Civic Intelligence

Florida Association of Self Insureds Inc

EIN 59-2192394 • 501(c)6 • Altamonte Springs, FL

Profile

To promote and further the best interests of self-insurance in the state of florida and in particular to counsel, educate, expedite communications between and with and improve the administration of individual self insurance firms, funds, and municipalities in respect to their workman's compensation insurance and their relationship with the department of insurance, state of florida.

222 S Westmonte Drive No 111Altamonte Springs, FL 32714

www.fasi-fl.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2022

Liabilities / Revenue

51st percentile

0.00x

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

501(c)6 • <$500k nonprofits • Source year 2022

Net Margin

19th percentile

-26%

Higher net margin than 19% of similar nonprofits.

501(c)6 • <$500k nonprofits • Source year 2022

Top Officer Pay

77th percentile

$0

Higher top officer pay than 77% of similar nonprofits.

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

501(c)6 • <$500k nonprofits • Source year 2022

Asset Growth

8th percentile

-100%

Faster asset growth than 8% of similar nonprofits.

501(c)6 • <$500k nonprofits • Annualized from 2021 to 2022

Revenue Growth

23rd percentile

-23%

Faster revenue growth than 23% of similar nonprofits.

501(c)6 • <$500k nonprofits • Annualized from 2021 to 2022

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $19,401 (-100%) from 2021

Liabilities

Flat

$0

Flat from 2021

Net Assets

Down

$0

Down $19,401 (-100%) from 2021

Operations
Liabilities / Revenue51st percentileNet Margin19th percentile

Revenue

Down

$74,410

Down $22,715 (-23%) from 2021

Expenses

Down

$93,807

Down $7,324 (-7.2%) from 2021

Net Income

Down

-$19,397

Down $15,391 (-384%) from 2021

Trend Graphs

Balance Sheet Trend

Asset Growth8th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$100K$50K$0Assets 2011: $80,136Liabilities 2011: $24,445Net Assets 2011: $55,6912011Assets 2012: $81,164Liabilities 2012: $29,045Net Assets 2012: $52,1192012Assets 2013: $64,623Liabilities 2013: $20,070Net Assets 2013: $44,5532013Assets 2014: $64,700Liabilities 2014: $29,190Net Assets 2014: $35,5102014Assets 2015: $71,898Liabilities 2015: $30,905Net Assets 2015: $40,9932015Assets 2016: $45,916Liabilities 2016: $16,970Net Assets 2016: $28,9462016Assets 2017: $34,824Liabilities 2017: $19,605Net Assets 2017: $15,2192017Assets 2018: $29,803Liabilities 2018: $7,225Net Assets 2018: $22,5782018Assets 2019: $26,603Liabilities 2019: $1,050Net Assets 2019: $25,5532019Assets 2020: $23,407Liabilities 2020: $0Net Assets 2020: $23,4072020Assets 2021: $19,401Liabilities 2021: $0Net Assets 2021: $19,4012021Assets 2022: $0Liabilities 2022: $0Net Assets 2022: $02022

Highlighted filing

2022

Assets$0
Liabilities$0
Net Assets$0
Open 2022 Filing

Operations Trend

Revenue Growth23rd percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$150K$100K$50K$0-$50KRevenue 2011: $51,023Expenses 2011: $52,330Net Income 2011: -$1,3072011Revenue 2012: $46,104Expenses 2012: $49,676Net Income 2012: -$3,5722012Revenue 2013: $100,519Expenses 2013: $108,087Net Income 2013: -$7,5682013Revenue 2014: $95,395Expenses 2014: $104,438Net Income 2014: -$9,0432014Revenue 2015: $115,699Expenses 2015: $110,216Net Income 2015: $5,4832015Revenue 2016: $103,247Expenses 2016: $115,294Net Income 2016: -$12,0472016Revenue 2017: $104,500Expenses 2017: $118,227Net Income 2017: -$13,7272017Revenue 2018: $117,202Expenses 2018: $109,843Net Income 2018: $7,3592018Revenue 2019: $114,335Expenses 2019: $111,360Net Income 2019: $2,9752019Revenue 2020: $101,151Expenses 2020: $103,297Net Income 2020: -$2,1462020Revenue 2021: $97,125Expenses 2021: $101,131Net Income 2021: -$4,0062021Revenue 2022: $74,410Expenses 2022: $93,807Net Income 2022: -$19,3972022

Highlighted filing

2022

Revenue$74,410
Expenses$93,807
Net Income-$19,397
Open 2022 Filing

Filings

Most recent year

2022 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$74,410
Expenses
$93,807
Net income
-$19,397
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.74$0.94$0.19
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.19$0.00$0.19$0.97$1.01$0.04
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.23$0.00$0.23$1.01$1.03$0.02
2019Summary only. Only limited summary data is available for this year.$0.27$0.01$0.26$1.14$1.11$0.03
2018Summary only. Only limited summary data is available for this year.$0.30$0.07$0.23$1.17$1.10$0.07
2017Summary only. Only limited summary data is available for this year.$0.35$0.20$0.15$1.05$1.18$0.14
2016Summary only. Only limited summary data is available for this year.$0.46$0.17$0.29$1.03$1.15$0.12
2015Summary only. Only limited summary data is available for this year.$0.72$0.31$0.41$1.16$1.10$0.05
2014Summary only. Only limited summary data is available for this year.$0.65$0.29$0.36$0.95$1.04$0.09
2013Summary only. Only limited summary data is available for this year.$0.65$0.20$0.45$1.01$1.08$0.08
2012Summary only. Only limited summary data is available for this year.$0.81$0.29$0.52$0.46$0.50$0.04
2011Summary only. Only limited summary data is available for this year.$0.80$0.24$0.56$0.51$0.52$0.01
Latest Detailed Filing

The latest 2022 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2020 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
May 2, 2021
Return Version
2020v4.1
Gross Receipts
$101,151
Mission and Program Overview

Mission

To promote and further the best interests of self-insurance in the state of florida and in particular to counsel, educate, expedite communications between and with and improve the administration of individual self insurance firms, funds, and municipalities in respect to their workman's compensation insurance and their relationship with the department of insurance, state of florida.

To keep members abreast of current developments in the management of self insurance funds.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$25,589$20,222▼ $5,367
Prepaid Expenses and Deferred Charges$1,014$3,185▲ $2,171
Total Assets$26,603$23,407▼ $3,196
Liabilities
Deferred Revenue$1,050--
Total Liabilities$1,050$0▼ $1,050
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$25,553$23,407▼ $2,146
Total Net Assets Fund Balance$25,553$23,407▼ $2,146
Total Liabilities and Net Assets / Fund Balance$26,603$23,407▼ $3,196
Compensation and Service Providers
Top Officer Pay77th percentile

Board Members and Trustees

NameTitle
Dane JensenPresident
Marisa MartinezVice President
Ryan ClaytonExecutive Director
Patti ShiappiniSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$17,145
Program Service Revenue
$84,006
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-2,146
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$103,297
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
Conferences and Meetings---$60,222
Fees for Services Management---$32,000
Office Expenses---$747
Fees for Services Accounting---$375
All Other Expenses---$322
Other Expenses---$301
Total Functional Expenses$0$0$0$103,297
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Business relationship with 35% controlled entity
No
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

“The organization has members.”

Form 990, Part VI, Section A, Line 7A

“The organizations' members elect the governing body.”

Form 990, Part VI, Section A, Line 8B

“None of the committees have authority to act on behalf of the governing body.”

Form 990, Part VI, Section B, Line 11B

“The form 990 is prepared by an independent cpa, then reviewed by the executive director and/or treasurer prior to submitting to the irs.”

Form 990, Part VI, Section B, Line 15

“The management fee is negotiated between the board of directors and the association management company on an annual basis. Factors”

Form 990, Part VI, Section C, Line 19

“The form 990, board of director meeting minutes, and policies are on file at the headquarters office and available for inspection at any time.”

Filing and Contact Details

Filer

Filer Name
Florida Association of
EIN
59-2192394
Phone
4077747880
Address
222 S WESTMONTE DRIVE NO 111, ALTAMONTE SPRINGS, FL 32714

Signing Officer

Name
Ryan Clayton
Title
Executive Director
Phone
4077747880
Signed
2021-05-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dane Jensen
Formed
1982
Legal Domicile
Fl
Voting Board Members
9
Independent Board Members
42
Employees
0
Volunteers
0

Preparer

Firm
Whitley & Company Pa
Address
PO BOX 536973, ORLANDO, FL 32853-6973
Preparer
Whitley Company Pa
Phone
4078945053
Raw XML Appendix269 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/AccountantCompileOrReviewInd00
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO KEEP MEMBERS ABREAST OF CURRENT DEVELOPMENTS IN THE MANAGEMENT OF SELF INSURANCE FUNDS.
IRS990/AllOtherExpensesGrp/TotalAmt0322
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0KAUTTER WENHOLD MANAGEMENT GROUP LLC
IRS990/BooksInCareOfDetail/PhoneNum04077747880
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0222 S WESTMONTE DRIVE 111
IRS990/BooksInCareOfDetail/USAddress/CityNm0ALTAMONTE SPRINGS
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0FL
IRS990/BooksInCareOfDetail/USAddress/ZIPCd032714
IRS990/BusinessRlnWith35CtrlEntInd00
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CashNonInterestBearingGrp/BOYAmt025589
IRS990/CashNonInterestBearingGrp/EOYAmt020222
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConferencesMeetingsGrp/TotalAmt060222
IRS990/ConflictOfInterestPolicyInd00
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt017145
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt00
IRS990/CYOtherExpensesAmt0103297
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt084006
IRS990/CYRevenuesLessExpensesAmt0-2146
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt0103297
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0101151
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DeferredRevenueGrp/BOYAmt01050
IRS990/DelegationOfMgmtDutiesInd00
IRS990/Desc0A LOBBYIST IS RETAINED TO PRESENT INFORMATION TO STATE LEGISLATORS AND RELAY RELEVANT INFORMATION TO ITS MEMBERS. THERE ARE NO ATTEMPTS MADE TO INFLUENCE LEGISLATORS
IRS990/DescribedInSection501c3Ind00
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd00
IRS990/DonorAdvisedFundInd00
IRS990/DonorRstrOrQuasiEndowmentsInd00
IRS990/ElectionOfBoardMembersInd01
IRS990/EmployeeCnt00
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesAccountingGrp/TotalAmt0375
IRS990/FeesForServicesManagementGrp/TotalAmt032000
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt05.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt14.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt22.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt32.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/PersonNm0RYAN CLAYTON
IRS990/Form990PartVIISectionAGrp/PersonNm1DANE JENSEN
IRS990/Form990PartVIISectionAGrp/PersonNm2MARISA MARTINEZ
IRS990/Form990PartVIISectionAGrp/PersonNm3PATTI SHIAPPINI
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/TitleTxt0EXECUTIVE DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY/TREASURER
IRS990/Form990ProvidedToGvrnBodyInd00
IRS990/FormationYr01982
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt09
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt0101151
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt042
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0FL
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembershipDuesAmt017145
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0TO PROMOTE AND FURTHER THE BEST INTERESTS OF SELF-INSURANCE IN THE STATE OF FLORIDA AND IN PARTICULAR TO COUNSEL, EDUCATE, EXPEDITE COMMUNICATIONS BETWEEN AND WITH AND IMPROVE THE ADMINISTRATION OF INDIVIDUAL SELF INSURANCE FIRMS, FUNDS, AND MUNICIPALITIES IN RESPECT TO THEIR WORKMAN'S COMPENSATION INSURANCE AND THEIR RELATIONSHIP WITH THE DEPARTMENT OF INSURANCE, STATE OF FLORIDA.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt025553
IRS990/NetAssetsOrFundBalancesEOYAmt023407
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt025553
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt023407
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/TotalAmt0747
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0INTERNET/TELEPHONE
IRS990/OtherExpensesGrp/Desc1BANK FEES/CREDIT CARD F
IRS990/OtherExpensesGrp/Desc2DUES
IRS990/OtherExpensesGrp/Desc3MISCELLANEOUS
IRS990/OtherExpensesGrp/TotalAmt05901
IRS990/OtherExpensesGrp/TotalAmt13105
IRS990/OtherExpensesGrp/TotalAmt2324
IRS990/OtherExpensesGrp/TotalAmt3301
IRS990/PartialLiquidationInd00
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt01014
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt03185
IRS990/PrincipalOfficerNm0DANE JENSEN
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0900099
IRS990/ProgramServiceRevenueGrp/Desc0CONFERENCES
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt084006
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt084006
IRS990/ProgSrvcAccomActy2Grp/Desc0CONVENTION AND TRADE SHOW HELD FOR MEMBERS AND OTHER INTERESTED PARTIES
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt026965
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt0111360
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt087370
IRS990/PYRevenuesLessExpensesAmt02975
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt0111360
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0114335
IRS990/ReconcilationRevenueExpnssAmt0-2146
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/ScheduleBRequiredInd00
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION HAS MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATIONS' MEMBERS ELECT THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2NONE OF THE COMMITTEES HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE FORM 990 IS PREPARED BY AN INDEPENDENT CPA, THEN REVIEWED BY THE EXECUTIVE DIRECTOR AND/OR TREASURER PRIOR TO SUBMITTING TO THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE MANAGEMENT FEE IS NEGOTIATED BETWEEN THE BOARD OF DIRECTORS AND THE ASSOCIATION MANAGEMENT COMPANY ON AN ANNUAL BASIS. FACTORS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE FORM 990, BOARD OF DIRECTOR MEETING MINUTES, AND POLICIES ARE ON FILE AT THE HEADQUARTERS OFFICE AND AVAILABLE FOR INSPECTION AT ANY TIME.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0FL
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt026603
IRS990/TotalAssetsEOYAmt023407
IRS990/TotalAssetsGrp/BOYAmt026603
IRS990/TotalAssetsGrp/EOYAmt023407
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt017145
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt0103297
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt01050
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt01050
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt025553
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt023407
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceRevenueAmt084006
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt084006
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0101151
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt026603
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt023407
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationAssocInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0222 S WESTMONTE DRIVE NO 111
IRS990/USAddress/CityNm0ALTAMONTE SPRINGS
IRS990/USAddress/StateAbbreviationCd0FL
IRS990/USAddress/ZIPCd032714
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt042
IRS990/WebsiteAddressTxt0WWW.FASI-FL.ORG
IRS990/WhistleblowerPolicyInd00
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd03
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0RYAN CLAYTON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum04077747880
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-05-02
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FLORIDA ASSOCIATION OF
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0SELF INSUREDS INC
ReturnHeader/Filer/BusinessNameControlTxt0FLOR
ReturnHeader/Filer/EIN0592192394
ReturnHeader/Filer/PhoneNum04077747880
ReturnHeader/Filer/USAddress/AddressLine1Txt0222 S WESTMONTE DRIVE NO 111
ReturnHeader/Filer/USAddress/CityNm0ALTAMONTE SPRINGS
ReturnHeader/Filer/USAddress/StateAbbreviationCd0FL
ReturnHeader/Filer/USAddress/ZIPCd032714
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0593755340
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0WHITLEY & COMPANY PA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 536973
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ORLANDO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0FL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0328536973
ReturnHeader/PreparerPersonGrp/PhoneNum04078945053
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0WHITLEY COMPANY PA
ReturnHeader/ReturnTs02021-05-10T08:21:31-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0RYAN
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0CLAYTON
ReturnHeader/TaxPeriodBeginDt02020-01-01
ReturnHeader/TaxPeriodEndDt02020-12-31
ReturnHeader/TaxYr02020

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