2024-05-08T14:55:57-05:00 2023-12-31 341874260 CBIZ MHM LLC 700 WEST 47TH STREET SUITE 1100 KANSAS CITY MO 64112 990 2023-01-01 133095444 ARBITRATION FORUMS INC ARBI 8139314004 3820 NORTHDALE BOULEVARD 115 TAMPA FL 33624 STEVE JANICKI CFO & SECRETARY/TREASURER 8139314004 2024-05-07 1 STEVE JANICKI XXX-XX-XXXX 1 LISA BURKE P00220718 8169455500 2024-04-24 3 AAL1 IAL1 2023 2023-04-26 12:10:37Z SEAN WELCH 3820 NORTHDALE BOULEVARD 115 TAMPA FL 33624 125945619 0 X WWW.ARBFILE.ORG X 1981 NY TO SERVE OUR MEMBER'S RECOVERY AND RESOLUTION NEEDS THROUGH SERVICE, COLLABORATION, AND INNOVATION. 13 12 202 4932 0 0 0 0 40605283 52681298 -798975 2736200 1438 0 39807746 55417498 105413 94328 0 0 28398517 31790217 0 0 0 13767669 15188247 42271599 47072792 -2463853 8344706 90772943 100187812 14053546 14487790 76719397 85700022 TO FACILITATE THE EFFICIENCY AND EQUITABLE DISPOSITION OF INSURANCE RELATED DISPUTES TO AVOID THE COSTS AND DELAYS OF LITIGATION. 0 0 ARBITRATION SERVICES: IN 2023, ITS MEMBERS FILED OVER 1.1 MILLION DISPUTES AND OVER 2.4 MILLION SUBROGATION DEMANDS COLLECTIVELY WORTH MORE THAN $26.4 BILLION IN CLAIMS AS A COST-EFFECTIVE ALTERNATIVE TO LITIGATION FOR THE INSURANCE INDUSTRY. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 21 0 1 202 1 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X STEVE JANICKI 8139152207 3820 NORTHDALE BLVD SUITE 115 TAMPA FL 33624 KATHLEEN MAHNE PRESIDENT & CEO 40.00 X X 895344 0 179398 SETH INGALL CHAIR 1.00 X 0 0 0 SEAN WELCH VICE CHAIR 1.00 X 0 0 0 BRENDON KELLY AUDIT COMMITTEE CHAIR 1.00 X 0 0 0 PATRICK BURNETT BOARD MEMBER (TERM START 10/19/2023) 1.00 X 0 0 0 SHANNON CRAGG BOARD MEMBER 1.00 X 0 0 0 ELENA GERVINO BOARD MEMBER 1.00 X 0 0 0 AMIT KHANNA BOARD MEMBER (TERM START 4/20/2023) 1.00 X 0 0 0 WENDY MAZZA BOARD MEMBER 1.00 X 0 0 0 ERIC SPENCER BOARD MEMBER 1.00 X 0 0 0 CHEROKEE SUSMAN BOARD MEMBER 1.00 X 0 0 0 ROGER VAN HORN BOARD MEMBER (TERM START 10/19/2023) 1.00 X 0 0 0 KEVIN YOO BOARD MEMBER (TERM START 10/19/2023) 1.00 X 0 0 0 PAUL DIEMER BOARD MEMBER (TERM END 10/2023) 1.00 X 0 0 0 ROBERT HOWARD BOARD MEMBER (TERM END 10/2023) 1.00 X 0 0 0 DAVE PREJNA BOARD MEMBER (TERM END 10/2023) 1.00 X 0 0 0 STEPHEN JANICKI CFO & SECRETARY TREASURER 40.00 X 369263 0 92715 JOHN SHEDD CHIEF INFO TECHNOLOGY OFFICER 40.00 X 355144 0 78712 DAVID LEVIN DIR QUALITY, FIELD OP & PROJ MGMT 40.00 X 323279 0 89872 JENNIFER FELDER DIR COMM TRAINING MEM SATISFACTION 40.00 X 212843 0 77543 CANDACE BOSCHARD DIR PRODUCT INNOVATION & DELIVERY 40.00 X 218443 0 55718 ELIZABETH GOURDINE DIR HUMAN RESOURCES & FACILITIES 40.00 X 211546 0 22785 SHEILA WALTON-MOORE DIR COMPLIANCE, PROCUREMENT & LEGAL 40.00 X 197932 0 29522 TINA MCKENZIE SENIOR PRODUCT MANAGER 40.00 X 220125 0 50562 RONALD COOKSEY SR SOFTWARE DEVELOPMENT MANAGER 40.00 X 216022 0 26898 JOHN ALCHIN SOFTWARE DEVELOPMENT MANAGER 40.00 X 205497 0 42756 TIMOTHY MCKERNAN MANAGER OPERATIONS-FIELD 40.00 X 189591 0 55469 CHARLES PARENTI MANAGER OPERATIONS-FIELD 40.00 X 188751 0 26033 3803780 0 827983 108 0 1 0 AHEAD INC 401 N MICHIGAN AVE SUITE 3400 CHICAGO IL 60611 CISCO SERVER HARWARE/SOFTWARE/MAINTENANC 2074360 ORACLE AMERICA INC PO BOX 203448 DALLAS TX 753203448 SOFTWARE/HARDWARE IT SERVICES 1675097 RELIAQUEST LLC 777 SOUTH HARBOR ISLAND BLVD SUITE TAMPA FL 33602 SIEM AND SOC SERVICES 533600 DYNATRACE INC PO BOX 74008118 CHICAGO IL 606748118 SOFTWARE IT SERVICES 509000 GFT USA INC 261 MADISON AVE NEW YORK NY 10016 BUILD DEVCONNECT ACCELERATOR 477463 10 CASE FILING ASSESSMENT CHARGES 541100 50298687 50298687 ADJOURNMENT FEES 541100 1351873 1351873 FEES TO DEFER CASES 541100 1022738 1022738 ARBITRATION APPEAL 541100 8000 8000 52681298 2470746 2470746 70793575 70525478 2643 268097 -2643 265454 265454 55417498 52681298 0 2736200 69328 25000 3410057 19214346 3481534 4179356 1504924 232291 47150 178052 3243673 35702 833771 4474099 120315 22619 405655 5256674 302805 STATE EXCISE TAX 20391 BAD DEBT EXPENSE 5886 9164 47072792 3078816 5108104 116474 544659 3991823 5868613 4657149 3737154 10099906 7879435 1374181 2220471 63161753 70429885 14015359 11986886 377388 292040 90772943 100187812 5332939 5586933 1979065 1454562 6741542 7446295 14053546 14487790 X 76719397 85700022 76719397 85700022 90772943 100187812 X 8344706 1890117 -1254198 X X 0 1 X 1 0 12089 2023 10066 10050336 7842379 2207957 37481 35033 2448 2220471 LONG-TERM PENSION LIABILITY 3295954 DEFERRED COMPENSATION 3433499 LONG-TERM INCENTIVE COMPENSATION PAYABLE 417185 OPERATING LEASE LIABILITY 299657 7446295 X 87906506 1890117 30774300 2643 32667060 55239446 178052 178052 55417498 77669040 30774300 30774300 46894740 178052 178052 47072792 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(6). MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT OR DISCLOSURE IN THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISION OF THE ACCOUNTING GUIDANCE FOR INCOME TAXES AS OF DECEMBER 31, 2023 AND 2022, RESPECTIVELY. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON EQUIPMENT DISPOSALS 2,643. 1 AMERICAN RED CROSS PO BOX 4236 TAMPA FL 336774236 530196605 501(C)(3) 0 8865 N/A N/A TO FURTHER ORGANIZATION'S CHARITABLE PURPOSE HOPE CHILDREN'S HOME 11415 HOPE INTERNATIONAL DR TAMPA FL 33625 620879012 501(C)(3) 0 10783 N/A N/A TO FURTHER ORGANIZATION'S CHARITABLE PURPOSE THE SPRING OF TAMPA BAY INC PO BOX 4772 TAMPA FL 336779900 591777135 501(C)(3) 0 17939 N/A N/A TO FURTHER ORGANIZATION'S CHARITABLE PURPOSE METROPOLITAN MINISTRIES 2301 N TAMPA ST TAMPA FL 33602 591477007 501(C)(3) 0 9167 N/A N/A TO FURTHER ORGANIZATION'S CHARITABLE PURPOSE RONALD MCDONALD HOUSE CHARITIES OF TAMPA BAY INC 35 DAVIS BLVD TAMPA FL 33606 591835985 501(C)(3) 0 13059 N/A N/A TO FURTHER ORGANIZATION'S CHARITABLE PURPOSE HUMANE SOCIETY OF TAMPA BAY 3607 N ARMENIA AVE TAMPA FL 33607 590799907 501(C)(3) 0 6500 N/A N/A TO FURTHER ORGANIZATION'S CHARITABLE PURPOSE 6 0 DEPENDENT SCHOLARSHIP PROGRAM 14 25000 0 N/A N/A PART I, LINE 2: GRANTS TO ORGANIZATIONS: ARBITRATION FORUMS' EMPLOYEES VOLUNTARILY PARTICIPATE IN A CHARITABLE GIVING PROGRAM. EMPLOYEES HAVE THE OPTION TO CONTRIBUTE TO SIX CHARITABLE ORGANIZATIONS VIA PAYROLL DEDUCTION. A LARGER SET OF CHARITABLE ORGANIZATIONS WERE PRE-SCREENED AND SELECTED BY ARBITRATION FORUMS AND INCLUDE ONLY ESTABLISHED, REPUTABLE 501(C)(3) ORGANIZATIONS. EMPLOYEES THEN SELECTED THE TOP SIX VIA VOTING. ARBITRATION FORUMS, INC. MATCHES THOSE CONTRIBUTIONS. DEPENDENT SCHOLARSHIP PROGRAM: ARBITRATION FORUMS HAS ESTABLISHED A DEPENDENT SCHOLARSHIP PROGRAM TO ASSIST EMPLOYEES' CHILDREN WHO PLAN TO FURTHER THEIR EDUCATION AFTER GRADUATING HIGH SCHOOL. SCHOLARSHIPS ARE OFFERED FOR FULL-TIME AND PART TIME STUDENTS AT AN ACCREDITED INSTITUTION OR VOCATIONAL AND TECHNICAL TRAINING INSTITUTION OF THE STUDENT'S CHOICE. DEPENDENTS (APPLICANTS) MUST BE AN UNDERGRADUATE STUDENT ENTERING OR ATTENDING A 4-YEAR ACCREDITED COLLEGE OR UNIVERSITY, A 2-YEAR ACCREDITED COMMUNITY COLLEGE OR A VOCATIONAL/ TECHNICAL SCHOOL AND MUST BE TAKING A CLASS SCHEDULE OF A MINIMUM OF 6 CREDIT HOURS PER SEMESTER. DEPENDENTS MUST HAVE OBTAINED A HIGH SCHOOL GRADE POINT AVERAGE (GPA) OF 3.0 OR HIGHER AND HAVE ACCUMULATED 100 HOURS OF HIGH SCHOOL VOLUNTEER HOURS. IF CURRENTLY ENROLLED IN AN ACCREDITED COLLEGE, UNIVERSITY OR A VOCATIONAL/ TECHNICAL SCHOOL, THE DEPENDENT MUST HAVE MAINTAINED A 3.0 GRADE POINT AVERAGE, EARNED 12 CREDITS OR MET ALL EDUCATIONAL REQUIREMENTS REQUIRED BY THE SCHOOL WITHIN THE LAST ACADEMIC YEAR. SCHOLARSHIPS ARE RENEWABLE FOR UP TO THREE ADDITIONAL YEARS, UNTIL A BACHELOR'S DEGREE IS OBTAINED OR THE EDUCATIONAL REQUIREMENTS OF THE SCHOOL ARE COMPLETED, WHICHEVER IS EARLIER. DEPENDENTS MUST SUBMIT A RENEWAL/NEW APPLICATION WITH ESSAY ALONG WITH AN ACADEMIC TRANSCRIPT OR LETTER FROM THE SCHOOL INDICATING ACADEMIC PERFORMANCE IN ORDER TO BE CONSIDERED FOR RENEWAL OF THEIR SCHOLARSHIP. X X X X 0 1 0 KATHLEEN MAHNE PRESIDENT & CEO 572794 0 284125 0 38425 0 130559 0 48839 0 1074742 0 0 0 STEPHEN JANICKI CFO & SECRETARY TREASURER 256947 0 86502 0 25814 0 44059 0 48656 0 461978 0 0 0 JOHN SHEDD CHIEF INFO TECHNOLOGY OFFICER 265970 0 83446 0 5728 0 41138 0 37574 0 433856 0 0 0 DAVID LEVIN DIR QUALITY, FIELD OP & PROJ MGMT 255312 0 66278 0 1689 0 41945 0 47927 0 413151 0 0 0 JENNIFER FELDER DIR COMM TRAINING MEM SATISFACTION 165515 0 46086 0 1242 0 29615 0 47928 0 290386 0 0 0 CANDACE BOSCHARD DIR PRODUCT INNOVATION & DELIVERY 184672 0 30207 0 3564 0 6790 0 48928 0 274161 0 0 0 TINA MCKENZIE SENIOR PRODUCT MANAGER 219379 0 0 0 746 0 6551 0 44011 0 270687 0 0 0 JOHN ALCHIN SOFTWARE DEVELOPMENT MANAGER 182877 0 20859 0 1761 0 7068 0 35688 0 248253 0 0 0 TIMOTHY MCKERNAN MANAGER OPERATIONS-FIELD 167617 0 19500 0 2474 0 8463 0 47006 0 245060 0 0 0 RONALD COOKSEY SR SOFTWARE DEVELOPMENT MANAGER 188264 0 25000 0 2758 0 26898 0 0 0 242920 0 0 0 ELIZABETH GOURDINE DIR HUMAN RESOURCES & FACILITIES 168934 0 41802 0 810 0 9567 0 13218 0 234331 0 0 0 SHEILA WALTON-MOORE DIR COMPLIANCE, PROCUREMENT & LEGAL 146409 0 50975 0 548 0 27126 0 2396 0 227454 0 0 0 CHARLES PARENTI MANAGER OPERATIONS-FIELD 168671 0 19250 0 830 0 26033 0 0 0 214784 0 0 0 PART I, LINE 4B IN APRIL 2001 THE BOARD APPROVED A NON-QUALIFIED PLAN WITHIN THE MEANING OF SECTION 457(F) OF THE INTERNAL REVENUE CODE FOR CERTAIN OF THE ORGANIZATION'S OFFICERS (PARTICIPANTS). THE BOARD HAS A RIGHT TO AMEND, SUSPEND, OR TERMINATE THE PLAN IN WHOLE OR IN PART. HOWEVER, ANY DEFERRED COMPENSATION BENEFITS ACCRUED PRIOR TO THE LATTER OF THE ADOPTION OF OR EFFECTIVE DATE OF SUCH AMENDMENT, SUSPENSION, OR TERMINATION WILL BE THE RIGHT OF THE PARTICIPANT. THE AMOUNTS CONTRIBUTED ON BEHALF OF OFFICERS AND KEY EMPLOYEES DURING 2023 ARE AS FOLLOWS: KATHLEEN MAHNE: $89,028 STEPHEN JANICKI: $2,255 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO TYPES OF MEMBERS: INSURER MEMBER: A PROPERTY OR CASUALTY INSURANCE COMPANY THAT UTILIZES THE INSURANCE ARBITRATION SERVICES OF THE ORGANIZATION OR INDIVIDUAL WHO IS EMPLOYED BY A PROPERTY OR CASUALTY INSURANCE COMPANY. NON-INSURER MEMBER: A COMPANY OR INDIVIDUAL WHO IS NOT AN INSURER MEMBER. A NON-INSURER MEMBER WOULD INCLUDE SELF-INSUREDS, TPAS (THIRD PARTY ADMINISTRATORS) AND ANY OTHER PERSON OR ENTITY THAT IS AUTHORIZED TO AND DOES UTILIZE THE SERVICES OF THE ORGANIZATION. AS OF DECEMBER 31, 2023, THE ORGANIZATION HAS OVER 5,300 MEMBERS CONSISTING SOLELY OF INSURERS, SELF-INSUREDS, AND THIRD-PARTY ADMINISTRATORS. FORM 990, PART VI, SECTION A, LINE 7A THE VOTING MEMBERS ELECT THE BOARD OF DIRECTORS (GOVERNING BODY). THE MEMBER COMPANIES DO NOT APPROVE THE DECISIONS OF THE GOVERNING BODY; HOWEVER, A VOTE OF MORE THAN 50% OF THE MEMBER COMPANIES OPPOSING THE DECISION CAN OVERTURN A BOARD DECISION. FORM 990, PART VI, SECTION B, LINE 11B THE SECRETARY/TREASURER SENDS THE FORM 990 TO THE ENTIRE BOARD OF DIRECTORS FOR APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS ONE OF SEVERAL THAT THE COMPANY UPLOADS TO THE ADP SYSTEM. ALL EMPLOYEES MUST ACKNOWLEDGE IN THE ADP PAYROLL SYSTEM THAT THEY READ AND UNDERSTOOD THE POLICY. THE CFO RECEIVES A SUMMARY REPORT WHICH IS SHARED WITH THE AUDIT COMMITTEE. DIRECTORS AND OFFICERS RECEIVE THE CONFLICT OF INTEREST POLICY AND PROCEDURES DISCLOSURE FORM AND ARE REQUIRED TO SIGN AND DATE THE POLICY DISCLOSURE FORM PRIOR TO THE CONCLUSION OF THE APRIL BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE HUMAN RESOURCES DEPARTMENT UTILIZES AN INDEPENDENT THIRD PARTY TO DETERMINE THE APPROPRIATE COMPENSATION AMOUNTS FOR THE CEO AND SENIOR MANAGERS. THIS INFORMATION IS SHARED WITH THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, WHO APPROVES THE COMPENSATION AND BENEFITS AMOUNTS. STARTING IN OCTOBER 2023, USI CONDUCTED A COMPENSATION SURVEY FOR THE CEO POSITION. THE SURVEY CONCLUDED IN EARLY 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: NET PERIODIC PENSION COST -176,750. OTHER PENSION RELATED CHANGES -1,077,448. FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTEE, COMPRISED OF FOUR DIRECTORS INDEPENDENT OF MANAGEMENT, ASSISTS THE BOARD IN CARRYING OUT ITS FIDUCIARY RESPONSIBILITIES RELATING TO ACCOUNTING AND REPORTING PRACTICES. THE COMMITTEE REVIEWS, APPRAISES, AND REPORTS TO THE BOARD ON THE FOLLOWING MATTERS: - THE INDEPENDENT AUDITORS RETAINED BY THE COMPANY; - THE QUALITY OF THE ACCOUNTING AND INTERNAL CONTROL SYSTEM; - THE ACCOUNTING PRINCIPLES ADOPTED BY MANAGEMENT AND ACCEPTED BY THE INDEPENDENT AUDITORS; - ANY CHANGES IN ACCOUNTING PRINCIPLES AND THEIR AFFECT UPON THE CORPORATION; AND - ANY SIGNIFICANT DIFFICULTIES ENCOUNTERED OR IMPORTANT DISCOVERIES MADE BY THE INDEPENDENT AUDITORS.