2012-05-11T11:06:20-05:00 2011-06-30 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2010-07-01 113669999 MOSAIC MOSA 4028963884 4980 SOUTH 118TH ST LIND CENTER NO A OMAHA NE 68137 CYNTHIA L SCHROEDER 4028963884 2012-04-23 1 JULIE M GERKEN 4023302660 2010 2016-02-24 21:20:13Z CYNTHIA L SCHROEDER 4980 SOUTH 118TH ST LIND CENTER NO A OMAHA NE 68137 199314741 0 X WWW.MOSAICINFO.ORG X 2003 NE EMBRACING 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. 13 13 8007 100 51014 0 2497127 4418139 179757724 190885502 599 398297 3664948 3274356 185920398 198976294 293884 351056 0 0 132135339 139552771 0 0 0 52487058 56503445 184916281 196407272 1004117 2569022 99079437 99874779 47915139 46039737 51164298 53835042 X EMBRACING 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. 0 0 44739858 49269218 INTERMEDIATE CARE FACILITIES (ICF)--ICF SERVICES PROVIDE 24/7 SUPPORT FOR VERY MEDICALLY FRAGILE INDIVIDUALS WITH INTELLECTUAL OR DEVELOPMENTAL DISABILITIES. MOSAIC SERVES APPROXIMATELY 575 INDIVIDUALS ACROSS THE UNITED STATES UNDER THIS SERVICE CATEGORY. 68590754 75534724 COMMUNITY BASED SERVICES PROVIDED TO PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES ARE SERVICES THAT CAN EITHER BE ON-GOING OR INTERMITTENT SUCH AS RESPITE, FAMILY SUPPORT, FOSTER CARE, PHYSICAL THERAPIES, TRANSPORTATION, AND SUPPORTED EMPLOYMENT. MOSAIC SERVES APPROXIMATELY 2,300 INDIVIDUALS ACROSS THE UNITED STATES UNDER THIS SERVICE CATEGORY. 32789163 36108662 DAY AND VOCATIONAL SERVICES ARE PROVIDED TO INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN A VARIETY OF WAYS INCLUDING SUPPORTED EMPLOYMENT, WORK ENCLAVES, VOCATIONAL TRAINING AND SOME SHELTERED WORKSHOPS. MOSAIC SERVES APPROXIMATELY 1,250 INDIVIDUALS ACROSS THE UNITED STATES UNDER THIS SERVICE CATEGORY. 30281816 33302616 MISCELLANEOUS SERVICES PROVIDED TO INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. 30281816 33302616 176401591 1 1 0 1 0 1 0 1 1 1 1 0 1 1 1 0 1 0 0 0 1 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 1 0 1 1028 0 1 8007 1 1 1 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 AZ TN UT X X CYNTHIA L SCHROEDER 4028963884 4980 SOUTH 118TH STREET OMAHA NE 68137 X SUSAN FLACK 1.50 X X 0 0 0 JAMES ZILS 1.50 X X 0 0 0 JOE DERDZINKSI 1.50 X X 0 0 0 MAX MILLER 1.50 X X 0 0 0 RICHARD TOFTNESS 1.50 X 0 0 0 MARK KLEVER 1.50 X 0 0 0 DAVID BAILEY 1.50 X 0 0 0 KATHLEEN BENTON 1.50 X 0 0 0 DR DOUGLAS HILLMAN 1.50 X 0 0 0 REV DANETTE JOHNS 1.50 X 0 0 0 REV WALTER MAY 1.50 X 0 0 0 CHARLES WALKER 1.50 X 0 0 0 CAROL MILLER 1.50 X 0 0 0 REV KEVIN KANOUSE 1.50 X 0 0 0 BILLIE MCMILLER 1.50 X 0 0 0 JENNA SCHRACK 1.50 X 0 0 0 LINDA TIMMONS 40.00 X 342530 0 19244 CINDY SCHROEDER 40.00 X 253436 0 16618 RAUL SALDIVAR 40.00 X 241567 0 16530 GARY LEE 40.00 X 212538 0 16253 RICHARD CARMAN 40.00 X 160628 0 15864 DAVID JACOX 40.00 X 274742 0 52163 KEITH SCHMODE 40.00 X 209936 0 16212 ANNE STARR 40.00 X 173115 0 15403 KEITH COURIER 40.00 X 146569 0 15328 DEAN WILSON 40.00 X 139487 0 15258 MARLIN WILKERSON 40.00 X 126820 0 14644 DONNA WERNER 40.00 X 121699 0 15036 NANCY DAVIS 40.00 X 118428 0 15136 2521495 0 243689 18 0 1 0 MEYERS CARLISLE CONSTRUCTION 14124 INDUSTRIAL RD OMAHA NE 68144 CONSTRUCTION 4843851 DL PETERSON TRUST 5924 COLLECTIONS CENTER DR CHICAGO IL 60693 CONSTRUCTION 3846650 DARLAND CONSTRUCTION 4115 S 133 ST OMAHA NE 68137 CONSTRUCTION 3719785 ELKHORN WEST CONSTRUCTION 2618 N MAIN ST ELKHORN NE 68022 CONSTRUCTION 1375093 ENTERPRISE FLEET SERVICES BOX 800089 KANSAS CITY MO 64150 VEHICLE LEASES 1118728 25 2706277 1711862 46350 4418139 MEDICARE/MEDICAID PAYM 624100 159950277 159950277 PROGRAM SERVICE REVENU 624100 29520356 29520356 RENTAL INCOME 532000 934194 934194 MANAGEMENT FEES 541610 480675 480675 190885502 228597 228597 271603 236544 208279 130168 63324 106376 169700 106376 63324 CONSULTING INCOME 541610 2299649 2299649 FARM REVENUE 900099 402500 402500 PURCHASING CARD REBATE 900099 127425 127425 444782 393768 51014 3274356 198976294 194215220 51014 291921 351056 351056 2521495 2521495 150913 46833 104080 105068195 98087246 6980949 1037225 827256 209969 18163036 16778125 1384911 12611907 11682264 929643 298916 16425 282491 85364 4115 81249 4266 4067 199 18550217 17187643 1362574 150730 98001 52729 20255256 18580257 1674999 4920748 4593356 327392 1766087 810516 955571 38742 77 38665 1092811 985726 107085 4529723 3210283 1319440 2251920 2158044 93876 CFR EXPENSE 929677 929677 DUES & MEMBERSHIPS 370287 233184 137103 BAD DEBT EXPENSE 288756 229831 58925 FARM EXPENSE 267486 267486 TAX EXPENSE 172430 163487 8943 530029 353799 176230 196407272 176401591 20005681 0 6736206 6359416 1540825 1408261 18787732 22206780 974596 1650601 104199153 54924256 45069629 49274897 17205432 7821752 8765017 11153072 99079437 99874779 13784911 16060050 320460 320460 16456701 15008678 10948373 10856469 6404694 3794080 47915139 46039737 X 50369219 53045559 795079 789483 51164298 53835042 99079437 99874779 X 2569022 101722 X X 0 1 1 X 0 X 1857100 4010967 2141757 2500657 4423726 14934207 185943872 192252504 198102971 179757724 190885502 946942573 187800972 196263471 200244728 182258381 195309228 961876780 2380 2231 3964 8575 0 2380 2231 3964 8575 961868205 678646 583858 210743 105807 228597 1807651 678646 583858 210743 105807 228597 1807651 2911596 3592716 3685816 3664948 3274356 17129432 191391214 200440045 204141287 186029136 198812181 980813863 0.98070 0.96320 0.00180 0.00220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 0 1 82671 1 2173 1 0 84844 0 X X X 1 80.00 0 0 0 1 0 100.00 0 1 1 1 0 31346898 1919339 5843950 1624964 37485223 26463411 3159195 3043881 1319589 31346898 30337771 1724683 -4010130 1588913 26463411 0.89020 0.08980 0.02000 0 1 0 6079266 6079266 69876843 36743617 33133226 1694092 1257652 436440 13150187 10547895 2602292 13398765 6375092 7023673 49274897 110000 C CSV OF LIFE INSURANCE 299449 F BOND RESERVES 559163 F INVESTMENT IN HUD PROJECTS 1119563 C INVESTMENT IN BICO 5615722 C INVESTMENT IN MOSAIC HOUSING CORPORATION V 10000 C INVESTMENT RETENTION CONTRACTS 106922 C BOND INVESTMENTS 933 F 7821752 AFFILIATE RECEIVABLES 2376245 MISCELLANEOUS RECEIVABLES 721936 INTERUNIT RECEIVABLE 3092731 INVESTMENT ESCROW ACCOUNT 881695 INTANGIBLE ASSETS 4080465 11153072 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS- MEDICAID 611315 REFUNDABLE FEES 730303 CRATS PAYABLE 884054 LIABILITY FOR PENSION BENEFITS 1568408 3794080 198976294 196407272 2569022 101722 101722 2670744 216661203 101722 5587 17577600 17684909 198976294 0 198976294 213990459 5587 17577600 17583187 196407272 0 196407272 DESCRIPTION OF HOW ORGANIZATION REPORTS CONSERVATION EASEMENTS: PART II, LINE 9: THE FINANCIAL STATEMENTS FOR MOSAIC AND ITS AFFILIATES DO NOT CONTAIN ANY INFORMATION REGARDING THE CONSERVATION EASEMENT. PART IV, LINE 1B: MOSAIC IS THE REPRESENTATIVE-PAYEE FOR THE PERSONAL FUNDS OF A NUMBER OF INDIVIDUALS IN SERVICE. MOSAIC DOES NOT OWN THE ACCOUNTS. THE ACCOUNTING FOR SUCH ACTIVITIES OCCURS AT THE AGENCY LEVEL AND AN AGGREGATE ACCOUNTING OF SUCH SERVICES IS NOT POSSIBLE. MOSAIC ALSO DOES NOT TRACK THE BALANCES OF THE ACCOUNTS WHICH ARE OWNED BY RESIDENTS OF ITS FACILITIES. $1 IS ENTERED ON PART IV, LINE 1C AND F BECAUSE THE ACTUAL TOTAL IS NOT KNOWN. 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. THE ENDOWMENT FUNDS ARE HELD BY THE MOSAIC FOUNDATION. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: ALL CONSOLIDATED AFFILIATED ENTITIES, EXCEPT FOR MOSAIC HOUSING CORPORATION 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 ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES, USING GUIDANCE INCLUDED IN FASB ASC 740, INCOME TAXES. MOSAIC RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT JUNE 30, 2011 AND 2010, MOSAIC HAD NO UNCERTAIN TAX POSITIONS ACCRUED. PART XII, LINE 2D - OTHER ADJUSTMENTS: ELIMINATION OF INTERNAL MANAGEMENT FEES 17,577,600. PART XIII, LINE 2D - OTHER ADJUSTMENTS: ELIMINATION OF INTERNAL MANAGEMENT FEES 17,577,600. 0 0 0 0 0 0 0 0 0 EUROPE SUPPORT DEVELOPMENT OF SERVICES FOR PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. RESIDENTIAL & VOCATIONAL SUPPORT FOR CHILDREN WITH DISABILITIES WHO FORMERLY LIVED IN STATE-RUN INSTITUTIONS. 163400 WIRE TRANSFER SUB-SAHARAN AFRICA SUPPORT DEVELOPMENT OF SERVICES FOR PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. CENTER-BASED AND IN-HOME SUPPORT FOR CHILDREN WITH DISABILITIES AND THEIR CAREGIVERS. 105656 WIRE TRANSFER EUROPE SUPPORT DEVELOPMENT OF SERVICES FOR PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. 82000 WIRE TRANSFER 3 0 0 0 1 0 0 0 X 0 THE GEIS GROUP 684 DILLON DRIVE OMAHA NE 68131 CONSULTING 0 0 122259 0 BENEVON 4528 8TH AVE SUITE 1A SEATTLE WA 98105 CONSULTING 0 0 36964 0 159223 AL AZ AR CA CO CT DC FL GA IL KS KY LA ME MD MA MN NM OK OR RI TN UT WA WI X 1 1 X X X X X 0 0 0 0 0 0 0 0 0 LINDA TIMMONS 320517 0 19750 0 2263 0 5000 0 14244 0 361774 0 0 0 CINDY SCHROEDER 237082 0 14243 0 2111 0 2374 0 14244 0 270054 0 0 0 RAUL SALDIVAR 226138 0 13568 0 1861 0 2286 0 14244 0 258097 0 0 0 GARY LEE 199666 0 12052 0 820 0 2009 0 14244 0 228791 0 0 0 RICHARD CARMAN 145263 0 7861 0 7504 0 1620 0 14244 0 176492 0 0 0 DAVID JACOX 243966 0 0 0 30776 0 29640 0 22523 0 326905 0 0 0 KEITH SCHMODE 195000 0 11700 0 3236 0 1968 0 14244 0 226148 0 0 0 ANNE STARR 162527 0 9768 0 820 0 1159 0 14244 0 188518 0 0 0 KEITH COURIER 138706 0 7043 0 820 0 1084 0 14244 0 161897 0 0 0 DEAN WILSON 131810 0 6590 0 1087 0 1014 0 14244 0 154745 0 0 0 PART I, LINE 1A EVERY EMPLOYEE CAN BE REIMBURSED UP TO $25 PER MONTH TO USE ON HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES. HOSPITAL AUTHORITY 1 KEARNEY COUNTY NE REVENUE BOND SERIES 2008 476006477 2008-05-07 1200000 REAL ESTATE IMPROVEMENTS 0 1 0 HOSPITAL AUTHORITY 2 DOUGLAS COUNTY NE REVENUE BOND SERIES 2008 521440796 2008-08-01 2625000 PURCHASE OF RESIDENTIAL REAL ESTATE 0 1 0 HOSPITAL AUTHORITY 1 KEARNEY COUNTY NE REVENUE BOND SERIES 2003 476006477 2003-01-21 2100000 PURCHASE OF RESIDENTIAL REAL ESTATE 0 1 0 CITY OF GARDEN CITY KANSAS ECONOMIC DEVELOPMENT REVENUE BONDS SERIES 2005 486009982 2005-06-01 833000 PURCHASE OF RESIDENTIAL REAL ESTATE 0 1 0 1200000 1200000 2008 0 0 0 0 2625000 53734 2625000 2008 0 0 0 0 2100000 2100000 2003 0 0 0 0 833000 25806 833000 2005 0 0 0 0 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0.00000 0.00000 0.00000 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 NEBRASKA INVESTMENT FINANCE AUTHORITY SERIES 2010 470613449 2010-04-14 7000000 CONSTRUCTION OF RESIDENTIAL REAL ESTATE 0 1 0 HOSPITAL AUTHORITY 1 KEARNEY COUNTY NE REVENUE BOND SERIES 2010 476006477 2010-03-31 3500000 REMODELING OF RESIDENTIAL REAL ESTATE 0 1 0 HOSPITAL AUTHORITY 1 GAGE COUNTY NE REVENUE BOND SERIES 2010 470785499 2010-03-12 1800000 REMODELING OF RESIDENTIAL REAL ESTATE 0 1 0 7000000 27000 7000000 2010 0 0 0 0 3500000 10000 3500000 2010 0 0 0 0 1800000 6000 1800000 2010 0 0 0 0 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 KATIE GIVENS EMPLOYED BY MOSAIC, HER STEP-MOTHER IS CFO AND SENIOR VICE PRESIDENT 104080 WAGES 0 MELISSA WILLIAMS EMPLOYED BY MOSAIC, HER SISTER IS CFO AND SENIOR VICE PRESIDENT 27728 WAGES 0 JASON SALDIVAR EMPLOYED BY MOSAIC, HIS FATHER IS SENIOR VICE PRESIDENT OF HUMAN RESOURCES 19105 WAGES 0 X 313 RECEIPT VALUE X EQUIP/FURNITURE 11 44672 RECEIPT VALUE X AIRLINE TICKETS 1 465 RECEIPT VALUE 0 1 0 FORM 990, PART VI, SECTION A, LINE 7A THE EVANGELICAL LUTHERAN CHURCH IN AMERICA APPOINTS ONE MEMBER OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B MOSAIC BOARD OF DIRECTORS MAY MAKE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION WITHOUT OTHER APPROVAL WITH THE EXCEPTION OF SECTIONS 8, 10 AND 11. AMENDMENTS TO SECTION 8, 10 AND 11 OF THE ARTICLES OF INCORPORATION REQUIRE PRIOR WRITTEN CENSENT OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. FORM 990, PART VI, SECTION B, LINE 11 EACH DECEMBER, THE SENIOR VICE PRESIDENT FOR HUMAN RESOURCES AND CHIEF INTEGRITY OFFICER IDENTIFY THE DISQUALIFIED PERSONS BASED ON INFORMATION FILED IN EACH KEY EMPLOYEE'S ANNUAL CONFLICT OF INTEREST FORM. THE VP OF HR SOLUTIONS AND VP OF FINANCIAL OPERATIONS REVIEW THE SALARY AND BENEFIT INFORMATION REQUIRED FOR ALL DIRECTORS, OFFICERS, KEY EMPLOYEES AND DISQUALIFIED PERSONS AND PREPARE A SCHEDULE FOR REVIEW BY THE SVP OF HUMAN RESOURCES AND SENIOR VICE PRESIDENT AND CHIEF FINANCIAL OFFICER. A REVIEW OF ALL INTERNATIONAL, LOBBYING AND UNRELATED BUSINESS ACTIVITIES IS COMPLETED BY THE CHIEF FINANCIAL OFFICER AND VP OF FINANCIAL OPERATIONS WITH RELEVANT STAFF. FORM 990 IS PREPARED BY THE VP OF FINANCIAL OPERATIONS. THE CHIEF FINANCIAL OFFICER, THE ORGANIZATION'S OUTSIDE ACCOUNTING FIRM, AND THE CHIEF EXECUTIVE OFFICER REVIEW THE RETURN. THE FINANCE AND AUDIT COMMITTEE AND THE BOARD OF DIRECTORS ARE PROVIDED A COPY OF THE RETURN 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 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. ON AN ANNUAL BASIS ALL STAFF COMPLETE A CONFLICT OF INTEREST FORM IN CONJUNCTION WITH THEIR ANNUAL EVALUATION. ALL CONFLICTS OF INTEREST ARE REVIEWED BY HUMAN RESOURCES. ANY CONFLICTS OF INTEREST OF THE CHIEF EXECUTIVE OFFICER ARE REPORTED TO THE BOARD OF DIRECTORS. CONFLICTS OF INTEREST OF SENIOR STAFF ARE REVIEWED BY THE SENIOR VICE PRESIDENT FOR HUMAN RESOURCES AND CHIEF INTEGRITY OFFICER AND REPORTED TO THE CHIEF EXECUTIVE OFFICER AND 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 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. CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC FORM 990, PART VII RICHARD TOFTNESS - 6405 W 92ND STREET, OVERLAND PARK, KS 66212. SUSAN FLACK - 4941 VALLEY OAK DRIVE, LOVELAND, CO 80538. JAMES ZILS - 832 PADDOCK LANE, LIBERTYVILLE, IL 60048-3744. MARK KLEVER - 502 3RD ST, NE BOX 14, DAYTON, IA 50530. DAVID BAILEY - 601 CORPORATE CIRCLE, GOLDEN, CO 80401. JOE DERDZINKSI - 125 WUTHERING HEIGHTS DRIVE, COLORADO SPRINGS, CO 80921. KATHLEEN BENTON - 33 PELHAM RD, W HARTFORD, CT 06017. DR. DOUGLAS HILLMAN - 4658 ELM ST, W DES MOINES, IA 50265. REV DANETTE JOHNS - PO BOX 477, STORM LAKE, IA 50588. MAX MILLER - 710 N 11 ST, GENEVA, NE 68361. REV WALTER MAY - ELCA 8765 W HIGGINS RD, CHICAGO, IL 60631. CHARLES WALKER - 201 N MONTEZUMA ST, PRESCOTT, AZ 86301. CAROL MILLER - 4425 S 162 AVE, OMAHA, NE 68135. FORM 990, PART VII, SECTION A, LINE 1A: LINDA TIMMONS, PRESIDENT AND CEO OF MOSAIC, DEDICATES .2 HOURS PER WEEK TO SERVING ON THE BOARDS OF MILLTOWNE, INC. AND THE OAKS OF DUNN COUNTY. CINDY SCHROEDER, SENIOR VICE PRESIDENT AND CFO, DEDICATES .3 HOURS PER WEEK TO SERVING ON THE BOARDS OF THE MOSAIC FOUNDATION, MILLTOWNE, INC. AND THE OAKS OF DUNN COUNTY. RAUL SALDIVAR, SENIOR VICE PRESIDENT OF HUMAN RESOURCES, DEDICATES .1 HOURS PER WEEK SERVING ON THE BOARD OF MILLTOWNE, INC. KEITH SCHMODE, SENIOR VICE PRESIDENT OF MISSION ADVANCEMENT, DEDICATES .2 HOURS PER WEEK SERVING ON THE BOARDS OF THE MOSAIC FOUNDATION AND MILLTOWNE, INC. ANNE STARR, SENIOR VICE PRESIDENT OF OPERATIONS, DEDICATES .1 HOURS PER WEEK TO SERVING ON THE BOARD OF THE OAKS OF DUNN COUNTY. DEAN WILSON, VICE PRESIDENT OF FINANCIAL OPERATIONS, DEDICATES 2.0 HOURS PER WEEK SERVING ON THE BOARDS OF MOSAIC HOUSING CORPORATION I-IV, VII-XXII CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 101,722. FORM 990, PART XII, LINE 2C: THE FINANCE AND AUDIT COMMITEE OVERSEES THE AUDIT & SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MOSAIC FOUNDATION 4980 S 118 ST OMAHA NE 68137 363837360 FUND RAISING AND INVESTMENT ASSET MANAGEMENT NE 501(C)(3) 9 N/A 1 MILLTOWNE INC 4980 S 118 ST OMAHA NE 68137 470796932 RENTAL REAL ESTATE NE 501(C)(2) N/A N/A 1 THE OAKS OF DUNN COUNTY 4980 S 118 ST OMAHA NE 68137 391913323 SENIOR LIVING SERVICES WI 501(C)(3) 9 N/A 1 MOSAIC HOUSING CORPORATION I 4980 S 118 ST OMAHA NE 68137 363756911 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC HOUSING CORPORATION II 4980 S 118 ST OMAHA NE 68137 470773689 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC HOUSING CORPORATION III 4980 S 118 ST OMAHA NE 68137 470788396 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC HOUSING CORPORATION IV 4980 S 118 ST OMAHA NE 68137 911823422 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC HOUSING CORPORATION VII 4980 S 118 ST OMAHA NE 68137 470828015 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC HOUSING CORPORATION VIII 4980 S 118 ST OMAHA NE 68137 470828012 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC HOUSING CORPORATION IX 4980 S 118 ST OMAHA NE 68137 742838413 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC HOUSING CORPORATION X 4980 S 118 ST OMAHA NE 68137 742908789 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC HOUSING CORPORATION XI 4980 S 118 ST OMAHA NE 68137 311706640 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC HOUSING CORPORATION XII 4980 S 118 ST OMAHA NE 68137 481297244 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC HOUSING CORPORATION XIII 4980 S 118 ST OMAHA NE 68137 421626679 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC HOUSING CORPORATION XIV 4980 S 118 ST OMAHA NE 68137 204417891 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC HOUSING CORPORATION XV 4980 S 118 ST OMAHA NE 68137 205765691 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC HOUSING CORPORATION XVI 4980 S 118 ST OMAHA NE 68137 205765731 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC HOUSING CORPORATION XVII 4980 S 118 ST OMAHA NE 68137 261710013 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC HOUSING CORPORATION XVIII 4980 S 118 ST OMAHA NE 68137 261710184 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC HOUSING CORPORATION XIX 4980 S 118 ST OMAHA NE 68137 261710259 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC HOUSING CORPORATION XX 4980 S 118 ST OMAHA NE 68137 264555206 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC ILLINOIS HOUSING 1 4980 S 118 ST OMAHA NE 68137 202997161 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC ILLINOIS HOUSING 2 4980 S 118 ST OMAHA NE 68137 204417645 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC ILLINOIS HOUSING OF MACOMB 1 4980 S 118 ST OMAHA NE 68137 204841909 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC ILLINOIS HOUSING OF ROCKFORD 1 4980 S 118 ST OMAHA NE 68137 204841856 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC VEBA 4980 S 118 ST OMAHA NE 68137 363831874 EMPLOYEE WELFARE BENEFIT PLAN NE 501(C)(9) N/A N/A 1 MOSAIC HOUSING CORPORATION XXI 4980 S 118 ST OMAHA NE 68137 264555313 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 MOSAIC HOUSING CORPORATION XXII 4980 S 118 ST OMAHA NE 68137 273483415 LOW INCOME HOUSING NE 501(C)(3) 9 N/A 1 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 -200060 1787940 1.00000 MOSAIC HOUSING CORPORATION V 4980 S 118 ST OMAHA NE 68137 470805545 LOW INCOME HOUSING NE N/A C 713017 1.00000 BICO 4980 S 118 ST OMAHA NE 68137 CAPTIVE INSURANCE BD N/A C -203021 13963001 1.00000 1 0 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 EASE-E MEDICAL EQUIPMENT D 258944 FMV THE MOSAIC FOUNDATION C 2706277 FMV BICO L 4759816 FMV THE MOSAIC VEBA L 15576501 FMV MOSAIC HOUSING CORPORATION 19 B 98236 FMV EASE-E MEDICAL EQUIPMENT A 51014 FMV