ARBITRATION FORUMS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ARBITRATION FORUMS INC (EIN 13-3095444)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-13
IRS object ID
201331339349304023
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-13T15:24:32-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN721396621EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CARR RIGGS & INGRAM LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12111 DREW STREETAddressLine1
CityCLEARWATERCity
StateFLState
ZIP Code337653215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN133095444EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ARBITRATION FORUMS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlARBINameControl
Phone8139314004Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13350 BUSCHWOOD PARK DRIVE NO 295AddressLine1
CityTAMPACity
StateFLState
ZIP Code33618ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAIRO ARCILAName
TitleCFO & SECRETARY/TREASURERTitle
Phone8139314004Phone
Date Signed2013-05-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCARR RIGGS INGRAM LLCName
PTINP00735117PTIN
Phone7274460504Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonW RUSS SMITHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13350 BUSCHWOOD PARK DRIVE NO 295AddressLine1
CityTAMPACity
StateFLState
ZIP Code33618ZIPCode
FieldValueIRS element (for citing)
Gross Receipts25711451GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.ARBFILE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE O FOR MISSION STATEMENT.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees186TotalNbrEmployees
Total Nbr Volunteers7439TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year28195397ProgramServiceRevenuePriorYear
Program Service Revenue CY23801895ProgramServiceRevenueCY
Investment Income Prior Year1996368InvestmentIncomePriorYear
Investment Income Current Year1652767InvestmentIncomeCurrentYear
Other Revenue Prior Year184527OtherRevenuePriorYear
Other Revenue Current Year209847OtherRevenueCurrentYear
Total Revenue Prior Year30376292TotalRevenuePriorYear
Total Revenue Current Year25664509TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY38909GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year18885972SalariesEtcPriorYear
Salaries Etc Current Year19512328SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10571785OtherExpensePriorYear
Other Expenses Current Year9463030OtherExpensesCurrentYear
Total Expenses Prior Year29457757TotalExpensesPriorYear
Total Expenses Current Year29014267TotalExpensesCurrentYear
Revenues Less Expenses Prior Year918535RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3349758RevenuesLessExpensesCY
Total Assets BOY61104128TotalAssetsBOY
Total Assets EOY57753247TotalAssetsEOY
Total Liabilities BOY13851543TotalLiabilitiesBOY
Total Liabilities EOY14427245TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY47252585NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY43326002NetAssetsOrFundBalancesEOY
Mission DescriptionTO FACILITATE THE EFFICIENT AND EQUITABLE DISPOSITON OF INSURANCE-RELATED DISPUTES BETWEEN AND AMONG INSURANCE COMPANIES, SELF-INSUREDS, COMMERCIAL INSUREDS WITH LARGE RETENTIONS AND INJURED PARTIES TO AVOID THE COSTS AND DELAYS OF LITIGATION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionARBITRATION SERVICES: RESOLVED 535,000 DISPUTES WORTH $2.49 BILLION IN CLAIMS EACH YEAR AS A COST EFFECTIVE ALTERNATIVE TO LITIGATION FOR THE INSURANCE INDUSTRY.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109644NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees186NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address1OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JAIRO ARCILABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8139314004TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13350 BUSCHWOOD PARK DRIVE SUITE 295AddressLine1
CityTAMPACity
StateFLState
ZIP Code33618ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ARTHUR BECKMAN
VICE CHAIR1.000.00X000
MIKE CAPUZZI
DIRECTOR1.000.00X000
JOSEPH CENTANNI
CHAIR1.000.00X000
JOHN FOUERT
PAST CHAIR1.000.00X000
ELENA GERVINO
DIRECTOR1.000.00X000
DANIEL HERDMANN
DIRECTOR1.000.00X000
DON LYONS
DIRECTOR1.000.00X000
KATHLEEN MAHNE
DIRECTOR1.000.00X000
JAMES MCLAIN
DIRECTOR1.000.00X000
TED MURPHY
DIRECTOR1.000.00X000
DAVID NARIGON
CHAIR (AUDIT COMMITTEE)1.000.00X000
WAYNE SMOLDA
DIRECTOR1.000.00X000
RUSS SMITH
CEO/PRESIDENT40.000.00498383080718X
JAY ARCILA
CFO/SECRETARY/TREASURER40.000.00277121064751X
RICHARD LEDBETTER
CHIEF INFORMATION TECHNOLOGY OFFICER40.000.00309461040167X
EILEEN HALE
DIRECTOR OF QUALITY & FIELD OPERATIONS40.000.00249758032891X
KENNETH BUTLER
DIRECTOR OF HUMAN RESOURCES40.000.00238941032178X
GEOFFREY ENGERT
DIRECTOR OF MARKETING40.000.00229579031265X
WILLIAM PFEIFFER
ENTERPRISE ARCHITECT40.000.00142681030821X
STEVEN JANICKI
MANAGER OF PRODUCT DEVELOPMENT40.000.0012503005929X
JOHN ALCHIN
ENTERPRISE ARCHITECT40.000.00128830029040X
WILLIAM TULEY
MANAGER OF I.T. OPERATIONS40.000.00124008022959X
TIMMOTHY MCKERNAN
MANAGER OF MEMBER TRAINING40.000.00123409029207X
THOMAS VON BRAUNSBERG
FORMER SENIOR MANAGER0.000.00121095014833X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2568296TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation414759TotalOtherCompensation
Number Individuals GT100 K30NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HUDSON GLOBAL RESOURCE MANAGEMENT
PO BOX 347193PITTSBURGPA152514193IT CONSULTANTS1423716
CDW DIRECT LLC
PO BOX 75723CHICAGOIL606755723EQUIPMENT RETAILER304711
STA GROUP LLC
ONE NORTH WACKER DRIVECHICAGOIL60606IT CONSULTANTS224585
KB HOME TAMPA LLC
9102 SOUTHPARK CENTER LOOP SUITE 1ORLANDOFL32819PROPERTY SUB-LESSOR197057
BARROW HANLEY MEWHINNEY
2200 ROSS AVE 31ST FLOORDALLASTX72501INVESTMENT BROKERS141508
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CASE FILING ASSESSMENT5419002326589523265895
FEES TO DEFER CASES541900511090511090
ADJOURNMENT FEES5419002491024910
FieldValueIRS element (for citing)
Total Program Service Revenue23801895TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1699709TotalRevenueColumn
Exclusion$1,699,709ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities42277Securities
Other4665Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-42277Securities
Other-4665Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-46942TotalRevenueColumn
Related Or Exempt Function Income-46942RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUESDescription
Business Code541900BusinessCode
Total Revenue Column209847TotalRevenueColumn
Related Or Exempt Function Income209847RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue209847TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25664509TotalRevenueColumn
Related Or Exempt Function Income23964800RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,699,709ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total38909Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2085214Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11683584Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1653264Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3058552Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1031714Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total77994Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total68300Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1916299Total

Advertising Advertising

FieldValueIRS element (for citing)
Total48212Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2246081Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1175179Total

Travel Travel

FieldValueIRS element (for citing)
Total411981Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total133604Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2686163Total

Insurance Insurance

FieldValueIRS element (for citing)
Total72802Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotal
ARBITRATION HEARINGS345134
ADMINISTRATIVE EXPENSES156059
TRAINING & EDUCATION111712
MEMBER MATERIALS13510

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total29014267Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3451535BOY
EOY3307624EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2569848BOY
EOY1509575EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY713880BOY
EOY895697EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8514639LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5328652LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2191009BOY
EOY3185987EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY46826916BOY
EOY43992372EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY5275510BOY
EOY4806483EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY75430BOY
EOY55509EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY61104128BOY
EOY57753247EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2743347BOY
EOY3845061EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4363144BOY
EOY2209196EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6745052BOY
EOY8372988EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13851543BOY
EOY14427245EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY47252585BOY
EOY43326002EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY47252585BOY
EOY43326002EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY61104128BOY
EOY57753247EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3349758ReconcilationRevenueExpenses
Reconciliation Unrealized Invest975927ReconciliationUnrealizedInvest
Reconcilation Other Changes-1552751ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis356677OtherCostOrOtherBasis
Depreciation331731Depreciation
Book Value24946BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8157962OtherCostOrOtherBasis
Depreciation4996921Depreciation
Book Value3161041BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3185987TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION EXPENSE$7,616,042
DEFERRED COMPENSATION$579,859
DEFERRED COMPENSATION OTHER$177,087
FieldValueIRS element (for citing)
Total Of Amounts8372988TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt26640436TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments975927NetUnrealizedGainsInvestments
Revenue Not Rptd F990975927RevenueNotRptdF990
Revenue Subtotal25664509RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99025664509TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt29014268TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal29014268ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99029014268TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE ORGANIZATION ADHERES TO THE PROVISIONS OF ASC 740, "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES". AS A RESULT OF THE IMPLEMENTATION OF ASC 740, THE ORGANIZATION HAS NOT RECOGNIZED ANY RESPECTIVE LIABILITY FOR UNRECOGNIZED TAX BENEFITS AS IT HAS NO KNOWN TAX POSITIONS THAT WOULD SUBJECT THE ORGANIZATION TO ANY MATERIAL INCOME TAX EXPOSURE. A RECONCILIATION OF THE BEGINNING AND ENDING AMOUNT OF UNRECOGNIZED TAX BENEFITS IS NOT INCLUDED, NOR IS THERE ANY INTEREST ACCRUED RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES AS THERE ARE NO UNRECOGNIZED TAX BENEFITS.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
AMERICAN RED CROSS
PO BOX 4236TAMPAFL33677460598827501(C)(3)6360COMPANY MATCH TO EMPLOYEE CONTRIBUTIONS
HOPE CHILDREN'S HOME
11415 HOPE INTERNATIONAL DRIVETAMPAFL33625620879012501(C)(3)9903COMPANY MATCH TO EMPLOYEE CONTRIBUTIONS
THE SPRING OF TAMPA BAY
PO BOX 4772TAMPAFL33677591777135501(C)(3)11945COMPANY MATCH TO EMPLOYEE CONTRIBUTIONS
METROPOLITAN MINISTRIES
2301 NORTH TAMPA STREETTAMPAFL33602591477007501(C)(3)10701COMPANY MATCH TO EMPLOYEE CONTRIBUTIONS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RUSS SMITH
CEO/PRESIDENT2968000176954024629080718000579101000
JAY ARCILA
CFO/SECRETARY/TREASURER199686072318051170404730242780341872000
RICHARD LEDBETTER
CHIEF INFORMATION TECHNOLOGY OFFICER230591074243046270156550245120349628000
EILEEN HALE
DIRECTOR OF QUALITY & FIELD OPERATIO18551306102303222086130242780282649000
KENNETH BUTLER
DIRECTOR OF HUMAN RESOURCES18142905321004302079000242780271119000
GEOFFREY ENGERT
DIRECTOR OF MARKETING17707304820404302069870242780260844000
WILLIAM PFEIFFER
ENTERPRISE ARCHITECT12714301296102577065430242780173502000
JOHN ALCHIN
ENTERPRISE ARCHITECT11364201266402524047620242780157870000
TIMMOTHY MCKERNAN
MANAGER OF MEMBER TRAINING11011501140001894049290242780152616000
THOMAS VON BRAUNSBERG
FORMER SENIOR MANAGER1210950000000148330135928000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINES 4A-BReturnReference
ExplanationLINE 4A: SEVERANCE PAYMENTS MADE TO THOMAS J. VON BRAUNSBERG DURING 2012: SALARY $121,095 BENEFITS: $14,883 LINE 4B: NONQUALIFIED RETIREMENT PLAN. EMPLOYER CONTRIBUTIONS TO THE PLAN FOR JAIRO ARCILA, W. RUSS SMITH, RICHARD LEDBETTER, AND EILEEN HALE IN 2012 WERE $30,656,$69,468,$4,568, AND $6, RESPECTIVELY.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:TO FACILITATE THE EFFICIENT AND EQUITABLE DISPOSITION OF INSURANCE-RELATED DISPUTES TO AVOID COSTS AND DELAYS OF LITIGATION.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS 4,724 MEMBERS CONSISTING SOLELY OF INSURERS AND SELF-INSUREDS AND THIRD PARTY ADMINISTRATORS (TPAS).
FORM 990, PART VI, SECTION A, LINE 7ATHE VOTING MEMBERS ELECT THE BOARD OF DIRECTORS (GOVERNING BODY). THE MEMBERS OF THE BOARD OF DIRECTORS FORM FOUR 4-MEMBER SUBCOMMITTEES (EXECUTIVE, COMPENSATION & BENEFITS, AUDIT AND NOMINATING). ONLY THE GOVERNING BODY HAS THE RIGHT TO ELECT OR APPOINT BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11THE CFO PROVIDES A DRAFT OF THE FORM 990 TO THE MEMBERS OF THE AUDIT COMMITTEE AND THEN TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CDIRECTORS AND OFFICERS RECEIVE THE CONFLICT OF INTEREST POLICY AND PROCEDURES DISCLOSURE FORM AND ARE REQUIRED TO SIGN AND DATE THE POLICY DISCLOSURE FORM AT THE APRIL BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 15THE COMPANY USES AN INDEPENDENT PARTY (THE HAY GROUP) TO RECOMMEND THE APPROPRIATE COMPENSATION AMOUNTS FOR THE PRESIDENT & CEO AND TOP MANAGEMENT. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THEN APPROVES THE COMPENSATION AND BENEFIT AMOUNTS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN OR VERBAL REQUEST.
FORM 990, PART VI, SECTION A, LINE 9ARTHUR BECKMAN: ONE STATE FARM PLAZA; A2; BLOOMINGTON, IL 61710 MIKE CAPUZZI: 6300 WILSON MILLS ROAD; MAYFIELD VILLAGE, OH 44143 JOSEPH CENTANNI: ONE NATIONWIDE PLAZA; 3-13-203; COLUMBUS, OH 43215 JOHN FOUERT: ONE STATE FARM PLAZA; A4; BLOOMINGTON, IL 61710 ELENA GERVINO: ONE TOWER SQUARE 5MS; HARTFORD, CT 06183 DANIEL HERDMANN: 210 SOUTH FOURTH STREET; PHILADELPHIA, PA 19106 DON LYONS: 3535 W. PIPKIN ROAD; LAKELAND, FL 33811 KATHLEEN MAHNE: 2775 SANDERS ROAD, SUITE B7; NORTHBROOK, IL 60062 JAMES MCLAIN: 3426 TORINGDON WAY; SUITE 200; CHARLOTTE, NC 28277 TED MURPHY: 100 AMICA WAY LINCOLN, RI 02865 DAVID NARIGON: 970 SCALLON ROAD; DERIDDER, LA 70634 WAYNE SMOLDA: 4850 E. STREET ROAD; #200; TREVOSE, PA 19053NAMES & ADDRESSES OF BOD MEMBER THAT CAN'T BE REACHED AT THE ORGANIZATION:
FORM 990, PART XI, LINE 9:DEFINED BENEFIT ACCRUAL AS REQUIRED BY ASC 715 -1,552,751.CHANGES IN NET ASSETS OR FUND BALANCES:

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