2013-11-06T13:27:16-06:00 2012-12-31 521446779 JOHNSON LAMBERT LLP 700 SPRING FOREST RD STE 115 RALEIGH NC 27609 990 2012-01-01 770203935 NONPROFITS' INSURANCE ALLIANCE OF CALIFORNIA INC NONP 8314590980 PO BOX 8507 SANTA CRUZ CA 95061 KIM ADAY 8314590980 2013-11-05 1 JOHN HUSKINS P01081531 9197196400 2013-11-05 2012 2016-02-25 16:41:14Z PAMELA DAVIS 333 FRONT STREET SUITE 200 SANTA CRUZ CA 95060 74772264 0 X WWW.NIAC.ORG X 1988 CA CHARITABLE RISK POOL FOR CALIFORNIA NONPROFIT ORGANIZATIONS. 13 12 0 0 0 0 0 0 34457979 37108121 7326077 7399340 397381 397380 42181437 44904841 0 0 0 0 0 0 0 0 0 37355403 37887540 37355403 37887540 4826034 7017301 216271560 234767085 99185533 108111770 117086027 126655315 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 36021526 37108121 PROVIDED 7,851 501(C)(3) ORGANIZATIONS WITH A STABLE SOURCE OF REASONABLY PRICED LIABILITY INSURANCE TAILORED TO THE SPECIALIZED NEEDS OF THE NONPROFIT SECTOR. 605886 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. 36627412 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 1 304 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 X KIMBERLY ADAY CFO TREASURER 8314590980 333 FRONT STREET SUITE 200 SANTA CRUZ CA 95060 R LAWRENCE BACON 1.00 X X 0 0 0 PAMELA DAVIS 20.00 20.00 X X 0 430324 25001 JOHN CHRISTENSEN 1.00 X 0 0 0 KATHLEEN ADAMSON 1.00 X 0 0 0 JEANNE BELL 1.00 X 0 0 0 NORRIS CLARK 1.00 X 0 0 0 SUZANNE CROSS 1.00 X 0 0 0 J JEFF FLY 1.00 X 0 0 0 ROGER W GILBERT 1.00 X 0 0 0 MARTHA MACRON 1.00 X 0 0 0 CHERYL PADDACK 1.00 X 0 0 0 MARY STOUBE 1.00 X 0 0 0 BILL WALTERS 1.00 X 0 0 0 KIM ADAY 20.00 20.00 X 0 256961 23414 0 687285 48415 0 0 1 0 KESSEL & ASSOCIATES 2410 BEVERLY BLVD LOS ANGELES CA 90057 CLAIMS LEGAL FEES 978936 VOGL MEREDITH BURKE LLP 456 MONTGOMERY ST 20TH FL SAN FRANCISCO CA 94104 CLAIMS LEGAL FEES 810860 MATHENY SEARS LINKERT & JAMIE LLP 3638 AMERICAN RIVER DR SACRAMENTO CA 95864 CLAIMS LEGAL FEES 673489 LOW BALL & LYNCH 2 LOWER RAGSDALE DR STE 120 MONTEREY CA 93940 CLAIMS LEGAL FEES 463607 CIHIGOYENETCHE GROSSBERT & CLOUSE 8038 HAVEN BLVD STE E RANCHO CUCAMONGA CA 91730 CLAIMS LEGAL FEES 423886 15 NET EARNED PREMIUMS 524126 36831965 36831965 PROGRAM SERVICE FEES 524298 276156 276156 37108121 5517747 5517747 397380 0 397380 397380 397380 31749016 29867423 1881593 1881593 1881593 44904841 37108121 0 7796720 X 4718165 4636330 81835 27191 27191 81565 81565 275062 275062 5503602 5396741 106861 340 340 200066 20499 179567 59970 59970 29749 6405 23344 32461 32461 9196 9196 144546 144546 44470 44470 LOSS & LOSS ADJUSTMENT 22969031 22969031 POLICYHOLDER DIVIDEND 3799532 3799532 TAXES & LICENSES 101342 101342 BAD DEBT 65000 65000 -173748 -201126 27378 37887540 36627412 1260128 0 6560980 9094764 11826603 14011659 2837200 3112362 6396932 1339008 5155469 5057924 155688514 166654875 2475471 2525525 31727323 34309976 216271560 234767085 452675 440150 2495000 2260000 96237858 105411620 99185533 108111770 X 0 0 900507 900507 116185520 125754808 117086027 126655315 216271560 234767085 X 7017301 2551987 X 0 1 X 1 0 X 31699100 31122856 32196746 34457979 37108121 166584802 31699100 31122856 32196746 34457979 37108121 166584802 0 600749 636226 601284 883978 2722237 600749 636226 601284 883978 2722237 163862565 5616640 5731114 6043405 6175095 5915127 29481381 5616640 5731114 6043405 6175095 5915127 29481381 320954 320954 37315740 37174924 38240151 40633074 43023248 196387137 0.83440 0.83650 0.15010 0.15220 X 1481423 1481423 4876614 1317448 3559166 38895 21560 17335 5057924 RECEIVABLE FROM AFFILIATE 49416 REINSURANCE RECOVERABLE 27649702 INTEREST RECEIVABLE 983590 PREPAID REINSURANCE PREMIUM 5627268 34309976 LOSS & LOSS ADJUSTMENT RESERVES 80691424 UNEARNED PREMIUM RESERVE 23689896 PAYABLE TO AFFILIATE 135844 REINSURANCE PAYABLE 894456 105411620 X 44629779 0 44629779 275062 275062 44904841 37612478 0 37612478 275062 275062 37887540 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2012. 0 0 0 0 0 0 0 0 0 PAMELA DAVIS 0 337869 0 90284 0 2171 0 15000 0 10001 0 455325 0 0 KIM ADAY 0 230855 0 25884 0 222 0 15000 0 8414 0 280375 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 ON ITS WEBSITE AS WELL AS UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G COMMISSIONS: PROGRAM SERVICE EXPENSES 5,254,061. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,254,061. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 20,615. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,615. ACTUARIAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 48,539. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,539. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 142,680. MANAGEMENT AND GENERAL EXPENSES 37,707. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 180,387. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN OTHER COMPREHENSIVE INCOME 2,962,461. CHANGE IN DIVIDEND PAYABLE -410,474. 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