FURP.ORG / PUBLIC DATA EXPLORER

MOSAIC HOUSING CORP XII: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
MOSAIC HOUSING CORP XII (EIN 48-1297244)
Tax period
2022-07-01 to 2023-06-30
Filed
2023-10-31
IRS object ID
202333049349302028
Schema version
2022v5.0
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)
Return2023-10-31T14:26:46-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118081 BURT ST STE 200AddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP680224722ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN481297244EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSAIC HOUSING CORP XIIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMOSABusinessNameControlTxt
Phone4028963884PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14980 SOUTH 118TH STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68137ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKRISTIN ROSSOWPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4028963884PhoneNum
Signature2023-10-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKRISTINPersonFirstNm
Person LastROSSOWPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL R CRESWELL CPAPreparerPersonNm
PTINP01708840PTIN
Phone4023302660PhoneNum
Preparation2023-10-30PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKRISTIN ROSSOWPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14980 SOUTH 118TH STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68137ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$103,221GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MOSAICINFO.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION PROVIDES LOW INCOME HOUSING TO THE DISABLED UNDER SECTION 811 GUIDELINES ESTABLISHED BY THE U.S. DEPARTMENT OF HUD.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers3TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$72,390PYContributionsGrantsAmt
CY Contributions Grants$27,320CYContributionsGrantsAmt
PY Program Service Revenue$34,862PYProgramServiceRevenueAmt
CY Program Service Revenue$41,217CYProgramServiceRevenueAmt
PY Investment Income$53PYInvestmentIncomeAmt
CY Investment Income$579CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$34,105CYOtherRevenueAmt
PY Total Revenue$107,305PYTotalRevenueAmt
CY Total Revenue$103,221CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$121,907PYOtherExpensesAmt
CY Other Expenses$129,715CYOtherExpensesAmt
PY Total Expenses$121,907PYTotalExpensesAmt
CY Total Expenses$129,715CYTotalExpensesAmt
PY Revenues Less Expenses-$14,602PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$26,494CYRevenuesLessExpensesAmt
Total Assets BOY$724,098TotalAssetsBOYAmt
Total Assets EOY$757,271TotalAssetsEOYAmt
Total Liabilities BOY$21,077TotalLiabilitiesBOYAmt
Total Liabilities EOY$80,744TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$703,021NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$676,527NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION PROVIDES LOW INCOME HOUSING TO THE DISABLED UNDER SECTION 811 GUIDELINES ESTABLISHED BY THE U.S. DEPARTMENT OF HUD.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$110,792ExpenseAmt
Revenue$41,217RevenueAmt
DescTHE ORGANIZATION PROVIDES LOW INCOME HOUSING TO THE DISABLED UNDER SECTION 811 GUIDELINES ESTABLISHED BY THE U.S. DEPARTMENT OF HUD.Desc
Total Program Service Expenses$110,792TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KRISTIN ROSSOWBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4028963884PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14980 SOUTH 118TH STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68137ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DEANNA WAGNER
CHAIRPERSON0.102.30Yes (X)Yes (X)$0$0$0
BARBARA PETSKA
DIRECTOR0.102.30Yes (X)$0$0$0
JENNIFER DOAN
DIRECTOR0.102.30Yes (X)$0$0$0
KRISTIN ROSSOW
PRESIDENT0.1039.90Yes (X)$0$208,948$31,203
GREG PASKACH
TREASURER/SECRETARY THRU 07/220.1039.90Yes (X)$0$61,316$17,014
JULIE ZITTERGRUEN
TREASURER/SECRETARY0.1039.90Yes (X)$0$154,892$40,659
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$425,156TotReportableCompRltdOrgAmt
Total Other Compensation$88,876TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$4,935RelatedOrganizationsAmt
Government Grants$22,385GovernmentGrantsAmt
Total Contributions$27,320TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRENTAL INCOMEDesc
Business531110BusinessCd
Total Revenue Column$41,217TotalRevenueColumnAmt
Related Or Exempt Func Income$41,217RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$41,217TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$579TotalRevenueColumnAmt
Exclusion$579ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescINSURANCE PROCEEDSDesc
Business900099BusinessCd
Total Revenue Column$34,105TotalRevenueColumnAmt
Related Or Exempt Func Income$34,105RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$34,105OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$103,221TotalRevenueColumnAmt
Related Or Exempt Func Income$75,322RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$579ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$6,651TotalAmt
Management And General$6,651ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$82TotalAmt
Management And General$82ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,141TotalAmt
Management And General$7,141ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$20,900TotalAmt
Program Services$20,900ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,556TotalAmt
Program Services$4,146ProgramServicesAmt
Management And General$2,410ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$25,763TotalAmt
Program Services$25,763ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6TotalAmt
Management And General$6ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$54,349TotalAmt
Program Services$54,349ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,634TotalAmt
Program Services$5,634ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,633TotalAmt
Management And General$2,633ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$129,715TotalAmt
Program Services$110,792ProgramServicesAmt
Management And General$18,923ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,741BOYAmt
EOY$24,912EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$418BOYAmt
EOY$108EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,501,403LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$803,744LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$693,114BOYAmt
EOY$697,659EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$28,825BOYAmt
EOY$34,592EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$724,098BOYAmt
EOY$757,271EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,182BOYAmt
EOY$34,136EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,895BOYAmt
EOY$46,608EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,077BOYAmt
EOY$80,744EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$288,379BOYAmt
EOY-$314,873EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$991,400BOYAmt
EOY$991,400EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$703,021BOYAmt
EOY$676,527EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$724,098BOYAmt
EOY$757,271EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$26,494ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,937CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,350CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$69,202CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$72,390CurrentTaxYearMinus1YearAmt
Current Tax Year$27,320CurrentTaxYearAmt
Total$215,199TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$38,734CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$43,181CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$34,646CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,862CurrentTaxYearMinus1YearAmt
Current Tax Year$41,217CurrentTaxYearAmt
Total$192,640TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$60,671CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$67,531CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$103,848CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$107,252CurrentTaxYearMinus1YearAmt
Current Tax Year$68,537CurrentTaxYearAmt
Total$407,839TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$407,839PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$80CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$48CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$52CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53CurrentTaxYearMinus1YearAmt
Current Tax Year$579CurrentTaxYearAmt
Total$812TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$80CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$48CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$52CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53CurrentTaxYearMinus1YearAmt
Current Tax Year$579CurrentTaxYearAmt
Total$812TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$34,105CurrentTaxYearAmt
Total$34,105TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$60,751CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$67,579CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$103,900CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$107,305CurrentTaxYearMinus1YearAmt
Current Tax Year$103,221CurrentTaxYearAmt
Total$442,756TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.92110PublicSupportCY509Pct
Public Support PY5090.99930PublicSupportPY509Pct
Investment Income CY0.00180InvestmentIncomeCYPct
Investment Income PY0.00070InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$142,965OtherCostOrOtherBasisAmt
Book Value$142,965BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,309,857OtherCostOrOtherBasisAmt
Depreciation$778,786DepreciationAmt
Book Value$531,071BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,958OtherCostOrOtherBasisAmt
Depreciation$24,958DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,623OtherCostOrOtherBasisAmt
Book Value$23,623BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$697,659TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
TENANT SECURITY DEPOSITS$3,270
DUE TO AFFILIATE$30,853
ACCRUED MANAGEMENT FEES$12,485
FieldValueIRS element (for citing)
Total Liability$46,608TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$103,221TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$103,221RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$103,221TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$129,715TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$129,715ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$129,715TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationMANAGEMENT BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ENTITY WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KRISTIN ROSSOW
PRESIDENT$0$184,591$0$23,500$0$857$0$5,400$0$25,803$0$240,151$0$0
JULIE ZITTERGRUEN
TREASURER/SECRETARY$0$148,163$0$6,000$0$729$0$4,561$0$36,098$0$195,551$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationKRISTIN ROSSOW IS PAID BY MOSAIC, A RELATED ORGANIZATION. MOSAIC'S BOARD AND COMPENSATION COMMITTEE USE AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, AND A COMPENSATION SURVEY IN ESTABLISHING HER COMPENSATION.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE CORPORATION IS MANAGED BY MOSAIC, A RELATED ENTITY. MANAGEMENT FEES ARE PAID TO MOSAIC BASED ON A CONTRACTUAL AGREEMENT.
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 A, LINE 8BTHERE IS NO COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. IT IS REVIEWED BY THE PRESIDENT AND TREASURER OF THE ORGANIZATION AND THEN SHARED WITH THE BOARD OF DIRECTORS PRIOR TO THE FORM 990 BEING ELECTRONICALLY FILED.
FORM 990, PART VI, SECTION B, LINE 12CEACH BOARD MEMBER AND OFFICER ANNUALLY COMPLETES A CONFLICT OF INTEREST FORM. THE FORM IS PROVIDED TO MOSAIC'S SENIOR VP OF HUMAN RESOURCES FOR REVIEW AND POSSIBLE REPORTING 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 10,771. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,771. REPAIRS CONTRACT: PROGRAM SERVICE EXPENSES 6,709. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,709. FIRE SYSTEM MONITORING: PROGRAM SERVICE EXPENSES 1,053. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,053. PEST CONTROL CONTRACT: PROGRAM SERVICE EXPENSES 1,357. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,357. UNIT TURNOVER EXPENSES: PROGRAM SERVICE EXPENSES 1,010. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,010.
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 FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MOSAIC
4980 S 118 STOMAHANE68137113669999SERVICES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIESNE501(C)(3)LINE 10N/A0
THE MOSAIC FOUNDATION INC
4980 S 118 STOMAHANE68137363837360FUNDRAISING AND INVESTMENT ASSET MANAGEMENTNE501(C)(3)LINE 12A, I0MOSAIC
OAKS OF DUNN COUNTY INC
4980 S 118 STOMAHANE68137391913323SENIOR LIVING SERVICESWI501(C)(3)LINE 100MOSAIC
MOSAIC HOUSING CORP I
4980 S 118 STOMAHANE68137363756911LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP II
4980 S 118 STOMAHANE68137470773689LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP IV
4980 S 118 STOMAHANE68137911823422LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP VII
4980 S 118 STOMAHANE68137470828015LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP VIII
4980 S 118 STOMAHANE68137470828012LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP IX
4980 S 118 STOMAHANE68137742838413LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP X
4980 S 118 STOMAHANE68137742908789LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XI
4980 S 118 STOMAHANE68137311706640LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XIII
4980 S 118 STOMAHANE68137421626679LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XIV - ROCKFORD
4980 S 118 STOMAHANE68137204417891LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XV - COUNCIL BLUFFS
4980 S 118 STOMAHANE68137205765691LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XVI - FARMINGTON
4980 S 118 STOMAHANE68137205765731LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XVII - BEATRICE
4980 S 118 STOMAHANE68137261710013LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XVIII - OSCEOLA-WAUKON
4980 S 118 STOMAHANE68137261710184LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XIX - WINFIELD
4980 S 118 STOMAHANE68137261710259LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XX - GARDEN CITY
4980 S 118 STOMAHANE68137264555206LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XXI - MEMPHIS
4980 S 118 STOMAHANE68137264555313LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XXII - LOGAN
4980 S 118 STOMAHANE68137273483415LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION XXIII - AUSTIN
4980 S 118 STOMAHANE68137710875364LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC ILLINOIS HOUSING I
4980 S 118 STOMAHANE68137202997161LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC ILLINOIS HOUSING II
4980 S 118 STOMAHANE68137204417645LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC ILLINOIS HOUSING AT MACOMB I
4980 S 118 STOMAHANE68137204841909LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC ILLINOIS HOUSING OF ROCKFORD I
4980 S 118 STOMAHANE68137204841856LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC EMPLOYEE WELFARE BENEFIT PLAN
4980 S 118 STOMAHANE68137383831874EMPLOYEE WELFARE BENEFIT PLANNE501(C)(9)N/A0MOSAIC
MOSAIC SENIOR SERVICES INC
4980 S 118 STOMAHANE68137831746407SENIOR LIVING SERVICESAZ501(C)(3)LINE 12A, I0MOSAIC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MOSAIC RESIDENTIAL SERVICES OF NEBRASKA LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14980 S 118 STAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68137ZIPCd
FieldValueIRS element (for citing)
EIN271695051EIN
Primary ActivitiesLOW INCOME HOUSINGPrimaryActivitiesTxt
Legal Domicile StateNELegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
EASE-E MEDICAL INC
731 SOUTH 8TH STREETCANON CITYCO81212470842353SALE OF MEDICAL EQUIPMENT AND SUPPLIESNEN/AC0
MOSAIC HOUSING CORPORATION V
4980 S 118 STOMAHANE68137470805545LOW INCOME HOUSINGNEN/AC0
BICO
4980 S 118 STOMAHANE68137CAPTIVE INSURANCEN/AC0BD
CHARITABLE REMAINDER TRUSTS (5)
INVESTMENT MANAGEMENTNEN/AT0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd