2012-11-08T10:12:31-06:00 2011-12-31 521446779 JOHNSON LAMBERT LLP 700 SPRING FOREST ROAD STE 115 RALEIGH NC 27609 990 2011-01-01 061555320 ALLIANCE OF NONPROFITS FOR INSURANCE RISK RETENTION GROUP INC ALLI 8314590980 PO BOX 8507 SANTA CRUZ CA 950618507 KIM ADAY 8314590980 2012-11-07 1 9197196400 2011 2016-02-24 21:20:13Z PAMELA DAVIS 333 FRONT STREET STE 200 SANTA CRUZ CA 95060 25353049 0 X WWW.ANI-RRG.ORG X 1999 VT QUALIFIED CHARITABLE RISK POOL FOR NONPROFIT ORGANIZATIONS. 11 10 0 0 0 0 0 0 11505825 12588223 1568226 1583326 0 0 13074051 14171549 0 0 0 0 0 0 0 0 0 10951519 12668692 10951519 12668692 2122532 1502857 63668604 69056887 39887818 43104012 23780786 25952875 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 12038597 12588223 PROVIDED 3,495 501(C)(3) ORGANIZATIONS WITH A STABLE SOURCE OF REASONABLY PRICED LIABILITY INSURANCE TAILORED TO THE SPECIALIZED NEEDS OF THE NONPROFIT SECTOR. 63635 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. 12102232 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 0 1 170 0 1 0 0 0 0 0 0 0 0 0 0 0 X 11 10 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 X WILSON M JONES 1.00 X X 0 0 0 PAMELA DAVIS 14.00 X X 0 405128 24539 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 X 0 193964 19492 0 599092 44031 0 0 1 0 STOEL RIVES LLP 900 SW 5TH AVE STE 2600 PORTLAND OR 97204 LEGAL SERVICES 204111 FUNK & BOLTON PA 36 S CHARLES ST 12TH FL BALTIMORE MD 21201 LEGAL SERVICES 151383 YOST & TRETTA LLP 1500 JOHN F KENNEDY BLVD PHILADELPHIA PA 19102 LEGAL SERVICES 113997 3 NET EARNED PREMIUM 524298 12480961 12480961 PROGRAM SERVICE FEES 524298 107262 107262 12588223 1318624 1318624 11446202 11181500 264702 264702 264702 14171549 12588223 0 1583326 1698323 1610312 88011 69652 69652 71808 71808 65003 65003 2025713 1967141 58572 14234 14234 66981 1496 65485 30165 30165 10936 10936 40001 40001 LOSS AND LOSS ADJUSTMEN 8054425 8054425 PREMIUM TAXES 532046 532046 LICENSES & FEES 37028 37028 MISC 23426 21269 2157 -71049 -84457 13408 12668692 12102232 566460 0 5477164 5918337 5609410 5272935 3731012 4231194 34248755 36751670 14602263 16882751 63668604 69056887 737751 435357 39150067 42668655 39887818 43104012 X 6000000 6000000 2000000 2000000 15780786 17952875 23780786 25952875 63668604 69056887 X 1502857 669232 X 0 1 1 X 0 X 10786354 11233493 11625959 11505825 12480961 57632592 10786354 11233493 11625959 11505825 12480961 57632592 161520 171761 173225 506506 815863 972854 1133998 2922715 977383 1144615 1307223 3429221 54203371 1493105 1486141 1276312 1349104 1425886 7030548 1493105 1486141 1276312 1349104 1425886 7030548 12279459 12719634 12902271 12854929 13906847 64663140 0.83820 0.85460 0.10870 0.11070 X 0 REINSURANCE RECOVERABLE 16596087 INTEREST RECEIVABLE 286664 16882751 LOSS & LOSS ADJUSTMENT RESERVES 32857919 UNEARNED PREMIUM RESERVE 9188225 PAYABLE TO AFFILIATES 110603 REINSURANCE PAYABLE 511908 42668655 14171549 12668692 1502857 669232 669232 2172089 14106546 0 14106546 65003 65003 14171549 12603689 0 12603689 65003 65003 12668692 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: MANAGEMENT CONCLUDED THAT THE COMPANY HAS PROPERLY MAINTAINED ITS EXEMPT STATUS AND THAT THERE ARE NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2011. 0 0 0 0 0 0 0 0 0 PAMELA DAVIS 0 309244 0 92722 0 3162 0 14700 0 9839 0 429667 0 0 KIM ADAY 0 163879 0 28129 0 1956 0 12225 0 7267 0 213456 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. FORM 990 PART VII HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS PAMELA DAVIS 20.0 HRS PER WEEK NIAC 5.0 HRS PER WEEK AMS 1.0 HRS PER WEEK NANI KIM ADAY 20.0 HRS PER WEEK NIAC 5.0 HRS PER WEEK AMS 1.0 HRS PER WEEK NANI COMPENSATION PAID TO OFFICERS AND KEY EMPLOYEES IS FOR SERVICES RENDERED TO AMS AND ALL RELATED ORGANIZATIONS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 669,232. 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 1 1 1 1 1 0 0