Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Pt VI, Line 6 | Members of the Plan shall consist of all insurers writing automobile insurance in the State of Rhode Island. |
| Pt VI, Line 7a | Members elect the Governing Body. |
| Pt VI, Line 11b | Form 990 is reviewed and signed by either AIPSO's Accounting Manager or the Director of Financial and Investment Services. |
| Pt VI, Line 12c | Governing Body members are required annually to sign a Conflict of Interest Statement disclosing any conflicts. |
| Pt VI, Line 15a | RI AIP employees are managed and paid employees of AIPSO, Federal ID#13-2732270. |
| Pt VI, Line 15b | The compensation of all employees is reviewed and approved by Human Resource Services and the President of AIPSO, provided that persons with conflicts of interest with respect to that compensation arrangement at issue are not involved in this review and approval. The compensation of the person is reviewed and approved using data as to comparable compensation for similarly qualified persons in functionally comparable positions at similarly situated organizations. AIPSO participates in a variety of well-known regional and national salary surveys conducted by third party sources to obtain survey data. There is contemporaneous documentation and recordkeeping with respect to the deliberations and decisions regarding the compensation arrangement. |
| Pt VI, Line 19 | Governing documents are available on the Plan's website. Conflict of Interest Statements and Financial Statements are available upon request. |
| Pt XI | Other changes consist of pension-related changes other than net periodic cost $239,474. |
| Form 990, Part VI, Line 9 | Travelers Co's Inc. 1 Tower Sq #PHXG Hartford CT XXX-XX-XXXX |
| Form 990, Part VI, Line 9 | Amica Mutual Ins Co 10 Amica Center, Amica Center Blvd Lincoln RI 02865 |
| Form 990, Part VI, Line 9 | MetLife Auto & Home 700 Quaker Lane Warwick RI XXX-XX-XXXX |
| Form 990, Part VI, Line 9 | Allstate Ins Co 2775 Sanders Rd Ste D2N Northbrook IL XXX-XX-XXXX |
| Form 990, Part VI, Line 9 | State Farm Co's 1 State Farm Plz,D-1 Bloomington IL XXX-XX-XXXX |
| Form 990, Part VI, Line 9 | Nationwide Mut Ins Co 1 Nationwide Plz,#01-18-101 Columbus OH XXX-XX-XXXX |
| Form 990, Part VI, Line 9 | Brenda Loiselle-Duclos C/O Loiselle Ins Agency,279 Dexter St Pawtucket RI XXX-XX-XXXX |
| Form 990, Part VI, Line 9 | Kim Raymond C/O Oceanpoint Ins Agency, 730 Centre of New England Blvd Coventry RI XXX-XX-XXXX |
| Form 990, Part VI, Line 9 | Ernest Shaghalian C/O Alpine Ins agency,2158 Plainfield Pike Cranston RI XXX-XX-XXXX |
| Form 990, Part VI, Line 9 | Shaw K Chen, PhD C/O College of Business Administration URI,301 Ballentine Hall Kingston RI 02881 |
| Form 990, Part VI, Line 9 | Marc Nadeau C/O Blais Ins,PO Box158,One Walker St Lincoln RI 02865 |
| Form 990, Part VI, Line 9 | 21st Century Centennial Ins Co 3 Beaver Valley Rd Wilmington DE XXX-XX-XXXX |
| Form 990, Part VI, Line 9 | Katharine Roberts C/O EF Bishop Agency Inc, 217 Angell St Providence RI XXX-XX-XXXX |
| Software ID: | 18007482 |
| Software Version: |