2020-10-29T12:18:36-05:00 2019-12-31 521446779 JOHNSON LAMBERT LLP 4242 SIX FORKS ROAD SUITE 1500 RALEIGH NC 27609 990 2019-01-01 770203935 NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA INC NONP 8314590980 PO BOX 8507 SANTA CRUZ CA 95061 KIM ADAY CFO, TREASURER 8314590980 2020-10-29 1 J CALVIN MARKS P01226973 9197196400 34.206.232.202 2020-10-29 12:18:30 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 75F1779BA68A735F9CB0B3115F257B873EEC838E 2019 2021-01-29 14:40:06Z PAMELA DAVIS 300 PANETTA AVE SANTA CRUZ CA 95060 122493121 0 X WWW.INSURANCEFORNONPROFITS.ORG X 1988 CA CHARITABLE RISK POOL FOR CALIFORNIA NONPROFIT ORGANIZATIONS. 13 12 0 12 0 0 0 0 63512648 65493694 9268416 8661761 0 1177037 72781064 75332492 0 0 0 0 0 0 0 0 0 64198650 66613945 64198650 66613945 8582414 8718547 349074591 370320195 195354374 193448333 153720217 176871862 X NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA (NIAC) IS A CHARITABLE RISK POOL WHOSE PURPOSE IS TO PROVIDE AFFORDABLE, APPROPRIATE, STABLE, AND SPECIALIZED INSURANCE COVERAGES TO OTHER 501(C)(3) NONPROFIT ORGANIZATIONS IN CALIFORNIA 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 65967009 65493694 PROVIDED 10,404 501(C)(3) ORGANIZATIONS WITH A STABLE SOURCE OF REASONABLY PRICED LIABILITY INSURANCE TAILORED TO THE SPECIALIZED NEEDS OF THE NONPROFIT SECTOR. 265250 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. 66232259 1 0 0 1 0 0 0 0 0 0 1 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 1 545 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 CA X KIMBERLY ADAY CFO TREASURER 8314590980 300 PANETTA AVE SANTA CRUZ CA 95060 PAMELA DAVIS PRESIDENT & CEO 20.00 20.00 X X 0 462220 30572 KIM ADAY CFO, TREASURER 20.00 20.00 X 0 323086 30463 TOM WANDER CHAIRMAN 1.00 3.00 X X 0 0 0 TAMMY WILSON VICE CHAIRMAN 1.00 2.00 X X 0 0 0 J JEFF FLY SECRETARY 1.00 X X 0 0 0 KRISTIN BRADBURY DIRECTOR 1.00 X 0 0 0 NORRIS CLARK DIRECTOR 1.00 1.00 X 0 0 0 EDWARD DURKEE DIRECTOR 1.00 X 0 0 0 DANILO GARCIA DIRECTOR 1.00 X 0 0 0 DONALD KLEINFELDER DIRECTOR 1.00 X 0 0 0 MARTHA MARCON DIRECTOR 1.00 3.00 X 0 0 0 DEBRA MARSTELLER DIRECTOR 1.00 X 0 0 0 CHERYL PADDACK DIRECTOR 1.00 X 0 0 0 GUITA SHARIFI DIRECTOR 1.00 X 0 0 0 0 785306 61035 0 0 1 0 CLOUSESPANIAC ATTORNEYS 8038 HAVEN AVE STE E RANCHO CUCAMONGA CA 91730 MEMBER DEFENSE EXPENSES 1447432 DAVIS WANG A PROF LAW CORP 625 MARKET ST STE 1200 SAN FRANCISCO CA 94105 MEMBER DEFENSE EXPENSES 982207 BEACH COWDREY JENKINS LLP 500 E ESPLANADE DR STE 1400 OXNARD CA 93036 MEMBER DEFENSE EXPENSES 832766 BRADLEY CURLEY BARRABEE & KOWALSKI AP 1100 LARKSPUR LANDING CIRCLE STE 3 LARKSPUR CA 94939 MEMBER DEFENSE EXPENSES 722418 MEYERS FOZI LLP 1808 ASHTON AVE STE 100 CARLSBAD CA 92008 MEMBER DEFENSE EXPENSES 619693 22 NET EARNED PREMIUMS 524126 65493694 65493694 65493694 8064305 27079 8037226 47758085 47160629 597456 597456 597456 FINANCE CHARGES 524298 511038 511038 665999 665999 1177037 75332492 65520773 0 9811719 X 9255495 8858327 397168 4270 4270 95097 95097 107406 107406 410489 410489 9580724 9578523 2201 99009 34597 64412 2695 2695 15791 15791 979 979 37969 37969 LOSS & LOSS ADJUSTMENT 44478495 44747308 -268813 POLICYHOLDER DIVIDEND 2886559 2886559 TAXES AND FEES 19913 19445 468 -380946 94 -381040 66613945 66232259 381686 0 11358255 10892916 25663582 27957964 905531 932875 5402044 5820627 19627605 32012 5887194 19595593 239125569 254609152 60732416 50511068 349074591 370320195 682440 770143 660999 194010935 192678190 195354374 193448333 X 0 0 900507 900507 152819710 175971355 153720217 176871862 349074591 370320195 X 8718547 11358099 3074999 X 0 1 X 1 0 X 50429926 54184072 60326010 63512648 66004732 294457388 50429926 54184072 60326010 63512648 66004732 294457388 0 679487 381637 429027 365618 258112 2113881 679487 381637 429027 365618 258112 2113881 292343507 5629525 6290425 6981341 7772394 8064305 34737990 5629525 6290425 6981341 7772394 8064305 34737990 665999 665999 56059451 60474497 67307351 71285042 74735036 329861377 0.88630 0.88550 0.10530 0.10650 X 0 0 0 0 0 0 1 107406 0 0 107406 0 PART II-B, LINE 1: NIAC SUPPORTED THE LOBBYING EFFORTS OF THE ALLIANCE OF NONPROFITS FOR INSURANCE (ANI). 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. 2338112 2338112 17247207 17247207 42286 32012 10274 19595593 REINSURANCE RECOVERABLE 37882703 PREPAID REINSURANCE PREMIUM 11313475 INTEREST RECEIVABLE 1314890 50511068 LOSS & LOSS ADJUSTMENT RESERVES 144144801 UNEARNED PREMIUM RESERVE 44190978 REINSURANCE PAYABLE 2624195 PAYABLE TO AFFILIATE 1718216 192678190 X 90095211 11358099 3815109 15173208 74922003 410489 410489 75332492 66295855 92399 92399 66203456 410489 410489 66613945 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 XI, LINE 2D - OTHER ADJUSTMENTS: NET LOSS ON EQUITY SECURITIES 3,815,109. PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT 92,399. 0 0 0 0 0 0 0 0 0 PAMELA DAVIS PRESIDENT & CEO 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 NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA MEMBERSHIP IS COMPRISED OF NONPROFIT ORGANIZATIONS INCORPORATED OR QUALIFIED TO DO BUSINESS IN CALIFORNIA WHICH ARE INSURED BY NIAC. FORM 990, PART VI, SECTION A, LINE 7A NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA MEMBER INSUREDS ELECT THE BOARD OF DIRECTORS ANNUALLY. FORM 990, PART VI, SECTION A, LINE 7B MEMBERS HAVE THE RIGHT TO VOTE ON THE DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE ORGANIZATION'S ASSETS, ON ANY MERGER, AND ON ANY ELECTION TO DISSOLVE THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 WILL BE MADE AVAILABLE ELECTRONICALLY TO THE NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA 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. THESE FORMS ARE REVIEWED BY THE CHAIRMAN OF THE AUDIT COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G COMMISSIONS: PROGRAM SERVICE EXPENSES 9,257,726. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,257,726. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 125,974. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,974. ACTUARIAL FEES: PROGRAM SERVICE EXPENSES 37,400. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,400. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 157,423. MANAGEMENT AND GENERAL EXPENSES 2,201. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 159,624. FORM 990, PART XI, LINE 9: CHANGE IN OTHER COMPREHENSIVE INCOME -597,456. CHANGE IN DIVIDEND PAYABLE -50,255. BAD DEBT -92,399. NET LOSS ON EQUITY SECURITIES 3,815,109. ALLIANCE MEMBER SERVICES 333 FRONT STREET STE 200 SANTA CRUZ CA 95060 061555318 SUPPORTING ORGANIZATION VT 501(C)(3) 12-I N/A 0 ALLIANCE OF NONPROFITS FOR INSURANCE RISK RETENTION GROUP 333 FRONT STREET STE 200 SANTA CRUZ CA 95060 061555320 CHARITABLE RISK POOL VT 501(C)(3) 10 N/A 0 NATIONAL ALLIANCE OF NONPROFITS FOR INSURANCE INC 333 FRONT STREET STE 200 SANTA CRUZ CA 95060 061555321 CHARITABLE RISK POOL VT 501(C)(3) 10 N/A 0 AMS INSURANCE SERVICES INC PO BOX 8507 SANTA CRUZ CA 95061 770513798 INSURANCE BROKER CA N/A C 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 1 0