2021-04-14T08:35:57-05:00 2020-05-31 390758449 WIPFLI LLP 1 MARKET SQUARE AUGUSTA ME 043304637 990 2019-06-01 010288347 MAINE AUTOMOBILE DEALERS ASSOCIATION INC INSURANCE TRUST MAIN 2076233882 PO BOX 2667 AUGUSTA ME 043382667 THOMAS BROWN ADMINISTRATOR 2076233882 2021-03-17 1 SCOTT SMALL CPA P00340648 2076224766 2021-03-17 2019 2022-09-23 18:48:47Z PO BOX 2667 AUGUSTA ME 043382667 33708586 0 X N/A X 1950 ME TO PROVIDE HEALTH, DENTAL, LIFE, VISION AND DISABILITY BENEFITS TO ITS MEMBERS' EMPLOYEES. 6 6 0 6 689912 614174 0 0 29520942 29941969 931620 717717 0 0 30452562 30659686 0 0 27105933 28019820 0 0 0 0 0 2982523 3046167 30088456 31065987 364106 -406301 9503993 8983777 2005431 1965172 7498562 7018605 TO PROVIDE HEALTH, DENTAL, LIFE, VISION AND DISABILITY BENEFITS TO ITS MEMBERS EMPLOYEES. 0 0 ADMINISTERS GROUP HEALTH AND LIFE INSURANCE PROGRAMS FOR BENEFIT OF THE MEMBERS OF MAINE AUTOMOBILE DEALERS ASSOCIATION. 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 X THOMAS T BROWN JR 2076233882 PO BOX 2667 AUGUSTA ME 043382667 TAMMY KOLMOSKY TRUSTEE 0.50 X 0 0 0 GREGORY DUTCH BOARD CHAIR 0.50 X X 0 0 0 JOHN ISAACSON TRUSTEE 0.50 X 0 0 0 FREDERICK PAPE III TRUSTEE 0.50 X 0 0 0 MARK POLITTE TRUSTEE 0.50 X 0 0 0 H WILLIAM SOWLES TRUSTEE 0.50 2.00 X 0 0 0 THOMAS BROWN ADMINISTRATOR 10.00 40.00 X 0 187100 9360 0 187100 9360 0 0 1 0 0 X INS PREMIUMS COLLECTED 524114 29939905 29939905 LTD ADMIN FEE 524298 2064 2064 29941969 162779 134974 27805 3603838 3048900 554938 554938 554938 30659686 29941969 689912 27805 28019820 20034 33912 11101 15900 13866 8554 CLAIMS PROCESSING 1861051 FEDERAL AND STATE FEES 341668 INCOME TAX ON NET INVES 180846 INSURANCE CONSULTING 168426 390809 31065987 678516 1469663 75844 21379 24722 3333 8347003 6964825 377908 524577 9503993 8983777 113756 125022 1891675 1840150 2005431 1965172 X 0 0 0 0 7498562 7018605 7498562 7018605 9503993 8983777 -406301 -73656 0 X 0 1 X 1 0 0 ACCRUED INTEREST RECEIVABLE 24097 OTHER RECEIVABLES 139038 REINSURANCE RECOVERY A/R 165 ANTHEM PRESCRIPTION DRUG REBATE/CLAIMS REIMBURSEMENT 361277 524577 CLAIMS INCURRED BUT NOT REPORTED 1840150 1840150 30552648 -73656 -33382 -107038 30659686 0 30659686 31032605 0 31032605 33382 33382 31065987 PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT FEES -33,382. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES 33,382. 0 0 0 THOMAS BROWN ADMINISTRATOR 0 187100 0 0 0 0 0 9360 0 0 0 196460 0 0 PART I, LINE 3 THE BOARD OF DIRECTORS OF THE MAINE AUTOMOBILE DEALERS ASSOCIATION DISCUSS AND APPROVE THE PRESIDENT'S SALARY DURING AN EXECUTIVE SESSION AT THE ANNUAL ALL BOARDS MEETING. FORM 990, PART VI, SECTION A, LINE 8B NO ADDITIONAL COMMITTEES WERE FORMED DURING THE CURRENT YEAR. FORM 990, PART VI, SECTION B, LINE 11B THOMAS BROWN, ADMINISTRATOR, REVIEWS THE 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS OF THE MAINE AUTOMOBILE DEALERS ASSOCATION DISCUSS AND APPROVE THE PRESIDENT'S SALARY DURING AN EXECUTIVE SESSION AT THE ANNUAL ALL BOARDS MEETING. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE FOR REVIEW AT THE CIVIC CENTER DRIVE OFFICE OF THE MAINE AUTOMOBILE DEALERS ASSOCIATION IN AUGUSTA, MAINE. FORM 990 PART VIII LINE 3 COLUMN (D) THE $27,805 IN COLUMN D CONSISTS OF INTEREST FROM MAINE MUNICIPAL OBLIGATIONS THAT ARE EXCLUDED FROM GROSS INCOME AND UNRELATED BUSINESS TAXABLE INCOME UNDER IRC SECTION 512. FORM 990, SCHEDULE R, PART V, LINE 2 EXPENSES REPORTED BY THE INSURANCE TRUST WILL DIFFER FROM THOSE REPORTED BY THE ASSOCIATION DUE TO DIFFERING YEAR ENDS. 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