Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | "MEMBER INSURER" IS DEFINED BY STATUTE TO INCLUDE ENTITIES LICENSED TO TRANSACT IN INDIANA ANY KIND OF INSURANCE FOR WHICH COVERAGE IS PROVIDED BY THE ASSOCIATION. MEMBER INSURERS HAVE SUCH RIGHTS AND OBLIGATIONS AS ARE PROVIDED BY IC 27-6-8 AND THE ASSOCIATION'S PLAN OF OPERATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS SELECT THREE OF THE NINE-PERSON BOARD TWO OUT OF EVERY THREE YEARS AND MEMBERS SELECT TWO BOARD MEMBERS ONE OUT OF EVERY THREE YEARS, SUBJECT TO APPROVAL OF THE INDIANA INSURANCE COMMISSIONER. IN THE THIRD YEAR ONE MEMBER IS APPOINTED BY THE INDIANA INSURANCE COMMISSIONER. |
| FORM 990, PART VI, SECTION B, LINE 11B | MANAGEMENT HAS REVIEWED THE DRAFT FORM 990 PREPARED BY THEIR EXTERNAL ACCOUNTING FIRM. COPIES OF THE FINAL DRAFT FORM 990 WERE REVIEWED IN DETAIL BY THE AUDIT COMMITTEE. COPIES OF THE FINAL FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE ASSOCIATION'S BOARD OF DIRECTORS FOR REVIEW AND COMMENT PRIOR TO FILING THE FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | AT THE ANNUAL BOARD MEETING, DIRECTORS ARE GIVEN THE CONFLICT OF INTEREST POLICY/STATEMENT TO COMPLETE. THE EMPLOYEES OF QUAD ASSOC, LLC ARE GIVEN THE CONFLICT OF INTEREST POLICY/STATEMENT TO COMPLETE AT THE BEGINNING OF THE YEAR. ALL RESPONSES ARE MONITORED BY THE EXECUTIVE DIRECTOR. |
| FORM 990, PART VI, SECTION B, LINE 15 | QUAD ASSOC, LLC PROVIDES ALL EMPLOYEES WHO PERFORM SERVICES FOR THE ASSOCIATION, INCLUDING THE EXECUTIVE DIRECTOR. THE ASSOCIATION PAYS QUAD ASSOC FOR COSTS RELATED TO PERSONNEL AND BENEFITS, AS WELL AS GENERAL OPERATING EXPENSES, BASED ON AN ALLOCATION FORMULA SET FORTH IN THE OPERATING AGREEMENT AND MANAGEMENT AND ADMINISTRATIVE SERVICES AGREEMENT, WHICH AGREEMENTS ARE SIGNED BY QUAD ASSOC AND THE ASSOCIATION. COMPENSATION FOR THE EXECUTIVE DIRECTOR IS DETERMINED BASED ON PRIOR YEAR PERFORMANCE BY THE QUAD ASSOC BOARD. COMPENSATION FOR OTHER QUAD ASSOC EMPLOYEES IS DETERMINED ANNUALLY BY THE EMPLOYEE'S MANAGER BASED ON THE EMPLOYEE'S PERFORMANCE DURING THE PRIOR YEAR AND MUST BE WITHIN THE QUAD ASSOC BOARD APPROVED ANNUAL BUDGET. FROM TIME TO TIME, QUAD ASSOC RETAINS INDEPENDENT CONSULTANTS TO PROVIDE DATA TO ASSIST IN DETERMINING COMPENSATION LEVELS. |
| FORM 990, PART VI, SECTION C, LINE 19 | NO DOCUMENTS ARE AVAILABLE TO THE PUBLIC. THE ASSOCIATION IS SUBJECT TO PERIODIC EXAMINATION BY THE INDIANA DEPARTMENT OF INSURANCE AND COPIES OF THE DEPARTMENT OF INSURANCE EXAMINATION REPORT ARE AVAILABLE UPON REQUEST TO THE DEPARTMENT OF INSURANCE. |
| FORM 990, PART XI, LINE 9: | UNREALIZED LOSS -6,980. |
| FORM 990, PART XII, LINE 1 | THE ASSOCIATION USED THE NET RECORDED ASSET METHOD OF ACCOUNTING. THE NET RECORDED ASSET METHOD IS A MODIFIED CASH BASIS METHOD WHICH PROVIDED FOR ACCRUALS OF ASSETS AND A CASH BASIS OF ACCOUNTING FOR EXPENSES. |
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