2026-03-30T09:59:12-05:00 2025-12-31 223271712 MERCADIEN PC PO BOX 7648 PRINCETON NJ 085437648 990 2025-01-01 223329794 NEW JERSEY SELF-INSURERS GUARANTY ASSOCIATION NEWJ 6094972338 107 TINDALL ROAD 6 MIDDLETOWN NJ 07748 RALPH A ANGELO EXECUTIVE DIRECTOR 6094972338 2026-03-30 1 RAPHAEL J CARLETTI CPA P01747794 6096899700 2026-03-30 2025 2025-03-06 01:10:19Z RALPH A ANGELO 107 TINDALL ROAD 6 MIDDLETOWN NJ 07748 3000277 0 X N/A X 1993 NJ THE ASSOCIATION WAS CREATED BY THE NEW JERSEY STATE LEGISLATURE TO ISSUE WORKERS' COMPENSATION BENEFITS TO EMPLOYEES OF INSOLVENT SELF INSURED EMPLOYERS WHO HAVE COVERED CLAIMS. 5 5 1 5 0 0 0 0 2741582 2917114 123205 83163 131 0 2864918 3000277 0 0 0 0 110368 114776 0 0 0 3602292 560439 3712660 675215 -847742 2325062 4474203 5773872 7418789 6393396 -2944586 -619524 THE ASSOCIATION WAS CREATED BY THE NEW JERSEY STATE LEGISLATURE TO ISSUE WORKERS' COMPENSATION BENEFITS TO EMPLOYEES OF INSOLVENT SELF INSURED EMPLOYERS WHO HAVE COVERED CLAIMS. 0 0 675215 2917114 THE ASSOCIATION EVALUATES THE NEED TO LEVY AN ASSESSMENT TO ITS MEMBERS ANNUALLY IN ORDER TO MAINTAIN ADEQUATE FUNDING TO MEET ITS OBLIGATIONS INCURRED WITH RESPECT TO WORKERS' COMPENSATION CLAIMS. 675215 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7 0 1 1 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X RALPH A ANGELO EXECUTIVE DIRECTOR 6094972338 107 TINDALL ROAD MIDDLETOWN NJ 07748 DONNA MICHAEL-ZIEREIS CHAIRPERSON/DIRECTOR 3.00 X X 0 0 0 JAMES C KNICOS TREASURER/DIRECTOR 3.00 X X 0 0 0 HONORA C MCGINN SECRETARY/DIRECTOR 3.00 X X 0 0 0 LAWRENCE J HOLT DIRECTOR 3.00 X 0 0 0 WAYNE KLOKIS DIRECTOR 3.00 X 0 0 0 RALPH A ANGELO EXECUTIVE DIRECTOR 35.00 X 106290 0 0 106290 0 0 1 0 0 0 0 ASSESSMENTS 524298 2917114 2917114 2917114 83163 83163 3000277 2917114 0 83163 X 106290 8486 48268 31709 121161 1769 3444 15672 1413 2885 CLAIMS EXPENSE 334118 675215 615130 906824 2047920 2853052 250271 434804 1560882 1579192 4474203 5773872 7418789 6393396 7418789 6393396 X -2944586 -619524 -2944586 -619524 4474203 5773872 2325062 0 X X 0 1 X 1 0 0 INVESTMENTS- US TREASURY BILLS 1579192 C 1579192 CLAIMS RESERVES 6393396 6393396 X 3000277 0 3000277 0 3000277 675215 0 675215 0 675215 PART X, LINE 2: MANAGEMENT IS REQUIRED TO EVALUATE THE ASSOCIATION'S TAX POSITIONS AND DISCLOSE A LIABILITY IF THE ASSOCIATION HAD TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. MANAGEMENT EVALUATED THE ASSOCIATION'S TAX POSITIONS AND CONCLUDED THAT THE ASSOCIATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE DISCLOSURE IN THE FINANCIAL STATEMENT. FORM 990, PART VI, SECTION A, LINE 6 ALL SELF-INSURERS, AS DEFINED AT N.J.S.A. 34:15-77 AND N.J.S.A. 34:15-120.15 SHALL BE AND ARE MEMBERS OF THE ASSOCIATION AS A CONDITION OF THEIR AUTHORITY TO SELF-INSURE FOR WORKERS' COMPENSATION LIABILITY IN THE STATE OF NEW JERSEY. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS RECEIVES A DRAFT OF FORM 990 VIA EMAIL FOR REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ASSOCIATION ADOPTED A CONFLICT OF INTEREST POLICY AND THE BOARD ANNUALLY REVIEWS THE POLICY TO DETERMINE IF THERE ARE ANY CONFLICTS OF INTEREST TO DISCUSS. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE DIRECTORS SALARY IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE ASSOCIATION WILL MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CLAIM SEARCH EXPENSE 121,161. PART XII LINE 1 ACCOUNTING METHOD IS CURRENTLY THE SAME AS LAST YEAR. FORM 990, PART XII, 2C THE ASSOCIATION'S RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OR SELECTION OF THE AUDITOR HAS NOT CHANGED FROM THE PRIOR YEAR.