2020-10-29T12:46:56-05:00 2019-12-31 521446779 JOHNSON LAMBERT LLP 4242 SIX FORKS ROAD SUITE 1500 RALEIGH NC 27609 990 2019-01-01 061555320 ALLIANCE OF NONPROFITS FOR INSURANCE RISK RETENTION GROUP INC ALLI 8314590980 PO BOX 8507 SANTA CRUZ CA 950618546 KIM ADAY CFO, TREASURER 8314590980 2020-10-29 1 J CALVIN MARKS P01226973 9197196400 34.206.232.202 2020-10-29 12:46:51 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 75F1779BA68A735F9CB0B3115F257B873EEC838E 2019 2021-01-29 14:40:06Z PAMELA DAVIS 300 PANETTA AVE SANTA CRUZ CA 95060 85020861 0 X WWW.INSURANCEFORNONPROFITS.ORG X 1999 VT QUALIFIED CHARITABLE RISK POOL FOR NONPROFIT ORGANIZATIONS. 13 12 0 11 0 0 0 0 34180878 39366401 2428853 2931832 0 288952 36609731 42587185 0 0 0 0 0 0 0 0 0 34333039 38449890 34333039 38449890 2276692 4137295 155041179 177938148 116186585 131147922 38854594 46790226 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 37346333 39366401 PROVIDED 9,778 501(C)(3) ORGANIZATIONS WITH A STABLE SOURCE OF REASONABLY PRICED LIABILITY INSURANCE TAILORED TO THE SPECIALIZED NEEDS OF THE NONPROFIT SECTOR. 174524 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. 37520857 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 1 372 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 1 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 462220 30572 KIM ADAY CFO, TREASURER 14.00 26.00 X 0 323086 30463 STEPHEN SUMNER CHAIRMAN 1.00 2.00 X X 0 0 0 PAM ALVAREZ VICE CHAIR 1.00 2.00 X X 0 0 0 AVNISH GUPTA SECRETARY 1.00 2.00 X X 0 0 0 CINDY LYFORD ASSISTANT SECRETARY 1.00 1.00 X X 0 0 0 RONALD CARLETON DIRECTOR 1.00 X 0 0 0 GLEN CASEL DIRECTOR 1.00 X 0 0 0 NORRIS CLARK DIRECTOR 1.00 1.00 X 0 0 0 EDWARD HAIK DIRECTOR 1.00 1.00 X 0 0 0 MARTHA MARCON DIRECTOR 1.00 3.00 X 0 0 0 NIKKI POPE DIRECTOR 1.00 X 0 0 0 ANNAMARIA RAPAKKO DIRECTOR 1.00 X 0 0 0 TOM WANDER DIRECTOR 1.00 3.00 X 0 0 0 0 785306 61035 0 0 1 0 MARSHALL DENNEHEY WARNER COLEMAN & GOGGI 2000 MARKET ST STE 2300 PHILADELPHIA PA 19103 MEMBER DEFENSE EXPENSES 928516 MOLOD SPITZ & DESANTIS PC 1430 BROADWAY 21ST FLOOR NEW YORK NY 10018 MEMBER DEFENSE EXPENSES 455369 KEATING JONES HUGHES PC 200 SW MARKET ST STE 900 PORTLAND OR 97201 MEMBER DEFENSE EXPENSES 245920 BANCROFT MCGAVIN HORVATH & JUDKINS P 9990 FAIRFAX BLVD STE 400 FAIRFAX VA 22030 MEMBER DEFENSE EXPENSES 242899 BUSH & AUGSPURGER PA 3375-C CAPITAL CIRCLE NE STE 200 TALLAHASSEE FL 32308 MEMBER DEFENSE EXPENSES 241787 15 NET EARNED PREMIUM 524298 39366401 39366401 39366401 2744552 2744552 42620956 42433676 187280 187280 187280 FINANCE CHARGES 524298 288952 288952 288952 42587185 39366401 0 3220784 X 4061033 3654908 406125 65042 65042 107406 107406 164656 164656 6794336 6724807 69529 68927 68927 45556 45556 24692 24692 40000 40000 LOSS AND LOSS ADJUSTMEN 26019517 26019517 PREMIUM TAXES 1768594 1768594 LICENSES & FEES 43641 43641 DEFERRED ACQUISITION CO -839036 -839036 85526 84661 865 38449890 37520857 929033 0 12659587 10790006 16354847 22626330 10748001 13005214 81184085 93138140 34094659 38378458 155041179 177938148 1057424 1387991 115129161 129759931 116186585 131147922 X 10000000 10000000 2000000 2000000 26854594 34790226 38854594 46790226 155041179 177938148 X 4137295 3997617 -199280 X 0 1 X 1 0 X 28386178 29786977 30962219 34180878 39655353 162971605 28386178 29786977 30962219 34180878 39655353 162971605 187650 213000 239529 269360 299770 1209309 1420752 768775 2284621 3598398 3133978 11206524 1608402 981775 2524150 3867758 3433748 12415833 150555772 1299633 1559456 2035538 2485881 2744552 10125060 1299633 1559456 2035538 2485881 2744552 10125060 29685811 31346433 32997757 36666759 42399905 173096665 0.86980 0.87450 0.05850 0.05530 X 0 0 0 0 0 0 1 107406 0 0 107406 0 PART II-B, LINE 1: ANI'S BOARD HAS CONCLUDED THAT TO BE ABLE TO PROVIDE ITS MEMBERS WITH THE STAND ALONE 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, A FEDERAL LAW. TO HELP WITH THIS EFFORT, WE HAVE ENGAGED TWO CONSULTANTS IN DC AND ANI'S CEO HAS BEEN MEETING WITH MEMBERS OF CONGRESS AND THEIR STAFF TO EDUCATE ABOUT THE NEED FOR AND ENCOURAGE SUPPORT OF THE NONPROFIT PROPERTY PROTECTION ACT WHICH WAS INTRODUCED IN THE 116TH CONGRESS AS H.R. 4523. 0 REINSURANCE RECOVERABLE 37852521 INTEREST RECEIVABLE 525937 38378458 LOSS & LOSS ADJUSTMENT RESERVES 97600427 UNEARNED PREMIUM RESERVE 29804165 REINSURANCE PAYABLE 1755012 DUE TO AFFILIATE 600327 129759931 X 46420146 3997617 3997617 42422529 164656 164656 42587185 38297234 12000 12000 38285234 164656 164656 38449890 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, 2019. PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 12,000. 0 0 0 0 0 0 0 0 0 PAMELA DAVIS PRESIDENT 0 339813 0 101750 0 20657 0 16500 0 14072 0 492792 0 0 KIM ADAY CFO, TREASURER 0 280228 0 40897 0 1961 0 16500 0 13963 0 353549 0 0 FORM 990, PART VI, SECTION A, LINE 4 DURING DECEMBER 2019, THE ORGANIZATION MADE CHANGES TO ITS BYLAWS TO MAKE MEMBERSHIP AVAILABLE THROUGH PURCHASES OF COVERAGES OTHER THAN GENERAL LIABILITY INSURANCE. 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 6,721,947. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,721,947. ACTUARIAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 53,240. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,240. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,860. MANAGEMENT AND GENERAL EXPENSES 10,789. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,649. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,500. FORM 990, PART XI, LINE 9: CHANGE IN OTHER COMPREHENSIVE INCOME -187,280. BAD DEBT EXPENSE -12,000. ALLIANCE MEMBER SERVICES 333 FRONT STREET STE 200 SANTA CRUZ CA 95060 061555318 SUPPORTING ORGANIZATION VT 501(C)(3) 12-I N/A 0 NATIONAL ALLIANCE OF NONPROFITS FOR INSURANCE 333 FRONT STREET STE 200 SANTA CRUZ CA 95060 061555321 CHARITABLE RISK POOL VT 501(C)(3) 10 N/A 0 NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA 333 FRONT STREET STE 200 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