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 470773689 MOSAIC HOUSING CORPORATION 2 MOSA 4028963884 4980 SOUTH 118TH STREET OMAHA NE 68137 SCOTT HOFFMAN CHIEF FINANCIAL OFFICER 4028963884 2015-11-09 1 BARBARA J FAJEN P00400874 4023302660 2014 2016-04-25 22:37:26Z SCOTT HOFFMAN 4980 SOUTH 118TH STREET OMAHA NE 68137 89117 0 X WWW.MOSAICINFO.ORG X 1994 NE THE ORGANIZATION PROVIDES LOW INCOME HOUSING TO THE DISABLED UNDER THE GUIDELINES OF HUD SEC. 811. 3 3 0 0 0 0 18418 13665 72478 75392 74 60 39758 0 130728 89117 0 0 0 0 0 0 0 0 0 171792 170110 171792 170110 -41064 -80993 757251 679068 14094 16904 743157 662164 THE ORGANIZATION PROVIDES LOW INCOME HOUSING TO THE DISABLED UNDER THE GUIDELINES OF HUD SECTION 811. 0 0 151443 75392 THE ORGANIZATION PROVIDES LOW INCOME HOUSING TO THE DISABLED UNDER THE GUIDELINES OF HUD SECTION 811. 151443 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 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 7 0 1 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X SCOTT HOFFMAN 4028963884 4980 SOUTH 118TH STREET OMAHA NE 68137 DEANNA WAGNER CHAIRPERSON 0.10 2.40 X X 0 0 0 JOAN NIEDFELDT VICE CHAIRPERSON 0.10 2.40 X X 0 0 0 CONRAD JAMES JR DIRECTOR 0.10 2.40 X 0 0 0 DOLORES BANGERT PRESIDENT 0.50 39.50 X 0 124685 16676 SCOTT HOFFMAN TREASURER/SECRETARY 0.50 39.50 X 0 205946 29202 0 330631 45878 0 0 1 0 0 13665 13665 RENTAL INCOME 531110 75392 75392 75392 60 60 89117 75392 0 60 X 7251 7251 113 113 7645 7645 19965 19965 3239 3239 35904 35904 434 434 87000 87000 4237 4237 MISCELLANEOUS 3224 3224 BAD DEBT 1098 1098 170110 151443 18667 0 2555 0 50 224 1686162 1074364 686671 611798 67975 67046 757251 679068 8810 11714 5284 5190 14094 16904 X -531743 -405236 1274900 1067400 743157 662164 757251 679068 -80993 0 X X 0 1 X 1 1 1 X 287431 48312 23037 18418 13665 390863 91488 63935 67019 72478 75392 370312 378919 112247 90056 90896 89057 761175 0 0 0 761175 74 69 65 74 60 342 74 69 65 74 60 342 18 66 39758 39842 378993 112334 90187 130728 89117 801359 0.94990 0.94670 0.00040 0.00040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 79053 79053 1559601 1042836 516765 43058 31528 11530 4450 4450 611798 RESERVE FOR REPLACEMENTS 58965 TENANT SECURITY DEPOSITS 4435 RESIDUAL RECEIPTS 3646 67046 TENANT SECURITY DEPOSITS 4435 DUE TO AFFILIATE 378 BANK OVERDRAFT 377 5190 X 89117 0 89117 0 89117 170110 0 170110 0 170110 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. 0 0 0 0 0 0 0 0 0 SCOTT HOFFMAN TREASURER/SECRETARY 0 189081 0 15000 0 1865 0 12026 0 17176 0 235148 0 0 FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS FOR MOSAIC, A RELATED ENTITY, APPOINTS BOARD MEMBERS FOR THIS ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. IT IS REVIEWED BY THE PRESIDENT AND TREASURER OF THE ORGANIZATION. IT IS SHARED WITH THE BOARD OF DIRECTORS PRIOR TO THE FORM 990 BEING ELECTRONICALLY FILED. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER IS REQUIRED TO COMPLETE ANNUALLY A CONFLICT OF INTEREST FORM WHICH IS SUBMITTED TO MOSAIC'S SENIOR VICE PRESIDENT OF HUMAN RESOURCES FOR REVIEW. ANY CONFLICTS ARE REPORTED TO THE MOSAIC BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES AVAILABLE TO THE PUBLIC, UPON REQUEST, ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS. FORM 990, PART IX, LINE 11G REPAIRS CONTRACT: PROGRAM SERVICE EXPENSES 8,122. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,122. GROUNDS CONTRACT: PROGRAM SERVICE EXPENSES 8,398. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,398. FIRE SYSTEM MONITORING & INSPECTION: PROGRAM SERVICE EXPENSES 641. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 641. PEST CONTROL CONTRACT: PROGRAM SERVICE EXPENSES 2,499. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,499. HOUSEKEEPING CONTRACT: PROGRAM SERVICE EXPENSES 305. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 305. 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 MANAGEMENT NE 501(C)(3) LINE 11A MOSAIC 0 THE OAKS OF DUNN COUNTY 4980 S 118 ST OMAHA NE 68137 391913323 SENIOR LIVING SERVICES WI 501(C)(3) LINE 9 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 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 383831874 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 PARTNERSHIP 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