SURPLUS LINE ASSOCIATION OF ARIZONA FOUNDATION TR: Form 990PF, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- SURPLUS LINE ASSOCIATION OF ARIZONA FOUNDATION TR (EIN 86-6320000)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-08-05
- IRS object ID
- 201102239349100020
- Schema version
- 2010v3.4
- 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
- Form 990-PF
- Schedule B
- General Explanation Attachment
- Investments Corp Bonds Schedule
- Investments Govt Obligations Sch
- Investments Other Schedule2
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-05T14:23:26-00:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Walls Drive | AddressLine1 |
| City | Fairfield | City |
| State | CT | State |
| ZIP Code | 06824 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 866320000 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Surplus Line Association of Arizona Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SURP | NameControl |
| Phone | 6022796344 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Kierland Business Center 15849 71st | AddressLine1 |
| City | Scottsdale | City |
| State | AZ | State |
| ZIP Code | 85254 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Timothy M Downey | Name |
| Title | President | Title |
| Date Signed | 2011-08-05 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jeffrey D Haskell | Name |
| Phone | 8008391754 | Phone |
| Date Prepared | 2011-08-05 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exempt PF | X | ExemptPF |
| FMV Assets EOY | 5478315 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Received Rev And Expnss | 699898 | ContriReceivedRevAndExpnss |
| Interest On Savings Rev And Expnss | 2564 | InterestOnSavingsRevAndExpnss |
| Interest On Savings Net Invst Incm | 2564 | InterestOnSavingsNetInvstIncm |
| Dividends Rev And Expnss | 2697 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 2378 | DividendsNetInvstIncm |
| Capital Gain Net Incm Net Invst Incm | 0 | CapitalGainNetIncmNetInvstIncm |
| Total Revenue And Expenses | 705159 | TotalRevenueAndExpenses |
| Total Net Investment Income | 4942 | TotalNetInvestmentIncome |
| Other Prof Fees Rev And Expnss | 902 | OtherProfFeesRevAndExpnss |
| Other Prof Fees Net Invst Incm | 902 | OtherProfFeesNetInvstIncm |
| Taxes Rev And Expnss | 104 | TaxesRevAndExpnss |
| Other Expenses Rev And Expnss | 21727 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 75 | OtherExpensesNetInvstIncm |
| Other Expenses Dsbrs Chrtbl Prps | 21652 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 22733 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 977 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 21652 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 82000 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 82000 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 104733 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 977 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 103652 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | 600426 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 3965 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Savings And Temp Cash Invst BOY | 207462 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 399241 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 399241 | SavingsAndTempCashInvstEOYFMV |
| Investments Govt Oblig EOY | 50301 | InvestmentsGovtObligEOY |
| Investments Govt Oblig EOYFMV | 51085 | InvestmentsGovtObligEOYFMV |
| Investments Corp Bonds EOY | 358346 | InvestmentsCorpBondsEOY |
| Investments Corp Bonds EOYFMV | 352738 | InvestmentsCorpBondsEOYFMV |
| Investments Other BOY | 4000000 | InvestmentsOtherBOY |
| Investments Other EOY | 4000000 | InvestmentsOtherEOY |
| Investments Other EOYFMV | 4675251 | InvestmentsOtherEOYFMV |
| Total Assets BOY | 4207462 | TotalAssetsBOY |
| Total Assets EOY | 4807888 | TotalAssetsEOY |
| Total Assets EOYFMV | 5478315 | TotalAssetsEOYFMV |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Do Not Follow SFAS117 | X | OrgThatDoNotFollowSFAS117 |
| Retained Earnings BOY | 4207462 | RetainedEarningsBOY |
| Retained Earnings EOY | 4807888 | RetainedEarningsEOY |
| Total Net Assets BOY | 4207462 | TotalNetAssetsBOY |
| Total Net Assets EOY | 4807888 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 4207462 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 4807888 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 4207462 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | 600426 | ExcessOfRevenueOverExpenses |
| Subtotal | 4807888 | Subtotal |
| Total Net Assets Fund Balances EOY | 4807888 | TotalNetAssetsFundBalancesEOY |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | false | LiableFor4942Tax |
| Qualifying Distributions Year1 | 253711 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 4349903 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 000.058326 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 270213 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 3868576 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 000.069848 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 194823 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 3318831 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 000.058702 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 145137 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 3002636 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | 000.048337 | DistributionRatioYear4 |
| Qualifying Distributions Year5 | 97425 | QualifyingDistributionsYear5 |
| Noncharitable Assets Year5 | 2822694 | NoncharitableAssetsYear5 |
| Distribution Ratio Year5 | 000.034515 | DistributionRatioYear5 |
| Total Distribution Ratio | 000.269728 | TotalDistributionRatio |
| Average Distribution Ratio | 000.053946 | AverageDistributionRatio |
| Net Noncharitable Assets | 5020023 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 270810 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 40 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 270850 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 103652 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | 79 | InvestmentIncomeExciseTax |
| Subtotal | 79 | Subtotal |
| Tax Based On Investment Income | 79 | TaxBasedOnInvestmentIncome |
| Est Tax Payments And Overpayment | 100 | EstTaxPaymentsAndOverpayment |
| Total Credits And Payments | 100 | TotalCreditsAndPayments |
| Tax Paid Original Return | 100 | TaxPaidOriginalReturn |
| Overpayment | 21 | Overpayment |
| Amount Credited To Next Year | 21 | AmountCreditedToNextYear |
Statements Regarding Activities StatementsRegardingActivities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Activities | false | LegislativePoliticalActivities |
| More Than100 Spent | false | MoreThan100Spent |
| Form1120 POL Filed | false | Form1120POLFiled |
| Activities Not Prev Reported | false | ActivitiesNotPrevReported |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylaws |
| Unrelated Bus Income Over1000 | false | UnrelatedBusIncomeOver1000 |
| Termination Etc | false | TerminationEtc |
| Requirements Of Sect508e | true | RequirementsOfSect508e |
| At Least5000 In Assets | true | AtLeast5000InAssets |
| Form990 PF Filed With AG | true | Form990PFFiledWithAG |
| Private Operating Foundation | false | PrivateOperatingFoundation |
| New Substantial Contributors | false | NewSubstantialContributors |
| Interest In Controlled Entity | false | InterestInControlledEntity |
| Applicable Insurance Contract | false | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | true | ComplyWithPublicInspectionRqr |
Books In Care Of Business Name BooksInCareOfBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | co Foundation Source | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Books In Care Of Phone Number | 8008391754 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Silverside Road Suite 123 | AddressLine1 |
| City | Wilmington | City |
| State | DE | State |
| ZIP Code | 198091377 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Bank | false | ForeignBank |
Statements Regarding Acty4720 StatementsRegardingActy4720
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exchange With Dsqfly Person | false | SaleOrExchangeWithDsqflyPerson |
| Borrow Or Lend With Dsqfly Person | false | BorrowOrLendWithDsqflyPerson |
| Furnished Goods With Dsqfly Person | false | FurnishedGoodsWithDsqflyPerson |
| Pay Compensation To Dsqfly Person | false | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | false | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | false | PaymentToGovernmentOffical |
| Uncorrected Prior Acts | false | UncorrectedPriorActs |
| Undistributed Income Prior Years | false | UndistributedIncomePriorYears |
| Business Holdings | false | BusinessHoldings |
| Jeopardy Investments | false | JeopardyInvestments |
| Uncorrected Jeopardy Investments | false | UncorrectedJeopardyInvestments |
| Influence Legislation | false | InfluenceLegislation |
| Influence Election | false | InfluenceElection |
| Grants To Individuals | false | GrantsToIndividuals |
| Grants To Organizations | false | GrantsToOrganizations |
| Noncharitable Purpose | false | NoncharitablePurpose |
| Pay Premiums Prsnl Bnft Contract | false | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | false | ProhibitedTaxShelterTransactn |
| Proceeds Or Net Income | true | ProceedsOrNetIncome |
Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo
Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (10 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|---|---|---|---|
| Marc Adler | ||||||
| The Surplus Line Association of Ari | Scottsdale | AZ | 85254 | Director | 001.00 | 0 |
| T Curtis Anderson | ||||||
| The Surplus Line Association of Ari | Scottsdale | AZ | 85254 | Vice President | 001.00 | 0 |
| Larry Beach | ||||||
| Kierland Business Center 15849 71st | Scottsdale | AZ | 85254 | Secretary / Treasurer | 001.00 | 0 |
| Karla Burt | ||||||
| Kierland Business Center 15849 71st | Scottsdale | AZ | 85254 | Director | 001.00 | 0 |
| Timothy Downey | ||||||
| Kierland Business Center 15849 71st | Scottsdale | AZ | 85254 | President | 001.00 | 0 |
| Stephen K Goodrich | ||||||
| Kierland Business Center 15849 71st | Scottsdale | AZ | 85254 | Director Removed in Nov. 2010 | 001.00 | 0 |
| Lanny Hair | ||||||
| Kierland Business Center 15849 71st | Scottsdale | AZ | 85254 | Director | 001.00 | 0 |
| Konnie Keaschall-Kiser | ||||||
| Kierland Business Center 15849 71st | Scottsdale | AZ | 85254 | Director | 001.00 | 0 |
| Gerald L Silver | ||||||
| Kierland Business Center 15849 71st | Scottsdale | AZ | 85254 | Director | 001.00 | 0 |
| J Scott Wede | ||||||
| Kierland Business Center 15849 71st | Scottsdale | AZ | 85254 | Executive Director | 001.00 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Highest Paid Empl NONE | NONE | CompOfHighestPaidEmplNONE |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 189415 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 231805 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 4675250 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 5096470 | TotalFMVOfUnusedAssets |
| Adj Total FMV Of Unused Assets | 5096470 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 76447 | CashDeemedCharitable |
| Net Noncharitable Assets | 5020023 | NetNoncharitableAssets |
| Minimum Investment Return | 251001 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 251001 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 79 | TaxBasedOnInvestmentIncome |
| Total Tax | 79 | TotalTax |
| Distributable Amount Before Adj | 250922 | DistributableAmountBeforeAdj |
| Distributable Amount Before Ded | 250922 | DistributableAmountBeforeDed |
| Distributable Amount As Adjusted | 250922 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 103652 | ExpensesAndContributions |
| Qualifying Distributions | 103652 | QualifyingDistributions |
| Adj Qualifying Distributions | 103652 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 250922 | DistributableAmountAsAdjusted |
| Undistributed Income Prior Year | 7734 | UndistributedIncomePriorYear |
| Qualifying Distributions | 103652 | QualifyingDistributions |
| Applied To Year1 | 7734 | AppliedToYear1 |
| Applied To Current Year | 95918 | AppliedToCurrentYear |
| Undistributed Income CY | 155004 | UndistributedIncomeCY |
Supplementary Information SupplementaryInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManager |
| Only Contributes To Preselected | X | OnlyContributesToPreselected |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (15 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| ABT PERFORMING ARTS ASSOCIATION | |||||||
| 7701 W PARADISE LN | PEORIA | AZ | 85382 | N/A | 509(a)(2) | General Unrestricted | $2,500 |
| AMERICAN HEART ASSOCIATION | |||||||
| 5325 E PIMA ST | TUCSON | AZ | 85712 | N/A | 509(a)(1) | American Stroke Foundation Division | $1,000 |
| AMERICARES INC | |||||||
| 88 HAMILTON AVE | STAMFORD | CT | 06902 | N/A | 509(a)(1) | Haitian Relief Fund | $10,000 |
| ARIZONA COLLEGE SCHOLARSHIP FDN | |||||||
| 1430 E MISSOURI AVE B-205 | PHOENIX | AZ | 85014 | N/A | 509(a)(1) | Phoenix College Scholarship Program | $2,500 |
| ARIZONA MUSICFEST | |||||||
| PO BOX 5254 | CAREFREE | AZ | 85377 | N/A | 509(a)(1) | General Unrestricted | $1,000 |
| COMMUNITY FOOD BANK INC | |||||||
| PO BOX 26727 | TUCSON | AZ | 85726 | N/A | 509(a)(1) | General Unrestricted | $15,000 |
| INTERMOUNTAIN SHRINERS HOSPITAL | |||||||
| 1340 E 500 N | SALT LAKE CITY | UT | 84103 | N/A | 509(a)(1) | Shrine Center Division | $2,500 |
| LEADERSHIP WORKSHOPS FOUNDATION | |||||||
| 10450 N 74TH ST STE 210 | SCOTTSDALE | AZ | 85258 | N/A | 509(a)(2) | Tumbleweed Center for Youth Fund | $2,500 |
| MARICOPA COUNTY COMM COLLEGE FDN | |||||||
| 2411 W 14TH ST | TEMPE | AZ | 85281 | N/A | 509(a)(1) | Phoenix College Scholarship Fund | $2,500 |
| PLUS FOUNDATION | |||||||
| 5353 WAYZATA BLVD | MINNEAPOLIS | MN | 55416 | N/A | 509(a)(3) | General Unrestricted | $5,000 |
| SOUTHWEST DISTRICT KIWANIS FOUNDATI | |||||||
| PO BOX 1603 | MESA | AZ | 85211 | N/A | 509(a)(1) | General Unrestricted | $7,500 |
| ST MARYS FOOD BANK ALLIANCE | |||||||
| 2831 N 31ST AVE | PHOENIX | AZ | 85009 | N/A | 509(a)(1) | General Unrestricted | $10,000 |
| TUMBLEWEED CENTER FOR YOUTH DEVELOP | |||||||
| 1419 N 3RD ST | PHOENIX | AZ | 85004 | N/A | 509(a)(1) | General Unrestricted | $2,500 |
| WASTE NOT INC | |||||||
| 1700 N GRANITE REEF RD | SCOTTSDALE | AZ | 85257 | N/A | 509(a)(1) | General Unrestricted | $10,000 |
| YES SOLUTIONS INC | |||||||
| 549 W 123RD ST APT MF | NEW YORK | NY | 10027 | N/A | 509(a)(1) | General Unrestricted | $7,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 82000 | TotGrantOrContriPaidDuringYear |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $2,564 | ExclusionAmount |
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $2,697 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $5,261 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 5261 | TotalPartXVIA |
Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Noncharitable EO | false | TrnsfrOfCashToNoncharitableEO |
| Trnsfr Oth Assets Noncharitable EO | false | TrnsfrOthAssetsNoncharitableEO |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssets |
| Purchase Assets Noncharitable EO | false | PurchaseAssetsNoncharitableEO |
| Rental Of Facilities Etc | false | RentalOfFacilitiesEtc |
| Reimbursement Arrangements | false | ReimbursementArrangements |
| Loans Or Loan Guarantees | false | LoansOrLoanGuarantees |
| Performance Of Services Etc | false | PerformanceOfServicesEtc |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtc |
| Relationships Noncharitable E Os | false | RelationshipsNoncharitableEOs |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | X | Organization501c3ExemptPF |
| General Rule | X | GeneralRule |
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | 0001 | ContributorNumber |
| Contributor Name Individual | The Surplus Line Association of Ari | ContributorNameIndividual |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | co Mr J Scott Wede 15849 71st Stree | AddressLine1 |
| City | Scottsdale | City |
| State | AZ | State |
| ZIP Code | 85254 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | 699898 | AggregateContributions |
| Person Contribution Type | X | PersonContributionType |
General Explanation Attachment GeneralExplanationAttachment
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corp Bonds InvestmentsCorpBonds (15 entries)
| Name Of BondNameOfBond | EOY Book ValueEOYBookValue | EOYFMVEOYFMV |
|---|---|---|
| AEGON N V SR NT 4.750 06/01/2013 007924AF0 2500000.00% | 27111 | 25895 |
| AMERICAN INTL GROUP 5.375 10/18/2011 02687QDE7 2500000.00% | 25850 | 25688 |
| BANK NOVA SCOTIA HALIFAX 2.37500 12/17/2013 064149B97 2500000.00% | 26104 | 25640 |
| BANK OF AMERICA 3.55 11/15/2016 06050WDY8 2000000.00% | 20000 | 20000 |
| BERKSHIRE HATHAWAY NT - 5.100 - 07/15/2014 084664AM3 1000000.00% | 11162 | 10905 |
| CITIGROUP INC NOTES 5.500 02/15/2017 172967DY4 2500000.00% | 26901 | 25890 |
| COCA COLA CO NOTES 5.350 11/15/2017 MAKE WHOLE 191216AK6 2000000.00% | 22695 | 22930 |
| GE CAPITAL 4.80 03/15/2019 36966R6A9 1200000.00% | 11967 | 12172 |
| GENERAL ELEC CAP CORP MTN BE 3.50000 06/29/2015 36962G4L5 2500000.00% | 26176 | 25460 |
| GOLDMAN SACHS GRP INC MTN BE 3.70 08/01/2015 38141EA74 2500000.00% | 25639 | 25550 |
| GOLDMAN SACHS SR NT - 6.600 - 01/15/2012 38141GBU7 2500000.00% | 26845 | 26422 |
| JPMORGAN CHASE 3.7 1/20/15 46625HHP8 2500000.00% | 26428 | 25845 |
| MORGAN STANLEY - 4.750 - 04/01/2014 61748AAE6 2500000.00% | 26538 | 25715 |
| PRUDENTIAL FINL INC MTNS BOOK 3.625 09/17/2012 74432QBH7 2500000.00% | 26650 | 25900 |
| WAL MART STORES INC NT - 5.800 - 02/15/2018 931142CJ0 2500000.00% | 28280 | 28726 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Securities EOY Book Value | 25340 | USGovtSecuritiesEOYBookValue |
| US Govt Securities EOYFMV | 26145 | USGovtSecuritiesEOYFMV |
| State Local Securities EOY Book Val | 24961 | StateLocalSecuritiesEOYBookVal |
| State Local Securities EOYFMV | 24940 | StateLocalSecuritiesEOYFMV |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOther (15 entries)
| Category Or ItemCategoryOrItem | Book ValueBookValue | EOYFMVEOYFMV |
|---|---|---|
| COLUMBUS LIFE CM5040241A | 450000 | 539835 |
| COLUMBUS LIFE CM5037899A | 250000 | 250256 |
| COLUMBUS LIFE CM5037917A | 250000 | 297419 |
| COLUMBUS LIFE CM5037965A | 250000 | 297132 |
| JACKSON NATL LIFE INSURANCE 1001454621 | 250000 | 306348 |
| JACKSON NATION LIFE ANNUITY 1004989526 | 250000 | 308087 |
| JACKSON NATIONAL ANNUITY 1006297656 | 250000 | 249303 |
| JACKSON NATIONAL LIFE 1003556618 | 250000 | 270726 |
| JACKSON NATIONAL LIFE 1004713750 | 250000 | 310480 |
| LINCOLN BENEFIT LIFE CO NON-QUAL LBF1213531 | 100000 | 127866 |
| LINCOLN BENEFIT LIFE NON QUAL LBF1224569 | 450000 | 573496 |
| NEW YORK LIFE -QUAL ANNUITY 52198773 | 250000 | 303621 |
| NY LIFE INSURANCE ANNUITY 52132702 | 250000 | 289177 |
| NY LIFE INSURANCE ANNUITY 52154434 | 250000 | 280590 |
| UNITED OF OMAHA LIFE INSURANCE CO | 250000 | 270915 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Disbursements Charitable PrpsDisbursementsCharitablePrps | Net Investment IncomeNetInvestmentIncome |
|---|---|---|---|
| Administrative Fees | 21652 | 21652 | |
| Bank Charges | 75 | 75 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees OtherProfessionalFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Investment Management Services | Category |
| Amount | $902 | Amount |
| Net Investment Income | 902 | NetInvestmentIncome |
Taxes Schedule TaxesSchedule
Taxes Taxes (2 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome | Adjusted Net IncomeAdjustedNetIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|---|
| Estimated Tax for 2010 | $100 | 0 | 0 | 0 |
| IRS Excise Tax Payment with 1st ext 990PF | $4 | 0 | 0 | 0 |
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