2014-11-08T08:12:29-06:00 2013-12-31 521446779 JOHNSON LAMBERT LLP 700 SPRING FOREST ROAD STE 115 RALEIGH NC 27609 990 2013-01-01 770203935 NONPROFITS' INSURANCE ALLIANCE OF CALIFORNIA INC NONP 8314590980 PO BOX 8507 SANTA CRUZ CA 95061 KIM ADAY CFO, TREASURER 8314590980 2014-11-06 1 JOHN HUSKINS P01081531 9197196400 2014-11-08 2013 2015-11-30 17:44:51Z PAMELA DAVIS 333 FRONT STREET SUITE 200 SANTA CRUZ CA 95060 78002742 0 X WWW.NIAC.ORG X 1988 CA CHARITABLE RISK POOL FOR CALIFORNIA NONPROFIT ORGANIZATIONS. 13 12 0 0 0 0 0 0 37108121 41248059 7399340 6908483 397380 415855 44904841 48572397 0 0 0 0 0 0 0 0 0 37887540 46700221 37887540 46700221 7017301 1872176 234767085 245319770 108111770 120535585 126655315 124784185 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 44806057 41248059 PROVIDED 8,313 501(C)(3) ORGANIZATIONS WITH A STABLE SOURCE OF REASONABLY PRICED LIABILITY INSURANCE TAILORED TO THE SPECIALIZED NEEDS OF THE NONPROFIT SECTOR. 642858 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. 45448915 1 0 0 0 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 1 378 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 PAMELA DAVIS PRESIDENT & CEO 20.00 20.00 X X 0 442449 25124 JOHN CHRISTENSEN SECRETARY 1.00 X X 0 0 0 KATHLEEN ADAMSON DIRECTOR 1.00 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 J JEFF FLY DIRECTOR 1.00 X 0 0 0 ROGER W GILBERT DIRECTOR (TO FEB '13) 1.00 3.00 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 BILL WALTERS DIRECTOR (TO FEB '13) 1.00 X 0 0 0 THOMAS WANDER DIRECTOR (FROM AUG '13) 1.00 X 0 0 0 TAMMY WILSON DIRECTOR (FROM FEB '13) 1.00 X 0 0 0 KIM ADAY CFO, TREASURER 20.00 20.00 X 0 278363 23611 0 720812 48735 0 0 1 0 KESSEL & ASSOCIATES 2410 BEVERLY BLVD LOS ANGELES CA 90057 CLAIMS LEGAL FEES 1587436 VOGL MEREDITH BURKE LLP 456 MONTGOMERY ST 20TH FL SAN FRANCISCO CA 94104 CLAIMS LEGAL FEES 885066 CIHIGOYENETCHE GROSSBERT & CLOUSE 8038 HAVEN BLVD STE E ATTN KATHY RANCHO CUCAMONGA CA 91730 CLAIMS LEGAL FEES 816802 MATHENY SEARS LINKERT & JAMIE LLP 3638 AMERICAN RIVER DR SACRAMENTO CA 95864 CLAIMS LEGAL FEES 723341 BRACK & MASON 1495 PACIFIC HIGHWAY SAN DIEGEO CA 92101 CLAIMS LEGAL FEES 446598 16 NET EARNED PREMIUMS 524126 40927931 40927931 PROGRAM SERVICE FEES 524298 320128 320128 41248059 4959402 4959402 415855 0 415855 415855 415855 31379426 29430345 1949081 1949081 1949081 48572397 41248059 0 7324338 X 4980739 4794971 185768 49176 49176 81690 81690 281771 281771 6178264 6102263 76001 200 200 128568 11027 117541 54983 54983 21358 3247 18111 44353 44353 6560 6560 146397 146397 68412 68412 LOSS & LOSS ADJUSTMENT 30091400 30085971 5429 POLICYHOLDER DIVIDEND 4806731 4806731 TAXES & LICENSES 55274 55274 BAD DEBT 27514 27514 -323169 -355295 32126 46700221 45448915 1251306 0 9094764 13965719 14011659 17134487 3112362 3524320 6404676 1485404 5057924 4919272 169180400 171022181 34309976 34753791 234767085 245319770 440150 454885 2260000 2015000 105411620 118065700 108111770 120535585 X 0 0 900507 900507 125754808 123883678 126655315 124784185 234767085 245319770 X 1872176 -2075600 -1667706 X 0 1 X 1 0 X 31122856 32196746 34457979 37108121 41248059 176133761 31122856 32196746 34457979 37108121 41248059 176133761 0 600749 636226 601284 883978 881855 3604092 600749 636226 601284 883978 881855 3604092 172529669 5731114 6043405 6175095 5915127 5375257 29239998 5731114 6043405 6175095 5915127 5375257 29239998 320954 320954 37174924 38240151 40633074 43023248 46623316 205694713 0.83880 0.83440 0.14220 0.15010 X 1481423 1481423 4876614 1461635 3414979 46639 23769 22870 4919272 RECEIVABLE FROM AFFILIATE 50521 REINSURANCE RECOVERABLE 27822417 INTEREST RECEIVABLE 995727 PREPAID REINSURANCE PREMIUM 5885126 34753791 LOSS & LOSS ADJUSTMENT RESERVES 90275545 UNEARNED PREMIUM RESERVE 26691664 PAYABLE TO AFFILIATE 135712 REINSURANCE PAYABLE 962779 118065700 X 46215026 -2075600 -2075600 48290626 281771 281771 48572397 46418450 0 46418450 281771 281771 46700221 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, 2013. 0 0 0 0 0 0 0 0 0 PAMELA DAVIS PRESIDENT & CEO 0 343180 0 97098 0 2171 0 15300 0 9824 0 467573 0 0 KIM ADAY CFO, TREASURER 0 238863 0 39270 0 230 0 15300 0 8311 0 301974 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 5,955,203. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,955,203. ACTUARIAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 55,470. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,470. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 147,060. MANAGEMENT AND GENERAL EXPENSES 16,854. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 163,914. PAYROLL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,677. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,677. FORM 990, PART XI, LINE 9: CHANGE IN OTHER COMPREHENSIVE INCOME -1,949,081. CHANGE IN DIVIDEND PAYABLE 281,375. 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