2013-02-22T08:15:23-06:00 2012-06-30 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2011-07-01 391913323 OAKS OF DUNN COUNTY INC OAKS 4028963884 4980 SOUTH 118TH STREET OMAHA NE 68137 CYNTHIA L SCHROEDER 4028963884 2013-02-18 1 JULIE M GERKEN P00400882 4023302660 2011 2016-02-25 16:41:14Z CYNTHIA L SCHROEDER 4980 SOUTH 118TH STREET OMAHA NE 68137 615147 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. 7 4 0 0 0 0 0 0 425243 460812 55208 39335 1109 0 481560 500147 0 0 0 0 123382 125913 0 0 0 332552 323020 455934 448933 25626 51214 3298676 3136698 3209886 3008292 88790 128406 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 PRINCIPAL 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 418478 460812 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. 418478 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 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 0 1 6 0 1 0 0 0 0 0 0 0 0 0 0 0 X 7 4 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X X CYNTHIA L SCHROEDER 4028963884 4980 SOUTH 118TH STREET OMAHA NE 68137 X ARDEN ALEXANDER 0.10 X X 0 0 0 LINDA TIMMONS 0.10 X X 0 362049 22746 CYNTHIA L SCHROEDER 0.10 X X 0 283398 22746 DEAN WILSON 0.10 X X 0 139175 14496 DONALD GRIBBLE 0.10 X 0 0 0 ROGER NATWICK 0.10 X 0 0 0 ROBERT SPINTI 0.10 X 0 0 0 0 784622 59988 0 0 1 0 0 RENTAL INCOME 532000 432062 432062 NON-REFUNDABLE FEES 532000 28750 28750 460812 20861 20861 133474 115000 18474 18474 18474 500147 460812 0 39335 94387 94387 24903 24903 6623 6623 2000 2000 28455 28455 8177 8177 50150 50150 53401 53401 399 399 83078 83078 84020 84020 12794 12794 DUES, FEES & REGISTRATI 376 376 LOAN FEE 110 110 LICENSES & FEES 60 60 448933 418478 30455 0 58975 50341 337866 319713 990 62 3156884 1120109 2117982 2036775 781415 728651 181 1267 1156 3298676 3136698 18708 14279 2068560 1943943 1122618 1050070 3209886 3008292 X 78790 118406 10000 10000 88790 128406 3298676 3136698 X 51214 -11598 X X 0 1 1 X 0 X 385679 426407 394861 425243 460812 2093002 385679 426407 394861 425243 460812 2093002 0 0 0 2093002 53822 38276 1603 21918 20861 136480 53822 38276 1603 21918 20861 136480 439501 464683 396464 447161 481673 2229482 0.93880 0.92830 0.06120 0.07170 X 10000 10000 10000 10000 10000 10000 10000 10000 0.00000 0.00000 1.00000 0 0 95195 95195 2930244 991570 1938674 131445 128539 2906 2036775 TENANT SECURITY DEPOSITS 597876 AFFILIATE PAYABLE 452194 1050070 500147 448933 51214 -11598 -11598 39616 488549 -11598 -11598 500147 0 500147 448933 0 448933 0 448933 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ORGANIZATION'S INTENDED USE OF THE TEMPORARILY RESTRICTED NET ASSETS IS FOR PROGRAM PURPOSES AS RESTRICTED BY THE DONORS. 0 0 0 0 0 0 0 0 0 LINDA TIMMONS 0 362049 0 0 0 0 0 8250 0 14496 0 384795 0 0 CYNTHIA L SCHROEDER 0 283398 0 0 0 0 0 8250 0 14496 0 306144 0 0 DEAN WILSON 0 139175 0 0 0 0 0 0 0 14496 0 153671 0 0 SUPPLEMENTAL INFORMATION PART III SCHEDULE J, PART I, LINE 3: THE COMPENSATION OF LINDA TIMMONS IS PAID FROM A RELATED ORGANIZATION, MOSAIC. MS. TIMMONS SERVES AS THE CEO OF MOSAIC. MOSAIC UTILIZES: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT AGREEMENT, A COMPENSATION SURVEY/STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE IN ESTABLISHING THE COMPENSATION OF MS. TIMMONS. FORM 990, PART VI, SECTION A, LINE 7A THE MOSAIC BOARD OF DIRECTORS APPOINTS MEMBERS OF THE OAKS OF DUNN COUNTY BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 INFORMATION WAS PREPARED BY MOSAIC'S ACCOUNTING FIRM, SEIM JOHNSON, LLP. THE TREASURER REVIEWED 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 ON AN ANNUAL BASIS EACH BOARD DIRECTOR COMPLETES A CONFLICT OF INTEREST FORM 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. 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 MOSAIC HAS AVAILABLE ON ITS PUBLIC WEBSITE (WWW.MOSAICINFO.ORG) THE ABILITY FOR INDIVIDUALS TO REQUEST ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS THROUGH AN E-MAIL REQUEST FORM. FORM 990, PART VII, LINE 1A: LINDA TIMMONS SERVES AS THE CEO & PRESIDENT OF MOSAIC; SHE ALSO SERVES AS BOARD PRESIDENT OF MILLTOWNE, INC. SHE DEVOTES AN AVERAGE OF 40.2 HOURS PER WEEK TO THESE POSITIONS. CINDY SCHROEDER SERVES AS CFO AND SENIOR VICE PRESIDENT OF MOSAIC; SHE ALSO SERVES AS BOARD TREASURER AND SECRETARY FOR MILLTOWNE, INC. SHE DEVOTES AN AVERAGE OF 40.3 HOURS PER WEEK TO THESE POSITIONS. DEAN WILSON DEVOTES AN AVERAGE OF 39.9 HOURS PER WEEK TO MOSAIC HOUSING CORPORATION I, MOSAIC HOUSING CORPORATION II, MOSAIC HOUSING CORPORATION III, MOSAIC HOUSING CORPORATION IV, MOSAIC HOUSING CORPORATION VII, MOSAIC HOUSING CORPORATION VIII, MOSAIC HOUSING CORPORATION IX, MOSAIC HOUSING CORPORATION X, MOSAIC HOUSING CORPORATION XI, MOSAIC HOUSING CORPORATION XII, MOSAIC HOUSING CORPORATION XIII, MOSAIC HOUSING CORPORATION XIV, MOSAIC HOUSING CORPORATION XV, MOSAIC HOUSING CORPORATION XVI, MOSAIC HOUSING CORPORATION XVII, MOSAIC HOUSING CORPORATION XVIII, MOSAIC HOUSING CORPORATION XIX, MOSAIC HOUSING CORPORATION XX, MOSAIC HOUSING CORPORATION XXI, MOSAIC HOUSING CORPORATION XII, MOSAIC ILLINOIS HOUSING I, MOSAIC ILLINOIS HOUSING II, MOSAIC ILLINOIS HOUSING AT MACOMB, MOSAIC ILLINOIS HOUSING OF ROCKFORD, AND MOSAIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -11,598. 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 9 MOSAIC 0 MILLTOWNE INC 4980 S 118 ST OMAHA NE 68137 470796932 RENTAL REAL ESTATE NE 501(C)(2) N/A 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 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 MOSAIC HOUSING CORPORATION V 4980 S 118 ST OMAHA NE 68137 470805545 LOW INCOME HOUSING NE N/A C 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 1 0 1 0 0 0 0