TY 2014 Form 990EZ

Form990-EZ

Department of the Treasury
Internal Revenue Service

Short Form
Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private

foundations)

Do not enter social security numbers on this form as it may be made public.

Information about Form 990-EZ and its instructions is at www.irs.gov/form990.

OMB No. 1545-1150

2014

Open to Public
Inspection

Check if applicable:

Address change

Name change

Initial return

Final return/terminated

Amended return

Application pending

C Name of organization
Self Insurers Group of Ohio Inc

Number and street (or P. O. box, if mail is not delivered to street address)101 Prospect Avenue
Room/suite

City or town, state or province, country, and ZIP or foreign postal code Cleveland, OH44115

D Employer identification number

34-1623680

E Telephone number

(216) 566-3095

F Group Exemption
Number bullet


	1	Contributions, gifts, grants, and similar amounts received...............	1
2	Program service revenue including government fees and contracts ............	2	24,360
3	Membership dues and assessments......................	3	4,500
4	Investment income...........................	4	39
5a	Gross amount from sale of assets other than inventory........	5a
b	Less: cost or other basis and sales expenses...........	5b
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......	5c
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000) .	6a
b	Gross income from fundraising events (not including $ of contributions from fundraising events reported on line 1) (attach Schedule G if the
	sum of such gross income and contributions exceeds $15,000)	6b
c	Less: direct expenses from gaming and fundraising events.......	6c
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)	6d
7a	Gross sales of inventory, less returns and allowances........	7a
b	Less: cost of goods sold.................	7b
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........	7c
8	Other revenue (describe in Schedule O) .....................	8
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8..............	9	28,899
	10	Grants and similar amounts paid (list in Schedule O) .................	10
11	Benefits paid to or for members........................	11
12	Salaries, other compensation, and employee benefits................	12
13	Professional fees and other payments to independent contractors............	13	200
14	Occupancy, rent, utilities, and maintenance...................	14
15	Printing, publications, postage, and shipping...................	15	3,173
16	Other expenses (describe in Schedule O) ....................	16	22,711
17	Total expenses. Add lines 10 through 16 .................	17	26,084
	18	Excess or (deficit) for the year (Subtract line 17 from line 9)............	18	2,815
19	Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
	end-of-year figure reported on prior year’s return)................	19	41,188
20	Other changes in net assets or fund balances (explain in Schedule O) ..........	20
21	Net assets or fund balances at end of year. Combine lines 18 through 20.........	21	44,003

Contributions, gifts, grants, and similar amounts received...............

Program service revenue including government fees and contracts ............

24,360

Membership dues and assessments......................

4,500

Investment income...........................

Gross amount from sale of assets other than inventory........

Less: cost or other basis and sales expenses...........

Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......

Gaming and fundraising events

Gross income from gaming (attach Schedule G if greater than $15,000) .

Gross income from fundraising events (not including $ of contributions
from fundraising events reported on line 1) (attach Schedule G if the

sum of such gross income and contributions exceeds $15,000)

Less: direct expenses from gaming and fundraising events.......

Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)

Gross sales of inventory, less returns and allowances........

Less: cost of goods sold.................

Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........

Other revenue (describe in Schedule O) .....................

Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8.............. Bullet

28,899

Grants and similar amounts paid (list in Schedule O) .................

Benefits paid to or for members........................

Salaries, other compensation, and employee benefits................

Professional fees and other payments to independent contractors............

200

Occupancy, rent, utilities, and maintenance...................

Printing, publications, postage, and shipping...................

3,173

Other expenses (describe in Schedule O) ....................

22,711

Total expenses. Add lines 10 through 16 ................. Bullet

26,084

Excess or (deficit) for the year (Subtract line 17 from line 9)............

2,815

Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with

end-of-year figure reported on prior year’s return)................

41,188

Other changes in net assets or fund balances (explain in Schedule O) ..........

Net assets or fund balances at end of year. Combine lines 18 through 20......... Bullet

44,003

Part IIIStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III .	Expenses (Required for section 501(c)(3) and 501(c)(4) organizations; optional for others.)
What is the organization's primary exempt purpose? Business League
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 Monthly Meetings with an expertise in legal, administrative and medical issues. Represents 85 of our activity. Over two hundred members benefited. (Grants $ ) If this amount includes foreign grants, check here ...		28a
29 Annual education day providing a more in-depth discussion of a legal, administrative and medical topic. Represents 10 of our activity. Over two hundred members benefited. (Grants $ ) If this amount includes foreign grants, check here ...		29a
30 Annual golf outing used to network and provide opportunities to build relationships within the organization. Represents 5 of our activity. Over two hundred members benefited. (Grants $ ) If this amount includes foreign grants, check here ...		30a
31 Other program services (describe in Schedule O) (Grants $ ) If this amount includes foreign grants, check here...	31a
32 Total program service expenses (add lines 28a through 31a)..........	32

(a) Name and title	(b) Average hours per week devoted to position	(c)Reportable compensation (Forms W-2/1099-MISC) (if not paid, enter -0-)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation
Lynn Hubach Joanne Stores President	005.00	0
Nancy Semour Acme Fresh Markets Vice President	005.00	0
Cindy Umbarger Associated Building Materials Secretary	005.00	0
Tony Colangelo The Sherwin-Williams Company Treasurer	005.00	0

Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? If “Yes," complete Schedule L, Part I

40b

Yes

Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II .......................

Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ..

49a

Did the organization make any transfers to an exempt non-charitable related organization?......

49a

If "Yes," was the related organization a section 527 organization?................

49b

Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and title of each employee	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation
NONE

Total number of other employees paid over $100,000 ................. bullet

Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and business address of each independent contractor	(b) Type of service	(c) Compensation
NONE

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.