2023-10-31T14:27:37-05:00 2023-06-30 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2022-07-01 205765691 MOSAIC HOUSING CORP XV - COUNCIL BLUFFS MOSA 4028963884 4980 SOUTH 118TH STREET OMAHA NE 68137 KRISTIN ROSSOW PRESIDENT 4028963884 2023-10-30 1 KRISTIN ROSSOW 999009999 1 MICHAEL R CRESWELL CPA P01708840 4023302660 2023-10-30 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KRISTIN ROSSOW 4980 SOUTH 118TH STREET OMAHA NE 68137 89393 0 X WWW.MOSAICINFO.ORG X 2006 NE THE ORGANIZATION PROVIDES LOW INCOME HOUSING IN ACCORDANCE WITH HUD SECTION 811 GUIDELINES. 3 3 0 3 0 0 45913 23826 50800 64256 138 1311 0 0 96851 89393 0 0 0 0 0 0 0 0 0 180512 186556 180512 186556 -83661 -97163 1405277 1328785 23201 43872 1382076 1284913 THE ORGANIZATION PROVIDES LOW INCOME HOUSING IN ACCORDANCE WITH HUD SECTION 811 GUIDELINES. 0 0 159224 64256 THE ORGANIZATION PROVIDES LOW INCOME HOUSING IN ACCORDANCE WITH HUD SECTION 811 GUIDELINES. 159224 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 4 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 1 0 0 0 1 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X KRISTIN ROSSOW 4028963884 4980 S 118 STREET OMAHA NE 68137 DEANNA WAGNER CHAIRPERSON 0.10 2.30 X X 0 0 0 BARBARA PETSKA DIRECTOR 0.10 2.30 X 0 0 0 JENNIFER DOAN DIRECTOR 0.10 2.30 X 0 0 0 KRISTIN ROSSOW PRESIDENT 0.10 39.90 X 0 208948 31203 GREG PASKACH TREASURER/SECRETARY THRU 07/22 0.10 39.90 X 0 61316 17014 JULIE ZITTERGRUEN SECRETARY/TREASURER 0.10 39.90 X 0 154892 40659 0 425156 88876 0 0 1 0 0 3671 20155 23826 RENTAL INCOME 531110 64256 64256 64256 1311 1311 89393 64256 0 1311 X 7119 7119 925 925 9390 9390 33050 33050 10045 6841 3204 33196 33196 63 63 80671 80671 5466 5466 BAD DEBT 4204 4204 2427 2427 186556 159224 27332 0 2657 12963 3186 3186 2370903 1133206 1318368 1237697 81066 74939 1405277 1328785 16874 23003 6327 20869 23201 43872 X -116337 -213500 1498413 1498413 1382076 1284913 1405277 1328785 -97163 0 X X 0 1 X 1 1 1 X 44002 41945 44117 45913 23826 199803 58720 55631 49557 50800 64256 278964 102722 97576 93674 96713 88082 478767 0 0 0 478767 138 104 114 138 1311 1805 138 104 114 138 1311 1805 102860 97680 93788 96851 89393 480572 0.99620 0.99880 0.00380 0.00120 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 54000 54000 2295555 1114266 1181289 21348 18940 2408 1237697 TENANT SECURITY DEPOSITS 4134 RESERVES 67930 RESIDUAL RECEIPTS 2875 74939 TENANT SECURITY DEPOSITS 4214 ACCRUED MANAGEMENT FEES 6655 DUE TO AFFILIATE 10000 20869 X 89393 0 89393 0 89393 186556 0 186556 0 186556 PART X, LINE 2: MANAGEMENT BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ENTITY WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. 0 0 0 0 0 0 0 0 0 KRISTIN ROSSOW PRESIDENT 0 184591 0 23500 0 857 0 5400 0 25803 0 240151 0 0 JULIE ZITTERGRUEN SECRETARY/TREASURER 0 148163 0 6000 0 729 0 4561 0 36098 0 195551 0 0 PART I, LINE 3 KRISTIN ROSSOW IS PAID BY MOSAIC, A RELATED ORGANIZATION. MOSAIC'S BOARD AND COMPENSATION COMMITTEE USE AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, AND A COMPENSATION SURVEY IN ESTABLISHING HER COMPENSATION. FORM 990, PART VI, SECTION A, LINE 3 THE CORPORATION IS MANAGED BY MOSAIC, A RELATED ENTITY. MANAGEMENT FEES ARE PAID TO MOSAIC BASED ON A CONTRACTUAL AGREEMENT. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OR DIRECTORS FOR MOSAIC, A RELATED ENTITY, APPOINTS BOARD MEMBERS FOR THIS ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 8B THERE IS NO COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. IT IS REVIEWED BY THE PRESIDENT AND TREASURER OF THE ORGANIZATION AND THEN 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 AND OFFICER ANNUALLY COMPLETES A CONFLICT OF INTEREST FORM. THE FORM IS PROVIDED TO MOSAIC'S SENIOR VP OF HUMAN RESOURCES FOR REVIEW AND POSSIBLE REPORTING TO MOSAIC'S BOARD. 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 IX, LINE 11G REPAIRS CONTRACT: PROGRAM SERVICE EXPENSES 16,702. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,702. GROUNDS CONTRACT: PROGRAM SERVICE EXPENSES 6,030. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,030. FIRE SYSTEM MONITORING & INSPECTION: PROGRAM SERVICE EXPENSES 4,076. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,076. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 1,283. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,283. PEST CONTROL CONTRACT: PROGRAM SERVICE EXPENSES 2,069. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,069. OTHER SERVICE FEES: PROGRAM SERVICE EXPENSES 2,890. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,890. FORM 990, PART XII, LINE 2C: THE BOARD ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION PROCESS OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MOSAIC 4980 S 118 STREET OMAHA NE 68137 113669999 SERVICES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES NE 501(C)(3) LINE 10 N/A 0 THE MOSAIC FOUNDATION INC 4980 S 118 STREET OMAHA NE 68137 363837360 FUNDRAISING & INVESTMENT ASSET MANAGEMENT NE 501(C)(3) LINE 12A, I MOSAIC 0 OAKS OF DUNN COUNTY INC 4980 S 118 STREET OMAHA NE 68137 391913323 SENIOR LIVING SERVICES WI 501(C)(3) LINE 10 MOSAIC 0 MOSAIC HOUSING CORP I 4980 S 118 STREET OMAHA NE 68137 363756911 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC HOUSING CORP II 4980 S 118 STREET OMAHA NE 68137 470773689 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC HOUSING CORP IV 4980 S 118 STREET OMAHA NE 68137 911823422 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC HOUSING CORP VII 4980 S 118 STREET OMAHA NE 68137 470828015 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC HOUSING CORP VIII 4980 S 118 STREET OMAHA NE 68137 470828012 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC HOUSING CORP IX 4980 S 118 STREET OMAHA NE 68137 742838413 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC HOUSING CORP X 4980 S 118 STREET OMAHA NE 68137 742908789 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC HOUSING CORP XI 4980 S 118 STREET OMAHA NE 68137 311706640 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC HOUSING CORP XII 4980 S 118 STREET OMAHA NE 68137 481297244 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC HOUSING CORP XIII 4980 S 118 STREET OMAHA NE 68137 421626679 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC HOUSING CORP XIV - ROCKFORD 4980 S 118 STREET OMAHA NE 68137 204417891 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC HOUSING CORP XVI - FARMINGTON 4980 S 118 STREET OMAHA NE 68137 205765731 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC HOUSING CORP XVII - BEATRICE 4980 S 118 STREET OMAHA NE 68137 261710013 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC HOUSING CORP XVIII - OSCEOLA-WAUKON 4980 S 118 STREET OMAHA NE 68137 261710184 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC HOUSING CORP XIX - WINFIELD 4980 S 118 STREET OMAHA NE 68137 261710259 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC HOUSING CORP XX - GARDEN CITY 4980 S 118 STREET OMAHA NE 68137 264555206 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC HOUSING CORP XXI - MEMPHIS 4980 S 118 STREET OMAHA NE 68137 264555313 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC HOUSING CORP XXII - LOGAN 4980 S 118 STREET OMAHA NE 68137 273483415 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC HOUSING CORPORATION XXIII - AUSTIN 4980 S 118 STREET OMAHA NE 68137 710875364 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC ILLINOIS HOUSING I 4980 S 118 STREET OMAHA NE 68137 202997161 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC ILLINOIS HOUSING II 4980 S 118 STREET OMAHA NE 68137 204417645 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC ILLINOIS HOUSING AT MACOMB I 4980 S 118 STREET OMAHA NE 68137 204841909 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC ILLINOIS HOUSING OF ROCKFORD I 4980 S 118 STREET OMAHA NE 68137 204841856 LOW INCOME HOUSING NE 501(C)(3) LINE 10 MOSAIC 1 MOSAIC EMPLOYEE WELFARE BENEFIT PLAN 4980 S 118 STREET OMAHA NE 68137 383831874 EMPLOYEE WELFARE BENEFIT PLAN NE 501(C)(9) N/A MOSAIC 0 MOSAIC SENIOR SERVICES INC 4980 S 118 STREET OMAHA NE 68137 831746407 SENIOR LIVING SERVICES AZ 501(C)(3) LINE 12A, I MOSAIC 0 MOSAIC RESIDENTIAL SERVICES OF NEBRASKA LLC 4980 S 118 ST OMAHA NE 68137 271695051 LOW INCOME HOUSING NE N/A 0 0 EASE-E MEDICAL INC 731 SOUTH 8TH STREET CANON CITY CO 81212 470842353 SALE OF MEDICAL EQUIPMENT AND SUPPLIES 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 CHARITABLE REMAINDER TRUSTS (5) INVESTMENT MANAGEMENT NE N/A T 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0