MOSAIC ILLINOIS HOUSING AT ROCKFORDI: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MOSAIC ILLINOIS HOUSING AT ROCKFORDI (EIN 20-4841856)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-05-23
IRS object ID: 201331439349300103
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
Form 990
Schedule A
Schedule D
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-23T08:22:51-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	476097913	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SEIM JOHNSON LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	18081 BURT STREET SUITE 200	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	680224722	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	204841856	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MOSAIC ILLINOIS HOUSING OF ROCKFORD 1	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MOSA	NameControl
Phone	4028963884	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4980 SOUTH 118TH STREET	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68137	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DOLORES BANGERT	Name
Title	PRESIDENT	Title
Phone	4028963884	Phone
Date Signed	2013-05-20	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JULIE M GERKEN	Name
PTIN	P00400882	PTIN
Phone	4023302660	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DOLORES BANGERT	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	4980 SOUTH 118TH STREET	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68137	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	144274	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MOSAICINFO.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2008	YearFormation
State Legal Domicile	NE	StateLegalDomicile
Activity Or Mission Description	THE ORGANIZATION PROVIDES LOW INCOME AFFORDABLE HOUSING UNDER IHDA GUIDELINES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	3	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	3	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	329655	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	76174	ProgramServiceRevenuePriorYear
Program Service Revenue CY	75462	ProgramServiceRevenueCY
Investment Income Prior Year	13	InvestmentIncomePriorYear
Investment Income Current Year	-94395	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1226	OtherRevenuePriorYear
Other Revenue Current Year	1311	OtherRevenueCurrentYear
Total Revenue Prior Year	407068	TotalRevenuePriorYear
Total Revenue Current Year	-17622	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	0	SalariesEtcPriorYear
Salaries Etc Current Year	0	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	122392	OtherExpensePriorYear
Other Expenses Current Year	145938	OtherExpensesCurrentYear
Total Expenses Prior Year	122392	TotalExpensesPriorYear
Total Expenses Current Year	145938	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	284676	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-163560	RevenuesLessExpensesCY
Total Assets BOY	1672503	TotalAssetsBOY
Total Assets EOY	1428136	TotalAssetsEOY
Total Liabilities BOY	729494	TotalLiabilitiesBOY
Total Liabilities EOY	648687	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	943009	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	779449	NetAssetsOrFundBalancesEOY
Mission Description	THE ORGANIZATION PROVIDES LOW INCOME AFFORDABLE HOUSING UNDER ILLINOIS HOUSING DEVELOPMENT AUTHORITY GUIDELINES.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	133153	Expense
Revenue	75462	Revenue
Description	THE ORGANIZATION PROVIDES LOW INCOME AFFORDABLE HOUSING UNDER ILLINOIS HOUSING DEVELOPMENT AUTHORITY GUIDELINES.	Description
Total Program Service Expense	133153	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	1	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	3	NbrVotingGoverningBodyMembers
Number Independent Voting Members	3	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	CYNTHIA SCHROEDER	NamePerson
Telephone Number	4028963884	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4980 S 118 STREET	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68137	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
DEANNA WAGNER
CHAIRPERSON	0.10	2.30	X	X	0	0	0
JOAN NIEDFELDT
VICE CHAIRSPERSON	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	120723	14676
SCOTT HOFFMAN
TREASURER/SECRETARY	0.50	39.50		X	0	109751	14836

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	230474	TotalReportableCompFrmRltdOrgs
Total Other Compensation	29512	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	RENTAL INCOME	Description
Business Code	531110	BusinessCode
Total Revenue Column	75462	TotalRevenueColumn
Related Or Exempt Function Income	75462	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	75462	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	16	TotalRevenueColumn
Exclusion	$16	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	67485	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	161896	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-94411	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-94411	TotalRevenueColumn
Exclusion	-$94,411	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS	Description
Business Code	900099	BusinessCode
Total Revenue Column	1311	TotalRevenueColumn
Exclusion	$1,311	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1311	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	-17622	TotalRevenueColumn
Related Or Exempt Function Income	75462	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	-$93,084	ExclusionAmount

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	4146	Total
Management And General	4146	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	210	Total
Management And General	210	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	5270	Total
Management And General	5270	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1488	Total
Management And General	1488	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	36833	Total
Program Services	36833	ProgramServices

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1671	Total
Management And General	1671	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	90643	Total
Program Services	90643	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5677	Total
Program Services	5677	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	145938	Total
Program Services	133153	ProgramServices
Management And General	12785	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	6452	BOY
EOY	8721	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1380	BOY
EOY	6418	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1668360	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	300347	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1612531	BOY
EOY	1368013	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	52140	BOY
EOY	44984	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1672503	BOY
EOY	1428136	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	14911	BOY
EOY	6589	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	714583	BOY
EOY	642098	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	729494	BOY
EOY	648687	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	823009	BOY
EOY	659449	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	120000	BOY
EOY	120000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	943009	BOY
EOY	779449	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1672503	BOY
EOY	1428136	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-163560	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Both	X	FinancialStatementBoth

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	485926	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	329655	CurrentTaxYearMinus1Year
Total	815581	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	70535	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	68790	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	76384	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	76176	CurrentTaxYearMinus1Year
Current Tax Year	75462	CurrentTaxYear
Total	367347	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	70535	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	68790	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	562310	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	405831	CurrentTaxYearMinus1Year
Current Tax Year	75462	CurrentTaxYear
Total	1182928	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	1182928	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1300	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	336	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	188	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	13	CurrentTaxYearMinus1Year
Current Tax Year	16	CurrentTaxYear
Total	1853	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1300	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	336	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	188	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	13	CurrentTaxYearMinus1Year
Current Tax Year	16	CurrentTaxYear
Total	1853	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	35	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	644	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1199	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1226	CurrentTaxYearMinus1Year
Current Tax Year	1311	CurrentTaxYear
Total	4415	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	71870	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	69770	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	563697	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	407070	CurrentTaxYearMinus1Year
Current Tax Year	76789	CurrentTaxYear
Total	1189196	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99470	PublicSupportPercentage509
Prior Year Support Percentage	0.99530	PriorYearSupportPercentage
Investment Income Percentage	0.00160	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00220	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	40176	OtherCostOrOtherBasis
Book Value	40176	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1628184	OtherCostOrOtherBasis
Depreciation	300347	Depreciation
Book Value	1327837	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1368013	TotalOfBookValueLandBuildings
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	76789	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	76789	RevenueSubtotal
Other Revenues Not Included	-94411	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-94411	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	-17622	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	240349	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	94411	OtherExpensesIncluded
Expenses Not Rptd F990	94411	ExpensesNotRptdF990
Expenses Subtotal	145938	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	145938	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	THE CORPORATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE CORPORATION ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FINANCIAL ACCOUNTING STANDARDS BOARD ASC 740, INCOME TAXES. THE CORPORATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2012 AND 2011, THE CORPORATION HAD NO UNCERTAIN TAX POSITIONS ACCRUED. DUE TO THE THREE YEAR STATUTE OF LIMITATIONS, THE CORPORATION IS NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS ENDED BEFORE 2009.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		REALIZED LOSSES -94,411.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		REALIZED LOSSES 94,411.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReference	ExplanationExplanation
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. 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 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 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (28 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
MOSAIC
4980 S 118 STREET	OMAHA	NE	68137	113669999	CARE & ADVOCACY FOR THE INTELLECTUALLY DISABLED	NE	501(C)(3)	LINE 9	0
MOSAIC FOUNDATION
4980 S 118 STREET	OMAHA	NE	68137	363837360	FUND RAISING & INVESTMENT ASSET MGMT	NE	501(C)(3)	LINE 9	0	MOSAIC
MILLTOWNE INC
4980 S 118 STREET	OMAHA	NE	68137	470796932	RENTAL REAL ESTATE	NE	501(C)(2)	N/A	0	MOSAIC
THE OAKS OF DUNN COUNTY
4980 S 118 STREET	OMAHA	NE	68137	391913323	SENIOR LIVING SERVICES	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION I
4980 S 118 STREET	OMAHA	NE	68137	363756911	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION II
4980 S 118 STREET	OMAHA	NE	68137	470773689	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION III
4980 S 118 STREET	OMAHA	NE	68137	470788396	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION IV
4980 S 118 STREET	OMAHA	NE	68137	911823422	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION VII
4980 S 118 STREET	OMAHA	NE	68137	470828015	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION VIII
4980 S 118 STREET	OMAHA	NE	68137	470828012	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION IX
4980 S 118 STREET	OMAHA	NE	68137	742838413	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION X
4980 S 118 STREET	OMAHA	NE	68137	742908789	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION XI
4980 S 118 STREET	OMAHA	NE	68137	311706640	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION XII
4980 S 118 STREET	OMAHA	NE	68137	481297244	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION XIII
4980 S 118 STREET	OMAHA	NE	68137	421626679	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION XIV
4980 S 118 STREET	OMAHA	NE	68137	204417891	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION XV
4980 S 118 STREET	OMAHA	NE	68137	205765691	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION XVI
4980 S 118 STREET	OMAHA	NE	68137	205765731	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION XVII
4980 S 118 STREET	OMAHA	NE	68137	261710013	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION XVIII
4980 S 118 STREET	OMAHA	NE	68137	261710184	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION XIX
4980 S 118 STREET	OMAHA	NE	68137	261710259	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION XX
4980 S 118 STREET	OMAHA	NE	68137	264555206	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION XXI
4980 S 118 STREET	OMAHA	NE	68137	264555313	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC HOUSING CORPORATION XXII
4980 S 118 STREET	OMAHA	NE	68137	273483415	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC ILLINOIS HOUSING I
4980 S 118 STREET	OMAHA	NE	68137	202997161	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC ILLINOIS HOUSING II
4980 S 118 STREET	OMAHA	NE	68137	204417645	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC ILLINOIS HOUSING OF MACOMB I
4980 S 118 STREET	OMAHA	NE	68137	204841909	LOW INCOME HOUSING	NE	501(C)(3)	LINE 9	0	MOSAIC
MOSAIC VEBA
4980 S 118 STREET	OMAHA	NE	68137	383831874	EMPLOYEE WELFARE BENEFIT PLAN	NE	501(C)(9)	N/A	0	MOSAIC

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA
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

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg	Legal Domicile Foreign CountryLegalDomicileForeignCountry
EASE-E MEDICAL INC
380 SKYLAND DR	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		N/A	C	0	BD

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg