,000 and the organization did not engage a professional fund raiser (PFR) or fund raising counsel (FRC) to solicit

contributions during this fiscal year.

NOTE: An organization may claim this exemption if no PFR or FRC was used and either: 1) it received an allocation from a federated fund,

United Way or incorporated community appeal and contributions from other sources did not exceed $25,000 or 2) it received all or

substantially all of its contributions from one government agency to which it submitted an annual report similar to that required by Article 7-A.

EPTL annual report exemption (EPTL registrants and dual registrants)

Check

if gross receipts did not exceed $25,000 and assets (market value) did not exceed $25,000 at any time during this fiscal year.

For EPTL or Article-7A registrants claiming the annual report exemption under the one law under which they are registered and for dual registrants claiming the annual report

exemptions under both laws, simply complete part 1 (General Information), part 2 (Certification) and part 3 (Annual Report Exemption Information) above.

Do not submit a fee, do not complete the following schedules and do not submit any attachments to this form.

4. Article 7-A Schedules

If you did not check the Article 7-A annual report exemption above, complete the following for this fiscal year:

Did the organization use a professional fund raiser, fund raising counsel or commercial co-venturer for fund raising activity in NY State? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes*

* If "Yes", complete Schedule 4a.

Did the organization receive government contributions (grants)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes*

* If "Yes", complete Schedule 4b.

5. Fee Submitted: See last page for summary of fee requirements.

Indicate the filing fee(s) you are submitting along with this form:

Article 7-A filing fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Submit only one check or money order for the

250

EPTL filing fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

total fee, payable to "NYS Department of Law"

275

Total fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6. Attachments - For organizations that are not claiming annual report exemptions under both laws, see last page for required attachments

CHAR500 - 2012