FURP.ORG / PUBLIC DATA EXPLORER

MOSAIC HOUSING CORP XIV - ROCKFORD: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MOSAIC HOUSING CORP XIV - ROCKFORD (EIN 20-4417891)
Tax period
2016-07-01 to 2017-06-30
Filed
2017-11-02
IRS object ID
201703069349300745
Schema version
2016v3.0
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)
Return2017-11-02T10:55:58-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN476097913PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SEIM JOHNSON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118081 BURT STREET SUITE 200AddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP680224722ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN204417891EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSAIC HOUSING CORPORATION 14BusinessNameLine1Txt
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
Signature2017-10-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWENDY R COOLEYPreparerPersonNm
PTINP01523804PTIN
Phone4023302660PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.34.201.180IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-10-30IPDt
IP Tm14:36:20IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id283418A69B405FF99BFD473E52D2AE202F92D27AAtSubmissionCreationDeviceId
At Submission Filing Device IdFCEDDD786A52D146CD6D5AF04BB3D8B974087028AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$65,850GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MOSAICINFO.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION PROVIDES LOW INCOME HOUSING TO THE DISABLED UNDER SECTION 811 GUIDELINES FROM THE U.S. DEPARTMENT OF HUD.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,438PYContributionsGrantsAmt
CY Contributions Grants$12,216CYContributionsGrantsAmt
PY Program Service Revenue$56,044PYProgramServiceRevenueAmt
CY Program Service Revenue$53,553CYProgramServiceRevenueAmt
PY Investment Income$49PYInvestmentIncomeAmt
CY Investment Income$81CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$58,531PYTotalRevenueAmt
CY Total Revenue$65,850CYTotalRevenueAmt
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$111,267PYOtherExpensesAmt
CY Other Expenses$104,821CYOtherExpensesAmt
PY Total Expenses$111,267PYTotalExpensesAmt
CY Total Expenses$104,821CYTotalExpensesAmt
PY Revenues Less Expenses-$52,736PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$38,971CYRevenuesLessExpensesAmt
Total Assets BOY$1,153,047TotalAssetsBOYAmt
Total Assets EOY$1,104,868TotalAssetsEOYAmt
Total Liabilities BOY$409,267TotalLiabilitiesBOYAmt
Total Liabilities EOY$400,059TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$743,780NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$704,809NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION PROVIDES LOW INCOME HOUSING TO THE DISABLED UNDER SECTION 811 GUIDELINES FROM THE U.S. DEPARTMENT OF HUD.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$88,234ExpenseAmt
Revenue$53,553RevenueAmt
DescTHE ORGANIZATION PROVIDES LOW INCOME HOUSING TO THE DISABLED UNDER SECTION 811 GUIDELINES FROM THE U.S. DEPARTMENT OF HUD.Desc
Total Program Service Expenses$88,234TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document1IRPDocumentCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
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 CommitteesYes (1)MinutesOfCommitteesInd
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
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
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 (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DEANNA WAGNER
CHAIRPERSON0.102.40Yes (X)Yes (X)$0$0$0
JOAN NIEDFELDT
VICE CHAIRPERSON0.102.40Yes (X)Yes (X)$0$0$0
ELIZABETH WOLLMAN
DIRECTOR0.102.00Yes (X)$0$0$0
BARBARA PETSKA
DIRECTOR0.102.00Yes (X)$0$0$0
MARY LASH ANDERSON
DIRECTOR0.102.00Yes (X)$0$0$0
CONRAD JAMES JR
DIRECTOR THRU 10/1/160.102.40Yes (X)$0$0$0
KRISTIN ROSSOW
PRESIDENT0.5039.50Yes (X)$0$144,118$25,894
DOLORES BANGERT
PRESIDENT THRU 9/5/160.5039.50Yes (X)$0$141,293$15,640
GREG PASKACH
TREASURER/SECRETARY0.5039.50Yes (X)$0$80,289$13,334
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$365,700TotReportableCompRltdOrgAmt
Total Other Compensation$54,868TotalOtherCompensationAmt
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
Government Grants$12,216GovernmentGrantsAmt
Total Contributions$12,216TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRENTAL INCOMEDesc
Business531110BusinessCd
Total Revenue Column$53,553TotalRevenueColumnAmt
Related Or Exempt Func Income$53,553RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$53,553TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$81TotalRevenueColumnAmt
Exclusion$81ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,850TotalRevenueColumnAmt
Related Or Exempt Func Income$53,553RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$81ExclusionAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$7,020TotalAmt
Management And General$7,020ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$183TotalAmt
Management And General$183ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,583TotalAmt
Management And General$7,583ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,114TotalAmt
Program Services$7,114ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,275TotalAmt
Program Services$2,275ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$24,598TotalAmt
Program Services$24,598ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$49,670TotalAmt
Program Services$49,670ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,577TotalAmt
Program Services$4,577ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,801TotalAmt
Management And General$1,801ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$104,821TotalAmt
Program Services$88,234ProgramServicesAmt
Management And General$16,587ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,982BOYAmt
EOY$12,218EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,278BOYAmt
EOY$1,176EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,522,866LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$480,469LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,092,067BOYAmt
EOY$1,042,397EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$52,720BOYAmt
EOY$49,077EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,153,047BOYAmt
EOY$1,104,868EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$18,463BOYAmt
EOY$8,920EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$381,877BOYAmt
EOY$381,877EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,927BOYAmt
EOY$9,262EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$409,267BOYAmt
EOY$400,059EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$332,520BOYAmt
EOY-$371,491EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,076,300BOYAmt
EOY$1,076,300EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$743,780BOYAmt
EOY$704,809EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,153,047BOYAmt
EOY$1,104,868EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$38,971ReconcilationRevenueExpnssAmt
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$1,449CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$125CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,438CurrentTaxYearMinus1YearAmt
Current Tax Year$12,216CurrentTaxYearAmt
Total$16,228TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$48,372CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$59,101CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$52,133CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$56,044CurrentTaxYearMinus1YearAmt
Current Tax Year$53,553CurrentTaxYearAmt
Total$269,203TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$49,821CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$59,101CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$52,258CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$58,482CurrentTaxYearMinus1YearAmt
Current Tax Year$65,769CurrentTaxYearAmt
Total$285,431TotalAmt

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$285,431PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$38CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49CurrentTaxYearMinus1YearAmt
Current Tax Year$81CurrentTaxYearAmt
Total$248TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$38CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49CurrentTaxYearMinus1YearAmt
Current Tax Year$81CurrentTaxYearAmt
Total$248TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$49,859CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$59,143CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$52,296CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$58,531CurrentTaxYearMinus1YearAmt
Current Tax Year$65,850CurrentTaxYearAmt
Total$285,679TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99910PublicSupportCY509Pct
Public Support PY5090.99930PublicSupportPY509Pct
Investment Income CY0.00090InvestmentIncomeCYPct
Investment Income PY0.00060InvestmentIncomePYPct
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$92,900OtherCostOrOtherBasisAmt
Book Value$92,900BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,398,166OtherCostOrOtherBasisAmt
Depreciation$448,669DepreciationAmt
Book Value$949,497BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,800OtherCostOrOtherBasisAmt
Depreciation$31,800DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,042,397TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
TENANT SECURITY DEPOSITS$3,547
DUE TO AFFILIATE$5,715
FieldValueIRS element (for citing)
Total Liability$9,262TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$65,850TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$65,850RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$65,850TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$104,821TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$104,821ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$104,821TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE FOLLOWING FOOTNOTE IS TAKEN FROM THE CONSOLIDATED FINANCIAL STATEMENTS: ALL CONSOLIDATED AFFILIATED ENTITIES, EXCEPT FOR MOSAIC HOUSING CORP V, INC. AND EASE-E MEDICAL, INC., ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OR 501(C)(2) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN MOSAIC'S TAX EXEMPT STATUS. 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 2017 AND 2016, MANAGEMENT DETERMINED THAT THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS OTHER THAN DESCRIBED PREVIOUSLY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
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$142,090$0$1,525$0$503$0$4,078$0$21,816$0$170,012$0$0
DOLORES BANGERT
PRESIDENT THRU 9/5/16$0$75,357$0$0$0$65,936$0$1,965$0$13,675$0$156,933$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE SALARIES OF DOLORES BANGERT AND KRISTIN ROSSOW ARE 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 THEIR COMPENSATION.
PART I, LINE 4ADOLORES BANGERT RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $65,499.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 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 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
MOSAIC FOUNDATION
4980 S 118 STOMAHANE68137363837360FUNDRAISING AND INVESTMENT ASSET MANAGEMENTNE501(C)(3)LINE 12A, IYes (1)MOSAIC
THE OAKS OF DUNN COUNTY
4980 S 118 STOMAHANE68137391913323SENIOR LIVING SERVICESWI501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION I
4980 S 118 STOMAHANE68137363756911LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION II
4980 S 118 STOMAHANE68137470773689LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION III
4980 S 118 STOMAHANE68137470788396LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION IV
4980 S 118 STOMAHANE68137911823422LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION VII
4980 S 118 STOMAHANE68137470828015LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION VIII
4980 S 118 STOMAHANE68137470828012LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION IX
4980 S 118 STOMAHANE68137742838413LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION X
4980 S 118 STOMAHANE68137742908789LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION XI
4980 S 118 STOMAHANE68137311706640LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION XII
4980 S 118 STOMAHANE68137481297244LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION XIII
4980 S 118 STOMAHANE68137421626679LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION XV
4980 S 118 STOMAHANE68137205765691LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION XVI
4980 S 118 STOMAHANE68137205765731LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION XVII
4980 S 118 STOMAHANE68137261710013LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION XVIII
4980 S 118 STOMAHANE68137261710184LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION XIX
4980 S 118 STOMAHANE68137261710259LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION XX
4980 S 118 STOMAHANE68137264555206LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION XXI
4980 S 118 STOMAHANE68137264555313LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION XXII
4980 S 118 STOMAHANE68137273483415LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION XXIII
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 OF 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 VEBA
4980 S 118 STOMAHANE68137383831874EMPLOYEE WELFARE BENEFIT PLANNE501(C)(9)N/AYes (1)MOSAIC

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 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/ACYes (1)
MOSAIC HOUSING CORPORATION V
4980 S 118 STOMAHANE68137470805545LOW INCOME HOUSINGNEN/ACYes (1)
BICO
4980 S 118 STOMAHANE68137CAPTIVE INSURANCEN/ACYes (1)BD
CHARITABLE REMAINDER TRUSTS (4)
INVESTMENT MANAGEMENTNEN/ATYes (1)
CHARITABLE REMAINDER TRUST (1)
INVESTMENT MANAGEMENTFLN/ATYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
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