MOSAIC HOUSING CORP IV: Form 990EZ, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MOSAIC HOUSING CORP IV (EIN 91-1823422)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2017-11-02
- IRS object ID
- 201713069349200431
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-02T10:55:58-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | 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 | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911823422 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSAIC HOUSING CORPORATION 4 | 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 | 2017-10-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WENDY R COOLEY | PreparerPersonNm |
| PTIN | P01523804 | PTIN |
| Phone | 4023302660 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 209.34.201.180 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-10-30 | IPDt |
| IP Tm | 15:48:07 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 283418A69B405FF99BFD473E52D2AE202F92D27A | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | FCEDDD786A52D146CD6D5AF04BB3D8B974087028 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Website Address | WWW.MOSAICINFO.ORG | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $35,793 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $7,498 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $28,253 | ProgramServiceRevenueAmt |
| Investment Income | $42 | InvestmentIncomeAmt |
| Total Revenue | $35,793 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $19,420 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $21,683 | OccupancyRentUtltsAndMaintAmt |
| Other Expenses Total | $34,492 | OtherExpensesTotalAmt |
| Total Expenses | $75,595 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$39,802 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $311,603 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $271,801 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,167 | BOYAmt |
| EOY | $502 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,660 | BOYAmt |
| EOY | $243,864 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,897 | BOYAmt |
| EOY | $34,568 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $321,724 | BOYAmt |
| EOY | $278,934 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,121 | BOYAmt |
| EOY | $7,133 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $311,603 | BOYAmt |
| EOY | $271,801 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | LOW INCOME HOUSING FOR THE DISABLED. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | CONTINUOUS MAINTENANCE & OPERATION OF LOW INCOME HOUSING FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES UNDER A CONTRACT WITH & UNDER SPECIFIC GUIDELINES ADMINISTERED BY THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT. | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $0 | GrantsAndAllocationsAmt |
| Program Service Expenses | $63,745 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $63,745 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (9 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 |
| JOAN NIEDFELDT | ||||
| VICE CHAIRPERSON | 0.10 | $0 | $0 | $0 |
| ELIZABETH WOLLMAN | ||||
| DIRECTOR | 0.10 | $0 | $0 | $0 |
| BARBARA PETSKA | ||||
| DIRECTOR | 0.10 | $0 | $0 | $0 |
| MARY LASH ANDERSON | ||||
| DIRECTOR | 0.10 | $0 | $0 | $0 |
| CONRAD JAMES JR | ||||
| DIRECTOR THRU 10/1/16 | 0.10 | $0 | $0 | $0 |
| KRISTIN ROSSOW | ||||
| PRESIDENT | 0.50 | $0 | $0 | $0 |
| DOLORES BANGERT | ||||
| PRESIDENT THRU 9/5/16 | 0.50 | $0 | $0 | $0 |
| GREG PASKACH | ||||
| TREASURER/SECRETARY | 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 |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KRISTIN ROSSOW | BusinessNameLine1Txt |
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 |
| 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 |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,692 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,567 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,068 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,554 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,498 | CurrentTaxYearAmt |
| Total | $33,379 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $30,592 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $29,278 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31,849 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $33,501 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,253 | CurrentTaxYearAmt |
| Total | $153,473 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $34,284 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,845 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $39,917 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $42,055 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35,751 | CurrentTaxYearAmt |
| Total | $186,852 | 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 | $186,852 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $33 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $30 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $42 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $42 | CurrentTaxYearAmt |
| Total | $178 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $33 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $30 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $42 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $42 | CurrentTaxYearAmt |
| Total | $178 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2 | CurrentTaxYearMinus4YearsAmt |
| Total | $2 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $34,319 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,875 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $39,948 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $42,097 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35,793 | CurrentTaxYearAmt |
| Total | $187,032 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99900 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99910 | PublicSupportPY509Pct |
| Investment Income CY | 0.00100 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00090 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
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: INVESTMENT INCOME. AMOUNT: 42. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: CONVENTIONS AND MEETINGS. AMOUNT: 137. DESCRIPTION: MISCELLANEOUS ADMINISTRATIVE EXPENSES. AMOUNT: 3,776. DESCRIPTION: OFFICE EXPENSE. AMOUNT: 4,121. DESCRIPTION: INSURANCE. AMOUNT: 1,662. DESCRIPTION: DEPRECIATION. AMOUNT: 24,796. TOTAL TO FORM 990-EZ, LINE 16: 34,492. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: . BEG. OF YEAR AMOUNT: 47,546. END OF YEAR AMOUNT: 31,345. DESCRIPTION: TENANT SECURITY DEPOSITS. BEG. OF YEAR AMOUNT: 2,137. END OF YEAR AMOUNT: 2,787. DESCRIPTION: TENANT ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 1,214. END OF YEAR AMOUNT: 436. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 7,984. END OF YEAR AMOUNT: 4,346. DESCRIPTION: TENANT SECURITY DEPOSITS. BEG. OF YEAR AMOUNT: 2,137. END OF YEAR AMOUNT: 2,787. |
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 |