2025-05-07T08:34:43-05:00 2024-06-30 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2023-07-01 113669999 MOSAIC MOSA 4028963884 4980 S 118TH ST A OMAHA NE 68137 SCOTT HOFFMAN CHIEF FINANCIAL OFFICER 4028963884 2025-03-06 1 1 WENDY R COOLEY CPA P01523804 4023302660 2025-03-06 2023 2025-03-06 01:10:19Z SCOTT HOFFMAN 4980 S 118TH ST A OMAHA NE 68137 374929985 0 X WWW.MOSAICINFO.ORG X 2003 NE EMBRACING GOD'S CALL, MOSAIC RELENTLESSLY PURSUES OPPORTUNITIES THAT EMPOWER PEOPLE. 15 15 4665 134 42641 0 11184083 10367471 337949915 355080200 2301230 4776664 1203728 3993594 352638956 374217929 205413 519042 0 0 177946630 187239891 0 116894 3397473 154214751 171576156 332366794 359451983 20272162 14765946 206882341 227075430 69437250 68430980 137445091 158644450 X EMBRACING GOD'S CALL, MOSAIC RELENTLESSLY PURSUES OPPORTUNITIES THAT EMPOWER PEOPLE. 0 0 231914785 271197698 COMMUNITY BASED SERVICES PROVIDED TO PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES ARE SERVICES THAT CAN EITHER BE ON-GOING OR INTERMITTENT SUCH AS RESPITE, FAMILY SUPPORT, FOSTER CARE, PHYSICAL THERAPIES, TRANSPORTATION, AND SUPPORTED EMPLOYMENT. MOSAIC SERVES APPROXIMATELY 3,750 INDIVIDUALS ACROSS THE UNITED STATES UNDER THIS SERVICE CATEGORY. 39196773 45835896 INTERMEDIATE CARE FACILITIES (ICF)--ICF SERVICES PROVIDE 24/7 SUPPORT FOR VERY MEDICALLY FRAGILE INDIVIDUALS WITH INTELLECTUAL OR DEVELOPMENTAL DISABILITIES. MOSAIC SERVES APPROXIMATELY 250 INDIVIDUALS ACROSS THE UNITED STATES UNDER THIS SERVICE CATEGORY. 17260247 20184179 DAY AND VOCATIONAL SERVICES ARE PROVIDED TO INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN A VARIETY OF WAYS INCLUDING SUPPORTED EMPLOYMENT, WORK ENCLAVES, VOCATIONAL TRAINING AND SOME SHELTERED WORKSHOPS. MOSAIC SERVES APPROXIMATELY 950 INDIVIDUALS ACROSS THE UNITED STATES UNDER THIS SERVICE CATEGORY. 18512407 519042 21648312 MISCELLANEOUS SERVICES PROVIDED TO INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. 18512407 519042 21648312 306884212 1 1 0 1 0 0 1 0 1 1 1 1 0 0 1 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 445 0 1 4665 1 1 1 1 BD 0 0 0 0 0 0 0 0 0 0 X 15 15 1 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CO X X SCOTT HOFFMAN 4028963884 4980 SOUTH 118TH STREET OMAHA NE 68137 LINDA TIMMONS PRESIDENT AND CEO 39.70 0.30 X 673617 0 193681 SCOTT HOFFMAN SENIOR VP AND CFO 39.70 0.30 X 464048 0 42059 JOSEPH LYONS SR VP AND GENERAL COUNSEL 39.90 0.10 X 407882 0 30430 RENEE COUGHLIN CAO & FOUNDATION PRESIDENT 39.90 0.10 X 372224 0 38767 JENNIFFER LEDOUX SVP OF OPERATIONS 39.90 0.10 X 297466 0 28510 PARKER MCKENNA SVP OF HUMAN RESOURCES 40.00 0.00 X 290511 0 27948 HEATHER GUNN SVP OF STRATEGIC INITIATIVES 39.90 0.10 X 254212 0 25787 ANGELA WEIS SVP OF MISSION SUPPORT 40.00 0.00 X 231964 0 34933 RAYMOND WALLACE ASSOCIATE VP OF FINANCE 40.00 0.00 X 238857 0 18087 MOLLY KENNIS VP OF OPERATIONS 40.00 0.00 X 219815 0 27741 KATIE KELLY VP OF IT & HIPPA SEC OFFICER 40.00 0.00 X 222859 0 17404 ANDREA FERRUCCI VP OF OPERATIONS 40.00 0.00 X 214722 0 25279 STACY MORTON VP OF FIN. PLANNING & ANALYSIS 39.90 0.10 X 212132 0 26897 KRISTIN ROSSOW VP OF ACCOUNTING 37.30 2.70 X 209924 0 26896 RICHARD NELSON VP OF OPERATIONS 40.00 0.00 X 209039 0 17018 PATRICK COSTIGAN VP OF OPERATIONS 40.00 0.00 X 191744 0 28726 LISA PARTEH VP OF OPERATIONS 40.00 0.00 X 188721 0 27108 JENNIFER ZAJICEK VP OF OPERATIONAL EXCELLENCE 40.00 0.00 X 186872 0 26674 AMBROSIA BELCHIC VP OF COMPLIANCE 40.00 0.00 X 183361 0 26024 PAULA BURTON VP OF HR OPERATIONS 40.00 0.00 X 187755 0 16949 ROBIN WESTFALL VP OF TALENT MANAGEMENT 40.00 0.00 X 178455 0 26218 ERICA GIBSON VP OF HR SERVICES 40.00 0.00 X 187756 0 16471 HASSAN SHALLA ASSOCIATE VP OF INFO TECHNOLOGY 40.00 0.00 X 190337 0 11664 JULIE ZITTERGRUEN VP OF REVENUE CYCLE 37.30 2.70 X 166675 0 26058 BRENDA SOLOMON VP OF MARKETING & COMMUNICATIONS 40.00 0.00 X 157140 0 25750 KELCIE DEKONING AVP OF MISSION EXPANSION 40.00 0.00 X 153005 0 25580 MATTHEW SHEFFIELD SR DEVELOPMENT OFFICER 40.00 0.00 X 156954 0 21336 KEITH HOHLY CHAIRPERSON 1.50 0.00 X X 0 0 0 PATRICIA A NIMTZ VICE CHAIRPERSON 1.50 0.00 X X 0 0 0 MONICA HOLLE SECOND VICE CHAIRPERSON 1.50 0.00 X X 0 0 0 AKASH SETHI SECRETARY 1.50 0.00 X X 0 0 0 JODI BENJAMIN DIRECTOR 1.50 0.00 X 0 0 0 PETER ENKO DIRECTOR 1.50 0.00 X 0 0 0 ROBERT GRAULICH DIRECTOR 1.50 0.00 X 0 0 0 SARAH MEEK DIRECTOR 1.50 0.00 X 0 0 0 MARK NICHOLSON DIRECTOR 1.50 0.00 X 0 0 0 KAREN PEPPMULLER DIRECTOR 1.50 0.00 X 0 0 0 DR MICAH PROCHASKA DIRECTOR 1.50 0.00 X 0 0 0 DR JOE N SAVAGE JR DIRECTOR 1.50 0.00 X 0 0 0 MICHELLE THOMPSON DIRECTOR 1.50 0.00 X 0 0 0 DR ADAM D WELLS DIRECTOR 1.50 0.00 X 0 0 0 ELIZABETH WILLIS DIRECTOR 1.50 0.00 X 0 0 0 6648047 0 859995 101 0 1 0 GRAPETREE MEDICAL STAFFING PO BOX 5340 SIOUX FALLS SD 57117 TEMP STAFFING 1348843 DDN CONSULTING SERVICES LLC PO BOX 185010 HAMDEN CT 06518 NURSING SERVICES 1017624 MEDEFIS CONSOLIDATED PO BOX 5068 NEW YORK NY 100875068 TEMP STAFFING 938412 CHOICE SOLUTIONS LLC 7015 COLLEGE BLVD STE 300 OVERLAND PARK KS 66211 IT CONSULTING 692686 ASPIRE CONSULTING LLC 12935 N OUTER FORTY RD STE 201 ST LOUIS MO 63141 IT CONSULTING 651712 27 4883000 4796676 687795 10367471 MEDICARE/MEDICAID PMTS 624100 333602000 333602000 MANAGEMENT FEES 541610 10976009 10976009 PROGRAM SERVICE REVENU 624100 9405012 9405012 RENTAL INCOME 532000 1097179 1097179 355080200 3854409 42641 3811768 9452 9452 222461 24204 198257 198257 198257 1603034 680779 922255 922255 922255 7137 7073 64 64 INSURANCE PROCEEDS 900099 113300 113300 PURCHASING CARD REBATE 900099 96660 96660 3575861 3575861 3785821 374217929 358866085 42641 4941732 X 309700 309700 209342 209342 7398282 7398282 150198491 129911399 18877408 1409684 1211084 1209697 1387 17179773 14963657 2075034 141082 11252261 9449945 1802316 669193 47123 471920 150150 106533 106533 62997 62997 116894 116894 116593645 113072899 3378271 142475 6347423 6129690 207906 9827 13198603 11930768 1262716 5119 4554704 4398081 102672 53951 1808796 482038 1156361 170397 1406762 383784 1022978 8213921 2271444 5942477 3954755 3071352 882765 638 DUES & MEMBERSHIPS 2777408 529956 2215006 32446 CFR EXPENSE 721462 0 26102 695360 BAD DEBT EXPENSE 230941 230854 87 0 10929013 8219486 2241464 468063 359451983 306884212 49170298 3397473 42829414 48678095 33077755 56429955 26882771 31787590 1975035 2351107 117529991 80314669 37491070 37215322 27490422 30506773 30094896 12463317 7040978 7643271 206882341 227075430 22978920 24194749 4604231 1484370 14932905 12406904 12001216 10318878 14919978 20026079 69437250 68430980 X 136447869 157596979 997222 1047471 137445091 158644450 206882341 227075430 X 14765946 1608283 4825130 X X 0 1 X 1 1 1 X 4036298 10560753 19390548 11184083 10367471 55539153 248614863 269513083 320706511 337971446 355087337 1531893240 252651161 280073836 340097059 349155529 365454808 1587432393 1470 226 3020 1465 3626 9807 0 1470 226 3020 1465 3626 9807 1587422586 780522 532787 454511 2158244 4043681 7969745 85688 53623 25302 50106 42641 257360 866210 586410 479813 2208350 4086322 8227105 570234 712373 397120 983906 3785821 6449454 254087605 281372619 340973992 352347785 373326951 1602108952 0.99080 0.99430 0.00510 0.00340 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 1 1 0 0 1 12000 1 1 62997 74997 0 PART II-B, LINE 1: DURING THE PAST YEAR, MOSAIC ENGAGED IN VARIOUS NON-PARTISAN ACTIVITIES TO INFLUENCE SPECIFIC LEGISLATION IMPACTING THE ORGANIZATION. MOSAIC ENGAGED ADVOCATES ON SOCIAL MEDIA ABOUT ISSUES IMPACTING THE ORGANIZATION, INCLUDING PROVIDING A LINK FOR ADVOCATES TO CONTACT THEIR MEMBERS OF CONGRESS. MOSAIC ADVERTISED ON SOCIAL MEDIA IN 2024. MOSAIC ALSO SENT CORRESPONDENCE TO PEOPLE AFFILIATED WITH THE ORGANIZATION INFORMING THEM ABOUT PREVAILING PUBLIC POLICY ISSUES IMPACTING THE ORGANIZATION AND PROVIDING CONTACT INFORMATION FOR MEMBERS OF CONGRESS. MOSAIC AS AN ORGANIZATION ENGAGED ITS MEMBERS OF CONGRESS THROUGH LETTERS, EMAILS, AND OFFICE VISITS. MOSAIC ALSO SENT A VARIETY OF ACTION ALERTS TO ITS ADVOCACY NETWORK. X X X 1 80.00 1 0 1 1802837 21691000 21690923 1802914 0 49559857 1585088 5093667 4277531 51961081 45918481 2333615 3616595 2308834 49559857 50067707 1732294 -3358135 2523385 45918481 40344859 4139307 7685646 2102105 50067707 37178162 7157077 -539550 3450830 40344859 0.85000 0.12000 0.03000 0 1 1 4302652 4302652 84961064 58524294 26436770 1064184 885298 178886 11654556 10697488 957068 15547535 10207589 5339946 37215322 110000 C INVESTMENT IN BICO 21551915 C INVESTMENT IN SALES TYPE LEASE 8844858 C 30506773 REFUNDABLE FEES 20858 CRATS PAYABLE 478119 LIABILITY FOR PENSION BENEFITS 5571544 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 5093982 LEASE LIABILITY 8861576 20026079 X PART II, LINE 9: THE FINANCIAL STATEMENTS FOR MOSAIC AND ITS AFFILIATES DO NOT CONTAIN ANY INFORMATION REGARDING THE CONSERVATION EASEMENT. PART IV, LINE 1B: MOSAIC IS THE REPRESENTATIVE-PAYEE FOR THE PERSONAL FUNDS OF A NUMBER OF INDIVIDUALS IN SERVICE. MOSAIC DOES NOT OWN THE ACCOUNTS. IN PREVIOUS YEARS, THE ACCOUNTING FOR SUCH ACTIVITIES OCCURRED AT THE AGENCY LEVEL AND AN AGGREGATE ACCOUNTING OF SUCH SERVICES WAS NOT POSSIBLE. MOSAIC TRACKS ALL ACCOUNT ACTIVITIES, AND THE NUMBERS LISTED ON PART IV, LINES 1C - 1F ACCURATELY REFLECT THE AGGREGATE BALANCE OF THESE ACCOUNTS. PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED FOR SUPPORT OF MOSAIC'S LONG TERM COMMITMENT TO ITS MISSION AND FOR CAPITAL IMPROVEMENTS AND GENERAL OPERATIONS. THE ENDOWMENT FUNDS ARE HELD BY THE MOSAIC FOUNDATION. PART X, LINE 2: MOSAIC RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. SUCH TAX POSITIONS, WHICH ARE MORE THAN 50% LIKELY OF BEING REALIZED, ARE MEASURED AT THEIR HIGHEST VALUE. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. DURING 2024, MANAGEMENT DETERMINED THAT THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE FINANCIAL STATEMENTS OTHER THAN DESCRIBED PREVIOUSLY. 1 0 0 0 0 0 0 0 0 0 SUB-SAHARAN AFRICA SUPPORT DEVELOPMENT OF SERVICES FOR PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. CENTER-BASED AND IN-HOME SUPPORT FOR CHILDREN WITH DISABILITIES AND THEIR CAREGIVERS. 209342 WIRE TRANSFER 0 1 0 0 0 1 0 0 0 X X 1 ZACHARIAS ADVANCEMENT 2206 N MAIN ST WHEATON IL 60187 CONSULTING 0 0 116894 0 116894 1 MOSAIC HOUSING CORP I 4980 S 118TH STREET OMAHA NE 68137 363756911 501(C)(3) 0 31650 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP II 4980 S 118TH STREET OMAHA NE 68137 470773689 501(C)(3) 0 48550 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP VIII 4980 S 118TH STREET OMAHA NE 68137 470828012 501(C)(3) 0 10600 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP XVII - BEATRICE 4980 S 118TH STREET OMAHA NE 68137 261710013 501(C)(3) 0 22000 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP XVIII - OSCEOLA-WAUKON 4980 S 118TH STREET OMAHA NE 68137 261710184 501(C)(3) 0 19900 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP XXII - LOGAN 4980 S 118TH STREET OMAHA NE 68137 273483415 501(C)(3) 0 91115 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP XV - COUNCIL BLUFFS 4980 S 118TH STREET OMAHA NE 68137 205765691 501(C)(3) 0 8400 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP XVI - FARMINGTON 4980 S 118TH STREET OMAHA NE 68137 205765731 501(C)(3) 0 5800 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP XXIII - AUSTIN 4980 S 118TH STREET OMAHA NE 68137 710875364 501(C)(3) 0 12994 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP IX 4980 S 118TH STREET OMAHA NE 68137 742838413 501(C)(3) 0 12000 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP X 4980 S 118TH STREET OMAHA NE 68137 742908789 501(C)(3) 0 5950 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP XI 4980 S 118TH STREET OMAHA NE 68137 311706640 501(C)(3) 0 16500 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. 12 0 PART I, LINE 2: GRANTS ARE PROVIDED TO RELATED ORGANIZATIONS TO FURTHER THEIR TAX EXEMPT FUNCTIONS. X 1 1 X X X X X X 0 0 0 0 0 0 0 0 0 LINDA TIMMONS PRESIDENT AND CEO 517723 0 155894 0 0 0 172345 0 21336 0 867298 0 0 0 SCOTT HOFFMAN SENIOR VP AND CFO 326057 0 137991 0 0 0 20723 0 21336 0 506107 0 0 0 JOSEPH LYONS SR VP AND GENERAL COUNSEL 280246 0 127636 0 0 0 18766 0 11664 0 438312 0 0 0 RENEE COUGHLIN CAO & FOUNDATION PRESIDENT 248332 0 123892 0 0 0 17431 0 21336 0 410991 0 0 0 JENNIFFER LEDOUX SVP OF OPERATIONS 250213 0 47253 0 0 0 16846 0 11664 0 325976 0 0 0 PARKER MCKENNA SVP OF HUMAN RESOURCES 244834 0 45677 0 0 0 16284 0 11664 0 318459 0 0 0 HEATHER GUNN SVP OF STRATEGIC INITIATIVES 214596 0 39616 0 0 0 14123 0 11664 0 279999 0 0 0 ANGELA WEIS SVP OF MISSION SUPPORT 193825 0 38139 0 0 0 13597 0 21336 0 266897 0 0 0 RAYMOND WALLACE ASSOCIATE VP OF FINANCE 207224 0 31633 0 0 0 6423 0 11664 0 256944 0 0 0 MOLLY KENNIS VP OF OPERATIONS 189815 0 30000 0 0 0 6405 0 21336 0 247556 0 0 0 KATIE KELLY VP OF IT & HIPPA SEC OFFICER 203858 0 19001 0 0 0 5740 0 11664 0 240263 0 0 0 ANDREA FERRUCCI VP OF OPERATIONS 192522 0 22200 0 0 0 3943 0 21336 0 240001 0 0 0 STACY MORTON VP OF FIN. PLANNING & ANALYSIS 193222 0 18910 0 0 0 5561 0 21336 0 239029 0 0 0 KRISTIN ROSSOW VP OF ACCOUNTING 190518 0 19406 0 0 0 5560 0 21336 0 236820 0 0 0 RICHARD NELSON VP OF OPERATIONS 190039 0 19000 0 0 0 5354 0 11664 0 226057 0 0 0 PATRICK COSTIGAN VP OF OPERATIONS 172744 0 19000 0 0 0 7390 0 21336 0 220470 0 0 0 LISA PARTEH VP OF OPERATIONS 169721 0 19000 0 0 0 5772 0 21336 0 215829 0 0 0 JENNIFER ZAJICEK VP OF OPERATIONAL EXCELLENCE 158672 0 28200 0 0 0 5338 0 21336 0 213546 0 0 0 AMBROSIA BELCHIC VP OF COMPLIANCE 149261 0 34100 0 0 0 4688 0 21336 0 209385 0 0 0 PAULA BURTON VP OF HR OPERATIONS 171841 0 15914 0 0 0 5285 0 11664 0 204704 0 0 0 ROBIN WESTFALL VP OF TALENT MANAGEMENT 162291 0 16164 0 0 0 4882 0 21336 0 204673 0 0 0 ERICA GIBSON VP OF HR SERVICES 171842 0 15914 0 0 0 4807 0 11664 0 204227 0 0 0 HASSAN SHALLA ASSOCIATE VP OF INFO TECHNOLOGY 172898 0 17439 0 0 0 0 0 11664 0 202001 0 0 0 JULIE ZITTERGRUEN VP OF REVENUE CYCLE 151023 0 15652 0 0 0 4722 0 21336 0 192733 0 0 0 BRENDA SOLOMON VP OF MARKETING & COMMUNICATIONS 143944 0 13196 0 0 0 4414 0 21336 0 182890 0 0 0 KELCIE DEKONING AVP OF MISSION EXPANSION 137457 0 15548 0 0 0 4244 0 21336 0 178585 0 0 0 MATTHEW SHEFFIELD SR DEVELOPMENT OFFICER 145203 0 11751 0 0 0 0 0 21336 0 178290 0 0 0 PART I, LINE 1A EVERY EMPLOYEE ENROLLED IN A HEALTH PLAN CAN BE REIMBURSED UP TO $25 PER MONTH FOR GYM MEMBERSHIPS OR INITIATION FEES. THIS BENEFIT IS TREATED AS TAXABLE COMPENSATION TO THE EMPLOYEE. SCHEDULE J, PART II, COLUMN B: DURING CALENDAR YEAR 2023, MIKE LYONS, RENEE COUGHLIN, AND SCOTT HOFFMAN RECEIVED A PAYOUT AS PART OF A RETENTION AGREEMENT, AND IS REFLECTED IN THEIR COMPENSATION. SCHEDULE J, PART II, COLUMN C: MOSAIC EVALUATES THE LIABILITY RELATED TO THEIR POSTRETIREMENT BENEFITS (SALARY AND HEALTH INSURANCE CONTINUATION) THROUGH AN ACTUARIAL REVIEW. THE ADJUSTMENT IS INCLUDED IN RETIREMENT AND OTHER DEFERRED COMPENSATION. A PUBLIC FINANCE AUTHORITY 273866124 000000000 2017-06-29 12188750 REFUND PRIOR ISSUES (1/28/03, 6/1/05, 3/12/10, 3/31/10, 4/14/10, 5/30/12) 0 0 0 B PUBLIC FINANCE AUTHORITY 273866124 000000000 2018-10-31 10101544 ACQUIRE FACILITY. REFUND BONDS ISSUED 11/1/2017 AND TAXABLE BOND 10/31/2018. 0 0 0 C PUBLIC FINANCE AUTHORITY 273866124 000000000 2017-11-01 6740000 SEE PART VI 0 0 0 A 10268419 12188750 187009 12001741 2012 1 0 1 1 B 1861018 10101544 1800000 8301544 2018 1 1 1 1 C 4236178 6429296 6294309 134987 2021 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 PART I, COLUMN C, (F): CONSTRUCT & IMPROVE FACILITY. PAY ISSUANCE COSTS OF THE 2017B TAXABLE DRAW-DOWN BONDS ON 6/29/17. PART II, COLUMN C, LINE 12: THE DEBT WAS ISSUED ON A DRAW DOWN BASIS AND THE TOTAL PRINCIPAL DRAWN WAS LESS THAN THE AMOUNT AVAILABLE. THE REMAINING PRINCIPAL WILL NOT BE DRAWN. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE, DURING THE INTERIM BETWEEN REGULAR OR SPECIAL MEETINGS OF THE BOARD, SHALL HAVE AUTHORITY TO DO ALL THINGS NECESSARY FOR THE CONDUCT OF THE CORPORATE AFFAIRS WHICH THE BOARD OF DIRECTORS COULD UNDERTAKE EXCEPT AS MAY BE PROHIBITED BY LAW, BY THE BYLAWS, OR BY RESOLUTION OF THE BOARD OF DIRECTORS, PROVIDED HOWEVER, THAT THE EXECUTIVE COMMITTEE SHALL EXERCISE ITS AUTHORITY TO ACT ON BEHALF OF THE FULL BOARD ONLY WHEN A DECISION MUST BE MADE AND THERE IS INSUFFICIENT TIME TO ASSEMBLE A MEETING OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 2 SCOTT HOFFMAN AND LINDA TIMMONS HAVE A BUSINESS RELATIONSHIP AS THE CHIEF FINANCIAL OFFICER OF MOSAIC AND CHIEF EXECUTIVE OFFICER OF MOSAIC. IN THESE ROLES THEY MANAGE MOSAIC. FORM 990, PART VI, SECTION A, LINE 7A THE EVANGELICAL LUTHERAN CHURCH IN AMERICA APPOINTS THREE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B MOSAIC BOARD OF DIRECTORS MAY MAKE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION WITHOUT OTHER APPROVAL WITH THE EXCEPTION OF SECTIONS 8 AND 10. AMENDMENTS TO SECTIONS 8 AND 10 OF THE ARTICLES OF INCORPORATION REQUIRE PRIOR WRITTEN CONSENT OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. SECTION 8 OF THE ARTICLES OF INCORPORATION SPECIFIES WHERE ASSETS WOULD BE TRANSFERRED UPON THE LIQUIDATION OF MOSAIC, AND SECTION 10 COVERS MOSAIC'S AFFILIATION WITH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY THE ORGANIZATION'S OUTSIDE ACCOUNTING FIRM. THE CHIEF FINANCIAL OFFICER, THE ORGANIZATION'S OUTSIDE ACCOUNTING FIRM, AND THE CHIEF EXECUTIVE OFFICER REVIEW THE RETURN. THE FINANCE AND AUDIT COMMITTEE AND THE BOARD OF DIRECTORS ARE PROVIDED A COPY OF THE RETURN PRIOR TO FILING FORM 990. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, EACH BOARD DIRECTOR COMPLETES A CONFLICT OF INTEREST FORM AND SUBMITS IT TO THE CHAIRPERSON OF THE BOARD INTEGRITY COMMITTEE. ANY FINANCIAL CONFLICTS OF INTEREST ARE REPORTED TO THE CHIEF FINANCIAL OFFICER FOR REPORTING ON THE FORM 990. WITHIN 90 DAYS OF THEIR HIRE DATE, ALL STAFF COMPLETE A CONFLICT OF INTEREST FORM. STAFF ARE NOTIFIED ANNUALLY THEY MUST COMPLETE A NEW CONFLICT OF INTEREST FORM IF THERE HAVE BEEN ANY CHANGES SINCE THEY LAST SUBMITTED THE FORM. ALL REPORTED CONFLICTS OF INTEREST ARE REVIEWED BY HUMAN RESOURCES, OPERATIONS AND COMPLIANCE DEPARTMENTS. ANY CONFLICTS OF INTEREST OF THE CHIEF EXECUTIVE OFFICER ARE REPORTED TO THE BOARD OF DIRECTORS. CONFLICTS OF INTEREST OF SENIOR STAFF ARE REVIEWED BY THE SENIOR VICE PRESIDENT FOR HUMAN RESOURCES AND VICE PRESIDENT OF COMPLIANCE AND REPORTED TO THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER FOR REPORTING ON THE FORM 990. ANY NEW CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR ARE REQUIRED TO BE REPORTED AT THAT TIME. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS ESTABLISHED AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE WILL BE GUIDED BY THE CONSULTANT'S ANALYSIS AND EXPERTISE, APPROVE THE COMPENSATION OF THE CEO, AND REPORT ITS ACTIONS TO THE FULL BOARD. THE CEO, WORKING WITHIN SALARY RANGES BASED UPON MARKET DATA GATHERED BY THE CONSULTANT, SETS THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. MINUTES, DOCUMENTATION OF THE INDEPENDENT CONSULTANT'S ANALYSIS, REPORT AND RECOMMENDATIONS ARE MAINTAINED AS PART OF THE RECORD OF THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 INDIVIDUALS MAY REQUEST MOSAIC'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS THROUGH AN EMAIL REQUEST FORM AVAILABLE ON MOSAIC'S PUBLIC WEBSITE (WWW.MOSAICINFO.ORG). FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 459,109. MANAGEMENT AND GENERAL EXPENSES 486,457. FUNDRAISING EXPENSES 72,626. TOTAL EXPENSES 1,018,192. DAY/HOST SERVICES: PROGRAM SERVICE EXPENSES 112,518,692. MANAGEMENT AND GENERAL EXPENSES 17,688. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,536,380. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 95,098. MANAGEMENT AND GENERAL EXPENSES 2,874,126. FUNDRAISING EXPENSES 69,849. TOTAL EXPENSES 3,039,073. FORM 990, PART XI, LINE 9: POSTRETIREMENT BENEFIT RELATED CHANGES OTHER THAN NET PERIODIC COST -57,001. OTHER TRANSFER OF LIABILITIES 4,882,131. FORM 990, PART XII, LINE 2C: THE FINANCE AND AUDIT COMMITEE OVERSEES THE AUDIT & SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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