2016-11-02T10:50:26-05:00 2015-12-31 521446779 JOHNSON LAMBERT LLP 4242 SIX FORKS RD STE 1500 RALEIGH NC 27609 990 2015-01-01 770203935 NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA INC NONP 8314590980 PO BOX 8507 SANTA CRUZ CA 95061 KIM ADAY CFO, TREASURER 8314590980 2016-10-31 1 JOHN HUSKINS P01081531 9197196400 2016-11-02 2015 2017-02-10 21:41:12Z PAMELA DAVIS 333 FRONT STREET SUITE 200 SANTA CRUZ CA 95060 94777808 0 X WWW.INSURANCEFORNONPROFITS.ORG X 1988 CA CHARITABLE RISK POOL FOR CALIFORNIA NONPROFIT ORGANIZATIONS. 13 12 0 12 0 0 0 0 46113745 50429926 6673197 5701259 427294 661209 53214236 56792394 0 0 0 0 0 0 0 0 0 50084909 49488696 50084909 49488696 3129327 7303698 258336096 277824176 128585446 144829908 129750650 132994268 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 47498975 50429926 PROVIDED 9,082 501(C)(3) ORGANIZATIONS WITH A STABLE SOURCE OF REASONABLY PRICED LIABILITY INSURANCE TAILORED TO THE SPECIALIZED NEEDS OF THE NONPROFIT SECTOR. 244475 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. 47743450 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 1 437 0 1 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 R LAWRENCE BACON CHAIRMAN 1.00 3.00 X X 0 0 0 THOMAS WANDER VICE CHAIRMAN 1.00 X X 0 0 0 PAMELA DAVIS PRESIDENT & CEO 20.00 20.00 X X 0 455351 26552 J JEFF FLY SECRETARY 1.00 X X 0 0 0 JEANNE BELL DIRECTOR 1.00 X 0 0 0 NORRIS CLARK DIRECTOR 1.00 1.00 X 0 0 0 SUZANNE CROSS DIRECTOR 1.00 2.00 X 0 0 0 DONALD KLEINFELDER DIRECTOR 1.00 X 0 0 0 MARTHA MARCON DIRECTOR 1.00 3.00 X 0 0 0 CHERYL PADDACK DIRECTOR 1.00 X 0 0 0 MARY STROUBE DIRECTOR 1.00 2.00 X 0 0 0 JENNIFER WEISS DIRECTOR 1.00 X 0 0 0 TAMMY WILSON DIRECTOR 1.00 X 0 0 0 KIM ADAY CFO, TREASURER 20.00 20.00 X 0 301812 26484 0 757163 53036 0 0 1 0 CIHIGOYENETCHE GROSSBERG & CLOUSE 8038 HAVEN BLVD STE E RANCHO CUCAMONGA CA 91730 MEMBER DEFENSE EXPENSES 1055488 ERICKSEN ARBUTHNOT 152 N THIRD ST STE 700 SAN JOSE CA 95112 MEMBER DEFENSE EXPENSES 610458 MATHENY SEARS LINKERT & JAIME LLP 3638 AMERICAN RIVER DR SACRAMENTO CA 95864 MEMBER DEFENSE EXPENSES 573733 VOGL MEREDITH BURKE LLP 456 MONTGOMERY ST 20TH FL SAN FRANCISCO CA 94104 MEMBER DEFENSE EXPENSES 492183 KESSEL & ASSOCIATES 2410 BEVERLY BLVD LOS ANGELES CA 90057 MEMBER DEFENSE EXPENSES 397290 19 NET EARNED PREMIUMS 524126 50049776 50049776 PROGRAM SERVICE FEES 524298 380150 380150 50429926 5613116 21986 5591130 16409 0 16409 16409 16409 38073557 37985414 88143 88143 88143 LITIGATION AWARD 900099 644800 644800 644800 56792394 50451912 0 6340482 X 5157056 4962998 194058 87643 87643 50840 50840 55438 55438 331137 331137 7681558 7184336 497222 2395 2395 121875 10646 111229 50941 50941 24383 1394 22989 1201 1201 5430 5430 162567 162567 54165 54165 LOSS & LOSS ADJUSTMENT 34862758 34862758 POLICYHOLDER DIVIDEND 930108 930108 MEMBER SERVICES 65574 65574 DEFERRED ACQUISITION CO -300800 -300800 144427 26436 117991 49488696 47743450 1745246 0 12401544 15679153 15222745 18410877 518316 3876127 4180151 6564992 1794655 4931922 4770337 185655097 194665709 36248661 39599633 258336096 277824176 497841 476164 1760000 1495000 126327605 142858744 128585446 144829908 X 0 0 900507 900507 128850143 132093761 129750650 132994268 258336096 277824176 X 7303698 -3617764 -442316 X 0 1 X 1 0 X 34457979 37108121 41248059 46113745 50429926 209357830 34457979 37108121 41248059 46113745 50429926 209357830 0 601284 883978 881855 610775 679487 3657379 601284 883978 881855 610775 679487 3657379 205700451 6175095 5915127 5375257 6042733 5629525 29137737 6175095 5915127 5375257 6042733 5629525 29137737 40633074 43023248 46623316 52156478 56059451 238495567 0.86250 0.84970 0.12220 0.13390 X 0 0 0 0 0 0 1 55438 0 0 55438 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 INSURANCE PRODUCTS THEY NEED TO OPERATE AS EFFECTIVELY AND EFFICIENTLY AS POSSIBLE, ANI NEEDS TO HAVE THE AUTHORITY TO PROVIDE PROPERTY INSURANCE 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 ALLOW ANI TO BETTER SERVE OUR MEMBERS, ANI'S CEO HAS BEEN MEETING WITH MEMBERS OF CONGRESS TO ENCOURAGE THEM TO SUPPORT THE PROVISIONS OF H.R. 3794 (INTRODUCED IN THE 114TH CONGRESS). 1481423 1481423 4876614 1750064 3126550 206955 44591 162364 4770337 REINSURANCE RECOVERABLE 31854336 INTEREST RECEIVABLE 1077740 PREPAID REINSURANCE PREMIUM 6667557 39599633 LOSS & LOSS ADJUSTMENT RESERVES 109805767 UNEARNED PREMIUM RESERVE 31480366 PAYABLE TO AFFILIATE 484388 REINSURANCE PAYABLE 1088223 142858744 X 52843493 -3617764 -3617764 56461257 331137 331137 56792394 49157559 0 49157559 331137 331137 49488696 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, 2015. 0 0 0 0 0 0 0 0 0 PAMELA DAVIS PRESIDENT & CEO 0 339414 0 98994 0 16943 0 15600 0 10952 0 481903 0 0 KIM ADAY CFO, TREASURER 0 263977 0 38433 0 -598 0 15600 0 10884 0 328296 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 11 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 7,061,205. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,061,205. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 413,188. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 413,188. ACTUARIAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 57,500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,500. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 123,131. MANAGEMENT AND GENERAL EXPENSES 26,534. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 149,665. FORM 990, PART XI, LINE 9: CHANGE IN OTHER COMPREHENSIVE INCOME -88,143. CHANGE IN DIVIDEND PAYABLE -354,173. 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 0 0