2023-05-05T15:09:24-05:00 2022-12-31 273605969 CBIZ MHM LLC 140 FOUNTAIN PKWY N STE 410 ST PETERSBURG FL 33716 990 2022-01-01 133095444 ARBITRATION FORUMS INC ARBI 8139314004 3820 NORTHDALE BOULEVARD 115 TAMPA FL 33624 STEVE JANICKI CFO & SECRETARY/TREASURER 8139314004 2023-05-05 1 STEVE JANICKI XXX-XX-XXXX 1 PAUL DUNHAM P00100222 7275721400 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SETH INGALL 3820 NORTHDALE BOULEVARD 115 TAMPA FL 33624 142883318 0 X WWW.ARBFILE.ORG X 1981 NY TO SERVE OUR MEMBER'S RECOVERY AND RESOLUTION NEEDS THROUGH SERVICE, COLLABORATION, AND INNOVATION. 12 11 198 10810 0 0 0 0 36282544 40605283 645050 -798975 -742 1438 36926852 39807746 103532 105413 0 0 29157793 28398517 0 0 0 12287761 13767669 41549086 42271599 -4622234 -2463853 106671146 90772943 26509853 14053546 80161293 76719397 TO FACILITATE THE EFFICIENCY AND EQUITABLE DISPOSITION OF INSURANCE RELATED DISPUTES TO AVOID THE COSTS AND DELAYS OF LITIGATION. 0 0 ARBITRATION SERVICES: IN 2022, ITS MEMBERS FILED ALMOST 1.1 MILLION DISPUTES AND OVER 2.3 MILLION SUBROGATION DEMANDS COLLECTIVELY WORTH MORE THAN $25.4 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 27 0 1 198 1 0 0 0 0 0 0 0 0 X 12 11 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 890747 0 187240 ELENA GERVINO CHAIR 1.00 X 0 0 0 SETH INGALL VICE CHAIR 1.00 X 0 0 0 BRENDON KELLY AUDIT COMMITTEE CHAIR 1.00 X 0 0 0 SHANNON CRAGG BOARD MEMBER 1.00 X 0 0 0 PAUL DIEMER BOARD MEMBER 1.00 X 0 0 0 ROBERT HOWARD BOARD MEMBER 1.00 X 0 0 0 WENDY MAZZA BOARD MEMBER (AS OF 4/14/22) 1.00 X 0 0 0 DAVE PREJNA BOARD MEMBER 1.00 X 0 0 0 ERIC SPENCER BOARD MEMBER 1.00 X 0 0 0 CHEROKEE SUSMAN BOARD MEMBER (AS OF 4/14/22) 1.00 X 0 0 0 SEAN WELCH BOARD MEMBER 1.00 X 0 0 0 ANURAG BAIRATHI BOARD MEMBER (1/1/22-10/13/22) 1.00 X 0 0 0 CHRIS WOLF BOARD MEMBER (1/1/22-10/13/22) 1.00 X 0 0 0 STEPHEN JANICKI AS OF 3122 CFO & SECRETARY TREASURER 40.00 X 368876 0 81804 JAIRO ARCILA THRU 7122 CFO & SECRETARY TREASURER 40.00 X 362477 0 72558 JOHN SHEDD CHIEF INFO TECHNOLOGY OFFICER 40.00 X 397043 0 68721 DAVID LEVIN DIR QUALITY, FIELD OP & PROJ MGMT 40.00 X 331887 0 78644 SHEILA WALTON-MOORE DIR COMPLIANCE, PROCUREMENT & LEGAL 40.00 X 267894 0 61327 JENNIFER FELDER DIR COMM TRAINING MEM SATISFACTION 40.00 X 195546 0 64925 KENNETH BUTLER DIR HUMAN RESOURCES & FACILITIES 40.00 X 268577 0 44525 WILLIAM PFEIFFER ENTERPRISE ARCHITECT 40.00 X 190935 0 48068 JOHN ALCHIN SOFTWARE DEVELOPMENT MANAGER 40.00 X 189599 0 42387 RONALD COOKSEY SR SOFTWARE DEVELOPMENT MANAGER 40.00 X 202126 0 23612 TIMOTHY MCKERNAN MANAGER OPERATIONS-FIELD 40.00 X 174678 0 50641 CHARLES PARENTI MANAGER OPERATIONS-FIELD 40.00 X 176552 0 22975 4016937 0 847427 86 0 1 0 AHEAD INC 401 N MICHIGAN AVE STE 3400 CHICAGO IL 60611 CISCO SERVER HARWARE/SOFTWARE/MAINTENANC 3400908 ORACLE AMERICA INC PO BOX 203448 DALLAS TX 753203448 SOFTWARE/HARDWARE IT SERVICES 1167023 RELIAQUEST LLC 777 S HARBOR ISLAND BLVD STE 500 TAMPA FL 33602 SIEM AND SOC SERVICES 537517 REURGENCY LLC 4798 S FLORIDA AVE LAKELAND FL 33813 IT CONSULTING 323643 INSIGHT DIRECT USA INC 6820 S HARI AVE TEMPE AZ 85283 SOFTWARE/HARDWARE IT SERVICES 295010 12 CASE FILING ASSESSMENT CHARGES 541100 38449316 38449316 ADJOURNMENT FEES 541100 1290288 1290288 FEES TO DEFER CASES 541100 856679 856679 ARBITRATION APPEAL 541100 9000 9000 40605283 1979585 1979585 100297012 103036728 38844 -2739716 -38844 -2778560 -2778560 1438 1438 1438 39807746 40606721 0 -798975 80413 25000 3742794 17404096 2123533 3713953 1414141 148468 55250 171942 3144223 22687 813984 3449109 221994 16593 277224 5070136 296333 STATE EXCISE TAX 16274 BAD DEBT EXPENSE 12694 50758 42271599 696290 3078816 116474 5305019 3991823 2059025 4657149 8787025 7412844 2394003 1374181 80480890 63161753 15734824 14015359 1095 377388 106671146 90772943 12857733 5332939 989898 1979065 12662222 6741542 26509853 14053546 X 80161293 76719397 80161293 76719397 106671146 90772943 X -2463853 -5644901 4666858 X X 0 1 X 1 0 40404 34786 5618 8700062 7337264 1362798 46559 40794 5765 1374181 LONG-TERM PENSION LIABILITY 3517720 DEFERRED COMPENSATION 2647330 LONG-TERM INCENTIVE COMPENSATION PAYABLE 195777 OPERATING LEASE LIABILITY 380715 6741542 X 61725719 -5644901 27695972 38844 22089915 39635804 171942 171942 39807746 69795629 27695972 27695972 42099657 171942 171942 42271599 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, 2022 AND 2021, RESPECTIVELY. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON EQUIPMENT DISPOSALS 38,844. 1 AMERICAN RED CROSS PO BOX 4236 TAMPA FL 336774236 530196605 501(C)(3) 7452 0 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) 9482 0 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) 25508 0 N/A N/A TO FURTHER ORGANIZATION'S CHARITABLE PURPOSE METROPOLITAN MINISTRIES 2301 N TAMPA ST TAMPA FL 33602 591477007 501(C)(3) 11311 0 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) 11210 0 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) 8999 0 N/A N/A TO FURTHER ORGANIZATION'S CHARITABLE PURPOSE 6 DEPENDENT SCHOLARSHIP PROGRAM 13 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 STUDY 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 12 CREDIT HOURS PER SEMESTER OR A FULL TIME CLASS SCHEDULE AS DETERMINED BY THE INSTITUTION. 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 24 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 0 1 0 KATHLEEN MAHNE PRESIDENT & CEO 453694 0 400629 0 36424 0 143006 0 44234 0 1077987 0 0 0 JOHN SHEDD CHIEF INFO TECHNOLOGY OFFICER 252742 0 139277 0 5024 0 34578 0 34143 0 465764 0 0 0 STEPHEN JANICKI AS OF 3122 CFO & SECRETARY TREASURER 231897 0 113816 0 23163 0 37709 0 44095 0 450680 0 0 0 JAIRO ARCILA THRU 7122 CFO & SECRETARY TREASURER 174666 0 163833 0 23978 0 47603 0 24955 0 435035 0 0 0 DAVID LEVIN DIR QUALITY, FIELD OP & PROJ MGMT 239290 0 91110 0 1487 0 35325 0 43319 0 410531 0 0 0 SHEILA WALTON-MOORE DIR COMPLIANCE, PROCUREMENT & LEGAL 194923 0 69407 0 3564 0 30903 0 30424 0 329221 0 0 0 KENNETH BUTLER DIR HUMAN RESOURCES & FACILITIES 63354 0 112483 0 92740 0 6556 0 37969 0 313102 0 0 0 JENNIFER FELDER DIR COMM TRAINING MEM SATISFACTION 150672 0 40632 0 4242 0 21605 0 43320 0 260471 0 0 0 WILLIAM PFEIFFER ENTERPRISE ARCHITECT 168201 0 21000 0 1734 0 8773 0 39295 0 239003 0 0 0 JOHN ALCHIN SOFTWARE DEVELOPMENT MANAGER 170041 0 17850 0 1708 0 6857 0 35530 0 231986 0 0 0 RONALD COOKSEY SR SOFTWARE DEVELOPMENT MANAGER 178450 0 21000 0 2676 0 23612 0 0 0 225738 0 0 0 TIMOTHY MCKERNAN MANAGER OPERATIONS-FIELD 155100 0 17164 0 2414 0 8154 0 42487 0 225319 0 0 0 CHARLES PARENTI MANAGER OPERATIONS-FIELD 159752 0 16012 0 788 0 22975 0 0 0 199527 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 2022 ARE AS FOLLOWS: KATHLEEN MAHNE: $107,095 JAIRO ARCILA: $34,003 JOHN SHEDD: $1,456 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, 2022, 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 HR 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. 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 524,659. OTHER PENSION RELATED CHANGES 4,142,199. 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.