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TENNESSEE CAPTIVE INSURANCE ASSOCIATION: Form 990EZ, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
TENNESSEE CAPTIVE INSURANCE ASSOCIATION (EIN 45-2882002)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-05-16
IRS object ID
201631379349202698
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-16T11:58:43-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN721396621PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CARR RIGGS & INGRAM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13011 ARMORY DRIVE SUITE 190AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37204ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN452882002EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TENNESSEE CAPTIVE INSURANCEBusinessNameLine1Txt
Business Name Line2ASSOCIATION INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlTENNBusinessNameControlTxt
Phone8886683188PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 FOURTH AVENUE NORTH NO 1100AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37219ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBELINDA FORTMANPersonNm
Person TitleTREASURERPersonTitleTxt
Phone4195315531PhoneNum
Signature2016-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANN M HAMZAPreparerPersonNm
PTINP01275296PTIN
Phone6156651811PhoneNum
Preparation2016-05-05PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressWWW.TNCAPTIVES.ORGWebsiteAddressTxt
Organization501cYes (X)Organization501cInd
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$165,052GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Program Service Revenue$98,252ProgramServiceRevenueAmt
Membership Dues$66,800MembershipDuesAmt
Total Revenue$165,052TotalRevenueAmt
Fees And Other Pymt To Ind Cntrct$78,613FeesAndOtherPymtToIndCntrctAmt
Printing Publications Postage$461PrintingPublicationsPostageAmt
Other Expenses Total$77,184OtherExpensesTotalAmt
Total Expenses$156,258TotalExpensesAmt
Excess Or Deficit For Year$8,794ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$43,295NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$52,089NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$40,875BOYAmt
EOY$52,102EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$6,500BOYAmt
EOY$2,194EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$47,375BOYAmt
EOY$54,296EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,080BOYAmt
EOY$2,207EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$43,295BOYAmt
EOY$52,089EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTHE TENNESSEE CAPTIVE INSURANCE ASSOCIATION'S PRIMARY PURPOSE IS TO PROMOTE THE GROWTH OF THE CAPTIVE INSURANCE INDUSTRY IN THE STATE OF TENNESSEE.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
EDUCATIONAL EVENTS: THE ORGANIZATION'S PROFESSIONAL CONTRACTOR AND ELECTED LEADERSHIP PRODUCE EDUCATIONAL EVENTS DESIGNED TO INFORM ATTENDEES ON HOW TO ESTABLISH AND OPERATE INSURANCE COMPANIES IN THE STATE OF TENNESSEE.$0$0
PROMOTION: THE ORGANIZATION'S PROFESSIONAL CONTRACTOR AND ELECTED LEADERSHIP WILL PRODUCE AND DISTRIBUTE INFORMATION TO BUSINESS EXECUTIVES NATIONWIDE ENCOURAGING THEM TO CONSIDER ESTABLISHING CAPTIVE INSURANCE COMPANIES IN TENNESSEE.$0$0
LEGISLATIVE/REGULATORY ADVOCACY: THE ORGANIZATION'S PROFESSIONAL CONTRACTOR AND ELECTED LEADERSHIP SHALL ADVOCATE FOR THE BUSINESS INTEREST OF ITS MEMBERS BEFORE THE TENNESSEE STATE LEGISLATURE AND STATE REGULATORY AGENCIES.$0$0

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (9 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
KEVIN DOHERTY
CHAIRMAN/PRESIDENT/DIRECTO2.00$0$0$0
KEITH FAWCETT
DIRECTOR1.00$0$0$0
WM GARY GREENE
DIRECTOR1.00$0$0$0
JOSEPH HAASE
DIRECTOR1.00$0$0$0
BILL BEELER
DIRECTOR1.00$0$0$0
MARY FRANCIS MILLER
DIRECTOR1.00$0$0$0
ANDREW CLAYTON
SECRETARY2.00$0$0$0
BELINDA FORTMAN
TREASURER2.00$0$0$0
SCOTT STONE
DIRECTOR1.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JENNIFER IVY CALMETTO MGTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1883 NE MAIN STREET 2ND FLOORAddressLine1Txt
CitySIMPSONVILLECityNm
State AbbreviationSCStateAbbreviationCd
ZIP29681ZIPCd
FieldValueIRS element (for citing)
Phone8649622201PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: GENERAL ADMINISTRATION. AMOUNT: 11,732. DESCRIPTION: ANNUAL CONFERENCE. AMOUNT: 47,327. DESCRIPTION: MEMBERSHIP/PROMOTION. AMOUNT: 2,828. DESCRIPTION: NETWORKING EVENTS. AMOUNT: 12,002. DESCRIPTION: OTHER. AMOUNT: 3,295. TOTAL TO FORM 990-EZ, LINE 16: 77,184.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: PREPAID EXPENSES. BEG. OF YEAR AMOUNT: 6,500. END OF YEAR AMOUNT: 0. DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 2,194.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIESDESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 4,080. END OF YEAR AMOUNT: 1,357. DESCRIPTION: DEFERRED REVENUE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 850.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc