MINNESOTA WORKERS COMPENSATION INSURERS ASSOCIATION INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MINNESOTA WORKERS COMPENSATION INSURERS ASSOCIATION INC (EIN 41-0417040)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-05-10
- IRS object ID
- 201231319349302658
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-10T16:06:06-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410996210 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILKERSON GUTHMANN AND JOHNSON LTD | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 EAST FIFTH STREET SUITE 1300 | AddressLine1 |
| City | ST PAUL | City |
| State | MN | State |
| ZIP Code | 551011790 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410417040 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MINNESOTA WORKERS' COMPENSATION INSURERS | BusinessNameLine1 |
| Business Name Line2 | ASSOCIATION INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MINN | NameControl |
| Phone | 9528971737 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7701 FRANCE AVENUE SOUTH NO 450 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55435 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRUCE A TOLLEFSON | Name |
| Title | PRESIDENT | Title |
| Phone | 9528971737 | Phone |
| Date Signed | 2012-05-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT GEORGES | Name |
| PTIN | P01209197 | PTIN |
| Phone | 6512221801 | Phone |
| Date Prepared | 2012-05-01 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BRUCE A TOLLEFSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7701 FRANCE AVE S STE 450 | AddressLine1 |
| City | EDINA | City |
| State | MN | State |
| ZIP Code | 55435 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 7819735 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.MWCIA.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1983 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE TO ITS MEMBERS SERVICES AND INFORMATION REQUIRED UNDER PROVISIONS OF MN STATUTES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 50 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 25882 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 11101 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7488514 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 7780618 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 34679 | InvestmentIncomePriorYear |
| Investment Income Current Year | 39117 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7523193 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7819735 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4638280 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4613872 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2808915 | OtherExpensePriorYear |
| Other Expenses Current Year | 2828810 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 7447195 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7442682 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 75998 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 377053 | RevenuesLessExpensesCY |
| Total Assets BOY | 4728688 | TotalAssetsBOY |
| Total Assets EOY | 5259872 | TotalAssetsEOY |
| Total Liabilities BOY | 4497795 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 5087306 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 230893 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 172566 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE MINNESOTA WORKERS' COMPENSATION INSURERS ASSOCIATION, INC. IS A NOT-FOR-PROFIT CORPORATION FORMED TO PROVIDE TO ITS MEMBERS THOSE ACTIVITIES WHICH ARE REQUIRED AND PERMITTED OF A DATA SERVICE ORGANIZATION UNDER THE PROVISIONS OF MINNESOTA STATUTES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 5432747 | Expense |
| Revenue | 7754736 | Revenue |
| Description | PROVIDE SERVICES TO INSURANCE COMPANIES LICENSED TO WRITE WORKERS' COMPENSATION INSURANCE IN MINNESOTA TO ENABLE THEM TO COMPLY WITH STATUTORY REQUIREMENTS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 58335 | Expense |
| Description | COVER CLAIMS FOR INSURANCE COMPANIES THAT WENT INSOLVENT PRIOR TO 1983. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 5491082 | TotalProgramServiceExpense |
| Described In501 C3 | 0 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 44 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 50 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRUCE A TOLLEFSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9528971737 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7701 FRANCE AVENUE SOUTH STE 450 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55435 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| PETER CAMINITI | ||||||
| BOARD CHAIR | 1.00 | X | X | 0 | 0 | 0 |
| BRIAN BENT | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| KEVIN CHRISTY | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| BILL DUPONT | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| KEVIN GREGERSON | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| SCOTT HOLZERLAND | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| KEITH KRUEGER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MICHAEL LEVY | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| WILLIAM MEYER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| BARRY PRESLASKI | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| GARY THADEN | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MARY WACHHOLZ | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| BRUCE TOLLEFSON | ||||||
| PRESIDENT | 40.00 | X | 156677 | 0 | 41946 | |
| CRAIG A ANDERSON | ||||||
| VICE PRESIDENT | 40.00 | X | 116947 | 0 | 34473 | |
| KATHLEEN PETERSON | ||||||
| VP/SEC/TREASURER | 40.00 | X | 107405 | 0 | 39061 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 381029 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 115480 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| THOMAS E HARMS PLLC | |||||
| 7601 FRANCE AVENUE SOUTH SUITE 275 | MINNEAPOLIS | MN | 55435 | LEGAL SERVICES | 275000 |
| DYNAMICVIEW LLC | |||||
| 13808 AUTUMNWOOD AVE | ROSEMOUNT | MN | 55068 | DATABASE SUPPORT | 199014 |
| WORKERS' COMPENSATION RESEARCH INSTITUTE | |||||
| 955 MASSACHUSETS AVE | CAMBRIDGE | MA | 02139 | BENCHMARKING STUDY | 195000 |
| ACTUARIAL AND TECHNICAL SOLUTIONS | |||||
| 3555 VETERANS MEMORIAL HIGHWAY SUIT | RONKONKOMA | NY | 11779 | ACTUARIAL SERVICES | 109620 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEMBER ASSESSMENTS | 518210 | 6896523 | 6896523 |
| ASSIGNED RISK SERVICE | 518210 | 527814 | 527814 |
| PAPER PROCESSING FEES | 518210 | 182113 | 182113 |
| U.S.P. FINES | 518210 | 77198 | 77198 |
| SERVICES AND OTHER INC | 518210 | 71088 | 71088 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25882 | TotalRevenueColumn |
| Unrelated Business Revenue | 25882 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 7780618 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 39117 | TotalRevenueColumn |
| Exclusion | $39,117 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7819735 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7754736 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 25882 | UnrelatedBusinessRevenue |
| Exclusion | $39,117 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 496509 | Total |
| Program Services | 417067 | ProgramServices |
| Management And General | 79442 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2720195 | Total |
| Program Services | 2284964 | ProgramServices |
| Management And General | 435231 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 431388 | Total |
| Program Services | 362366 | ProgramServices |
| Management And General | 69022 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 729820 | Total |
| Program Services | 613049 | ProgramServices |
| Management And General | 116771 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 235960 | Total |
| Program Services | 198206 | ProgramServices |
| Management And General | 37754 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36550 | Total |
| Management And General | 36550 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 275000 | Total |
| Management And General | 275000 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17467 | Total |
| Program Services | 5240 | ProgramServices |
| Management And General | 12227 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162275 | Total |
| Program Services | 143674 | ProgramServices |
| Management And General | 18601 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1104276 | Total |
| Program Services | 628809 | ProgramServices |
| Management And General | 475467 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 463037 | Total |
| Program Services | 416733 | ProgramServices |
| Management And General | 46304 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96090 | Total |
| Program Services | 28827 | ProgramServices |
| Management And General | 67263 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| UBIT | 1745 | 1745 | |
| RESEARCH DATA INST. COL | 195000 | 195000 | |
| COLLABORATIVE LEGAL SUP | 150632 | 150632 | |
| RATEMAKING CONSULTING | 109620 | 109620 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 217118 | Total |
| Program Services | 87527 | ProgramServices |
| Management And General | 129591 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7442682 | Total |
| Program Services | 5491082 | ProgramServices |
| Management And General | 1951600 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 666023 | BOY |
| EOY | 3920698 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3006239 | BOY |
| EOY | 51436 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28160 | BOY |
| EOY | 11788 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1028266 | BOY |
| EOY | 1275950 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4728688 | BOY |
| EOY | 5259872 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4497795 | BOY |
| EOY | 5087306 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4497795 | BOY |
| EOY | 5087306 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 230893 | BOY |
| EOY | 172566 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 230893 | BOY |
| EOY | 172566 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4728688 | BOY |
| EOY | 5259872 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 377053 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -435380 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Other | X | MethodOfAccountingOther |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| MEMBER CASH RESERVE ASSESS PAYABLE | $3,443,889 |
| MEMBER ASSESS REAPPORTION PAYABLE | $507,135 |
| DEFERRED COMPENSATION OBLIGATION | $1,136,282 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5087306 | TotalOfAmounts |
| Total Revenue | 7819735 | TotalRevenue |
| Total Expenses | 7442682 | TotalExpenses |
| Excess Or Deficit For Year | 377053 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 71755 | NetUnrealizedGLOnInvestments |
| Other | -$507,135 | OtherAmount |
| Total Adjustments | -435380 | TotalAdjustments |
| Excess Or Deficit Per FS | -58327 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 7891490 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 71755 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 71755 | RevenueNotRptdF990 |
| Revenue Subtotal | 7819735 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 7819735 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 7442682 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 7442682 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 7442682 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE ASSOCIATION'S FEDERAL TAX FILINGS FOR 2008 - 2010 ARE OPEN FOR INTERNAL REVENUE SERVICE EXAMINATION. THE RELATED STATE TAX FILINGS ARE OPEN FOR EXAMINATION BY THE TAXING AUTHORITY OF THE STATE OF MINNESOTA. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | MEMBERSHIP REAPPORTIONMENT ADJUSTMENT -507,135. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRUCE TOLLEFSON | |||||||||||||
| 156677 | 0 | 0 | 0 | 0 | 0 | 28623 | 0 | 13323 | 0 | 198623 | 0 | 0 | 0 |
| CRAIG A ANDERSON | |||||||||||||
| 116947 | 0 | 0 | 0 | 0 | 0 | 21150 | 0 | 13323 | 0 | 151420 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ASSOCIATION PROVIDES SERVICE TO ITS MEMBERS. THE MEMBERSHIP INCLUDES ALL INSURANCE COMPANIES THAT WRITE WORKERS' COMPENSATION INSURANCE IN MINNESOTA. | |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THIS FORM 990 IS TRANSMITTED TO THE AUDIT COMMITTEE. AUDIT COMMITTEE MEMBERS, ALONG WITH THE PRESIDENT AND SECRETARY/TREASURER, HAVE OPPORTUNITY TO REVIEW AND, IF NEEDED, DISCUSS THE FORM. SUBSEQUENT TO REVIEW, THE AUDIT COMMITTEE APPROVES THE FORM 990 FOR FILING, AND INFORMS THE BOARD OF DIRECTORS IN WRITING OF ITS REVIEW AND APPROVAL. COPIES OF THE FORM 990 ARE MADE AVAILABLE TO THE BOARD MEMBERS AFTER THE COMMITTEE'S APPROVAL. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY THROUGH AN ANNUAL PROCESS OF REQUIRING EMPLOYEES AND BOARD MEMBERS TO REVIEW THE POLICY, AND SIGN AN ACKNOWLEDGEMENT STATING THEIR COMPLIANCE WITH THE POLICY. THE POLICY REQUIRES EMPLOYEES AND BOARD MEMBERS TO DISCLOSE POTENTIAL CONFLICT OF INTEREST RELATIONSHIPS THAT ARISE IN THE ORDINARY COURSE OF THE ORGANIZATION'S BUSINESS. IF CONFLICTS ARE IDENTIFIED, THE PRESIDENT AND VICE PRESIDENT OF OPERATIONS, IN CONSULTATION WITH THE CHAIR OF THE BOARD OF DIRECTORS, ARE RESPONSIBLE TO MANAGE THE RELATIONSHIPS TO ENSURE THAT FINANCIAL DECISIONS ARE MADE WITH INDEPENDENCE. | |
| FORM 990, PART VI, SECTION B, LINE 15 | AN INDEPENDENT CONSULTANT IS USED TO SURVEY COMPENSATION LEVELS IN THE INSURANCE INDUSTRY, AND TO PERFORM MARKET ANALYSIS FOR LIKE POSITIONS. THE CONSULTANT RECOMMENDS COMPENSATION LEVELS FOR EXECUTIVES AND KEY EMPLOYEES TO THE EXECUTIVE COMMITTEE OF THE BOARD, WHICH REVIEWS THE RECOMMENDATIONS AND SUPPORT FOR THE RECOMMENDATIONS, AND APPROVES THE COMPENSATION LEVELS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | ARTICLES OF INCORPORATION AND BYLAWS ARE POSTED ON THE ORGANIZATION'S WEBSITE. FINANCIAL INFORMATION IS INCLUDED IN SUMMARY FORM IN THE ANNUAL REPORT WHICH IS ALSO POSTED ON THE WEBSITE. OTHER INFORMATION, SUCH AS THE CONFLICT OF INTEREST POLICY, IS MADE AVAILABLE UPON REQUEST. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 71,755. MEMBERSHIP REAPPORTIONMENT ADJUSTMENT -507,135. TOTAL TO FORM 990, PART XI, LINE 5: -435,380. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XI, LINE 1: | ACCOUNTING METHOD USED TO PREPARE THE FORM 990: MODIFIED CASH BASIS. |
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