2017-05-11T09:58:14-07:00 2016-12-31 990 2016-01-01 135672354 MOTOR VEHICLE ACCIDENT INDEMNIFICATION CORPORATION MOTO 6462057800 100 William Street 14th Floor New York NY 10038 Fred Fossett President 6462057815 2017-05-11 38.125.121.178 2016 2021-01-29 14:40:06Z X Fred Fossett 127 Old Prospect School Road Sparta NJ 07871 31221241 0 X www.mvaic.com X 1959 NY To compensate injured victims of uninsured, stolen or unidentified motorists 9 2 64 0 991236 0 30310438 30230005 0 0 1035157 991236 0 0 31345595 31221241 0 0 0 0 4048690 6568551 0 0 0 24651435 27878716 28700125 34447267 2645470 -3226026 74840365 74934370 67323220 70896344 7517145 4038026 To pay no fault claims, tort settlements & related expense to injured victims of uninsured motor vehicle accidents in the state of NY 0 0 9390085 Total Pip claims paid 6814209 Total tort claims paid 5201919 Total allocation expenses paid 2744648 Reserve for loss and allocated loss adjustment expenses 200000 Reserve for unallocated loss adjustment expenses 10096406 Management and general expenses 13041054 0 0 34447267 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 0 0 0 1 1633 0 1 64 1 0 0 0 0 0 0 X 9 2 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X Fred Fossett 6462057815 100 William Street 14th Floor New York NY 10038 Margo Palermo Allstate Insurance / Claim Field Director 0 0 X 0 0 0 Darryl Rahn Utica National Insurance / Asistant Vice President 0 0 X 0 0 0 Daniel Robinson II New York Central Mutual Fire Ins / President & CEO 0 0 X 0 0 0 Stephanie Collins State Farm Insurance / Claims Manager 0 0 X 0 0 0 Patrick O'Mally Progressive Insurance / Manager 0 0 X 0 0 0 Gerard Curran Geico Insurance / Assistant Vice President 0 0 X 0 0 0 Timothy Rogers Travelers Persinal Insurance / CFO 0 0 X 0 0 0 Maura Clancy Maura Clancy Brokerage / President 0 0 X 0 0 0 Wayne Cotter Public Member 0 0 X 0 0 0 Fred Fossett Motor Vehicle Accident Indemnification / President 35 X 182063 0 0 Christina Marie Frazzitta Motor Vehicle Accident Indemnification / Vice President / HR Manager 35 X 145441 0 0 Dominic Dillon Motor Vehicle Accident Indemnification / Controller 35 X 120090 0 0 Jaime Ellen Gangemi Motor Vehicle Accident Indemnification / Legal Department Manager 35 X 101410 0 0 Jason Dooley Motor Vehicle Accident Indemnification / NF Claim Manager 35 X 140716 0 0 Boris Kazakevich Motor Vehicle Accident Indemnification / Tort Claim Manager 35 X 115891 0 0 Eric Pappalardi Motor Vehicle Accident Indemnification / SIU Manager 35 X 126707 0 0 Ann Gangi Motor Vehicle Accident Indemnification / Attorney 35 X 102762 0 0 Sheila Ahmed Motor Vehicle Accident Indemnification / Attorney 35 X 103776 0 0 1138856 0 0 9 0 1 0 Marshall & Marshall PO Box 9055 Hicksville NY 11802 Legal Service 1834629 John Hancock Life Insurance PO Box 5147 Buffalo NY 14240 Office Rental 852917 Cigna Health PO Box 644546 Pittsburgh PA 15264 Health Insurance 395054 Oxford Health Plans PO Box 1697 Newark NJ 071011697 Health Insurance 761676 Kings County Hospital PO Box 5318 New York NY 10087 Hospital / Medical Service 342180 27 0 0 0 0 0 30230005 0 30230005 0 1017290 0 1017290 0 0 0 0 0 0 0 0 0 0 0 -26054 0 0 0 -26054 0 -26054 0 -26054 0 0 0 31221241 0 991236 0 1138856 2877493 1244933 1008662 298607 436042 37674 187289 0 0 164153 0 0 0 423604 0 788836 24696 0 0 0 0 282233 123574 NF Claim Expense 9390085 Tort Claim Expense 6814209 Allocation Expense 5201919 Change in unallocated loss adjustment expense 2944648 1059754 34447267 0 0 0 15968198 5049277 0 0 0 0 168823 204279 0 0 0 0 0 0 0 0 0 0 3353938 1260549 2336485 2093389 56106360 67215138 0 0 0 0 0 0 260499 372287 74840365 74934370 423726 290461 0 0 2223002 2136401 0 0 0 0 0 0 0 0 0 0 64676492 68469482 67323220 70896344 X 7517145 4038026 0 0 0 0 7517145 4038026 74840365 74934370 X -3226026 -193280 0 0 0 -59813 X 0 1 X 1 0 0 0 0 0 0 0 0 2389069 0 634757 1754312 373175 0 250653 122522 591694 0 375139 216555 2093389 0 Reserve for loss & allocated expenses 48593093 reserve for unallocated expenses 13180573 Accrued pension postretirement 6695816 68469482 X 30863808 -193280 0 0 0 -193280 31057088 164153 0 164153 31221241 34342927 0 0 0 59813 59813 34283114 164153 0 164153 34447267 Schedule D, Part X, Line 2 No Schedule D, Part XII, Line 2d Change in SERP Liability 0 0 0 Fred Fossett Motor Vehicle Accident Indemnification / President 182769 0 0 0 94 0 0 0 0 0 182863 0 0 0 Schedule J, Part I, Line 3 The board of directors provide comprehensive employee evaluation for president and vice president and any increase accordingly. Controller and key employees are reviewed directly by president. Form 990, Part VI, Section A, Line 6 There are 10 board members Form 990, Part VI, Section A, Line 7a Board members have the power Form 990, Part VI, Section B, Line 11b Form 990 is reviewed in detail by Controller before submitting to IRS Form 990, Part VI, Section B, Line 12c Conflict of Interest Statements are required by board and all employees to review and sign every year Form 990, Part VI, Section B, Line 15 The board of directors provide comprehensive employee evaluation for president and vice president and increases are done accordingly. Controller and key employees are reviewed directly by president Form 990, Part VI, Section C, Line 19 The documents are made available upon request Form 990, Part XI, Line 9 Change in SERP liablilty