2023-03-16T09:45:20-05:00 2022-06-30 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2021-07-01 113669999 MOSAIC MOSA 4028963884 4980 S 118TH ST A OMAHA NE 68137 SCOTT HOFFMAN CHIEF FINANCIAL OFFICER 4028963884 2023-03-03 1 SCOTT HOFFMAN 999009999 WENDY R COOLEY CPA P01523804 4023302660 2023-03-02 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z SCOTT HOFFMAN 4980 S 118TH ST A OMAHA NE 68137 342923216 0 X WWW.MOSAICINFO.ORG X 2003 NE EMBRACING GOD'S CALL, MOSAIC RELENTLESSLY PURSUES OPPORTUNITIES THAT EMPOWER PEOPLE. 16 16 5671 160 25302 0 10560753 19390548 269513083 320706511 667795 -343697 873895 606388 281615526 340359750 325816 164500 0 0 161750036 181491030 0 0 2039417 110130675 136292676 272206527 317948206 9408999 22411544 186268901 190314841 89750279 72258146 96518622 118056695 X EMBRACING GOD'S CALL, MOSAIC RELENTLESSLY PURSUES OPPORTUNITIES THAT EMPOWER PEOPLE. 0 0 176864702 200904941 COMMUNITY BASED SERVICES PROVIDED TO PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES ARE SERVICES THAT CAN EITHER BE ON-GOING OR INTERMITTENT SUCH AS RESPITE, FAMILY SUPPORT, FOSTER CARE, PHYSICAL THERAPIES, TRANSPORTATION, AND SUPPORTED EMPLOYMENT. MOSAIC SERVES APPROXIMATELY 4,638 INDIVIDUALS ACROSS THE UNITED STATES UNDER THIS SERVICE CATEGORY. 63610528 72256755 INTERMEDIATE CARE FACILITIES (ICF)--ICF SERVICES PROVIDE 24/7 SUPPORT FOR VERY MEDICALLY FRAGILE INDIVIDUALS WITH INTELLECTUAL OR DEVELOPMENTAL DISABILITIES. MOSAIC SERVES APPROXIMATELY 325 INDIVIDUALS ACROSS THE UNITED STATES UNDER THIS SERVICE CATEGORY. 15693116 17826195 DAY AND VOCATIONAL SERVICES ARE PROVIDED TO INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN A VARIETY OF WAYS INCLUDING SUPPORTED EMPLOYMENT, WORK ENCLAVES, VOCATIONAL TRAINING AND SOME SHELTERED WORKSHOPS. MOSAIC SERVES APPROXIMATELY 997 INDIVIDUALS ACROSS THE UNITED STATES UNDER THIS SERVICE CATEGORY. 26513752 164500 30117617 MISCELLANEOUS SERVICES PROVIDED TO INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. 26513752 164500 30117617 282682098 1 1 0 1 0 0 1 0 1 1 1 1 0 0 1 1 0 1 0 0 0 1 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 1 402 0 1 5671 1 1 1 1 BD 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CO X X SCOTT HOFFMAN 4028963884 4980 SOUTH 118TH STREET OMAHA NE 68137 LINDA TIMMONS PRESIDENT AND CEO 39.70 0.30 X 613998 0 6847 SCOTT HOFFMAN SENIOR VP AND CFO 39.70 0.30 X 354597 0 32482 JOSEPH LYONS SR VP AND GENERAL COUNSEL 39.90 0.10 X 295238 0 27737 RENEE COUGHLIN SVP OF MISSION ADVANCEMENT 40.00 0.00 X 269035 0 53277 MARLIN WILKERSON SVP OF OPERATIONS 39.80 0.20 X 286602 0 29124 RAYMOND WALLACE ASSOCIATE VP OF FINANCE 40.00 0.00 X 272325 0 17503 PARKER MCKENNA SVP OF HUMAN RESOURCES 40.00 0.00 X 259239 0 26085 ANGELA WEIS SVP OF MISSION SUPPORT 40.00 0.00 X 209329 0 42611 JENNIFFER LEDOUX SVP OF OPERATIONS 40.00 0.00 X 213117 0 19925 HEATHER GUNN SVP OF MISSION EXPANSION 40.00 0.00 X 208414 0 21878 KRISTIN ROSSOW VP OF ACCOUNTING 37.40 2.60 X 186260 0 30303 STACY MORTON VP OF FINANCIAL PLAN & ANALYSIS 40.00 0.00 X 186793 0 25122 KATIE KELLY VP OF INFORMATION TECHNOLOGY 40.00 0.00 X 192513 0 16826 MOLLY KENNIS VP OF OPERATIONS 40.00 0.00 X 178217 0 30574 ANDREA FERRUCCI VP OF OPERATIONS 40.00 0.00 X 178301 0 25502 CAROL MAU VP OF OPERATIONS 40.00 0.00 X 163754 0 38496 LINDA SCHOLTING VP OF FINANCIAL OPERATIONS 40.00 0.00 X 176955 0 15622 KIM FORD VP OF OPERATIONS 40.00 0.00 X 153251 0 37830 ROBIN WESTFALL VP OF TALENT MANAGEMENT 40.00 0.00 X 156010 0 35060 ERICA GIBSON VP OF HR SERVICES 40.00 0.00 X 161572 0 29365 SARAH KHALILI VP OF COMPLIANCE 40.00 0.00 X 146119 0 44013 PAULA BURTON VP OF HR OPERATIONS 40.00 0.00 X 163078 0 25309 MATTHEW SHEFFIELD SR DEVELOPMENT OFFICER 40.00 0.00 X 153626 0 31934 JENNIFER ZAJICEK VP OF OP EXCELLENCE 40.00 0.00 X 155356 0 24488 MARY BETH O'NEILL VP OF OPERATIONS 40.00 0.00 X 155239 0 23831 JULIE ZITTERGRUEN VP OF REVENUE CYCLE 40.00 0.00 X 138364 0 32642 CHRISTINE SCHROEDER VP OF OPERATIONS 40.00 0.00 X 154889 0 15933 THE REV DANIEL FOREHAND CHAIRPERSON 1.50 0.00 X X 0 0 0 KEITH HOHLY VICE CHAIRPERSON 1.50 0.00 X X 0 0 0 PATRICIA A NIMTZ SECOND VICE CHAIRPERSON 1.50 0.00 X X 0 0 0 AKASH SETHI SECRETARY 1.50 0.00 X X 0 0 0 JAMES J OLMSTED DIRECTOR 1.50 0.00 X 0 0 0 EDWARD L BARKER DIRECTOR 1.50 0.00 X 0 0 0 ROBERT GRAULICH DIRECTOR 1.50 0.10 X 0 0 0 MEGAN GUSTAFSON DIRECTOR 1.50 0.00 X 0 0 0 MICHELLE THOMPSON DIRECTOR 1.50 0.00 X 0 0 0 LYNN FULLENKAMP DIRECTOR 1.50 0.00 X 0 0 0 MICHA PROCHASKA DIRECTOR 1.50 0.00 X 0 0 0 JODI BENJAMIN DIRECTOR 1.50 0.00 X 0 0 0 MONICA HOLLE DIRECTOR 1.50 0.00 X 0 0 0 MARK NICHOLSON DIRECTOR 1.50 0.00 X 0 0 0 KAREN PEPPMULLER DIRECTOR 1.50 0.00 X 0 0 0 SEAN POELLNITZ DIRECTOR 1.50 0.00 X 0 0 0 LINDA BURT DIRECTOR (THRU 10/2021) 1.50 0.00 X 0 0 0 JAMES BOWEN DIRECTOR (THRU 10/2021) 1.50 0.00 X 0 0 0 MICHAEL COOPER-WHITE DIRECTOR (THRU 10/2021) 1.50 0.00 X 0 0 0 SANDRA SCOTT DIRECTOR (THRU 10/2021) 1.50 0.00 X 0 0 0 JAMES TOTSCH DIRECTOR (THRU 10/2021) 1.50 0.00 X 0 0 0 5782191 0 760319 72 0 1 0 DDN CONSULTING SERVICES LLC PO BOX 185010 HAMDEN CT 06518 NURSING SERVICES 744252 ONE SOURCE PO BOX 24148 OMAHA NE 68124 PRE-EMPLOYMENT SCREENING 383700 KOLEY JESSEN 1125 S 103RD ST STE 800 OMAHA NE 68124 LEGAL SERVICES 323138 FUSION MEDICAL STAFFING PO BOX 82674 LINCOLN NE 68501 NURSING SERVICES 195332 ALPHA REHABILITATION PC 920 E 56TH ST BLDG A KEARNEY NE 688478628 REHABILITATION 191719 13 3522255 13126785 2741508 2597898 19390548 MEDICARE/MEDICAID PMTS 624100 252819161 252819161 PROGRAM SERVICE REV. 624100 58357368 58357368 MANAGEMENT FEES 541610 8896353 8896353 RENTAL INCOME 532000 633629 633629 320706511 256538 25302 231236 6699 6699 216576 15884 200692 200692 200692 1890977 2491212 -600235 -600235 -600235 58247 56370 1877 1877 PURCHASING CARD REBATE 900099 94228 94228 302892 302892 397120 340359750 321105508 25302 -161608 X 45000 45000 119500 119500 5651636 5651636 144519571 126990783 16501225 1027563 901038 896871 4167 19609767 17946254 1639026 24487 10809018 9299538 1480841 28639 383388 233328 150060 203142 106319 96823 89868927 88534572 1093015 241340 7725477 7252939 467694 4844 13498548 12446564 1036929 15055 3872853 3735507 129070 8276 910542 283469 527405 99668 1054808 459605 595203 8499853 8499853 2878531 2464607 413924 DUES & MEMBERSHIPS 2372501 338756 2022743 11002 BAD DEBT EXPENSE 63492 33217 30275 CFR EXPENSE 9050 9050 4951564 3228744 1307554 415266 317948206 282682098 33226691 2039417 52316058 47232171 5692159 8359903 31227864 31125226 1938325 1736076 111688318 76871068 35033717 34817250 25986029 27918361 18481302 31350086 15593447 7775768 186268901 190314841 36679010 33989992 11587897 3663383 20331529 17667337 8083370 3894501 13068473 13042933 89750279 72258146 X 95700876 117153119 817746 903576 96518622 118056695 186268901 190314841 X 22411544 -24765 16352 -865058 X X 0 1 X 1 1 1 X 7166036 5663266 4036298 10560753 19390548 46816901 221852846 235126706 248614863 269513083 320706511 1295814009 229018882 240789972 252651161 280073836 340097059 1342630910 864 3928 1470 226 3020 9508 0 864 3928 1470 226 3020 9508 1342621402 314475 743051 780522 532787 454511 2825346 92943 112165 85688 53623 25302 369721 407418 855216 866210 586410 479813 3195067 812919 675113 570234 712373 397120 3167759 230239219 242320301 254087605 281372619 340973992 1348993736 0.99530 0.99440 0.00240 0.00250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 1 1 0 0 1 32049 1 0 32049 0 PART II-B, LINE 1: DURING THE PAST YEAR, MOSAIC ENGAGED IN VARIOUS NON-PARTISAN ACTIVITIES TO INFLUENCE SPECIFIC LEGISLATION IMPACTING THE ORGANIZATION. MOSAIC ENGAGED ADVOCATES ON SOCIAL MEDIA ABOUT ISSUES IMPACTING THE ORGANIZATION, INCLUDING PROVIDING A LINK FOR ADVOCATES TO CONTACT THEIR MEMBERS OF CONGRESS. MOSAIC ADVERTISED ON SOCIAL MEDIA IN 2022. MOSAIC ALSO SENT CORRESPONDENCE TO PEOPLE AFFILIATED WITH THE ORGANIZATION INFORMING THEM ABOUT PREVAILING PUBLIC POLICY ISSUES IMPACTING THE ORGANIZATION AND PROVIDING CONTACT INFORMATION FOR MEMBERS OF CONGRESS. MOSAIC AS AN ORGANIZATION ENGAGED ITS MEMBERS OF CONGRESS THROUGH LETTERS, EMAILS, AND OFFICE VISITS. MOSAIC ALSO SENT A VARIETY OF ACTION ALERTS TO ITS ADVOCACY NETWORK. X X X 1 80.00 0 1 0 100.00 0 1 3800964 20552685 21836416 2517233 0 50067707 1732294 -3358135 2523385 45918481 40344859 4139307 7685646 2102105 50067707 37178162 7157077 -539550 3450830 40344859 36312083 1689894 1853397 2677212 37178162 36379971 1618196 2591357 4277441 36312083 0.84390 0.00000 0.15610 0 1 1 4546052 4546052 81672432 56852896 24819536 1260403 1043968 216435 11568045 9889230 1678815 12641386 9084974 3556412 34817250 110000 C BOND RESERVES 99004 F INVESTMENT IN BICO 16245486 C INVESTMENT IN SALES TYPE LEASE 11463871 C 27918361 REFUNDABLE FEES 22033 CRATS PAYABLE 478119 LIABILITY FOR PENSION BENEFITS 1145672 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 1095656 LEASE LIABILITY 10301453 13042933 X PART II, LINE 9: THE FINANCIAL STATEMENTS FOR MOSAIC AND ITS AFFILIATES DO NOT CONTAIN ANY INFORMATION REGARDING THE CONSERVATION EASEMENT. PART IV, LINE 1B: MOSAIC IS THE REPRESENTATIVE-PAYEE FOR THE PERSONAL FUNDS OF A NUMBER OF INDIVIDUALS IN SERVICE. MOSAIC DOES NOT OWN THE ACCOUNTS. IN PREVIOUS YEARS, THE ACCOUNTING FOR SUCH ACTIVITIES OCCURRED AT THE AGENCY LEVEL AND AN AGGREGATE ACCOUNTING OF SUCH SERVICES WAS NOT POSSIBLE. MOSAIC TRACKS ALL ACCOUNT ACTIVITIES, AND THE NUMBERS LISTED ON PART IV, LINES 1C - 1F ACCURATELY REFLECT THE AGGREGATE BALANCE OF THESE ACCOUNTS. PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED FOR SUPPORT OF MOSAIC'S LONG TERM COMMITMENT TO ITS MISSION AND FOR CAPITAL IMPROVEMENTS AND GENERAL OPERATIONS. THE ENDOWMENT FUNDS ARE HELD BY THE MOSAIC FOUNDATION. PART X, LINE 2: 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 2022 AND 2021, MANAGEMENT DETERMINED THAT THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE FINANCIAL STATEMENTS OTHER THAN DESCRIBED PREVIOUSLY. 1 0 0 0 0 0 0 0 0 0 SUB-SAHARAN AFRICA SUPPORT DEVELOPMENT OF SERVICES FOR PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. CENTER-BASED AND IN-HOME SUPPORT FOR CHILDREN WITH DISABILITIES AND THEIR CAREGIVERS. 119500 WIRE TRANSFER 0 1 0 0 0 1 0 0 0 PART III ACCOUNTING METHOD: 1 MOSAIC HOUSING CORPORATION II 4980 S 118TH STREET OMAHA NE 68137 470773689 501(C)(3) 15000 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORPORATION XIII 4980 S 118TH STREET OMAHA NE 68137 421626679 501(C)(3) 15000 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP XXII - LOGAN 4980 S 118TH STREET OMAHA NE 68137 273483415 501(C)(3) 10000 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. 3 0 PART I, LINE 2: GRANTS ARE PROVIDED TO RELATED ORGANIZATIONS TO FURTHER THEIR TAX EXEMPT FUNCTIONS. X 1 1 X X X X X X 1 0 0 0 0 0 0 0 0 LINDA TIMMONS PRESIDENT AND CEO 486127 0 123724 0 4147 0 -31879 0 38726 0 620845 0 0 0 SCOTT HOFFMAN SENIOR VP AND CFO 301014 0 52416 0 1167 0 6458 0 26024 0 387079 0 0 0 JOSEPH LYONS SR VP AND GENERAL COUNSEL 257821 0 36500 0 917 0 16073 0 11664 0 322975 0 0 0 RENEE COUGHLIN SVP OF MISSION ADVANCEMENT 222915 0 45203 0 917 0 15007 0 38270 0 322312 0 0 0 MARLIN WILKERSON SVP OF OPERATIONS 159272 0 0 0 127330 0 7613 0 21511 0 315726 0 0 0 RAYMOND WALLACE ASSOCIATE VP OF FINANCE 206290 0 65143 0 892 0 5839 0 11664 0 289828 0 0 0 PARKER MCKENNA SVP OF HUMAN RESOURCES 226648 0 31674 0 917 0 14021 0 12064 0 285324 0 0 0 ANGELA WEIS SVP OF MISSION SUPPORT 179808 0 28701 0 820 0 11771 0 30840 0 251940 0 0 0 JENNIFFER LEDOUX SVP OF OPERATIONS 184240 0 28150 0 727 0 7901 0 12024 0 233042 0 0 0 HEATHER GUNN SVP OF MISSION EXPANSION 187635 0 20000 0 779 0 10214 0 11664 0 230292 0 0 0 KRISTIN ROSSOW VP OF ACCOUNTING 180778 0 4750 0 732 0 5279 0 25024 0 216563 0 0 0 STACY MORTON VP OF FINANCIAL PLAN & ANALYSIS 181938 0 4088 0 767 0 5058 0 20064 0 211915 0 0 0 KATIE KELLY VP OF INFORMATION TECHNOLOGY 186992 0 4750 0 771 0 5162 0 11664 0 209339 0 0 0 MOLLY KENNIS VP OF OPERATIONS 176197 0 1250 0 770 0 5170 0 25404 0 208791 0 0 0 ANDREA FERRUCCI VP OF OPERATIONS 172086 0 5500 0 715 0 0 0 25502 0 203803 0 0 0 CAROL MAU VP OF OPERATIONS 157090 0 5650 0 1014 0 4800 0 33696 0 202250 0 0 0 LINDA SCHOLTING VP OF FINANCIAL OPERATIONS 76655 0 0 0 100300 0 1846 0 13776 0 192577 0 0 0 KIM FORD VP OF OPERATIONS 151314 0 1250 0 687 0 4614 0 33216 0 191081 0 0 0 ROBIN WESTFALL VP OF TALENT MANAGEMENT 153823 0 1500 0 687 0 4596 0 30464 0 191070 0 0 0 ERICA GIBSON VP OF HR SERVICES 157101 0 3750 0 721 0 4525 0 24840 0 190937 0 0 0 SARAH KHALILI VP OF COMPLIANCE 143436 0 2000 0 683 0 4567 0 39446 0 190132 0 0 0 PAULA BURTON VP OF HR OPERATIONS 161157 0 1250 0 671 0 4525 0 20784 0 188387 0 0 0 MATTHEW SHEFFIELD SR DEVELOPMENT OFFICER 146060 0 6753 0 813 0 0 0 31934 0 185560 0 0 0 JENNIFER ZAJICEK VP OF OP EXCELLENCE 146429 0 8150 0 777 0 4064 0 20424 0 179844 0 0 0 MARY BETH O'NEILL VP OF OPERATIONS 154649 0 0 0 590 0 3961 0 19870 0 179070 0 0 0 JULIE ZITTERGRUEN VP OF REVENUE CYCLE 136788 0 1250 0 326 0 2402 0 30240 0 171006 0 0 0 CHRISTINE SCHROEDER VP OF OPERATIONS 153012 0 1236 0 641 0 4269 0 11664 0 170822 0 0 0 PART I, LINE 1A EVERY EMPLOYEE ENROLLED IN A HEALTH PLAN CAN BE REIMBURSED UP TO $25 PER MONTH FOR GYM MEMBERSHIPS OR INITIATION FEES. THIS BENEFIT IS TREATED AS TAXABLE COMPENSATION TO THE EMPLOYEE. PART I, LINE 4A MARLIN WILKERSON RECEIVED A SEVERANCE PAYMENT OF $126,890. LINDA SCHOLTING RECEIVED A SEVERANCE PAYMENT OF $100,006. SCHEDULE J, PART II, COLUMN C: MOSAIC EVALUATES THE LIABILITY RELATED TO THEIR POSTRETIREMENT BENEFITS (SALARY AND HEALTH INSURANCE CONTINUATION) THROUGH AN ACTUARIAL REVIEW. THE ADJUSTMENT IS INCLUDED IN RETIREMENT AND OTHER DEFERRED COMPENSATION. A PUBLIC FINANCE AUTHORITY 273866124 000000000 2017-06-29 12188750 REFUND PRIOR ISSUES (1/28/03, 6/1/05, 3/12/10, 3/31/10, 4/14/10, 4/30/12). 0 0 0 B PUBLIC FINANCE AUTHORITY 273866124 000000000 2018-10-31 10101544 ACQUIRE FACILITY. REFUND PRIOR ISSUE (11/1/17 & 10/31/18). 0 0 0 C PUBLIC FINANCE AUTHORITY 273866124 000000000 2017-11-01 6740000 CONSTRUCT & IMPROVE FACILITY. REFUND PRIOR TAXABLE ISSUE (6/29/17). 0 0 0 A 6962154 12188750 187009 12001741 2012 1 0 1 1 B 1151663 10101544 1800000 8301544 2018 1 1 1 1 C 2611526 6429296 6294309 134987 2021 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 1 1 0 0 0 0 B 0 0 1 1 1 0 0 0 0 C 0 0 1 1 1 0 0 0 0 A 0 B 0 C 0 SCHEDULE K, PART IV, ARBITRAGE, LINE 2C: (A) ISSUER NAME: PUBLIC FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 6/30/2021 (A) ISSUER NAME: PUBLIC FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 6/30/2021 (A) ISSUER NAME: PUBLIC FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2019 NOTE: REGARDING THE REBATE COMPUTATION ON 6/30/2021 AND 12/31/2019: SINCE THE BOND PROCEEDS HAVE BEEN SPENT AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. SCHEDULE K PART II, COLUMN B, LINE 3: DIFFERENCES BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 - THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) AS THIS DEBT WAS ISSUED ON A DRAW-DOWN BASIS AND THE TOTAL PRINCIPAL DRAWN WAS LESS THAN THE AMOUNT AVAILABLE. THE REMAINING PRINCIPAL WILL NOT BE DRAWN. X 18 269375 FAIR MARKET VALUE X 15 1448523 FAIR MARKET VALUE X 1 880000 FAIR MARKET VALUE 0 0 0 PART I, COLUMN (B): THE NUMBER REPORTED IN COLUMN (B) ARE THE NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART VI, SECTION A, LINE 7A THE EVANGELICAL LUTHERAN CHURCH IN AMERICA APPOINTS THREE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B MOSAIC BOARD OF DIRECTORS MAY MAKE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION WITHOUT OTHER APPROVAL WITH THE EXCEPTION OF SECTIONS 8 AND 10. AMENDMENTS TO SECTIONS 8 AND 10 OF THE ARTICLES OF INCORPORATION REQUIRE PRIOR WRITTEN CONSENT OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. SECTION 8 OF THE ARTICLES OF INCORPORATION SPECIFIES WHERE ASSETS WOULD BE TRANSFERRED UPON THE LIQUIDATION OF MOSAIC, AND SECTION 10 COVERS MOSAIC'S AFFILIATION WITH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY THE ORGANIZATION'S OUTSIDE ACCOUNTING FIRM. THE CHIEF FINANCIAL OFFICER, THE ORGANIZATION'S OUTSIDE ACCOUNTING FIRM, AND THE CHIEF EXECUTIVE OFFICER REVIEW THE RETURN. THE FINANCE AND AUDIT COMMITTEE AND THE BOARD OF DIRECTORS ARE PROVIDED A COPY OF THE RETURN PRIOR TO FILING FORM 990. 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 BOARD INTEGRITY COMMITTEE. ANY FINANCIAL CONFLICTS OF INTEREST ARE REPORTED TO THE CHIEF FINANCIAL OFFICER FOR REPORTING ON THE FORM 990. WITHIN 90 DAYS OF THEIR HIRE DATE, ALL STAFF COMPLETE A CONFLICT OF INTEREST FORM. STAFF ARE NOTIFIED ANNUALLY THEY MUST COMPLETE A NEW CONFLICT OF INTEREST FORM IF THERE HAVE BEEN ANY CHANGES SINCE THEY LAST SUBMITTED THE FORM. ALL REPORTED CONFLICTS OF INTEREST ARE REVIEWED BY HUMAN RESOURCES, OPERATIONS AND COMPLIANCE DEPARTMENTS. ANY CONFLICTS OF INTEREST OF THE CHIEF EXECUTIVE OFFICER ARE REPORTED TO THE BOARD OF DIRECTORS. CONFLICTS OF INTEREST OF SENIOR STAFF ARE REVIEWED BY THE SENIOR VICE PRESIDENT FOR HUMAN RESOURCES AND VICE PRESIDENT OF COMPLIANCE AND REPORTED TO THE CHIEF EXECUTIVE OFFICER AND 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. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS ESTABLISHED AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR CONTRACTING WITH AN INDEPENDENT CONSULTANT WHICH SHALL: DOCUMENT COMPARABLE COMPENSATION LEVELS PAID TO EXECUTIVES WITH SIMILAR POSITIONS AND RESPONSIBILITIES WITHIN THE MARKET APPLICABLE TO EXECUTIVE RECRUITMENT, HELP THE COMMITTEE APPLY MOSAIC'S COMPENSATION PHILOSOPHY TO THE MARKET SURVEY DATA TO IDENTIFY SUPPORTABLE COMPENSATION LEVELS AND COMPENSATION RANGES, AND VERIFY IN ADVANCE THAT RESULTING COMPENSATION RANGES ARE REASONABLE COMPENSATION. THE COMPENSATION CONSULTANT WILL ALSO ADVISE AND OPINE ON BENEFIT DESIGN, BENEFIT OPTIONS, AND REASONABLENESS OF BENEFIT AMOUNTS AS ELEMENTS OF COMPENSATION. THE EXECUTIVE COMMITTEE WILL BE GUIDED BY THE CONSULTANT'S ANALYSIS AND EXPERTISE AND APPROVE THE COMPENSATION OF THE CEO, APPROVE THE COMPENSATION RANGES FOR OTHER OFFICERS AND KEY EMPLOYEES, AND REPORT ITS ACTIONS TO THE FULL BOARD. THE CEO, WORKING WITHIN SALARY RANGES APPROVED BY THE EXECUTIVE COMMITTEE, SETS THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. MINUTES, DOCUMENTATION OF INDEPENDENT CONSULTANT COMPARABILITY DATA AND RECOMMENDATIONS ARE MAINTAINED AS PART OF THE RECORD OF THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 INDIVIDUALS MAY REQUEST MOSAIC'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS THROUGH AN EMAIL REQUEST FORM AVAILABLE ON MOSAIC'S PUBLIC WEBSITE (WWW.MOSAICINFO.ORG). FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 535,460. MANAGEMENT AND GENERAL EXPENSES 579,114. FUNDRAISING EXPENSES 80,634. TOTAL EXPENSES 1,195,208. DAY/HOST SERVICES: PROGRAM SERVICE EXPENSES 87,958,290. MANAGEMENT AND GENERAL EXPENSES 6,257. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,964,547. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 40,822. MANAGEMENT AND GENERAL EXPENSES 507,644. FUNDRAISING EXPENSES 160,706. TOTAL EXPENSES 709,172. FORM 990, PART XI, LINE 9: POSTRETIREMENT BENEFIT RELATED CHANGES OTHER THAN NET PERIODIC COST 136,486. OTHER TRANSFER OF LIABILITIES -1,001,544. EQUITY TRANSFER TO MOSAIC SENIOR SERVICES, INC. FORM 990, PART XII, LINE 2C: THE FINANCE AND AUDIT COMMITEE OVERSEES THE AUDIT & SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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