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MOSAIC HOUSING CORP XII: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MOSAIC HOUSING CORP XII (EIN 48-1297244)
Tax period
2015-07-01 to 2016-06-30
Filed
2016-12-15
IRS object ID
201643509349301154
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-12-15T14:14:44-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN476097913PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SEIM JOHNSON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118081 BURT STREET SUITE 200AddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP680224722ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN481297244EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSAIC HOUSING CORPORATION 12BusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMOSABusinessNameControlTxt
Phone4028963884PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14980 SOUTH 118TH STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68137ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKRISTIN ROSSOWPersonNm
Person TitleTREASURER/SECRETARYPersonTitleTxt
Phone4028963884PhoneNum
Signature2016-12-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWENDY R COOLEYPreparerPersonNm
PTINP01523804PTIN
Phone4023302660PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKRISTIN ROSSOWPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14980 SOUTH 118TH STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68137ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$65,000GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MOSAICINFO.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION PROVIDES LOW INCOME HOUSING TO THE DISABLED UNDER SECTION 811 GUIDELINES ESTABLISHED BY THE U.S. DEPARTMENT OF HUD.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,376PYContributionsGrantsAmt
CY Contributions Grants$11,673CYContributionsGrantsAmt
PY Program Service Revenue$49,887PYProgramServiceRevenueAmt
CY Program Service Revenue$53,291CYProgramServiceRevenueAmt
PY Investment Income$31PYInvestmentIncomeAmt
CY Investment Income$36CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$59,294PYTotalRevenueAmt
CY Total Revenue$65,000CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$100,953PYOtherExpensesAmt
CY Other Expenses$101,269CYOtherExpensesAmt
PY Total Expenses$100,953PYTotalExpensesAmt
CY Total Expenses$101,269CYTotalExpensesAmt
PY Revenues Less Expenses-$41,659PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$36,269CYRevenuesLessExpensesAmt
Total Assets BOY$979,204TotalAssetsBOYAmt
Total Assets EOY$948,708TotalAssetsEOYAmt
Total Liabilities BOY$46,522TotalLiabilitiesBOYAmt
Total Liabilities EOY$52,295TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$932,682NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$896,413NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION PROVIDES LOW INCOME HOUSING TO THE DISABLED UNDER SECTION 811 GUIDELINES ESTABLISHED BY THE U.S. DEPARTMENT OF HUD.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$84,491ExpenseAmt
Revenue$53,291RevenueAmt
DescTHE ORGANIZATION PROVIDES LOW INCOME HOUSING TO THE DISABLED UNDER SECTION 811 GUIDELINES ESTABLISHED BY THE U.S. DEPARTMENT OF HUD.Desc
Total Program Service Expenses$84,491TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KRISTIN ROSSOWBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4028963884PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14980 SOUTH 118TH STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68137ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DEANNA WAGNER
CHAIRPERSON0.102.40Yes (X)Yes (X)$0$0$0
JOAN NIEDFELDT
VICE CHAIRPERSON0.102.40Yes (X)Yes (X)$0$0$0
CONRAD JAMES JR
DIRECTOR0.102.40Yes (X)$0$0$0
DOLORES BANGERT
PRESIDENT0.5039.50Yes (X)$0$128,517$36,696
KRISTEN ROSSOW
TREASURER/SECRETARY0.5039.50Yes (X)$0$130,531$26,293
SCOTT HOFFMAN
TREASURER/SECRETARY (THRU 10/15)0.5039.50Yes (X)$0$232,249$33,651
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$491,297TotReportableCompRltdOrgAmt
Total Other Compensation$96,640TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$11,673GovernmentGrantsAmt
Total Contributions$11,673TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRENTAL INCOMEDesc
Business531110BusinessCd
Total Revenue Column$53,291TotalRevenueColumnAmt
Related Or Exempt Func Income$53,291RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$53,291TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$36TotalRevenueColumnAmt
Exclusion$36ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,000TotalRevenueColumnAmt
Related Or Exempt Func Income$53,291RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$36ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$6,602TotalAmt
Management And General$6,602ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$65TotalAmt
Management And General$65ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,050TotalAmt
Management And General$7,050ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,314TotalAmt
Program Services$11,314ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,582TotalAmt
Program Services$3,582ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$21,161TotalAmt
Program Services$21,161ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$55TotalAmt
Management And General$55ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$45,983TotalAmt
Program Services$45,983ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,357TotalAmt
Program Services$2,357ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescBAD DEBTSDesc
Total$94TotalAmt
Program Services$94ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,006TotalAmt
Management And General$3,006ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$101,269TotalAmt
Program Services$84,491ProgramServicesAmt
Management And General$16,778ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,496BOYAmt
EOY$6,494EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2BOYAmt
EOY$2,265EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,400,139LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$495,531LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$945,307BOYAmt
EOY$904,608EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$28,399BOYAmt
EOY$35,341EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$979,204BOYAmt
EOY$948,708EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$38,935BOYAmt
EOY$47,168EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,587BOYAmt
EOY$5,127EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$46,522BOYAmt
EOY$52,295EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$58,718BOYAmt
EOY-$94,987EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$991,400BOYAmt
EOY$991,400EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$932,682BOYAmt
EOY$896,413EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$979,204BOYAmt
EOY$948,708EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$36,269ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$59,048CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,091CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,799CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,376CurrentTaxYearMinus1YearAmt
Current Tax Year$11,673CurrentTaxYearAmt
Total$110,987TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$55,486CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$48,180CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,601CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,887CurrentTaxYearMinus1YearAmt
Current Tax Year$53,291CurrentTaxYearAmt
Total$256,445TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$114,534CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$69,271CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$59,400CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$59,263CurrentTaxYearMinus1YearAmt
Current Tax Year$64,964CurrentTaxYearAmt
Total$367,432TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$367,432PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$31CurrentTaxYearMinus1YearAmt
Current Tax Year$36CurrentTaxYearAmt
Total$171TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$31CurrentTaxYearMinus1YearAmt
Current Tax Year$36CurrentTaxYearAmt
Total$171TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$79CurrentTaxYearMinus4YearsAmt
Total$79TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$114,653CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$69,302CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$59,433CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$59,294CurrentTaxYearMinus1YearAmt
Current Tax Year$65,000CurrentTaxYearAmt
Total$367,682TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99930PublicSupportCY509Pct
Public Support PY5090.99930PublicSupportPY509Pct
Investment Income CY0.00050InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$142,965OtherCostOrOtherBasisAmt
Book Value$142,965BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,232,216OtherCostOrOtherBasisAmt
Depreciation$470,573DepreciationAmt
Book Value$761,643BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,958OtherCostOrOtherBasisAmt
Depreciation$24,958DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$904,608TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
TENANT SECURITY DEPOSITS$3,789
DUE TO AFFILIATE$1,338
FieldValueIRS element (for citing)
Total Liability$5,127TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$65,000TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$65,000RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$65,000TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$101,269TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$101,269ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$101,269TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE FOLLOWING FOOTNOTE IS TAKEN FROM THE CONSOLIDATED FINANCIAL STATEMENTS: ALL CONSOLIDATED AFFILIATED ENTITIES, EXCEPT FOR MOSAIC HOUSING CORP V, INC. AND EASE-E MEDICAL, INC., ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OR 501(C)(2) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN MOSAIC'S TAX EXEMPT STATUS. 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 2016 AND 2015, MANAGEMENT DETERMINED THAT THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS OTHER THAN DESCRIBED PREVIOUSLY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DOLORES BANGERT
PRESIDENT$0$126,945$0$1,000$0$572$0$5,108$0$31,588$0$165,213$0$0
KRISTEN ROSSOW
TREASURER/SECRETARY$0$128,502$0$1,500$0$529$0$4,677$0$21,616$0$156,824$0$0
SCOTT HOFFMAN
TREASURER/SECRETARY (THRU 10/15)$0$213,795$0$15,206$0$3,248$0$13,509$0$20,142$0$265,900$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE SALARIES OF DELORES BANGERT, KRISTIN ROSSOW, AND SCOTT HOFFMAN ARE PAID BY MOSAIC, A RELATED ORGANIZATION. MOSAIC'S BOARD AND COMPENSATION COMMITTEE USE AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, AND A COMPENSATION SURVEY IN ESTABLISHING THEIR COMPENSATION.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF DIRECTORS FOR MOSAIC, A RELATED ENTITY, APPOINTS BOARD MEMBERS FOR THIS ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. IT IS REVIEWED BY THE PRESIDENT AND TREASURER OF THE ORGANIZATION AND THEN SHARED WITH THE BOARD OF DIRECTORS PRIOR TO THE FORM 990 BEING ELECTRONICALLY FILED.
FORM 990, PART VI, SECTION B, LINE 12CEACH BOARD MEMBER IS REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THE FORM IS SUBMITTED TO MOSAIC'S SENIOR VP OF HUMAN RESOURCES WHO REVIEWS THE DOCUMENT AND REPORTS ANY FINDINGS TO MOSAIC'S BOARD.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES AVAILABLE TO THE PUBLIC, UPON REQUEST, ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS.
FORM 990, PART IX, LINE 11GGROUNDS CONTRACT: PROGRAM SERVICE EXPENSES 6,550. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,550. REPAIRS CONTRACT: PROGRAM SERVICE EXPENSES 2,836. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,836. FIRE SYSTEM MONITORING: PROGRAM SERVICE EXPENSES 661. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 661. PEST CONTROL CONTRACT: PROGRAM SERVICE EXPENSES 1,267. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,267.
FORM 990, PART XII, LINE 2C:THE BOARD ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION PROCESS OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MOSAIC
4980 S 118 STOMAHANE68137113669999SERVICES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIESNE501(C)(3)LINE 9N/A0
MOSAIC FOUNDATION
4980 S 118 STOMAHANE68137363837360FUND RAISING AND INVESTMENT ASSET MANAGEMENTNE501(C)(3)LINE 11A, I0MOSAIC
THE OAKS OF DUNN COUNTY
4980 S 118 STOMAHANE68137391913323SENIOR LIVING SERVICESWI501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING CORPORATION I
4980 S 118 STOMAHANE68137363756911LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING CORPORATION II
4980 S 118 STOMAHANE68137470773689LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING CORPORATION III
4980 S 118 STOMAHANE68137470788396LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING CORPORATION IV
4980 S 118 STOMAHANE68137911823422LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING CORPORATION VII
4980 S 118 STOMAHANE68137470828015LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING CORPORATION VIII
4980 S 118 STOMAHANE68137470828012LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING CORPORATION IX
4980 S 118 STOMAHANE68137742838413LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING CORPORATION X
4980 S 118 STOMAHANE68137742908789LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING CORPORATION XI
4980 S 118 STOMAHANE68137311706640LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING CORPORATION XIII
4980 S 118 STOMAHANE68137421626679LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING CORPORATION XIV
4980 S 118 STOMAHANE68137204417891LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING CORPORATION XV
4980 S 118 STOMAHANE68137205765691LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING CORPORATION XVI
4980 S 118 STOMAHANE68137205765731LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING CORPORATION XVII
4980 S 118 STOMAHANE68137261710013LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING CORPORATION XVIII
4980 S 118 STOMAHANE68137261710184LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING CORPORATION XIX
4980 S 118 STOMAHANE68137261710259LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING CORPORATION XX
4980 S 118 STOMAHANE68137264555206LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING COPRORATION XXI
4980 S 118 STOMAHANE68137264555313LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING COPRORATION XXII
4980 S 118 STOMAHANE68137273483415LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC HOUSING CORPORATION XXIII
4980 S 118 STOMAHANE68137710875364LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC ILLINOIS HOUSING I
4980 S 118 STOMAHANE68137202997161LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC ILLINOIS HOUSING II
4980 S 118 STOMAHANE68137204417645LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC ILLINOIS HOUSING OF MACOMB I
4980 S 118 STOMAHANE68137204841909LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC ILLINOIS HOUSING OF ROCKFORD I
4980 S 118 STOMAHANE68137204841856LOW INCOME HOUSINGNE501(C)(3)LINE 90MOSAIC
MOSAIC VEBA
4980 S 118 STOMAHANE68137383831874EMPLOYEE WELFARE BENEFIT PLANNE501(C)(9)N/A0MOSAIC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MOSAIC RESIDENTIAL SERVICES OF NEBRASKA LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14980 S 118 STAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68137ZIPCd
FieldValueIRS element (for citing)
EIN271695051EIN
Primary ActivitiesLOW INCOME HOUSINGPrimaryActivitiesTxt
Legal Domicile StateNELegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
EASE-E MEDICAL INC
731 SOUTH 8TH STREETCANON CITYCO81212470842353SALE OF MEDICAL EQUIPMENT AND SUPPLIESNEN/AC0
MOSAIC HOUSING CORPORATION V
4980 S 118 STOMAHANE68137470805545LOW INCOME HOUSINGNEN/AC0
BICO
4980 S 118 STOMAHANE68137CAPTIVE INSURANCEN/AC0BD
CHARITABLE REMAINDER TRUSTS (3)
INVESTMENT MANAGEMENTNEN/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd