form return of organization exempt from income tax...

20
OMB NO 751540 .17 Form 9,90 Return of Organization Exempt From Income Tax Under section 601(c), 627, a 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or pmate foundation) IN, The organization may twra to use a copy d this return to satisfy stale reporting requirements pen to Public osv .ronentd m . T .h I lnbmal Revenue Servrs A For the 2001 calendar y B Check d appiobls plewas uu IRS FlAdiftess change WWW E] Name change print w r -1 In I type Jr I in S" or tax 06/30 2002 T D Employer Identification number w 9w, IL56-1596170 07/01 , 2001, and P 0 BOX 2288 City or to,un. stads or country. and 7JP + 4 SOUTHERN PINES NC 28388 tions H and I am not appificabio to section 527 orgianizalicris K(a) Is this a group return for affiliates? Elyes [@No H(b) Ir Ayes,' enter numbw of affiludes ji~ H(c) Are all affiliat" included? oYesE]No (It'No"allach a list Seemstructions) Hid) Is this a sapande return filed by an JNO organization covered by a group niling? IR Yes I Enter "jitit GEN 11 8 5 4 5 a Section 601(cX3)mganbAtionsarbd4W7laXl)~emptcharftable trusts must attach a completed Schedule A (Form 990 or 990-EZ) G Web site No J Organiiiation type (chack mly one) 10. [R 501 (c) ( 3 ) 4 (hissit no ) F1 4947(a)(1) or E] 627 K Check here JaEld the org2wation a gross receipts we rictmelly net mors than $25= The organ"hon need not file a return with the IRS, but it the organization recerved a Form 990 package in the mail, it should file a return without financial data Some rules require a complete return M Check lis, L Gioss recenits. Add lines 6b . 8b 9b and 101, to line 690460 revenue (not including of a Glos rev' c( ritt ns reported on line 1a) ga to dir 'C LLss di ect expenses other than fundrausing expenses I gbj C-4 c Net income or (loss) from special events (subtract line gb from line 9a) C3 10a Gross sales of inventory, less returns and allowances i 0~ b Less cost of goods sold 116 I b C3 c Gross profit or poss) from sales of inventory (attach schedule) (subtract line 1 Ob from line 1 0a) 11 Other revenue (from Part VII, line 103) R 12 Total revenue (add lines 1d, 2. 3, 4. 5. 6c . 7. 8d, 9c, 10c, and 11) 13 Program services (from line 44, column (13)) 14 Management and general (from line 44, column (C)) in 15 Fundraising (from line 44, column (D)) x 16 Payments to affiliates (attach schedule) M1M4N%hQ^jr - .X~: ui -W 17 Total expenses (add lines 16 and 44, column (A)) W 18 Excess or (deficit) for the year (subtract line 17 from line 12) 19 Net assets or fund balances at beginning of year (from line 73, column (A)) 20 Other changes in net assets or fund balances (attach explanation) z 1 21 Net assets or fund balances at end of year (combine lines 18, 19, and 20) For paperwork Reduction Act Notice, see the Separate instructions ISA STf` FEDI~ I 9c: 815860 344523 1127776 1472299 Form 990 (20DI) 2001 . .a au nF .nal redurn FlAmended return ElApplication pending HABITAT FOR HUMANITY OF MOORE COUNTY, I Number end street (a PO bar d mad n nor delivered to street address) RooMwde 910-692-4173 F ~AeeeuMtnO memea LJC in Net Assets or 1 Contributions, gifts, grants, and similar amounts received a Direct public support 7a 690960 b Indirect public support tb c Government contributions (grants) 1c d Total (add lines 1a through 1c) (cash $ noncash $ ~eti~ "r 2 Program service revenue including government fees and contracts (from Part VII, line 93) 3 Membership dues and assessments 4 Interest on savings and temporary cash investments 5 Dividends and interest from securities 6a Gross rents 6a b Less rental expenses 6b c Net rental income or (loss) (subtract line 6b from line 6a) 7 Other investment income (describe t `w Ba Gross amount from sales of assets n Securdies e ) Other Pr than mvpnf~i, o Ba b L cost r aces expenses Bb c in aCh sche~le)J Bc d N ~ inOr lasMMES Ilne 6c, columns (A) and (B)) 9 S i I F (attach schedule) s not required to attach Instructions on

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Page 1: Form Return of Organization Exempt From Income Tax 2001990s.foundationcenter.org/990_pdf_archive/561/... · Form 9,90 Return of Organization Exempt From Income Tax Under section 601(c),

OMB NO 751540 .17

Form 9,90 Return of Organization Exempt From Income Tax Under section 601(c), 627, a 4947(a)(1) of the Internal Revenue Code (except black lung

benefit trust or pmate foundation) IN, The organization may twra to use a copy d this return to satisfy stale reporting requirements

pen to Public osv .ronentd m. T.h

I lnbmal Revenue Servrs

A For the 2001 calendar y

B Check d appiobls plewas uu IRS

FlAdiftess change WWW

E]Name change print w

r -1 In I type

Jr I in S"

or tax 06/30 2002

T D Employer Identification number w 9w, IL56-1596170

07/01 , 2001, and

P 0 BOX 2288 City or to,un. stads or country. and 7JP + 4 SOUTHERN PINES NC 28388 tions

H and I am not appificabio to section 527 orgianizalicris K(a) Is this a group return for affiliates? Elyes [@No

H(b) Ir Ayes,' enter numbw of affiludes ji~

H(c) Are all affiliat" included? oYesE]No (It'No"allach a list Seemstructions)

Hid) Is this a sapande return filed by an JNO organization covered by a group niling? IR Yes

I Enter "jitit GEN 11 8 5 4 5

a Section 601(cX3)mganbAtionsarbd4W7laXl)~emptcharftable trusts must attach a completed Schedule A (Form 990 or 990-EZ)

G Web site No

J Organiiiation type (chack mly one) 10. [R 501 (c) ( 3 ) 4 (hissit no ) F1 4947(a)(1) or E] 627

K Check here JaEld the org2wation a gross receipts we rictmelly net mors than $25= The organ"hon need not file a return with the IRS, but it the organization recerved a Form 990 package in the mail, it should file a return without financial data Some rules require a complete return

M Check lis, L Gioss recenits. Add lines 6b . 8b 9b and 101, to line

690460

revenue (not including of a Glos rev' c( ritt ns reported on line 1a) ga to dir 'C

LLss di ect expenses other than fundrausing expenses I gbj

C-4 c Net income or (loss) from special events (subtract line gb from line 9a)

C3 10a Gross sales of inventory, less returns and allowances i 0~ b Less cost of goods sold 116 I b

C3 c Gross profit or poss) from sales of inventory (attach schedule) (subtract line 1 Ob from line 1 0a) 11 Other revenue (from Part VII, line 103)

R 12 Total revenue (add lines 1d, 2. 3, 4. 5. 6c . 7. 8d, 9c, 10c, and 11) 13 Program services (from line 44, column (13)) 14 Management and general (from line 44, column (C)) in 15 Fundraising (from line 44, column (D))

x 16 Payments to affiliates (attach schedule) M1M4N%hQ^jr -.X~: ui

-W 17 Total expenses (add lines 16 and 44, column (A))

W 18 Excess or (deficit) for the year (subtract line 17 from line 12) 19 Net assets or fund balances at beginning of year (from line 73, column (A)) 20 Other changes in net assets or fund balances (attach explanation)

z 1 21 Net assets or fund balances at end of year (combine lines 18, 19, and 20) For paperwork Reduction Act Notice, see the Separate instructions ISA STf` FEDI~ I

9c:

815860 344523

1127776

1472299 Form 990 (20DI)

2001

. .a au

nF.nal redurn

FlAmended return

ElApplication pending

HABITAT FOR HUMANITY OF MOORE COUNTY, I Number end street (a PO bar d mad n nor delivered to street address) RooMwde

910-692-4173 F ~AeeeuMtnO memea LJC

in Net Assets or 1 Contributions, gifts, grants, and similar amounts received a Direct public support 7a 690960 b Indirect public support tb c Government contributions (grants) 1c d Total (add lines 1a through 1c) (cash $ noncash $ ~eti~ "r

2 Program service revenue including government fees and contracts (from Part VII, line 93) 3 Membership dues and assessments 4 Interest on savings and temporary cash investments 5 Dividends and interest from securities 6a Gross rents 6a b Less rental expenses 6b c Net rental income or (loss) (subtract line 6b from line 6a)

7 Other investment income (describe t `w Ba Gross amount from sales of assets n Securdies e) Other

Pr than mvpnf~i, o Ba b L cost r aces expenses Bb c in aCh sche~le)J Bc d N ~ inOr

lasMMES Ilne 6c, columns (A) and (B))

9 S i I F

(attach schedule)

s not required to attach

Instructions on

Page 2: Form Return of Organization Exempt From Income Tax 2001990s.foundationcenter.org/990_pdf_archive/561/... · Form 9,90 Return of Organization Exempt From Income Tax Under section 601(c),

z Forth 990

Statement of M apaneahm must Complete Column (A) Columns (B), (C), and (D) are required for section 501(c)(3) and (4) organizations and Functional Expenses sedw 4947Ia11+1 nonexempt ctiantable Mats but Optional for Own; (See specific Instrictions; on page 211

Do not include amounts reported on line (n) rwi (e) pFOgMm (c) Mwnag~i (D) Fundracng 66 . 86 . 96 . 10b. or 16 of Part I aernces and ye^n'+i

(cash S noncash3 ) 22 319592 319592 23 Specific assistance to individuals (attach schedule) 23 24 Benefits paid to or for members (attach schedule) 24 25 Compensation of officers, directors, etc 25 26 Other salaries and wages 26 14 5171 104586 27 Pension plan contributions 27 8200 5300 28 Other employee benefits 28 29029 22067 29 Payroll taxes 29 16803 13170 30 Professional fundraising fees 30 37 Accounting fees 31 7777 32 Legal fees 32 33 Supplies 33 7953 9188 34 Telephone 34 9969 2462 35 Postage and shipping 35 9292 36 Occupancy 36 11050 37 Equipment rental and maintenance 37 7029 7029 38 Printing and publications 38 2129 39 Travel 39 9559 935 40 Conferences, conventions, and meetings 40 41 Interest 41 11587 11293 42 Depreciation, depletion, etc (attach schedule) 42 8809 43 Other expenses not covered above (itemize) a M I S C 43a 54968 33143 b INSURANCE 43b 9517 8790 DISCOUNT ISSUED 43c 111728 111728

d STORE EXPENSES 431 29773 29773 e 43e

0 1

Joint Costs Check t [:] if you are following SOP 98-2 Are any point costs from a combined educational campaign and fundraising solicitation reported in (8) Program services " 0 Yes E] No If "Yes," enter (Q the aggregate amount of these point costs $ , (n) the amount allocated to Program services $ , (III) the amount allocated to Management and general $ , and (N) the amount allocated to Fundraising S Part III Statement of Prog ram Service Accomplishments See Specific Instructions on pa ge 24 What isiheorganization'sprimary exempt purpose? lo. TO BUILD HOMES FOR THE POOR PropnmsOrvm@ Allorgan¢ahonsmustdescnbetheuexemptpurposeachevementsmadearandconcisemannerSWtethenumberofclientsserved,pudications Expenses issued, etc Discuss achievements that are root measurable (Sectron 507(c)(3) and (4) organizations and 49q7(a)(1) nonexempt charitable trusts

(R,,.~ .a~X X~~ tM must also enter the amount of gents and allocations to others gmra me. ~

COST OF 6 -HOMES CONSTRUCTED FOR LOW INCOME QUALIFIED -APPLICANTS

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - -

195171 d

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

(Grants and allocations $ ) I 33143 e Other program services (attach schedule) (Grants and allocations $ ) 69917 f Total of Program Service Expenses (should equal line 44, column (B), Program services) " 679001

Fomn 990 (20011) STF FED7823F 2

44 Total functional expenses (add lines 22 through 43) Orpmedioiu Completing columns (e) - (D) eury ft.. rocda to In" 13 . fi 4d 7 8 98 6 01 674 0 01 I 111611 1 424 8

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -(Grants and allocations $ )

DISCOUNTS-ISSUED ON-6-20--YEAR-NO--INTEREST MORTGAGES_ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

c - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - -

319592

1728

Page 3: Form Return of Organization Exempt From Income Tax 2001990s.foundationcenter.org/990_pdf_archive/561/... · Form 9,90 Return of Organization Exempt From Income Tax Under section 601(c),

(B) End of year

578 61291

9376

1079690 553020

3000

(A) irg of year

137 45 73205 46

7232 47c

48c 49

50

979571 sic

48a Pledges receivable 48a b Less allowance far doubtful accounts 48b

49 Grants receivable 50 Recervables from officers, directors, trustees, and key employees

(attach schedule) 51a Other notes and ~ Ipa~ns r cervable (a~tt ch

m schedule) ~'tF~~4nt3~.A-t_ 51a 1079690 m b Less allowance for doubtful accounts 51b

52 Inventories for sale or use 53 Prepaid expenses and deferred charges 54 Investments - securities (attach schedule) ~ 0 Cost E] FMV SSa Investments-land, buildings , and

equipment basis SSa b Less accumulated depreciation (attach

schedule) SSb 56 Investments - other (attach schedule) 57a Land, buildings, and equipment basis 57a 70195 b Less accumulated depreciation (attach

schedule) 57b 17592 35153 57c 52603 58 Other assets (describe p, ) 58

59 Total assets (add lines 45 through 58) (must equal line 74) 1305166 59 1759 558 60 Accounts payable and accrued expenses 52167 60 73616 61 Grants payable 87 62 Deferred revenue 62

y 63 Loans from officers, directors, trustees, and key employees (attach - schedule) 63

64a Tax-exempt bond liabilities (attach schedule) 64a b Mortgages and other notes payable (attach schedule)~'pta'~P'~dr+~ 125223 84b 208693

65 Other liabilities (describe ti~ ) 65

66 Total liabilities (add lines 60 through 65) 177390 66 282259 Organizations that follow SFAS 117, check here p. 0 and complete

lines 67 through 69 and lines 73 and 74 67 Unrestricted 1092776 67 1972299 68 Temporarily restricted 35000 68

m 69 Permanently restricted 69 Organizations that do not follow SFAS 777, check here 1j. E] and

complete lines 70 through 74 0 70 Capital stock, trust principal, or current funds 70

71 Paid-in or capital surplus, or land, building, and equipment fund 71 d m 72 Retained earnings, endowment, accumulated income, or other funds 72

73 Total net assets or fund balances (add lines 67 through 69 OR lines 70 through 72, column (A) must equal line 19, column (B) must equal line 2l) 1127776 73 1972299

-1 74 Total liabilities and net assets/fund balances (add fines 66 and 73) ~ 1305166 174 1 1759558 Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a

particular organization How the public perceives an organization in such cases may be determined by the information presented on its return Therefore, please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments STF FED76IlF 3

Fam 990 (300 7)

.Part IV Balance Sheets (See SpeGfic Instructions on page 24 )

Note Where raquuad attached schedules and amounts wMun (he descnpGOn column should be /or end-of-year amounts only

45 Cash - non-interest-bearing 46 Savings and temporary cash investments

47a Accounts receivable ~47a~ 9376 b Less allowance for doubtful accounts 47b

Pegs 3

Page 4: Form Return of Organization Exempt From Income Tax 2001990s.foundationcenter.org/990_pdf_archive/561/... · Form 9,90 Return of Organization Exempt From Income Tax Under section 601(c),

4 Form 990 (2001)

Part N-A Reconciliation of Revenue per Audited Financial Statements with Revenue per Return (See Specific Instructions . oaae 26

Part IV-B Reconciliation of Expenses per Audited Financial Statements with Expenses per Return

S Add amounts on lines (7) through (4) op

60383 c Line a minus line b d Amounts included on line 17,

Form 990 but not on line a (t) Investment expenses

not included on line 6b, Form 990 S

(2) Other (specify)

c Line a minus line b d Amounts included on line 12,

Form 990 but not on line a (1)Investment expenses

not included on line 6b, Form 990 $

(2) Other (specify)

S d Add amounts on lines (1) and (2) p. d Add amounts on lines (7) and (2) p.

e Total revenue per line 12, Form 990 e Total expenses per line 17, Form 990 (line c plus line d) 10. e 1160383 (line c plus line d) " e 8158 60

Part V List of Officers, Directors, Trustees, and Key Employees (List each one even if not compensated, see Specific Instructions on oaae 26 )

(B) Tills end avenge hours per c) Compensation (0) CaM6Wws to (E) Expense

week devoted to position (M not paid wrpb~w bseN plan 6 occount end other enter -0-1 delmsdcmossabm allowances

- - - - - - - - - - - - - - - - - - - - - - - - - - -

SiF FED197.iF

a Total revenue, gains, and other support per audited financial statements t

b Amounts included on line a but not on line 12, Form 990

(1) Net unrealized gains on investments f

(2) Donated services and use of facilities $

(3) Recoveries of poor year grants $

(4) Other (specify)

S Add amounts on lines (7) through (4) fi~ L

a Total expenses and losses per 160383 audited financial statements

b Amounts included on line a but not on line 17, Form 990

(1) Donated services and use of facilities S

(2) Prior year adjustments reported on line 20, Form 990 $

(3)Losses reported on line 20, Form 990 $

(4) Other (specify)

(A) Name and address

SEE ATTACHMENT 1y:

- - - - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - - - -

75 Did any officer, director, trustee, or key employee receive aggregate compensation of more than $700,000 horn your organization and all related organizations, of which more than $10,000 was provided by the related organizations? ~ [] Yes FX] No

If'Yes,' attach schedule-see Specific Instructions on page 27

Form 990 (2007)

Page 5: Form Return of Organization Exempt From Income Tax 2001990s.foundationcenter.org/990_pdf_archive/561/... · Form 9,90 Return of Organization Exempt From Income Tax Under section 601(c),

and check whether it is Ej exempt ORE] nonexempt 81a Enter direct or indirect political expenditures See line 81 instructions 87a b Did the organization file Form 7120-POL for this years 87b X

82a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at substantially less than fair rental values 82a X

b If'Yes,' you may indicate the value of these items here Do not include this amount as revenue in Part I or as an expense in Part II (See instructions in Part III ) 82b 30000

83a Did the organization comply with the public inspection requirements for returns and exemption applications 83a X b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? 83b X

Boa Did the organization solicit any contributions or gifts that were not tax deductible? 84a X b If 'Yes,' did the organization include with every solicitation an express statement that such contributions or gifts

were not tax deductibles 84b N A BS 501(c)(4), (5), or (6) organizations a Were substantially all dues nondeductible by members 85a N A b Did the organization make only in-house lobbying expenditures of E2,000 or less BSb N A

If 'Yes' was answered to either 85a or BSb, do not complete 85c through B5h below unless the organization received a waiver for proxy tax owed for the prior year

c Dues, assessments, and similar amounts from members 85c N/A d Section 162(e) lobbying and political expenditures BSd N/A e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices Bye N/A f Taxable amount of lobbying and political expenditures (line BSd less 85e) 85i 0 g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f? 85 N A h It section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line BSf to

its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax years BSh N A

86 501(c)(7) orgs Enter a Initiation fees and capital contributions included on line 12 B6a N/A b Gross receipts, included on line 12, for public use of club facilities 86b N/A

87 501(c)(12) orgs Enter a Gross income from members or shareholders 87a N/A b Gross income from other sources (Do not net amounts due or paid to other

sources against amounts due or received from them ) 87b N/A 88 At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or

partnership, or an entity disregarded as separate from the organization under Regulations sections 301 7701-2 and 301 7701-3? If "Yes," complete Part IX 88 X

B9a 501(c)(3) organizations Enter Amount of tax imposed on the organization during the year under section 4911 1~ , section 4912 " , section 4955

b 501(c)(3) and 501(c)(4) orgs Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior years If 'Yes .' attach a statement explaining each transaction 89b X

c Enter Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 10. N/A

d Enter Amount of tax on line 89c, above, reimbursed by the organization 111~ N/A

90a List the states with which a copy of this return is filed ti, NORTH CAROLINA 5 b Number of employees employed in the pay period that includes March 12, 2001 (See instructions ) I 90bl

91 The books are in care of ji~ HABITAT FOR HUMANITY Telephone no ji~ 910-692-9173 Locatedatp~ SOUTHERN PINES, NC ZIP+q1. 28388

92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041 -Check here and enter the amount of tax-exempt interest received or accrued during the tax year " ~ 92

F~ 990 a001) STF FED7973F 5

F«m 990 (2001) Page 5 Part V) Other Information See Specific Instructions on page 27 Yes No 76 Did the organization engage m arty activity not previously reported to the IRS If Yes; attach a detailed description of each activity 76 X 77 Were any changes made in the organizing or governing documents but not reported to the IRS 77 X

If 'Yes,' attach a conformed copy of the changes 78a Did the organization have unrelated business grow income of $1,000 or more during the year covered by this return? 78a X

b If 'Yes,' has it filed a tax return on Form 990-T for this yeah 78b X 79 Was there a liquidation, dissolution, termination, or substantial contraction during the year? If 'Yes,' attach a statement 79 X BOa Is the organization related (other than by association with a statewide or natprmade organization) through common membership,

governing bodies, trustees, officers, etc , to any other exempt or nonexempt organization? 80a X

b If 'Yes,' enter the name of the organization tl~

Page 6: Form Return of Organization Exempt From Income Tax 2001990s.foundationcenter.org/990_pdf_archive/561/... · Form 9,90 Return of Organization Exempt From Income Tax Under section 601(c),

Page 6 Fog sso Part VII Analysis of Income-Producing Activities See Spec ific Instructions on e 32 Note . Enfergross amounts unless otherwise unrelateawsinessi ;m;,a Lw~w~six 513 «s14 [e)

Indicated Rotated «

(C) I (13) I exempllunqion n Ex u m code . u e 1~ ot ci s o a wm 93 Program service revenue e"s^°u'°d

GROSS SALES PRICE b STORE SALES c d e f Medicare/Medicaid payments g Fees and contracts from government agencies

94 Membership dues and assessments 95 Interest on savings and temporary cash investments 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 Qoss) from personal properly 99 Other investment income 100 Gain or (loss) from sales of assets other than inventory 701 Net income or (loss) from special events 102 Gross profit or (loss) from sales of inventory 103 Otherrevenue a MISCELLANEOUS

y DISCOUNT AMORTIZATION c d

104e Subtotal (add columns (B), (D), and (E)) 705 Total (add line 104, columns (B), (D), and (E)) Note Line 105 plus line fd . Part l. should equal the amount on line 12. Part I Part VIII Relationship of Activities to the Accomplishment of Exempt Purposes (See Specific 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

T of the organization's exempt purposes (other than by providing funds for such purposes) nn nnr~~rnv mrv r.+vnirnm nt,nr,i,rI rr inn nrirr n Mw1n cr." r r unuc+I m~ r nri rr.i~ni,.`c"

BY 1R AND FINAN

ana uisre araea manes (C)

of Nature of activities gyres!

Name, address ai oartnershio . or

income

Part X I Information Regarding Transfers Associated (a) Did the organization, during the year, receive any lands, directly or indin (b) Did the organization, during the year, pay premiums, duet Note. 11 "Yes" to (6), file Form 8870 and Form 4720 (see mslrt

Under penalties of par]ury I declare that l have emmine0 this velum ballet d is true, cAqecl and complete Declaration d praparcr (other I

170 E CONNECTI

STF FEQ16?JF 6

instructions on oaUe ;1J

Please iV.'~ Sign ,sa are°i Here ' ./.i .

Paid Preparer's'

Prepuer's s'° Finns name (a yours Use Only d se7~mployed)

address, and ZIP i 9

Page 7: Form Return of Organization Exempt From Income Tax 2001990s.foundationcenter.org/990_pdf_archive/561/... · Form 9,90 Return of Organization Exempt From Income Tax Under section 601(c),

Total number of others receiving over $50,000 for professional services For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Forth 990-EZ Schedule A (Form 990 w 896¢) toot sn S7F FED1855F 1

SCHEDULE A Organization Exempt Under Section 501(c)(3) OMB No 1545-0047 (form 990 or 990-EZ) (Except Private Foundation) and Section 601(e), 6010, 607(k),

601(n), a Section 49,117(a)(1) Nonexempt Charitable Trust

Di,~m.t of the Tr..q Supplementary Information -See separate instructions ) im~insii Rr.M~ since " MUST be completed by the above organizations and attached to they Forth 990 or 990-EZ Name of the organization Employer Identification number

HABITAT FOR HUMANITY OF MOORE COUNTY, INC 56-1596170 PaR I Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees

See page 1 of the instructions List each one If there are none, enter 'None ' ) (a) Name and address o1 each empbyee paid more (b) Tilb and average hours (it) ~~a~s m (e) Exyaina

than :50,000 per Meet devoted to pO511ro11 (c) COTpEn531~on empbyee Gme(R PV ~ 6 aCrnun~ end dhBf

admedcomnensanm allwrances

NONE

- - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - -

Total number of other employees paid over $50,000 11 1 6 Part II Compensation of the Five Highest Paid Independent

(See pane 2 of the instructions List each one (whether in

(a) Name and address of each independent contractor paid more than $50 000 1 (6) Typo of saints I (c) Compansalion

NONE

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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d Payment of compensation (or payment or reimbursement of expenses 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 'qualAy" to receive payments

Part IV Reason for Non-Pnvate 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 F-1 A church, convention of churches, or association of churches Section 170(b)(1)(A)(i) 6 ~ A school Section 170(b)(1)(q)(n) (Also complete Part V ) 7 ~ A hospital or a cooperative hospital service organization Section 170(b)(1)(A)(ui) 8 0 A Federal, state, or local government or governmental unit Section 170(b)(1)(A)(v) 9 0 A medical research organization operated in conjunction with a hospital Section 170(b)(1)(A)(ni) Enter the hospital's name,

city, and state pl~ 10 0 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 0 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 ~ A community trust Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A ) 12 F] An organization that normally receives (1) more than 33'h% 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'/,% 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 (7) 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 followin g information about the su pported organizations See page 5 of the instructions ) (a) Name(s) of supported organization(s) (b) Line number

from above

14 E] An organization organized and operated to test for public safety Section 509(a)(4) (See page 6 of the instructions ) Schedule A (Form 490 or 996EZ) 2001

STF FED1855F 2

Schedule A (Form 990 a 990-EZ) 2001 Page

Part 111 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 referendums If 'Yes,' enter the total expenses paid or incurred in connection with the lobbying activities Ill. $ (Must equal amounts on line 38, Part VI-A, or line i of Part VI-B ) 1 X

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 ads 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? (M the answer to any question is 'Yes,"attach a defected statement explaining the transactions )

a Sale, exchange, or leasing of property? ?a X

b Lending of money or other extension of credits 2b

2c X c Furnishing of goods, services, or facilities?

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Schedule A (Form 990 or %D-En ]001 Papa 3 Part IY,A Support Schedule (Complete only if you checked a box on line 10, 11, or 12 ) Use cash method o/accounting Note' You ma use the workshsel in the instructions for convertin from the accrual to the cash method of accountin Calendar ear or fiscal ear beginning In lll~ a 2000 b 1999 e 1998 d 7997 e Total 75 Gigs, grants, and contributions received (Do

not include unusual rants Seeline 28 591199 297897 271777 229981 1390399 16 Membership fees received 17 Gross receipts from admissions, merchandise

sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc , purpose

18 Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired b theorganization after June 30,1975 5923 5196 5568 9063 20250

79 Net income from unrelated business activities not included in line 18

20 Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf

21 The value of services or facilities furnished to the organization by a governmental unit without charge Do not include the value of services or facilities generally furnished to the public without charge

22 Other income Attach a schedule Do not include gainor(loss)from sale ofcapital assetsl 1693151 997501 382081 999681 351741

23 Total otlines t5throuah22 765932 397893 315553 283012 1762390 24 Line 23minus line l7 765932 397893 315553 283012 1762390 25 Enter 1% otline 23 7659 3978 3156 2830 26 Organizations described on lines 10 or 11 a Enter 2% of amount in column (e), line 24 fl~ 26a 35247

b Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental unit or publicly supported organization) whose total gifts for 1997 through 2000 exceeded the amount shown in line 26a Do not file this list with your return Enter the total of all these excess artrounls jo. 26b 207911

c Total support for section 509(a)(1) test Enter line 24 column (e) Ii. 26c 1762340 d Add Amounts from column (e) for lines 18 0250 19

22 351791 26y 207911 to, 26d 579902 e Public support (line 26c minus line 26d total) PP. 26e 1182938 t Public support percentage (line 26e (numerator) divided by line 26c (denominator) jo. 26f 67 .09 %

27 Organizations described on line 12 : a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person,' prepare a list for your records to show the name of, and total amounts received in each year from, each 'disqualified person ' Do not file this list with your return Enter the sum of such amounts for each year (2000) (1999) (1998) (1997)

b For any amount included in line 17 that was received from each person (other than 'disqualified person'), prepare a list for your records to show the name of, and amount received for each year, that was more than the larger of (7) the amount on line 25 for the year or (2) $5,000 (Include in the list organizations described in lines 5 through 11, as well as individuals ) Do not file this list with your return After computing the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year

(2000) (1999) (1998) (1997)

SW FED1B55F 3

c Add Amounts from column (e) for lines 15 16 17 20 21 1 27c

d Add Line 27a total and line 27b total 1o 27d e Public support (line 27c total minus line 27d total) lio 27e f Total support for section 509(a)(2) test Enter amount from line 23, column (e) 1. 27f g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) po 27 % h Investment income percentage (line 18, column (e) (numerator) divided 6y line 27f (denominator)) " 27h~ %

28 Unusual Grants* For an organization described in line 10, 11, or 12 that received any unusual grants during 1997 through 2000, prepare a list for your records to show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant Do not file this list with your return Do not include these grants in line 15

Schedule A (Form 990 or 99o-Q) 2001

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II you answered 'Ves'to any of the above, please explain (If you need more space, attach a separate statement )

SIF FED185,SF 4

Schedule A (Fwm 990 a 99aEZ) 2001 Peps 4

Part V. Private School Questionnaire (See page 7 of the instructions (To be completed ONLY by schools that checked the box on line 6 in Part IV)

No 29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter,

bylaws, other governing instrument, or in a resolution of its governing body 29 30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its

brochures, catalogues, and other written communications with the public dealing with student admissions, programs, and scholarships 30

31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of solicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy known to all parts of the general community it serves 31 If'Yes,' please describe, if'No,' please explain (If you need more space, attach a separate statement )

32 Does the organization maintain the following a Records indicating the racial composition of the student body, faculty, and administrative staff) b Records documenting that scholarships and other financial assistance are awarded on a racially

nondiscriminatory basis c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing

with student admissions, programs, and scholarships? d Copes of all material used by the organization or on its behalf to solicit contributions?

If you answered 'No'to any of the above, please explain (If you need more space, attach a separate statement )

33 Does the organization discriminate by race in any way with respect to

a Students' rights or privileges 33a

b Admissions policies

c Employment of faculty or administrative staff's

d Scholarships or other financial assistance

e Educational policies? 33e

I Use of facilities?

g Athletic programs

h Other extracurricular activities?

34a Does the organization receive any financial aid or assistance from a governmental agency 34a

b Has the organization's right to such aid ever been revoked or suspended If you answered 'Yes' to either 34a or b, please explain using an attached statement

35 Does the organization certify that it has complied with the applicable requirements of sections 4 0'= 4 OS of Rev Proc 75-50-1975-2 C B 587, covering regal nondiscrimination, If 'No,' attach an ex planaLOn 35 Schedule A (Form 990 or 990-EZ) 2007

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5 Schedule A (Form 990 a 990-EZ) 2001

c Charities (See page 9 of the instructions ) ization that filed Forth 5768) IVIA

Check " b n d you checked "a" and 'hmRed wnfror prwrssons Rio De compietea ONLY by an e

Check ji~ a F1 if the organization belongs to an affiliated

42

Caution If there is an amount on either line 43 orline 44, you must file Form 4720

Lobbying Expenditures During 4-Year Averaging Period

50 Grassroots Lobbying Activity by NOneleCUng Public Charities (For reporting only by organizations that did not complete Part VI-A) (See page 12 of the instructions ) NIA

During the year, did the organization attempt to influence national, state or local legislation, including any Yes No Amount attempt to influence public opinion on a legislative matter or referendum, through the use of

a Volunteers b Paid staff or management (Include compensation in expenses reported on lines c through h c Media advertisements d Mailings to members, legislators, or the public e Publications, or published or broadcast statements f Grants to other organizations for lobbying purposes g Direct contact with legislators, then staffs, government officials, or a legislative body h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means i Total lobbying expenditures (Add lines c through h )

If 'Yes" to any of the above, also attach a statement giving a detailed description of the lobbying activities Schedule A (Form 990 a 996EZ) 3007

SrF FED18S5F 5

Lobbying Expenditures

Limits on Lobbying Expenditures

(The term expenditures' means amounts paid or incurred )

36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 37 Total lobbying expenditures to influence a legislative body (direct lobbying) 38 Total lobbying expenditures (add lines 36 and 37) 39 Other exempt purpose expenditures 40 Total exempt purpose expenditures (add lines 38 and 39) 41 Lobbying nontaxable amount Enter the amount from the following table-

If the amount on line 40 is - The lobbying nontaxable amount is - Not over 5500,000 20% of the amount on line 40 Over $500,000 but not over $1,000,000 5100,000 plus 15% of the excess over $500,000 Over $1,000,000 but not over $1,500,000 31 75,ODD plus 70% of the excess over $1,000,000 Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000 Over $17,000,000 $1,000,000

42 Grassroots nontaxable amount (enter 25% of line 41) 43 Subtract line 42 from line 36 Enter -0- if line 42 is more than line 36 44 Subtract line 41 from line 38 Enter -0- if line 41 is more than line 38

39

(a) (b) Affiluled group To be plated

totals la ALL eleclmg

4-Year Averaging Period Under Section 501(h) / 2 (Some organizations that made a section 501(h) election do not have to complete all of the five columns below A (IA

the instructions for fines 45 through 50 on page 11 of the instructions )

Calendar year (or fiscal year beamr

45 Lobbvma nontaxable amount

46 Lobbying ceding amount (150% of fine

47 Total

48 Grassroots nontaxable amount

49 Grassroots ceiling amount (150% of line

(a) I (b) I (c) I Idl I let 2001 2000 1999 1998 Total

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Schedule A (Fam 990 a 990-Q) 2001 Papa s

PaR VII Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations (See page 12 of the instructions )

51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

a Transfers from the reporting organization to a noncharrtable exempt organization of e No (i) Cash (iQ Other assets

b Other transactions (i) Sales or exchanges of assets with a nanchantable exempt organization b(i) X (u) Purchases of assets from a nonchantable exempt organization b(ii) X (m) Rental of facilities, equipment, or other assets (iv) Reimbursement arrangements b(iv) X (v) Loans or loan guarantees b(v) X (vi) Performance of services or membership or fundraising solicitations b(vi) X Sharing of facilities, equipment. mailing lists, other assets, or paid employees If the answer to any of the above is *Yes,' complete the following schedule Column (b) should always show the fair market value of the goods, other assets, or services given by the reporting organization If the organization received less than fair market value in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received

52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527? ~ F] Yes E] No

Schedule A (Form 990 of 99o-Q) 7001 SW FEDIBSSF 6

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SCHEDULE OF CONTRIBUTIONS 1N EXCESS OF $5,000

$ 275,128

A4}pchin¢nt =

HABITAT FOR HUMANITY OF MOORS COUNTY, INC ElN 56-1596170

FORM 990, PART 1 - LINE Id YEAR 2001

57,031 55,000 38,000 19,045 15,000 13,000 10,000 10,000 10,000 10,000 10,000 9,052 9,000 5,000 5,000

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HABITAT FOR HUMANITY OF MOORS COUNTY, INC E[N 56-1596170

FORM 990, PART 1 - LINE 16 YEAR 2001

SCHEDULE OF PAYMENTS TO AFFILIATES

TITHE TO HABITAT FOR HUMANITY INTERNATIONAL AMERICUS, GA $ 26,000

THESE FUNDS ARE USED TO BUILD HOMES FOR THE LOW INCOME FAMILIES IN ZAMBIA NONE OF THESE FUNDS ARE RETAINED IN THE UNITED STATES FOR ADMINISTRATIVE PURPOSES

Page 15: Form Return of Organization Exempt From Income Tax 2001990s.foundationcenter.org/990_pdf_archive/561/... · Form 9,90 Return of Organization Exempt From Income Tax Under section 601(c),

4 MCINTOSH Mar-94 29,500 14,243 15,257 10,939 980 11,919 8,930 (2,989) 5 ASBILL May-91 30,000 14,475 15,525 10,803 822 11,625 13,410 1,785 6 REDDIC Aug-91 30,000 14,475 15,525 10,589 836 11,425 12,751 1,726 7 SMITH, D Mar-93 30,000 14,475 15,525 9,239 1,06 10,303 7,569 (2,734) 8 RAY, J Jul-93 27,700 13,432 14,268 8,577 1,130 9,707 11,125 1,418

10 COTTON, V Aug-93 30,500 14,822 15,678 8,975 962 9,937 16,837 6,900

11 DAILEY Oct-93 30,500 14,822 15,678 8,810 970 9,780 16,906 7,126 12 HARRINGTON Dec-93 30,500 1,822 15,678 8,945 977 9,922 16,992 7,070

13 KELLY, W Dec-93 27,000 13,027 13 973 7,634 955 8,589 14,459 5,870 11 BLUE May-94 35,000 16,906 18,09 9,380 1,137 10,517 21,088 10,571

15 WEST Jul-94 30,500 11,822 15,678 8,069 1,019 9,088 17,585 8,497 16 WILKINS Feb-95 32,500 15,718 16,752 7,913 1,09 9,007 20,816 11,809

17 CLARK Dec-94 32,500 15,748 16,752 8,100 1,086 9,186 20,36 11,160

18 CAMPBELL, G Jul-95 32,500 15,718 16,752 7,445 1,113 8,558 20,953 12,396

19 WILLIAMS, F Sep-95 32,500 15,748 16,752 6,648 1,120 7,768 21,917 14,179 20 MCKAYFIAN Nor-95 32,500 15,718 16,752 7,067 1,127 8,194 22,180 13,986 21 PARKER Nov-95 32,500 15,78 16,752 7,065 1,127 8,192 22,028 13,836

22 MCKINNON Sep-96 35,500 17,138 18,362 6,632 1,263 7,895 25,435 17,510

23 CAMPBELL, A May-96 32,500 15,78 16,752 6,493 1,148 7,641 22,263 14,622 21 WATKINS Jun-96 32,500 15,718 16,752 6,491 1,151 7,62 22,939 15,297

3

p1

HABITAT FOR HUMANITY OF MOORS COUNTY, [NC E[N 56-1596170

FORM 990, PART IV, LINE S l A JUNE 30,2001

6/30/2001 6/30/2001

DATE OF AMT OF PV OF DISCOUNT BEG ACCUM CURB YR END ACCUM GROSS UNAMORT MORTGAGE MORTGAGE MORTGAGE ISSUED AMORT AMORT AMORT BALANCE BALANCE

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DATE OF AMT OF PV OF

MORTGAGE MORTGAGE MORTGAGE 25 DISNEY May-96 37,500 18,06.1 26 BOYD Aug-96 32,500 15,718

27 BETHEA Oct-96 32,500 15,718

28 MOONEY Oct-96 32,500 15,78

29 COTTON, R Oct-96 32,500 15,78

30 BUTLER Oct-96 32,500 15,718

31 GOINS, V Oct-96 32,500 15,748

33 LAMHERT Oct-96 32,500 15,748

33 HARRIS Jul-97 32,500 15,726

35 JEF'FRIES Jun-97 3,000 16,19

36 SEALY, T Jul-97 32,500 15,726

37 EDMINSTEIN Nor-97 32,500 15,726 38 RAY, S Apr-98 32,500 15,726 39 PUGSLEY Apr-98 32,500 15,726

40 THOMPSON Apr-98 32,500 15,726

41 KELLY, D Jul-98 32,500 15,726

12 HATCFER Feb-99 32,500 15,726

43 LE Jul-98 37,500 18,067

44 KERSHAW Apr-99 35,000 16,882

45 LEDWARD Jun-99 35,000 16,882

46 WILLIAMS, 1 Jun-99 35,000 16,882

47 DICKERSON,1 Jun-99 35,000 16,882

48 BAKER Ocl-99 35,000 16,824

49 LILES Jun-99 40,000 19,310

50 JONES, D Apr-99 35,000 16,882

51 DOWDY Feb-00 31,850 16,705

52 BEAVERS Jul-99 35,000 16,821

DISCOUNT BEG ACCUM CURB YR END ACCUM GROSS UNAMORT

ISSUED AMORT AMORT AMORT BALANCE BALANCE

19,136 7,57 1,332 8,789 25,691 16,902

16,752 6,192 1,158 7,350 22,661 15,314

16,752 5,996 1,161 7,160 23,301 16,144

16,752 5,996 1,164 7,160 23,338 16,177

16,752 5,996 1,16 7,160 23,356 16,196

16,752 5,996 1,164 7,160 23,853 16,693

16,752 5,997 1,164 7,161 23,634 16,473

16,752 5,997 1,16 7,161 23,752 16,591

16,774 5,000 1,191 6,194 24,698 18,503

17,581 6,285 1,244 7,529 21,368 16,839

16,771 5,000 1,191 6,194 24,555 18,361

16,77; 4,591 1,19; 5,785 23,961 19,176

16,774 1,077 1,221 5,298 25,503 20,205

16,771 1,077 1,221 5,298 25,507 20,209 16,771 4,077 1,221 5,298 25,732 20,314 16,771 3,770 1,230 5,000 26,223 21,223

16,77.1 3,035 1,219 3,281 26,817 22,533

19,133 3,313 1,424 5,767 30,166 21,399

18,118 3,292 1,336 5,638 29,39 23,811

18,118 2,802 1,352 4,154 29,586 25,172

18,118 2,802 1,352 4,154 30,051 25,900

18,118 2,802 1,352 1,151 30,623 26,469

18,176 2,315 1,366 3,711 30,765 27,054

20,690 3,206 1,547 1,753 3,095 29,342

18,118 3,030 1,316 4,376 29,111 24,735

18,145 1,890 1,381 3,271 30,968 27,69

18,176 2,722 1,390 4,112 30,18 26,036 3 r t

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DATE OF AMT OF PV OF DISCOUNT BEG ACCUM CURB YR END ACCUM MORTGAGE MORTGAGE MORTGAGE ISSUED AMORT AMORT AMORT

53 BROWN Dec-99 40,000 19,244 20,756 2,19 1,569 3,988

54 EUSTON Dec-99 40,000 19,244 20,756 2,119 1,569 3,988

55 KEARNS Mad-00 35,000 16,821 18,176 1,531 1,385 2,919

56 MASON Jun-00 35,000 16,824 18,176 1,17 1,388 2,805 57 THOMAS Jun-00 35,000 16,824 18,176 1,317 1,388 2,805 58 PEDERSEN Aug-00 35,000 16,82; 18,176 1,187 1,392 2,579

59 SMITH, C Jun-00 32,000 15,326 16,671 1,322 1,296 2,618

60 WILSON Jun-00 35,000 16,82.1 18,176 1,117 1,388 2,805

61 WADDELL Jun-01 32,000 15,326 16,67; - 1,307 1,307

62 SWAIN Dec-00 35,000 16,821 18,176 712 1,403 2,115

63 MCK[NNEY Dec-00 .10,000 19,799 20,201 780 1,571 2,35 64 RHODES Dec-00 35,000 16,824 18,176 712 1,303 2,115 65 PATTERSON Dec-00 35,000 16,824 18,176 712 1,403 2,115 66 MARTIN Feb-0I 35,000 16,824 18,176 476 1,408 1,88 67 GUIN Jan-02 43,000 23,088 19,912 - 537 537

68 ('HOOCH Jun-01 37,000 18,314 18,686 - 1,480 1,480 69 MCRAE Jun-0I 37,000 18,314 18,686 - 1,480 1,480 70 HAMILTON Jun-01 40,000 19,799 20,201 - 1,591 1,591 71 DICKERSON, C Jun-01 37,000 18,311 18,686 - 1,180 1,480

72 DUNSTON Mad-02 39,000 21,021 17,976 - - -

73 ALLBROOKS Jun-01 37,000 18,314 18,686 - 1,480 1,480 74 MURPHY, K Nor-0I 39,000 21,024 17,976 - 732 732 75 WAGNER Dec-0I 39,000 21,021 17,976 - 732 732

76 JONES, S Dec-0I 39,000 21,024 17,976 - 611 611 77 THOMAS. M Feb-02 43,000 23,088 19,912 - 403 403

GROSS UNAMORT BALANCE BALANCE

35,176 31,188

35,353 31,365

31,496 28,577

31,788 28,983

31,557 28,752

31,777 29,198

29,00 26,.322

32,309 29,503

30,258 28,951

31,942 29,827

38,70 36,116

32,226 30,111

32,202 30,087

32,170 30,286

42,284 41,747

35,295 33,815

35,577 3,097

38,163 36,572

35,378 33,898

39,000 39,000

35,295 33,815

38,022 37,290

38,185 37,453

38,185 37,57;

42,284 31,881

2,172050 1,209,792 1,262,258 302,111 85,779 387,890 1,952,922 1,565,032

3 P 7 r

r

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BOARD OF DIRECTORS 2002/2003 Habitat for Humanity of Moore County, Inc

Mailing P 0 Box 2288, Southern Pines, NC 28388-2288 Office 175 West New Hampshire Avenue, Suite 1, Southern Pines, NC 28387 Tel 910-6924173, Fax 910-629-5979, email habitalmoorecoQpinehurst-i3et

OFFICERS Gregg Anderson Chet Schirmer

Peggy Raney, Chair The Pinchurst Company Consixibction Committee Chairman 275 Doral Drive 45 Red Fox Run 40 Quecas Court Pmehurst, NG 28374 Pinchurst, NC 28374 Pinehurst, NC 28374 H- 295A946 W. 235-8477 I-L 295-1898 bprane)ftmehurst net chetschirmerftirichurst-net

Wayne Blake Toni Lycrly, I' Vice Chair 6908 Hwy 705 David Troxel I Famdy Support Chairman Robbiris, NC 28374 PO Box 1606 325 Lakewood Drive K 948-4064 Southem Pines, NC 28388 Pirichurst, NC 28374 W 692-2715 H 692-9168 Carolyn Chavis Fax 695-2670 Family Selection Co-chairman Judy Van Steenberg t[yerlyC@,nc rr corn 1580 W. Pennsylvania Avenue 170 Frye Road

Southern Pines, NC 28387 Pinehursi., NC 28374 Patsy Bonsal, 2d Vice Chair H. 692-4869 H. 235-9035, Fund Development Chairman 6 10 Morganton Road Timothy P Dwyer Gary VonCaanon Southern Pines, NC 28387 2243 E Connecticut Avenue BB&T H. 692-7 189 Southern Pines, NC 28387 PO Box 1149 Fax 692-8203 H. 246-2421 PuiehuM NC 28370 bonsalppmehurst net W 215-2619

Charles Frock Fax 295:~ ~ Is Janet Lowry, Secretary First Health of the Carolinas 3 Vardon Place PO Box 3000 Rick Yo~mQ Pinchurst, NC 28374 Pinchurst, NC 28374 304 Pa--e ~-Ueet H 295-3883 W 215-1442 Aberdeen- NC 28315 W 695-1004 Fax 215-1462 H 944-0914 Fax 693-7925 cfrock(@_firsihe3lih org W 215-4-459 lane( lowTypni indspring net

Carol Revere Haney Bill Montgomery, Treasurer 113 PettLngdl Place STAFF 29 PLnewild Dnve Southern Pines, NC 28387 Pinchurst, NC 28374 H 692-6114 Elizabeth Cox, Executive Director H 235-0990 W 692-2504 150 Pebble Beach Place Monteeppmehurst net Southern Pines, NC 28387

Hal Hyde H. 695-0542, Fax 695-0504 DTRECTORS Church Relations Chairman W 692-4173, Fax 692-5979

132 Longleaf Road mikelizibefficoxftindspruig com Mark Adamson Southern Pines, NC 28387 141 Stubby Oaks Road I-L 692-65 10 Aberdeen, NC 28315 Fax 692-2504 SUPPORT

W 215-1719 hhydeta~pinehurst net Bob Fnesm (Attorney)

Ellen Airs Sue Kelly W 692-4900 Publicity Committee Chairman 67 Sandpiper Drive Fax 692-4286 63 Grey Abbey Drive Whispering Puies, NC 28327 PLneburst, NC 28374 Fl. 949-4661 Ruth Van Lchn, (Mortgage) H 235-0292 R 673-2492 croc ceppearLhiink net Lillian Schafer

805 Seven Lakes North Walt Schramm West End, NC 27376 Family Selection Co-chairman H. 673-1378 I-L 215-0788

Page 19: Form Return of Organization Exempt From Income Tax 2001990s.foundationcenter.org/990_pdf_archive/561/... · Form 9,90 Return of Organization Exempt From Income Tax Under section 601(c),

LESS CURRENT PORTION

l

HABITAT FOR HUMANITY OF MOORE COUNTY, INC EIN 56-1596170

FORM 990, PART I - LINE 64b YEAR 2001

MORTGAGES AND OTHER NOTES PAYABLE

NOTEPAYABLE-BANK NOTEPAYABLE-HHI-AARC NOTEPAYABLE-SHOP NOTEPAYABLE-SHOP

53,919 137,478 30,101 20,068

(32,923)

208,643

Page 20: Form Return of Organization Exempt From Income Tax 2001990s.foundationcenter.org/990_pdf_archive/561/... · Form 9,90 Return of Organization Exempt From Income Tax Under section 601(c),

" If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box P. M " If you are filing for an Additional (not automatic) 3-Month Extension . complete only Part 11 (on page 2 of this form) Note Do not complete Part H unless you have already been granted an automatic 3-manth extension on a previously riled Form 8868 . LEj!!jJ Automatic 3-Month Extension of Time - Only submit onginal (no copies needed) Note Form 990-T corporations requesting an automatic 6-month extension - check this box and complete Part I only El All other corporations (including Form 990-C filers) must use Form 7004 to request an extension of time to file income tax returns partnerships, REMICs and trusts must use Form 8736 to request an extension of time to file Form 1065. 1066, or 1041

Nam of Exempt Organization Employer identifica HABITAT FOR HUMANITY OF MOORE COUNTY, INC 156-1596170

Type or print File by the due date for filing your return See instructions

Number. street, and room or sijite no If a P 0 box, see instructions P 0 BOX 2288 City, tovim M pDst office, state, and ZIP code For a foreign address. see

SOUTHERN PINES NC 28388

Tilleb- CPA D.tell~ 11/13/2002 Form 8868 (12-2000) Act Notice, see

Form 8868 Ap&ation for Extension of Tim* File an (Decan,ber 20W) Exempt Organization Return OKM No 1545-1709 Di,%xanmerd of IM Treasury Iii, File a separate application fix each return Irtem,iil Ri,vtmue Simvice I

Check type of return to be filed (file a separate application for each return) nX Form 990 E] Form 990-T (corporation) E] Form 4720 F1 Form 990-BL E] Form 990-T (sec 401 (a) or 408(a) trust) Form 5227 n Form 990-EZ [:] Form 990-T (trust other than above) Form 6069 R Form 990-PF F] Form 1041-A E] Form 8870 " If the organization does not have an office or place of business in the United States . check this box mii~ LJ " If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) If this is for the whole group . check this box Iii E] if it is for part of the group, check this box ji, E]and attach a list with the names and EINs of all members the extension will cover

I I request an automatic 3-month (6-month . for 990-T corporation) extension of time until FEBRUARY 15 .20 .9-3-, to file the exempt organization return for the organization named above The extension is for the organization's return for ji~ F1 calendar year 20 - or ji. A tax year beginning JULY 1 -, 201-1- and ending JUNE 30 20 -L2-

2 If this tax year is for less than 12 months, check reason [J initial return E] Final return 0 Change in accounting period

3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits See instructions $

b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax payments made Include any prior year overpayment allowed as a credit $

c Balance Due Subtract line 3b from line 3a Include your payment with this form, or, if required, deposit with FTD coupon or. if required, by using EFTPS (Electronic Federal Tax Payment System) See instructions $

Signature and Verification Under periallin of perjury I declare that I have examined this form, including accompanying schedules and S121emenls and to the besl of my knoMedgill and belief, it is Ime correct . and complete, and that I am authorized to prepare this form

For Papemork