Civic Intelligence

Self-Insurers Association

990 • Fiscal year 2015 • EIN 13-5545483

Dec 01, 2014 to Nov 30, 2015 • Filed on Apr 18, 2016

Organization Profilewww.nyselfinsurance.com
9 Caldwell DriveBuffalo, NY 14224

(716) 668-0822

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

47th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2015 filings • 501(c)6 • <$500k nonprofits • Source year 2015

Liabilities / Revenue

47th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2015 filings • 501(c)6 • <$500k nonprofits • Source year 2015

Net Margin

78th percentile

16%

Higher net margin than 78% of similar nonprofits.

2015 filings • 501(c)6 • <$500k nonprofits • Source year 2015

Top Officer Pay

69th percentile

$0

Higher top officer pay than 69% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2015 filings • 501(c)6 • <$500k nonprofits • Source year 2015

Asset Growth

82nd percentile

27%

Faster asset growth than 82% of similar nonprofits.

2015 filings • 501(c)6 • <$500k nonprofits • Annualized from 2014 to 2015

Revenue Growth

63rd percentile

7.3%

Faster revenue growth than 63% of similar nonprofits.

2015 filings • 501(c)6 • <$500k nonprofits • Annualized from 2014 to 2015

Balance Sheet
Liabilities / Assets47th percentile

Assets

Up

$66,427

Up $14,251 (+27%) from 2014

Net Assets

Up

$66,427

Up $14,251 (+27%) from 2014

Liabilities

Flat

$0

Flat from 2014

Revenue And Expenses
Liabilities / Revenue47th percentileNet Margin78th percentile

Revenue

Up

$91,616

Up $6,224 (+7.3%) from 2014

Expenses

Up

$77,365

Up $2,737 (+3.7%) from 2014

Net Income

Up

$14,251

Up $3,487 (+32%) from 2014

Historical Trend

Balance Sheet Trend

Asset Growth82nd percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150K$100K$50K$0Assets 2011: $40,128Liabilities 2011: $0Net Assets 2011: $40,1282011Assets 2012: $40,758Liabilities 2012: $0Net Assets 2012: $40,7582012Assets 2013: $45,594Liabilities 2013: $0Net Assets 2013: $45,5942013Assets 2014: $52,176Liabilities 2014: $0Net Assets 2014: $52,1762014Assets 2015: $66,427Liabilities 2015: $0Net Assets 2015: $66,4272015Assets 2016: $74,702Liabilities 2016: $0Net Assets 2016: $74,7022016Assets 2017: $53,685Liabilities 2017: $0Net Assets 2017: $53,6852017Assets 2018: $55,755Liabilities 2018: $0Net Assets 2018: $55,7552018Assets 2019: $86,927Liabilities 2019: $0Net Assets 2019: $86,9272019Assets 2021: $66,781Liabilities 2021: $0Net Assets 2021: $66,7812021Assets 2022: $93,982Liabilities 2022: $0Net Assets 2022: $93,9822022Assets 2023: $139,505Liabilities 2023: $0Net Assets 2023: $139,5052023Assets 2024: $104,117Liabilities 2024: $0Net Assets 2024: $104,1172024

Highlighted filing

2015

Assets$66,427
Liabilities$0
Net Assets$66,427
Open 2015 Filing

Operations Trend

Revenue Growth63rd percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$150K$100K$50K$0-$50KRevenue 2011: $71,301Expenses 2011: $64,744Net Income 2011: $6,5572011Revenue 2012: $66,219Expenses 2012: $65,589Net Income 2012: $6302012Revenue 2013: $64,969Expenses 2013: $60,133Net Income 2013: $4,8362013Revenue 2014: $85,392Expenses 2014: $74,628Net Income 2014: $10,7642014Revenue 2015: $91,616Expenses 2015: $77,365Net Income 2015: $14,2512015Revenue 2016: $95,203Expenses 2016: $78,669Net Income 2016: $16,5342016Revenue 2017: $92,444Expenses 2017: $81,472Net Income 2017: $10,9722017Revenue 2018: $86,259Expenses 2018: $84,189Net Income 2018: $2,0702018Revenue 2019: $93,537Expenses 2019: $84,433Net Income 2019: $9,1042019Revenue 2021: $44,553Expenses 2021: $64,699Net Income 2021: -$20,1462021Revenue 2022: $109,271Expenses 2022: $82,070Net Income 2022: $27,2012022Revenue 2023: $125,670Expenses 2023: $80,147Net Income 2023: $45,5232023Revenue 2024: $59,396Expenses 2024: $94,784Net Income 2024: -$35,3882024

Highlighted filing

2015

Revenue$91,616
Expenses$77,365
Net Income$14,251
Open 2015 Filing
Jump To
Filing Snapshot
Filing Period
Dec 1, 2014 to Nov 30, 2015
Signed
Apr 18, 2016
Return Version
2014v6.0
Gross Receipts
$260,217
Mission and Program Overview

Mission

to keep member businesses informed of important developments in the increasingly complex area of self insurance such as pending legislation changes in the law new regulations and other issues

To keep informed member businesses of important developments in the increasingly complex area of self insurance such as pending legislation, changes in the law, new regulations, and other issues.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$41,685$40,235▼ $1,450
Prepaid Expenses and Deferred Charges$9,527$24,359▲ $14,832
Cash and Non-Interest-Bearing Accounts$964$1,833▲ $869
Total Assets$52,176$66,427▲ $14,251
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$52,176$66,427▲ $14,251
Total Net Assets Fund Balance$52,176$66,427▲ $14,251
Total Liabilities and Net Assets / Fund Balance$52,176$66,427▲ $14,251
Compensation and Service Providers
Top Officer Pay69th percentile

Board Members and Trustees

NameTitle
Fredrick M AusiliChairman
Brian S TrickVice-chairman
Heidi MahoneySecretary
Mark R StaskoTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$260,173
Program Service Revenue
$0
Investment Income
$44
Other Revenue
$-168,601
Change in Net Assets
$14,251
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$77,365
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$48,298--$48,298
Other Expenses$8,612--$8,612
Conferences and Meetings$7,237--$7,237
Office Expenses$3,557--$3,557
All Other Expenses$2,265--$2,265
Insurance$773--$773
Advertising$600--$600
Fees for Services Accounting$315--$315
Total Functional Expenses$77,365$0$0$77,365
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$168,601
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Seminar$186,835$186,835$168,601$18,234
Total Events$186,835$186,835$168,601$18,234
Political and Lobbying Activity
Political campaign activity
No
In-house lobbying only
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990 governing body review Part VI line 11

“The officers are presented a copy of the form 990 before it is filed with the internal revenue service.”

Conflict of interest policy compliance Part VI line 12C

“The officers of the not for profit and the board members regularly discuss matters regarding conflict of interest and compliance with board directives.”

CEO executive director top management comp Part VI line 15A

“There is no compensation of any ceo, executive director or top management.”

Other officer or key employee compensation Part VI line 15B

“No officer or key employee is compensated, they all are uncompensated board members and officers.”

Governing documents etc available to public Part VI line 19

“All the governing documents of the organization are available to the public at www ny self insurance com.”

Filing and Contact Details

Filer

Filer Name
Self-insurers Association
EIN
13-5545483
Address
9 CALDWELL DRIVE, Buffalo, NY 14224

Signing Officer

Name
Heidi M Mahoney
Title
Treasurer
Phone
7166680822
Signed
2016-04-18
Discuss with paid preparer
No

Organization Details

Formed
1924
Legal Domicile
Ny
Voting Board Members
19
Independent Board Members
19
Employees
0

Preparer

Firm
Kurtz Accounting Service Inc
Address
7143 Henry Clay Blvd, Liverpool, NY 13088
Preparer
Ronald G Hulgan
Phone
3154512347
Supplemental Narrative

Additional Explanations

List of other fees for services expenses Part IX line 11G

“Fees for services hamberger and weiss 37,400”

List of other expenses Part IX line 24E

“Expenses for postage and printing 2,266”

Raw XML Appendix316 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd0false
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0TO KEEP INFORMED MEMBER BUSINESSES OF IMPORTANT DEVELOPMENTS IN THE INCREASINGLY COMPLEX AREA OF SELF INSURANCE SUCH AS PENDING LEGISLATION, CHANGES IN THE LAW, NEW REGULATIONS, AND OTHER ISSUES.
IRS990/AdvertisingGrp/ProgramServicesAmt0600
IRS990/AdvertisingGrp/TotalAmt0600
IRS990/AllOtherExpensesGrp/ProgramServicesAmt02265
IRS990/AllOtherExpensesGrp/TotalAmt02265
IRS990/AnnualDisclosureCoveredPrsnInd0true
IRS990/BooksInCareOfDetail/PersonNm0HEIDI MAHONEY
IRS990/BooksInCareOfDetail/PhoneNum07166680822
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt016 JANINE CT
IRS990/BooksInCareOfDetail/USAddress/CityNm0BUFFALO
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NY
IRS990/BooksInCareOfDetail/USAddress/ZIPCd014227
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOfficerEntInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/CashNonInterestBearingGrp/BOYAmt0964
IRS990/CashNonInterestBearingGrp/EOYAmt01833
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CollectionsOfArtInd0false
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0true
IRS990/CompensationProcessOtherInd0true
IRS990/ConferencesMeetingsGrp/ProgramServicesAmt07237
IRS990/ConferencesMeetingsGrp/TotalAmt07237
IRS990/ConflictOfInterestPolicyInd0true
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/ContriRptFundraisingEventAmt0186835
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt0260173
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt044
IRS990/CYOtherExpensesAmt077365
IRS990/CYOtherRevenueAmt0-168601
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt014251
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt077365
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt091616
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/Desc0TO EDUCATE BUSINESSES ON THE AVANTAGES OF SELF-INSURANCE
IRS990/DescribedInSection501c3Ind0false
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0true
IRS990/DonorAdvisedFundInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt00
IRS990/EmploymentTaxReturnsFiledInd0true
IRS990/ExpenseAmt077365
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FederalGrantAuditRequiredInd0false
IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt0315
IRS990/FeesForServicesAccountingGrp/TotalAmt0315
IRS990/FeesForServicesOtherGrp/ProgramServicesAmt048298
IRS990/FeesForServicesOtherGrp/TotalAmt048298
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt00.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt10.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt20.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt30.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt010.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt110.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt210.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt310.00
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/PersonNm0FREDRICK M AUSILI
IRS990/Form990PartVIISectionAGrp/PersonNm1BRIAN S TRICK
IRS990/Form990PartVIISectionAGrp/PersonNm2MARK R STASKO
IRS990/Form990PartVIISectionAGrp/PersonNm3HEIDI MAHONEY
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE-CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt2TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/FormationYr01924
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0true
IRS990/FundraisingAmt0186835
IRS990/FundraisingDirectExpensesAmt0168601
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt019
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt0260217
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt019
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InsuranceGrp/ProgramServicesAmt0773
IRS990/InsuranceGrp/TotalAmt0773
IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt044
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt044
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0NY
IRS990/LoanOutstandingInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembershipDuesAmt073338
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0TO KEEP INFORMED MEMBER BUSINESSES OF IMPORTANT DEVELOPMENTS IN THE INCREASINGLY COMPLEX AREA OF SELF INSURANCE SUCH AS PENDING LEGISLATION, CHANGES IN THE LAW, NEW REGULATIONS, AND OTHER ISSUES.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt052176
IRS990/NetAssetsOrFundBalancesEOYAmt066427
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt0-168601
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt0-168601
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OfficeExpensesGrp/ProgramServicesAmt03557
IRS990/OfficeExpensesGrp/TotalAmt03557
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0DUES AND ANNUAL MEETING
IRS990/OtherExpensesGrp/Desc1BOARD OF MANAGERS
IRS990/OtherExpensesGrp/Desc2TELEPHONE
IRS990/OtherExpensesGrp/Desc3CREDIT CARD FEES
IRS990/OtherExpensesGrp/ProgramServicesAmt02404
IRS990/OtherExpensesGrp/ProgramServicesAmt1692
IRS990/OtherExpensesGrp/ProgramServicesAmt22612
IRS990/OtherExpensesGrp/ProgramServicesAmt38612
IRS990/OtherExpensesGrp/TotalAmt02404
IRS990/OtherExpensesGrp/TotalAmt1692
IRS990/OtherExpensesGrp/TotalAmt22612
IRS990/OtherExpensesGrp/TotalAmt38612
IRS990/PartialLiquidationInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt09527
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt024359
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0256546
IRS990/PYInvestmentIncomeAmt060
IRS990/PYOtherExpensesAmt074628
IRS990/PYOtherRevenueAmt0-171214
IRS990/PYRevenuesLessExpensesAmt010764
IRS990/PYTotalExpensesAmt074628
IRS990/PYTotalRevenueAmt085392
IRS990/ReconcilationRevenueExpnssAmt014251
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/SavingsAndTempCashInvstGrp/BOYAmt041685
IRS990/SavingsAndTempCashInvstGrp/EOYAmt040235
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0THE ACTIONS OF THE NON PROFIT ARE REVIEWED BY THE OFFICERS AND THE OTHER BOARD MEMBERS.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc010 Facts and Circumstances Test Part II line 17a or 17b
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt073338
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt064583
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt064918
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt066163
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt071129
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0340131
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt044
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt060
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt051
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt056
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt0172
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0383
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.99890
IRS990ScheduleA/PublicSupportPY170Pct01.00000
IRS990ScheduleA/PublicSupportTotal170Amt0340131
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt073338
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt064583
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt064918
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt066163
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt071129
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0340131
IRS990ScheduleA/TotalSupportAmt0340514
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleC/AgreeCarryoverPriorYearInd0false
IRS990ScheduleC/DuesAssessmentsAmt073338
IRS990ScheduleC/OnlyInHouseLobbyingInd0false
IRS990ScheduleC/SubstantiallyAllDuesNondedInd0false
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt0168601
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0SEMINAR
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt0186835
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt0186835
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt0186835
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt0186835
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt018234
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt0168601
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt0168601
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE OFFICERS ARE PRESENTED A COPY OF THE FORM 990 BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE OFFICERS OF THE NOT FOR PROFIT AND THE BOARD MEMBERS REGULARLY DISCUSS MATTERS REGARDING CONFLICT OF INTEREST AND COMPLIANCE WITH BOARD DIRECTIVES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THERE IS NO COMPENSATION OF ANY CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3NO OFFICER OR KEY EMPLOYEE IS COMPENSATED, THEY ALL ARE UNCOMPENSATED BOARD MEMBERS AND OFFICERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4ALL THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE AVAILABLE TO THE PUBLIC AT WWW NY SELF INSURANCE COM.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5FEES FOR SERVICES HAMBERGER AND WEISS 37,400
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Expenses for postage and printing 2,266
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Conflict of interest policy compliance Part VI line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2CEO executive director top management comp Part VI line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Other officer or key employee compensation Part VI line 15b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Governing documents etc available to public Part VI line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5List of other fees for services expenses Part IX line 11g
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6List of other expenses Part IX line 24e
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt052176
IRS990/TotalAssetsEOYAmt066427
IRS990/TotalAssetsGrp/BOYAmt052176
IRS990/TotalAssetsGrp/EOYAmt066427
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0260173
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt077365
IRS990/TotalFunctionalExpensesGrp/TotalAmt077365
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt052176
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt066427
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt077365
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0-168601
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt044
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt091616
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt052176
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt066427
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TransactionWithControlEntInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt052176
IRS990/UnrestrictedNetAssetsGrp/EOYAmt066427
IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt019
IRS990/VotingMembersIndependentCnt019
IRS990/WebsiteAddressTxt0www.nyselfinsurance.com
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02016-08-17 19:52:53Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0false
ReturnHeader/BusinessOfficerGrp/PersonNm0HEIDI M MAHONEY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum07166680822
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-04-18
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0SELF-INSURERS ASSOCIATION
ReturnHeader/Filer/BusinessNameControlTxt0SELF
ReturnHeader/Filer/EIN0135545483
ReturnHeader/Filer/USAddress/AddressLine1Txt09 CALDWELL DRIVE
ReturnHeader/Filer/USAddress/CityNm0Buffalo
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NY
ReturnHeader/Filer/USAddress/ZIPCd014224
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0161447290
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Kurtz Accounting Service Inc
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt07143 Henry Clay Blvd
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Liverpool
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd013088
ReturnHeader/PreparerPersonGrp/PhoneNum03154512347
ReturnHeader/PreparerPersonGrp/PreparationDt02016-04-18
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Ronald G Hulgan
ReturnHeader/ReturnTs02016-04-18T19:50:44-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02014-12-01
ReturnHeader/TaxPeriodEndDt02015-11-30
ReturnHeader/TaxYr02014

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2015 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$66,427
Liabilities
$0
Net assets
$66,427
Revenue
$91,616
Expenses
$77,365
Net income
$14,251
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1.04$0.00$1.04$0.59$0.95$0.35
2023Detailed filing. Detailed filing data is available for this year.$1.40$0.00$1.40$1.26$0.80$0.46
2022Detailed filing. Detailed filing data is available for this year.$0.94$0.00$0.94$1.09$0.82$0.27
2021Detailed filing. Detailed filing data is available for this year.$0.67$0.00$0.67$0.45$0.65$0.20
2019Summary only. Only limited summary data is available for this year.$0.87$0.00$0.87$0.94$0.84$0.09
2018Summary only. Only limited summary data is available for this year.$0.56$0.00$0.56$0.86$0.84$0.02
2017Summary only. Only limited summary data is available for this year.$0.54$0.00$0.54$0.92$0.81$0.11
2016Summary only. Only limited summary data is available for this year.$0.75$0.00$0.75$0.95$0.79$0.17
2015Detailed filing. Detailed filing data is available for this year.$0.66$0.00$0.66$0.92$0.77$0.14
2014Summary only. Only limited summary data is available for this year.$0.52$0.00$0.52$0.85$0.75$0.11
2013Summary only. Only limited summary data is available for this year.$0.46$0.00$0.46$0.65$0.60$0.05
2012Summary only. Only limited summary data is available for this year.$0.41$0.00$0.41$0.66$0.66$0.01
2011Summary only. Only limited summary data is available for this year.$0.40$0.00$0.40$0.71$0.65$0.07