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Form 990Department of the TreasuryInternal Revenue Service

Return of Organization Exempt From Income TaxUnder section 501 (c), 527, or 4947( a)(1) of the Internal Revenue Code ( except black lung

benefit trust or private foundation)► The organization may have to use a copy of this return to satisfy state reporting requirements.

A For the 2004 calendar year, or tax year be

C Name of organizationB Check d Pleaseapplicableuse IRS

F-1]Address label or Lifn I tvl COW

and endin

chan ge print or ULN.L l l uuLX V i'.uv L11

® Name e type Number and street (or P.O. box if mail is not delivered to street address)r aficrenecur Spe 1925 GREENSPRING DRIVEalFinal Instruc-return tons City or town, state or country, and ZIP + 4Amendedreturn IMONIUM MD 21093Application • Section 501 ( c)(3) organizations and 4947 ( a)(1) nonexempt charitable trustspending

must attach a completed Schedule A (Form 990 or 990-EZ).

G Website : ►WWW . MUSAICINC . UK(4J Organization type Icheck only one) ► ®501(c) ( 3 ) 14 (insert no ) 4947(a)(1) or Q 52

K Check here ► if the organization' s gross receipts are normally not more than $25,000. Theorganization need not file a return with the IRS; but if the organization received a Form 990 Package

2004)pen to Public

Inspection

D Employer identification number

52-1338141Room/suite E Telephone number

410-453-9553F Accounting method Cash ® Accrual

H and I are not applicable to section 527 organizations

H(a) Is this a group return for affiliates? Yes ® NoH(b) If 'Yes; enter number of affiliates►H(c) Are all affiliates included? N/A Yes No

(If "No," a ttach a list)H(d) Is this a separate return filed by an or-

ganization covered by a group ruling? Yes ® Noin the mail, it should file a return without financial data. Some states require a complete return . I Group Exemption Number 10,

M Check ►0 If the organization is not required to attachL Gross receipts: Add lines 6b, 8b, 9b, and 10b to line 12 ► 16,028,412. Sch. B (Form 990, 990-EZ, or 990-PF).Part I Revenue. Expenses. and Chanaes in Net Assets or Fund Balances

L

1 Contributions , gifts, grants , and similar amounts received:a Direct public support 1a 200 079.

= b Indirect public support 1b 30,264.°rv c Government contributions ( grants ) is 380,790.00 d Total ( add lines la through 1c) (cash $ 611,133. noncash $ ) ld 611 ,133.

2 Program service revenue including government fees and contracts ( from Pa rt VII, line 93 ) 2 15 , 411 ,853.

X 3 Membership dues and assessments 3

4 Interest on savings and tempora ry cash investments 4 5 ,426.

5 Dividends and interest from securities 5

6 a Gross rents 6ab Less: rental expenses 6bc Net rental income or (loss ) ( subtract line 6b from line 6a) 6c

e a 7 Other investment income ( describe ► 7,8 a Gross amount from sales of assets other (A) Secu ri ties (B) Other

(D than inventory 8acc b Less : cost or other basis and sales expenses 8b

,may r loss )(attach schedule) 8cd o c, columns ( A) and (BN )) 8dp

-ev ties (a ch schedule ). If any amount is from gaming , check here ►Gross revenue ( not Include

fifof contributions

f"d0 19e -806 Qh f d

9a9bt ex enses ot n un raising expenses

ccc

to sp lal events ( subtract line 9b from line 9a) 9c

a v ;less eturns and allowances 10ab Less : cost of goods sold 10bc Gross profit or ( loss) from sales of inventory ( attach schedule) (subtract line 10b from line 1Oa) 10c

11 Other revenue ( from Pa rt VII , line 103) 11

12 Total revenue (add lines ld 2 3 4 5 6c 7 8d 9c 10c and 11) 12 16 , 028 412 .

13 Program services ( from line 44, column ( B)) 13 1 1 , 487 , 566 .IUD) 14 Management and general ( from line 44, column ( C)) 14 3 698 501 .

15 Fundraising ( from line 44, column ( D)) 15 132 820 .CLW 16 Payments to affiliates (attach schedule) 16

17 Total expenses (add lines 16 and 44, column (A)) 17 15 318 887 .18 Excess or ( deficit) for the year (subtract line 17 from line 12) 18 709 525 .19 Net assets or fund balances at beginning of year ( from line 73, column (A)) 19 2 557 907 .

Zay 20 Other changes in net assets or fund balances ( a ttach explanation ) SEE STATEMENT 1 20 1 281 978 .

21 Net assets or fund balances at end of year ( combine lines 18, 19, and 20) 21 4 549 410 .423001 /"•01-13-05 LHA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions

118470208 769024 DUL760 2004.08010 MOSAIC COMMUNITY SERVICES,

Form 990 (2004)

DUL760_1 7

MOSAIC COMMUNITY SERVICES, INC. 52-1338141Part II Statement of All organizations must complete column (A). Columns (B), (C), and (D) are required for section 501(c)(3) a Functional Expenses and (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others.Do not include amounts reported on line

6b, 8b, 9b, 10b or 16 of Part 1 (A) Total (B ) Programservices

(C) Managementand general (D) Fundraising

22 Grants and allocations (attach schedule)

(cash $ noncash $ 22

23 Specific assistance to individuals (attach schedule) 2324 Benefits paid to or for members (attach schedule) 2425 Compensation of officers, directors, etc. 25 543, 806. 326, 284. 217, 522. 0.26 Other salaries and wages 26 7 ,149 262. 5 ,522, 407. 1 585, 947. 40, 908.27 Pension plan contributions 2728 Other employee benefits 28 899, 962. 559, 476. 317, 042. 23, 444.29 Payroll taxes 29 685 498. 512 481. 169 564. 3, 453.30 Professional fundraising fees 3031 Accounting fees 31 23 061. 23 061.32 Legal fees 32 30, 295. 1, 634. 28, 661.33 Supplies 33 313 444.

---181 055. 105 466. 26, 923.

34 Telephone 34 227, 416. 110, 792. 116, 624.35 Postage and shipping 35 15, 759. 5, 451. 7, 148. 3, 160.36 Occupancy 36 1 ,638, 400. 1 ,390, 996. 246 651. 753.37 Equipment rental and maintenance 37 215 493 . 71 805 . 143 688 .38 Printing and publications 38 2 852. 1 441. 1 288 . 123.39 Travel 39 88, 645. 691 681. 16, 688. 2, 276.40 Conferences, conventions, and meetings 4041 Interest 41 254 386. 127 742. 126 584. 60.42 Depreciation, depletion, etc. (attach schedule) 42 552, 313. 371, 743. 180, 570.43

aOther expenses not covered above (itemize):

43ab 43bc 43cd 43de SEE STATEMENT 2 43e 2 ,678, 295. 2 ,234, 578. 411 997. 31, 720.

44 °zln�onscomu�ev°nocoym s 1 J (B�iairy NeseI�falstc lines 13.15 44 15 ,318, 887. 11 ,487, 566. 3,698, 501. 132, 820.Joint Costs . Check ► E] if you are following SOP 98-2.Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services? ► 0 Yes ® NoIf "Yes," enter (i) the aggregate amount of these joint costs $ ; (ii) the amount allocated to Program services $

iii the amount allocated to Management and general $ and (iv) the amount allocated to FundraisinPart III Statement of Program Service Accomplishments

What is the organization's primary exempt purpose? ► SEE STATEMENT 3Program Se rv ice

ExAll organizations must descr ibe their exempt purpose achievements in a clear and concise manner State the number of clients served , publications issued, etc Discussachievements that are not measurable (Section 501(cX3) and (4) organizations and 4947(aXl) nonexempt ch ar itable trusts must also enter the amount of grants andallocations to others )

o(Required for

501(501(cX3) and

(4) orgs , and 4947(aX1)trusts, but optional for others )

a MOSAIC COMMUNITY SERVICES,INC. PROVIDES EFFECTIVECOMMUNITY BASED THERAPEUTIC RESIDENTIAL, REHABILITATIVE,AND SUPPORT SERVICES TO DISADVANTAGED INDIVIDUALS EVIDENCINGBEHAVIORAL HEALTH NEEDS. (Grants and allocations 11,487,566.

b

(Grants and allocationsC

(Grants and allocations $d

(Grants and allocations $e Other program services (attach schedule) (Grants and allocations $

f Total of Program Se rv ice Expenses ( should equal line 44 , column (B), Program services ) ► 11,487,566.42301101-13-05 Form 990 (2004)

218470208 769024 DUL760 2004.08010 MOSAIC COMMUNITY SERVICES, DUL760_1

Form 990 (2004) MOSAIC COMMUNITY SERVICES, INC. 52-1338141

Part IV Balance Sheets

Note: Where required, attached schedules and amounts within the description column (A) (B)should be for end-of-year amounts only. Begi nning of year End of year

45 Cash - non-interest-bearing 1 2 6 9 3 6 8. 45 1 ,125, 008.46 Savings and temporary cash investments 46 402, 608.

47 a Accounts receivable 47a 3,002,007.b Less: allowance for doubtful accounts 47b 1,461,890. 856 ,736. 47c 1 540, 117.

48 a Pledges receivable 48ab Less: allowance for doubtful accounts 48b 48c

49 Grants receivable 142 ,576. 49 165, 095.50 Receivables from officers, directors, trustees,

and key employees 50a) 51 a Other notes and loans receivable 51aN

b Less: allowance for doubtful accounts 51b 51c52 Inventories for sale or use 5253 Prepaid expenses and deferred charges 226 , 515. 53 214, 419.54 Investments - securities ► Cost FMV 5455 a Investments - land, buildings, and

equipment basis 55a

b Less: accumulated depreciation 55b 55c56 Investments - other 5657 a Land, buildings, and equipment: basis 57a 7,838,742.

b Less: accumulated depreciation 57b 2,833,567. 731 ,774. 57c 5 ,005, 175.58 Other assets (describe ► SEE STATEMENT 4 ) 280 ,446. 58 894, 538.

59 Total assets add lines 45 through 58 must equal line 74 3 507 ,415. 59 9 ,346, 960.60 Accounts payable and accrued expenses 746 ,222. 60 648, 281.61 Grants payable 6162 Deferred revenue 118 215. 62 134, 079.63 Loans from officers, directors, trustees, and key employees 6364 a Tax-exempt bond liabilities 64a

2 b Mortgages and other notes payable 64b 1 808, 727.65 Other liabilities (describe ► SEE STATEMENT 5 ) 85 ,071. 65 2 ,206, 463.

66 Total liabilities add lines 60 through 65 949 ,508. 66 4 797, 550.Organizations that follow SFAS 117, check here ► ® and complete lines 67 through

69 and lines 73 and 74.67 Unrestricted 2, 387 ,728. 67 4 ,108, 106.

0 68 Temporarily restricted 20 ,179. 68 86, 988.m 69 Permanently restricted 150 ,000. 69 354, 316.a Organizations that do not follow SFAS 117, check here 10, 0 and complete lines

70 through 74.y 70 Capital stock, trust principal, or current funds 70

71 Paid-in or capital surplus, or land, building, and equipment fund 71< 72 Retained earnings, endowment, accumulated income, or other funds 72°iZ 73 Total net assets or fund balances (add lines 67 through 69 or lines 70 through 72;

column (A) must equal line 19; column ( B) must equal line 21) 2, 557 ,907. 73 4 ,549, 410.74 Total liabilities and net assets / fund balances (add lines 66 and 73) 3, 507 ,415. 74 9 ,346, 960.

Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular organization. How the publicperceives an organization in such cases may be determined by the information presented on its return. Therefore, please make sure the return is complete and accurateand fully describes, in Part III, the organization's programs and accomplishments.

42302101-13-05


Form 990 (2004) MOSAIC COMMUNITY SERVICES, INC. 52-1338141 Page4Part IV-A Reconciliation of Revenue per Audited Part IV- B Reconciliation of Expenses per Audited

Financial Statements with Revenue per Financial Statements with Expenses perReturn Return

a Total revenue, gains, and other support a Total expenses and losses perper audited financial statements ► a 15 70 9 363. audited financial statements ► a 15 318 887 .

nts included on line a but not onb AmountsAmounts included on line a but not on line 17, Form 990:line 12, Form 990: (1) Donated services

(1) Net unrealized gains and use of facilities $on investments $ (2) Prior year adjustments

(2) Donated services reported on line 20,and use of facilities $ Form 990 $

(3) Recoveries of prior (3) Losses reported onyear grants $ line 20, Form 990 $

(4) Other (specify): (4) Other (specify):

Add amounts on lines (1) through (4) ► b 0 . Add amounts on lines (1) through (4) ► b 0 .

c Linea minus line b ► c 15 709 363 . c Linea minus line b ► c 15 318 887 .d Amounts included on line 12, Form d Amounts included on line 17, Form

990 but not on line a: 990 but not on line a:

(1) Investment expenses (1) Investment expensesnot included on not included online 6b, Form 990 $ line 6b, Form 990 $

(2) Other (specify): (2) Other (specify):STMT 6 $ 319,049. $

Add amounts on lines (1) and (2) ► d 319 049. Add amounts on lines (1) and(2) ► d 0.e Total revenue per line 12, Form 990 e Total expenses per line 17, Form 990

(line c plus lined) 10-1 e 16 028 412. (line c plus lined) 00-1 e 15 318 887 .Part V List of Officers, Directors, Trustees, and Key Employees (List each one even if not compensated.)

(A) Name and address(B) Title and average hours

per week devoted toPposition

(C) CompensationIf not aid, enter( P

-0-.

(D)Contributionstoa ployee benefitplans 8 deferredcorn ensation

(E) Expenseaccount and

other allowances

------------------------------------------------------------------SEE STATEMENT 7 543 806. 41,688. 0.------------------------------------------------------------------

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75 Did any officer , director, trustee , or key employee receive aggregate compensation of more than $ 100,000 from your organization and all related STMT 8organizations , of which more than $10,000 was provided by the related organizations9 If 'Yes," a ttach schedule. ► ® Yes No

423031 01 - 13-05 Form 990 (2004)


Form 990 (2004) MOSAIC COMMUNITY SERVICES, INC. 52-1338141

Part VI Other Information Yes No

76 Did the organization engage in any activity not previously reported to the IRS7 If 'Yes,' attach a detailed description of each activity 76 X77 Were any changes made in the organizing or governing documents but not reported to the IRS? 77 X

If 'Yes,' attach a conformed copy of the changes.78 a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return? 78a X

b If 'Yes, has it filed a tax return on Form 990-T for this year? N/A 78b

79 Was there a liquidation, dissolution, termination, or substantial contraction during the year? 79 FFXIf 'Yes,* attach a statement

80 a Is the organization related ( other than by association with a statewide or nationwide organization ) through common membership,governing bodies , trustees, officers, etc ., to any other exempt or nonexempt organization'?

b If 'Yes," enter the name of the organization ► SEE STATEMENT 9and check whether it is 0 exempt or 0 nonexempt

81 a Enter direct or indirect political expenditures . See line 81 instructions 181a I 0.

b Did the organization file Form 1120 -POL for this year?82 a Did the organization receive donated services or the use of materials, equipment, or fac il ities at no charge or at substantially less than

fair rental value?b If 'Yes; you may indicate the value of these items here. Do not include this amount as revenue in Part I or as an

expense in Pa rt II . ( See instructions in Part III.) 82b N/A83 a Did the organization comply with the public inspection requirements for returns and exemption applications? 83a X

b Did the organization comply with the disclosure requirements relating to quid pro quo contnbutions2 83b X84 a Did the organization solicit any contributions or gifts that were not tax deductible? 84a

b If 'Yes; did the organization include with every solicitation an express statement that such contributions or gifts were nottax deductible ? N/A 84b

85 501 (c)(4), (5), or (6) organizations a Were substantially all dues nondeductible by members? N/A 85ab Did the organization make only in - house lobbying expenditures of $2,000 or less2 N/A 85b

If 'Yes' was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a waiver for proxy taxowed for the prior year.

c Dues, assessments , and sim il ar amounts from members 85c N/Ad Section 162 ( e) lobbying and political expenditures 85d N/Ae Aggregate nondeductible amount of section 6033 ( e)(1)(A) dues notices 85e N/Af Taxable amount of lobbying and political expenditures (line 85d less 85e) 85f N/Ag Does the organization elect to pay the section 6033(e) tax on the amount on line 85f? N/A 85h If section 6033 ( e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f to its reasonable estimate of dues

allocable to nondeductible lobbying and political expenditures for the following tax year? N/A 85h86 501 (c)(7) organizations. Enter: a Initiation fees and capital contributions included on line 12 86a N/A

b Gross receipts, included on line 12, for public use of club facilities 86b N/A87 501 (c)(12) organizations . Enter: a Gross income from members or shareholders 87a N/A

b Gross income from other sources. ( Do not net amounts due or paid to other sourcesagainst amounts due or received from them.) 87b N/A

88 At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership,or an enti ty disregarded as separate from the organization under Regulations sections 301 .7701-2 and 301 .7701-3?If 'Yes, complete Part IX 88 X

89 a 501(c)(3) organizations Enter: Amount of tax imposed on the organization during the year under:section 491 1 Do- 0 . ; section 4912 ► 0 . ; section 4955 ► 0.

b 501(c)(3) and 501(c)(4) organizations Did the organization engage in any section 4958 excess benefittransaction during the year or did it become aware of an excess benefit transaction from a prior year2If 'Yes; attach a statement explaining each transaction 89b X

c Enter: Amount of tax imposed on the organization managers or disqualified persons during the year undersections 4912, 4955, and 4958 ► 0.

d Enter: Amount of tax on line 89c, above, reimbursed by the organization ► 0.

90 a List the states with which a copy of this return is filed ► MARYLANDb Number of employees employed in the pay period that includes March 12, 2004 90b 340

91 The books are in care of ► DONALD BILES Telephone no. ► 410-453-9553

Locatedat ► 1925 GREENSPRING DRIVE, TIMONIUM, MD ZIP+4 ► 21093

92 Section 4947(a)(1) nonexempt chartable trusts filing Form 990 in lieu of Form 1041 - Check here ►=and enter the amount of tax - exempt interest received or accrued during the tax year ► 192 N/A

423041 Form 990 (2004)011--1313-.055


Form 990 (2004) MOSAIC COMMUNITY SERVICES, INC. 52-1338141 Page6Part VII Analysis of Income -Producing Activities (See page 33 of the instructions.)Note.indfc

93abCdef M

A9495 19697

ab

9899

Gain or (loss) from sales of assets100

101102103

abcde

104

ross amounts unless otherwiseEnter Unrelated business income Exclu ded by section 512, 513, or 514gatedrogram service revenue:

(A)Businesscode

(B)Amount

(C)Exclu-code

(D)Amount

(E)

Related or exemptfunction income

PATIENT SERVICE REVENUE 14 796 821.OTHER SOURCES 615 032.

edicare/Medicaid paymentsees and contracts from government agenciesembership dues and assessments

nterest on savings and temporary cash investments 14 5,426.ividends and interest from securitieset rental income or (loss) from real estate:ebt-financed propertyot debt-financed propertyet rental income or (loss) from personal propertyther investment income

ther than inventoryet income or (loss) from special eventsross profit or (loss) from sales of inventoryther revenue:

ubtotal (add columns (B), (D), and (E)) 0. 5,426.

P

FM

DNdnNO

NGO

15,411,853.S105 Total (add line 104, columns (B), (D), and (E)) ► 15,417,279.Note : Line 105 plus line 1d, Part 1, should equal the amount on line 12, Part

Part VI II Keiationsnip of Activities to the Accompusnment OT exempt rurposes (see page 34 of the instructions.)Line No .V

Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment of the organization'sexempt purposes (other than by providing funds for such purposes).

93 MOSAIC COMMUNITY SEVICES, INC. PROVIDES SERVICES IN SUPPORT OFITS HEALTH CARE MISSION WHICH INCLUDE THERAPEUTIC RESIDENTIAL,REHABILITATIVE, AND SUPPORT SERVICES TO DISADVANTAGED ADULTS,iADOLESCENTS, AND CHILDREN EVIDENCING BEHAVIORAL HEALTH NEEDS

Part IX Information Regarding Taxable Subsidiaries and Disregarded Entities (See page 34 of the instructions.)A

Name, address, and)EIN of corporation,partnership, or disregarded entl

(B)Percentage of

ownership interest

(C) D E)Nature of activities Total Income End-of-year

assetsSEE STATEMENT 10 %

Part X Information Reaardina Transfers Associated w(a) Did the organization , during the year, receive any funds, directly or indirectly, to(b) Did the organization , during the year, pay premiums, directly or indirectly, on a �Note: If "Yes" to (b), file Form 8870 and Form 4720 (see instructions).

Under penalties of perjury, I decl ar e that I have examined this return, including accompPlease co rr ect, D cl atio of pnrep,�er (other than officer ) is based on all info

Signmplete

�• L?�,�a . Gir�O 2

Here ' Signature of officer Date

PaidPreparers'

C�dlfl�"ITZAsignaturePreparers Firm ' s name (or ST CAU EY & HO NG ,Use Only self-employ

anded), ' 3

423161 add

yoursMCCORMICK ROAD, SL

ni-it-ns ZIP+4 VALLEY, MD 21031

18470208 769024 DUL760 2004.08010

SCHEDULF A - I Organization Exempt Under Section 501(c)(3)(Form 990 or 990-EZ) (Except Private Foundation) and Section 501(e), 501(f), 501(k),

501(n), or Section 4947(a)(1) Nonexempt Charitable Trust

Department of the Treasury Supplementa ry Information-(See separate instructions.)Intern al Revenue Serv ice ► MUST be completed by the above organizations and attached to their Form 990 or 990-EZ

OMB No 1545-0047

2004Name of the organization Employer identification number

MOSAIC COMMUNITY SERVICES, INC. 52 1338141Part 1 Compensation of the Five Highest Paid Employees Other Than Officers , Directors , and Trustees

(See page 1 of the instructions. List each one. If there are none, enter ' None')(a) Name and address of each employee paid (b) Title and average hours

per week devoted to (c) Compensation(d) Contributions toemployeea

benefit (e) Expenseaccount and othermore than $50,000 position compensation allowances

RAYMOND HOFFMANL MD ________________MEDICAL DIR

TIMONIUM MD 40 75,680. 0. 0.

DAWN-HURLY ________________________ADULT REHAB

TIMONIUM, MD 40 63,131. 2 281. 0.

KEVIN DRUMHELLER___________________ CHILD SVC DI

TIMONIUM, MD 40 63,829. 0. 0.

INDRANI MOOKERJEE CLINIC DIR

TIMONIUM, MD 40 63,411. 0. 0.

----------------------------------

Total number of other employees paidover $50,000 ► 0Part II Compensation of the Five Highest Paid Independent Contractors for Professional Services

(See page 2 of the instructions. List each one (whether individuals or firms). If there are none, enter "None.')

(a) Name and address of each independent contractor paid more than $50,000

NONE--------------------------------------------

(b) Type of service I (c) Compensation

--------------------------------------------

Total number of others receiving over$50,000 for professional services ► 0

423101/11-24-04 LHA For Paperwork Reduction Act Notice , see the Instructions for Form 990 and Form 990 - EZ. Schedule A (Form 990 or 990-EZ) 20047


Schedule A (Form 990 or.990-EZ) 2004 MOSAIC COMMUNITY SERVICES. INC. 52-1338141 Page2

Part III Statements About Activities (See page 2 of the instructions.) Yes No

1 During the year, has the organization attempted to influence national, state, or local legislation, including any attempt to influencepublic opinion on a legislative matter or referendum? If 'Yes, enter the total expenses paid or incurred in connection with thelobbying activities ► $ $ (Must equal amounts on line 38, Part VI-A,

or line i of Part VI-B.) 1 XOrganizations that made an election under section 501(h) by filing Form 5768 must complete Part VI-A. Other organizations checking'Yes; must complete Part VI-B AND attach a statement giving a detailed description of the lobbying activities.

2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any substantial contributors,trustees, directors, officers, creators, key employees, or members of their families, or with any taxable organization with which any suchperson is affiliated as an officer, director, trustee, majority owner, or principal beneficiary? (If the answer to any question is "Yes,a ttach a deta iled statement explaining the transactions) SEE STATEMENT 11

a Sale, exchange, or leasing of property? 2a X

b Lending of money or other extension of credit? 2b X

c Furnishing of goods, services, or facilities2 2c X

d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)? 2d X

e Transfer of any part of its income or assets? 2e X

3 a Do you make grants for scholarships, fellowships, student loans, etc? (If 'Yes," attach an explanation of howou determine that recipients qualify to receive payments ) 3a X.y

b Do you have a section 403(b) annuity plan for your employees? 3b X

4 a Did you maintain any separate account for participating donors where donors have the right to provide adviceon the use or distribution of funds? 4a X

b Do you provide credit counselin debt management, credit repair, or debt negotiation services2 4b X

Part IV Reason for Non-Private Foundation Status (See pages 3 through 6 of the instructions.)

The organization is not a private foundation because it is: (Please check only ONE applicable box.)

5 0 A church, convention of churches , or association of churches . Section 170(b)(1)(A)(i).6 A school. Section 170( b)(1)(A)(n). (Also complete Part V.)7 A hospital or a cooperative hospital service organization . Section 170(b)(1)(A)(iii).8 A Federal, state, or local government or governmental unit. Section 170(b)(1)(A)(v).9 0 A medical research organization operated in conjunction with a hospital . Section 170( b)(1)(A)(ni). Enter the hospital ' s name, city,

and state ►10 O An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)(1)(A)(iv).

(Also complete the Suppo rt Schedule in Part IV-A.)11a ® An organization that normally receives a substantial pa rt of its suppo rt from a governmental unit or from the general public.

Section 170(b)(1)(A)(vi). (Also complete the Suppo rt Schedule in Part IV-A.)11b A community trust. Section 170(b)(1)(A)(vi). (Also complete the Suppo rt Schedule in Part IV-A.)12 An organization that normally receives: ( 1) more than 33 1/3% of its suppo rt from contributions, membership fees, and gross

receipts from activities related to its charitable , etc., functions - subject to certain exceptions , and (2 ) no more than 33 1/3% ofits support from gross investment income and unrelated business taxable income ( less section 511 tax) from businesses acquired

by the organization after June 30, 1975. See section 509(a )(2). (Also complete the Suppo rt Schedule in Part IV-A.)

13 O An organization that is not controlled by any disqualified persons (other than foundation managers ) and support s organizations described in:

(1) lines 5 through 12 above; or ( 2) section 501 ( c)(4), (5), or ( 6), if they meet the test of section 509 ( a)(2). (See section 509(a)(3).)Provide the following information about the suppo rted organizations . ( See page 5 of the instructions.)

number) from

(b)a) Name(s) of suppo rted orgamzation(s aboveove(

14 0 An organization organized and operated to test for public safety. Section 509(a )( 4). (See page 5 of the instructions423111 Schedule A (Form 990 or 990 - EZ) 200412--0303--04


Schedule A (Form 990 or,990-EZ) 2004 MOSAIC COMMUNITY SERVICES, INC. 52-1338141 Page 3Part IV-A 1 Support Schedule (Complete only if you checked a box on line 10, 11, or 12.) Use cash method of accounting.

Note: You ma use the worksheet in the instructions for con vertin from the accrual to the cash method of accounting.Calendar year (or fiscal yearbeginning in) ► (a) 2003 (b) 2002 (c) 2001 (d) 2000 (e) Total

15 Gifts, grants, and contributionsreceived. (Do not include unusualgrants. See line 28. 521 594. 1,046,963. 266 923. 211 037. 2,046,517.

16 Membership fees received17 Gross receipts from admissions,

merchandise sold or servicesperformed, or furnishing offacilities in any activity that isrelated to the organization'scharitable , etc., purpose 7,755,295. 7,465,076. 8,616,860. 5,960,015. 29,797,246.

18 Gross income from interest,dividends, amounts received frompayments on securities loans (sec-tion 512(a)(5)), rents, royalties, andunrelated business taxable income(less section 511 taxes) frombusinesses acquired by theorganization after June 30, 1975 11,785. 46,077. 55,572. 79,462. 192,896.

19 Net income from unrelated businessactivities not included in line 18

20 Tax revenues levied for theorganization's benefit and eitherpaid to it or expended on its behalf

21 The value of services or facilitiesfurnished to the organization by agovernmental unit without charge.Do not include the value of servicesor facilities generally furnished tothe public without charge

22 Other Income. Attach a schedule.Do not include gain or (loss) fromsale of capital assets

23 Total oflinesl5through22 8,288,674. 8,558,116. 8,939,355. 6,250,514. 32 036 659.24 Line 23 minus line 17 533,379i 1,093,040. 322 495. 290 499. 2,239,413.25 Enterl%ofline23 82 887. 85 581. 89 394. 62 505.26 Organizations described on lines 10 or 11: a Enter 2% of amount in column (e), line 24 ► 26a 44,788.

b Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental

unit or publicly supported organization) whose total gifts for 2000 through 2003 exceeded the amount shown in line 26a.

Do not file this list with your return . Enter the total of all these excess amounts ► 26b 79,606.c Total support for section 509(a)(1) test Enter line 24, column (e) ► 26c 2,239,413.d Add: Amounts from column (e) for lines: 18 192,896. 19

22 26b 79,606. ► 26d 272,502.e Public support (line 26c minus line 26d total) ► He 1,966,§11.f Public suppo rt percentage ( line 26e ( numerator) divided by line 26c (denominator)) ► 26f 87.8315%

27 Organizations described on line 12 : a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person," prepare a list for your

records to show the name of, and total amounts received in each year from, each "disqualified person." Do not file this list with your return . Enter the sum of

such amounts for each year: N/A(2003) (2002) (2001) (2000)

b For any amount included in line 17 that was received from each person (other than 'disqualified persons'), prepare a list for your records to show the name of,

and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000. (Include in the list organizations

described in lines 5 through 11, as well as individuals.) Do not file this list with your return . After computing the difference between the amount received and

the larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year: N/A(2003) (2002) (2001) (2000)

c Add: Amounts from column (e) for lines: 15 1617 20 21 ► 27c N/A

d Add: Line 27a total and line 27b total ► 27d N/A

e Public support (line 27c total minus line 27d total) ► 27e N/A

I Total support for section 509(a)(2) test: Enter amount on line 23, column (e) ► 27f N/Ag Public support percentage ( line 27e (numerator ) divided by line 27f (denominator )) ► 1 27g I N/A %

h Investment incom line 27f

28 Unusual Grants : For an organization described in line 10, 11, or 12 that received any unusual grants during 2000 through 2003, prepare a list for your recordsto show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant. Do not file this list withyour return Do not include these grants in line 15

423121 12.03-04 NONE Schedule A (Form 990 or 990-EZ) 2004


Schedule A (Fo rm 990 or.990-EZ) 2004 MOSAIC COMMUNITY SERVICES, INC. 52-1338141 Page 4Part V Private School Questionnaire (See page 7 of the instructions.) N/A

(To be completed ONLY by schools that checked the box on line 6 in Part IV)

29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governinginstrument, or in a resolution of its governing body?

30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues,and other written communications with the public dealing with student admissions, programs, and scholarships

31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period ofsolicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy knownto all parts of the general community it serves?If 'Yes, please describe; if 'No,' please explain. (If you need more space, attach a separate statement.)

32a

Does the organization maintain the following:Records indicating the racial composition of the student body, faculty, and administrative staff? 32a

b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory basis? 32bc Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with student

admissions, programs, and scholarships? 32cd Copies of all material used by the organization or on its behalf to solicit contributions? 32d

If you answered 'No' to any of the above, please explain. (If you need more space, attach a separate statement.)

33a

Does the organization discriminate by race in any way with respect to:Students' rights or privileges? 33a

b Admissions policies? 33bc Employment of faculty or administrative staff? 33cd Scholarships or other financial assistance? 33de Educational policies? 33ef Use of facilities? 33fg Athletic programs 33h Other extracurricular activities? 33h

If you answered 'Yes' to any of the above, please explain. (If you need more space, attach a separate statement.)

34 a Does the organization receive any financial aid or assistance from a governmental agency? 34ab Has the organization's right to such aid ever been revoked or suspended? 34b

35If you answered 'Yes" to either 34a or b, please explain using an attached statement.Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05 of Rev. Proc. 75-50,1975-2 C.B. 587, covering racial nondiscrimination? If' No, attach an explanation 35

Yes I No

Schedule A (Form 990 or 990-EZ) 2004

42313111-24-04


Schedule A (Form 990 or. 990-EZ) 2004 MOSAIC COMMUNITY SERVICES INC . 52-1338141 Page 5Part VI -A Lobbying Expenditures by Electing Public Charities ( See page 9 of the instructions.) N/A

(To be completed ONLY by an eligible organization that filed Form 5768)

Check ► a n If the oraanlzatlon belongs to an affiliated arouo . Check ► b " if you checked " a" and "limited control" provisions apply.

Limits on Lobbying Expenditures Affiliated group To be completed for ALL

(The term "expenditures' means amounts paid or incurred.) totals electing organizations

N/A36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 3637 Total lobbying expenditures to influence a legislative body (direct lobbying) 37

38 Total lobbying expenditures (add lines 36 and 37) 3839 Other exempt purpose expenditures 39

40 Total exempt purpose expenditures (add lines 38 and 39) 4041 Lobbying nontaxable amount. Enter the amount from the following table -

If the amount on line 40 is - The lobbying nontaxable amount is -Not over $500,000 20% of the amount on line 40

Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000

Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000 41

Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000

Over $17,000,000 $1 ,000,000

42 Grassroots nontaxable amount (enter 25% of line 41) 42

43 Subtract line 42 from line 36. Enter -0- If line 42 is more than line 36 43

44 Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38 44

Caution : If there is an amount on either line 43 or line 44, you must file Form 4720.

4-Year Averaging Period Under Section 501(h)(Some organizations that made a section 501(h) election do not have to complete all of the five columns

below. See the instructions for lines 45 through 50 on page 11 of the instructions.)

Lobbying Expenditures During 4-Year Averaging Period N/ACalendar year (or (a) (b ) ( c) (d) (e)fiscal year beginning in) ► 2004 2003 2002 2001 Total

45 Lobbying nontaxableamount 0

46 Lobbying ceiling amount(150% of line 45(e)) 0

47 Total lobbyingexpenditures 0

48 Grassroots nontaxableamount 0

49 Grassroots ceiling amount(150% of line 48(e)) 0

50 Grassroots lobbyingexpenditures 0

Part VI-e Lobbvina Activity by Nonelectina Public Charities(For reporting only by organizations that did not complete Part VI-A) (See page 11 of the instructions.)

During the year, did the organization attempt to influence national, state or local legislation, including any attempt to

influence public opinion on a legislative matter or referendum, through the use of

a Volunteersb Paid staff or management (Include compensation in expenses reported on lines c through h

c Media advertisementsd Mailings to members, legislators, or the public

N/A

Amount

e Publications, or published or broadcast statementsf Grants to other organizations for lobbying purposesg Direct contact with legislators, their staffs, government officials, or a legislative bodyh Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means

i Total lobbying expenditures (Add lines c through h ) 0If "Yes" to any of the above, also attach a statement giving a detailed description of the lobbying activities.

11-2a04 Schedule A (Form 990 or 990-EZ) 2004

1118470208 769024 DUL760 2004.08010 MOSAIC COMMUNITY SERVICES , DUL760_1

Schedule A (Form 990 or 090-EZ) 2004 MOSAIC COMMUNITY SERVICES, INC. 52-1338141 Page 6Pa rt VII Information Regarding Transfers To and Transactions and Relationships With Noncharitable

Exempt Organizations (See page 11 of the instructions.)51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section

501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?a Transfers from the reporting organization to a nonchantable exempt organization of: Yes No

(i) Cash 51a(i) X(ii) Other assets a(ii) X

b Other transactions:(i) Sales or exchanges of assets with a noncharitable exempt organization b(i) X(ii) Purchases of assets from a noncharitable exempt organization b(ii) X(iii) Rental of facilities, equipment, or other assets b(iii) X

(iv) Reimbursement arrangements b(iv) X(v) Loans or loan guarantees b(v) X

(vi) Performance of services or membership or fundraising solicitations b(vi) Xc Sharing of facilities, equipment, mailing lists, other assets, or paid employees c Xd If the answer to any of the above is 'Yes," complete the following schedule. Column (b) should always show the fair market value of the

goods, other assets, or services given by the reporting organization. If the organization received less than fair market value in any


52 a Is the organization directly or indirectly affil iated with, or related to, one or more tax-exempt organizations described in section 501(c) of theCode ( other than section 501(c)(3 )) or in section 527? ► = Yes ® No

;;3z;04 Schedule A (Form 990 or 990-EZ) 2004

MOSAIC COMMUNITY SERVICES, INC. 52-1338141

� FORM 990 OTHER CHANGES IN NET ASSETS OR FUND BALANCES STATEMENT 1

DESCRIPTION

NET ASSETS RELEASED FROM RESTRICTION FOR OPERATIONSTRANSFERS FROM AFFILIATESNET ASSETS OF REVISIONS, INC. -UNRESTRICTEDNET ASSETS OF REVISIONS, INC. -RESTRICTED

TOTAL TO FORM 990, PART I, LINE 20

AMOUNT

<57, 895.>29,295.

1,106,262.204,316.

1,281,978.

FORM 990 OTHER EXPENSES STATEMENT 2

(A) (B) (C) (D)PROGRAM MANAGEMENT

DESCRIPTION TOTAL SERVICES AND GENERAL FUNDRAISING

CONSULTANTS 763,402. 645,856. 116,326. 1,220.LICENSES/PERMITS 4,553. 647. 3,906. 0.INSURANCE 179,130. 52,503. 126,627. 0.PROFESSIONAL FEES 28,414. 1,124. 27,290. 0.BAD DEBT 788,189. 788,189. 0. 0.CLIENT SERVICES 719,051. 717,466. 1,585. 0.MISCELLANEOUS 195,556. 28,793. 136,263. 30,500.

TOTAL TO FM 990, LN 43 2,678,295. 2,234,578. 411,997. 31,720.

FORM 990 STATEMENT OF ORGANIZATION'S PRIMARY EXEMPT PURPOSE STATEMENT 3PART III

EXPLANATION

TO IMPROVE EMPLOYMENT, HOUSING, ECONOMIC DEVELOPMENT AND REHABILITATIONOPPORTUNITIES FOR CITIZENS WITH PRIOR OR EXISTING MENTAL DISABLITY.

FORM 990

DESCRIPTION

OTHER ASSETS

DUE FROM AFFILIATESINTEREST IN NET ASSETS OF SHEPPARD PRATTHEALTH SYSTEMASSETS LIMITED AS TO USEDUE FROM HUD HOMES

STATEMENT 4

AMOUNT

121,158.

0.644,386.68,771.

15 STATEMENT(S) 1, 2, 3, 418470208 769024 DUL760 2004.08010 MOSAIC COMMUNITY SERVICES, DUL760_1

MOSAIC COMMUNITY SERVICES, INC.

OTHER ASSETS

TOTAL TO FORM 990, PART IV, LINE 58, COLUMN B

52-1338141

60,223.

894,538.

FORM 990 OTHER LIABILITIES STATEMENT 5

DESCRIPTION

ACCRUED EXPENSESLINE OF CREDITDUE TO AFFILIATES

TOTAL TO FORM 990, PART IV, LINE 65, COLUMN B

AMOUNT

1,038,736.800,000.367,727.

2,206,463.

FORM 990 OTHER REVENUE INCLUDED ON FORM 990 STATEMENT 6

DESCRIPTION AMOUNT

RESTRICTED CONTRIBUTIONS 319,049.

TOTAL TO FORM 990, PART IV-A 319,049.

16 STATEMENT(S) 4, 5, 618470208 769024 DUL760 2004.08010 MOSAIC COMMUNITY SERVICES, DUL760_1


FORM 990 PART V - LIST OF OFFICERS, DIRECTORS, STATEMENT 7TRUSTEES AND KEY EMPLOYEES

NAME AND ADDRESS

JEFFREY W . RICHARDSON1925 GREENSPRING DRIVETIMONIUM , MD 21093

DONALD BILES1925 GREENSPRING DRIVETIMONIUM , MD 21093

LOREEN DOYLE1925 GREENSPRING DRIVETIMONIUM , MD 21093

DIANE MAISTROS1925 GREENSPRING DRIVETIMONIUM , MD 21093

MATTHEW PEELING1925 GREENSPRING DRIVETIMONIUM , MD 21093

CAROLYN KILGORE1925 GREENSPRING DRIVETIMONIUM , MD 21093

BARRETT CISNEY1925 GREENSPRING DRIVETIMONIUM , MD 21093

R. DAVID ADELBERG40 W.CHESAPEAKE AVE., SUITE 200TOWSON, MD 21204

ANGELO BOER38 WINEHURST ROADBALTIMORE, MD 21228

CHARLES BYRD, JR.2518 MARYLAND AVENUEBALTIMORE, MD 21218

JEFFREY F. DUDLEY5515 NORTH CHARLES STBALTIMORE, MD 21210

EMPLOYEETITLE AND COMPEN- BEN PLAN EXPENSE

AVRG HRS/WK SATION CONTRIB ACCOUNT

EXECUTIVE DIRECTOR40 121,270. 16,890. 0.

CHIEF FINANCIAL OFFICER40 90,956. 7,107. 0.

CHIEF OF OPERATIONS40 81,959. 4,517. 0.

CHIEF OF HUMAN RESOURCES40 69,709. 5,897. 0.

CHIEF OF INFO & TELECOM40 64,184. 2,234. 0.

CHIEF OF BUSINESS DEVELOP40 61,124. 611. 0.

CHIEF OF EVAL & COMPLIANCE40 54,604. 4,432. 0.

MEMBER, BOARD OF DIRECTORS1 0. 0. 0.




17 STATEMENT(S) 718470208 769024 DUL760 2004.08010 MOSAIC COMMUNITY SERVICES, DUL760_1


BRADLEY EBERSOLE MEMBER, BOARD OF DIRECTORS15 PEPPERDINE CIRCLE 0 0. 0. 0.BALTIMORE, MD 21228

CHARLOTTE E. EXNER MEMBER, BOARD OF DIRECTORS8 SONACHAN COURT 1 0. 0. 0.TOWSON, MD 21286

DONALD GABRIEL MEMBER, BOARD OF DIRECTORS17 OLD GRANARY COURT 0 0. 0. 0.BALTIMORE, MD 21228

CALVIN GARLIC MEMBER, BOARD OF DIRECTORS7104 UPPER MILLS CIRCLE 0 0. 0. 0.BALTIMORE, MD 21228

JOSEPH HAPPEL, III MEMBER, BOARD OF DIRECTORS1264 CIRCLE DRIVE 0 0. 0. 0.BALTIMORE, MD 21227

FREDERICK F. HINZE TREASURER314 EDGEVALE ROAD 1 0. 0. 0.BALTIMORE, MD 21210

STEVE IAMPIERI MEMBER, BOARD OF DIRECTORS907 WILTON DRIVE 0 0. 0. 0.BALTIMORE, MD 21227

BONNIE KATZ MEMBER, BOARD OF DIRECTORS6501 NORTH CHARLES ST 1 0. 0. 0.TOWSON, MD 21204

ALICIA LUCKSTED SECRETARY3002 ST. PAUL ST 1 0. 0. 0.BALTIMORE, MD 21218

WAYNE F MATHEU MEMBER, BOARD OF DIRECTORS4720 FORGE ACRE DRIVE 1 0. 0. 0.PERRY HALL, MD 21128

MARY BETH MERRYMAN MEMBER, BOARD OF DIRECTORS514 WILTON ROAD 1 0. 0. 0.TOWSON, MD 21204

ROBERT A. MILLER MEMBER, BOARD OF DIRECTORS4511 TAPSCOTT ROAD 1 0. 0. 0.PIKESVILLE, MD 21208

CHAROLENE OLIVER MEMBER, BOARD OF DIRECTORS312 HOLLY MANOR ROAD 0 0. 0. 0.BALTIMORE, MD 21208



JEAN OTTEY419 DUNKIRK ROADBALTIMORE, MD 21212

MARY ELLEN SATERLIE6404 NORTH CHARLES STBALTIMORE, MD 21212

DEBORAH SCOBLICK4440 ROLAND SPRINGS DRIVEBALTIMORE, MD 21210

J. RICHARD UHLIG2009 RIDGECREST COURTBALTIMORE, MD 21204

SUSAN GAY WILLIAMS27 ALDERMAN COURTTIMONIUM, MD 21093

FRED WINER5900 BRACKENBRIDGE AVEBALTIMORE, MD 21212

52-1338141

VICE-PRESIDENT1 0. 0. 0.

MEMBER , BOARD OF DIRECTORS1 0. 0. 0.



PRESIDENT2 0. 0. 0.


TOTALS INCLUDED ON FORM 990, PART V 543,806. 41,688. 0.

FORM 990 PART V - OFFICER COMPENSATION FROM STATEMENT 8RELATED ORGANIZATIONS

OFFICER'S NAME

BONNIE KATZ

NAME AND EIN OFRELATED ORGANIZATION

SHEPPARD PRATT HEALTHSYSTEM, INC

COMPEN-SATION

189,015.

EMPLOYEEBEN PLAN EXPENSECONTRIB ACCOUNT

32,574. 0.

FORM 990 IDENTIFICATION OF RELATED ORGANIZATIONS STATEMENT 9PART VI, LINE 80B

NAME OF ORGANIZATION

SHEPPARD AND ENOCH PRATT FOUNDATIONSHEPPARD PRATT HEALTH SYSTEM, INC.SHEPPARD PRATT PHYSICIANS, P.A.SHEPPARD PRATT INVESTMENT, INC.WAY STATION, INC.FAMILY SERVICES AGENCY, INC.GRANITE HOUSE, INC.TURNING POINT OF WASHINGTON COUNTY, INC.

EXEMPT

XXXXXXXX

NONEXEMPT

19 STATEMENT(S) 7, 8, 918470208 769024 DUL760 2004.08010 MOSAIC COMMUNITY SERVICES, DUL760_1


SHEPPARD PRATT PREFERRED RESOURCES, INC. XCRANBROOK HOMES XGUILFORD HOMES XREVISIONS COMMUNITY HOUSING DEVELOPMENT ORG., INC. XATLANTIC RECYCLED PAPER COMPANY X



FORM 990 PART IX - INFORMATION REGARDING TAXABLE STATEMENT 10SUBSIDIARIES AND DISREGARDED ENTITIES

NAME OF CORPORATION, PARTNERSHIP OR DISREGARDED ENTITY

ATLANTIC RECYCLED PRODUCTS AKA ATLANTIC EARTHWORKS

ADDRESS

PO BOX 21059, BALTIMORE, MD 21228

EMPLOYER PERCENT TOTALID NUMBER OWNED NATURE OF ACTIVITIES INCOME

END-OF-YEARASSETS

52-1737872 100.00% SALE OF ENVIRONMENTALLYFRIENDLY PRODUCTS 0. 0.

SCHEDULE A STATEMENT REGARDING ACTIVITIES WITH STATEMENT 11SUBSTANTIAL CONTRIBUTORS, TRUSTEES, DIRECTORS,

CREATORS, KEY EMPLOYEES, ETC,.PART III, LINE 2

ONE OFFICER RECEIVED COMPENSATION AS DESCRIBED ON PAGE 4 , PART V.

21 STATEMENT (S) 10, 1118470208 769024 DUL760 2004 . 08010 MOSAIC COMMUNITY SERVICES , DUL760_1

MOSAIC COMMUNITY SERVICES, INCDEPRECIATION EXPENSEFORM 990, PAGE 2, PART 2, LINE 42ID# - 52-1338141

Depreciation is computed by the straight-line method and charged to operationsover the life of the lease for leasehold improvements and five to ten years forfurniture, fixtures and equipment.

Depreciation expense for the year ended June 30, 2005 was $552,313.

CORPORATE CHARTER APPROVAL SHEET

= 40

P-A. Relimous

yfcmm_ (Iran e) i d )'5 �C.32 ID N D01672541 ACK p 1000361990002762

LIBER : B00673 FOLIO: 0070 PAGES: 0004DULANEY STATION, INC.

Smvivinff R 1 /a 15,11, 221C 06/28/2004 AT 11 : 37 A MO p 0000911924

FEES REMiTIF�

Base Fee: /,-)oOtgg & Cap. Fen:

F pedite FeePeaaky:

Snare Recorda tion Tax AScone Tranaer Tax /v' !F

Cecrified Copies

New Na>m -

C3ange ofNanchange ofp-,bx#& OfficeChange of Resides[ AgentCha ge ofResideaz Agent AddressR of Remdeat Amt

of Resident AggentandResi m A_-aats AddressChange ofBasmes CodeCopy Fee:

C ram

Ceammcate of Smtaa FeePersonal Pmxny FflMgs:

i pig

c1AL FEES: 150

Z=t C2rd Check _ Cain

Doctnnt is on Cheeks

%ppooved By

Zeyed BY

Adoption of Assamed Name

other Ch s)

Code 045

Attend= David C. Daneker, Esq. (please includename on acknowledgement)

Mall to Address

IS

Monte)IDocIT• I 4

ON

II

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MAmaC

M N O M

U A e A

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a

ARTICLES OF MERGER BETWEEN REVISIONS, INC. ("MergingCorporation") AND DULANEY STATION, INC. ("Surviving Corporation").

--------------------------------------------------------------------------

THIS IS TO CERTIFY THAT:

FIRST : REVISIONS, INC., a Maryland corporation , and DULANEYSTATION, INC., a Maryland corporation , agree to merge in the manner hereinafter setforth.

SECOND : DULANEY STATION, INC. is the corporation to survive themerger.

THIRD: Both DULANEY STATION, INC. (the "Surviving Corporation")and REVISIONS, INC. (the "Merging Corporation") are not-for-profit membershipcorporations incorporated under the laws of the State of Maryland.

FOURTH : The principal office of the Surviving Corporation in the State ofMaryland is located in Baltimore County at 76 Cranbrook Road, Suite 110, Cockeysville,MD 21030, and the principal office of the Merging Corporation in the State of Marylandis located in Bal timore County at 20 Winters Lane, Catonsville , Maryland 21228.

FIFTH : The Merging Corporation owns interests in land located inBaltimore County.

SI7CTH : The Charter of the Surviving Corporation will not be amended as aresult of the merger.

SEVENTH : Both the Surviving Corporation and the Merging Corporation aremembership corporations. Prior to the Effective Date, the members ofeach corporationare as follows:

(a) Surviving Corporation - the sole member of the Surviving Corpora-tion is Sheppard and Enoch Pratt Foundation Inc.

(b) Merging Corpora tion - the sole member of the Merging Corporation,prior to the merger, are the members of the Board of the Directors of the MergingCorporation.

After the Effective Date of the merger, Sheppard and Enoch Pratt Foundation , Inc., willbe the sole member of the Surviving Corporation.

EIGHTH : Upon the Effective Date, hereinafter defined, the MergingCorporation shall be merged into the Surviving Corporation; and thereupon, the

C:\Documents and Settings\jherron\Local Settings\Temporary Internet 1Files\OLK56\ArtsMerger(Re-DS).doc

Surviving Corporation shall possess any and all purposes and powers of the MergingCorporation; and all leases, licenses, property, rights, privileges, and powers of whatevernature and description of the Merging Corporation shall be transferred to, vested in, anddevolved upon the Surviving Corporation, without further act or deed, subject to all of thedebts and obligations of the Merging Corporation.

NINTH : As of the Effective Date, the members of the Board of Directors ofthe Surviving Corporation, serving until their successors are duly elected, shall be R.David Adelberg; Angelo M Boer, Charles G. Byrd, Jr.; Jeffrey F. Dudley; BradleyEbersole; Charlotte E. Exner, Donald Gabriel; Calvin L. Garlic; Joseph Happel, 111;Frederic F. Hinze; Steve lampieri; Bonnie Katz; Alicia Lucksted; Wayne F. Matheu;Marybeth Merryman; Robert A. Miller; Charolene H. Oliver, Jean Ottey; Mary EllenSatterlie; Deborah R. Scoblick; J. Richard Uhlig; Susan Gay Williams; and Fred Winer.

As of the Effective Date, the officers of the Surviving Corporation, serving untiltheir successors are duly elected, shall be Gay Williams, President; Jean Ottey, VicePresident; Alicia Lucksted, Secretary; Frederic Hinze, Treasurer; and Jeffrey Richardson,Executive Director.

TENTH : The terms and conditions of the transaction described in theseArticles were duly advised, authorized and approved by the Merging Corporation in themanner and by the vote required by the laws of the State of Maryland and the charter ofthe Merging Corporation, as follows:

(a) The Directors of the Merging Corporation, at a meeting duly noticedand held on June 7, 2004, sitting as both the Board of the Directors and themembers of the Merging Corporation, adopted a resolution declaring that theterms and conditions of the transaction described herein are advisable, and suchaction is duly recorded in the minutes of the proceedings of the Board of Directorsand members of the Merging Corporation.

ELEVENTH: The terms and conditions of the transaction described in theseArticles were duly advised, authorized and approved by the Surviving Corporation in themanner and by the vote required by the laws of the State of Maryland and the charter ofthe Surviving Corporation as follows: '

(a) The Board of Directors of the Surviving Corporation, at a meetingduly noticed and held on June 14, 2004, adopted a resolution declaring that theterms and conditions of the transaction described herein are advisable, anddirecting that the proposed transaction be submitted for consideration by themember of the Surviving Corporation, and said action is duly recorded in theminutes of the proceedings of the Board of Directors of the SurvivingCorporation.

(b) The Board of Trustees of Sheppard and Enoch Pratt Foundation,Inc., the sole member of the Surviving Corporation, at a meeting duly noticed and

C:\Documents and Settings\jherron\Local Settings\Temporary InternetFiles\OLKS6\ArtsMerger(Re-DS). doc

held on May 27, 2004, adopted a resolution declaring that the terms andconditions of the transaction described herem are advisable, and said action isduly recorded in the minutes of the proceedings the Board of Trustees of themember.

TWELFTH : These Articles of Mergers shall become effective on July 1, 2004(the "Effective Date").

THIRTEENTH: Each undersigned President acknowledges these Articles ofMerger be the corporate act of the respective corporate party on whose behalf saidPresident has signed, and further, as to all matters of facts required to be verified underoath, each President acknowledges that to the best of said President's knowledge,information and belief, the matters and facts relating to the corporation on whose behalfsaid President has signed are true in all material respects and that this statement is madeunder the penalties for perjury.

IN WITNESS WHEREOF, these Articles of Merger have been duly executed byeach of the parties hereto on the date shown.

A T

Secretary

REVISIONS, INC.

(SEAL)John Herron , President

Date : 6 '" 2 q " O

ATTEST:

Secretary

DULANEY STATION, INC.

,p,p (SEAL)Gay i liams, Prfsident

Date :

C:\Documents and Settings\jherron\Local Settings\Temporary InternetFil es\OLK56\ArtsMerger(Re-DS).doc

CORPORATE CHARTER APPROVAL SHEET** EXPEDITED SERVICE ** ** KEEP WITH DOCUMENT **

DOCUMENT CODBOYA- BUSINESS CODE-

°�`L- ..._ k- I E60636

IV,904

Wtl,66

P.A Religious

Merging (Transferor)

Surviving (Transferee)

FEES REMITIBD

Base Fee.Org & Cap Fee.

Expedite FeePenalty

Sta te Recordation Tax-Sta

te Transfer Tax:Certified Copies

Copy Fee:Certificates

Certificate of Status Fee.Personal Property Filings:

Other:

TOTAL FEES. /'L)

Credit Card Check !/ Cash

Documents on Checks

Approved By ' a (

Keyed By

COMMENT(S)'

ID U D01672641 ACK U 1000361990431466LIBER: 800713 FOLIO: 0367 PAGES: 0002MOSAIC COMMUNITY SERVICES, INC.

10/08/2004 AT 11:29 A WO U 0000957015

, L2New Name I S g I L .':

Sri✓iCc I�:c

Change of NameChange of Principal OfficeChange of Resident AgentChange of Resident Agent AddressResignation of Resident AgentDesignation of Resident Agentand Resident Agent's AddressChange of Business Code

Adoption of Assumed Name

Other Change(s)

Code

Attention

J4, jI 2 (', ;PKF{_ 9.

Aw_�7t� e-19

COST 10: 0001491829WORK ORDER : 0000957016DATE: 10-08-2004 11:30 AMAMT. PAID:$340.00

ARTICLES OF AMENDMENT


DULANEY STATION, INC., a Mary land nonstock corporation (the "Corporation"), having its

principal office at 76 Cranbrook Road, Suite 110, Cockeysville , Maryland 21030, hereby cert ifies to the

Maryland State Department of Assessments and Taxation that:

FIRST : The Charter of the Corporation is hereby amended by striking in its entirety Article

SECOND and by substituting in lieu thereof the following:

SECOND: The name of the Corporation (which is

hereinafter the "Corporation") is.


SECOND: The foregoing Articles ofAmendment were duly advised and approved by a vote of a

majority of the entire Board of Directo rs on August 9, 2004; and there were no shares of stock in the

Corporation entitled to vote thereon either outstanding or subscribed for at the time of such approval.

The foregoing Articles of Amendment were duly approved by a vote of the Board of Trustees of

Sheppard and Enoch Pratt Foundation, Inc., the sole member of the Corporation, at a meeting held on

September 23, 2004.

IN WITNESS WHEREOF, the Corporation has caused these Articles to be signed in its name

and on its behalf on 126day of September 2004, by its President who acknowledges that these

Articles are the act of the Corporation and that to the best of her knowledge, information and belief and

under penalties for perjury, all matters and facts contained in these Articles are true in all material

respects.

ATTEST:

C� t� (SEAL)Alicia Lucks6d, Secretary


L t�� l%i;rBy: a,--"Gay Weil ams, President

J ARTICLES OF AMENDMENT-Dulaney Station doc

CORPORATE CHARTER APPROVAL SHEET** EXPEDITED SERVICE ** ** KEEP WITH DOCUMENT **

DOCUMENT CODE BUSINESS CODE

0 j0..a 74(//Close Stock Nonstock

P.A Religious

Merging (Transferor)

ID 0 001672641 ACK 9 1000361990478194LIBER: B00717 FOLIO: 0752 PAGES: 0002MOSAIC COMMUNITY SERVICES, INC.

Surviving (Transferee)

New Name

FEES REMTITED

Base FeeOrg & Cap Fee-

Expedtte Fee-Penalty

State Recordation TaxState Transfer Tax-

Certrfied CopiesCopy Fee

Change ofNameChange of Principal OfficeChange of Resident AgentChange of Resident Agent AddressResignation ofResident AgentDesignation of Resident Agentand Resident Agent's AddressChange of Business Code

Certificates -Certificate of Status Fee

Personal Property Filings:Other

TOTAL FEES.

Credit Card ✓ Check Cash

Documents on Checks

Approved By

Keyed By.

COMMENT(S)

Adoption of Assumed Name

Other Change(s)

Code

Attention -

Mail to Address

>.WA *

*7G 4r //04

Car�, t U4 10-4CUST I0:0001500841WORK ORDER: 0000962317DATE:10-21-2004 03:09 PMAMT. PAID:$73.00

binmp rruia vIuci u m .,� �.,,....... ......... .._-.--

10/14/2004 09:05 4103088926 DSI PAGE 03

10 RESOLUTION TO CHANGE PRINCIPAL OFFICE OR RESIDENT AGENT

The directors/stockholders/general partner/authorized person of

organized under the laws of passed the following resolution:(State)

[CHECK APPLICABLE BOX(ES)]

Q The principal office Is changed from. (old address)

6rn-nibrWk PD/1-A- gy-4- /'C

Coc K.e !$sy►!le YV SA 1,AYA Pr1035to: (new address)

Tl►ron.i'uwx. 1Nlfru Li-VV x1093

0The name and address of the resident agent Is changed from:

rlv

st"aakto:

iii A . )�s

I

j -5_ �r rs vt sari Iva �� ` �- , Tr •,�,.o.i,/' �,► L , I�'1,o�-� L�r►JL alo9 3

certify under penalties of perju ry the foregoing is true.

Q14Secretary or Assistant SecretaryGeneral PartnerAuthorized Person

I hereby consent to my designation in this document as resident agent for this entity.CUST ID: 0001500841WORK ORDER : 0000962317DATE :10-21-2004 03:09 PM SIGNED-M. PAID : $75.00 / Resident Agent

Form 8868(Rev December 2004)

Depa rtment of the TreasuryInternal Revenue Serv ice

Application for Extension of Time To File anExempt Organization Return OMB No 1545.1709

Number, street, and room or suite no. If a P.0 box, see instructions.

• If you are filing for an Automatic 3-Month Extension , complete only Part I and check this box ►• If you are filing for an Additional (not automatic ) 3-Month Extension, complete only Part II (on page 2 of this form)

Do not complete Part II unless you have already been granted an automatic 3-month extension on a previously filed Form 8868.

Part I Automatic 3-Month Extension of Time - Only submit original (no copies needed)

Form 990-T corporations requesting an automatic 6-month extension - check this box and complete Part I only ► 0

All other corporations (including Form 990-C filers) must use Form 7004 to request an extension of time to file income taxreturns. Partnerships, REMICs, and trusts must use Form 8736 to request an extension of time to file Form 1065, 1066, or 1041.

Electronic Filing (e-file). Form 8868 can be filed electronically if you want a 3-month automatic extension of time to file one of the returns notedbelow (6 months for corporate Form 990-T filers). However, you cannot file it electronically if you want the additional (not automatic) 3-monthextension, instead you must submit the fully completed signed page 2 (Part II) of Form 8868. For more details on the electronic filing of this form,visit www.irs.gov/efile.

Type or Name of Exempt Organizationprint

MOSAIC COMMUNITFile by thedue date forfiling yourreturn Seeinstructions

File a for each return

Employer identification number

2-1338141

City, town or post office, state, and ZIP code For a foreign address, see instructions.TIMONIUM. MD 21093

Check type of return to be filed (file a separate application for each return):

® Form 990 0 Form 990 -T (corporation ) 0 Form 4720

Form 990-BL Form 990-T (sec . 401(a) or 408(a) trust ) Form 5227

Form 990-EZ Form 990-T (trust other than above) Form 6069

Form 990-PF Form 1041-A Form 8870

• The books are in the care of ► DONALD BILESTelephone No . Poo- 410-453- 9553 FAX No.►

• If the organization does not have an office or place of business in the United States , check this box ► Q• If this is for a Group Return , enter the organization 's four digit Group Exemption Number (GEN) . If this is for the whole group , check this

box ► LI . If It is for part of the group , check this box ► 0 and attach a list with the names and EINs of all members the extension will cover

.1 I request an automatic 3-month (6-months for a Form 990-T corporation) extension of time until FEBRUARY 15, 2006to file the exempt organization return for the organization named above. The extension is for the organization 's return for

► LI calendar year or►® tax year beginning JUL 1, 2004 , and ending JUN 30, 2005

2 If this tax year is for less than 12 months , check reason - 0 Initial return 0 Final return LI Change in accounting period

3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less anynonrefundable credits. See instructions

b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimatedtax payments made. Include any prior year overpayment allowed as a credit

c Balance Due. Subtract line 3b from line 3a. Include your payment with this form, or, if required, deposit with FTD

coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See Instructions $ N/A

Caution . If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO for payment instructions

LHA For Privacy Act and Paperwork Reduction Act Notice , see instructions . Form 8868 (Rev. 12-2004)

42383101-10-05
