Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 315,922 | 321,744 | 378,401 | 340,197 | 480,124 | 1,836,388 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 315,922 | 321,744 | 378,401 | 340,197 | 480,124 | 1,836,388 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 1,836,388 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 315,922 | 321,744 | 378,401 | 340,197 | 480,124 | 1,836,388 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 11,371 | 9 | 11,380 | |||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 656 | 3,468 | 4,124 | |||
| 11 | Total support. Add lines 7 through 10 | 1,851,892 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2020 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2020 |
(iii) Distributable Amount for 2020 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2020 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2020: | ||||
| a From 2015....... | ||||
| b From 2016....... | ||||
| c From 2017....... | ||||
| d From 2018....... | ||||
| e From 2019....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2020 distributable amount | ||||
|
i
Carryover from 2015 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2020 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2020 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2021. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2016..... | ||||
| b Excess from 2017..... | ||||
| c Excess from 2018..... | ||||
| d Excess from 2019..... | ||||
| e Excess from 2020..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART II, LINE 10 | 4,124 |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III | MOSAIC VERMONT'S MISSION IS TO HEAL COMMUNITIES AND END SEXUAL VIOLENCE. MOSAIC ENVISIONS A WORLD WITH RESILIENT COMMUNITIES, FREE OF SEXUAL AND GENDER-BASED VIOLENCE, WHERE ALL PEOPLE ARE SUPPORTED IN HEALING FROM HARM. MOSAIC SERVES WASHINGTON COUNTY, VERMONT, PROVIDING DIRECT SERVICES TO PEOPLE WHO HAVE EXPERIENCED SEXUAL VIOLENCE, PERFORMING OUTREACH, AND OFFERING PREVENTION PROGRAMMING. MOSAIC OPERATES AN EMERGENCY SHELTER FOR PEOPLE WHO ARE EXPERIENCING HOMELESSNESS DUE TO SEXUAL VIOLENCE, WITH AN EMPHASIS ON PROGRAMMING FOR PEOPLE WHO HAVE EXPERIENCED SEX TRAFFICKING. |
| FORM 990, PAGE 2, PART III, LINE 4A | MOSAIC VERMONT, INC. SUPPORTED AND EMPOWERED PEOPLE WHO EXPERIENCED SEXUAL HARM TO TAKE STEPS TOWARD HEALING. THROUGH THE PROVISION OF SERVICES SUCH AS OUR 24-HOUR HELPLINE; SAFETY PLANNING; DIRECT FINANCIAL SUPPORT; ADVOCACY AT SEXUAL ASSAULT NURSE EXAMINATIONS; ASSISTANCE APPLYING FOR VICTIM'S COMPENSATION; SUPPORT IN COURT HEARINGS OR AT CRIME RELATED APPOINTMENTS OR INTERVIEWS; REFERRALS TO AND SUPPORT IN ACCESSING COMMUNITY RESOURCES; PARENT, FRIEND, AND CAREGIVER SUPPORT; AND CASE MANAGEMENT, WE HELPED PEOPLE BEGIN TO HEAL FROM HARM. MORE THAN 5,453 DIRECT RESPONSES TO HARM WERE PROVIDED; 345 INDIVIDUALS AND 73 CHILDREN. DURING THIS PAST YEAR, 34 PEOPLE RECEIVED SUPPORT FROM AN ADVOCATE AT A FORENSIC MEDICAL EXAM AND 45 CHILDREN AND FAMILIES RECEIVED SUPPORT DURING FORENSIC INTERVIEWS. ADVOCATES RESPONDED TO 572 QUESTIONS REGARDING HOUSING AND SHELTER AND 86 CONTACTS CAME FROM PARENTS REQUESTING CHILD RELATED SERVICES. MOSAIC VERMONT, INC. CONTINUED TO OFFER SHELTER TO PEOPLE OF ALL GENDERS AND FAMILIES WHO WERE EXPERIENCING HOMELESSNESS DUE TO SEXUAL VIOLENCE. IN MOST CASES, PEOPLE SEEKING SHELTER HAD EXPERIENCED SEX TRAFFICKING. MOSAIC VERMONT, INC.'S SERVICE MODEL EMPHASIZED TRAFFICKING INTERVENTION, EDUCATION, AND PREVENTION. OUR SPACE OFFERED SURVIVORS OF COMPLEX TRAUMA AN OPPORTUNITY TO REST, ASSESS, AND BEGIN TO REBUILD. DURING THIS PERIOD THE SHELTER SERVED 15 PEOPLE, INCLUDING 8 CHILDREN AND YOUTH, FOR A TOTAL OF 1124 BED NIGHTS AND AN AVERAGE LENGTH OF STAY OF 62 DAYS. MOSAIC VERMONT, INC. WAS AN ACTIVE MEMBER PROGRAM OF THE VERMONT NETWORK AGAINST DOMESTIC AND SEXUAL VIOLENCE, WORKING FOR STATEWIDE SOLUTIONS FOR PEOPLE WHO HAVE BEEN HARMED, AS WELL AS AN END TO VIOLENCE. |
| FORM 990, PAGE 2, PART III, LINE 4B | MOSAIC'S VISION OF A WORLD FREE FROM SEXUAL VIOLENCE IS, AT ITS HEART, A VISION IN WHICH ALL PEOPLE HAVE THE RESOURCES, FREEDOM, AND SUPPORT TO THRIVE AND LEAD SELF-DETERMINED LIVES. MOSAIC VERMONT, INC. IS WORKING STEADILY TO CREATE A CULTURE IN WHICH PEOPLE ARE EMPOWERED AND HAVE AUTONOMY IN THEIR BODIES, CONSENT IS SEXY, FOLKS HAVE THE TOOLS AND SAFETY TO STAND UP FOR WHAT THEY BELIEVE IN, AND HEALTHY RELATIONSHIPS AND PLEASURE ARE ABUNDANT. OUR PREVENTION PROGRAMMING WORKS WITH YOUTH AND ADULTS TO INCREASE OUR COLLECTIVE CAPACITY TO BUILD A WORLD FREE FROM VIOLENCE. HEALTHY MASCULINITY GROUPS SUPPORTED 46 BOYS FROM 3 SCHOOLS. ADVOCATES TRAINED COACHES ON "COACHING BOYS INTO MEN,'- AND "ATHLETES AS LEADERS," CURRICULA FOR INTEGRATING INTO ATHLETICS PROGRAMS AT MONTPELIER HIGH SCHOOL (MHS). IN TOTAL, 161 STUDENTS PARTICIPATED IN ONE OF THESE PROGRAMS. MOSAIC SET IN MOTION CULTURE-SHIFTING PREVENTION PROGRAMMING THROUGH A PAID YOUTH PROGRAM IN SEVERAL CENTRAL VERMONT COMMUNITIES. WE BENEFITED FROM THE WISDOM OF OUTRIGHT VT, WHO HAVE YEARS OF EXPERIENCE WORKING WITH PAID YOUTH. THIS PARTNERSHIP SUPPORTED US TO INCREASE YOUTH ENGAGEMENT, BUILD OPPORTUNITIES, AND ESTABLISH AN ANNUAL YOUTH RETREAT. "YOUTH SPACE LAB" STUDENTS FOCUSED ON READING AND DISCUSSING 9 SEX ED COMICS. TOPICS INCLUDED SEXUAL VIOLENCE PREVENTION, HEALTHY RELATIONSHIPS, SEXTING CAUTIONS, MENTAL HEALTH, IDENTITIES, AND MORE THESE YOUTH IDENTIFIED THE NEED FOR A YOUTH-CREATED RESOURCE IN VERMONT AND WERE INSPIRED TO CREATE THEIR OWN COMIC ZINE TITLED: "A PIECE OF CAKE..? A YOUTH SPACE LAB GUIDE TO HEALTHIER RELATIONSHIPS." THIS ZINE WILL BE AVAILABLE FOR DISTRIBUTION TO WASHINGTON COUNTY SCHOOLS. |
| FORM 990, PAGE 2, PART III, LINE 4C | THE COVID-19 PANDEMIC AMPLIFIED THE CHALLENGES AND INEQUITIES THAT ALREADY EXISTED IN OUR COMMUNITY AND CREATE THE CONDITIONS THAT GENERATE SEXUAL VIOLENCE. MOSAIC VERMONT INC.'S WORK WAS AS IMPORTANT AS EVER, AND FACED NEW AND UNIQUE CHALLENGES. THIS YEAR WE FACED AN EVER-INCREASING NEED. WE LISTENED TO THE STORIES OF PEOPLE WHO CAME TO US THROUGH HELPLINE CALLS, FRIENDS OF FRIENDS, SCHOOLS, AND MORE, AND GOT CREATIVE ABOUT HOW TO HELP. OUR TEAM PULLED TOGETHER TO PROVIDE SAFE AND ACCESSIBLE SERVICES. WE RALLIED TO SUPPORT EACH OTHER AND TO MAKE SPACE FOR THE CHALLENGES THAT EACH OF US WERE FACING INDIVIDUALLY. WE LOVED, WE LAUGHED, WE CRIED, WE CELEBRATED PROGRESS, AND WE LEARNED MORE ABOUT WHAT IS MOST IMPORTANT TO YOU, TO US, AND TO OUR COMMUNITY. MOST IMPORTANTLY, OUR SERVICES STAYED AVAILABLE AND WE WERE HERE TO HELP THROUGHOUT. |
| FORM 990, PAGE 2, PART III, LINE 4D | SEE PART III LINE 4A |
| FORM 990, PART VI | FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION: MOSAIC VERMONT, INC.'S EXECUTIVE DIRECTOR MAINTAINS A FILE OF AVAILABLE PUBLIC DOCUMENTS INCLUDING: THE FORM 990, MOSAIC VERMONT, INC.'S BY-LAWS AND ARTICLES OF INCORPORATION, AND DECISIONS MADE BY THE BOARD OF DIRECTORS DATING BACK AT LEAST EIGHTEEN MONTHS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | MOSAIC VERMONT, INC.'S CPA PREPARES THE FINANCIAL STATEMENTS WHICH ARE REVIEWED BY THE EXECUTIVE DIRECTOR AND THE BOARD'S FINANCE COMMITTEE. THE EXECUTIVE DIRECTOR COMPLETES THE NARRATIVE SECTIONS. THE DRAFT 990 IS REVIEWED BY THE FINANCE COMMITTEE PRIOR TO BEING SIGNED AND SUBMITTED. THE FULL BOARD OF DIRECTORS REVIEWS THE COMPLETED 990 WITH THE CPA. |
| FORM 990, PAGE 6, PART VI, LINE 12C | MOSAIC VERMONT, INC. BOARD AND STAFF MEMBERS REVIEW AND SIGN A CONFLICT OF INTEREST STATEMENT UPON APPOINTMENT OR HIRING. ANY POTENTIAL CONFLICTS ARE REVIEWED BY THE FULL BOARD (FOR BOARD MEMBERS) OR THE EXECUTIVE DIRECTOR (FOR STAFF) AND DECISIONS ARE MADE, IF NECESSARY, TO ISOLATE EVEN POTENTIAL CONFLICTS FROM DECISION MAKING. MOSAIC VERMONT INC REVIEWS ITS CONFLICT OF INTEREST POLICY AT ITS ANNUAL MEETING AND ALL MEMBERS OF THE BOARD OF DIRECTORS UPDATE THEIR CONFLICT OF INTEREST STATEMENTS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE MOSAIC VERMONT, INC. BOARD OF DIRECTORS REVIEWS THE EXECUTIVE DIRECTOR'S SALARY ANNUALLY DURING THE BUDGETING AND CONTRACTING PROCESS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | MOSAIC VERMONT, INC.'S EXECUTIVE DIRECTOR MAINTAINS A FILE OF AVAILABLE PUBLIC DOCUMENTS INCLUDING: THE FORM 990, MOSAIC VERMONT, INC. BY-LAWS AND ARTICLES OF INCORPORATION, AND DECISIONS MADE BY THE BOARD OF DIRECTORS DATING BACK AT LEAST EIGHTEEN MONTHS. |
| Software ID: | |
| Software Version: |