2014-11-10T10:07:17-06:00 2013-12-31 521446779 JOHNSON LAMBERT LLP 700 SPRING FOREST ROAD STE 115 RALEIGH NC 27609 990 2013-01-01 061555320 ALLIANCE OF NONPROFITS FOR INSURANCE RISK RETENTION GROUP INC ALLI 8314590980 PO BOX 8546 SANTA CRUZ CA 950618546 KIM ADAY CFO, TREASURER 8314590980 2014-11-06 1 JOHN HUSKINS P01081531 9197196400 2014-11-10 2013 2015-11-30 17:44:51Z PAMELA DAVIS 333 FRONT STREET STE 200 SANTA CRUZ CA 95060 39925443 0 X WWW.ANI-RRG.ORG X 1999 VT QUALIFIED CHARITABLE RISK POOL FOR NONPROFIT ORGANIZATIONS. 11 10 0 0 0 0 0 0 14585336 19160099 1637985 1246907 0 0 16223321 20407006 0 0 0 0 0 0 0 0 0 14802894 19612642 14802894 19612642 1420427 794364 78009982 86422567 50125064 59347589 27884918 27074978 X ALLIANCE OF NONPROFITS FOR INSURANCE, RISK RETENTION GROUP, INC. (ANI) IS A CHARITABLE RISK POOL WHOSE PURPOSE IS TO PROVIDE AFFORDABLE, APPROPRIATE, STABLE, AND SPECIALIZED INSURANCE COVERAGES TO OTHER 501(C)(3) NONPROFIT ORGANIZATIONS 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 18947215 19160099 PROVIDED 4,754 501(C)(3) ORGANIZATIONS WITH A STABLE SOURCE OF REASONABLY PRICED LIABILITY INSURANCE TAILORED TO THE SPECIALIZED NEEDS OF THE NONPROFIT SECTOR. 90947 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. 19038162 1 0 0 0 0 0 0 0 0 0 0 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 1 205 0 1 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X X KIMBERLY ADAY CFO & TREASURER 8314590980 333 FRONT STREET SANTA CRUZ CA 95060 WILSON JONES CHAIRMAN 1.00 2.00 X X 0 0 0 PAMELA DAVIS PRESIDENT 14.00 26.00 X X 0 442449 25124 STEVEN RICHARD SECRETARY 1.00 2.00 X X 0 0 0 ANDREW SARGEANT ASSISTANT SECRETARY 1.00 1.00 X X 0 0 0 DAVID ALTMAN DIRECTOR 1.00 X 0 0 0 R LAWRENCE BACON DIRECTOR 1.00 3.00 X 0 0 0 NORRIS CLARK DIRECTOR (FROM MAR '13) 1.00 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 TED VAN NAME DIRECTOR 1.00 X 0 0 0 STEPHEN SUMNER DIRECTOR 1.00 X 0 0 0 MICHELLE UCHIYAMA DIRECTOR (FROM FEB '13) 1.00 X 0 0 0 KIM ADAY CFO, TREASURER 14.00 26.00 X 0 278363 23611 0 720812 48735 0 0 1 0 MITCHELL LANG & SMITH 101 SW MAIN ST STE 2000 PORTLAND OR 97204 CLAIMS LEGAL FEES 227554 MARSHALL DENNEHEY WARNER COLEMAN & GOGGI 1845 WALNUT ST PHILADELPHIA PA 19103 CLAIMS LEGAL FEES 208798 BARBER MCCASKILL JONES & HALE PA 400 W CAPITOL AVENUE LITTLE ROCK AR 72201 CLAIMS LEGAL FEES 173875 WRIGHT CONSTABLE & SKEEN LLP 100 N CHARLES ST 16TH FL BALTIMORE MD 21201 CLAIMS LEGAL FEES 161016 MARGOLIS EDELSTEIN THE CURTIS CENTER 4TH FLOOR PHILADELPHIA PA 19103 CLAIMS LEGAL FEES 136006 7 NET EARNED PREMIUM 524298 18999726 18999726 PROGRAM SERVICE FEES 524298 160373 160373 19160099 1109287 1109287 19656057 19518437 137620 137620 137620 20407006 19160099 0 1246907 X 2326920 2208457 118463 49338 49338 41027 41027 77231 77231 3246400 3200887 45513 14825 14825 51768 51768 35755 35755 34987 34987 40001 40001 LOSS AND LOSS ADJUSTMEN 13277990 13277990 PREMIUM TAXES 790981 790981 LICENSES & FEES 40131 40131 MEMBER SERVICES 28573 28132 441 -443285 -468285 25000 19612642 19038162 574480 0 6112206 9105902 7807274 10592397 4927772 5748662 40509107 42209345 18653623 18766261 78009982 86422567 510999 586899 49614065 58760690 50125064 59347589 X 6000000 6000000 2000000 2000000 19884918 19074978 27884918 27074978 78009982 86422567 X 794364 -1466684 -137620 X 0 1 X 1 0 X 11625959 11505825 12588223 14585336 19160099 69465442 11625959 11505825 12588223 14585336 19160099 69465442 161520 171761 173225 140442 149708 796656 815863 972854 1133998 1230684 1145502 5298901 977383 1144615 1307223 1371126 1295210 6095557 63369885 1276312 1349104 1318624 1233997 1109287 6287324 1276312 1349104 1318624 1233997 1109287 6287324 12902271 12854929 13906847 15819333 20269386 75752766 0.83650 0.83190 0.08300 0.09770 X 0 REINSURANCE RECOVERABLE 18514747 INTEREST RECEIVABLE 251514 18766261 LOSS & LOSS ADJUSTMENT RESERVES 44146417 UNEARNED PREMIUM RESERVE 13590409 PAYABLE TO AFFILIATES 379052 REINSURANCE PAYABLE 644812 58760690 X 18863091 -1466684 -1466684 20329775 77231 77231 20407006 19535411 0 19535411 77231 77231 19612642 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 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 ORGANIZATIONS INSURED BY ANI ARE MEMBERS OF THE ORGANIZATION, AND ARE ENTITLED TO ONE VOTE EACH ON MATTERS SUBMITTED TO THE MEMBERSHIP. FORM 990, PART VI, SECTION A, LINE 7A ANI MEMBER ORGANIZATIONS ELECT THE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B A VOTE OF TWO-THIRDS OF THE MEMBERS IS REQUIRED TO MERGE OR DISSOLVE THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WILL BE MADE AVAILABLE ELECTRONICALLY TO THE ANI 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 ANNUALLY. THESE FORMS ARE REVIEWED BY THE CHAIRMAN OF THE AUDIT COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 ANI GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE ON IT'S WEBSITE AS WELL AS UPON REQUEST. FORM 990, PART IX, LINE 11G COMMISSIONS: PROGRAM SERVICE EXPENSES 3,200,887. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,200,887. ACTUARIAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 33,282. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,282. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 12,231. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,231. FORM 990, PART XI, LINE 9: CHANGE IN OTHER COMPREHENSIVE INCOME -137,620. ALLIANCE MEMBER SERVICES 333 FRONT STREET STE 200 SANTA CRUZ CA 95060 061555318 SUPPORTING ORGANIZATION VT 501(C)(3) 11 I N/A 0 NATIONAL ALLIANCE OF NONPROFITS FOR INSURANCE 333 FRONT STREET STE 200 SANTA CRUZ CA 95060 061555321 CHARITABLE RISK POOL VT 501(C)(3) 9 N/A 0 NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA 333 FRONT STREET STE 200 SANTA CRUZ CA 95060 770203935 CHARITABLE RISK POOL CA 501(C)(3) 9 N/A 0 AMS INSURANCE SERVICES PO BOX 8507 SANTA CRUZ CA 95061 770513798 INSURANCE BROKER CA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0