2013-05-23T08:22:51-05:00 2012-12-31 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2012-01-01 204841856 MOSAIC ILLINOIS HOUSING OF ROCKFORD 1 MOSA 4028963884 4980 SOUTH 118TH STREET OMAHA NE 68137 DOLORES BANGERT 4028963884 2013-05-20 JULIE M GERKEN P00400882 4023302660 2012 2016-03-07 17:11:31Z DOLORES BANGERT 4980 SOUTH 118TH STREET OMAHA NE 68137 144274 0 X WWW.MOSAICINFO.ORG X 2008 NE THE ORGANIZATION PROVIDES LOW INCOME AFFORDABLE HOUSING UNDER IHDA GUIDELINES. 3 3 0 0 0 0 329655 0 76174 75462 13 -94395 1226 1311 407068 -17622 0 0 0 0 0 0 0 0 0 122392 145938 122392 145938 284676 -163560 1672503 1428136 729494 648687 943009 779449 THE ORGANIZATION PROVIDES LOW INCOME AFFORDABLE HOUSING UNDER ILLINOIS HOUSING DEVELOPMENT AUTHORITY GUIDELINES. 0 0 133153 75462 THE ORGANIZATION PROVIDES LOW INCOME AFFORDABLE HOUSING UNDER ILLINOIS HOUSING DEVELOPMENT AUTHORITY GUIDELINES. 133153 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 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 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X CYNTHIA SCHROEDER 4028963884 4980 S 118 STREET OMAHA NE 68137 DEANNA WAGNER 0.10 2.30 X X 0 0 0 JOAN NIEDFELDT 0.10 2.30 X X 0 0 0 CONRAD JAMES JR 0.10 2.30 X 0 0 0 DOLORES BANGERT 0.50 39.50 X 0 120723 14676 SCOTT HOFFMAN 0.50 39.50 X 0 109751 14836 0 230474 29512 0 0 0 0 0 RENTAL INCOME 531110 75462 75462 75462 16 16 67485 161896 -94411 -94411 -94411 MISCELLANEOUS 900099 1311 1311 1311 -17622 75462 0 -93084 4146 4146 210 210 5270 5270 1488 1488 36833 36833 1671 1671 90643 90643 5677 5677 145938 133153 12785 0 6452 8721 1380 6418 1668360 300347 1612531 1368013 52140 44984 1672503 1428136 14911 6589 714583 642098 729494 648687 X 823009 659449 120000 120000 943009 779449 1672503 1428136 -163560 0 X X 0 1 X 1 0 X 485926 329655 815581 70535 68790 76384 76176 75462 367347 70535 68790 562310 405831 75462 1182928 0 0 0 1182928 1300 336 188 13 16 1853 1300 336 188 13 16 1853 35 644 1199 1226 1311 4415 71870 69770 563697 407070 76789 1189196 0.99470 0.99530 0.00160 0.00220 X 40176 40176 1628184 300347 1327837 1368013 X 76789 0 76789 -94411 -94411 -17622 240349 94411 94411 145938 0 145938 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE CORPORATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE CORPORATION ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FINANCIAL ACCOUNTING STANDARDS BOARD ASC 740, INCOME TAXES. THE CORPORATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2012 AND 2011, THE CORPORATION HAD NO UNCERTAIN TAX POSITIONS ACCRUED. DUE TO THE THREE YEAR STATUTE OF LIMITATIONS, THE CORPORATION IS NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS ENDED BEFORE 2009. PART XI, LINE 4B - OTHER ADJUSTMENTS: REALIZED LOSSES -94,411. PART XII, LINE 2D - OTHER ADJUSTMENTS: REALIZED LOSSES 94,411. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS FOR MOSAIC, A RELATED ENTITY, APPOINTS BOARD MEMBERS FOR THIS ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. THEN, IT IS REVIEWED BY THE PRESIDENT AND TREASURER OF THE ORGANIZATION. IT IS SHARED WITH THE BOARD OF DIRECTORS PRIOR TO THE FORM 990 BEING ELECTRONICALLY FILED. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER IS REQUIRED TO COMPLETE ANNUALLY A CONFLICT OF INTEREST FORM WHICH IS SUBMITTED TO MOSAIC'S SENIOR VICE PRESIDENT OF HUMAN RESOURCES FOR REVIEW. ANY CONFLICTS ARE REPORTED TO THE MOSAIC BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE 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 OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED DURING THE TAX YEAR. MOSAIC 4980 S 118 STREET OMAHA NE 68137 113669999 CARE & ADVOCACY FOR THE INTELLECTUALLY DISABLED NE 501(C)(3) LINE 9 0 MOSAIC FOUNDATION 4980 S 118 STREET OMAHA NE 68137 363837360 FUND RAISING & INVESTMENT ASSET MGMT NE 501(C)(3) LINE 9 MOSAIC 0 MILLTOWNE INC 4980 S 118 STREET OMAHA NE 68137 470796932 RENTAL REAL ESTATE NE 501(C)(2) N/A MOSAIC 0 THE OAKS OF DUNN COUNTY 4980 S 118 STREET OMAHA NE 68137 391913323 SENIOR LIVING SERVICES NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION I 4980 S 118 STREET OMAHA NE 68137 363756911 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION II 4980 S 118 STREET OMAHA NE 68137 470773689 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION III 4980 S 118 STREET OMAHA NE 68137 470788396 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION IV 4980 S 118 STREET OMAHA NE 68137 911823422 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION VII 4980 S 118 STREET OMAHA NE 68137 470828015 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION VIII 4980 S 118 STREET OMAHA NE 68137 470828012 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION IX 4980 S 118 STREET OMAHA NE 68137 742838413 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION X 4980 S 118 STREET OMAHA NE 68137 742908789 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XI 4980 S 118 STREET OMAHA NE 68137 311706640 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XII 4980 S 118 STREET OMAHA NE 68137 481297244 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XIII 4980 S 118 STREET OMAHA NE 68137 421626679 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XIV 4980 S 118 STREET OMAHA NE 68137 204417891 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XV 4980 S 118 STREET OMAHA NE 68137 205765691 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XVI 4980 S 118 STREET OMAHA NE 68137 205765731 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XVII 4980 S 118 STREET OMAHA NE 68137 261710013 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XVIII 4980 S 118 STREET OMAHA NE 68137 261710184 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XIX 4980 S 118 STREET OMAHA NE 68137 261710259 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XX 4980 S 118 STREET OMAHA NE 68137 264555206 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XXI 4980 S 118 STREET OMAHA NE 68137 264555313 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC HOUSING CORPORATION XXII 4980 S 118 STREET OMAHA NE 68137 273483415 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC ILLINOIS HOUSING I 4980 S 118 STREET OMAHA NE 68137 202997161 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC ILLINOIS HOUSING II 4980 S 118 STREET OMAHA NE 68137 204417645 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC ILLINOIS HOUSING OF MACOMB I 4980 S 118 STREET OMAHA NE 68137 204841909 LOW INCOME HOUSING NE 501(C)(3) LINE 9 MOSAIC 0 MOSAIC VEBA 4980 S 118 STREET OMAHA NE 68137 383831874 EMPLOYEE WELFARE BENEFIT PLAN NE 501(C)(9) N/A MOSAIC 0 BETHPHAGE RESIDENTIAL PARTNERSHIP 4980 S 118 ST OMAHA NE 68137 470805544 LOW INCOME HOUSING NE N/A MOSAIC RESIDENTIAL PARTNERSHIP 4980 S 118 ST OMAHA NE 68137 271695051 LOW INCOME HOUSING NE N/A EASE-E MEDICAL INC 380 SKYLAND DR PENROSE CO 81240 470842353 MEDICAL EQUIPMENT/SUPPLIES SALES NE N/A C 0 MOSAIC HOUSING CORPORATION V 4980 S 118 ST OMAHA NE 68137 470805545 LOW INCOME HOUSING NE N/A C 0 BICO 4980 S 118 ST OMAHA NE 68137 CAPTIVE INSURANCE BD N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0