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 113669999 MOSAIC MOSA 4028963884 4980 SOUTH 118TH ST LIND CENTER NO A OMAHA NE 68137 CYNTHIA L SCHROEDER 4028963884 2012-11-13 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 209499025 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 7792 0 61439 0 4418139 11987089 190885502 191867535 398297 712147 3274356 4522813 198976294 209089584 351056 249129 0 0 139552771 144706934 0 0 0 56503445 58238531 196407272 203194594 2569022 5894990 99874779 106985926 46039737 47592113 53835042 59393813 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 60044828 60993659 INTERMEDIATE CARE FACILITIES (ICF)--ICF SERVICES PROVIDE 24/7 SUPPORT FOR VERY MEDICALLY FRAGILE INDIVIDUALS WITH INTELLECTUAL OR DEVELOPMENTAL DISABILITIES. MOSAIC SERVES APPROXIMATELY 650 INDIVIDUALS ACROSS THE UNITED STATES UNDER THIS SERVICE CATEGORY. 102949214 103656903 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 2,400 INDIVIDUALS ACROSS THE UNITED STATES UNDER THIS SERVICE CATEGORY. 20423665 19503662 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 1,100 INDIVIDUALS ACROSS THE UNITED STATES UNDER THIS SERVICE CATEGORY. 939907 249129 12174685 MISCELLANEOUS SERVICES PROVIDED TO INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. 939907 249129 12174685 184357614 1 1 0 1 0 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 1 1 0 0 0 0 0 0 1 1 0 1 0 1 745 0 1 7792 1 1 1 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 0 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 LISA NAGSTAD 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 JOSEPH TURKOWSKI 1.50 X 0 0 0 CHARLES WALKER 1.50 X 0 0 0 CAROL MILLER 1.50 X 0 0 0 LINDA TIMMONS 40.00 X 362049 0 22746 CINDY SCHROEDER 40.00 X 283398 0 22746 RAUL SALDIVAR 40.00 X 243352 0 22746 KEITH SCHMODE 40.00 X 209293 0 21289 GARY LEE 40.00 X 179768 0 2650 ANNE STARR 40.00 X 195417 0 7618 KEITH COURIER 40.00 X 151703 0 14496 DEAN WILSON 40.00 X 139175 0 14496 DONNA WERNER 40.00 X 137887 0 22996 DAVID JACOX 40.00 X 414075 0 267 2316117 0 152050 23 1 1 0 MEYERS CARLISLE CONSTRUCTION 14124 INDUSTRIAL RD OMAHA NE 68144 CONSTRUCTION 832337 BENEVON 4528 8TH AVE NE STE 1A SEATTLE WA 98105 CONSULTING 640499 DDN CONSULTING 2464 WHITNEY AVE HAMDEN CT 06518 CONSULTING 370458 NIELSEN LAW PO BOX 281 PLATTSMOUTH NE 68048 LEGAL SERVICES 249304 ADP INC PO BOX 500 CAROL STREAM IL 60132 PAYROLL PROCESSING 241620 21 7585932 4401157 11987089 MEDICARE/MEDICAID PAYM 624100 178975024 178975024 PROGRAM SERVICE REVENU 624100 11639662 11639662 RENTAL INCOME 532000 982807 982807 MANAGEMENT FEES 541610 270042 270042 191867535 268804 268804 78242 774542 75063 334378 3179 440164 443343 443343 CONSULTING INCOME 541610 2934942 2934942 FARM REVENUE 900099 564761 564761 PURCHASING CARD REBATE 900099 132533 132533 890577 829138 61439 4522813 209089584 196328909 61439 712147 249129 249129 1348502 1348502 159394 159394 111142514 102618868 8523646 376933 376933 23501239 21532398 1968841 8178352 7525257 653095 228512 228512 375010 288061 86949 6515 6305 210 18286596 17607205 679391 18139002 16691268 1447734 5343453 4865671 477782 3891733 2954143 937590 57682 57682 1241402 1156675 84727 4841286 3753612 1087674 2195987 2129611 66376 OTHER EXPENSES 1534596 1077352 457244 CFR EXPENSE 843110 792182 50928 DUES & MEMBERSHIPS 611378 382273 229105 FARM EXPENSE 344662 344662 297607 292989 4618 203194594 184357614 18836980 0 6359416 10302933 1408261 1493657 22206780 20867938 1650601 2131403 111672400 58461002 49274897 53211398 7821752 8725418 11153072 10253179 99874779 106985926 16060050 16545464 320460 320460 15008678 26041173 10856469 3794080 4685016 46039737 47592113 X 53045559 58609925 789483 783888 53835042 59393813 99874779 106985926 X 5894990 -336219 X X 0 1 1 X 1 1 X 4010967 2141757 2500657 4423726 11987089 25064196 192252504 198102971 179757724 190885502 191867535 952866236 196263471 200244728 182258381 195309228 203854624 977930432 2380 2231 3964 5012 13587 0 2380 2231 3964 5012 13587 977916845 583858 210743 105807 228597 268804 1397809 583858 210743 105807 228597 268804 1397809 3592716 3685816 3664948 3274356 4522813 18740649 200440045 204141287 186029136 198812181 208646241 998068890 0.97980 0.98070 0.00140 0.00180 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 0 0 1 75797 1 0 75797 0 X X X 1 80.00 0 0 0 1 0 100.00 0 1 1 1 0 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 0 1 0 6671688 6671688 79099136 39090478 40008658 1906600 1397862 508738 11583020 8991786 2591234 12411956 8980876 3431080 53211398 110000 C CSV OF LIFE INSURANCE 335207 F BOND RESERVES 974646 F INVESTMENT IN HUD PROJECTS 1308659 C INVESTMENT IN BICO 5243886 C INVESTMENT IN MOSAIC HOUSING CORPORATION V 646074 C INVESTMENT RETENTION CONTRACTS 106946 C 8725418 AFFILIATE RECEIVABLES 3473282 MISCELLANEOUS RECEIVABLES 1361146 INTERUNIT RECEIVABLE 469401 INVESTMENT ESCROW ACCOUNT 892499 INTANGIBLE ASSETS 4056851 10253179 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS- MEDICAID 1387276 REFUNDABLE FEES 742423 CRATS PAYABLE 884054 LIABILITY FOR PENSION BENEFITS 1568811 INTEREST RATE SWAP, NET 102452 4685016 209089584 203194594 5894990 -336219 -336219 5558771 226927928 -336219 18174563 17838344 209089584 0 209089584 221369157 18174563 18174563 203194594 0 203194594 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 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. PART XII, LINE 2D - OTHER ADJUSTMENTS: ELIMINATION OF INTERNAL MANAGEMENT FEES 18,174,563. PART XIII, LINE 2D - OTHER ADJUSTMENTS: ELIMINATION OF INTERNAL MANAGEMENT FEES 18,174,563. 0 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. 70000 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. 99129 WIRE TRANSFER EUROPE SUPPORT DEVELOPMENT OF SERVICES FOR PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. 80000 WIRE TRANSFER 3 0 0 0 1 0 0 0 X X X 0 THE GEIS GROUP 684 DILLON DRIVE OMAHA NE 68131 CONSULTING 0 0 11500 0 BENEVON 4528 8TH AVE SUITE 1A SEATTLE WA 98105 CONSULTING & TRAINING 0 0 640499 0 651999 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 362049 0 0 0 0 0 8250 0 14496 0 384795 0 0 0 CINDY SCHROEDER 283398 0 0 0 0 0 8250 0 14496 0 306144 0 0 0 RAUL SALDIVAR 243352 0 0 0 0 0 8250 0 14496 0 266098 0 0 0 KEITH SCHMODE 209293 0 0 0 0 0 6793 0 14496 0 230582 0 0 0 GARY LEE 179768 0 0 0 0 0 0 0 2650 0 182418 0 0 0 ANNE STARR 195417 0 0 0 0 0 0 0 7618 0 203035 0 0 0 KEITH COURIER 151703 0 0 0 0 0 0 0 14496 0 166199 0 0 0 DEAN WILSON 139175 0 0 0 0 0 0 0 14496 0 153671 0 0 0 DONNA WERNER 137887 0 0 0 0 0 8500 0 14496 0 160883 0 0 0 DAVID JACOX 414075 0 0 0 0 0 0 0 267 0 414342 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 0 0 0 1 0 0 0 0 1 0 0 0 0 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 IOWA FINANCE AUTHORITY REVENUE BONDS SERIES 2012 521699886 2012-05-11 3200000 ACQUISITION & REMODEL 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 3200000 3200000 2012 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 WELLS FARGO 15.000000000000 1 0 0 0 0 KATIE GIVENS EMPLOYED BY MOSAIC, HER STEP-MOTHER IS CFO AND SENIOR VICE PRESIDENT 105848 WAGES 0 DIANA MCCALMENT FORMER DIRECTOR OF MOSAIC 53546 CONSULTING FEES 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 15A 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, 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 LOSSES ON INVESTMENTS: -336,219. 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 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 XXII 4980 S 118 ST OMAHA NE 68137 273483415 LOW INCOME HOUSING 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 1 MOSAIC HOUSING CORPORATION XXI 4980 S 118 ST OMAHA NE 68137 264555313 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 3557283 889526 1.00000 MOSAIC HOUSING CORPORATION V 4980 S 118 ST OMAHA NE 68137 470805545 LOW INCOME HOUSING NE N/A C 1356274 1.00000 BICO 4980 S 118 ST OMAHA NE 68137 CAPTIVE INSURANCE BD N/A C 14533133 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 445781 FMV THE MOSAIC FOUNDATION C 7499634 FMV BICO L 4130569 FMV THE MOSAIC VEBA L 17607454 FMV EASE-E MEDICAL EQUIPMENT A 61439 FMV MILLTOWNE INC R 141439 ORIGINAL COST