Nonprofit · EIN 42-1566974
PENNSYLVANIA ACACIA INSURANCE COMPANY LTD
Tax-exempt · BURLINGTON, VT 05401
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| December 31, 2025 | 990 | $358,993 | $180,220 | $178,773 | $20,185,208 | $563,933 | $19,621,275 |
| December 31, 2024 | 990 | $354,676 | $81,709 | $272,967 | $18,051,460 | $500,305 | $17,551,155 |
| December 31, 2023 | 990 | $327,253 | $12,279 | $314,974 | $16,438,980 | $545,306 | $15,893,674 |
Financial details: 990 for the year ended December 31, 2025
Revenue
- Contributions, gifts and grants
- $0
- Program service revenue
- $25,000
- Investment income
- $333,993
- Other revenue
- $0
Expenses
- Grants and similar amounts paid
- $0
- Salaries, compensation and benefits (total)
- $0
- Professional fundraising fees
- $0
- Legal fees
- $6,787
- Accounting fees
- $29,669
- Program services (functional)
- $57,676
- Management and general (functional)
- $122,544
Balance sheet and other
- Total assets, start of year
- $18,051,460
- Total assets, end of year
- $20,185,208
- Total liabilities, end of year
- $563,933
- Net assets, end of year
- $19,621,275
- Gross receipts
- $358,993
- Employees
- 0
- Volunteers
- 3
- Year formed
- 2002
- State of legal domicile
- VT
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended December 31, 2025, highest compensation first.
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| WILLIAM KINGSBURY | PRESIDENT/DIRECTOR Trustee or director, Officer | 1 | $0 | $475,458 | $40,805 |
| PAMELA S FORMICA | TREASURER/DIRECTOR Trustee or director, Officer | 1 | $0 | $302,543 | $27,434 |
| DEBRA BROCKMAN | VP/DIRECTOR Trustee or director, Officer | 1 | $0 | $250,624 | $28,912 |
| PATRICK SAMPSELL | DIRECTOR Trustee or director | 1 | $0 | $239,128 | $32,892 |
| ROBERT SNYDER II | CHAIRPERSON/DIRECTOR Trustee or director, Officer | 1 | $0 | $0 | $0 |
| BENJAMIN GOULD | SECRETARY/DIRECTOR Trustee or director, Officer | 1 | $0 | $0 | $0 |
| MICHAEL MAGLARAS | ASST SECRETARY/DIRECTOR Trustee or director, Officer | 2 | $0 | $0 | $0 |
990 for the year ended December 31, 2024: 7 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| WILLIAM KINGSBURY | PRESIDENT/DIRECTOR Trustee or director, Officer | 1 | $0 | $470,401 | $38,158 |
| PAMELA S FORMICA | TREASURER/DIRECTOR Trustee or director, Officer | 1 | $0 | $301,499 | $28,648 |
| DEBRA BROCKMAN | VP/DIRECTOR Trustee or director, Officer | 1 | $0 | $235,717 | $28,406 |
| PATRICK SAMPSELL | DIRECTOR Trustee or director | 1 | $0 | $221,625 | $32,357 |
| ROBERT SNYDER II | CHAIRPERSON/DIRECTOR Trustee or director, Officer | 1 | $0 | $0 | $0 |
| BENJAMIN GOULD | SECRETARY/DIRECTOR Trustee or director, Officer | 1 | $0 | $0 | $0 |
| MICHAEL MAGLARAS | ASST SECRETARY/DIRECTOR Trustee or director, Officer | 2 | $0 | $0 | $0 |
990 for the year ended December 31, 2023: 8 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| WILLIAM KINGSBURY | PRESIDENT/DIRECTOR Trustee or director, Officer | 1 | $0 | $467,597 | $36,724 |
| PAMELA S FORMICA | TREASURER/DIRECTOR Trustee or director, Officer | 1 | $0 | $302,330 | $28,230 |
| DEBRA BROCKMAN | VP/DIRECTOR Trustee or director, Officer | 1 | $0 | $231,904 | $27,684 |
| PATRICK SAMPSELL | DIRECTOR Trustee or director | 1 | $0 | $218,410 | $31,488 |
| ROBERT SNYDER II | CHAIRPERSON/DIRECTOR Trustee or director, Officer | 1 | $0 | $0 | $0 |
| BENJAMIN GOULD | SECRETARY/DIRECTOR (FROM 2023) Trustee or director, Officer | 1 | $0 | $0 | $0 |
| STEPHANIE MAPES | SECRETARY/DIRECTOR (TO 2023) Trustee or director, Officer | 1 | $0 | $0 | $0 |
| MICHAEL MAGLARAS | ASST SECRETARY/DIRECTOR Trustee or director, Officer | 2 | $0 | $0 | $0 |
Address and contacts
- Address (IRS master file)
- 159 BANK STREET FOURTH FLOOR, BURLINGTON, VT 05401-4479
- In care of
- % JOSEPH MURPHY
- Principal officer (990 for 2025)
- WILLIAM KINGSBURY, ONE MASONIC DRIVE, ELIZABETHTOWN, PA 17022
- Signed the 990
- WILLIAM KINGSBURY, PRESIDENT
- Phone
- (802) 860-1958
- Return prepared by
- JOHNSON LAMBERT LLP
Mission
THE COMPANY WAS FORMED TO PROVIDE HEALTHCARE PROFESSIONAL LIABILITY, EMPLOYEE BENEFITS LIABILITY, SEXUAL MISCONDUCT LIABILITY AND GENERAL LIABILITY INSURANCE COVERAGE TO MASONIC VILLAGES, A PENNSYLVANIA NON-PROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAXES AS A CHARITABLE ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.
Program accomplishments
- THE COMPANY PROVIDES HEALTHCARE PROFESSIONAL LIABILITY, SEXUAL MISCONDUCT LIABILITY AND GENERAL LIABILITY INSURANCE COVERAGE TO ITS PARENT, MASONIC VILLAGES, A PENNSYLVANIA NON-PROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAXES AS A CHARITABLE ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.Expenses $57,676 · revenue $25,000
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | December 31, 2025 | May 15, 2026 | 990 on file |
| 2024 | December 31, 2024 | May 15, 2025 | 990 on file |
| 2023 | December 31, 2023 | May 15, 2024 | 990 on file |
IRS record
- EIN
- 42-1566974
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Supporting organization (509(a)(3))
- Donations deductible (Pub 78)
- Supporting organization of unknown type
- Exempt since
- 2005
- Accounting year ends
- December
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Mutual and membership benefit (Y200)
- Assets (IRS master file)
- $20,185,208
- Income (IRS master file)
- $358,993
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | December 2025 | $358,993 | $180,220 | $20,185,208 | XML |
| 990 | December 2024 | $354,676 | $81,709 | $18,051,460 | XML |
| 990 | December 2023 | $327,253 | $12,279 | $16,438,980 | XML |
| 990 | December 2022 | $236,191 | $161,724 | $14,474,796 | IRS |
| 990 | December 2021 | – | – | – | IRS |
| 990 | December 2020 | – | – | – | IRS |
| 990 | December 2018 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 42-1566974).
Questions about PENNSYLVANIA ACACIA INSURANCE COMPANY LTD
- What is the EIN of PENNSYLVANIA ACACIA INSURANCE COMPANY LTD?
- The employer identification number (EIN) of PENNSYLVANIA ACACIA INSURANCE COMPANY LTD is 42-1566974.
- Is PENNSYLVANIA ACACIA INSURANCE COMPANY LTD tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2005.
- Are donations to PENNSYLVANIA ACACIA INSURANCE COMPANY LTD tax-deductible?
- Yes. It is listed in IRS Publication 78 (Supporting organization of unknown type).
- Which annual return does PENNSYLVANIA ACACIA INSURANCE COMPANY LTD file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of PENNSYLVANIA ACACIA INSURANCE COMPANY LTD due?
- The return for tax year 2026 (the year ending December 31, 2026) is due May 17, 2027. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did PENNSYLVANIA ACACIA INSURANCE COMPANY LTD last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended December 2025.
- Who is the principal officer of PENNSYLVANIA ACACIA INSURANCE COMPANY LTD?
- The 990 for the year ended December 31, 2025 names WILLIAM KINGSBURY.
- Who are the officers and directors of PENNSYLVANIA ACACIA INSURANCE COMPANY LTD?
- The 990 for the year ended December 31, 2025 lists 7 people; 0 received compensation from the organization.
- How much revenue does PENNSYLVANIA ACACIA INSURANCE COMPANY LTD have?
- On its 990 for the year ended December 31, 2025 it reported revenue of $358,993, expenses of $180,220 and total assets of $20,185,208 at year end.
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