MOSAIC ILLINOIS HOUSING AT MACOMB I: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MOSAIC ILLINOIS HOUSING AT MACOMB I (EIN 20-4841909)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-05-10
- IRS object ID
- 202201309349201410
- Schema version
- 2021v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-10T08:50:57-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 476097913 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEIM JOHNSON LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18081 BURT STREET SUITE 200 | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 680224722 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 204841909 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSAIC ILLINOIS HOUSING AT MACOMB I | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MOSA | BusinessNameControlTxt |
| Phone | 4028963884 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4980 SOUTH 118TH STREET | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68137 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KRISTIN ROSSOW | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 4028963884 | PhoneNum |
| Signature | 2022-04-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KRISTIN | PersonFirstNm |
| Person Last | ROSSOW | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WENDY R COOLEY | PreparerPersonNm |
| PTIN | P01523804 | PTIN |
| Phone | 4023302660 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | WWW.MOSAICINFO.ORG | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $29,868 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Program Service Revenue | $29,795 | ProgramServiceRevenueAmt |
| Investment Income | $73 | InvestmentIncomeAmt |
| Total Revenue | $29,868 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $8,243 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $14,069 | OccupancyRentUtltsAndMaintAmt |
| Other Expenses Total | $20,215 | OtherExpensesTotalAmt |
| Total Expenses | $42,527 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$12,659 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $305,011 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $292,352 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,545 | BOYAmt |
| EOY | $44,835 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,047 | BOYAmt |
| EOY | $225,320 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,473 | BOYAmt |
| EOY | $47,854 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,065 | BOYAmt |
| EOY | $318,009 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,054 | BOYAmt |
| EOY | $25,657 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $305,011 | BOYAmt |
| EOY | $292,352 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | THE ORGANIZATION PROVIDES LOW INCOME AFFORDABLE HOUSING UNDER ILLINOIS HOUSING DEVELOPMENT AUTHORITY GUIDELINES. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | THE ORGANIZATION PROVIDES LOW INCOME AFFORDABLE HOUSING UNDER ILLINOIS HOUSING DEVELOPMENT AUTHORITY GUIDELINES. | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $0 | GrantsAndAllocationsAmt |
| Program Service Expenses | $32,037 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $32,037 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (6 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| DEANNA WAGNER | ||||
| CHAIRPERSON | 0.10 | $0 | $0 | $0 |
| BARBARA PETSKA | ||||
| VICE CHAIRPERSON | 0.10 | $0 | $0 | $0 |
| GREG PASKACH | ||||
| TREASURER/SECRETARY | 0.50 | $0 | $0 | $0 |
| JENNIFER DOAN | ||||
| DIRECTOR | 0.10 | $0 | $0 | $0 |
| CYNTHIA WEBER | ||||
| DIRECTOR THRU 01/21 | 0.10 | $0 | $0 | $0 |
| KRISTIN ROSSOW | ||||
| PRESIDENT | 0.50 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | 0 | OrganizationHadUBIInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KRISTIN ROSSOW | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4980 S 118 STREET | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68137 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4028963884 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| School Operating | 0 | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (1) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,488 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,488 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31,202 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,054 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,795 | CurrentTaxYearAmt |
| Total | $153,027 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,488 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,488 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31,202 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,054 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,795 | CurrentTaxYearAmt |
| Total | $153,027 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $153,027 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $311 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $752 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $774 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $345 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $73 | CurrentTaxYearAmt |
| Total | $2,255 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $311 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $752 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $774 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $345 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $73 | CurrentTaxYearAmt |
| Total | $2,255 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $286 | CurrentTaxYearMinus2YearsAmt |
| Total | $286 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,799 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $32,240 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $32,262 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,399 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,868 | CurrentTaxYearAmt |
| Total | $155,568 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98370 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98370 | PublicSupportPY509Pct |
| Investment Income CY | 0.01450 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01450 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INTEREST. AMOUNT: 73. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: DEPRECIATION. AMOUNT: 15,596. DESCRIPTION: INSURANCE. AMOUNT: 2,372. DESCRIPTION: TRAVEL. AMOUNT: 800. DESCRIPTION: OFFICE EXPENSE. AMOUNT: 1,447. TOTAL TO FORM 990-EZ, LINE 16: 20,215. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: FUNDED RESERVES. BEG. OF YEAR AMOUNT: 41,473. END OF YEAR AMOUNT: 44,647. DESCRIPTION: TENANT ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 1,587. DESCRIPTION: TENANT SECURITY DEPOSITS. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 1,620. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: CURRENT LIABILITIES. BEG. OF YEAR AMOUNT: 6,810. END OF YEAR AMOUNT: 10,312. DESCRIPTION: MORTGAGE PAYABLE. BEG. OF YEAR AMOUNT: 14,900. END OF YEAR AMOUNT: 13,700. DESCRIPTION: TENANT SECURITY DEPOSITS. BEG. OF YEAR AMOUNT: 2,344. END OF YEAR AMOUNT: 1,620. DESCRIPTION: DUE TO AFFILIATE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 25. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | DeclarationDesc |