2015-11-13T15:29:25-06:00 2015-06-30 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2014-07-01 391913323 OAKS OF DUNN COUNTY INC OAKS 4028963884 4980 SOUTH 118TH STREET OMAHA NE 68137 SCOTT HOFFMAN CHIEF FINANCIAL OFFICER 4028963884 2015-11-10 1 BARBARA J FAJEN P00400874 4023302660 2014 2016-03-07 17:11:31Z SCOTT HOFFMAN 4980 SOUTH 118TH STREET OMAHA NE 68137 603042 0 X WWW.MOSAICINFO.ORG X 1998 WI THE OAKS OF DUNN COUNTY PROVIDES SUPPORTED LIVING TO SENIORS LIVING IN MENOMONIE, WI. THE FACILITY OFFERS SECURE, ACCESSIBLE, AND MAINTENANCE-FREE HOMES IN A HOUSING COMPLEX WITH COMMON SPACE AND BASIC SERVICES, INCLUDING TRANSPORTATION, WEEKLY HOUSEKEEPING, LAUNDRY SERVICES, PLANNED ACTIVITIES, AND A DAILY MAIN MEAL. 6 6 0 0 0 0 0 0 479341 469547 41527 59317 0 0 520868 528864 0 0 0 0 136632 145103 0 0 0 317926 312058 454558 457161 66310 71703 2864527 2771476 2522487 2405779 342040 365697 X THE OAKS OF DUNN COUNTY PROVIDES SUPPORTED LIVING TO SENIORS LIVING IN MENOMONIE, WI. THE FACILITY OFFERS SECURE, ACCESSIBLE, AND MAINTENANCE-FREE HOMES IN A HOUSING COMPLEX WITH COMMON SPACE AND BASIC SERVICES, INCLUDING TRANSPORTATION, WEEKLY HOUSEKEEPING, LAUNDRY SERVICES, PLANNED ACTIVITIES, AND A DAILY MAIN MEAL. THE OAKS OF DUNN COUNTY IS AN AFFILIATE OF MOSAIC. MOSAIC IS A FAITH-BASED ORGANIZATION SERVING PEOPLE WITH DEVELOPMENTAL DISABILITIES SO THAT ALL MAY REALIZE GOD'S GIFT OF WHOLENESS OF LIFE. WE ARE GUIDED BY THE PRINCIPLE THAT "EVERY INDIVIDUAL IS A PERSON OF WORTH." MOSAIC'S STAFF MEMBERS AND VOLUNTEERS PROVIDE INDIVIDUALIZED SERVICES, LIVING OPTIONS, WORK CHOICES, SPIRITUAL NURTURING, AND ADVOCACY TO APPROXIMATELY 3,500 INDIVIDUALS IN MORE THAN 50 COMMUNITIES ACROSS 12 STATES. INTERESTED PEOPLE CAN FIND MORE INFORMATION REGARDING THE OAKS OF DUNN COUNTY AT WWW.MOSAICINFO.ORG OR BY CALLING 715-235-7793. 0 0 430372 469547 PROVIDE RESIDENTIAL HOUSING AND SUPPORTED LIVING TO SENIORS. THE FACILITY OFFERS SECURE, ACCESSIBLE, AND MAINTENANCE-FREE HOMES IN A HOUSING COMPLEX WITH COMMON SPACE AND BASIC SERVICES, INCLUDING TRANSPORTATION, WEEKLY HOUSEKEEPING, LAUNDRY SERVICES, PLANNED ACTIVITIES, AND A DAILY MAIN MEAL. 430372 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 5 0 1 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X X SCOTT HOFFMAN 4028963884 4980 SOUTH 118TH STREET OMAHA NE 68137 ROBERT SPINTI PRESIDENT 0.10 0.00 X X 0 0 0 LINDA TIMMONS VICE PRESIDENT 0.10 39.90 X X 0 470765 183347 SCOTT HOFFMAN SECRETARY 0.10 39.90 X X 0 205946 29202 CINDY SCHROEDER TREASURER 0.10 39.90 X X 0 270346 34102 ARDEN ALEXANDER DIRECTOR 0.10 0.00 X 0 0 0 ROGER NATWICK DIRECTOR 0.10 0.00 X 0 0 0 0 947057 246651 0 0 1 0 0 RENTAL INCOME 532000 447872 447872 NON-REFUNDABLE FEES 532000 21675 21675 469547 18881 18881 114614 74178 40436 40436 40436 528864 469547 0 59317 112964 112964 2802 2802 21313 21313 8024 8024 26789 26789 8280 8280 26806 26806 60378 60378 104 104 59745 59745 80877 80877 15837 15837 FOOD COSTS 32678 32678 DUES, FEES & REGISTRATI 454 454 LOAN FEE 110 110 457161 430372 26789 0 31408 15022 92715 0 3192950 1356911 1901950 1836039 837518 919589 936 826 2864527 2771476 19231 23722 1412564 1291142 1090692 1090915 2522487 2405779 X 332040 355697 10000 10000 342040 365697 2864527 2771476 71703 -48046 0 X X 0 1 X 1 0 X 425243 460812 509264 479341 469547 2344207 425243 460812 509264 479341 469547 2344207 0 0 0 2344207 21918 20861 18205 21424 18881 101289 21918 20861 18205 21424 18881 101289 447161 481673 527469 500765 488428 2445496 0.95860 0.96430 0.04140 0.03570 X 10000 10000 10000 10000 10000 10000 10000 10000 10000 10000 0.00000 0.00000 1.00000 0 0 95195 95195 2962727 1231189 1731538 131320 125722 5598 3708 3708 1836039 TENANT SECURITY DEPOSITS 641556 AFFILIATE PAYABLE 449359 1090915 X 588640 -48046 107822 59776 528864 0 528864 457161 0 457161 0 457161 PART V, LINE 4: THE ORGANIZATION'S INTENDED USE OF THE TEMPORARILY RESTRICTED NET ASSETS IS FOR PROGRAM PURPOSES AS RESTRICTED BY THE DONORS. PART X, LINE 2: THE 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 2015 AND 2014, MANAGEMENT DETERMINED THAT THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS OTHER THAN DESCRIBED PREVIOUSLY. PART XI, LINE 2D - OTHER ADJUSTMENTS: RECLASS OF UNREALIZED GAINS ON SECURITIES TRANSFERRED TO TRADING SECURITIES 107,822. 0 0 0 0 0 0 0 0 0 LINDA TIMMONS VICE PRESIDENT 0 435357 0 30000 0 5408 0 166171 0 17176 0 654112 0 0 SCOTT HOFFMAN SECRETARY 0 189081 0 15000 0 1865 0 12026 0 17176 0 235148 0 0 CINDY SCHROEDER TREASURER 0 252652 0 15000 0 2694 0 28306 0 5796 0 304448 0 0 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. FORM 990, PART VI, SECTION A, LINE 7A THE MOSAIC BOARD OF DIRECTORS APPOINTS THE OAKS OF DUNN COUNTY'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY MOSAIC'S ACCOUNTING FIRM, SEIM JOHNSON, LLP. THE TREASURER REVIEWS THE COMPLETED FORM 990 AND RELATED SCHEDULES. THE FORM 990 AND RELATED SCHEDULES ARE SHARED WITH THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD DIRECTOR COMPLETES A CONFLICT OF INTEREST FORM ANNUALLY AND SUBMITS IT TO THE CHAIRPERSON OF THE MOSAIC'S BOARD GOVERNANCE RISK AND INTEGRITY COMMITTEE. ANY FINANCIAL CONFLICTS OF INTEREST ARE REPORTED TO THE TREASURER AND MOSAIC'S 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 OAKS OF DUNN COUNTY, INC. DOES NOT PAY COMPENSATION TO A CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT OFFICIAL, OFFICERS, OR ANY OTHER EMPLOYEES. THEREFORE, A PROCESS FOR DETERMINING COMPENSATION HAS NOT BEEN ESTABLISHED. FORM 990, PART VI, SECTION C, LINE 19 INDIVIDUALS MAY REQUEST MOSAIC'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS THROUGH AN E-MAIL REQUEST FORM, WHICH IS AVAILABLE ON MOSAIC'S PUBLIC WEBSITE (WWW.MOSAICINFO.ORG). FORM 990, PART XII, LINE 2C: THE BOARD ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED DURING THE TAX YEAR. MOSAIC 4980 S 118 ST OMAHA NE 68137 113669999 CARE & ADVOCACY FOR THE INTELLECTUALLY DISABLED NE 501(C)(3) LINE 9 0 MOSAIC FOUNDATION 4980 S 118 ST OMAHA NE 68137 363837360 FUND RAISING & INVESTMENT ASSET MGMT NE 501(C)(3) LINE 11A MOSAIC 0 MOSAIC HOUSING CORPORATION I 4980 S 118 ST OMAHA NE 68137 363756911 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION II 4980 S 118 ST OMAHA NE 68137 391913323 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION III 4980 S 118 ST OMAHA NE 68137 470788396 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION IV 4980 S 118 ST OMAHA NE 68137 911823422 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION VII 4980 S 118 ST OMAHA NE 68137 470828015 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION VIII 4980 S 118 ST OMAHA NE 68137 470828012 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION IX 4980 S 118 ST OMAHA NE 68137 742838413 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION X 4980 S 118 ST OMAHA NE 68137 742908789 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XI 4980 S 118 ST OMAHA NE 68137 311706640 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XII 4980 S 118 ST OMAHA NE 68137 481297244 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XIII 4980 S 118 ST OMAHA NE 68137 421626679 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XIV 4980 S 118 ST OMAHA NE 68137 204417891 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XV 4980 S 118 ST OMAHA NE 68137 205765691 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XVI 4980 S 118 ST OMAHA NE 68137 205765731 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XVII 4980 S 118 ST OMAHA NE 68137 261710013 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XVIII 4980 S 118 ST OMAHA NE 68137 261710184 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XIX 4980 S 118 ST OMAHA NE 68137 261710259 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XX 4980 S 118 ST OMAHA NE 68137 264555206 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XXI 4980 S 118 ST OMAHA NE 68137 264555313 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XXII 4980 S 118 ST OMAHA NE 68137 273483415 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XXIII 4980 S 118 ST OMAHA NE 68137 710875364 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC ILLINOIS HOUSING I 4980 S 118 ST OMAHA NE 68137 202997161 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC ILLINOIS HOUSING II 4980 S 118 ST OMAHA NE 68137 204417645 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC ILLINOIS HOUSING OF MACOMB I 4980 S 118 ST OMAHA NE 68137 204841909 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC ILLINOIS HOUSING OF ROCKFORD I 4980 S 118 ST OMAHA NE 68137 204841856 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC VEBA 4980 S 118 ST OMAHA NE 68137 363831874 EMPLOYEE WELFARE BENEFIT PLAN NE 501(C)(9) N/A MOSAIC 0 BETHPHAGE RESIDENTIAL PARTNERSHIP 4980 S 118 ST OMAHA NE 68137 470805544 LOW INCOME HOUSING NE N/A MOSAIC RESIDENTIAL SERVICES OF NEBRASKA LLC 4980 S 118 ST OMAHA NE 68137 271695051 LOW INCOME HOUSING NE N/A EASE-E MEDICAL INC 380 SKYLAND DR SUITE A PENROSE CO 81240 470842353 MEDICAL EQUIPMENT/SUPPLIES SALES NE N/A C 0 MOSAIC HOUSING CORPORATION V 4980 S 118 ST OMAHA NE 68137 470805545 LOW INCOME HOUSING NE N/A C 0 BICO 4980 S 118 ST OMAHA NE 68137 CAPTIVE INSURANCE BD N/A C 0 CHARITABLE REMAINDER TRUSTS (5) INVESTMENT MANAGEMENT NE N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0