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MOSAIC HOUSING CORP XII: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MOSAIC HOUSING CORP XII (EIN 48-1297244)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-01-06
IRS object ID
201400139349301030
Schema version
2012v2.1
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)
Timestamp2014-01-06T15:55:48-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN476097913EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SEIM JOHNSON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line118081 BURT STREET SUITE 200AddressLine1
CityOMAHACity
StateNEState
ZIP Code680224722ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN481297244EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOSAIC HOUSING CORPORATION 12BusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMOSANameControl
Phone4028963884Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14980 SOUTH 118TH STREETAddressLine1
CityOMAHACity
StateNEState
ZIP Code68137ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCYNTHIA SCHROEDERName
TitlePRESIDENTTitle
Phone4028963884Phone
Date Signed2013-12-23DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJULIE M GERKENName
PTINP00400882PTIN
Phone4023302660Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDOLORES BANGERTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14980 SOUTH 118TH STREETAddressLine1
CityOMAHACity
StateNEState
ZIP Code68137ZIPCode
FieldValueIRS element (for citing)
Gross Receipts69302GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MOSAICINFO.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION PROVIDES LOW INCOME HOUSING TO THE DISABLED UNDER SECTION 811 GUIDELINES ESTABLISHED BY THE U.S. DEPARTMENT OF HUD.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year59048ContributionsGrantsPriorYear
Contributions Grants Current Year21091ContributionsGrantsCurrentYear
Program Service Revenue Prior Year55486ProgramServiceRevenuePriorYear
Program Service Revenue CY48180ProgramServiceRevenueCY
Investment Income Prior Year40InvestmentIncomePriorYear
Investment Income Current Year31InvestmentIncomeCurrentYear
Other Revenue Prior Year79OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year114653TotalRevenuePriorYear
Total Revenue Current Year69302TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year93002OtherExpensePriorYear
Other Expenses Current Year97260OtherExpensesCurrentYear
Total Expenses Prior Year93002TotalExpensesPriorYear
Total Expenses Current Year97260TotalExpensesCurrentYear
Revenues Less Expenses Prior Year21651RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-27958RevenuesLessExpensesCY
Total Assets BOY1113530TotalAssetsBOY
Total Assets EOY1065377TotalAssetsEOY
Total Liabilities BOY67606TotalLiabilitiesBOY
Total Liabilities EOY47411TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1045924NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1017966NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION PROVIDES LOW INCOME HOUSING TO THE DISABLED UNDER SECTION 811 GUIDELINES ESTABLISHED BY THE U.S. DEPARTMENT OF HUD.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense81506Expense
Revenue48180Revenue
DescriptionTHE ORGANIZATION PROVIDES LOW INCOME HOUSING TO THE DISABLED UNDER SECTION 811 GUIDELINES ESTABLISHED BY THE U.S. DEPARTMENT OF HUD.Description
Total Program Service Expense81506TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CYNTHIA SCHROEDERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4028963884TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14980 SOUTH 118TH STREETAddressLine1
CityOMAHACity
StateNEState
ZIP Code68137ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DEANNA WAGNER
CHAIRPERSON0.102.30XX000
JOAN NIEDFELDT
VICE CHAIRPERSON0.102.30XX000
CONRAD JAMES JR
DIRECTOR0.102.30X000
DOLORES BANGERT
PRESIDENT0.5039.50X012072314676
DEAN WILSON
TREASURER/SECRETARY THROUGH 9/120.5039.50X021254314061
SCOTT HOFFMAN
TREASURER/SECRETARY0.5039.50X010975114836
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs443017TotalReportableCompFrmRltdOrgs
Total Other Compensation43573TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations13257RelatedOrganizations
Government Grants7834GovernmentGrants
Total Contributions21091TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRENTAL INCOMEDescription
Business Code531110BusinessCode
Total Revenue Column48180TotalRevenueColumn
Related Or Exempt Function Income48180RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue48180TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column31TotalRevenueColumn
Exclusion$31ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column69302TotalRevenueColumn
Related Or Exempt Function Income48180RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$31ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total5703Total
Management And General5703ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total148Total
Management And General148ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total7680Total
Management And General7680ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10562Total
Program Services10562ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4615Total
Program Services4615ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total18435Total
Program Services18435ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total137Total
Management And General137ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total45117Total
Program Services45117ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2777Total
Program Services2777ProgramServices

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Total2086Total
Management And General2086ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total97260Total
Program Services81506ProgramServices
Management And General15754ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY24112BOY
EOY6316EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY376BOY
EOY1690EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1389351LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec358335LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1061840BOY
EOY1031016EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY27202BOY
EOY26355EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1113530BOY
EOY1065377EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY63935BOY
EOY40243EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3671BOY
EOY7168EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY67606BOY
EOY47411EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY54524BOY
EOY26566EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY991400BOY
EOY991400EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1045924BOY
EOY1017966EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1113530BOY
EOY1065377EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-27958ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year59048CurrentTaxYearMinus1Year
Current Tax Year21091CurrentTaxYear
Total80139Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44341CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years53194CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years56077CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year55486CurrentTaxYearMinus1Year
Current Tax Year48180CurrentTaxYear
Total257278Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44341CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years53194CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years56077CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year114534CurrentTaxYearMinus1Year
Current Tax Year69271CurrentTaxYear
Total337417Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509337417PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years78CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40CurrentTaxYearMinus1Year
Current Tax Year31CurrentTaxYear
Total194Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years78CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40CurrentTaxYearMinus1Year
Current Tax Year31CurrentTaxYear
Total194Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year79CurrentTaxYearMinus1Year
Total79Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44419CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years53215CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years56101CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year114653CurrentTaxYearMinus1Year
Current Tax Year69302CurrentTaxYear
Total337690Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99920PublicSupportPercentage509
Prior Year Support Percentage0.99810PriorYearSupportPercentage
Investment Income Percentage0.00060InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00160PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis142965OtherCostOrOtherBasis
Book Value142965BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1221428OtherCostOrOtherBasis
Depreciation333377Depreciation
Book Value888051BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis24958OtherCostOrOtherBasis
Depreciation24958Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1031016TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
TENANT SECURITY DEPOSITS$3,999
DUE TO AFFILIATE$3,169
FieldValueIRS element (for citing)
Total Of Amounts7168TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt69302TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal69302RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99069302TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt97260TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal97260ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99097260TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationALL CONSOLIDATED AFFILIATED ENTITIES, EXCEPT FOR MOSAIC HOUSING CORP V, INC. BETHPHAGE RESIDENTIAL SERVICES, 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. IN GENERAL, SUCH STANDARDS REQUIRE MOSAIC TO MEET A COMMUNITY BENEFITS STANDARD AND COMPLY WITH VARIOUS LAWS AND REGULATIONS. MOSAIC IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS ENDED PRIOR TO JUNE 30, 2010. MOSAIC HOUSING CORP V, INC. IS A FOR-PROFIT TAXABLE CORPORATION AND HAD NO MATERIAL OPERATIONS OR INCOME. BETHPHAGE RESIDENTIAL SERVICES IS A NEBRASKA LIMITED PARTNERSHIP, WHICH HAS ELECTED TO BE TREATED AS A PASS-THROUGH ENTITY FOR INCOME TAX PURPOSES AND, AS SUCH, IS NOT SUBJECT TO INCOME TAXES. EASE-E IS A FOR-PROFIT TAXABLE CORPORATION. EASE-E HAD OPERATING INCOME DURING 2013 AND AN OPERATING LOSS DURING 2012. INCOME TAX REFUNDS AND DEFERRED TAX LIABILITIES ARE INCLUDED IN OTHER RECEIVABLES AND OTHER ACCRUED EXPENSES, RESPECTIVELY, ON THE CONSOLIDATED BALANCE SHEETS. 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 2013 AND 2012, MANAGEMENT DETERMINED THAT THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS OTHER THAN DESCRIBED PREVIOUSLY.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonDEAN WILSONNamePerson
TitleTREASURER/SECRETARY THROUGH 9/12Title
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs135999CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs750BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs75794OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs14061NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs226604TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4AReturnReference
ExplanationDEAN WILSON RECEIVED SEVERANCE PAYMENTS OF $74,048 FROM MOSAIC, A RELATED ENTITY.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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. THEN, 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 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 4,894. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,894. REPAIRS CONTRACT: PROGRAM SERVICE EXPENSES 5,668. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,668.OTHER FEES
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 DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (27 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MOSAIC
4980 S 118 STOMAHANE68137113669999SERVICES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIESNE501(C)(3)LINE 90
MOSAIC FOUNDATION
4980 S 118 STOMAHANE68137363837360FUND RAISING AND INVESTMENT ASSET MANAGEMENTNE501(C)(3)LINE 90MOSAIC
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 CORPORATION XXII
4980 S 118 STOMAHANE68137273483415LOW 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

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
BETHPHAGE RESIDENTIAL PARTNERSHIP
4980 S 118 STOMAHANE68137470805544LOW INCOME HOUSINGNEN/A
MOSAIC RESIDENTIAL SERVICES OF NEBRASKA LLC
4980 S 118 STOMAHANE68137271695051LOW INCOME HOUSINGNEN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgLegal Domicile Foreign CountryLegalDomicileForeignCountry
EASE-E MEDICAL INC
380 SKYLAND DR SUITE APENROSECO81240470842353SALE OF MEDICAL EQUIPMENT AND SUPPLIESNEN/AC0
MOSAIC HOUSING CORPORATION V
4980 S 118 STOMAHANE68137470805545LOW INCOME HOUSINGNEN/AC0
BICO
4980 S 118 STOMAHANE68137CAPTIVE INSURANCEN/AC0BD
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg