2015-10-29T16:25:40-05:00 2014-12-31 420714325 McGladrey LLP 4801 Main Street Suite 400 Kansas City MO 64112 990 2014-01-01 431763793 National Insurance Producer Registry DBA NIPR NATI 8168423600 1100 Walnut Street No 1500 Kansas City MO 64106 Karen Hornig Executive Director 8168423600 2015-10-19 1 Connie Henderson P00156688 8167533000 2014 2016-04-25 22:37:26Z NIPR Karen Stakem Hornig 1100 Walnut Street No 1500 Kansas City MO 64106 33488758 0 X www.nipr.com X 1996 MO NIPR is a unique public-private partnership that supports the work of the states and the NAIC in making the producer-licensing process more cost-effective, streamlined and uniform for the benefit of the regulators, the insurance industry and the consumers they protect and serve. 13 12 97 12 0 0 0 0 24366648 26923530 806470 1209899 0 0 25173118 28133429 0 0 0 0 6473200 6895111 0 0 0 16017225 17807822 22490425 24702933 2682693 3430496 35037734 38659375 2625721 2966871 32412013 35692504 X NIPR is a unique public-private partnership that supports the work of the states and the NAIC in making the producer-licensing process more cost-effective, streamlined and uniform for the benefit of the regulators, the insurance industry and the consumers they protect and serve. 0 0 NIPR supports the members of the National Association of Insurance Commissioners, a 501(c)(3) organization, through a service agreement, by assisting in maintaining the NAIC's state producer licensing database which contains records regarding insurance agents and other such producers throughout the fifty states, the District of Columbia, Puerto Rico and the Virgin Islands. These records are accessed electronically by the insurance commmissioners of all such jurisdictions and their staffs and may be employed to expedite the producer licensing activities thereof. The producer database may be accessed by insurance companies. In addition, the gateway facilitates the producer licensing, appointment and termination process between state insurance regulators and the insurance industry. 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 8 0 1 97 1 0 0 0 0 0 0 X 13 12 1 0 1 0 1 1 0 1 0 0 0 1 1 1 1 1 1 1 0 0 X Jim Woody NAIC CFO 8168423600 1100 Walnut Street Suite 1500 Kansas City MO 64106 The Honorable Scott J Kipper Director 1.00 X 0 0 0 David Leifer Director 1.00 X 0 0 0 The Honorable Monica Lindeen Director 1.00 X 0 0 0 Suzanne Loomis Director 1.00 X 0 0 0 The Honorable Joseph G Murphy Director 1.00 X 0 0 0 The Honorable Sandy Praeger Director 1.00 X 0 0 0 Elise Spriggs Director 1.00 X 0 0 0 Jessica Waltman Director 1.00 X 0 0 0 Jenn Webb Director 1.00 X 0 0 0 The Honorable Roger Sevigny Director President 1.00 X X 0 0 0 John Fielding Director Vice President 1.00 X X 0 0 0 The Honorable Julie Mix McPeak Director Secretary/Treasurer 1.00 X X 0 0 0 Senator Ben Nelson Director CEO NAIC 1.00 37.50 X 0 1553758 21885 David Eppstein Director 1.00 X 0 0 0 Karen Stakem Hornig Executive Director 37.50 X 139449 0 4665 Laurie Wolf Deputy Director 37.50 X 159698 0 13081 Susan Maldonado Assistant Director/Operations 37.50 X 133571 0 17499 Dennis Wilson Assistant Director/Technology Applications 37.50 X 128061 0 21674 Patricia Hertlein Sr Manager II Sales & Marketing 37.50 X 113810 0 18038 Thomas Bergin Manager III-PDB & Support Services 37.50 X 113433 0 26492 Roderick McDonald Sr Software Engineer II 37.50 X 107299 0 26192 Maryellen Waggoner Executive Director 0.00 X 192391 0 0 1087712 1553758 149526 9 1 1 0 Tricom Technical Service LC 9240 Glenwood Overland Park KS 66212 Consulting 321526 Genesis Corp 15076 Collections Center Drive Chicago IL 60693 Consulting 192800 Grant Thornton LLP 1901 S Meyers Road Suite 455 Oakbrook Terrace IL 60181 Consulting 106643 3 Producer Licensing Fees 900099 13160490 13160490 Database Access Revenue 900099 11522096 11522096 CAR Reports/Appt Rnwl/Alerts 900099 2130863 2130863 Attachment Warehouse 900099 68900 68900 User Conference 900099 33219 33219 7962 7962 26923530 514649 514649 6050579 5355329 695250 695250 695250 28133429 26923530 0 1209899 510191 4920868 335551 715056 413445 26496 51809 19350 110972 1246997 319682 90124 15319389 98767 266001 8303 7356 87806 Recruiting and Relocati 100031 Bad Debt 32776 User Conference 20880 Taxes 1083 24702933 1498560 1604899 12257055 14780869 2105887 2260225 57574 78168 199976 184952 3725 15024 19094073 19897076 20860 23114 35037734 38659375 2625721 2966871 2625721 2966871 X 32412013 35692504 32412013 35692504 35037734 38659375 3430496 -150005 0 X X 0 1 X 1 0 199976 184952 15024 15024 X 27983424 -150005 -150005 28133429 0 28133429 24702933 0 24702933 0 24702933 Part X, Line 2: Uncertain tax positions, if any, are recorded in accordance with FASB ASC 740, Income Taxes. FASB ASC 740 requires the recognition of a liability for tax positions taken that do not meet the more-likely-than-not standard that the position will be sustained upon examination by the taxing authorities. There is no liability for uncertain tax positions recorded at December 31, 2014 or 2013. X X X 1 1 X X X X 1 0 0 Senator Ben Nelson Director CEO NAIC 0 950000 0 500112 0 103646 0 19500 0 2385 0 1575643 0 0 Laurie Wolf Deputy Director 138837 0 20000 0 861 0 11801 0 1280 0 172779 0 0 0 Maryellen Waggoner Executive Director 0 0 0 0 192391 0 0 0 0 0 192391 0 0 0 Part I, Line 1a Karen Stakem Hornig, Laurie Wolf, Susan Maldonado and Dennis Wilson are eligible for a Director's benefit for various wellness/fitness items and tax and legal services which are compensated by NIPR. Senator Nelson is eligible for similar Director's benefits with the addition of companion travel. All of Senator Nelson's compensation and benefits are paid and provided by the NAIC. Part I, Line 3 The NIPR has a formal Executive compensation policy for the Executive Director including an annual performance review, comparability data, and review and approval by the Board of Directors. The Assistant Director's compensation is determined by national surveys and is based on performance as stated in the written annual evaluation. Annual compensation increases are based on a review of national salary surveys. Part I, Line 4a Maryellen Waggoner received $192,391 in severance pay in 2014. She terminated employment with NIPR in late 2013. This amount is included in Part II, Line B (iii). Form 990, Part VI, Section A, line 2 Five members of the NIPR Board of Directors are also members of the NAIC Executive Committee which serves as the governing body of the NAIC which manages the business and affairs of the NAIC which in turn gives them a business relationship with other officers, directors, trustees and/or key employees. The five members are the Honorable Scott Kipper, the Honorable Monica Lindeen, the Honorable Julie McPeak, the Honorable Sandy Praeger and the Honorable Roger Sevigny. Form 990, Part VI, Section A, line 4 The Bylaws were updated on March 28, 2014 to move elections to the first quarter of each year to coincide with Board rotation at the end of the calender year and the NAIC nomination process in January of each year so that all new Board members had the opportunity to participate in the elections. Form 990, Part VI, Section A, line 6 The National Association of Insurance Commissioners (NAIC) is the sole member of the NIPR. The NAIC appoints the regulatory members of the governing body of the NIPR. The NAIC does not have any voting rights. The members appointed by the NAIC do have voting rights. Form 990, Part VI, Section A, line 7a The National Association of Insurance Commissioners (NAIC) is the sole member of the NIPR. The NAIC appoints the regulatory members of the governing body of the NIPR. The NAIC does not have any voting rights. The members appointed by the NAIC do have voting rights. Form 990, Part VI, Section A, line 8b The audit committee meets regularly before each Board of Directors meeting and the investment committee meets on an as needed basis. Both of their minutes are taken orally and then added to the official minutes for each Board of Directors meetings. They are not however authorized to act on behalf of the governing body (Board of Directors). Form 990, Part VI, Section B, line 11 National Insurance Producer Registry ("NIPR")is exempt from Federal income tax as an organization described in Section 501(c)(6) of the Internal Revenue Code. As an exempt organization, NIPR must annually file the IRS Form 990. The purpose of this Form 990 Review Policy ("Policy") is to ensure that a substantive and independent review of the Form 990 is undertaken by NIPR's Audit Committee. The Form 990 is a comprehensive self-audit of NIPR's activities including, without limitation, its compensation arrangements, transactions with interested persons, transactions with related organizations and it requires disclosure of its governance framework, policies and procedures. The form is a public document so anyone who wishes to review the form must be permitted to do so and if anyone requests a copy, they must be provided with one. II. General Policy: It is the general policy of NIPR to have its Audit Committee conduct a substantive review of the Form 990 during its preparation by an outside accountant with the assistance of NIPR's counsel, officers and staff. The final version of the Form 990 shall be provided to all of the members of NIPR's Board of Directors before it is filed with the IRS. III. Procedures in accordance with its review function: The Audit Committee shall take the following actions: *Approve the Form 990 preparer. *Carefully monitor the description of NIPR's purposes and activities reported on the Form 990 to ensure that the description provided accurately describes NIPR's purposes and activities and that the stated purposes and activities further the exempt purposes of NIPR within the meaning of Section 501(c)(6) of the Code. *Ensure that the mission statement stated in the Form 990 has been approved by the Board of Directors in a formal Board resolution. *Conduct a detailed review and analysis of the material tax and financial issues as well as disclosure issues raised by the Form 990. *Consult directly with the Form 990 preparer and legal counsel, when appropriate, relative to any tax, financial or disclosure issues presented on the form. *After consideration and analysis of all of the material issues, and after discussions with the Form 990 preparer and legal counsel, forward the final version to the Board of Directors for its review and approval prior to filing. *Approve and distribute the annual questionnaire to officers, directors and key employees to acquire information on their respective family and business relationships, transactions with NIPR, potential conflicts of interest, and other information needed to answer various Form 990 questions and comply with NIPR's Conflict of Interest Policy. Form 990, Part VI, Section B, line 12c The organization has its Board of Directors and employees sign and submit annual questionnaires disclosing their potential conflict of interest. The Board of Directors forms are kept on file with the Executive Director. The employee forms are retained in the employee's personnel file in Human Resources. Newly signed forms are required annually. Form 990, Part VI, Section B, line 15a 15A: The NIPR has a formal executive compensation policy for the Executive Director including an annual performance review, comparability data, and review and approval by the Board of Directors. 15B: There are no officers other than the Executive Director compensated by the organizstion. Key employees have an annual performance review performed by their immediate supervisor. Form 990, Part VI, Section C, line 19 NIPR includes their annual audited financial statements in the annual report, which is posted to their website at www.NIPR.com. Governing documents and the conflict of interest policy are available upon request. Form 990, Part XII, Line 2c The process has not changed from the prior year. NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS 1100 WALNUT STREET SUITE 1500 KANSAS CITY MO 64106 311674580 SEE PART VII DE 501(c)(3) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 Schedule R, Part II The National Association of Insurance Commissioners (NAIC) is an organization of the chief insurance regulatory officials of the 50 states, the District of Columbia, American Samoa, Guam, Puerto Rico, the U.S. Virgin Islands and the Northern Mariana Islands. Formed in 1871, it is the oldest association of state officials. The National Association of Insurance Commissioners (NAIC) is the U.S. standard-setting and regulatory support organization created and governed by the chief insurance regulators from the 50 states, the District of Columbia and five U.S. territories. Through the NAIC, state insurance regulators establish standards and best practices, conduct peer review, and coordinate their regulatory oversight. NAIC staff supports these efforts and represents the collective views of state regulators domestically and internationally. NAIC members, together with the central resources of the NAIC, form the national systems of state-based insurance regulation in the U.S. The NAIC provides a wide range of services to support the work of its committees, the state insurance departments, state and federal officials and the public. The Association maintains three offices: the Executive Office, in Washington, D.C.; the Central Office, in Kansas City, MO; and the Capital Markets & Investment Analysis Office in New York NY.