rm 990 (few January 2020) Return of Orgai Under section 502), 527, or 4947(a(t) ofthe Interal Revenue Goce (except private foundations) > Donot enter social security numbers on this form as it may be made public, Den tay fee ates ange Cons iene cane ite im ne Fos alanis Paes Tle Tamed tm 1.800 [Dtooteaton eno | ane and eter et pncl ote Worstscnoeimtestousat Cv BONNY HANSEN 210 N LAWLER ST, MITCHELL, SD 67301 Hie) are at evbordnees insides? ]vee[-] No 1 Tavenempt status: — DX] sonnel] sore _¢ 2 finsert 90.) -asenaysyor [| s27 No? attach alist (see instructions) Tas > WAN MITCHELLHABITATORE cp exengton ues Fem etoseazaty [X] Comeraen [_] xt | ]assoaston [-] omer Trewrotteman: 2091 [WSs ga donl Sp ‘Summary. fg | 1 Bray dese te organotins issn ernest aenirtacivios 8 2 Gheckihisbox » [ithe orgerizaon dsconinucd is oporaions or daposed of more ban 95% of spel asocts. 3. Numbar of voting members of the governing body (Part VI, ine 12) 3 2 ‘= | 4 Number ofinéependent voting members ofthe govering body (Part Vine te). 1 2 5 Total number of individuals employed in calendar year 2019 (Part V, line2a). . . . 2... 5. 2 3 | & iota number ot voters esimetetnecescay). vs sw ss ne es 6s a0 2 | 70 Total unelate business revenue fom Part Vil, column (G)jine 42.22 7a 0 'b_ Net unrelated business taxable income from Form 990-T,ine39. 7 o area Ed g| 8 Conirbutons and gran (Part Vil, ne 1h)... BETES] ‘Simo 2 | 9 Program service revenue (Part Vill, ine 29) rise 413} 80,203 g 10 Investment income (Part Vill, column (A), lines 3, 4, ‘and 70). tae 264) 405. 141 Other revenue {Part Vill, column (A), ines 5, 6d, 80, 96, 10c, and ite). we 6,815] O 12 __ Total revenue—add lines 8 through 11 (must equal Part VII column (A), treo 43,601] 411,809 13° Grants and similar amounts paid (Part IX, column (A), lines 1-3) . . 0} o 14 Benefits paid to or for members (Part IX, column (A), line 4) . ol 0 g | 18 Salaries, other compensation, employee benefits (Part IX, column (A) ines 5-10) . 14,781) 41,925, 3 | 16a Profesional tundrasing fees (Part, cokumn (A), Eno te) d o |b Total fundralsing expenses (Part, column (0), line 25)» : i I 5/47 other expenses (Part IX, column (A), nes t1a-t1d, 11-246)... ss > 18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line aoe 49 _ Revenue less expenses. Subtad tine 18 romfine 12. Ad ‘Beginning of Current Yoor_ u 20 Total assets (Part X, line 16) . 528,134] 33/21 Total fait (Part, no 25) otaeece 25,246] 33/22 _ Not assets or fund balances, Subvact ine 2 from tne 20 262,586 PANE Signature Block ‘Undorpenellas of peu, | dolore at have oxeaed is ral eiding Sooopanfigechedle and alana edhe baw oj Knownepe nde, tls on, covet, snd compte, Decaraon of pepe thc th fon ie Usad nal ieaan of hich prepara hae any sated Sian — a ee a ae = = Paid fearrck scaRion are | eT potzeure Preparer |r» CAFLONEMIUAR,PROE LUE. Tims eoaest a ero OK toe ATAAVE- MITCHELL, SOSTEOIOSS) [mom (60) S85 ‘May the IRS discuss this return with the preparer shown above? (see instructions) res []No Fa Papo ons hoa, sor Soro arto EeeFor ep0(2018) _ MITCHELL REGIONAL HABITAT FOR HUMANITY. 46-0459649___Page 2 [ATT Statement of Program Service Accomplishments Check if Schedule © contains a response or note to any li 1 _ Biefly desoibe the organization's mission 2 Did the organization undertake any significant program services during the oor afi were tT the prior Form 980 or S90-6Z7. : : i - +» Lyes EX] no If Yes," describe these new services on Schedule O. 3st crparzaton cate conducting, or mate sient changesin tow ecobets, rypropram services? Pee SHE Pee ieee tome ites," deserve these changes on Schedule 0. 4 Describe the organization's program service accomplishments for each of ts three largest program services, as measured by ‘expenses. Section 504(c)(3) and 601(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenua, if any, for each program service reported. ‘4a (Code: YEipensee ZATaB, inalading Grants ofS VRovenue 7 4b (Code: (Expenses § { Incuding grants of F ) (Revenue § % V(expenses § {including granis ofS ~) (Revenue § “4d__ Other program services (Describe on Schedule 0.) (Expenses § 0 including grants of $ 0) Revenue $ o) “Ze__Tota! program senios expenses > 38,036 Form 990 (2019)Fors 90018) _ MITCHELL REGIONAL HABITAT FOR HUMANITY ‘Checklist of Required Schedules 46-0458649 age 3 ‘1 Is the organization described in section 501(c)(3) or 4947(a)1) (other than a private foundation)? if Yes,” complete Sohedue A. 2 sthe organization requied to complete Schedule B, Schedule of Contrbulors eee insrucions)?. . . . » 3 Did the organization engage in crect or ndiect political campaign activities on behat af or in oppostion to candidates for public offce? if "Yes," complete Schedule C, Part. 4 Section 601(c)(9) organizations. Did the ganization engage in lobbying acs, or have & section 501(h) election in effect during the tax year? if "Yes," complete Schedule C, Parti. ©. ee 5 _Isthe organization a section 504(\(4), 604(c)(6), o 604K) organization that receives membership dues, assessments, or similar amounts as dafined in Revenue Procedure 96-197 /! "Vos, “complate Schedule C, Part Ii 6 Did the organization maintain any donor advised funds or eny similar funds or eecounts for which donors have the right to provide advice on the distibuion or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part! Did the organization receive o: hold a conservation easement, Including easements to preserve open space, the environment, histori land areas, er histrc structures? if"Yes, "complete Schedule D, Part ll... . . 8 Date organ rn cleans of wore fa Herel resis rer sina aesee "os" ‘complete Schedule D, Partill. .. . . « ce Did the orgenizstion report an emount in ParX, ne 21, for eserw or custoaal account bil, serve as @ custodn for amen et sed n Par of vide ced cousin, debt management, cel oa det negotiation services? if'Yes,"complete Schedule D, Pert IV... vv et te eee 10 Did the organization, direct or through a related organization, hold assets in donor-resticted endowments ‘or in quasi endowments? If "Yes,"complete Schedule D, Pert V 114 Ifthe organization's answer to any ofthe following question is "Yes," then complete Schedule D, Parts VI, Vil, Vil, &, or X a8 plicable, * Dis the orgarzatn report en aman friend blag, and enupmentn Par, ine 07 "es, *compee Schedule D, Part Vi. Did the organization report an amount fr investments—other secures in PartX, ne 12, thats 5% or more ‘ofits total assets reported in Part x, ine 162 if "Yes," complete Schedule D, ParVil. «wv ee ee € id the organization report en amount for investments—program related in Part X, ine 13, thal s 5% or more ofits total assets reported in Part X, line 167 if "es," complete Schedule D, Part VII, eS 4 Did the organization report an amount fr other assets in Pert X, line 15, that is 5% or more ofits total assets reported in Part X ine 182 if *Yes,"complato Schedule D, Part x... « ae © Did the organization report an amount for other abies in Part, ine 257 I "Yes, "complete Schedule D, PartX.. {Did the organizations separate or consolidated nancial statements for he tax year include afocnote that addresses the organization's abit for uncertain fax postons under FIN 48 (ASC: 740]? I "es," complete Schedule D, Part x ‘12a. Did the organization obtain separate, independent audited financial statements forthe tax year? IF*Yes, “complete Schedule D, Paris X! end XI Was the organization Incuced in consofdsted, independent audited financial statements forthe tax year? If*Vas,” {andi the orgenization answered ‘No"to line 12a, then completing Schedule, Parts XI and XIlis optional . 413 Is the organization a schoo! described in section 170(6)(1(A)\a)? If "Yes,"complete Schedule E “14a. is the organization maintain an ctfce, employees, or agents outside ofthe United States? : Di the organization have agaregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service acitles outside the United Sates, or aggregate foreign investments valued at $100,000 or more? If "Yes," complate Schedule F; Parts! and V. 18 Did the organization report on Pat DX, column (A) ine 3, more than $5,000 of grants or other assistance to or for any foreign organization? If "Yes," complete Schedule F, Parts andIV. . . . Spee eyee rece 46 Did the organization report on Pat X, column (A), ne 3, more than $5,000 of aggregate grants or other sistance to or for foreign Incviduals? I “Yes, “compete Schedule F; Parts il and IV. ‘17 id the organization report a total of more than $16,000 of exxenses for professional fundraising services: on Part IX, column (A), ines 6 and 11? if*¥es, “complete Schedule G, Pert (see instructions)... . 48 Did the organization report mora than $15,000 total of fundraising event gross income and contrbutions on PartVIl lines tc and 8a? if*¥es,"complete Schedule G, Patil... . . . » 49. Did the ocganization report more then $15,000 of gross income from gaming activites on Part Vil ine Ga? 1f"Yes,"complele Schedule G, Pert Il... . 20 Did the organization operate ane or more hospital facies? iF “Yes,"complete Schedule H. . bb If Ves" to Ine 20a, ci the organization altach a copy ofits aucited fnancial statements to this return? 24. Did the organization report more than $5,000 of grants or other assistance to any domestic crganization oF domestie government on Part IX, eclumn (A) ine 17 If "Yee," complote Schediulo |, Parts! end I Yes [We be 40 x tal x amb] | x ae} | x sal | x te] |x at] |x tral | x 42 x 13 x al [x sao|__ | x 45. x 18 x 7 x 48 x 19 x 20a] |x 20) 2 x Form 990 019)om 9902010) MITCHELL REGIONAL HABITAT FOR HUMANITY. 46.0455649 FEEHSM_“Checklist of Required Schedules (continued) 22 Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A) line 22 If "Yas," complete Schedule |, Paris | and it) ‘ 23 Did the organization answer "Yes" to Part Vil, Section A, tine 3, 4, oF § about compensation of the ‘organization's current and former officers, directors, trustees, Key employees, and highest compensated ‘employees? If "Ves, “complete Schedule J 24a Did the organization have a tax-exempt bond iesue wit en outstanding principal amount of more than {$100,000 as of the last day of the year, that was issued after December 31, 20027 If "Ves," answer lines 24b through 24d and complete Schedule K. f'No,"go toline 26... 2... ' Did tho organization invest any procoeds of tax-exemot bonds beyond a temparsry period exception? . Did the organization maintain an escrow account other than @ refunding escrow at any time during the year to defease any tax-exempt bonds? Did the organization act as an “on behalf of issuer for bonds outstanding at any time during the yeer?. . . . 26a Section 801(c)(3), 601(¢)(4), and 601(c)(29) organizations. Did the organization engage in an excess benefit ‘transaction with a disqualified person during the year? if "Yes," complele Schedule L, Part]. 'b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person In a prior year, nc that the transaction has not bean reported on any of the organization's prior Forms 980 oF 990-E2? if *Yes," complete Schedule l, Pati... 2. ee . 28 Did the organization report any amount on Part X, line 5 of 22, for receivables from or payables to any current or former oficer, director, trustee, key employes, creator or founder, substantial contributor, or 35% controlled entity of family member of any of these persons? if "Yes," complete Schedule L, Part 27 Did the organization provide a grantor ather assistance to any current or former officer, director, trustee, Key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee ‘member, oF toa 35% controled ently (Including an employee thereof or family member of any of these Yee] Ke 22 x 23 | x zea] | x 2s| | x. 2ac|__| x zag] |x. 25a|__ | x 25o|__| x persons? if*Yes,"complote Schoduio L, Partill. . . . . « fe z| |x 28 Was the organization apaty toa business transaction with one ofthe flloning paris (see Schedule L, i Part IV instructions, for applicable fing thresholds, concitions, and exceptions): ||") '@ Acurrent or former officer, cirecter, trustee, key employee, creator or founder, or substantial contributor? i ‘P¥es,* complete Schedule L, Part za) | x bb Afamily member of any indlvidval described in ine 264° IF "Yes, "complete Schedule L, Part IV. [zap] [x ‘© 35% controlled entity of one or more individuals andor organizations described in ines 28a or 2802 If ‘P¥es," comploto Schedule L, Part IV zee) | x 29 Did the organization zeelve mere than $25,000 n non-cash contibuions? if "es," camplete Schedule M. z| 1x ‘30. Did the orgerization receive controutions of st, historical treasures, or other similar assets, or qualified ‘conservation contibuions? if*¥es,*compete SoheduleM. oo we ee ao] |x 34d the organization iqudate, terminate, or dissolve and cease operations’ i as," complete Schedule N, Pert att 1x, 32 Did the organization eel, exchange, dispose of, or transfer more than 25% of is net esssts? 1" "Yes," complote Schedule N, Parl. we vv ve ee ev es : sz] |x 38 Did the organizaton own 100% ofan entty csregerded as sapaete ttm the organization under Regulations sections 301.7701-2 and 901.7701-37 I Yes,” complete Schedule R, Part 33 |x 34 Waste organization late to ary ta aremot or oat entiy? "es," complete Sched , Pat M,orl¥, and Part, tine t.. . . . Geer ate sete ee aE REE 34] _| x 36a,_Di the organization have a contrcled ently within the mesring of section 5120) 19)? sal [x 'b If "Yes" to ne 35a, cid the organization recelve any payment from or engage In any transaction with a controlled entity within the meaning of secon 612(b)(13)? if “Yes,” completo Schedule R, Part V, line 2... ssp] | x 36 Section 604(c)2) organizations Did the organization meke any transfers fo an exempt non cherable related crganization? If "Yes,” complete Schedule R, Part V, line 2 : se] | x 837i te organization conduct more than St of ts acuties through an enty that isnt a elated organization and thats treated as partnership for federal incame tax purposes? IFYos," complete Schedule R, Part VI. a7|_|x 38 Did the organization complete Schedule O and provide explanations In Schedule © for Part Vi ines ‘1b and +19? Note: All Form 990 flers are required to complete ScheduieO.. enor ss] x ‘Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V He Yer | No ia. Enter the number reported in Box 3 of Form 1098, Enter-0-ifnot applicable... . ta oft Enter the number of Forms W-2G included in ine 1a, Enter -O-ifnot applicable... . 4b ol Did ite ogerizaton com wth bacap wii ue fr eparabe payments to venus and reportable |_| gaming (gambling) winnings to prize winners? sn tel Tx Form 890 cre)2a ry 3a b 4a Pook & 16 2702010) MITCHELL REGIONAL HABITAT FOR HUMANITY. 46-0455649 5 TEZERA_Statements Regarding Other IRS Filings and Tax Compliance (continued) Enter the number of employees reported on Form W:3, Transmittal of Wage and Tax Stour oa enng when covey rou. LE] If atleast one is reported on tine 2a, dd the orgenlzation file all required federal employment tax returns? . a |x Notes ifthe sum of fines “1a and 2a is oreater than 250, you may be required to e-fle (see instructions) ] Did the organization have unrelated business gross income of $1,000 or more during the year?. zal 1x 1t*Yes;" has it fled a Form 990-T fortis year? If’No* fo tne 2b, provide an explanation on Schedule O -. [Be ‘Atay time during the calender year, did the orgenization have an interest in, or signature or olher authorily over, a financial account ina foreign country (such as a bank account, securities account, or other finencial count)? aa| |x If"Yes," enter the name of the foretan country > Td See instructions fr fling requirements fr FinCEN Fort 114, Report of Foreign ink and Financial Accounts (FRAR). Lx? | \Wes the organization a party fo prohibited tax shelter transaction at any time during the tx year? : gal |x, Did any taxeble party notity the organization thatt was or isa party toa prohibited tax ehelter transaction? . sb | 1x. Yes! to line 6a or Sb, cid the organization fle Form 8886-7? . we Sc Does the organization have annual gross recspts that are normally greater then $100,000, and id the ‘organization solicit any contibutions that were not iax deductible as charitable contibutions?.. ay ea] |x It"¥es," cid the organization inctude wth every solicitation an express statement that such contsibutions or its were not tax deductible? . eeepc eb Organizations that may recelve deductible contributions under section 170(¢) Dil the exganzaon rece a pyentin exces $75 made pay e cotibuon and pty fr grads eae tnd services provided to the payor? 7a if ¥es," oid the orgerizaton nelly the done ofthe value ofthe goods or services provided”. 7 Did the organization sel, exchange, or otherwise dispose of tangible personal propery for which itwas roquited to fle Form 82827... ee ee ee sess ieaLE set z| |x ifYes indicate the nunber of Fane 6282 fied dung treyeer.< e Lra Did the organization receive any funds, directly or indirectly, to pay premiums on e personal benefit contract? Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . I the orgarization rece'ved a contauton of quelled inflectul property, did the orgerizaton le Frm 8889 as required? IT the organization received a contoulion of cars, boas, alrplanes, or olher vehicles, did the organizalion fle a Form 1098-67 ‘Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?. ‘Sponsoring organizations maintaining donor advised funds. Did the sponsoring organization make any taxable distributions under section 4966? . Did the sponsoring organizetion make a distribution to a donor, donor advisor, or related person? . Section 501(¢)(7) organizations. Enter: Initiation fees and capital contributions included on Part Vil s+ + [Moa Gross recep, included on Form 990, Part Vil, ne 12, for public use of cub facies...” [Ob Section 601(c)(12) organizations. Enter: Gross income from members or shareholders 7 Ma : Grose income from other eources (Do nt net amounts due or pal to other sources ‘against amounts due or received from them.) 1b ‘Section 4947(a)1) non-exempt charltabe trusts Is the crgaizaton ‘Bing Form 990 in leu of Form 10477... [42a IT"Yes," enter the amount of tax-exempt interest received or accrued during the year. . 42b| Sectlon 801(¢)(29) qualified nonprofit health insurance issuers. Is the organization licensed to issue qualfied health plans in more than one stato?. . . . . . cee es [Hal Note: See the instructions for addtional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain by the states in which the organization is icensed to issue qualifed heath plans. ee ee es [1D Enter the amount ofreserves onhand. . . . Hse Did the organization receive any payments for Indoor tanning services during the tx year? |. 7. al 1X IF Yes." has it fled a Form 720 to repert these payments? IF'No,"provde an exolenation on Schedule... . . 4b 's tho organization eubject tothe section 4980 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year 1f"Ye," see instructions and fle Form 4720, Schedule N. Is the organization an educational institution subject to the section 4968 excise tax on net investment income? "Yes," complete Form 4720, Schedule 0. 16 x Ferm 880 010)Foam 9502018) MITCHELL REGIONAL HABITAT FOR HUMANITY. 46-0458549 page 6 jovernance, Management, and Disclosure For eat sponse fo nes jaw, ai response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions. Check if Schedule O contains @ response or note to any line in this PartVI. .. . . 7 ‘Section A. Governing Body and Management ‘41a Enter the number of voting members ofthe governing body at the end ofthe taxyear. . .. [4a If there are material cifferences in voting rights among members ofthe governing body, oF ifthe governing body delegated broed authority to an executive committee or similar : ‘committee, explain on Schedule O. : Enter the number of voting members included on line 1a, above, who are independent... . | 4b 22 2 Did any officer, dector, trustee, or key employee have a family relationship or a business relationship with any other officer, crector, trustee, or key employes?. se ee 3 Didihe organization delegate control over management duties customary performed by or under the dtect supervision of oficers, directors, trustees, or key employees fo a management company or other person? 4 Did the organization make any significant chenges io is governing documenis since the prior Form 990 was fled?. . . . ‘5 Did the organization become aware curing the year of a significant diversion ofthe organization's assets? . . . 6 1 Is [><| foe Did the organization have members or stockholders? fa Did the organization nave members, stockholders, or other persons who had the power to elect or appolnt fone or more members of he governing bedy?. we te te tee eee Ta ’b_ Are eny governance decisions ofthe organization reserved to (or subject to approval by) members, slockholders, or persons other than the governing body? . : |x 8 Did the organization contemporaneously document the meetings held orwiten actions undertaken during the year by the folowing: a Thegoveming body? ee b Each commitlee with authority to act on behalf of the governing body? 9 Is there any officer, director, trustee, or key employee listed in Part Vl, Section A, who cannot be reached at the organization's mailing address? If *Vos," provide the names and adoresses on Schedule O. 9 x Section B. Policies (This Section B requesis Information about policies not required by the Inlemal Revenue Code. [> Yes [ie 10a. Did the organization have local chapters, branches, orafiates?.. : foal | x 'b_if¥es," di the organization have wien poles and procedures governing te actives of such chapter affiates, and branches to ensure their operations are consistent with the organization's exemat purposes?.... . . | 40 ‘11a Hes the orgenizalion provided a complete copy o this Form 890 to all members ofits governing body before fing the fm? [11a 'b_ Describe in Schedule © the process, if any, used by the organization to review this Form 880. Eo] 12a Did the organization have a written confit of interest policy? If No,*gotoline 13... ww ‘taal x 'b Were ofcers, ciectrs or trustees, and Key employees reqied to disclose anrualy interests that could give rise to conficls? [4zbI x. © Bid in rgariaton regula and consistent maior and enfres compliance wi the poy? "es describe in Schedule O how this was done te x 4 Did the organization have a will whistleblower policy? ee ee 43 [x 44 Did the organization have a witten document retention and destuction poley?.. ss eset Hace tials 15 Did the process for determining compensation of te following persons Incude a review and approval by ee Independent persons, comparability Gata, and contemporaneous substantiation of the deliberation and decision? ‘a The organization's CEO, Executive Director, or top management oficial... ve ee = [alx b Other officers orkey employees ofthe organization... ve ee eevee eee . [as IF*¥es" to ine 18 or 18b, describe the provess in Schedule O (see instructions). 162 _Did the organkzaton invest in, contribute assets to, or participate in a jint venture or similar arrangement with a taxable entity during the year? . . . « ace ea) |X bb If "Yes" ci the organization folow a written pocy or procedure requting the orgaizaton to evelate ts parlation in jot vente arrangements under applcate federal axa, atk steps safeguard the organization's exempt status with respect to such arrangements? Ec ‘Section C. Disclosure 17 Uistthe slates with which a copy of his Form 9901s required tobe fied > 418 Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicabie), 880, and 880-7 (Section 601(6) (3)s only) available for publi Inspection, Indicate how you made these avallable. Chack all that apply. x] Own website ‘Another's website Upon request Other (explain on Schedule O) 419. Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflc of interest policy, ‘and financial statements availabe tothe public during the tax year. 20 State the name, address, and telephone number ofthe person whio possesses the organization's books and records ® 605.996.9088 BO BOX 1351, MITCHELL, SO 57304 Fem 990 076)For $80 (2019) MITCHELL REGIONAL HABITAT FOR HUMANITY 46-0458649. Pose 7 Ew 7 Compensation of Of ;, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule O contains a response or note to any line inthisPartVil. .. . . . . 1... Section A._Officers, Directors, Trustees, Key Employees, and Highest Compensated Employes “a Completo ts tbo forall persone roqued obo lted. Report compenetion forth elo year eng wh or wn tegen tx you. * Ustallof the organizations currant offers, decors, trustee (wheter nda or xgaizatons),rgardess of amount of compensation. Entr-0- leone (0), and (no compensation was pal '* List all of the organization's current key employees, if any. See instructions for definition of "key employee." * sth organizations ve currant highest conpensced employes (other han anoles, evo, ust, or key employee) iho reeled teserablecompenseton (Box of Form 2 andlor Box 7 of Form TOBS MISO) of more than 10000 rom he ‘renizaton and ary related organizations * stat ofthe organizations former ofeers, Key employes, and highest compensated employees who received mere than $100,000 of rpotatie compensalon fom ihe organcalon and ey reat ogarasions '* List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the ergarization, more than $10,000 of eporabe compensation fom the openizetion end any ilted organizations, Soo nctucon for tho odor in wien othe parsons above checks bxit nether the organization nr any elated organization compenseld any curen ofcer, drt o ust, © ra ” | eemiatiiwsonme | 7 2 8 vena bee | SMe ESS | none | rose | extra ans Weve, | Sterngagisatusen | cmppercton | cameron |"""doney™ ‘cea (85) 8) 8] S184] | omen, | ermanim, | “Torne Sere 2) S1ee| f| cwateseunt | ofzovettce | aqua ae ie ghel* Sloper erosions | afa Se a| |i itil 8 i Ti, DEREASHS EXEE DIRECTOR x|_|x 9905 “2 EXEGUTIVE DIRECTOR x so “@)__ BONNY HANSON PRESIDENT x| |x “a Vice PRESIDENT x| |x (6). MIKEASMUS. SECRETARY x| |x 10). "TREASURER x |x “(DOUG FUERST DIRECTOR x “@), ‘DiRECTOR x (@), sAKETIEDE. BIRESTOR x Mt DIRECTOR x “(1 PATRICK SOUKUE DIRECTOR x ‘DIRECTOR: x Ca), DANIO DIRECTOR x « DIRECTOR x Fem 980 e010)Fon 990 (2019) MITCHELL REGIONAL HABITAT FOR HUMANITY 48-0458649 __ page 8 GREAT Sesion A. ricore, Droste, rusts, Key Emly oo, and Wghel Competed Employees (onan a ee “ 2 | womiettinmam| ® 2 vant rele [Serene | aie | allan | stmt | wot [eealeeintsl| Some, | Sore, | ae coe Serer oe | reais | ee wer gle] sag eee, | ones, | Che wee AR ELE| ET ETEE|E oS oct | ret ae, EE] Sait. wen |e ediiin | BG) J°) FI q| io Sao. Toe oo a z Tot om condouaton shuts o Pan Vil SocfonA a a a d_Total (add lines 4band 1c)... pists 40,205] O 0 Teal manber ef nid B misc To ase od ai) whoeccied Tan 1) 00 tepals conpereaon fem he onniafon 3 Did the organization list any former officer, director, trustee, key employee, or highest compensated erolajen ont tI es coll Schad och 4 Foreny tl ted on tree um reotateconpenaton sd ote conpenslen fom the organization and related organizations greater than $150,000? if “Yes," complete Schedule J for such fads gece eee erect ere eee zx 5 Didar sen ited nine 1a reek o xa emponsaon om any ure orareten cn ; cx for services rendered tothe organization? If "Yes," complete Schedule ¥ for such person ‘Section B. independent Contractors, 1 ‘Complete ths table for your five highest compensated independent contractors that received more than $100,000 of a @ Name and business adéass esorton ef sanicos ‘compensation from the ofaanizalion, Report compensation forthe calendar year ending with or within the organization's tax year, © Compensation 2 "Total numberof independant contractors (indluding but not limited to those listed above) who received ‘more than $100,000 of compensation from the organization _» 0 Form 890 czote)Fom sea (co1s) __ MITCHELL REGIONAL HABITAT FOR HUMANITY 46-0458649__ rage 9 EEEMMIN Statement of Revenue Check if Schedule O contains a response or note to any line inthis Part Il Oo wr a ©, o ‘eiateverse |Rebtedsrexemat| Unettes | even exlated Tencson reverse | sushossevenwe | om ex ger gg] 1 Faderatedcampsine. .-.. - 7 a a BE] b Membership dues. 1b 0 © 8) c Fundraisingevents. . . . . te amit ; #4! d_ Related organizations. 4d | - © 8) © Goverment grants (contibutions). .. [te 3573] " 25] ¢ lrothercontibutions, ats, grants, and 3 similar amounts not incuded above at zast7| 28) 9 Noncesh contributions included in Be)” ines ta-if : ‘a ol Sly Total Addiines 12-1f : > 1 g | 20 za] ° Bz Bel & | ‘Allother program sevice revenue. - * |g Total. addiines 22-2 eae 3 Investment Income (etuaing dividends, interest, and other simiar amounts)... . . « > 4 Income from investment of taxcexempt bond proceeds... 5 Royalties... . > ‘Drea [- wrest 6a Gross rents... 6a 'b Less: rental expenses. . [6b . + © Rental income or (oss) [Be a a) 4d Net rental income or (loss) 2 eS a Ta Gross emount tom WSeexiiss [over sales of assots c : ctherthen inventory. . | 7a 0 d § |b Less: cost or other basis 5 ‘and sales expenses, To ol d Bet cane a gepeeres : lis ‘5 | d Netgain or(loss). . . > a & | 8a. Gross income from fundraising yi 6 events (notinckiding$ Sift + _ of contributions reported & « , : S02 Parl lino 18. 8a 0 = b Less: direct expenses 8b a € Netincome or (oss) fom fundraising events. > a 8 Gres income fom gang aati = SeePartline1. 0... ++. [98 ees b Less: direct expenses... « 3b € Netincome or (ss) from gaming activ a 10a Groes gales of inventory, less fetus and sllowances 40a dl f Lass: cost of goods sald. 708) ol © Netinoome of (oss) from sales of inventory. al ; a Binee Gade : Bs | e Ql ri Bel a : dl 3 |e ‘Total. Add tines ttattd > ofan Psa Fe | 72 “Total revenue. See nsirucions etree nl reece cece 2 Fon 980 (2oi9)0 a MITCHELL REGIONAL HABITAT FOR HUMANITY 48.0458649 Fags 10 BESTE _Statement of Functional Expenses ‘Section 507(@)(2) and 6014) organizations must complete all columns. All other organizations must complete colurnn (A). Check if Schedule O contains a response or note to any ling in this Part IX... ‘Do not include amounts reported on lines 6b, 7b, eae eee ae ae 8b, 90, an f0b of Part Vl ne reptitmes | ommend | rnety 7 Gras and ee assstancs odo waaizatons a domestic governments. See Part lV, line 21 = | : 2. Ghanian ote assistance we domests incMiuals SeePart\inez2- A 3. Grants and other assistance to foreign ‘organizations, foreign governments, and foreign individuals. See Part IV lines 15 and 16 ey ol - I} 4 Benefits paid to or for members . Z : | Pee a 1 5 Compensation of current officers, directors, trustoos, and key employees... eee o | 6 Compensation notincluded above to sisqualiied persons (as defined under section 4958()(1)) and persons deserved in section 4958(6)(3)8) 7 Other salaries and wages 8 Pension pian eccrvals and contibutions include secten 401) and 09) empoyr conte). ol 2 Other employee benefits. ol 10 Payroll taxes . : 7.9251 | 35) 11 Fees for services tronertoen ‘a Management z 17,897} 2,048] 3,940 b Legal eee : : | © Accounting... Baia ce 7.256 | 7255) d Lobbying. ee | ‘© Professional fundraising sorvices. Soo Part ine 17 | f Investment management fees... . . i | 9 Otho (fine tg amount axceods 10% offre 25, column greta eee Me cece o| 9) 12 Advertising and promotion... . uate 63] 7538 io) 13 Offceexpenses. . . . a 4.934 4324] or 16 efrmatonwebotogy. « « « 952 352 15 Royalties et | 16 Occupancy . 4 Zar1| 320 795) ie cemiavel ieee ee ees eerie 343] 343) 48 Payments of travel or entertainment expenses for any federal, state, or local public officals... o| 19 Conferences, conventions, and meetings... . . 7.3231 7333 2 Interest... 2... 2... Seto | 21 Payments to afflates. . cee 1634 7.534| 22 Depreciation, depletion, and amortization ‘ 523) 339] Ea a 23 Insurance... ae 2.454] 1227 4227 | 24 Other expanses. llomize expenses not covered above (List miscellaneous expenses on line 24e. If line 24e amount exceeds 10% of ine 25, column 7 {A) amount, ist line 24e exsenses on Schedule 0.) ‘ a 20,860) 20,860) b ad 385] e 7.938) 364] 7.634] a 303) 303] e ol 25 Total functional expenses, Add lines 4 through S46. 62,123] 38,085) 23,480) 07 26 Joint costs. Complete this line only ifthe organization reported in column (a) jot costs froma combines educatonal campaign ond funcaling sotetation, Check nero [| folowing SOP 86:2 (ASC 850720). Fem 980 2510)F Form 9902018) MITCHELL REGIONAL HABITAT FOR HUMANITY 1458649 ca EEMEM Balance Sheet (Check if Schedule O contains a response or note to any tine inthis Part X O @ @ Beginning of year End of year 1 Cash—nonvinterestbearing. . ss Tove 99,447] 4 6a76 2 Savings and temporary cash investments . of 2 3. Pledges and grants recolvable, net... ee ee : ols 2 4 Accounts recoivable,nat. eee ola 0 5 Loans and other recelvabies from any current o: former offesr, actor, En trustee, key employee, creator or founder, substantial contributor, oF 35% | |_* = controlled entity or family member of any ofthese persons . 6 Loans andother receivables from olher disqualiled persons (es defined | Teal socal ner socten 4560) and perce dsebdineecton 458(3)) ol 6 8] 7 Notes and loans receivable, net. W620) 7 S540 $| 8 Inventories orseleoruse. ... . . eee ol 8 | 3 Prepaid expenses and deferred charges. eae eae OnE] ‘10a Land, bullaings, ane equipment. cost or : ‘other basis. Complete Part VI of Schedule | 40a z218| - Less: accumulated depreciation... [0b 6.174] 2567 106 2048 Investmonts—publiely traded securities eee ol ° Investments—other secures. Seo Part V,lne 11... ss. ss 0) 12 0 Investments—programalated. See Part, ie 11. ‘0 13 0 Intangible assets... Saeco eee ‘| 14 0 Other assets, See Part inet... ew of 45 0 ‘Total assets. Add nes 1 through 15 (must eqval line 33) 228,134] 16 228,560 "Accounts payable and accrued expenses : : O47 3,188 Grantspayables eee ee eee : ol 48 Deferred revenue. ol 49 “Tex-exempt bond labities of 20 Escrow or custodial account Habtly, Complete Part IV of Schedule D 7648] 21 35200, LLoane and other payables o any current or former officer, rector, Saha trustee, key employee, creator or founder, substantial contributor, or 35% é contreled ently or family member of any of these persons ol 22 Secured mortgages and notes payable to unrated third patios... 57,800) 23, 2 Unsecured notes and loans payable to unrelated third partes... ol 28 o Other Fables (including federal income tax, payables to related thicd partes, and other liablities not included on lines 17-24), Complete PantXofSohedueD. ow ee ee o| 25 0 25 Total liabilities. Add lines 17 through 25 5248) 26 3.588 3] Organizations that folow FASB ASC 966, check here > 2] and complete lines 27, 28, 32, and 33. (ia [27 Netessets without donorresticions. © 462,886| 27 70,172, B25 Netassets with donor estictions. . : ol 28 Z|” organizations that do not follow FASB ASC 988, check here > [| ©] and complete lines 28 through 33. [vist 320 capital stock or rust principal or curentfunds. . 2. ‘| 28 B]30 Paidsin or capital surplus, or land, bulking, or equipment fund ol 30 831 Retained earings, endowment, accumulated income, or oer funds. . of st B]32 Totalnetassets orfund balances... wv ve ee ee -462,686| 32 e017 2133 ‘Total cilities and net assets/fund balances 528,134) 33 628,560 Fom 990 ora)om ovo@013)_ MITCHELL REGIONAL HABITAT FOR HUMANITY, 46-0458649_Poge 12 Reconciliation of Net Assets. Check if Schedule O contains a response or note to any line inthisPartXl. . . 2... cet 7 Total revenue (must equal Part Vil, column (A), line 2) 4 711,908 2 Total expenses (must equal Pat IX, eolum (A, tine 25) 2 62.123 3 Revenue less expenses, Subtracting 2 ftom line 1, Reet al. 49,666, 4 Net assets or fund balances at beglaing of year (must ecual Pert X. ine 82, column na) 4 762.886 5 Net unreatized gains (losses) on investments . eee 5 8 Donated services and use of facies. eee eee ey Reese ee Te lnvesimantewmeness tect eters ere eaiteceiits z 8 Prior period adjustments an See: ‘57600, 8 Other changes innet assets or fund balancas (xplan on Schedule O) ® 10 Netassiorndbaarces at nd of yee. Combine ines 3 trough 9 Cust equal PaitX, ine 32, column)... ‘i _.. bo 570,172 Financial Statements and Reporting Check if Schedule O contains a response or note to any line inthis PartXi!. . 2... ws ae Yer | we 4. Accounting method used to prepare the Form sea: [XJ cash [CJ Acouat [J omer Ifthe organization changed its method of accounting from a prior year or checked "Other." explain in 7 Schedule 0. 1 opi 2a Were the organization's financial statements compiled or reviewed by an independent accountent?.. . . zal |x lt"Yes," check a box below to indicate whether the financial statements forthe year were complied or reviewed on a separate bas's, consolidated basis, or both: Separate basis Consolidated basis Both consolidated and separate basis 1b Were the organization's financial statements audited by an independent accountent?.. . . IF Ves," check a box below fo inaicate whether the fancal statements forthe year were aucted on a separate basis, consolidated basis, or both: Li separate basis [] Consolidated basis [] Both consolidated and separate basis, If "Yas" to line 2a or 2b, does the organization have a committee that assumes responsibilty for oversight of the aut, review, or completion of fnancial statements and selection of an independent accountant? . . Ifthe organization changed ether its oversight process or selection process during the tax year, explain on. Schedule 0. 3a As aresuitof a federal award, was the organization requited to undergo an aul or audits 2s set forth in ‘the Single Audit Act and OMB CitcularA1397, vs ‘b Yes" ci the organization undergo the requtted audit or audits? ithe orgenizaion didnot undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits 2c 3a x 3b ‘Fem 990 075)SCHEDULE A (Form 980 oF 990-£2) Public Charity Status and Public Support we Cometh oreton selon (2) rp ora sen AMT mg cae os Attach to Form $80 or Form 980-27 Open to Public > Go to wnt. govForms90 for Instructions and th latest information. ier ‘Namo oft organization Employer Wonton nmbor MITCHELL REGIONAL HABITAT FOR HUMANITY 46-0458640 Reason for Public Charity Status (All organizations must complete this part) See instructions. “The ofgafization [snot a private foundation because itis (For lines 1 through 12, oneck only one box) + L]Achuren, convention of churches, or association of churches desorbed in section 470(b)(1)(A)). 2 [J Aschool described in section 170(b)(1MA)I. (Attach Schedule E(Fo1m £80 or 990-£2)) 3 [J Anospitel or a cooperative hospital service organization described in section 170(b)(1)(AKIti). 4 [-]Amesical research organization operated in conjunction with a hospital described in section 170{b)(1}A)(i). Enter the hoepitals name, city, and stat: 5 [Jan organization operated for the benefit of a college or university owned or operated by @ governmental unit described in section 170(b)s)(A)v). (Complete Pet IL) 6 LIA tederal, state, or local government or governmental unit described in section 470(b\ (AN). 7 [i] An organization that normally receives a substantial pat ofits suppor from a governmental unit or from the general publ described in section 170(b)(1)(A)v) (Complete Part I) 8 [J Acommunity trust described in sestion 170(6)(1)(A}v). (Complete Part) 9. ([] An agricultural research organization described in section 170(b)(1)(A)(tx) operated in conjunction with a land-grant college: ‘or university or a nonland-grant college of agriculture (see instructions). Enter the name, city, and state ofthe college or University: 10. [] An organization that normaly receives: (1) more than 38 1% of ts support from contributions, membership fees, and gross is from activites related to Its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of is ‘support from gross investment income and unrelated business taxeble income (less socton 611 tax) ftom businesses ‘acquired by the organization after lune 30, 1975, See section 608(a)(2}. (Complete Part Il) +4. LJ Anorganizaton organized and operated exclusively to test for public safety. See section 609(a(4). 12, [1] Anoiganizaton organized and operated excusivel forthe beneft of, to pertorm the functions cf, oo carryout the purposes ‘of one of mare publicly supported organizations described in section 508(a)() or section 509(a)(2), See section 509(a)(3). Check the box in lines 2a through 12¢ that describes the type of supporting organization and compiote lines 12e, 12, and 129. a [1] ype. Acupporting organization operated, supervised, or controlled by its supported organlzation(e), typically by aiving the supported organizations) the power to regulary appoint or elect a majority of the direcors or tustoes of the supporting ‘organization. You must complete PartV, Sections A and B. » Lil typett-A supporting erse’zaton supon/sed or eantallod in connection with supported organization(s), by having control or management ofthe supporting organization vested inthe same persons that control or manage the supported orgarization(s). You must complete PartV, Sections A and C, ¢ []Woett tunctionally integrated, A suppeting organization operated in connection wit, and funcional Integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E. [7] Type ti nonsunctionatly integrated. A supporting organization operated in connection with ts supported organization(s) that isnot functional integrated. The orgenization generally must saisfy a dlstrbution requirement and an etteniveness Tequirement (see instructions). You must complete Part IV, Sections A and D, and Part V. [[] Check this box if the organization received a written determination from the IRS that itis @ Type I, Type ll, Type ill Scion rested, Typ i notuelonlyhiegated surertn organeaton treat Revenue Garis {Enterthe numberof supported oranzatons. eveeeeee es (9 9 Provide the following information about the supported organization(s). Thome saat Fr ag ieee oaeca | NTH aaa | MINTO RoR | AT (Gacbedsnies 10 [tsinyurgerening | sipetone | erence ‘Sove(eetninctsy |" Scena werettes ‘ec Yes_[ No (A) ® (c) (0) «© Tota : : a 3 For Paperwork Reduction Act Nolice, see tha Instructions for Form 880 or 800-EZ. ‘Scnaaie form 990 or B90EZ) 2Scheie A Fam $80 9902) 2019_MITCHELL REGIONAL HABITAT FOR HUMANITY 46.0458640 ‘Support Schedule for Organizations Described in Sections 170(b)(1(A)iv) and 170(b)(1A)(vi) rome 2 (Complete only if you checked the box on line 5, 7, or 8 of Part | orf the organizalion failed to qualify under Part Il. ifthe organization fails to qualify under the tests listed below, please complete Part Ill) ‘Section A. Public Support slondar year(orfisealyoar beginingin) >| (a) 2016 | (b)20%6 | (@)2017_| (@)2018 | (e)2018 1 6 (Total Gis, grants, contributions, and ‘membership feas received, (Do not Include any “unusual grants")... 91,353] 74,008 435,969 36,199] 414,704] 449,294 “Tex avenues levied forthe ‘organization's benoft and etter pald to crexpended onitobohel. . . ss. “The value of sericas or facies furnished by a governmental unit tothe ‘erganizaton without charge Total. Add nas 1 through 3 « ae BE) 74,008) 135,960 26,199] i,704| B24 ‘The portion of total contibutions by Rees Po gm a a] z ‘each person (other than a art : Le ape ag governmental unit or publicly Beseecal ate supported orgaization) Inciuded on oe eles 7 L line 1 that excaeds 2% of he emount - are] OES shown online 11, column (f. Publ support. Subrstne§mlian 4 = 7 REPS 4a 284 ‘Section B. Total Support ‘Calendar year forfiscal year begining it) >[_(a) 2076 B)2016 (2017 (G0 2018 7 8 10 " 2 3 (fhTotar Amounts fromlines. ve ee 91,953] 74,008 135,968 36,199] 414,704] 449,234 Gross income from interest, dividends, payments recaived on secuites loans, Fents, royalties, and income fom simlarsoures. oe. 24 3 +87 7.499| 4105 Ntncome rom unrelated bushes activites, whether or not the business is reguiaiycaried on eae (thor Income. De net include gain or loss from the sale of capital asseis (xplain in Part VL) : Total support. Add ines 7 through 10 Gross receipts fom related activites, et. (soe nsrucions) : Fev yours ne Fo 30h gz end thir, fourth, rt aya organization, check hs box and stop here... sev eee eee Section C. Computation of Public Support Percantage 14 6 ‘16a 33419% support test—2018. Ite organlztion did not check the box onli {nd stop here. The organization qualifes as apublicy supported omanizaion. ve eee Public support percentage for 2018 (ne 6, colin () vided by ne 1, column (@). . . . > 6 Public support percentage trom 2018 SchedulaA, Part ine 14. 1, and ne 141 38 178% or more, check hs box b 28-19% support tost—2010 the crarizaton dl rot check box on ne 130 16a and ne 1618 3 178% or mar, checks box and stop here. The organization qualifies as a publisy supported organization. sv vv wee ve tee eee ‘17a 10%facts-and-circumstances test-~-2019, ithe organization didnot check a box online 19, 16a, oF 166, and tne 14 10% or more, and ifthe organization meets the “acts-and-creumstances" test, check this box and stop here. Explain in Paha te sreanzatn messi ct cestnso" tet The rant quae a publ eproned forganization.. 10% facts-and-creumstancestest~2018. th oganizalion didnot check box on ine 19, 16a, 6b or 17a, end ne 451s 10% ormore, and ifthe orgnization meets the "fects-and-clrcumstancas" test, check this box and atop hero. Sonn Par Vow te ssanzaln mosh “Yece-andceaetace” es. The xaneton qa a publ ‘supported organization. . ae 18 Private foundation. Ifthe organization dd not check a box on Sine 13, 16a, 163, 17a, or 17 check this box and see Instructions. >O ‘Schedule [Fon 899 or S807) 2018Schade Fom $80 o98062)2019__MIITCHELL REGIONAL HABITAT FOR HUMANITY. 4-0459649 rene ‘Support Schedule for Organizations Described in Section 609(a)(2) (Complete only if you checked the box an line 10 of Part | or ifthe organization failed to qualify under Part I, Ifthe organization fails to qualify under the tests listed below, please complete Part Il.) Section A. Public Support Calendar year (or fisal yaar beginning) >| _(a)2018 (o)2016 | _(e)2017 | _(aa0te | (2070 OTA ‘1a gros, contbutons,ané memes fees rece, (Qe no pedo en unuse gers7} o 2 Gross recaps tom atmo merchandise tel or sarees pefomed, ot acaies Turion ny oct tate edhe crparizators axe papaee 3 Grose reclnsrom ashes ht rt en avaleted bade a bushes under secon #13. o 4 Tex revenues levied forthe organization's benef and ether paid to rerpended onitsbohal. ss. ° 5 The value of servees or facies furnished by a governmental uritto the organization wihout charge... o 6 Total. Add lines {through 5... | a] a | | o 7a. Amounts inched on tines 1, 2, and 3 received ftom dsquatfed persons . . o 'b Amounts nuded on res Zend 3 rected om oben squalid aor ht exceed te greetor of $5000 orth olthesmountontne 13 forth year... 9 © Add lines 7a and 7 a al | o ol oO 8 Public support (Subtract no 7 fem : oe . : fing 6)... ee : o Section B. Total Support Calas erefealyebeginae) FLT) 2015 TOES nT (2018 (2019 (Total 8 Amounts fom ine 6 ‘| a a o al al 2 108 ross income rom stares, od, payments ecsved an seats oan, rns, royaies and income fom star oures. 0 bb Unrelatad business taxable income (less sedtion 511 taxes) fom businesses Aacgquited ater June 30, 1875. o © Add ines 108 and 100 , | a a | | 0 41 Netincome from unrelated business activities not included in ne 106, whether oF not the business is regulrly cared on . o 412 Other income, Do:not ince gan or loss from te sale of capt (plaininPatVLys ve eee 0 18 Total eupport. (Add nes 8, 100, t1, and 12)... | oj 0 ol ol © ‘4 itv youre For nope fn acd ro Teor a EN BTHO) ‘organization, check this box and stop here... Ee eet eee ee eee ee > Section C. Computation of Public Suppor Percentage 115 Public support percentage for 2019 (ino 8, column (), dvided by ne 13, column (H). .. sv sv . «Ls (0.003% 16 Public support percentage from 2018 Schedule A, Part Il tine 15. . a (000% ‘Section D. Computation of Investment Income Percentage 117 Investment Income percentage for 2019 (ine 10c, column (), dvided by no 18, columa(N). += = = = 7, o00% 18 Investment income percentage from 2018 Scheduls A, Par Il ne 17 18 (0.00% 49a 394/9% support tests-2040, ithe organization ld not check the box on tne 14, and ne 1S is more than 33 118%, and tne 17s ‘ot more than 33 1/3%, check this box and stop here. The organization qualfes 2s a publily supported organization seh b 33 19% support tests—2018. ithe organization ad not check abox on ns 14 ar ine 18a, and Iino 16 ks more than 33138 and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies 2s a publely supperted organization 20 _Private foundation. ifthe crganizaion didnot check @ box on ine 1Schedule A (Form 880098087) 2018 __ MITCHELL REGIONAL HABITAT FOR HUMANITY 46-0458649 ‘Supporting Organizations (Complete only if you checked a box in line 12 on Part, Ifyou checked 12a of Part f, complete Sections A and B. Ifyou checked 12b of Part |, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. ifyou checked 12d of Part , complete Sections A and D, and complete Part V.) ‘Section A. All Supporting Organizations 4 4 3a 5a 10a Yes: No ‘Ato al ofthe organization's supported organizations listed by name inthe orgaizator's governing ‘ documents? if No," deserve in Part Vi how the supported organizations are deskated. If designated by lass or purpose, describe the designation. historic and continuing relationship, expiain. Did the organization heve ary supported orgarizaton that does not have an IRS determination of status under section 509(a)(t) or (2)? If*¥es," explain in Part VI how the organization determined that the supported ‘organization was described in section 609(2)(1) or (2). Did the organization have a supported organization described in section 604(6)(4), (6), or (6)? if "Yes," answer (®) and (6) below. Did the organization confirm that each supported organization qualified under section 804(c)(4), (6), or (6) and ‘satisfiad the public support tests under section 508(a)(2)? IF “Yes, “describe in Part VI when and how the ‘orgenization made the determination Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2) (8) purposes? If"Yes," explain in Part VI what controls the organization put in place to ensure such use. ‘Was any supported organization not organized in the United States ("foreign supported organization")? If "Yes," and if you checked 12a or 12b in Part |, answer (b) and (c) below. Did the organization have utimate control and discretion in deciding whether to make grants to the foreign * supported organization? /f"Yes," desoriba in Part VI how the organization had such control and afscretion || despite being controlled or supervised by or in connection with its supported organizations. ry Did the erganization suppor any forign supported organization that does not have an IRS determination > under sactione 601(0\(8) and 609(a)(1) or (2)? es," exclaim in Part Vi wit conris the organization used | toensure that ell suppat fo the foreign supperted organization wes used exclusively fr section 170(2)2)(8) - purposes. a Did the organization add, substitute, or remove any supported organizations during the tax year? /f"'Yes," answer (b) and (¢) below (if appliceble). Also, provide detail in Part VI, including ()) the names and EIN ‘numbers of the supported organizations added, substituted, or removed: (i) the reasons for each such action; (ie authority under the organization's organizing document authorizing such ction; and (i) how the action was accomplished (such as by amendment to the organizing document). ‘Type | or Type Il only. Was any added or substituted supported organization pert ofa class already designated in the organization's organizing document? ‘Substitutions only, Was the substitution the result ofan event beyond the organization's controi? Did the organization provide support (whether in the form of grents or the provision of services or facilities) to . anyone ether than () its supported organizations, (i) individuals that are part ofthe charitable class benefited by one or more ofits supported organizations or (i) other supporting organizations thet also support or beneift one or more of the fling organization's supported organizations? if “Yes, "provide detail in Part VI Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (es defined in section 4958(c}(3)(C), a family member of a substantial contributor, ora 95% controlled entity ‘with regard to @ substantial contibutor? if “Yes,” complete Part I of Schedule L (Form 990 or 990-E2). Dig the organization mske a loan to a disqualified person (as defined in section 4958) not described inline 7? 11 °Yes, “complete Part | of Schedule L (Form 990 or 990-E2). Was the organization controlled directy or iniracty at any time during the tax year by one or more Attach to Form 890, Form 980-E2, or Form 980-PF. Digests Snes > Go to wai. gov/Eorm990 for the latost information. ‘Name of te organtzation, Etnployar Identification number MITCHELL REGIONAL HABITAT FOR HUMANITY 46.0458649 tion type (check one) Section: Form 290 or 890-EZ [x] 601(6 3) (enter number) organization 1) 4847.17 nonexempt chart rust not reated a a private foundation 827 pots organizaton Form 990-°F [Z1 501(¢) exempt private foundation [7 4247(a)(1) nonexempt charitable trust treated as a private foundation 71 501168) taxable private foundation ‘Check f your organization is covered by the General Rule or a Spocial Rul ‘Note: Only a section 501(c}(7), (8), oF (10) organization can check boxes for both the General Rule and Special Rule. See instructions. General Rule [X] For an organization fling Form 990, 990-EZ, or 990-PF thet received, during the yeer, contributtons totaling $5,000 ‘or more (in money or propesty) from any one contributor. Complete Paris | and I. See instructions for determining a contbutors total contributions ‘Special Rules. 1 For an organization described in section 501 (c)(3) fling Form €80 or 880-EZ that met the 33 4/3 % support test of thé regulations under sections 508(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part Il line 13, 16a, of 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000; or (2) 2% of the amount on (1) Form 990, Part VIII, line 1h; or (il) Form 990-E2, line 1. Complete Parts | and Il, For an organization described in section 801 (c}(7), (8), oF (10) fing Form $80 or 990-2 that recelved from any one contributor, during the year, total contibullons of more than $1,000 exclusively for religious, charitable, scientific, lterary, of educational purposes, or for the prevention of cruelly to children or animals. Complete Patts I, and I For an organization described in section 501(c)(7), (8), or (10) fling Form 990 or 990-EZ that received from any one ‘contribute, during the year, contributions exclusively for religious, charitable, etc, purposes, but no such Contributions totaled mare than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the Poe ag cnere nt ea ac ac fotaling $5,000 of more during the year OS Caution: An organization that Ist covered by the General Rule andior the Special Rules doesnt fle Schedule B (Form 980, (990-£2, or 990-PF), but It must answer "No" on Part IV, line 2, ofits Form 990; oF check the box on tine Hof its Form 880-EZ or on its Form 990-PF, Part, Ine 2, to certty that doesnit mest the fling requirements of Schedule B (Form 280, 990-EZ, or 990-PF). For Paponwork Reduction Act Nols, oth Instoctons For Fomn 880, 0-22, 807 ‘Shed B (Form 880, 80-22, oF 99077 2019)Schotle8 Form 990, 09082 01 S80.PF) (2019) Name of oranizalion MITCHELL REGIONAL HABITAT FOR HUMANITY Page 2 Employer Identification number 46-0458649 TESTE contributors (see instructions). Use duplicate copies of Part if additional space is needed, @ (b) (c) (a) No. Name, address, and ZIP +4 Total contibutlons Type of contribution 1... | EIRSTNATIONAL BANK Person [& Payroll Noneash ] (Complete Part for el Coun noneash conus) (a) {o) () (a) No, Name, address, and ZIP +4 Total contributions Type of contribution Person] Payrot [F] Noneasn [] (Complete Pat I for ‘oneath contributions.) @) ® ©) @ No. Name, address, and 21P-+4 ota contributors {ype of contribution person Payron C] Noneash [] (Compiote Pat for ‘oneash contbutions) @ @ @ @ No. Name, ederess, and ZIP +4 Tota contributions {ype of contribution Peron Payot Noneasn E] “Foreign State or Province: (Complete Patt for Fen County. reveal sonubutons) fa) (b) & (d) No. Namo, adarees, and 21P +4 Total contibutons “ype of contiution é Person Payrot = 7] Noncash ] ‘Poteign Sie or Province: (Complete Part I for noncash contibutons.) Forelgn County: @) ® @ Oo No. Name, address, and ZIP #4 Total contributfons ‘Type of contribution {Complete Pat I for roneash contsbutons;) ‘Soh Form 990, 90087, or 807F) tte)‘Seale Foun 99, 980.67, 6 $80.95) 2018) MITCHELL REGIONAL HABITAT FOR HUMANITY. Page 3 Tdontification number 46-0459649 Early Noncash Property (see Instructions). Use duplicate copies of Part lif additional space is needed. (a) No. from Part ©) Description of noncash property given Fav orstt) @ (or estimate (Gee instructions) Date recelved ) Description of noncash property given FMV ( ( @ or estimate) a {See instructions) eee fa) No. from Part! o) Deseription of nonicash property given © if FIRV (or ostimato} : (See instructions.) eee (2) No. from Part ) Doseription of noneash property given © ) FRA (or estimate Oh aive (Seems) iareprenict (2) No. from Part ) Description of noncash property given © 7 FMV (or estimate) le (See instructions.) a vd (b) Description of noncash property given () Fay (or estimate) te Sbaived (S00 Instuctins,) eee “Schedule (Foon 690, 890-E2 or S90FF] OTE)‘Schodul (Foxm 20, c00.E2, 0 9009F 2010) Name of organization MITCHELL REGIONAL HABITAT FOR HUMANITY. Page 4 Employer identification number 46-0459849 Exclusively religious, charitable, etc., contributions fo organizations described in seotion 804(e)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For orgarizations completing Part Ill, enter the total of exciusively religious, charitable, etc, contributions of $1,000 or less forthe year. (Enter this information once. See instructions.) Use duplicate copies of Patil if additional space is needed. Ss {b) Purpose of gift (0) Use of gift {@) Description of how gift is held ‘Transferoo's name, address, and ZIP +4 (6) Transfer of gift Relationship of transferor to transferee FerPiew Te)No ‘from Part (b) Purpose of gift (¢) Use of gift (@) Description of how gift is held ‘Transferoo's name, address, and ZIP +4 (©) Transfer of gift Relationship of transferor to transferee Fabien Gouniyy TEIN ‘lor Part (b) Purpose of gift {¢) Use of gift “Transforee's name, addres, and ZIP +4 (@) Transfer of gift Relations ip of transferor to transferee {(b) Purpose of gift (6) Use of girt ‘Transferee's name, address, and ZIP +4 (e) Transfer of gift Relationship of transferor to transferee Foe Prov ‘Geuniny “Sched B [Form 890, 90°62, or 60-PF) OIE)SCHEDULE D Loe No, 1646.0967 (Form 980) Supplemental Financial Statements > compote organization anewered "Yes" on Form 380, arn tne 7881, 11, by Tes, ee 2a oF, Dept tay atch to Porn 95, ‘Open to Public TibeaRcat nce > soto winnie ova fer itractons andthe atest infomation eer Toes pT ayo TST MITCHELL REGIONAL HABITAT FOR HUMANITY 46.0459649 ‘Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6. (o)Omradivedtnes [Dy Fundsand aber scoot 1 Total number atendofyear. . . . . 2 Aagregee va of conbuons fo (ding yea). 3 Aggegetevabe of rents rm (ing yea) 4 Aggregate value at end of year 5 Did the organization inform all donors and donor advisors In wing That the assstsheldin donor aeieed funds are the organization's property, subject to the organization's exclusive legal control?. . . C ves [1 no 6 Did the organization inform all ganices, donor, and donor advisors in wring that grant funds can be used | only for charitable purposes and net forthe benefit ofthe donor or donor eevisor, or for any other purpose conferring impermissible private benefi? Cl ves [5] wo ‘Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7. 7 Burpose(s) of conservation easements hold by tha organization (check all that apply. [] Preservation of land for public use (for exemple, recreation or education)[_] Preservation of a historically Important land area Ey Protection of natura habitat 1 Preservation ofa certifed historic structure Er Preservation of open space 2. Complete Ines 2a through 2d ifthe organization held a qualified conservation contribution inthe form of a conservation esornent on the ast day of tho tx yoar Tale Ea of Ter 1 Talal namber of coneeraton easements... ss. « ee .. Te b Toll acreage resticied by cnservaton cesses : zb ¢ Number of conservation easements on a certified historic structure Included in @. tae 2c 4 Number of conservation easements induded inc) acquired ater 7/2508, and nt on a Fistor suture fisted athe Natonal Register 2a 3 Number of conservation easements modified, transferred, released, ‘extinguished, or terminated by the organization during thotexyeer > 4. Number of sates Wher pope subject to conservation easementis located => 5 Does tne organization nave a writen poy regarting the perodic monteng, inspection, Fanding of viietions, and enforcement cf te conservation eeserentsitholis?. ss ss ss ss Dhvee 1 Wo {© Safad vlarteer hour dete o morta, nspecing,hanlng of vlatons, ad enfrngconervatoncasrsents du the year > 7 nn empress cree monte, mepecng, ann of vento, and enorng conseraon easements dng te year rs 8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(\) andsocion TOMAMY? ven cnet c tect tects ewn Lo Yes CJ ne 9 InPrt Xl, descrive how the organization reports concervation easements i ts revenue and expense statement and balance shest, and include, if appicable, the text ofthe footnote to the organization's finencial statements that describes the ‘organization's accounting for conservation easements. ‘Organizations Maintaining Collections of Art, Historical Troasures, or Other Similar Assets, Complete ifthe organization answered "Yes" on Form 990, Part IV, line 8. Ya Ifthe organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet ‘works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIll the text ofthe fooinote to its financial statements that describes these items. Ifthe organization elected, as permitied under FASB ASC $58, to report in ts revenue statement and balance sheet Works of ar, historical treasures, or other similar assets held for public exhibition, eduoation, or research in furtherance of public service, provide the folowing amounts relating to these items: () Revenue included on Form 990, PartVil,inet. ee ee ey (il) Assets included in Form 980, PatX. ee ee eee 2 Ifthe organization recelved or held works ofa historical treasures, or lher siifarassels for financial gain, following emounts required to be reported under FASB ASC 968 relating fo these items: fa Revenue included on Form 980, PartVII,liN@1. oe ee te ee b_Assels included in Form 990, Part X For Paperwork Reduction Act Notice, sea the Instructions for Form $80. ‘Schedule (Fane 690) 2040Schede 9 For 90) 2019 _fAITCHELL REGIONAL HABITAT FOR HUMANITY 46-0456648 Page 2 ‘Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued) 3 Using the organization's acquistion, accession, and other recores, check any ofthe follwing that make significant use of its calection tems (check all that appl}: a.) Public exeiton 4 [7 tosn or excnange program b LL] senelary research ¢ EF otter Preservation fr future generations 4 id ‘a description of the organization's collections and explain how they further the organization's exempt purpose in Part 5 During the year, did the organization solicitor receive donations of at, Historical treasures, or other skilar asses fo be sold to raise funds rater than to be maintained as part ofthe organization's collection? Escrow and Custodial Arrangements. Complete ifthe organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21. ‘fas the organization an agent, trustee, custodian or oer intermediary for contbultons or ather assets nat Included on Form 990, PartX?.. f : (71 Yes [x] No It"Yes." explain the arrangement in Part xl and compiete the folowing table Yes [X] No Amount Beginning balance. fe 7548 Additions during the year. ee ee eee eee ad 49,962 Distributions during the year... . : fe 2,400 Dig the organization include an amount on Form 980, PartX, ine 21, for escrow or custodial account labilly? —[X] Yes [_] No 1FYes;" explain the arrangement in Part Xll, Check here ifthe explanation has been provided on Part XIl o TAA Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10. (a)Covoiyess | _(\Praryeer | c)woyemstack_[ (@) Tovayoor tack | (o) Feuryaua bck 4a Beginning of year balance a b Contributions © Netinvestment eammings, gains, and losses 4 Granls or scholarships © Other expenditures for facies end programs {Administrative expenses. 9 End of year balance A q q oO 2 2 Provide the estimated percentage of the current year end balance (fine 1g, column (@)) held as: ‘@ Board designated or quast-endowment % b Permanent endowment » © Termendowment > Z ‘The percentages on lines 2s, 2, and’ should equal 100% 3a Are there endowment funds notin the possession of the orgenization that ae held end exmiristere forthe organization by: Yes | No () Unrelated organizations. ©... 1 ee ee ee ih Sere pert » [sad (li) Relatedorganizations. . 2... 2. ee ee bee Salil U€Ves" on tne 3a), are the related organizations listed as required on Scheriule R? 30 ase Pa Xi nde nef xo nome it Land, Buildings, and Equipment. Complete if the organization answered "Yes" on Form 990, Part !¥, line 11a. See Form 990, Part X, line 40. c a e f Encingbalance. . . . . af 35,200 aa b Deserpon of opty {e)eostc ater esis | (8) Costorcher bess | (e)Accualed (8) Book aus | ‘este ‘ca ‘copeaon 7a Land Sates a ol i o b Buildings... ol 2316) 1.576] 340 © Leasehold improvements... a a a 0 d Equipment... 6... o 5,000] 3.256] “i704 e_Other. oO ol o o Total Add ines Ta trough ‘e. (Column () must equal Fom 600, Pert, column (@) ne 106). 44 ‘Schedut 0 (Form 680) 2018,Schedule D(Fomse0)2019 _ MITCHELL REGIONAL HABITAT FOR HUMANITY 46,0458649 Page 3 EES Invesiments—Other Securities. ‘Complete if the organization answered "Yes" on Form 990, Part IV, ine 11b. Ses Form 990, Part x, line 12. (0) Desert of scaly or estoy (2) Boek tus {6 Meth of vat (Gstoang mare seer cconleenetseearmanst vee ()Financieldervaives...... ss al (2) Closely held equity interests... : 9 “Total, (Column) must equal Form 090, Par X, cat (6) no 12). ‘ol =aes oe i Investments—Program Related. Complete if the organization answered "Yes" on Form 990, Part lV, line 11c. See Form 990, Part X, fine 13. =) Debeipton testa 5 [o) Meogof atuaton (9) Desstetion ei (0) Book au coal Meigs ean: 3. (Colurn (o) must equal Form 090, Pax, co @) ino 13). a 7 ce Other Assets, Complete if the organization answered "Yes" on Form 990, Part IV, fine 11d. See Form 990, Pert X, line 15. (2) Desepon (o) Book value “otal, (Column (b) must equal Form 900, PartX, col.(@)iine 75)... : ol Pai Other Liabilities. Complete if the organization answered "Yes" on Form 990, Part IV, line ‘1e or 11f. See Form $90, Part X, tine 25. {el Deseipon oat (Pi Beskwabe (G) Fedoralincome taxes eB (3) (a) 8) (@) om “Total, (Column (2) must ily for uncertain kx ‘organization’ ability fr unoertaln wal Form 990, Parl, col. (Bj Ine 25; il provide the text ofthe footnote to ‘Schedule (Fm $60)2018Schade D(Foms80)2019_ MITCHELL REGIONAL HABITAT FOR HUMANITY 46.0450649 pene 4 EEQW Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered "Yes" on Form 990, Part IV, line 12a. ‘Total revenue, geins, and other support per aucited financial statements... . 1s 4 2 Amounts included on tine + but not on Form 960, Part Vill, ine 12: Net unrealized gains (losses) on investments... . . . . 2a Donated services and use offeciiies. . . . 2b 2c 2d Recoveries of prior year grants. Other (Describe in Part XI.) eee i Add ines 2a through 2d... Se He agen ae bev eeeeeiae Lama Subtractline Zefromline 1. 3 o 4 Amounts included on Form 990, Pert Vil, ne 12, but noton line Investment expenses not included on Form 990, Part Vill, ine 7b. . 4a Other (Describe in Part Xi) 7 Bar ab © Addiines4aand4b. 2... ae Hee ae ~~ [4c 5 Total revenue. Add finss 3 and 4c, (This must equal Form 990, Part|, line 12) 5 o Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered "Yes" on Form 990, Part lV, line 12a. Total expenses and losses per aucited financial statements a a eee 4 2. Amounts included on line 1 but not on Form 880, Part x, line 25: Donated services and use offacies. . . . . are 2a Prior yeer adjustments i 2b Otherlosses. Serta 20 Other (Describe In Part XiIL) eect eet aeeeeee 2d ‘Add tines 2a through 2d... ae Peace 2e 9° 3 Subtractiine 2e from line 1 . ereeeettt pert eee a) o 4 Amounts included on Form 980, Part IX, line 25, but not on tine 1: Investment expenses not included on Form 990, Part Vill, line 7b. 4a b Other (Describe in PartXill). Ce © Add ines da and 4b ete RTE eee cree erate ranaaRaTa e a 0 5 total expenses. Add lines 3 and 4c, (This must equal Form 990, Part ine 18.)._. - 5. 0 ‘Supplemental Information. Provide the descriptions required for Par I, nes 3, 5, and 9; Part Ill, nes 1a and 4; Part IV, lines 1b and 2b; Part V, ine 4; Part X, Ine 2; Part XI, lines 2¢ and 4b; and Part Xil ines 2d and 4b, Also complete this part to provide any additional information eaoce Behe FormNVTCHELL REGIONAL HABITAT FOR HUMANITY. 46-0458648 Page Ea tal Information (continued) “SeheduleD (Form 080) 2019Perens ‘Supplemental Information Regarding Fundraising or Gaming Activities | _omsno 15162007 orpate the orerzaton sere Yes on Form 8, Parte 1,18, fy ortho eee lostantagr morohan 80 nfm hh 2019 agri ctoe ever nacho ror abt Porn 20.2. Beeleassons > cote mi covromit fs lastustons sn tenet fomaten Tie fhe oaraion Enployar Wonton rrtbor MITCHELL REGIONAL HABITAT FOR HUMANITY 48.0459649 Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part lV, line 17. Form 990-EZ filers are not required to complete this part, 1 Indicate whether the organization raised funds through any of the following activities. Check all that apply. 2] Mal sotetaions ° L_] Solctation of non-government rents [Ey internet and emai sottations + [D) sotetaton of goverment grants © [2] Phone sofcttions aL] special unaraising evens ¢ Cl in-person sotictations 2a Did the organization have a written or oral agreement with any ngiidual(nlusing officers, directors, trustees, key employees listed in Form 990, Part Vil) or entity in connection with professional fundraising services? [_] Yes [_] No b__f"Yes," Ist the 10 highest patd individuals or entities (fundraisers) pursuent to agreements under which the funcalzet Is to be ‘compensated atleast $5,000 by the organization. ‘i | | o - | | oO e | | o e 9 | 0 if | | o a | i) o . | | o - ft) | o - i) | oO ‘3 Liat all states in which the organization ie registered or onsad to soliot contrbutione or hes been notified tis exempt fom registration or licensing, ForPaporwork Reduction Act Noise, oe th nsirectons for Fon S60 or SOOEZ, ‘Shade @ (Form 990 r S602) 2019scree @ (Form 90088082) 2010__ MITCHELL REGIONAL HABITAT FOR HUMANITY. 48.0450649_Page2 EEEMIN Fundraising Events. Complete if the organization answered "Yes" on Form 990, PartlV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000. plea Damn ‘eonarons Grae oe a Sane rH aaa cae 5 1 Gross receipts 7 ol 0 2 Less: Contibutions. . o| o 3. Gross income (ine 4 minus teasers o| 2 4 Coshprees o| © 5 Noncash pao... . o| 0 8) 6 Rontecity cost o| 9 | 7 Food and beverages . ol 6 8 Other dtrectexpences.. o| 0 10 Dies expense summary. Ad ines 4 though 9n column (2). eee >| 1 Netincome summary. Subtract ne 10 from tne 3, column 3) » a FEET Gaming. Complete if the organization answered "Yes" on Form 990, Part lV, line 19, or reported more than $15,000 on Form 990-E2Z, line Ga. 2 ld stcoreseraetage | Otome | laden Sy 8| 1 cross rren. . 2 @) 2 Coshprzes. 0 8) 3. Noncash prizes 0 Bl 4 Renvtactity costs. . 0 5 § Other direct expenses. a Yes Yeo Lye © Volunteerlabor. . No No Co pe 7 Direct expense summary. Ad iines 2 though Sin column (@). ss « a >| 8_Net gaming income summary. Subang 7 om Hine 1, eotums (8 > 0 9 Enter the state(s) In which the organization conducts gaming activities: 2 le the crgantzaton Loansed to conduct gaming aces In each ofthese said? ves Tito BP NoS expla ‘10a “Were ary ofthe organization's gaming licenses revoked, suspended, or terminated during the tax year? b it¥es," explain: ‘SehediieG (Form 80 or OED) 21SSchedule 6 (om £90 09002) 2019_ MITCHELL REGIONAL HABITAT FOR HUMANITY 46-0458849__ rose 3 14 Does the organization conduct gaming activites with nonmembers? . (yes [] no 12 Is the organization a grantor, beneficiary or trustee of a trust, of @ member of a partnership — iti formed to administer charitable gaming?. .. . . ee i - Lives [ne 12 Indate tne percentage of gaming acy conducted in; ‘a The organization's faciity. . eee anaes ae 19a Se b An outside facility 130 % 114 Enter tho name and address ofthe person wh prepares the organization's geming/epecial event books end records: Name > ‘Address 184 Does the organization have a contract with a third party from whom the organization receives gaming Fevenue?. . . He ~ [yes [no b_If*Y¥e5,enter the amount of gaming revenue received by the organization > § _ 9 andthe ‘amount of gaming revenue retained by the third party > $ | ¢ If*¥es," enter name and address of the third party: Name > Address 46 Gaming manager Information: Name > Gaming manager compensation > § | Description of services provided > C1 directorioticer Dlemployee Independent contractor 17 Mandatory diethbutions: 4s the organization required under state law to make charitable distributions from the gaming proceeds to retain the state gaming license? ~ Coves [no 'b_ Enter the amount of cistibutions required understate law to be dietibuted to other exempt organizations or pent n the organization's own exempt actives during the taxyeat_P _$ 0 En ‘Supplemental Information. Provide the explanations required by Part |, line 2b, columns (iil) and (v), and Part Il, lines 9, 9b, 10b, 18b, 18c, 16, and 17b, as applicable. Also provide any additional information. ‘See instructions. ‘Sahel 0 (Form 680 or 00-2 2042ee Compensation Information (Form 380) For certain Officers, Diroctors, Trustees, Key Employees, and Highest ‘Componsated Employess > Complete ithe orgenization answored "Yes" on Form 990, Part IN, line 2. OMB No. 15450007 Department of te Tresany Attach to Form 990, Inara Rovene Series > Goto wu irs.g0v/Form080 for instructions and the latest Information, ‘ae ofthe ergarzaion Eployor Wontiewionnurbar MITCHELL REGIONAL HABITAT FOR HUMANITY 46.0458649 ‘Questions Regarding Compensation ‘1a. Check the appropriate box(es) if the organization provided any ofthe following to or for a person listed on Form ‘990, Part Vl, Section A, ine 7a. Complete Part Il to provide any relevant information regarding these tems. LL Firstciass orcheter revel Housing atowance or reskence for personal use Travel for companions E] Payments fr business use of personal residence [El texindermiteaton ana grose-up payments Heath social cub dues or intation feos 5 Discretonary spending account Personal services (such as maid, chauffeur, chef) 1b fany of the boxes on line 12 ate checked, did the organization follow a written policy regerding payment or reimbursement or provi of allo te expenses destbed above "No," compels Patio oman ee eee 2 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all ctor, ruts, nd ofr, cud the CEOExseuve ret, eprcng he lems checked on tne 137. : See aaa see 3 Indicate which, if any, of the following the organization used to establich the compensation of the organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part Il Li compensation committee i] witten employment contract Li independent compensation consultant [1 compensation survey or sus F] Form 980 of ether organizations Approval by the board or compensation committee 4 During the year, id any person listed on Form 990, Part Vl, Section A, Ine 1a, with respect to the fling ‘organization ora related organization: ‘a Reosive a severance payment or change-of-control payment?... . b Participate in, or receive payment from, a supplemental nonqualified retirement plan? ‘© Participate in, or reaaive payment from, en equity-based compensation arrangement?. .. I"Yes" to any of ines 42-<, lst the persons and provide the epalicable amounts for each item in Part Il, ‘Only section 501(¢)(3), 601(¢)4), and 01(¢}(29) organizations must complete lines 6-8. 5 For persons listed on Form 290, Part Vi, Section Aline 1, did the organization pay or eocrue any compensation contingent on the revenues of: 2 Theorganization?. eed eee b Anyrebated organizaion?. Goto wumirs.govrrorm990 forthe latest Information. (us No. 1848.0067 2019 Per nd ‘Employer Tasrneston number 46.0458849 MARRIED TO EACH OTHER Form 990, Patt Vi, Section A, Line 78: GOVERNANCE DECISION ARE REVIEWED BY HABITAT FOR. Form 890, Part VI, Section 8, Line 120: TRANSACTIONS ARE REVIEWED AT MONTHLY SOARD MEETINGS, Form 990, Pett VI Section C, Ling 19: THE ORGANIZATION HAS ITS GOVERNING DOCUMENTS, CONFLICT. FFor Paperwork Reduction Act Notce, see the Instructions for Form $90 or 990-EZ. Wa Sehedute 0 (orm 289 or #902) OTE)‘Sehedle © (Form 999 or s9O-EZ) fore)