2019-11-05T19:47:27-06:00 2018-12-31 521446779 JOHNSON LAMBERT LLP 4242 SIX FORKS ROAD SUITE 1500 RALEIGH NC 27609 990 2018-01-01 770203935 NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA INC NONP 8314590980 PO BOX 8507 SANTA CRUZ CA 950618507 KIM ADAY CFO, TREASURER 8314590980 2019-11-05 1 J CALVIN MARKS P01226973 9197196400 34.206.232.202 2019-11-05 19:47:23 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9C238F1B6484ABD2E08FB3ED1A4A2692AD2A909B 2018 2020-03-31 21:24:44Z PAMELA DAVIS 333 FRONT STREET SUITE 200 SANTA CRUZ CA 95060 113997456 0 X WWW.INSURANCEFORNONPROFITS.ORG X 1988 CA CHARITABLE RISK POOL FOR CALIFORNIA NONPROFIT ORGANIZATIONS. 13 12 0 12 0 0 0 0 60326010 63512648 7260218 9268416 283975 0 67870203 72781064 0 0 0 0 0 0 0 0 0 59541836 64198650 59541836 64198650 8328367 8582414 311201602 349074591 159035884 195354374 152165718 153720217 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 63056136 59872081 PROVIDED 9,933 501(C)(3) ORGANIZATIONS WITH A STABLE SOURCE OF REASONABLY PRICED LIABILITY INSURANCE TAILORED TO THE SPECIALIZED NEEDS OF THE NONPROFIT SECTOR. 276972 453931 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. 63333108 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 1 550 0 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 CA X KIMBERLY ADAY CFO TREASURER 8314590980 333 FRONT STREET SUITE 200 SANTA CRUZ CA 95060 PAMELA DAVIS PRESIDENT & CEO 20.00 20.00 X X 0 457268 27122 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 0.00 X X 0 0 0 KRISTIN BRADBURY DIRECTOR 1.00 0.00 X 0 0 0 NORRIS CLARK DIRECTOR 1.00 1.00 X 0 0 0 EDWARD DURKEE DIRECTOR (FROM FEB '18) 1.00 0.00 X 0 0 0 DANILO GARCIA DIRECTOR 1.00 0.00 X 0 0 0 DONALD KLEINFELDER DIRECTOR 1.00 0.00 X 0 0 0 MARTHA MARCON DIRECTOR 1.00 3.00 X 0 0 0 DEBRA MARSTELLER DIRECTOR 1.00 0.00 X 0 0 0 CHERYL PADDACK DIRECTOR 1.00 0.00 X 0 0 0 GUITA SHARIFI DIRECTOR (FROM FEB '18) 1.00 0.00 X 0 0 0 KIM ADAY CFO, TREASURER 20.00 20.00 X 0 303339 29807 0 760607 56929 0 0 1 0 CLOUSESPANIAC ATTORNEYS 8038 HAVEN AVE STE E RANCHO CUCAMONGA CA 91730 MEMBER DEFENSE EXPENSES 902578 VOGL MEREDITH BURKE LLP 456 MONTGOMERY ST 20TH FL SAN FRANCISCO CA 94104 MEMBER DEFENSE EXPENSES 873602 MANNING & KASS ELLROD RAMIREZ TESTER 801 S FIGUEROA ST 15TH FLOOR LOS ANGELES CA 90017 MEMBER DEFENSE EXPENSES 756870 MATHENY SEARS LINKERT & JAIME LLP 3638 AMERICAN RIVER DR SACRAMENTO CA 95864 MEMBER DEFENSE EXPENSES 550780 MEYERS FOZI LLP 1808 ASTON AVE STE 100 CARLSBAD CA 92008 MEMBER DEFENSE EXPENSES 550058 22 NET EARNED PREMIUMS 524126 63019049 63019049 PROGRAM SERVICE FEES 524298 493599 493599 63512648 7772394 36340 7736054 39124766 3587648 38728280 2488112 396486 1099536 1496022 1496022 72781064 63548988 0 9232076 X 8791353 8372560 418793 98767 98767 84797 84797 85711 85711 388126 388126 9132794 9132094 700 75001 17275 57726 22270 22270 26430 1014 25416 5250 5250 5486 5486 3820 3820 58961 58961 LOSS & LOSS ADJUSTMENT 42491403 42748232 -256829 POLICYHOLDER DIVIDEND 2923337 2923337 MEMBER SERVICES 34896 34896 DEFERRED ACQUISITION CO -96424 -96424 66672 17989 48683 64198650 63333108 865542 0 13486585 11358255 24503411 25663582 699060 905531 5317357 5402044 5919206 32012 483448 5887194 235841162 239125569 30870579 60732416 311201602 349074591 627607 682440 1760533 660999 935000 0 155712744 194010935 159035884 195354374 X 0 0 900507 900507 151265211 152819710 152165718 153720217 311201602 349074591 X 8582414 -7021147 -6768 X 0 1 X 1 0 X 46113745 50429926 54184072 60326010 63512648 274566401 46113745 50429926 54184072 60326010 63512648 274566401 0 610775 679487 381637 429027 365618 2466544 610775 679487 381637 429027 365618 2466544 272099857 6042733 5629525 6290425 6981341 7772394 32716418 6042733 5629525 6290425 6981341 7772394 32716418 52156478 56059451 60474497 67307351 71285042 307282819 0.88550 0.88220 0.10650 0.10730 X 0 0 0 0 0 0 1 85711 0 0 85711 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 3538808 3538808 42286 32012 10274 5887194 REINSURANCE RECOVERABLE 49196330 PREPAID REINSURANCE PREMIUM 10207675 INTEREST RECEIVABLE 1328411 60732416 LOSS & LOSS ADJUSTMENT RESERVES 149129305 UNEARNED PREMIUM RESERVE 41050749 REINSURANCE PAYABLE 2319885 COLLATERAL DEPOSITS 962307 PAYABLE TO AFFILIATE 548689 194010935 X 65371791 -7021147 -7021147 72392938 388126 388126 72781064 63828524 18000 18000 63810524 388126 388126 64198650 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, 2018. PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT 18,000. 0 0 0 0 0 0 0 0 0 PAMELA DAVIS PRESIDENT & CEO 0 339813 0 96798 0 20657 0 16200 0 10922 0 484390 0 0 KIM ADAY CFO, TREASURER 0 274789 0 28864 0 -314 0 16200 0 13607 0 333146 0 0 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 8,814,049. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,814,049. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 124,894. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 124,894. ACTUARIAL FEES: PROGRAM SERVICE EXPENSES 30,400. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,400. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 162,751. MANAGEMENT AND GENERAL EXPENSES 700. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 163,451. FORM 990, PART XI, LINE 9: CHANGE IN OTHER COMPREHENSIVE INCOME -396,486. CHANGE IN DIVIDEND PAYABLE 407,718. BAD DEBT -18,000. ALLIANCE MEMBER SERVICES 333 FRONT STREET STE 200 SANTA CRUZ CA 95060 061555318 SUPPORTING ORGANIZATION VT 501(C)(3) 12-I N/A 0 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