2022-11-02T14:44:36-05:00 2021-12-31 521446779 JOHNSON LAMBERT LLP 4242 SIX FORKS ROAD SUITE 1500 RALEIGH NC 27609 990 2021-01-01 061555320 ALLIANCE OF NONPROFITS FOR INSURANCE RISK RETENTION GROUP INC ALLI 8314590980 PO BOX 8507 SANTA CRUZ CA 950618507 KIM ADAY CFO, TREASURER 8314590980 2022-11-02 1 KIM ADAY 999009999 J CALVIN MARKS P01226973 9197196400 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z PAMELA DAVIS 300 PANETTA AVE SANTA CRUZ CA 95060 110175727 0 X WWW.INSURANCEFORNONPROFITS.ORG X 1999 VT QUALIFIED CHARITABLE RISK POOL FOR NONPROFIT ORGANIZATIONS. 13 12 0 14 0 0 0 0 50897738 67715179 3576261 2464320 67094 0 54541093 70179499 247970 0 0 0 0 0 0 0 0 47987364 62162569 48235334 62162569 6305759 8016930 220310661 261341148 164490769 201174313 55819892 60166835 X ALLIANCE OF NONPROFITS FOR INSURANCE, RISK RETENTION GROUP, INC. (ANI) IS A CHARITABLE RISK POOL WHOSE PURPOSE IS TO PROVIDE AFFORDABLE, APPROPRIATE, STABLE, AND SPECIALIZED INSURANCE COVERAGES TO OTHER 501(C)(3) NONPROFIT ORGANIZATIONS AND TO DEVELOP AND DELIVER TRAINING AND PRODUCTS TO ASSIST THESE ORGANIZATIONS TO PROVIDE THEIR SERVICES EFFECTIVELY AND EFFICIENTLY WHILE MINIMIZING THE FREQUENCY AND SEVERITY OF ACCIDENTS AND INJURY TO OTHERS DURING THE DELIVERY OF THEIR SERVICES TO OUR COMMUNITIES. 0 0 60686700 67715179 PROVIDED 11,132 501(C)(3) ORGANIZATIONS WITH A STABLE SOURCE OF REASONABLY PRICED LIABILITY INSURANCE TAILORED TO THE SPECIALIZED NEEDS OF THE NONPROFIT SECTOR. 467456 ASSISTED NONPROFIT ORGANIZATIONS WITH DEVELOPMENT AND IMPLEMENTATION OF SUCCESSFUL LOSS CONTROL AND RISK MANAGEMENT PROGRAMS BY PROVIDING LOSS CONTROL PUBLICATIONS, EMPLOYEE HANDBOOK REVIEWS, PRE-TERMINATION LEGAL CONSULTATIONS, DEFENSIVE DRIVER TRAINING, CHILD SEXUAL ABUSE PREVENTION TRAINING, AND ACCESS TO EMPLOYMENT BACKGROUND CHECK SERVICES. 61154156 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 424 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X KIMBERLY ADAY CFO & TREASURER 8314590980 300 PANETTA AVE SANTA CRUZ CA 95060 PAMELA DAVIS PRESIDENT 14.00 26.00 X X 0 474341 30579 KIM ADAY CFO, TREASURER 14.00 26.00 X 0 316064 31592 STEPHEN SUMNER CHAIRMAN 1.00 2.00 X X 0 0 0 PAM ALVAREZ VICE CHAIR (TO FEB '21) 1.00 2.00 X X 0 0 0 NIKKI POPE SECRETARY 1.00 X X 0 0 0 JEFFREY KENNESON ASSISTANT SECRETARY 1.00 1.00 X X 0 0 0 JACK BROWN DIRECTOR (FROM FEB '21) 1.00 X 0 0 0 NORRIS CLARK DIRECTOR 1.00 1.00 X 0 0 0 ANN MARIE GOTHARD DIRECTOR (FROM FEB '21) 1.00 X 0 0 0 EDWARD HAIK DIRECTOR 1.00 X 0 0 0 MARTHA MARCON DIRECTOR 1.00 3.00 X 0 0 0 DALENA MCGREW DIRECTOR 1.00 X 0 0 0 SHAUN POWERS DIRECTOR 1.00 X 0 0 0 ANNAMARIA RAPAKKO DIRECTOR (TO FEB '21) 1.00 X 0 0 0 MICHAEL SHAVER DIRECTOR 1.00 X 0 0 0 DANE SPURILL DIRECTOR 1.00 X 0 0 0 0 790405 62171 0 0 1 0 CANTOR WOLFF NICASTRO & HALLL LLC 350 MAIN ST STE 2140 BUFFALO NY 14202 MEMBER DEFENSE EXPENSES 450000 KEATING JONES HUGHES PC 200 SW MARKET ST STE 900 PORTLAND OR 97201 MEMBER DEFENSE EXPENSES 406704 MARSHALL DENNEHEY WARNER COLEMAN & GOGGI PO BOX 3118 SCRANTON PA 18505 MEMBER DEFENSE EXPENSES 379081 MOLOD SPITZ & DESANTIS PC 1430 BROADWAY 21ST FLOOR NEW YORK NY 10018 MEMBER DEFENSE EXPENSES 313856 BUCHANAN & BUCHANAN PA 1900 SE 18TH AVE STE 300 OCALA FL 34471 MEMBER DEFENSE EXPENSES 285357 22 NET EARNED PREMIUM 524298 67715179 67715179 67715179 2252569 2252569 40207979 39996228 211751 211751 211751 70179499 67715179 0 2464320 X 5984255 5602953 381302 45042 45042 159300 159300 248175 248175 11294822 11119360 175462 23801 23801 910 910 40000 40000 LOSS AND LOSS ADJUSTMEN 42594937 42594937 PREMIUM TAXES 3076927 3076927 LICENSES & FEES 82039 82039 DEFERRED ACQUISITION CO -1466262 -1466262 78623 66941 11682 62162569 61154156 1008413 0 18025407 12882773 36018938 40763930 21192777 26130338 106666612 132994787 38406927 48569320 220310661 261341148 2181551 1786890 162309218 199387423 164490769 201174313 X 10000000 10000000 2000000 2000000 43819892 48166835 55819892 60166835 220310661 261341148 X 8016930 -3464342 -205645 X 0 1 X 1 0 X 30962219 34180878 39655353 50964832 67715179 223478461 30962219 34180878 39655353 50964832 67715179 223478461 239529 269360 299770 366589 389312 1564560 2284621 3598398 3133978 6985692 6012502 22015191 2524150 3867758 3433748 7352281 6401814 23579751 199898710 2035538 2485881 2744552 2351533 2252569 11870073 2035538 2485881 2744552 2351533 2252569 11870073 32997757 36666759 42399905 53316365 69967748 235348534 0.84940 0.85090 0.05040 0.05680 X 0 0 0 0 0 0 1 159300 0 0 159300 0 PART II-B, LINE 1: ANI'S BOARD HAS CONCLUDED THAT TO BE ABLE TO PROVIDE ITS MEMBERS WITH THE STANDALONE PROPERTY PRODUCTS THEY CANNOT FIND IN THE COMMERCIAL MARKET, ANI NEEDS TO HAVE THE AUTHORITY TO PROVIDE THESE COVERAGES TO ITS MEMBERS, IN ADDITION TO THE LIABILITY INSURANCE IT ALREADY PROVIDES. THAT REQUIRES AN AMENDMENT TO THE LIABILITY RISK RETENTION ACT OF 1986, A FEDERAL LAW. TO HELP WITH THIS EFFORT, WE HAVE ENGAGED CONSULTANTS IN DC AND ANI'S CEO HAS BEEN WORKING WITH MEMBERS OF CONGRESS AND THEIR STAFFS TO EDUCATE ABOUT THE NEED FOR AND ENCOURAGE SUPPORT OF THE NONPROFIT PROPERTY PROTECTION ACT WHICH IS PRESENTLY BEING CIRCULATED AS A DISCUSSION DRAFT. 0 REINSURANCE RECOVERABLE 47929837 INTEREST RECEIVABLE 639483 48569320 LOSS & LOSS ADJUSTMENT RESERVES 136664658 UNEARNED PREMIUM RESERVE 56963507 REINSURANCE PAYABLE 4198051 DUE TO AFFILIATE 1561207 199387423 X 66466982 -3464342 -3464342 69931324 248175 248175 70179499 61938394 24000 24000 61914394 248175 248175 62162569 PART X, LINE 2: MANAGEMENT CONCLUDED THAT THE COMPANY HAS PROPERLY MAINTAINED ITS EXEMPT STATUS AND THAT NO UNCERTAIN TAX POSITIONS EXIST AS OF DECEMBER 31, 2021. PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 24,000. 0 0 0 0 0 0 0 0 0 PAMELA DAVIS PRESIDENT 0 351937 0 100231 0 22173 0 17100 0 13479 0 504920 0 0 KIM ADAY CFO, TREASURER 0 291478 0 32457 0 -7871 0 17100 0 14492 0 347656 0 0 FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATIONS INSURED BY ANI ARE MEMBERS OF THE ORGANIZATION, AND ARE ENTITLED TO ONE VOTE EACH ON MATTERS SUBMITTED TO THE MEMBERSHIP. FORM 990, PART VI, SECTION A, LINE 7A ANI MEMBER ORGANIZATIONS ELECT THE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B A VOTE OF TWO-THIRDS OF THE MEMBERS IS REQUIRED TO MERGE OR DISSOLVE THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WILL BE MADE AVAILABLE ELECTRONICALLY TO THE ANI MANAGEMENT, OFFICERS, AND BOARD OF DIRECTORS FOR REVIEW AND DISCUSSION PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE BOARD OF DIRECTORS AND OFFICERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. THESE FORMS ARE REVIEWED BY THE CHAIRMAN OF THE AUDIT COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 ANI GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE ON IT'S WEBSITE AS WELL AS UPON REQUEST. FORM 990, PART IX, LINE 11G COMMISSIONS: PROGRAM SERVICE EXPENSES 10,907,495. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,907,495. ACTUARIAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 38,240. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,240. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 211,865. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 211,865. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 137,222. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 137,222. FORM 990, PART XI, LINE 9: CHANGE IN OTHER COMPREHENSIVE INCOME -181,645. BAD DEBT EXPENSE -24,000. ALLIANCE MEMBER SERVICES 300 PANETTA AVE SANTA CRUZ CA 95060 061555318 SUPPORTING ORGANIZATION VT 501(C)(3) 12-I N/A 0 NATIONAL ALLIANCE OF NONPROFITS FOR INSURANCE 300 PANETTA AVE SANTA CRUZ CA 95060 061555321 CHARITABLE RISK POOL VT 501(C)(3) 10 N/A 0 NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA 300 PANETTA AVE SANTA CRUZ CA 95060 770203935 CHARITABLE RISK POOL CA 501(C)(3) 10 N/A 0 AMS INSURANCE SERVICES PO BOX 8507 SANTA CRUZ CA 95061 770513798 INSURANCE BROKER CA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1