2013-11-06T14:11:49-06:00 2012-12-31 521446779 JOHNSON LAMBERT LLP 700 SPRING FOREST RD STE 115 RALEIGH NC 27609 990 2012-01-01 061555320 ALLIANCE OF NONPROFITS FOR INSURANCE RISK RETENTION GROUP INC ALLI 8314590980 PO BOX 8546 SANTA CRUZ CA 950618546 KIM ADAY 8314590980 2013-11-05 1 JOHN HUSKINS P01081531 9197196400 2013-11-05 2012 2016-02-24 21:20:13Z X PAMELA DAVIS 333 FRONT STREET STE 200 SANTA CRUZ CA 95060 31154763 0 X WWW.ANI-RRG.ORG X 1999 VT QUALIFIED CHARITABLE RISK POOL FOR NONPROFIT ORGANIZATIONS. 10 9 0 0 0 0 0 0 12588223 14585336 1583326 1637985 0 0 14171549 16223321 0 0 0 0 0 0 0 0 0 12668692 14802894 12668692 14802894 1502857 1420427 69056887 78009982 43104012 50125064 25952875 27884918 X ALLIANCE OF NONPROFITS FOR INSURANCE, RISK RETENTION GROUP, INC. (ANI-RRG) 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 14275762 14585336 PROVIDED 3,989 501(C)(3) ORGANIZATIONS WITH A STABLE SOURCE OF REASONABLY PRICED LIABILITY INSURANCE TAILORED TO THE SPECIALIZED NEEDS OF THE NONPROFIT SECTOR. 66924 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. 14342686 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 1 178 0 1 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 1 1 0 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 M JONES 1.00 X X 0 0 0 PAMELA DAVIS 14.00 26.00 X X 0 430324 25001 STEVEN RICHARD 1.00 X X 0 0 0 ANDREW SARGENT 1.00 X X 0 0 0 DAVID ALTMAN 1.00 X 0 0 0 R LAWRENCE BACON 1.00 X 0 0 0 ROBERT EMRICH 1.00 X 0 0 0 ROGER W GILBERT 1.00 X 0 0 0 MARTHA MARCON 1.00 X 0 0 0 TED VAN NAME 1.00 X 0 0 0 STEVEN SUMNER 1.00 X 0 0 0 KIM ADAY 14.00 26.00 X 0 256961 23414 0 687285 48415 0 0 1 0 MCCARTHY WILSON LLP 2200 RESEARCH BLVD STE 500 ROCKVILLE MD 20850 CLAIMS LEGAL FEES 600000 SENTER GOLDFARB & RICE LLC 1700 BROADWAY STE 1700 DENVER CO 80290 CLAIMS LEGAL FEES 158968 WRIGHT CONSTABLE & SKEEN LLP 100 N CHARLES ST 16TH FL BALTIMORE MD 21201 CLAIMS LEGAL FEES 153380 MITCHELL LANG & SMITH 101 SW MAIN ST STE 2000 PORTLAND OR 97204 CLAIMS LEGAL FEES 143050 MARSHALL DENNEHEY WARNER COLEMAN & GOGGI 1845 WALNUT ST PHILADELPHIA PA 19103 CLAIMS LEGAL FEES 139436 8 NET EARNED PREMIUM 524298 14464993 14464993 PROGRAM SERVICE FEES 524298 120343 120343 14585336 1233997 1233997 15335430 14931442 403988 403988 403988 16223321 14585336 0 1637985 X 1922044 1835748 86296 30073 30073 40659 40659 71760 71760 2377105 2329868 47237 8768 8768 62127 1666 60461 30749 30749 12713 12713 40001 40001 LOSS AND LOSS ADJUSTMEN 9699064 9699064 PREMIUM TAXES 608761 633761 -25000 LICENSES & FEES 45756 45756 MEMBER SERVICES 27662 27429 233 -174348 -184850 10502 14802894 14342686 460208 0 5918337 6112206 5272935 7807274 4231194 4927772 36751670 40509107 16882751 18653623 69056887 78009982 435357 510999 42668655 49614065 43104012 50125064 X 6000000 6000000 2000000 2000000 17952875 19884918 25952875 27884918 69056887 78009982 X 1420427 511616 X 0 1 X 1 0 X 11233493 11625959 11505825 12588223 14585336 61538836 11233493 11625959 11505825 12588223 14585336 61538836 161520 171761 173225 140442 646948 815863 972854 1133998 1230684 4153399 977383 1144615 1307223 1371126 4800347 56738489 1486141 1276312 1349104 1318624 1233997 6664178 1486141 1276312 1349104 1318624 1233997 6664178 12719634 12902271 12854929 13906847 15819333 68203014 0.83190 0.83820 0.09770 0.10870 X 0 REINSURANCE RECOVERABLE 18392675 INTEREST RECEIVABLE 260948 18653623 LOSS & LOSS ADJUSTMENT RESERVES 38045139 UNEARNED PREMIUM RESERVE 10720772 PAYABLE TO AFFILIATES 258234 REINSURANCE PAYABLE 589920 49614065 X 16151561 0 16151561 71760 71760 16223321 14731134 0 14731134 71760 71760 14802894 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 ORGANIZATIONS INSURED BY ANI-RRG 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-RRG MEMBER ORGANIZATIONS ELECT THE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WILL BE MADE AVAILABLE ELECTRONICALLY TO THE ANI-RRG 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-RRG GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE ON IT'S WEBSITE AS WELL AS UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G COMMISSIONS: PROGRAM SERVICE EXPENSES 2,329,868. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,329,868. ACTUARIAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 29,123. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,123. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,738. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,738. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 10,376. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,376. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN OTHER COMPREHENSIVE INCOME 511,616. 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