2014-10-01T13:27:46-05:00 2014-06-30 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2013-07-01 470773689 MOSAIC HOUSING CORPORATION 2 MOSA 4028963884 4980 SOUTH 118TH STREET OMAHA NE 68137 DOLORES BANGERT PRESIDENT 4028963884 2014-09-23 1 BARBARA J FAJEN P00400874 4023302660 2013 2015-11-30 17:44:51Z DOLORES BANGERT 4980 SOUTH 118TH STREET OMAHA NE 68137 130728 0 X WWW.MOSAICINFO.ORG X 1994 NE THE ORGANIZATION PROVIDES LOW INCOME HOUSING TO THE DISABLED UNDER THE GUIDELINES OF HUD SECTION 811. 3 3 0 0 0 0 23037 18418 67019 72478 65 74 66 39758 90187 130728 0 0 0 0 0 0 0 0 0 161889 171792 161889 171792 -71702 -41064 796381 757251 12160 14094 784221 743157 THE ORGANIZATION PROVIDES LOW INCOME HOUSING TO THE DISABLED UNDER THE GUIDELINES OF HUD SECTION 811. 0 0 153452 112236 THE ORGANIZATION PROVIDES LOW INCOME HOUSING TO THE DISABLED UNDER THE GUIDELINES OF HUD SECTION 811. 153452 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 6 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 CYNTHIA SCHROEDER 4028963884 4980 SOUTH 118TH STREET OMAHA NE 68137 DEANNA WAGNER CHAIRPERSON 0.10 2.30 X X 0 0 0 JOAN NIEDFELDT VICE CHAIRPERSON 0.10 2.30 X X 0 0 0 CONRAD JAMES JR DIRECTOR 0.10 2.30 X 0 0 0 DOLORES BANGERT PRESIDENT 0.50 39.50 X 0 120780 17172 SCOTT HOFFMAN TREASURER/SECRETARY 0.50 39.50 X 0 175576 19069 0 296356 36241 0 0 1 0 0 18418 18418 RENTAL INCOME 531110 72478 72478 72478 74 74 INSURANCE PROCEEDS 900099 39758 39758 39758 130728 112236 0 74 X 7580 7580 99 99 7570 7570 21140 21140 6891 6891 36050 36050 504 504 85282 85282 4089 4089 MISCELLANEOUS 2587 2587 171792 153452 18340 0 6428 2555 696 50 1674035 987364 715863 686671 73394 67975 796381 757251 7445 8810 4715 5284 12160 14094 X -490679 -531743 1274900 1274900 784221 743157 796381 757251 -41064 0 X X 0 1 X 1 1 1 X 287431 48312 23037 18418 377198 87106 91488 63935 67019 72478 382026 87106 378919 112247 90056 90896 759224 0 0 0 759224 35 74 69 65 74 317 35 74 69 65 74 317 2552 18 66 39758 42394 89693 378993 112334 90187 130728 801935 0.94670 0.99600 0.00040 0.00050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 79053 79053 1546963 962244 584719 43058 25120 17938 4961 4961 686671 RESERVE FOR REPLACEMENTS 59906 TENANT SECURITY DEPOSITS 4616 RESIDUAL RECEIPTS 3453 67975 TENANT SECURITY DEPOSITS 4616 DUE TO AFFILIATE 668 5284 X 130728 0 130728 0 130728 171792 0 171792 0 171792 PART X, LINE 2: ALL 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, 2011. 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 LOSS DURING 2014 AND AN OPERATING INCOME DURING 2013. 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 2014 AND 2013, 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 156621 0 7500 0 11455 0 0 0 19069 0 194645 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 11,120. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,120. GROUNDS CONTRACT: PROGRAM SERVICE EXPENSES 8,187. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,187. FIRE SYSTEM MONITORING & INSPECTION: PROGRAM SERVICE EXPENSES 1,833. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,833. 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 9 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 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0