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832005 12-31-18
<br />
<br />Yes No
<br />2
<br />3
<br />4
<br />5
<br />6
<br />7
<br />a
<br />b
<br />2a
<br />Note.
<br />2b
<br />3a
<br />3b
<br />4a
<br />5a
<br />5b
<br />5c
<br />6a
<br />6b
<br />7a
<br />7b
<br />7c
<br />7e
<br />7f
<br />7g
<br />7h
<br />8
<br />9a
<br />9b
<br />a
<br />b
<br />a
<br />b
<br />a
<br />b
<br />c
<br />a
<br />b
<br />Organizations that may receive deductible contributions under section 170(c).
<br />a
<br />b
<br />c
<br />d
<br />e
<br />f
<br />g
<br />h
<br />7d
<br />8
<br />9
<br />10
<br />11
<br />12
<br />13
<br />14
<br />15
<br />16
<br />Sponsoring organizations maintaining donor advised funds.
<br />Sponsoring organizations maintaining donor advised funds.
<br />a
<br />b
<br />Section 501(c)(7) organizations.
<br />a
<br />b
<br />10a
<br />10b
<br />Section 501(c)(12) organizations.
<br />a
<br />b
<br />11a
<br />11b
<br />a
<br />b
<br />Section 4947(a)(1) non-exempt charitable trusts. 12a
<br />12b
<br />Section 501(c)(29) qualified nonprofit health insurance issuers.
<br />Note.
<br />a
<br />b
<br />c
<br />a
<br />b
<br />13a
<br />13b
<br />13c
<br />14a
<br />14b
<br />15
<br />16
<br />(continued)
<br />e-file
<br />If "No" to line 3b, provide an explanation in Schedule O
<br />If "No," provide an explanation in Schedule O
<br />Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?
<br />Form (2018)
<br />Form 990 (2018)Page
<br />Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements,
<br />filed for the calendar year ending with or within the year covered by this return ~~~~~~~~~~
<br />If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
<br />If the sum of lines 1a and 2a is greater than 250, you may be required to (see instructions)
<br />~~~~~~~~~~
<br />~~~~~~~~~~~
<br />Did the organization have unrelated business gross income of $1,000 or more during the year?
<br />If "Yes," has it filed a Form 990-T for this year?
<br />~~~~~~~~~~~~~~
<br />~~~~~~~~~~~
<br />At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a
<br />financial account in a foreign country (such as a bank account, securities account, or other financial account)?~~~~~~~
<br />If "Yes," enter the name of the foreign country:
<br />See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
<br />Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?
<br />Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
<br />~~~~~~~~~~~~
<br />~~~~~~~~~
<br />If "Yes" to line 5a or 5b, did the organization file Form 8886-T?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
<br />Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit
<br />any contributions that were not tax deductible as charitable contributions?
<br />If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts
<br />were not tax deductible?
<br />~~~~~~~~~~~~~~~~~~~~~~~~
<br />~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
<br />If "Yes," did the organization notify the donor of the value of the goods or services provided?
<br />Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required
<br />to file Form 8282?
<br />~~~~~~~~~~~~~~~
<br />
<br />If "Yes," indicate the number of Forms 8282 filed during the year
<br />Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
<br />~~~~~~~~~~~~~~~~
<br />~~~~~~~
<br />~~~~~~~~~Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
<br />If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?
<br />If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?
<br />~
<br />Did a donor advised fund maintained by the
<br />sponsoring organization have excess business holdings at any time during the year?~~~~~~~~~~~~~~~~~~~
<br />Did the sponsoring organization make any taxable distributions under section 4966?
<br />Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?
<br />~~~~~~~~~~~~~~~~~~~
<br />~~~~~~~~~~~~~
<br />Enter:
<br />Initiation fees and capital contributions included on Part VIII, line 12
<br />Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
<br />~~~~~~~~~~~~~~~
<br />~~~~~~
<br />Enter:
<br />Gross income from members or shareholders
<br />Gross income from other sources (Do not net amounts due or paid to other sources against
<br />amounts due or received from them.)
<br />~~~~~~~~~~~~~~~~~~~~~~~~~~
<br />~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
<br />Is the organization filing Form 990 in lieu of Form 1041?
<br />If "Yes," enter the amount of tax-exempt interest received or accrued during the year
<br />Is the organization licensed to issue qualified health plans in more than one state?
<br /> See the instructions for additional information the organization must report on Schedule O.
<br />~~~~~~~~~~~~~~~~~~~~~
<br />Enter the amount of reserves the organization is required to maintain by the states in which the
<br />organization is licensed to issue qualified health plans
<br />Enter the amount of reserves on hand
<br />~~~~~~~~~~~~~~~~~~~~~~
<br />~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
<br />Did the organization receive any payments for indoor tanning services during the tax year?
<br />If "Yes," has it filed a Form 720 to report these payments?
<br />~~~~~~~~~~~~~~~~
<br />~~~~~~~~~~
<br />Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
<br />excess parachute payment(s) during the year?
<br />If "Yes," see instructions and file Form 4720, Schedule N.
<br />Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
<br />If "Yes," complete Form 4720, Schedule O.
<br />~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
<br />~~~~~~
<br />5
<br />Part V Statements Regarding Other IRS Filings and Tax Compliance
<br />990
<br />J
<br />X
<br />X
<br />X
<br />X
<br />X
<br />X
<br />X
<br />X
<br />X
<br />X
<br />X
<br />X
<br />X
<br />23
<br />NC, INC.58-1603427
<br />HABITAT FOR HUMANITY, ORANGE COUNTY
<br />X
<br />DocuSign Envelope ID: 0E2E518B-BEF7-4AF0-8D07-FCD05F094BD6
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