2025-11-11T04:19:48-06:00 2024-12-31 521446779 JOHNSON LAMBERT LLP 4242 SIX FORKS ROAD SUITE 1500 RALEIGH NC 27609 990 2024-01-01 061555318 ALLIANCE MEMBER SERVICES INC ALLI 8314590980 PO BOX 8507 SANTA CRUZ CA 950618507 CARLOS BALLESTEROS CFO & TREASURER 8314590980 2025-10-30 1 1 J CALVIN MARKS P01226973 9197196400 2024 2025-03-06 01:10:19Z PAMELA DAVIS 300 PANETTA AVE SANTA CRUZ CA 95060 38486764 0 X WWW.INSURANCEFORNONPROFITS.ORG X 1999 VT SUPPORTS THE OPERATIONS AND ACTIVITIES OF THE NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA, THE ALLIANCE OF NONPROFITS FOR INSURANCE RISK RETENTION GROUP AND THE NATIONAL ALLIANCE OF NONPROFITS FOR INSURANCE, AS WELL AS SUCH OTHER INSTITUTIONS THAT QUALIFY UNDER SECTION 501(C)(3) AND 501(N) OF THE INTERNAL REVENUE CODE, COLLECTIVELY "NIA GROUP." NIA GROUP SERVES 501(C)(3) TAX EXEMPT NONPROFIT ORGANIZATIONS BY PROVIDING A STABLE SOURCE OF REASONABLE PRICED LIABILITY INSURANCE TAILORED TO THE SPECIALIZED NEEDS OF THE NONPROFIT SECTOR, AND ASSISTING THESE ORGANIZATIONS TO DEVELOP AND IMPLEMENT SUCCESSFUL LOSS CONTROL AND RISK MANAGEMENT PROGRAMS. 8 7 228 9 0 0 0 0 32660414 37240628 114373 534871 0 711265 32774787 38486764 0 0 0 0 24693083 28222127 0 0 0 8081704 9556102 32774787 37778229 0 708535 225476156 250802939 225476156 250094404 0 708535 X ALLIANCE MEMBER SERVICES, INC. ("AMS") IS A SUPPORTING ORGANIZATION FOR THE FOLLOWING CHARITABLE RISK POOLS: NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA (NIAC), ALLIANCE OF NONPROFITS FOR INSURANCE RISK RETENTION GROUP (ANI), AND NATIONAL ALLIANCE OF NONPROFITS FOR INSURANCE (NANI). AMS PROVIDES ALL STAFF AND MANAGES ALL OTHER BUSINESS RELATIONSHIPS TO PROVIDE EXCELLENT PRODUCTS AND SERVICES TO THE MEMBERS OF THE SUPPORTED ORGANIZATIONS AT ITS COST. SERVICES INCLUDE UNDERWRITING, POLICY ISSUANCE AND SERVICING, CLAIMS HANDLING, LOSS CONTROL SERVICES, MARKETING, ACCOUNTING, INVESTMENT MANAGEMENT, REINSURANCE PLACEMENT AND ALL OTHER ADMINISTRATIVE AND MANAGEMENT SERVICES AS REQUIRED. 0 0 36919806 37240628 PROVIDED MANAGEMENT AND OPERATIONAL SERVICES TO AFFILIATES INCLUDING POLICY SERVICES, CLAIMS MANAGEMENT, MEMBER SERVICES, REINSURANCE NEGOTIATIONS, MARKETING, ACCOUNTING AND FINANCIAL MANAGEMENT, AND GENERAL AND ADMINISTRATIVE MANAGEMENT. 36919806 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 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 1 0 0 0 1 329 0 1 228 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X CARLOS BALLESTEROS CFO TREASURER 8314590980 300 PANETTA AVE SANTA CRUZ CA 95060 PAMELA DAVIS CEO, PRESIDENT 5.00 35.00 X X 498564 0 25928 TAMMY WILSON CHAIR 1.00 2.00 X X 0 0 0 ANN MARIE GOTHARD VICE CHAIR 1.00 2.00 X X 0 0 0 AVNISH GUPTA SECRETARY (TO FEB '24) 1.00 1.00 X X 0 0 0 SHAUN POWERS SECRETARY (FROM FEB '24) 1.00 2.00 X X 0 0 0 S ORLENE GRANT DIRECTOR (FROM FEB '24) 1.00 2.00 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 SAM SCHULTZ DIRECTOR (TO FEB '24) 1.00 1.00 X 0 0 0 MICHAEL SHAVER DIRECTOR (FROM FEB '24) 1.00 2.00 X 0 0 0 KIM ADAY CFO & TREASURER (TO JUN '24) 5.00 35.00 X 296737 0 29535 CARLOS BALLESTEROS CFO & TREASURER (FROM JUN '24) 5.00 35.00 X 177433 0 6769 CHRIS REED CHIEF RISK OFFICER & GENERAL COUNSEL 40.00 X 372259 0 28902 DAVID GIBSON CHIEF CLAIMS OFFICER 40.00 X 370114 0 15448 DUSTI MCKEOWN CHIEF UNDERWRITING OFFICER 40.00 X 336846 0 29170 JEAN-FRANCOIS ROY CHIEF INFORMATION OFFICER 40.00 X 308251 0 18041 MELISSA DALSKE CHIEF EXPERIENCE OFFICER 40.00 X 293989 0 11724 STARR THOMPSON CHIEF PEOPLE & ADMINISTRATIVE OFFICER 40.00 X 281545 0 28403 KEVIN HUTH VP OF IT 40.00 X 238680 0 23584 MELISSA YARNELL SENIOR MANAGER, DATA AND ANALYTICS 40.00 X 235569 0 11318 LINDA BROBECK CHIEF ACTUARY 40.00 X 226749 0 9696 KERI PETERSON VP OF CLAIMS 40.00 X 215890 0 23387 BRIDGET NATHAN VP OF CLAIMS 40.00 X 215228 0 22433 4067854 0 284338 84 0 1 0 DELOITTE CONSULTING LLP 4022 SELLS DRIVE HERMITAGE TN 37076 SOFTWARE DEVELOPMENT CONSULTING FEES 3699402 LAMB FINANCIAL GROUP 420 LEXINGTON AVE 2620 NEW YORK NY 10170 BROKER COMMISSIONS 713918 ACRISURE OF CALIFORNIA LLC 5664 PRAIRIE CREEK DR CALEDONIA MI 49316 BROKER COMMISSIONS 563966 COZEN O'CONNOR 1650 MARKET ST STE 2800 PHILADELPHIA PA 19103 BROKER COMMISSIONS 434041 INTERWEST INSURANCE SERVICES LLC 1357 EAST LASSEN AVE CHICO CA 95973 BROKER COMMISSIONS 431646 26 SERVICE FEES 561000 37240628 37240628 37240628 534871 534871 711265 711265 711265 38486764 37240628 0 1246136 3129658 3035768 93890 20012729 19412347 600382 889999 863299 26700 2485248 2410691 74557 1704493 1704493 30427 30427 41754 41754 2096474 2033580 62894 113712 113712 1590397 1590397 1785847 1785847 694286 694286 49444 49444 40617 40617 1548115 1548115 388043 388043 ASSOCIATION DUES 804600 804600 RECRUITING & EMPLOYEE R 146981 146981 TRAINING 121300 121300 TAXES & LICENSES 23756 23756 80349 80349 37778229 36919806 858423 0 1789581 13451254 87370440 4761 464981 2273962 54661797 9057265 35468876 45604532 100382278 189468430 225476156 250802939 7060561 10484384 218415595 239610020 225476156 250094404 X 0 0 0 0 0 708535 0 708535 225476156 250802939 708535 0 X 0 1 X 1 0 X X 3 NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA 770203935 10 1 0 18556631 NATIONAL ALLIANCE OF NONPROFITS FOR INSURANCE INC 061555321 10 1 0 300000 ALLIANCE OF NONPROFITS FOR INSURANCE RISK RETENTION GROUP INC 061555320 10 1 0 13889065 3 0 32745696 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 773143 621449 151694 53888654 8435816 45452838 45604532 RECEIVABLE FROM AFFILIATES 182702755 ROU LEASE ASSET 5208827 457(B) DEFERRED COMPENSATION 1233231 DEPOSITS 323617 189468430 PAYABLE TO AFFILIATES 232586131 ROU LEASE LIABILITY 5359333 457(B) DEFERRED COMPENSATION 1233231 FUNDS HELD-NAE 305856 PREMIUM PAYABLE 125469 239610020 X PART X, LINE 2: MANAGEMENT CONCLUDED THAT ALL TAX-EXEMPT COMPANIES HAVE PROPERLY MAINTAINED THEIR EXEMPT STATUS AND THAT NO UNCERTAIN TAX POSITIONS EXIST AS OF DECEMBER 31, 2024. X X X 0 0 0 0 0 0 0 0 0 PAMELA DAVIS CEO, PRESIDENT 381456 0 110928 0 6180 0 13200 0 12728 0 524492 0 0 0 CHRIS REED CHIEF RISK OFFICER & GENERAL COUNSEL 307677 0 64582 0 0 0 13200 0 15702 0 401161 0 0 0 DAVID GIBSON CHIEF CLAIMS OFFICER 297883 0 64553 0 7678 0 13200 0 2248 0 385562 0 0 0 DUSTI MCKEOWN CHIEF UNDERWRITING OFFICER 276283 0 60563 0 0 0 12958 0 16212 0 366016 0 0 0 JEAN-FRANCOIS ROY CHIEF INFORMATION OFFICER 288876 0 19375 0 0 0 3895 0 14146 0 326292 0 0 0 KIM ADAY CFO & TREASURER (TO JUN '24) 263859 0 32878 0 0 0 13200 0 16335 0 326272 0 0 0 STARR THOMPSON CHIEF PEOPLE & ADMINISTRATIVE OFFICE 238621 0 42924 0 0 0 12166 0 16237 0 309948 0 0 0 MELISSA DALSKE CHIEF EXPERIENCE OFFICER 241015 0 49317 0 3657 0 10290 0 1434 0 305713 0 0 0 KEVIN HUTH VP OF IT 218917 0 18697 0 1066 0 8736 0 14848 0 262264 0 0 0 MELISSA YARNELL SENIOR MANAGER, DATA AND ANALYTICS 212858 0 20510 0 2201 0 9175 0 2143 0 246887 0 0 0 KERI PETERSON VP OF CLAIMS 197520 0 18370 0 0 0 8588 0 14799 0 239277 0 0 0 BRIDGET NATHAN VP OF CLAIMS 197375 0 16826 0 1027 0 7463 0 14970 0 237661 0 0 0 LINDA BROBECK CHIEF ACTUARY 206325 0 17986 0 2438 0 7289 0 2407 0 236445 0 0 0 CARLOS BALLESTEROS CFO & TREASURER (FROM JUN '24) 177433 0 0 0 0 0 0 0 6769 0 184202 0 0 0 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 AMS 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 SENIOR STAFF 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 B, LINE 15 THE CEO'S SALARY IS COMPARED ANNUALLY TO A NATIONAL DATABASE, COMPANALYST, WHICH PRODUCES SALARY INFORMATION FOR SIMILARLY SIZED INSURANCE ORGANIZATIONS AND ADJUSTS FOR GEOGRAPHIC REGION. THE BOARD OF DIRECTORS REVIEWS THIS INFORMATION IN A MEETING WITHOUT THE CEO PRESENT AND DETERMINES THE APPROPRIATE SALARY. TYPICALLY, THE SALARY CHOSEN IS SUCH THAT THE COMPANY HAS TO ACHIEVE 100% OF ITS GOALS FOR THE CEO TO ACHIEVE A SALARY THAT IS AT LEAST 10% LESS THAN THE AVERAGE REPORTED COMPENSATION OF FOR-PROFIT PEER COMPANIES CEOS. EACH YEAR THE CEO HAS 30% OF HER SALARY "AT RISK" IF THE CHARITABLE RISK POOLS DO NOT MEET THEIR GOALS. THIS LOWER THAN AVERAGE SALARY RECOGNIZES THE NONPROFIT NATURE OF OUR WORK, AND DOES NOT REFLECT POORER THAN AVERAGE PERFORMANCE. THE SAME PROCESS AS FOR THE CEO IS DONE FOR EACH MEMBER OF THE SENIOR MANAGEMENT TEAM. THE DIFFERENCE IN THE PROCESS IS THAT THE CEO ESTABLISHES THE SALARIES OF THE OTHER MANAGERS AROUND THE COMPANALYST AVERAGES FOR SIMILAR POSITIONS. THE BOARD OF DIRECTORS HAS PRE-ESTABLISHED RANGES WITHIN WHICH THE CEO MAY ESTABLISH SALARIES OF OTHER SENIOR MANAGERS AND THE ENTIRE STAFF. TYPICALLY, THE STAFF ARE AT OR SLIGHTLY ABOVE AVERAGE FOR PEERS AND SENIOR MANAGERS ARE AT OR SLIGHTLY BELOW AVERAGES. THESE COMPENSATION FIGURES ASSUME THAT THE CHARITABLE RISK POOLS BEING SERVED MEET THEIR GOALS. IF THEY DO NOT, A CERTAIN PORTION OF EACH EMPLOYEES STAFF IS "AT RISK AND COMPENSATION FALLS FARTHER BELOW AVERAGE. FORM 990, PART VI, SECTION C, LINE 19 AMS' GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE UPON REQUEST. 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 ALLIANCE OF NONPROFITS FOR INSURANCE RISK RETENTION GROUP 300 PANETTA AVE SANTA CRUZ CA 95060 061555320 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 4812765 19684195 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 AMS INSURANCE SERVICES L 4494932 FMV