2012-11-13T14:30:38-06:00 2012-06-30 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2011-07-01 363837360 THE MOSAIC FOUNDATION INC MOSA 4028963884 4980 SOUTH 118TH ST LIND CENTER NO A OMAHA NE 68137 CYNTHIA L SCHROEDER 4028963884 2012-11-12 1 JULIE M GERKEN P00400882 4023302660 2011 2016-02-24 21:20:13Z CYNTHIA L SCHROEDER 4980 SOUTH 118TH ST LIND CENTER NO A OMAHA NE 68137 20179088 0 X WWW.MOSAICINFO.ORG X 1992 NE THE ORGANIZATION SOLICITS, RECEIVES, DISTRIBUTES, AND MAINTAINS FUNDS TO FURTHER THE OBJECTIVE AND PURPOSE OF MOSAIC, A NON-PROFIT ORGANIZATION THAT EMBRACES GOD'S CALL TO SERVE IN THE WORLD. MOSAIC ADVOCATES FOR PEOPLE WITH INTELLECTUAL DISABILITIES AND PROVIDES OPPORTUNITIES FOR THEM TO ENJOY A FULL LIFE. 8 8 0 125 0 0 5735568 6073608 0 0 6006787 2467731 -215627 -92326 11526728 8449013 2706277 7499634 0 0 0 0 0 0 1509050 1801964 2207422 4508241 9707056 7018487 -1258043 45664064 48847677 2587872 8107210 43076192 40740467 X THE MOSAIC FOUNDATION, A SUPPORTING FOUNDATION FOR MOSAIC, PROVIDES OPPORTUNITIES FOR DONORS TO MAKE CHARITABLE CONTRIBUTIONS TO SUPPORT THE MISSION OF MOSAIC AND ITS AFFILIATES, AND OVERSEES THE INVESTMENT OF ASSETS ACCUMULATED THROUGH CHARITABLE GIVING. 0 0 7499634 7499634 GRANTS TO MOSAIC TO FURTHER THE SUPPORT OF ITS PURPOSE OF OPERATING LIVING AND CARE FACILITIES, RESIDENTIAL PROGRAMS AND VOCATIONAL SERVICES FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES.MOSAIC'S STAFF MEMBERS AND VOLUNTEERS PROVIDE INDIVIDUALIZED SERVICES, LIVING OPTIONS, WORK CHOICES, SPIRITUAL NURTURING, AND ADVOCACY TO APPROXIMATELY 3,500 INDIVIDUALS IN MORE THAN 50 COMMUNITIES ACROSS 12 STATES. MOSAIC'S VISION IS TO BE THE LEADER IN QUALITY SERVICES, ADVOCACY, AND WORLDWIDE PARTNERSHIPS WITH OTHERS COMMITTED TO THE SAME MISSION AND VALUES. OUR VALUES OF SAFETY, RESPECT, PERSONAL GROWTH, AND COMMUNITY INVOLVEMENT ARE INTEGRATED WITH OUR CORE VALUE, INTEGRITY, SO THAT WE ASSURE THE HIGHEST QUALITY AND PRACTICE RESPONSIBLE STEWARDSHIP OF OUR RESOURCES. THE SERVICES MOSAIC PROVIDES INCLUDE CASE MANAGEMENT, CHILDREN'S SERVICES, DAY SERVICES, 24/7 RESIDENTIAL SUPPORTED LIVING, SUPPORTED SENIOR LIVING, AND HOST HOME/FOSTER CARE. SUPPORTS ARE TAILORED TO THE INDIVIDUAL'S NEEDS AND DESIRES. INTERESTED PEOPLE CAN FIND MORE INFORMATION REGARDING MOSAIC OR THE MOSAIC FOUNDATION AT WWW.MOSAICINFO.ORG OR BY CALLING 877-366-7242. 7499634 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 139 0 1 0 0 0 0 0 0 1 1 1 1 0 0 0 X 8 8 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 AK AZ HI LA MD MN MS MO NH NJ ND OH PA TN UT VA WV WI DC X X CYNTHIA L SCHROEDER 4028963884 4980 SOUTH 118TH STREET OMAHA NE 68137 X ELDON BOHROFEN 0.10 X X 0 0 0 DR ERNIE GOSS 0.10 X X 0 0 0 CONRAD SWANSON 0.10 X X 0 0 0 CHESTER BRADNICKI 0.10 X 0 0 0 REV KATHRYN GERKING 0.10 X 0 0 0 DR JONNI HOLLAND 0.10 X 0 0 0 THOMAS EARNSHAW 0.10 X 0 0 0 SUSAN FLACK 0.10 X 0 0 0 LINDA TIMMONS 0.10 X 0 362049 22746 KEITH SCHMODE 0.10 X 0 209293 21289 CINDY SCHROEDER 0.10 X 0 283398 22746 0 854740 66781 0 0 1 0 MORGAN STANLEY SMITH BARNEY 13625 CALIFORNIA ST OMAHA NE 68103 INVESTMENT MANAGEMENT 142903 1 385825 5687783 476195 6073608 684770 684770 13349445 11566484 1782961 1782961 1782961 71265 385825 163591 -92326 -92326 8449013 0 0 2375405 7499634 7499634 3000 3000 3264 3264 6960 6960 141667 141667 1925000 415950 1509050 15278 15278 20238 20238 52489 52489 1250 1250 30932 30932 LICENSES AND FEES 4416 4416 DUES & MEMBERSHIPS 2438 2438 BAD DEBT EXPENSE 490 490 9707056 7499634 698372 1509050 4876312 6420433 298088 363535 40580 99194 8949 149995 715054 0 341304 715054 37256258 37784923 674979 664956 2167594 2649587 45664064 48847677 9612 34190 5450441 2578260 2622579 2587872 8107210 X 36589116 32692812 3119096 4389722 3367980 3657933 43076192 40740467 45664064 48847677 X -1258043 -1077682 X X 0 1 1 X 1 1 X X 0 0 0 MOSAIC 113669999 12 1 1 1 7499634 1 7499634 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 37485223 2919416 1425808 7065462 34764985 31346898 1919339 5843950 1624964 37485223 26463411 3159195 3043881 1319589 31346898 30337771 1724683 -4010130 1588913 26463411 0.87330 0.10520 0.02150 1 0 328304 328304 386750 386750 715054 ESTATE RECEIVABLE 2480214 GIFT ANNUITIES RECEIVABLE 169373 2649587 ANNUITY PAYMENT LIABILITY 2497866 RELATED PARTY PAYABLE 124713 2622579 8449013 9707056 -1258043 -1077682 -1077682 -2335725 7371331 -1077682 -1077682 8449013 0 8449013 9707056 0 9707056 0 9707056 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED FOR SUPPORT OF MOSAIC'S LONG TERM COMMITMENT TO ITS MISSION AND FOR CAPITAL IMPROVEMENTS AND GENERAL OPERATIONS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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. IN GENERAL, SUCH STANDARDS REQUIRE MOSAIC TO MEET A COMMUNITY BENEFITS STANDARD AND COMPLY WITH VARIOUS LAWS AND REGULATIONS. MOSAIC IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS ENDED PRIOR TO JUNE 30, 2009. 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 2012 AND 2011, MANAGEMENT DETERMINED THAT THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS OTHER THAN DESCRIBED PREVIOUSLY. X X X AL AK AZ AR DC CA CO CT FL GA IL KS KY ME MD MA MI MN MS MO NH NJ NM NY ND OH OK OR PA RI SC UT VA WA WV WI DINNER 79395 79395 300 1523 524 DINNER 79195 42734 36461 247 5000 23319 8100 13 298500 263696 34804 650 761 19213 13059 46210 44685 457090 385825 71265 650 1008 24513 37901 46210 53309 163591 -92326 1 MOSAIC 4980 S 118 ST OMAHA NE 68137 113669999 501(C)(3) 7499634 THE GRANT PROVIDED IS TO A RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. THE BOARDS OF EACH ORGANIZATION REVIEW AND APPROVE THE GRANTS MADE EACH YEAR. 1 0 0 0 0 0 0 0 0 0 LINDA TIMMONS 0 362049 0 0 0 0 0 22746 0 0 0 384795 0 0 KEITH SCHMODE 0 209293 0 0 0 0 0 6793 0 14496 0 230582 0 0 CINDY SCHROEDER 0 283398 0 0 0 0 0 8250 0 14496 0 306144 0 0 SUPPLEMENTAL INFORMATION PART III SCHEDULE J, LINE 3: THE COMPENSATION OF LINDA TIMMONS, KEITH SCHMODE AND CINDY SCHROEDER ARE PAID FROM A RELATED ORGANIZATION, MOSAIC. MS. TIMMONS SERVES AS CEO OF MOSAIC, MR. SCHMODE SERVES AS SENIOR VICE PRESIDENT OF MISSION ADVANCEMENT FOR MOSAIC AND MS SCHROEDER SERVES AS CFO OF MOSAIC. MS TIMMONS SALARY IS SET BY THE MOSAIC COMPENSATION COMMITTEE AND MOSAIC BOARD OF DIRECTORS. MR. SCHMODE AND MS. SCHROEDERS' SALARIES ARE 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. X 4 101195 MARKET VALUE X 1 375000 APPRAISAL VALUE 0 1 0 FORM 990, PART VI, SECTION A, LINE 7A THE MOSAIC BOARD OF DIRECTORS APPOINTS OR ELECTS THE MOSAIC FOUNDATION BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION REQUIRE APPROVAL BY A MAJORITY OF THE MOSAIC BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PREPARED BY MOSAIC'S OUTSIDE INDEPENDENT AUDIT FIRM. THE RETURN IS REVIEWED THE FOUNDATION'S TREASURER AND THE OUTSIDE INDEPENDENT AUDIT FIRM, AND THEN REVIEWED BY THE FOUNDATION'S PRESIDENT AND MOSAIC'S AUDIT/FINANCE COMMITTEE. A COPY IS SHARED WITH THE BOARD OF DIRECTORS PRIOR TO FILING FORM 990. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS EACH BOARD DIRECTOR COMPLETES A CONFLICT OF INTEREST FORM AND SUBMITS THEM TO THE CHAIRPERSON OF THE MOSAIC BOARD GOVERNANCE RISK AND INTEGRITY COMMITTEE. ANY FINANCIAL CONFLICTS OF INTEREST ARE REPORTED TO THE CHIEF FINANCIAL OFFICER / TREASURER FOR REPORTING ON THE FORM 990. ANY NEW CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR ARE REQUIRED TO BE REPORTED AT THAT TIME. THE MOSAIC FOUNDATION DOES NOT HAVE ANY EMPLOYEES, AND THEREFORE, THERE IS NOT AN ESTABLISHED PROCESS FOR DETERMINING COMPENSATON OF OFFICERS OR OTHER EMPLOYEES. THE FOLLOWING IS THE PROCEDURE USED BY MOSAIC , THE MOSAIC FOUNDATION'S PARENT ENTITY: THE BOARD OF DIRECTORS ESTABLISHED A COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE IS RESPONSIBLE FOR: CONTRACTING WITH AN INDEPENDENT CONSULTANT TO DOCUMENT COMPARABLE COMPENSATION LEVELS PAID TO EXECUTIVES WITH SIMILAR POSITIONS AND RESPONSIBILITIES IN SIMILAR ORGANIZATIONS, HELPING THE COMMITTEE APPLY MOSAIC'S COMPENSATION PHILOSOPHY TO THE MARKET SURVEY DATA TO IDENTIFY SUPPORTABLE COMPENSATION LEVELS AND COMPENSATION RANGES, AND OPINING IN ADVANCE THAT RESULTING COMPENSATION RANGES ARE REASONABLE COMPENSATION. THE COMPENSATION CONSULTANT WILL ALSO ADVISE AND OPINE ON BENEFIT DESIGN, BENEFIT OPTIONS, AND REASONABLENESS OF BENEFIT AMOUNTS AS ELEMENTS OF COMPENSATION. THE COMPENSATION COMMITTEE WILL ADOPT A COMPENSATION PHILOSOPHY FOR OFFICERS AND KEY EMPLOYEES GUIDED BY THE CONSULTANT'S INFORMATION AND USE THE COMPENSATION PHILOSOPHY TO APPROVE THE COMPENSATION OF THE CEO, APPROVE THE COMPENSATION RANGES FOR OTHER OFFICERS AND KEY EMPLOYEES, AND REPORT ITS ACTIONS TO THE FULL BOARD. THE CEO, WORKING WITHIN SALARY RANGES APPROVED BY THE COMPENSATION COMMITTEE, SETS THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. MINUTES, DOCUMENTATION OF INDEPENDENT CONSULTANT COMPARABILITY DATA AND RECOMMENDATIONS ARE MAINTAINED AS PART OF THE RECORD OF THE COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 MOSAIC HAS AVAILABLE ON ITS PUBLIC WEBSITE (WWW.MOSAICINFO.ORG) THE ABILITY FOR INDIVIDUALS TO REQUEST THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS THROUGH AN EMAIL REQUEST FORM. FORM 990, PART VII, SECTION A, LINE 1A: LINDA TIMMONS SERVES AS CEO FOR MOSAIC. SHE DEDICATES 40.2 HOURS PER WEEK TO HER POSITION AT MOSAIC AND SERVING ON THE BOARDS OF MILLTOWNE, INC., AND THE OAKS OF DUNN COUNTY. KEITH SCHMODE SERVES AS SENIOR VICE PRESIDENT OF MISSION ADVANCEMENT FOR MOSAIC. HE DEDICATES 40.1 HOURS PER WEEK TO HIS POSITION AT MOSAIC AND SERVING ON THE BOARD OF MILLTOWNE, INC. CINDY SCHROEDER SERVES AS CFO AND SENIOR VICE PRESIDENT FOR MOSAIC. SHE DEDICATES 40.2 HOURS PER WEEK TO HER POSITION AT MOSAIC AND SERVING ON THE BOARDS OF MILLTOWNE, INC., AND THE OAKS OF DUNN COUNTY. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,077,682. FORM 990, PART XII, LINE 2C: THE MOSAIC FINANCE AND AUDIT COMMITEE OVERSEES THE AUDIT & SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MOSAIC 4980 S 118 ST OMAHA NE 68137 113669999 LIVING FACILITIES AND CARE SERVICES NE 501(C)(3) 9 N/A 0 MILLTOWNE INC 4980 S 118 ST OMAHA NE 68137 470796932 RENTAL REAL ESTATE NE 501(C)(2) N/A N/A 0 THE OAKS OF DUNN COUNTY 4980 S 118 ST OMAHA NE 68137 391913323 SENIOR LIVING SERVICES WI 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION I 4980 S 118 ST OMAHA NE 68137 363756911 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION II 4980 S 118 ST OMAHA NE 68137 470773689 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION III 4980 S 118 ST OMAHA NE 68137 470788396 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION IV 4980 S 118 ST OMAHA NE 68137 911823422 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION VII 4980 S 118 ST OMAHA NE 68137 470828015 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION VIII 4980 S 118 ST OMAHA NE 68137 470828012 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION IX 4980 S 118 ST OMAHA NE 68137 742838413 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION X 4980 S 118 ST OMAHA NE 68137 742908789 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION XI 4980 S 118 ST OMAHA NE 68137 311706640 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION XII 4980 S 118 ST OMAHA NE 68137 481297244 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION XIII 4980 S 118 ST OMAHA NE 68137 421626679 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION XIV 4980 S 118 ST OMAHA NE 68137 204417891 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION XV 4980 S 118 ST OMAHA NE 68137 205765691 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION XVI 4980 S 118 ST OMAHA NE 68137 205765731 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION XVII 4980 S 118 ST OMAHA NE 68137 261710013 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION XVIII 4980 S 118 ST OMAHA NE 68137 261710184 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION XIX 4980 S 118 ST OMAHA NE 68137 261710259 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION XX 4980 S 118 ST OMAHA NE 68137 264555206 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION XXI 4980 S 118 ST OMAHA NE 68137 264555313 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC HOUSING CORPORATION XXII 4980 S 118 ST OMAHA NE 68137 273483415 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC ILLINOIS HOUSING 1 4980 S 118 ST OMAHA NE 68137 202997161 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC ILLINOIS HOUSING 2 4980 S 118 ST OMAHA NE 68137 204417645 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC ILLINOIS HOUSING OF MACOMB 1 4980 S 118 ST OMAHA NE 68137 204841909 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC ILLINOIS HOUSING OF ROCKFORD 1 4980 S 118 ST OMAHA NE 68137 204841856 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 0 MOSAIC VEBA 4980 S 118 ST OMAHA NE 68137 363831874 EMPLOYEE WELFARE BENEFIT PLAN NE 501(C)(9) N/A N/A 0 BETHPHAGE RESIDENTIAL PARTNERSHIP 4980 S 118 ST OMAHA NE 68137 470805544 LOW INCOME HOUSING NE N/A MOSAIC RESIDENTIAL SERVICES OF NEBRASKA LLC 4980 S 118 ST OMAHA NE 68137 271695051 LOW INCOME HOUSING NE N/A EASE-E MEDICAL INC 380 SKYLAND DR SUITE A PENROSE CO 81240 470842353 SALE OF MEDICAL EQUIPMENT AND SUPPLIES NE N/A C MOSAIC HOUSING CORPORATION V 4980 S 118 ST OMAHA NE 68137 470805545 LOW INCOME HOUSING NE N/A C BICO 4980 S 118 ST OMAHA NE 68137 CAPTIVE INSURANCE BD N/A C 0 1 0 0 0 0 0 0 0 1 1 0 1 1 1 1 0 0