2020-11-16T13:37:30-06:00 2019-12-31 420714325 RSM US LLP 4650 E 53RD ST DAVENPORT IA 528073479 990 2019-01-01 361493430 MODERN WOODMEN OF AMERICA MODE 3097866481 1701 1ST AVE ROCK ISLAND IL 612018724 TODD D SWANSON CHIEF ACCOUNTING OFFICER 3097866481 2020-11-16 1 JENIFER L CHASE P01306883 5638884000 2020-11-16 97.127.236.234 2020-11-16 13:33:32 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 2EE349D002053A7072D825E43582E9929710D9A2 2019 2021-04-22 16:20:28Z W KENNY MASSEY 1701 1ST AVE ROCK ISLAND IL 612018724 1656451151 0 X WWW.MODERNWOODMEN.ORG X 1883 IL TO IMPROVE THE QUALITY OF LIFE FOR OUR MEMBERS. 9 4 2123 463900 2669151 2300171 0 0 1682627046 1656451151 0 0 0 0 1682627046 1656451151 1042547 1030049 1222727997 1271759015 90606959 85831491 0 0 0 258366837 208304539 1572744340 1566925094 109882706 89526057 16475930289 17340647018 14597001159 15322338424 1878929130 2018308594 TO IMPROVE THE QUALITY OF LIFE FOR OUR MEMBERS. 0 0 LIFE INSURANCE PROGRAMS: MODERN WOODMEN OF AMERICA PROVIDES BENEFITS AND SERVICES COVERAGE FOR LIFE, ANNUITY, AND ACCIDENT & HEALTH INSURANCE (744,169 MEMBERS) FRATERNAL BENEFITS (30,114 BENEFICIARIES) YOUTH COMMUNITY SERVICE PROGRAMS: YOUTH ACTIVITIES (4,944) AND PROGRAMS (9,824) 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 1 73388 0 1 2123 1 1 1 0 0 0 0 0 1 0 X 9 4 0 0 0 0 1 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X TODD D SWANSON 3095583077 1701 FIRST AVENUE ROCK ISLAND IL 61201 WILLIAM KENNY MASSEY PRESIDENT 40.00 X X 1889917 0 2934144 JERALD J LYPHOUT NATIONAL SECRETARY 40.00 X X 793049 0 2186468 BRETT M VAN CHIEF INVESTMENT OFFICER & TREASURER 40.00 X X 719515 0 1424221 LESTER BOHNERT GENERAL COUNSEL 40.00 X X 497061 0 1028434 JOSEPH A SZTAPKA DIRECTOR & REGIONAL DIRECTOR 40.00 X 453498 42858 607281 DAVID B EMRICK DIRECTOR 5.00 X 119464 0 0 LORI NEWBERG DIRECTOR 5.00 X 107388 0 0 JAMES E TEMPERLEY DIRECTOR 5.00 X 101282 0 0 SAM KUPRESIN DIRECTOR 5.00 X 90648 0 0 GEORGE RAYMOND WORLEY FORMER CHIEF DISTRIBUTION & MARKE 40.00 X 3596707 0 5661 JEFFREY N SOWARDS CHIEF DISTRIBUTION & MARKETING OFFICER 40.00 X 546314 1986 306854 MELVIN L RAMBO FORMER CHIEF RISK OFFICER 40.00 X 523945 0 9263 DANIEL G DEPUYDT HUMAN RESOURCES DIRECTOR 40.00 X 422456 0 176709 STEVEN J OLLENBURG CHIEF RISK OFFICER 40.00 X 417564 0 486673 MICHAEL SCOTT ANDREWS CHIEF ACTUARY 40.00 X 396185 0 934902 TODD DAVID SWANSON CHIEF ACCOUNTING OFFICER 40.00 X 333575 0 316434 JILL LAIN WEAVER FRATERNAL DIRECTOR 40.00 X 317390 0 702326 DARWIN D LARRISON CHIEF INFORMATION SECURITY OFFICER 40.00 X 243131 0 105941 DARCY ANN CALLAS FORMER GENERAL COUNSEL 40.00 X 7118997 0 10292 WILLIAM KELTNER FORMER REGIONAL DIRECTOR 40.00 X 2559186 4637 3604 DANIEL L LAWRENCE REGIONAL DIRECTOR 40.00 X 663447 65169 664877 KELLY G HERRING REGIONAL DIRECTOR 40.00 X 603867 30211 552527 ROBERT KEORKUNIAN REGIONAL DIRECTOR 40.00 X 569260 68966 377802 DENIS PATRICK PRIOR FORMER NATIONAL SECRETARY 0.00 X 125044 0 6763 23208890 213827 12841176 298 1 1 0 SE2 5801 SW SIXTH AVENUE TOPEKA KS 66636 VA PRODUCT MANAGEMENT 1546356 ERNST & YOUNG PNC BANK EY US LLP 3712 SOLUTIONS C CHICAGO IL 60677 AUDIT AND CONSULTING 530911 OFI INSTITUTIONAL DISCOVERY SMALL 6803 SOUTH TUCSON WAY CENTENNIAL CO 80112 INVESTMENT MANAGEMENT 523317 PRUDENTIAL PRIVATE PLACEMENT INVESTORS L GATEWAY CTR 3 18TH FLOOR NEWARK NJ 07102 INVESTMENT MANAGEMENT 357895 WELIS LLC 10 OCEANA WAY NORWOOD MA 02062 SOFTWARE DEVELOPMENT & MAINTENANCE 314800 12 PREMIUMS & OTHER RECEIPTS 524113 957788889 957788889 GROSS INVESTMENT INCOME 524113 642598106 642598106 OTHER INCOME 524113 55977178 53395005 2582173 PRINTING INCOME 323100 86978 86978 1656451151 1656451151 1653782000 2669151 0 486408 543641 1271759015 8475215 38381910 14674975 17383431 6915960 600937 530911 881212 607333 2597800 4999132 1010929 6148025 380834 2553005 13276210 9299362 511446 COMMISSIONS 53784082 MISCELLANEOUS EXPENSE 25728282 CHAPTER ADMIN & EXPENSE 14755117 UNRELATED BUSINESS INCO 483036 70156886 1566925094 4294666 2882595 264433808 360471411 72638115 51157379 24561338 21480736 1006416 1417452 15023572518 15543345408 1158061543 1411049416 16475930289 17340647018 15854011 17675913 372975653 567906945 14208171495 14736755566 14597001159 15322338424 X 0 0 0 0 1878929130 2018308594 1878929130 2018308594 16475930289 17340647018 X 89526057 184960612 -135107205 X X 0 1 X 1 0 463770 1345245 1809015 606230 61950390 46307019 16249601 8272480 4850360 3422120 21480736 BONDS 13627695949 F COMMON STOCKS 859364507 F MORTGAGE LOANS 458883163 C OTHER INVESTED ASSETS 449678576 F CERTIFICATE LOANS 147723213 C 15543345408 SECURITIES LENDING 375154436 SEPARATE ACCOUNTS 902208515 INVESTMENT INCOME DUE & ACCRUED 127567426 AMOUNTS RECOVERABLE FROM REINSURERS 2755841 RECEIVABLE FROM SUBSIDIARIES & AFFILIATES 669435 UNCOLLECTED PREMIUMS 376595 MISCELLANEOUS ASSETS 150892 RECEIVABLE FOR SECURITIES 2166276 1411049416 CONTRACT RESERVES 12910240441 SECURITIES LENDING 375154436 ASSET VALUATION RESERVE 326104975 SEPARATE ACCOUNTS 902208515 OTHER LIABILITIES 67111007 LIABILITY FOR BENEFITS FOR EMPLOYEES & FIELDWORKERS 63924996 INTEREST MAINTENANCE RESERVE 28556211 CONTRACT CLAIM LIABILITY 33145817 DRAFTS OUTSTANDING 18758683 PROVISION FOR REFUNDS PAYABLE 8090000 PREMIUMS RECEIVED IN ADVANCE 3460485 14736755566 1627197516 0 1627197516 29253635 29253635 1656451151 1537671459 0 1537671459 29253635 29253635 1566925094 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 39030724 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 INVESTMENTS 32415425 0 0 0 0 0 0 71446149 0 71446149 1 0 1 1 1 0 PART III ACCOUNTING METHOD: 1 AMERICAN NATIONAL RED CROSS 431 18TH STREET NW WASHINGTON DC 20006 530196605 501(C)(3) 19500 GENERAL SUPPORT AUGUSTANA COLLEGE 639 38TH STREET ROCK ISLAND IL 61201 362166962 501(C)(3) 25000 HALL OF FINE ARTS RENOVATION BETHANY FOR CHILDREN & FAMILIES 1830 6TH AVENUE MOLINE IL 61265 362166973 501(C)(3) 8000 COMMUNITY CELEBRATION SPONSORSHIP BIG BROTHERS BIG SISTERS OF MISSISSIPPI VALLEY 130 W 5TH STREET DAVENPORT IA 52801 421320809 501(C)(3) 35750 YOUTH MENTORING & GENERAL SUPPORT BOYS AND GIRLS CLUB OF THE MISSISSIPPI VALLEY INC 338 6TH STREET MOLINE IL 61265 363838421 501(C)(3) 8000 SPONSORSHIP CENTER FOR ACTIVE SENIORS INC 1035 W KIMBERLY ROAD DAVENPORT IA 52806 421011267 501(C)(3) 5500 GENERAL SUPPORT CHRISTIAN FRIENDLINESS ASSOCIATION INC - YOUTHHOPE 3928 12TH AVENUE MOLINE IL 61265 362193602 501(C)(3) 7500 GENERAL SUPPORT DEVELOPMENT ASSOCIATION OF ROCK ISLAND 100 19TH STREET SUITE 109 ROCK ISLAND IL 61201 362757981 501(C)(6) 5775 DARI MEMBERSHIP FRIENDLY HOUSE OF DAVENPORT IOWA 1221 N MYRTLE STREET DAVENPORT IA 52804 420733466 501(C)(3) 10750 GENERAL SUPPORT FRIENDSHIP MANOR INC 1209 21ST AVE ROCK ISLAND IL 61201 362524984 501(C)(3) 9000 GENERAL SUPPORT & SPONSORSHIP GILDA'S CLUB OF QUAD CITIES 1234 E RIVER DRIVE DAVENPORT IA 52803 421446989 501(C)(3) 6500 GENERAL SUPPORT & SPONSORSHIP GIRL SCOUTS OF EASTERN IOWAWESTERN ILLINOIS 940 GOLDEN VALLEY DRIVE BETTENDORF IA 52722 421008848 501(C)(3) 5000 SUPPORT OUTREACH INITIATIVE HABITAT FOR HUMANITY - QUAD CITIES INC 3625 MISSISSIPPI AVENUE DAVENPORT IA 52807 421404937 501(C)(3) 9000 GENERAL SUPPORT & SPONSORSHIP HAND IN HAND 3860 MIDDLE ROAD BETTENDORF IA 52722 421508508 501(C)(3) 5100 GENERAL SUPPORT HUMILITY HOMES AND SERVICES INC 1016 W 5TH STREET DAVENPORT IA 52807 010916973 501(C)(3) 7250 GENERAL SUPPORT JUNIOR ACHIEVEMENT OF THE HEARTLAND INC 800 12TH AVENUE MOLINE IL 61265 362684253 501(C)(3) 10355 SPONSORSHIP LIFE HAPPENS 1530 WILSON BLVD SUITE 1060 ARLINGTON VA 22209 521904610 501(C)(6) 19000 GENERAL SUPPORT MIDWEST WRITING CENTER 401 19TH STREET ROCK ISLAND IL 61201 421126078 501(C)(3) 6000 WRITERS CONFERENCE SPONSORSHIP MUSCATINE CENTER FOR SOCIAL ACTION 312 IOWA AVE MUSCATINE IA 52761 421367973 501(C)(3) 5000 SPONSORSHIP NEW GROUND THEATRE 2113 E 11TH STREET DAVENPORT IA 52803 421519151 501(C)(3) 6500 GENERAL SUPPORT PUTNAM MUSEUM OF HISTORY 1717 W 12TH STREET DAVENPORT IA 52804 420680474 501(C)(3) 25000 SPONSORSHIP QUAD CITIES CHAMBER OF COMMERCE 331 W 3RD ST SUITE 100 DAVENPORT IA 52801 362878405 501(C)(6) 30000 GENERAL SUPPORT QUAD CITY ARTS INC 1715 2ND AVENUE ROCK ISLAND IL 61201 363122824 501(C)(3) 8000 YOUTH APPRENTICESHIP PROGRAM QUAD CITY SYMPHONY ORCHESTRA ASSOCIATION 327 BRADY STREET DAVENPORT IA 52801 426017663 501(C)(3) 8000 SPONSORSHIP SCOTT COUNTY FAMILY YMCA 606 W 2ND STREET DAVENPORT IA 52801 420703278 501(C)(3) 15000 BUILDING FOR GENERATIONS PROJECT ST AMBROSE UNIVERSITY 518 W LOCUST STREET DAVENPORT IA 52803 420703280 501(C)(3) 25000 COLLEGE OF BUSINESS RENOVATIONS TWO RIVERS YMCA INC 2040 53RD STREET MOLINE IL 61265 362169199 501(C)(3) 10000 GENERAL SUPPORT WESTERN ILLINOIS UNIVERSITY FOUNDATION 1 UNIVERSITY CIRCLE NO 303 MACOMB IL 61455 376046814 501(C)(3) 10500 INFRASTRUCTURE UPGRADES YWCA OF THE QUAD CITIES 229 16TH ST ROCK ISLAND IL 61201 362171176 501(C)(3) 5000 SPONSORSHIP 26 3 SCHOLARSHIPS 193 475051 0 ORPHAN BENEFITS 22 68590 0 PART I, LINE 2: ALTHOUGH MODERN WOODMEN DOES NOT HAVE SPECIFIC PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS, IT DOES HAVE PROCEDURES IN PLACE TO DECIDE WHO RECEIVES GRANTS, CONTRIBUTIONS, SCHOLARSHIPS AND ORPHAN BENEFITS. TO BE ELIGIBLE TO RECEIVE CONTRIBUTIONS AN ORGANIZATION MUST BE A 501(C)(3) OR 501(C)(6) ORGANIZATION. CONTRIBUTION RECIPIENTS ARE SELECTED BY A MODERN WOODMEN COMMITTEE OR BOARD OF DIRECTORS BASED ON ESTABLISHED CRITERIA. ELIGIBLE SCHOLARSHIP RECIPIENTS MUST BE BENEFICIAL MEMBERS OF MODERN WOODMEN AND ARE SELECTED BY AN INDEPENDENT COMMITTEE OR AT RANDOM BASED ON ESTABLISHED CRITERIA. SCHOLARSHIP CHECKS ARE MADE PAYABLE TO THE SCHOOL AND NOT THE INDIVIDUAL. ORPHAN BENEFITS ARE PROVIDED TO MEMBERS' CHILDREN OR JUNIOR MEMBERS WHO BECOME ORPHANED BEFORE THEIR 19TH BIRTHDAY. ELIGIBILITY REQUIREMENTS ARE ESTABLISHED BY THE BOARD OF DIRECTORS AND PAYMENTS ARE PAID ONLY TO LEGAL GUARDIANS. X X X X 1 1 X X X 0 1 0 WILLIAM KENNY MASSEY PRESIDENT 1466008 0 357250 0 66659 0 2920764 0 13380 0 4824061 0 0 0 JERALD J LYPHOUT NATIONAL SECRETARY 612931 0 144750 0 35368 0 2173088 0 13380 0 2979517 0 0 0 BRETT M VAN CHIEF INVESTMENT OFFICER & TREASURER 551733 0 134992 0 32790 0 1407136 0 17085 0 2143736 0 0 0 LESTER BOHNERT GENERAL COUNSEL 375367 0 88593 0 33101 0 1011349 0 17085 0 1525495 0 0 0 JOSEPH A SZTAPKA DIRECTOR & REGIONAL DIRECTOR 150631 0 15500 0 287367 42858 588815 0 18466 0 1060779 42858 0 0 GEORGE RAYMOND WORLEY FORMER CHIEF DISTRIBUTION & MARKE 234895 0 90302 0 3271510 0 0 0 5661 0 3602368 0 0 0 JEFFREY N SOWARDS CHIEF DISTRIBUTION & MARKETING OFFIC 312086 0 1483 0 232745 1986 289035 0 17819 0 853168 1986 0 0 MELVIN L RAMBO FORMER CHIEF RISK OFFICER 298428 0 224409 0 1108 0 0 0 9263 0 533208 0 0 0 DANIEL G DEPUYDT HUMAN RESOURCES DIRECTOR 343239 0 69200 0 10017 0 163329 0 13380 0 599165 0 0 0 STEVEN J OLLENBURG CHIEF RISK OFFICER 355198 0 52102 0 10264 0 473293 0 13380 0 904237 0 0 0 MICHAEL SCOTT ANDREWS CHIEF ACTUARY 326243 0 65801 0 4141 0 921522 0 13380 0 1331087 0 0 0 TODD DAVID SWANSON CHIEF ACCOUNTING OFFICER 289490 0 43905 0 180 0 299349 0 17085 0 650009 0 0 0 JILL LAIN WEAVER FRATERNAL DIRECTOR 259797 0 51236 0 6357 0 694092 0 8234 0 1019716 0 0 0 DARWIN D LARRISON CHIEF INFORMATION SECURITY OFFICER 207082 0 32915 0 3134 0 88856 0 17085 0 349072 0 0 0 DARCY ANN CALLAS FORMER GENERAL COUNSEL 598222 0 150004 0 6370771 0 0 0 10292 0 7129289 0 0 0 WILLIAM KELTNER FORMER REGIONAL DIRECTOR 65365 0 64443 0 2429378 4637 0 0 3604 0 2562790 4637 0 0 DANIEL L LAWRENCE REGIONAL DIRECTOR 200300 0 53500 0 409647 65169 646411 0 18466 0 1328324 65169 0 0 KELLY G HERRING REGIONAL DIRECTOR 71666 0 16541 0 515660 30211 538078 0 14449 0 1156394 30211 0 0 ROBERT KEORKUNIAN REGIONAL DIRECTOR 143515 0 24500 0 401245 68966 368932 0 8870 0 947062 68966 0 0 DENIS PATRICK PRIOR FORMER NATIONAL SECRETARY 125044 0 0 0 0 0 0 0 6763 0 131807 0 0 0 PART I, LINE 1A PART I, LINE IA: MODERN WOODMEN OF AMERICA PROVIDES THE FOLLOWING TO INDIVIDUALS REPORTED IN PART VII, SECTION A, LINE IA: FIRST-CLASS OR CHARTER TRAVEL: IN TAX YEAR 2019, THE FOLLOWING TYPE OF INDIVIDUAL LISTED IN PART VII RECEIVED THE FIRST-CLASS OR CHARTER TRAVEL BENEFIT: 1 OFFICER. TRAVEL FOR COMPANIONS: IN TAX YEAR 2019, THE FOLLOWING TYPES OF INDIVIDUALS REPORTED IN PART VII RECEIVED THE TRAVEL FOR COMPANIONS BENEFIT: 5 DIRECTORS, 8 OFFICERS, AND 3 HIGHEST COMPENSATED EMPLOYEES. THE DOLLAR AMOUNT OF THE BENEFIT IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990 PART VII, AND SCHEDULE J PART, II. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: IN TAX YEAR 2019, THE FOLLOWING TYPES OF INDIVIDUALS REPORTED IN PART VII RECEIVED TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: 1 DIRECTORS, 10 OFFICERS, AND 5 HIGHEST COMPENSATED EMPLOYEES. THE DOLLAR AMOUNT OF THE BENEFIT IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990 PART VII, AND SCHEDULE J, PART II. HEALTH OR SOCIAL CLUB DUES: IN TAX YEAR 2019, THE FOLLOWING TYPES OF INDIVIDUALS REPORTED IN PART VII RECEIVED HEALTH OR SOCIAL DUES: 5 OFFICERS. THE DOLLAR AMOUNT OF THE BENEFIT IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990 PART VII, AND SCHEDULE J, PART II. PART I, LINE 4B MODERN WOODMEN OF AMERICA SPONSORS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR EXECUTIVE-LEVEL EMPLOYEES WHOSE COMPENSATION EXCEEDS THE ANNUAL IRS LIMITS FOR QUALIFIED PENSION PLANS. THE PURPOSE OF THIS PLAN IS TO RESTORE RETIREMENT BENEFITS THAT ARE RESTRICTED FOR THESE EXECUTIVES UNDER THE ORGANIZATION'S QUALIFIED RETIREMENT PLANS BECAUSE OF THE IRS COMPENSATION LIMIT AND/OR IRS LIMITS ON QUALIFIED PLAN CONTRIBUTIONS AND ACCRUALS. THE PLAN WAS CLOSED TO NEW PARTICIPANTS EFFECTIVE MARCH 1, 2016. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN IN 2019 SPONSORED BY MODERN WOODMEN OF AMERICA: MICHAEL SCOTT ANDREWS - $3,234, LESTER BOHNERT - $2,689, DARCY ANN CALLAS - $5,289,719, DANIEL G. DEPUYDT - $5,552, KELLY G. HERRING - $4,157, WILLIAM KELTNER - $1,806,827, ROBERT KEORKUNIAN - $6,309, DANIEL L. LAWRENCE - $11,402, JERALD J. LYPHOUT - $12,200, WILLIAM KENNY MASSEY - $43,314, STEVEN J. OLLENBURG - $3,986, JOSEPH A. SZTAPKA - $4,725, BRETT M. VAN - $10,023, AND GEORGE RAYMOND WORLEY - $2,778,517. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY MODERN WOODMEN OF AMERICA ON BEHALF OF THE INDIVIDUAL TO THE PLAN IN 2019. THIS INFORMATION IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. THE INCREASE OR DECREASE IN ACTUARIAL VALUE RELATED TO THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR THE INDIVIDUALS LISTED ABOVE IS INCLUDED IN DEFERRED COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. THE INCREASE IN ACTUARIAL VALUE RELATED TO THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR RICHARD COURTEMANCHE IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN IN 2019 SPONSORED BY MODERN WOODMEN OF AMERICA: DENIS PATRICK PRIOR - $125,044. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR DISTRIBUTION TO THE INDIVIDUAL BY THE PLAN IN 2016. THIS INFORMATION IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. MWA BANK SEE BELOW IN PART V 948584 REIMBURSEMENT OF EXPENSES 0 MWA BANK SEE BELOW IN PART V 8265 SERVICE FEES 0 MWA BANK SEE BELOW IN PART V 35153 RECEIPT OF RENT 0 MWA BANK SEE BELOW IN PART V 121805 SALARIES 0 MWA BANK SEE BELOW IN PART V 22239973 CAPITAL CONTRIBUTED 0 MWA BANK SEE BELOW IN PART V 50889211 PURCHASE OF ASSETS 0 MWA FINANCIAL SERVICES SEE BELOW IN PART V 250000 CAPITAL CONTRIBUTION 0 MWA FINANCIAL SERVICES SEE BELOW IN PART V 2033807 REIMBURSEMENT OF EXPENSES 0 MWA FINANCIAL SERVICES SEE BELOW IN PART V 85260 RECEIPT OF RENT 0 MWA FINANCIAL SERVICES SEE BELOW IN PART V 424945 SALARIES 0 MWAGIA SEE BELOW IN PART V 517900 REIMBURSEMENT OF EXPENSES 0 MWAGIA SEE BELOW IN PART V 13920 RECEIPT OF RENT 0 MWAGIA SEE BELOW IN PART V 195667 SALARIES 0 FORM 990, SCHEDULE L, PART IV, COLUMN B: DESCRIPTION OF RELATIONSHIP - MWA BANK:WILLIAM KENNY MASSEY IS AN OFFICER AND DAVID B. EMRICK IS A DIRECTOR OF MODERN WOODMEN OF AMERICA AND ARE REPORTED ON THE FORM 990, PART VII. DURING THE TAX YEAR, WILLIAM KENNY MASSEY WAS AN OFFICER, AND DAVID B. EMRICK WAS A DIRECTOR OF MWA BANK. FORM 990, SCHEDULE L, PART IV, COLUMN B: DESCRIPTION OF RELATIONSHIP - MWA FINANCIAL SERVICES:LESTER BOHNERT, JERALD J. LYPHOUT, WILLIAM KENNY MASSEY, TODD DAVID SWANSON, AND BRETT M. VAN ARE OFFICERS OF MODERN WOODMEN OF AMERICA AND ARE REPORTED ON THE FORM 990, PART VII. DURING THE TAX YEAR, JERRY J. LYPHOUT AND TODD DAVID SWANSON WERE OFFICERS AND LESTER BOHNERT, WILLIAM KENNY MASSEY, AND BRETT M. VAN WERE DIRECTORS OF MWA FINANCIAL SERVICES. FORM 990, SCHEDULE L, PART IV, COLUMN B: DESCRIPTION OF RELATIONSHIP - MWAGIA:LESTER BOHNERT, JERALD J. LYPHOUT, WILLIAM KENNY MASSEY, AND BRETT M. VAN ARE OFFICERS OF MODERN WOODMEN OF AMERICA AND ARE REPORTED ON THE FORM 990, PART VII. DURING THE TAX YEAR, JERALD J. LYPHOUT AND WILLIAM KENNY MASSEY WERE OFFICERS, AND LESTER BOHNERT AND BRETT M. VAN WERE DIRECTORS OF MWAGIA. FORM 990, PART VI, SECTION A, LINE 6 THE SOCIETY IS ORGANIZED AS A FRATERNAL BENEFIT SOCIETY WITH MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS PROVIDED TO THE GOVERNING BODY FOR FINAL REVIEW AFTER PREPARATION BY THE ACCOUNTING STAFF AND REVIEW BY THE CONTROLLER WITH THE ASSISTANCE OF AN EXTERNAL ACCOUNTING FIRM. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST, ETHICS AND EXTERNAL AUDITOR QUESTIONNAIRES ARE SENT OUT EVERY JANUARY TO ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES. THESE ARE RETURNED TO THE PRESIDENT FOR REVIEW. THIS INFORMATION, INCLUDING THE PRESIDENT'S INFORMATION, IS REVIEWED AT THE ANNUAL BOARD OF DIRECTORS MEETING EACH FEBURARY. EACH EMPLOYEE IS ASKED TO PERIODICALLY ACKNOWLEDGE THEIR UNDERSTANDING OF MODERN WOODMEN OF AMERICA'S PRINCIPLES OF CONDUCT. FORM 990, PART VI, SECTION B, LINE 15 REVIEW AND APPROVAL OF COMPENSATION FOR THE PRESIDENT AND NATIONAL SECRETARY IS DETERMINED ANNUALLY BASED ON A RECOMMENDATION OF THE BOARD'S COMPENSATION COMMITTEE AND APPROVED BY THE BOARD OF DIRECTORS. THE REVIEW INCLUDES INDUSTRY PEER GROUP SURVEY DATA FACTORED FOR RELATIVE ASSETS MANAGED, BENCHMARKING THE MEDIAN BASE PAY AS THE MIDPOINT OF THE RANGE RECOMMENDED. TOTAL COMPENSATION TARGETS INCLUDE VARIABLE BONUS PAY, PERQUISITES, AND THE COMPREHENSIVE BENEFITS PROGRAM AVAILABLE TO ALL MODERN WOODMEN OF AMERICA EMPLOYEES. THE BOARD MAY ENGAGE EXTERNAL CONSULTANT RESOURCES TO CONDUCT THE REVIEW AND FORMULATE RECOMMENDATIONS TO THE COMPENSATION COMMITTEE WHEN DEEMED NECESSARY. APPROVAL OF COMPENSATION FOR THE PRESIDENT AND NATIONAL SECRETARY IS DOCUMENTED IN THE COMPENSATION COMMITTEE'S MEETING MINUTES. REVIEW AND APPROVAL OF COMPENSATION FOR OFFICERS AND KEY EMPLOYEES OTHER THAN THE PRESIDENT AND NATIONAL SECRETARY IS CONDUCTED ANNUALLY BY MANAGEMENT, REVIEWED BY THE COMPENSATION COMMITTEE, AND APPROVED BY THE BOARD OF DIRECTORS. THE REVIEW INCLUDES THE EVALUATION OF INDUSTRY PEER GROUP SURVEY DATA FACTORED FOR THE RELATIVE ASSETS MANAGED, BASED ON THE MEDIAN AS THE MIDPOINT OF A PAY RANGE RECOMMENDED FOR EACH POSITION. THE REVIEW MAY ENTAIL THE USE OF AN OUTSIDE COMPENSATION CONSULTANT. TOTAL COMPENSATION TARGETS INCLUDE BASE PAY, VARIABLE COMPENSATION PROGRAMS, AND THE COMPREHENSIVE BENEFITS PROGRAM AVAILABLE TO ALL MODERN WOODMEN OF AMERICA EMPLOYEES. APPROVAL OF COMPENSATION FOR OFFICERS AND KEY EMPLOYEES OTHER THAN THE PRESIDENT AND NATIONAL SECRETARY IS DOCUMENTED IN THE COMPENSATION COMMITTEE'S MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 FEDERAL TAX LAW DOES NOT REQUIRE THAT SUCH DOCUMENTS BE MADE PUBLICLY AVAILABLE. CERTAIN INFORMATION IS AVAILABLE THROUGH THE DEPARTMENT OF INSURANCE, ON OUR WEBSITE, AND IN OUR MEMBER PUBLICATION. FORM 990, PART XI, LINE 9: CHANGE IN NONADMITTED ASSETS 1,611,844. CHANGE IN ASSET VALUATION RESERVE -89,049,456. FRATERNAL BENEFIT RESERVE CHANGE 241,430. CHANGE IN POSTRETIREMENT MEDICAL BENEFITS FOR EMPLOYEES & FIELDWORKERS 2,544,000. CHANGE IN PREPAID PENSION PLAN COSTS -13,310,887. CHANGE IN PENSION PLAN LIABILITY FOR BENEFITS -3,350,000. CHANGE IN POSTRETIREMENT PENSION PLAN LIABILITY FOR BENEFITS -1,137,000. CORRECTION OF PRIOR YEAR AGGREGRATE RESEVE FOR LIFE CONTRACTS -32,657,136. FORM 990, PART XII, LINE 1: THE FINANCIAL STATEMENTS AND TAX RETURN ARE PREPARED ON THE BASIS OF ACCOUNTING PRACTICES PRESCRIBED OR PERMITTED BY THE ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION - DIVISION OF INSURANCE (STATUTORY ACCOUNTING PRACTICES). FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE THE OVERSIGHT OR THE SELECTION PROCESS FROM THE PRIOR YEAR. 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