2014-11-14T10:30:03-06:00 2013-12-31 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2013-01-01 363831874 MOSAIC EMPLOYEE WELFARE BENEFIT PLAN MOSA 4028963884 4980 SOUTH 118TH STREET NO A OMAHA NE 68137 CYNTHIA L SCHROEDER CFO & SENIOR VICE PRESIDENT 4028963884 2014-11-12 1 BARBARA J FAJEN P00400874 4023302660 2013 2015-11-30 17:44:51Z CYNTHIA L SCHROEDER 4980 SOUTH 118TH STREET NO A OMAHA NE 68137 21283275 0 X NA X 1991 NE TO PROVIDE SELF-FUNDED HEALTH CARE, DENTAL CARE AND EDUCATION COMPENSATION BENEFITS TO PARTICIPANTS WHO ARE ELIGIBLE EMPLOYEES OR TO A COVERED DEPENDENT OF AN ELIGIBLE EMPLOYEE OF MOSAIC AND ITS AFFILIATES. 3 1 0 0 128627 0 0 0 21547757 21136910 176037 146365 0 0 21723794 21283275 0 0 18671398 18942614 0 0 0 0 0 2070992 3352279 20742390 22294893 981404 -1011618 17540526 17196999 3170251 3578122 14370275 13618877 TO PROVIDE SELF-FUNDED HEALTH CARE, DENTAL CARE AND EDUCATION COMPENSATION BENEFITS TO PARTICIPANTS WHO ARE ELIGIBLE EMPLOYEES OR TO A COVERED DEPENDENT OF AN ELIGIBLE EMPLOYEE OF MOSAIC AND ITS AFFILIATES. 0 0 COMPREHENSIVE MEDICAL AND DENTAL CARE, EMPLOYEE ASSISTANCE WITH MENTAL AND NERVOUS DISORDERS AND EDUCATION COMPENSATION BENEFITS FOR ELIGIBLE EMPLOYEES AND DEPENDENTS. THERE WERE 2,940 ELIGIBLE EMPLOYEES, OF WHICH 2,691 WERE PARTICIPATING IN THE PLAN DURING THIS CALENDAR YEAR. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 0 0 0 0 0 X 3 1 0 0 0 1 0 0 0 1 1 1 0 1 1 1 1 1 1 0 0 0 X CYNTHIA SCHROEDER 4028963884 4980 S 118TH ST SUITE A OMAHA NE 68137 LINDA TIMMONS CEO & PRESIDENT 0.10 39.90 X X 0 451757 37176 CYNTHIA SCHROEDER CFO & SENIOR VICE PRESIDENT 0.10 39.90 X X 0 307472 29796 GREAT WESTERN BANK TRUSTEE 0.10 0.00 X 0 0 0 0 759229 66972 0 0 1 0 0 EMPLOYER CONTRIBUTIONS 525100 17346101 17346101 EMPLOYEE CONTRIBUTIONS 525100 3765698 3765698 EDUCATION INCOME 525100 23275 23275 1836 1836 21136910 128627 128627 17738 0 17738 17738 17738 21283275 21136910 128627 17738 18942614 2078042 4200 39600 76901 20224 STOP LOSS PREMIUMS 773533 WELLNESS 213090 LIFE INSURANCE PREMIUMS 114311 CONVERSION EXPENSE 22138 10240 22294893 4990593 2200393 764676 772439 11158 0 11774099 14224167 17540526 17196999 3170251 3578122 3170251 3578122 X 0 0 0 0 14370275 13618877 14370275 13618877 17540526 17196999 -1011618 260220 0 X 0 0 0 0 0 0 LINDA TIMMONS CEO & PRESIDENT 0 421355 0 25000 0 5402 0 17500 0 19676 0 488933 0 0 CYNTHIA SCHROEDER CFO & SENIOR VICE PRESIDENT 0 290361 0 15000 0 2111 0 17500 0 12296 0 337268 0 0 SCHEDULE J, LINE 3: THE COMPENSATION OF LINDA TIMMONS AND CINDY SCHROEDER IS PAID FROM A RELATED ORGANIZATION, MOSAIC. MS. TIMMONS SERVES AS CEO OF MOSAIC, AND MS. SCHROEDER SERVES AS CFO OF MOSAIC. MS. TIMMONS' SALARY IS SET BY THE MOSAIC COMPENSATION COMMITTEE AND MOSAIC BOARD OF DIRECTORS. MS. SCHROEDER'S SALARY IS SET BY THE CEO OF MOSAIC WORKING WITHIN THE SALARY RANGES ESTABLISHED BY THE COMPENSATION COMMITTEE. MOSAIC UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY / STUDY AND APPROVAL BY THE BOARD / COMPENSATION COMMITTEE IN ESTABLISHING THE COMPENSATION OF THE PRESIDENT AND CEO OF MOSAIC AND GUIDELINES FOR OTHER KEY STAFF. FORM 990, PART VI, SECTION A, LINE 5 ON OCTOBER 16, 2013, MOSAIC DISCOVERED THAT AN EMPLOYEE'S EMAIL ACCOUNT HAD FALLEN VICTIM TO AN EMAIL PHISHING SCAM ON AN UNKNOWN DATE. THE EMAIL PHISHING ATTACK RESULTING IN A FRADULENT WIRE TRANSFER OF APPROXIMATELY $250,000 FROM MOSAIC'S VEBA ACCOUNT. IMMEDIATE ACTION WAS TAKEN TO SECURE THE EMAIL ACCOUNT AND LAW ENFORCEMENT (FBI) WAS NOTIFIED. THE TRUSTEE THAT MANAGES THE VEBA FULLY REIMBURSED MOSAIC'S VEBA ACCOUNT FOR THE FRADULENT WIRE TRANSFER ON OCTOBER 16, 2013. STEPS TAKEN TO ADDRESS THE BREACH INCLUDE: - IMMEDIATELY LAUNCHED AN ORGANIZATION-WIDE AWARENESS CAMPAIGN ABOUT PHISHING SCAMS IN AN EFFORT TO REDUCE THE LIKELIHOOD OF FURTHER ENGAGEMENT BY OUR STAFF - APPROVAL OF ACH TRANSFERS COMPLETED VIA SECURE BANK PORTAL, PHONE OR FAX - IMPLEMENTED A 90 DAY EMAIL STORAGE RETENTION LIMIT FOR ALL ACCOUNTS - IMPLEMENTED A TWO-STEP EMAIL LOGIN VERIFICATION PROCESS FOR ALL ACCOUNTS - COMPLETED AN EXTERNAL ENTERPRISE SECURITY ASSESSMENT FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 AND SUPPORTING SCHEDULES ARE PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. FURTHERMORE, THE FORM 990 IS REVIEWED BY THE FINANCE DEPARTMENT OF MOSAIC, A RELATED ENTITY, PRIOR TO SUBMISSION OF THE FORM 990 TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS EACH TRUSTEE COMPLETES A CONFLICT OF INTEREST FORM AND SUBMITS IT TO THE CHAIRPERSON OF THE BOARD GOVERNANCE RISK AND INTEGRITY COMMITTEE. ANY FINANCIAL CONFLICTS OF INTEREST ARE REPORTED TO THE CHIEF FINANCIAL OFFICER FOR REPORTING ON THE FORM 990. ANY NEW CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR ARE REQUIRED TO BE REPORTED AT THAT TIME. FORM 990, PART VI, SECTION B, LINE 15 MOSAIC EMPLOYEE WELFARE BENEFIT PLAN DOES NOT PAY COMPENSATION TO A CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT OFFICIAL, OFFICERS, OR EMPLOYEES. THEREFORE, THERE IS NOT A PROCESS IN PLACE FOR DETERMINING COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 MOSAIC EMPLOYEE WELFARE BENEFIT PLAN MAKES ITS GOVERNING DOCUMENTS, CONFLICT INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART VII GREAT WESTERN BANK - 6015 RADIAL HWY, OMAHA, NE 68104-3425. MOSAIC 4980 S 118 STREET LIND CENTER SUITE OMAHA NE 68137 113669999 SUPPORT INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES NE 501(C)(3) 9 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 MOSAIC S 17363601 CASH TRANSFERS