2018-11-13T16:11:41-06:00 2017-12-31 521446779 JOHNSON LAMBERT LLP 4242 SIX FORKS RD STE 1500 RALEIGH NC 27609 990 2017-01-01 770203935 NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA INC NONP 8314590980 PO BOX 8507 SANTA CRUZ CA 95061 KIM ADAY CFO, TREASURER 8314590980 2018-11-08 1 JOHN HUSKINS P01081531 9197196400 2018-11-13 66.77.128.118 2018-11-13 17:11:21 ES P B582B7A592289509DF3316763E624FD194D3A0C1 0300F7440FFCAFEE97AE10E69CBFFC829D088163 2017 2019-02-21 02:37:17Z PAMELA DAVIS 333 FRONT STREET SUITE 200 SANTA CRUZ CA 95060 96562224 0 X WWW.INSURANCEFORNONPROFITS.ORG X 1988 CA CHARITABLE RISK POOL FOR CALIFORNIA NONPROFIT ORGANIZATIONS. 12 11 0 11 0 0 0 0 54184072 60326010 7058355 7260218 300361 283975 61542788 67870203 0 0 0 0 0 0 0 0 0 54273199 59541836 54273199 59541836 7269589 8328367 291316198 311201602 151274912 159035884 140041286 152165718 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 58268595 59872081 PROVIDED 9,566 501(C)(3) ORGANIZATIONS WITH A STABLE SOURCE OF REASONABLY PRICED LIABILITY INSURANCE TAILORED TO THE SPECIALIZED NEEDS OF THE NONPROFIT SECTOR. 341328 453929 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. 58609923 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 1 483 0 1 0 0 0 0 0 0 0 0 0 0 0 X 12 11 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 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 PAMELA DAVIS PRESIDENT & CEO 20.00 20.00 X X 0 461201 26373 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 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 (FROM MAR '17) 1.00 X 0 0 0 CHERYL PADDACK DIRECTOR 1.00 X 0 0 0 MARY STROUBE DIRECTOR 1.00 2.00 X 0 0 0 KIM ADAY CFO, TREASURER 20.00 20.00 X 0 299472 29054 0 760673 55427 0 0 1 0 CLOUSESPANIAC ATTORNEYS 8038 HAVEN AVE STE E RANCHO CUCAMONGA CA 91730 MEMBER DEFENSE EXPENSES 1129202 VOGL MEREDITH BURKE LLP 456 MONTGOMERY ST 20TH FL SAN FRANCISCO CA 94104 MEMBER DEFENSE EXPENSES 830064 ALLEN GLAESSNER HAZELWOOD & WERTH LLP 180 MONTGOMERY ST STE 1200 SAN FRANCISCO CA 91410 MEMBER DEFENSE EXPENSES 518927 SOLTMAN LEVITT FLAHERTY & WATTLES LLP 90 E THOUSAND OAKS BLVD STE 300 THOUSAND OAKS CA 91360 MEMBER DEFENSE EXPENSES 518373 MATHENY SEARS LINKERT & JAIME LLP 3638 AMERICAN RIVER DR SACRAMENTO CA 95864 MEMBER DEFENSE EXPENSES 498767 23 NET EARNED PREMIUMS 524126 59872081 59872081 PROGRAM SERVICE FEES 524298 453929 453929 60326010 6697366 52923 6644443 283975 0 283975 283975 283975 28604471 650402 28240953 451068 363518 199334 562852 562852 67870203 60378933 0 7491270 X 8047998 7660172 387826 9337 9337 84797 84797 78155 78155 369675 369675 8892789 8704109 188680 19068 19068 64021 703 63318 74832 74832 38085 415 37670 6420 6420 13489 957 12532 164104 164104 52751 52751 LOSS & LOSS ADJUSTMENT 40199715 40199715 POLICYHOLDER DIVIDEND 1895210 1895210 MEMBER SERVICES 69682 69682 DEFERRED ACQUISITION CO -638598 -638598 100306 805 99501 59541836 58609923 931913 0 17867170 13486585 19448915 24503411 812268 699060 4666155 5317357 515075 31627 4607700 483448 213747658 235841162 30166332 30870579 291316198 311201602 472380 627607 1760533 1220000 935000 149582532 155712744 151274912 159035884 X 0 0 900507 900507 139140779 151265211 140041286 152165718 291316198 311201602 X 8328367 4151667 -355602 X 0 1 X 1 0 X 41248059 46113745 50429926 54184072 60326010 252301812 41248059 46113745 50429926 54184072 60326010 252301812 0 881855 610775 679487 381637 429027 2982781 881855 610775 679487 381637 429027 2982781 249319031 5375257 6042733 5629525 6290425 6981341 30319281 5375257 6042733 5629525 6290425 6981341 30319281 46623316 52156478 56059451 60474497 67307351 282621093 0.88220 0.87350 0.10730 0.11320 X 0 0 0 0 0 0 1 78155 0 0 78155 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 A FIRM 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 115TH CONGRESS AS H.R. 6292. 472790 472790 42285 31627 10658 483448 REINSURANCE RECOVERABLE 20047131 INTEREST RECEIVABLE 1229446 PREPAID REINSURANCE PREMIUM 9594002 30870579 LOSS & LOSS ADJUSTMENT RESERVES 112984493 UNEARNED PREMIUM RESERVE 39421152 PAYABLE TO AFFILIATE 1492705 REINSURANCE PAYABLE 1814394 155712744 X 71652195 4151667 4151667 67500528 369675 369675 67870203 59172161 0 59172161 369675 369675 59541836 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, 2017. 0 0 0 0 0 0 0 0 0 PAMELA DAVIS PRESIDENT & CEO 0 339813 0 97198 0 24190 0 15900 0 10473 0 487574 0 0 KIM ADAY CFO, TREASURER 0 270894 0 39773 0 -11195 0 15900 0 13154 0 328526 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 8,612,664. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,612,664. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 144,596. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 144,596. ACTUARIAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 30,400. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,400. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 91,445. MANAGEMENT AND GENERAL EXPENSES 13,684. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 105,129. FORM 990, PART XI, LINE 9: CHANGE IN OTHER COMPREHENSIVE INCOME -363,518. CHANGE IN DIVIDEND PAYABLE 7,916. ALLIANCE MEMBER SERVICES 333 FRONT STREET STE 200 SANTA CRUZ CA 95060 061555318 SUPPORTING ORGANIZATION VT 501(C)(3) 11 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) 9 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) 9 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