2024-11-09T05:50:31-06:00 2023-12-31 521446779 JOHNSON LAMBERT LLP 4242 SIX FORKS ROAD SUITE 1500 RALEIGH NC 27609 990 2023-01-01 061555320 ALLIANCE OF NONPROFITS FOR INSURANCE RISK RETENTION GROUP INC ALLI 8314590980 PO BOX 8507 SANTA CRUZ CA 950618507 CARLOS BALLESTEROS CFO, TREASURER 8314590980 2024-11-08 1 0 J CALVIN MARKS P01226973 9197196400 2023 2024-10-15 13:58:12Z PAMELA DAVIS 300 PANETTA AVE SANTA CRUZ CA 95060 129048927 0 X WWW.INSURANCEFORNONPROFITS.ORG X 1999 VT QUALIFIED CHARITABLE RISK POOL FOR NONPROFIT ORGANIZATIONS. 12 11 0 13 0 0 0 0 83797647 97158562 2668668 4426835 0 0 86466315 101585397 0 0 0 0 0 0 0 0 0 79950826 92546605 79950826 92546605 6515489 9038792 304018973 374154517 252259297 309111215 51759676 65043302 X ALLIANCE OF NONPROFITS FOR INSURANCE, RISK RETENTION GROUP, INC. (ANI) 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 90016298 97158563 PROVIDED 14,040 501(C)(3) ORGANIZATIONS WITH A STABLE SOURCE OF REASONABLY PRICED LIABILITY INSURANCE TAILORED TO THE SPECIALIZED NEEDS OF THE NONPROFIT SECTOR. 1515820 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. 91532118 1 0 0 1 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 1 585 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X CARLOS BALLESTEROS CFO & TREASURER 8319009476 300 PANETTA AVE SANTA CRUZ CA 95060 PAMELA DAVIS PRESIDENT 14.00 26.00 X X 0 504030 29149 ANN MARIE GOTHARD CHAIRMAN 1.00 2.00 X X 0 0 0 MICHAEL SHAVER VICE CHAIR 1.00 X X 0 0 0 DALENA MCGREW SECRETARY (TO FEB '23) 1.00 X X 0 0 0 SHAUN POWERS SECRETARY 1.00 X X 0 0 0 JEFFREY KENNESON ASSISTANT SECRETARY 1.00 1.00 X X 0 0 0 KRISTEN BRADBURY DIRECTOR 1.00 1.00 X 0 0 0 JACK BROWN DIRECTOR (TO MAR '23) 1.00 X 0 0 0 NORRIS CLARK DIRECTOR 1.00 1.00 X 0 0 0 CAROLYN DAY DIRECTOR (FROM FEB '23) 1.00 X 0 0 0 S ORLENE GRANT DIRECTOR 1.00 X 0 0 0 EDWARD HAIK DIRECTOR 1.00 2.00 X 0 0 0 MARTHA MARCON DIRECTOR 1.00 3.00 X 0 0 0 STEPHEN SUMNER DIRECTOR 1.00 2.00 X 0 0 0 KIM ADAY CFO, TREASURER 14.00 26.00 X 0 392846 32992 0 896876 62141 0 0 1 0 MARSHALL DENNEHEY WARNER COLEMAN & GOGGI 2400 EAST COMMERICAL BLVD STE 1100 FORT LAUDERDALE FL 33308 MEMBER DEFENSE EXPENSES 595344 BUCHANAN & BUCHANAN PA 1900 SE 18TH AVE STE 300 OCALA FL 34471 MEMBER DEFENSE EXPENSES 535487 PRETZEL & STOUFFER CHARTERED 200 S WACKER DRIVE STE 2600 CHICAGO IL 60606 MEMBER DEFENSE EXPENSES 530527 BUSH & AUGSPURGER PA 411 E JACKSON STREET ORLANDO FL 32801 MEMBER DEFENSE EXPENSES 527121 MESSNER REEVES LLP 650 TOWN CENTER DRIVE STE 700 COSTA MESA CA 92626 MEMBER DEFENSE EXPENSES 507241 25 NET EARNED PREMIUM 524298 96706998 96706998 COMMISSIONS RECEIVED 524298 451564 451564 97158562 4863974 4863974 27026391 27463530 -437139 -437139 -437139 101585397 97158562 0 4426835 X 9650648 9626648 24000 60315 60315 49800 49800 97208 97208 308070 308070 16059377 15694613 364764 27120 27120 3927 3927 15196 15196 40000 40000 -59975 -59975 LOSS AND LOSS ADJUSTMEN 62705649 62705649 PREMIUM TAXES 4557020 4557020 LICENSES & FEES 181270 181270 DEFERRED ACQUISITION CO -1811798 -1811798 662778 662778 92546605 91532118 1014487 0 13925989 17167576 61484566 74730605 31475730 37335272 132146022 168253207 64986666 76667857 304018973 374154517 2382619 3586531 249876678 305524684 252259297 309111215 X 10000000 10000000 2000000 2000000 39759676 53043302 51759676 65043302 304018973 374154517 X 9038792 3782623 462211 X 0 1 X 1 0 X 39655353 50964832 67715179 83797647 97158563 339291574 39655353 50964832 67715179 83797647 97158563 339291574 299770 366589 389312 286675 633560 1975906 3133978 6985692 6012502 6687176 6613836 29433184 3433748 7352281 6401814 6973851 7247396 31409090 307882484 2744552 2351533 2252569 2975916 4863974 15188544 2744552 2351533 2252569 2975916 4863974 15188544 42399905 53316365 69967748 86773563 102022537 354480118 0.86850 0.85870 0.04280 0.04430 X 0 0 0 0 0 0 1 97208 0 0 97208 0 PART II-B, LINE 1: ANI'S BOARD HAS CONCLUDED THAT TO BE ABLE TO PROVIDE ITS MEMBERS WITH THE STANDALONE PROPERTY PRODUCTS THEY CANNOT FIND IN THE COMMERCIAL MARKET, ANI NEEDS TO HAVE THE AUTHORITY TO PROVIDE THESE COVERAGES TO ITS MEMBERS, IN ADDITION TO THE LIABILITY INSURANCE IT ALREADY PROVIDES. THAT REQUIRES AN AMENDMENT TO THE LIABILITY RISK RETENTION ACT OF 1986, A FEDERAL LAW. TO HELP WITH THIS EFFORT, WE HAVE ENGAGED CONSULTANTS IN DC AND ANI'S CEO HAS BEEN WORKING WITH MEMBERS OF CONGRESS AND THEIR STAFFS TO EDUCATE ABOUT THE NEED FOR AND ENCOURAGE SUPPORT OF THE NONPROFIT PROPERTY PROTECTION ACT WHICH IS PRESENTLY BEING CIRCULATED AS A DISCUSSION DRAFT. 0 REINSURANCE RECOVERABLE 75504299 INTEREST RECEIVABLE 1163558 76667857 LOSS & LOSS ADJUSTMENT RESERVES 216489495 UNEARNED PREMIUM RESERVE 79360158 DUE TO AFFILIATE 4131241 REINSURANCE PAYABLE 5543790 305524684 X 105059950 3782623 3782623 101277327 308070 308070 101585397 92262535 24000 24000 92238535 308070 308070 92546605 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, 2023. PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 24,000. 0 0 0 0 0 0 0 0 0 PAMELA DAVIS PRESIDENT 0 369761 0 109601 0 24668 0 18300 0 10849 0 533179 0 0 KIM ADAY CFO, TREASURER 0 328782 0 62370 0 1694 0 18300 0 14692 0 425838 0 0 FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATIONS INSURED BY ANI 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 MEMBER ORGANIZATIONS ELECT THE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B A VOTE OF TWO-THIRDS OF THE MEMBERS IS REQUIRED TO MERGE OR DISSOLVE THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WILL BE MADE AVAILABLE ELECTRONICALLY TO THE ANI 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 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 IX, LINE 11G COMMISSIONS: PROGRAM SERVICE EXPENSES 15,694,613. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,694,613. ACTUARIAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 121,100. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 121,100. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 243,664. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 243,664. FORM 990, PART XI, LINE 9: CHANGE IN OTHER COMPREHENSIVE INCOME 486,211. BAD DEBT EXPENSE -24,000. ALLIANCE MEMBER SERVICES 300 PANETTA AVE SANTA CRUZ CA 95060 061555318 SUPPORTING ORGANIZATION VT 501(C)(3) 12-I N/A 0 NATIONAL ALLIANCE OF NONPROFITS FOR INSURANCE 300 PANETTA AVE SANTA CRUZ CA 95060 061555321 CHARITABLE RISK POOL VT 501(C)(3) 10 N/A 0 NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA 300 PANETTA AVE SANTA CRUZ CA 95060 770203935 CHARITABLE RISK POOL CA 501(C)(3) 10 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 1 1