Liabilities / Assets
84th percentile
Higher debt load relative to assets than 84% of similar nonprofits.
Nc Captive Insurance Association
990EZ • Fiscal year 2017 • EIN 46-1310027
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.32x
Liabilities / Revenue
77th percentile
Higher debt load relative to revenue than 77% of similar nonprofits.
Net Margin
56th percentile
Higher net margin than 56% of similar nonprofits.
Top Officer Pay
96th percentile
Higher top officer pay than 96% of similar nonprofits.
Top officer pay equals 54.2% of source-year revenue.
Asset Growth
59th percentile
Faster asset growth than 59% of similar nonprofits.
Revenue Growth
39th percentile
Faster revenue growth than 39% of similar nonprofits.
Balance Sheet
Assets
Up$53,575
Up $4,033 (+8.1%) from 2016
Net Assets
Up$36,433
Up $12,091 (+50%) from 2016
Liabilities
Down$17,142
Down $8,058 (-32%) from 2016
Revenue And Expenses
Revenue
Down$172,432
Down $7,326 (-4.1%) from 2016
Expenses
Down$160,341
Down $6,473 (-3.9%) from 2016
Net Income
Down$12,091
Down $853 (-6.6%) from 2016
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2017 to Dec 31, 2017
- Signed
- May 7, 2018
- Return Version
- 2017v2.3
- Gross Receipts
- $172,432
Mission and Program Overview
Mission
Maintain professional and best practices in the captive insurance industry through representation (the association will represent member companies and affiliates before federal and state legislatures and regulators in north carolina.), education (the association will educate member organization staff and the public at large about the captive insurance industry.), and administration of the nc captive insurance association.
Program Services
| Description | Grants | Expenses |
|---|---|---|
| CONDUCTED AN ANNUAL EDUCATIONAL CONFERENCE. | - | - |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| RICHARD LANE BROWN III | Board Member | PT | $93,442 | - | $93,442 |
| THOMAS L ADAMS | President & | PT | $88,442 | - | $88,442 |
| JEREMY COLOMBIK | Chairman | - | $0 | - | - |
| MARTIN EVELEIGH | Board Member | - | $0 | - | - |
| JONATHAN REICH | Secretary | - | $0 | - | - |
| DAN REPPERT | Treasurer | - | $0 | - | - |
| LEON RIVES | Board Member | - | $0 | - | - |
| D MICHAEL PAYSEUR | Board Member | - | $0 | - | - |
| JESSE COYLE | Vice Chairma | - | $0 | - | - |
| WENDY D KNIGHT | Board Member | - | $0 | - | - |
Political and Lobbying Activity
- In-house lobbying only
- No
Reported Spending and Taxes
| Line Item | Amount |
|---|---|
| Current Year Nondeductible Lobbying and Political Cost | $7,242 |
| Total Nondeductible Lobbying and Political Cost | $7,242 |
Filing and Contact Details
Filer
- Filer Name
- Nc Captive Insurance Association
- EIN
- 46-1310027
- Address
- 151 CREST ROAD, SOUTHERN PINES, NC 28387
Signing Officer
- Name
- Thomas L Adams
- Title
- President & CEO
- Phone
- 9106847379
- Signed
- 2018-05-07
- Discuss with paid preparer
- Yes
Preparer
- Firm
- Butler & Stowe
- Address
- PO BOX 2379, GASTONIA, NC 28053-2379
- Preparer
- Dm Payseur CPA
- Phone
- 7048648311
Supplemental Narrative
Additional Explanations
Form 990-ez, Part I, Line 16
“Expenses advertising 40 bank fees 1,926 office expense 2,605 board of directors t & e 1,994 lobbyist per diem expense 2,242 travel expense 90 insurance 1,957 annual conference expense 54,653 government fees 504 miscellaneous expense 63 non-investment depreciation 193 total 66,267”
Form 990-ez, Part II, Line 24
“Prepaid expenses and deferred charges 0 1,800 equipment 0 5,407 less accumulated depreciation 0 193 total 0 7,014”
Form 990-ez, Part II, Line 26
“Due to seaboard association mgmt svc 25,200 17,142”
Form 990-ez, Part III
“Maintain professional and best practices in the captive insurance industry through representation (the association will represent member companies and affiliates before federal and state legislatures and regulators in north carolina.), education (the association will educate member organization staff and the public at large about the captive insurance industry.), and administration of the nc captive insurance association.”
Raw XML Appendix141 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 |
|---|---|---|
| IRS990EZ/ActivitiesNotPreviouslyRptInd | 0 | false |
| IRS990EZ/BooksInCareOfDetail/PersonNm | 0 | THOMAS L ADAMS |
| IRS990EZ/BooksInCareOfDetail/PhoneNum | 0 | 9107251855 |
| IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 151 CREST ROAD |
| IRS990EZ/BooksInCareOfDetail/USAddress/CityNm | 0 | SOUTHERN PINES |
| IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NC |
| IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 28387 |
| IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt | 0 | 49542 |
| IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt | 0 | 46561 |
| IRS990EZ/ChgMadeToOrgnzngDocNotRptInd | 0 | false |
| IRS990EZ/DonorAdvisedFndsInd | 0 | false |
| IRS990EZ/ExcessOrDeficitForYearAmt | 0 | 12091 |
| IRS990EZ/FeesAndOtherPymtToIndCntrctAmt | 0 | 94074 |
| IRS990EZ/ForeignFinancialAccountInd | 0 | false |
| IRS990EZ/ForeignOfficeInd | 0 | false |
| IRS990EZ/Form1120PolFiledInd | 0 | false |
| IRS990EZ/Form990TotalAssetsGrp/BOYAmt | 0 | 49542 |
| IRS990EZ/Form990TotalAssetsGrp/EOYAmt | 0 | 53575 |
| IRS990EZ/GrossReceiptsAmt | 0 | 172432 |
| IRS990EZ/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartIIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartIInd | 0 | X |
| IRS990EZ/MadeLoansToFromOfficersInd | 0 | false |
| IRS990EZ/MembershipDuesAmt | 0 | 58775 |
| IRS990EZ/MethodOfAccountingCashInd | 0 | X |
| IRS990EZ/NetAssetsOrFundBalancesBOYAmt | 0 | 24342 |
| IRS990EZ/NetAssetsOrFundBalancesEOYAmt | 0 | 36433 |
| IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt | 0 | 24342 |
| IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt | 0 | 36433 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 0 | 20.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 1 | 10.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 2 | 2.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 3 | 0.50 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 4 | 0.50 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 5 | 0.50 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 6 | 0.50 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 7 | 0.50 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 8 | 0.50 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 9 | 0.50 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 0 | 88442 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 1 | 93442 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 7 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 8 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 9 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 0 | THOMAS L ADAMS |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 1 | RICHARD LANE BROWN III |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 2 | JEREMY COLOMBIK |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 3 | MARTIN EVELEIGH |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 4 | JONATHAN REICH |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 5 | DAN REPPERT |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 6 | LEON RIVES |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 7 | D MICHAEL PAYSEUR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 8 | JESSE COYLE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 9 | WENDY D KNIGHT |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 0 | PRESIDENT & |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 1 | BOARD MEMBER |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 2 | CHAIRMAN |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 3 | BOARD MEMBER |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 4 | SECRETARY |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 5 | TREASURER |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 8 | VICE CHAIRMA |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 9 | BOARD MEMBER |
| IRS990EZ/OperateHospitalInd | 0 | false |
| IRS990EZ/Organization501cInd | 0 | X |
| IRS990EZ/OrganizationDissolvedEtcInd | 0 | false |
| IRS990EZ/OrganizationHadUBIInd | 0 | false |
| IRS990EZ/OtherAssetsTotalDetail/EOYAmt | 0 | 7014 |
| IRS990EZ/OtherExpensesTotalAmt | 0 | 66267 |
| IRS990EZ/PoliticalCampaignActyInd | 0 | false |
| IRS990EZ/PrimaryExemptPurposeTxt | 0 | MAINTAIN PROFESSIONAL AND BEST PRACTICES IN THE CAPTIVE INSURANCE INDUSTRY THROUGH REPRESENTATION (THE ASSOCIATION WILL REPRESENT MEMBER COMPANIES AND AFFILIATES BEFORE FEDERAL AND STATE LEGISLATURES AND REGULATORS IN NORTH CAROLINA.), EDUCATION (THE ASSOCIATION WILL EDUCATE MEMBER ORGANIZATION STAFF AND THE PUBLIC AT LARGE ABOUT THE CAPTIVE INSURANCE INDUSTRY.), AND ADMINISTRATION OF THE NC CAPTIVE INSURANCE ASSOCIATION. |
| IRS990EZ/ProgramServiceRevenueAmt | 0 | 113657 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt | 0 | CONDUCTED AN ANNUAL EDUCATIONAL CONFERENCE. |
| IRS990EZ/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990EZ/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990EZ/ScheduleBNotRequiredInd | 0 | X |
| IRS990EZ/StatesWhereCopyOfReturnIsFldCd | 0 | NC |
| IRS990EZ/SubjectToProxyTaxInd | 0 | true |
| IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt | 0 | 25200 |
| IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt | 0 | 17142 |
| IRS990EZ/TanningServicesProvidedInd | 0 | false |
| IRS990EZ/TotalExpensesAmt | 0 | 160341 |
| IRS990EZ/TotalRevenueAmt | 0 | 172432 |
| IRS990EZ/TransactionWithControlEntInd | 0 | false |
| IRS990EZ/TypeOfOrganizationAssocInd | 0 | X |
| IRS990EZ/WebsiteAddressTxt | 0 | WWW.NCCIA.ORG |
| IRS990ScheduleC/AgreeCarryoverPriorYearInd | 0 | false |
| IRS990ScheduleC/CarriedOverAmt | 0 | 7242 |
| IRS990ScheduleC/DuesAssessmentsAmt | 0 | 58775 |
| IRS990ScheduleC/NonDeductibleLbbyngPltclCYAmt | 0 | 7242 |
| IRS990ScheduleC/NonDeductibleLbbyngPltclTotAmt | 0 | 7242 |
| IRS990ScheduleC/OnlyInHouseLobbyingInd | 0 | false |
| IRS990ScheduleC/SubstantiallyAllDuesNondedInd | 0 | false |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | EXPENSES ADVERTISING 40 BANK FEES 1,926 OFFICE EXPENSE 2,605 BOARD OF DIRECTORS T & E 1,994 LOBBYIST PER DIEM EXPENSE 2,242 TRAVEL EXPENSE 90 INSURANCE 1,957 ANNUAL CONFERENCE EXPENSE 54,653 GOVERNMENT FEES 504 MISCELLANEOUS EXPENSE 63 NON-INVESTMENT DEPRECIATION 193 TOTAL 66,267 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | PREPAID EXPENSES AND DEFERRED CHARGES 0 1,800 EQUIPMENT 0 5,407 LESS ACCUMULATED DEPRECIATION 0 193 TOTAL 0 7,014 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | DUE TO SEABOARD ASSOCIATION MGMT SVC 25,200 17,142 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | MAINTAIN PROFESSIONAL AND BEST PRACTICES IN THE CAPTIVE INSURANCE INDUSTRY THROUGH REPRESENTATION (THE ASSOCIATION WILL REPRESENT MEMBER COMPANIES AND AFFILIATES BEFORE FEDERAL AND STATE LEGISLATURES AND REGULATORS IN NORTH CAROLINA.), EDUCATION (THE ASSOCIATION WILL EDUCATE MEMBER ORGANIZATION STAFF AND THE PUBLIC AT LARGE ABOUT THE CAPTIVE INSURANCE INDUSTRY.), AND ADMINISTRATION OF THE NC CAPTIVE INSURANCE ASSOCIATION. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990-EZ, PART I, LINE 16 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990-EZ, PART II, LINE 24 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990-EZ, PART II, LINE 26 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990-EZ, PART III |
| ReturnHeader/BuildTS | 0 | 2018-06-14 16:35:46Z |
| ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd | 0 | true |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | THOMAS L ADAMS |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | PRESIDENT & CEO |
| ReturnHeader/BusinessOfficerGrp/PhoneNum | 0 | 9106847379 |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2018-05-07 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt | 0 | NC CAPTIVE INSURANCE ASSOCIATION |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | NCCA |
| ReturnHeader/Filer/EIN | 0 | 461310027 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | 151 CREST ROAD |
| ReturnHeader/Filer/USAddress/CityNm | 0 | SOUTHERN PINES |
| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | NC |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 28387 |
| ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId | 0 | 3E55B0527C7D915CA4641C4F2A201284D52EAAB1 |
| ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId | 0 | 6FB67AF44A9D04F9F394FB8F2DF1388123D29D28 |
| ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd | 0 | P |
| ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt | 0 | 64.88.174.3 |
| ReturnHeader/FilingSecurityInformation/IPDt | 0 | 2018-06-27 |
| ReturnHeader/FilingSecurityInformation/IPTimezoneCd | 0 | CD |
| ReturnHeader/FilingSecurityInformation/IPTm | 0 | 15:33:37 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmEIN | 0 | 560625018 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt | 0 | BUTLER & STOWE |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt | 0 | PO BOX 2379 |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm | 0 | GASTONIA |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd | 0 | NC |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd | 0 | 280532379 |
| ReturnHeader/PreparerPersonGrp/PhoneNum | 0 | 7048648311 |
| ReturnHeader/PreparerPersonGrp/PreparationDt | 0 | 2018-06-27 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | DM PAYSEUR CPA |
| ReturnHeader/ReturnTs | 0 | 2018-06-27T16:33:37-04:00 |
| ReturnHeader/ReturnTypeCd | 0 | 990EZ |
| ReturnHeader/TaxPeriodBeginDt | 0 | 2017-01-01 |
| ReturnHeader/TaxPeriodEndDt | 0 | 2017-12-31 |
| ReturnHeader/TaxYr | 0 | 2017 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2017 • Form 990EZDetailed filing. Detailed filing data is available for this year.
- Assets
- $53,575
- Liabilities
- $17,142
- Net assets
- $36,433
- Revenue
- $172,432
- Expenses
- $160,341
- Net income
- $12,091