2017-11-09T16:51:47-06:00 2016-12-31 420714325 RSM US LLP 201 N HARRISON STREET SUITE 300 DAVENPORT IA 528011999 990 2016-01-01 361493430 MODERN WOODMEN OF AMERICA MODE 3097866481 1701 FIRST AVENUE ROCK ISLAND IL 61201 JERALD J LYPHOUT NATIONAL SECRETARY 3097866481 2017-11-08 1 JOHN J ROMANO P00227323 5638884000 108.171.131.187 2017-11-08 08:16:44 CS P B876A155820338ED437F0CF2305A406FA7BE98CD B876A155820338ED437F0CF2305A406FA7BE98CD 2016 2021-01-29 14:40:06Z W KENNY MASSEY 1701 FIRST AVENUE ROCK ISLAND IL 61201 1672884330 0 X WWW.MODERNWOODMEN.ORG X 1883 IL TO IMPROVE THE QUALITY OF LIFE FOR OUR MEMBERS. 9 4 2413 562000 1243487 948407 0 0 1674173822 1672884330 0 0 0 0 1674173822 1672884330 1209389 1068478 1335968273 1351380738 89542860 87563261 0 0 0 197162545 204626930 1623883067 1644639407 50290755 28244923 14754514321 15401301491 13163262800 13768518993 1591251521 1632782498 X 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 (763,968 MEMBERS) FRATERNAL BENEFITS (26,378 BENEFICIARIES) YOUTH COMMUNITY SERVICE PROGRAMS: YOUTH ACTIVITIES (5,100) AND PROGRAMS (22,187) FRATERNAL CHARACTER (763,968 MEMBERS) 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 68860 0 1 2413 1 1 1 0 0 0 0 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 JERALD J LYPHOUT 3097866481 1701 FIRST AVENUE ROCK ISLAND IL 61201 DARCY ANN CALLAS GENERAL COUNSEL 40.00 X X 674778 0 840646 DAVID B EMRICK DIRECTOR 5.00 X 88881 0 0 ALBERT T HURST JR REGIONAL DIRECTOR 40.00 X 544769 4737 -34199 WILLIAM KELTNER REGIONAL DIRECTOR 40.00 X 803687 9959 198871 JERALD J LYPHOUT NATIONAL SECRETARY 40.00 X X 474325 0 638432 WILLIAM KENNY MASSEY PRESIDENT 40.00 X X 1603693 0 1265222 GARY L MEDD DIRECTOR 5.00 X 82727 0 0 LORI NEWBERG DIRECTOR 5.00 X 71075 0 0 ROBERT C POLLEX DIRECTOR 5.00 X 81148 0 0 MICHAEL SCOTT ANDREWS CHIEF 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FIELDWORKERS 56066323 INTEREST MAINTENANCE RESERVE 48593457 CONTRACT CLAIM LIABILITY 32951662 DRAFTS OUTSTANDING 15279649 PROVISION FOR REFUNDS PAYABLE 7300000 PREMIUMS RECEIVED IN ADVANCE 3372631 13627629483 1656663709 0 1656663709 16220621 16220621 1672884330 1628418786 0 1628418786 16220621 16220621 1644639407 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 60326593 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 INVESTMENTS 15271003 0 0 0 0 0 0 75597596 0 75597596 1 0 1 1 1 0 1 AMERICAN NATIONAL RED CROSS 2025 E STREET NW WASHINGTON DC 20006 530196605 501(C)(3) 5500 PICNIC ON THE RIVER & GENERAL SUPPORT BETHANY FOR CHILDREN & FAMILIES 1830 6TH AVENUE MOLINE IL 61265 362166973 501(C)(3) 8000 AWARDS CELEBRATION BIG BROTHERS BIG SISTERS OF MISSISSIPPI VALLEY 130 W 5TH STREET DAVENPORT IA 52801 421320908 501(C)(3) 9745 YOUTH MENTORING & GENERAL SUPPORT BOYS AND GIRLS CLUB OF THE MISSISSIPPI VALLEY INC 338 6TH STREET 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QUAD CITIES AREA 3247 E 35TH STREET COURT DAVENPORT IA 52807 362725960 501(C)(3) 61990 GENERAL SUPPORT & ACCELERATED LEARNING PROGRAM WESTERN ILLINOIS UNIVERSITY FOUNDATION 3300 RIVER DRIVE MOLINE IL 61265 376046814 501(C)(3) 25000 RIVERFRONT CAMPUS PHASE II 19 4 SCHOLARSHIPS 258 448625 ORPHAN BENEFITS 26 75900 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. 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TRAVEL FOR COMPANIONS: IN TAX YEAR 2016, THE FOLLOWING TYPES OF INDIVIDUALS REPORTED IN PART VII RECEIVED THE TRAVEL FOR COMPANIONS BENEFIT: 6 DIRECTORS, 5 OFFICERS, AND 4 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 2016, THE FOLLOWING TYPES OF INDIVIDUALS REPORTED IN PART VII RECEIVED TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: 2 DIRECTORS, 8 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 2016, 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 2016 SPONSORED BY MODERN WOODMEN OF AMERICA: MICHAEL SCOTT ANDREWS - $1,809, DARCY ANN CALLAS - $10,525, RICHARD COURTEMANCHE - $329,967, DANIEL G. DEPUYDT - $789, KELLY G. HERRING - $6,169, ALBERT T. HURST, JR. - $6,389, KENNY D. JACKSON - $10,343, WILLIAM KELTNER - $13,430, DANIEL L. LAWRENCE - $9,341, JERALD J. LYPHOUT - $1,409, WILLIAM KENNY MASSEY - $33,965, PATRICK OMAR SAUNDERS - $863, JOSEPH A. SZTAPKA - $10,873, BRETT M. VAN - $1,656, AND GEORGE RAYMOND WORLEY - $4,403. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY MODERN WOODMEN OF AMERICA ON BEHALF OF THE INDIVIDUAL TO THE PLAN IN 2016. 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 INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN IN 2016 SPONSORED BY MODERN WOODMEN OF AMERICA: NICK COIN - $185,409 AND DENIS PATRICK PRIOR - $118,407. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR DISTRIBUTION TO THE INDIVIDUALS 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 3609681 REIMBURSEMENT OF EXPENSES 0 MWA BANK SEE BELOW IN PART V 63766 SERVICE FEES 0 MWA BANK SEE BELOW IN PART V 131557 RECEIPT OF RENT 0 MWA FINANCIAL SERVICES SEE BELOW IN PART V 700000 CAPITAL CONTRIBUTION 0 MWA FINANCIAL SERVICES SEE BELOW IN PART V 1743517 REIMBURSEMENT OF EXPENSES 0 MWA FINANCIAL SERVICES SEE BELOW IN PART V 92565 RECEIPT OF RENT 0 MWAGIA SEE BELOW IN PART V 565317 REIMBURSEMENT OF EXPENSES 0 MWAGIA SEE BELOW IN PART V 11955 RECEIPT OF RENT 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:DARCY ANN CALLAS, JERALD J. LYPHOUT, WILLIAM KENNY MASSEY, AND BRETT M. VAN ARE OFFICERS, AND TODD DAVID SWANSON IS A KEY EMPLOYEE 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 DARCY ANN CALLAS, 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:DARCY ANN CALLAS, 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 DARCY ANN CALLAS 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 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. REVIEW AND APPROVAL OF COMPENSATION FOR OFFICERS AND KEY EMPLOYEES OTHER THAN THE PRESIDENT 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. 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 4,412,508. CHANGE IN ASSET VALUATION RESERVE -10,407,892. FRATERNAL BENEFIT RESERVE CHANGE 110,622. CHANGE IN PENSION PLAN LIABILITY FOR BENEFITS -440,000. CHANGE IN POSTRETIREMENT PENSION PLAN LIABILITY FOR BENEFITS -459,000. CHANGE IN PREPAID PENSION PLAN COSTS -5,448,860. CHANGE IN POSTRETIREMENT MEDICAL BENEFITS FOR EMPLOYEES & FIELDWORKERS -7,743,907. 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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