Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| PART IV | PAGE 3 QUESTION 12: | THE FINANCIAL STATEMENTS ARE PREPARED USING ACCOUNTING PRACTICES PRESCRIBED OR PERMITTED BY THE INDIANA DEPARTMENT OF INSURANCE, WHICH PRACTICES DIFFER FROM ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. |
| GOVERNANCE, MANAGEMENT, & DISCLOSURE | FORM 990 PART VI | LINE 6 & 7: EVERENCE ASSOCIATION INC HAS ONLY ONE CLASS OF MEMBERSHIP. THE SOLE DECISION-MAKING POWER OF A MEMBER IS TO ELECT THE BOARD OF DIRECTORS. LINE 11B: THE FORM 990 IS REVIEWED BY AN INDEPENDENT CPA FIRM AND SENT VIA E-MAIL TO THE AUDIT COMMITTEE FOR THEIR APPROVAL BEFORE IT IS FILED. THE AUDIT COMMITTEE THOROUGHLY REVIEWS THE 990 AND IS GIVEN THE OPPORTUNITY TO ASK QUESTIONS OR MAKE SUGGESTIONS WHICH MAY LEAD TO CHANGES TO THE 990 BEFORE IT IS FILED. IF AFTER TEN (10) DAYS THE AUDIT COMMITTEE HAS NOT HAD ANY QUESTIONS OR MADE ANY SUGGESTIONS, THE 990 IS CONSIDERED APPROVED BY THE AUDIT COMMITTEE. LINE 12C: A QUESTIONNAIRE IS SENT OUT ANNUALLY TO ALL OFFICERS, DIRECTORS, OR TRUSTEES, AND KEY EMPLOYEES TO DISCLOSE PERSONAL AND BUSINESS RELATIONSHIPS. THE QUESTIONNAIRES ARE REVIEWED ANNUALLY. IF A CONFLICT EXISTS, RESTRICTIONS WILL BE IMPOSED ON PERSONS WITH A CONFLICT SUCH AS PROHIBITING THEM FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION. LINE 15A: THE BOARD OF DIRECTORS PERFORMS AN ANNUAL REVIEW OF EXECUTIVE COMPENSATION. THE LAST REVIEW WAS PERFORMED IN 2011. GOALS AND OBJECTIVES ARE SET FORTH ANNUALLY AND REVIEWED DURING THIS PROCESS. ADDITIONALLY, PERIODIC COMPARISONS TO SIMILAR FOR-PROFIT AND NOT-FOR-PROFIT ENTITIES ARE EXAMINED. LINE 19: OUR GOVERNING DOCUMENTS ARE KEPT ON FILE AND ARE AVAILABLE UPON REQUEST. CONFLICT OF INTEREST POLICY INFORMATION IS AVAILABLE UPON REQUEST. SUMMARIZED FINANCIAL INFORMATION FOR ALL EVERENCE ENTITIES IS PUBLISHED IN A REPORT TO THE MEMBERS. THIS REPORT INFORMS THE MEMBER THEY MAY REQUEST THE AUDITED FINANCIAL STATEMENTS. |
| PART IX | LINE 4 | ACCIDENT AND HEALTH 40,630,245 LIFE AND ANNUITY 19,815,954 INTEREST & ADJUSTMENT TO CD CONTRACT FUND 121,504 SUPPLEMENTARY CONTRACTS 1,459,516 NET TOTAL OF INCREASE IN ACCIDENT & HEALTH -297,796 LIFE AND ANNUITY RESERVES 10,819,911 INCREASE IN SUPPLEMENTARY CONTRACTS RESERVES -675,685 REFUNDS TO MEMBERS -335 TOTALS 71,873,314 |
| RECONCILIATION | FORM 990, PART XI | LINE 9: CHANGE IN ADMITTED INVESTMENT CARRYING AMOUNTS (3,545,251) CHANGE IN ASSET VALUATION RESERVE (940,276) CHANGE IN NONADMITTED ASSETS 621,582 GAIN TRANSFERRED TO IMR (1,285,996) OTHER CHANGES IN NET ASSETS OR FUND BALANCES =(5,149,941) |
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