Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 01-01-2019 , and ending 12-31-2019
BCheck if applicable:
CName of organization
TEXAS MUTUAL INSURANCE COMPANY
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
2200 Aldrich Street
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Austin, TX78723
D Employer identification number

74-2615873
E Telephone number

G Gross receipts $ 6,040,860,651
F Name and address of principal officer:
Mike Barron
2200 Aldrich Street
Austin,TX78723
I
Tax-exempt status: ( 27 ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.texasmutual.com
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization: Mutual
L Year of formation: 1991
M State of legal domicile: TX
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: Established by Texas statute to provide a stable, competitive source of workers' compensation insurance for Texas employers, acts as an insurer of last resort, and helps to prevent on-the-job injuries and illnesses and minimize their consequences.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 9
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 9
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 1,095
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 4,787,982
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 1,108,223,596 1,093,530,380
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 307,890,088 299,916,511
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,114,337 1,141,219
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,417,228,021 1,394,588,110
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,624,509 4,435,945
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 119,464,785 126,787,656
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,110,726,571 1,045,540,526
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,231,815,865 1,176,764,127
19 Revenue less expenses. Subtract line 18 from line 12....... 185,412,156 217,823,983
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 7,177,542,373 7,631,590,732
21 Total liabilities (Part X, line 26)............. 3,611,856,729 3,631,588,995
22 Net assets or fund balances. Subtract line 21 from line 20..... 3,565,685,644 4,000,001,737
Part II
Signature Block
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.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2019)
Form 990 (2019)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: Established by Texas statute to provide a stable, competitive source of workers' compensation insurance for Texas employers, acts as an insurer of last resort, and helps to prevent on-the-job injuries and illnesses and minimize their consequences.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 0 including grants of $ 0 ) (Revenue $ 1,394,588,110 )
The Company wrote over 79,000 workers' compensation policies in 2019 covering approximately 1.5 million Texas employees. During the year, over 51,000 claims were processed and approximately $446 million in medical and income benefits were paid out to injured workers.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $ 0 including grants of $ 0 ) (Revenue $ 0 )
4e Total program service expensesMediumBullet0
Form 990 (2019)
Form 990 (2019)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A.....................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. 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.........
4
 
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part III..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
Click to see attachment......................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
 
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
 
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................
34
 
No
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
7,050
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
1,095
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2019)
Form 990 (2019)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
9
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
9
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletMike Barron2200 Aldrich Street   Austin,TX78723 (512) 224-7972
Form 990 (2019)
Form 990 (2019)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Richard Gergasko......................................................................
President & CEO
40
.................
0
    X       996,264 0 134,729
(2) Brenda Ward......................................................................
Chief Operating Officer
40
.................
0
    X       532,201 0 80,431
(3) Leonard Johnson......................................................................
SVP Investments
40
.................
0
    X       508,453 0 83,395
(4) William McLellan......................................................................
SVP Information Technology
40
.................
0
    X     X 548,189 0 43,051
(5) Perry Barron......................................................................
SVP & CFO
40
.................
0
    X       511,359 0 51,426
(6) Mary Nichols......................................................................
SVP & General Counsel
40
.................
0
    X       499,664 0 41,588
(7) Lynette Caldwell......................................................................
SVP Human Resources
40
.................
0
    X       386,880 0 85,739
(8) Kim Haugaard......................................................................
SVP Policyholder Services
40
.................
0
    X       385,288 0 72,508
(9) Michael Hernandez......................................................................
Chief Data Officer
40
.................
0
    X       386,280 0 62,157
(10) Jo Betsy Norton......................................................................
SVP Public Affairs
40
.................
0
    X       338,157 0 76,287
(11) David John......................................................................
VP IT Infrastructure
40
.................
0
      X     322,718 0 89,504
(12) Martin Leifker......................................................................
VP IT Architecture & Digital Innovation
40
.................
0
      X     312,210 0 87,874
(13) Phoebe Murphy......................................................................
VP & Chief Actuary
40
.................
0
      X     317,177 0 74,243
(14) Jeffrey Lentz......................................................................
VP Underwriting
40
.................
0
      X     296,682 0 84,926
(15) James Kohloff......................................................................
VP Regional Operations
40
.................
0
      X     292,757 0 81,531
(16) Catherine Brown......................................................................
VP Facility Services
40
.................
0
      X     306,800 0 54,709
(17) Nicholas Tsourmas......................................................................
VP & Medical Director
40
.................
0
      X     301,519 0 47,866
Form 990 (2019)
Form 990 (2019)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Jeannette Sprague........................................................................
VP Applications
40
.......................0
      X     290,224 0 59,038
(19) Edward Coates........................................................................
VP HR Employee Services
40
.......................0
      X     258,216 0 79,527
(20) Elise Teeter........................................................................
SVP & General Auditor
40
.......................0
    X       273,674 0 62,751
(21) Woody Hill........................................................................
VP & Customer Experience Officer
40
.......................0
      X     281,073 0 54,637
(22) Erica Sanchez........................................................................
VP & Controller
40
.......................0
      X     260,451 0 68,437
(23) Amy Green-Hinojosa........................................................................
VP Project Management Office
40
.......................0
      X     261,284 0 63,107
(24) Billy Jackson........................................................................
VP Regional Operations
40
.......................0
      X     277,115 0 46,412
(25) Benjamin Siddons........................................................................
VP Business Development
40
.......................0
      X     259,438 0 55,481
(26) Curtis Johnson........................................................................
VP Claim Operations
40
.......................0
      X     259,641 0 54,934
(27) Beverly Harris........................................................................
VP Strategic Planning & Analysis
40
.......................0
      X     245,520 0 60,657
(28) Jeremiah Bentley........................................................................
VP Marketing & Customer Engagement
40
.......................0
        X   227,249 0 72,788
(29) Nathan Scott........................................................................
VP Investments
40
.......................0
        X   226,456 0 69,040
(30) Shannon Pounds........................................................................
VP Claims Litigation
40
.......................0
      X     238,695 0 54,029
(31) Lawrence Martin........................................................................
VP HR Consulting Services
40
.......................0
      X     237,247 0 54,639
(32) Willard Potter........................................................................
VP Premium Audit
40
.......................0
        X   231,324 0 59,245
(33) Roger Humecky........................................................................
VP Data Analytics & Business Intelligence
40
.......................0
      X     245,733 0 36,416
(34) Greta Gonzales........................................................................
VP & Chief Risk Officer
40
.......................0
        X   223,102 0 53,623
(35) Lisa Evans........................................................................
VP Distribution & Customer Engagement
40
.......................0
      X     240,777 0 35,135
(36) Peppia Gates........................................................................
VP Regional Operations
40
.......................0
        X   225,607 0 45,995
(37) Michael Stubblefield........................................................................
SVP & Chief Information Officer
40
.......................0
    X       109,477 0 15,667
(38) Ronald Ellis Simmons........................................................................
Director
4
.......................0
X           104,000 0 0
(39) John Dayton Swanson........................................................................
Director
4
.......................0
X           98,250 0 0
(40) Linda Foster-Smith........................................................................
Director
4
.......................0
X           93,250 0 0
(41) Tommy Dan Philips........................................................................
Director
4
.......................0
X           88,750 0 0
(42) Eric Lee Oliver........................................................................
Director
4
.......................0
X           84,750 0 0
(43) Bernard Chevalier Francis........................................................................
Director
4
.......................0
X           78,000 0 0
(44) Kristina Koncaba........................................................................
Director
4
.......................0
X           76,000 0 0
(45) Paul Schlaud........................................................................
SVP & Special Counsel
40
.......................0
    X       58,066 0 6,820
(46) Robert Charles Barnes........................................................................
Director
4
.......................0
X         X 60,000 0 0
(47) Brett Flagg........................................................................
Director
4
.......................0
X           41,500 0 0
(48) John Hurschel Young........................................................................
Director
4
.......................0
X         X 39,500 0 0
(49) Steven Dudley Oldham........................................................................
Director
4
.......................0
X           35,500 0 0
(50) Delia Maria Reyes........................................................................
Director
4
.......................0
X         X 16,250 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 12,988,717 0 2,360,342
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet299
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
AMY WICK MARKETING COMMUNICATION

1524 IH-35 S STE 224
AUSTIN,TX78704
Professional Services 4,396,355
DELL FINANCIAL SERVICES LP

PO BOX 6549
CAROL STREAM,IL60197
Professional Services 3,650,289
RULESWARE LLC

10 N MARTINGALE ROAD SUITE 400
SCHAUMBURG,IL60173
Professional Services 3,244,096
COMBINED AGENTS OF AMERICA

6805 N CAPITAL OF TEXAS HWY STE 250
AUSTIN,TX75731
Independent Agency 3,128,145
COVENTRY HEALTHCARE WORKERS CO

PO BOX 660776
DALLAS,TX75266
Professional Services 2,824,951
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet124
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 0
 Program Service RevenueAmt Business Code
2a Premiums Earned 524126 1,093,530,380 1,093,530,380 0 0
b
c
d
e
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f .....MediumBullet 1,093,530,380
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 241,181,709 0 0 241,181,709
4 Income from investment of tax-exempt bond proceedsMediumBullet 0 0 0 0
5 Royalties...........MediumBullet 0 0 0 0
(ii) Personal (i) Real
6a Gross rents 0 336,622 6a
b Less: rental expenses 0 0 6b
c Rental income or (loss) 0 336,622 6c
d Net rental income or (loss).......MediumBullet 336,622 0 0 336,622
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 537,867 4,704,469,476 7a
b Less: cost or other basis and sales expenses 679,139 4,645,593,402 7b
c Gain or (loss) -141,272 58,876,074 7c
d Net gain or (loss).........MediumBullet 58,734,802 0 4,787,982 53,946,820
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a Finance and Service Charges 524126 725,196 725,196 0 0
b Retroactive Reinsurance 524126 79,401 79,401 0 0
c            
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ...... MediumBullet 804,597
12 Total revenue. See instructions.....MediumBullet 1,394,588,110 1,094,334,977 4,787,982 295,465,151
Form 990 (2019)
Form 990 (2019)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 4,234,570  
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 201,375  
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 0  
4 Benefits paid to or for members ....... 0  
5 Compensation of current officers, directors, trustees, and key employees ........... 13,912,324      
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 0      
7 Other salaries and wages........ 85,494,315      
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 8,020,114      
9 Other employee benefits ....... 12,901,371      
10 Payroll taxes ........... 6,459,532      
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 187,481      
c Accounting ........... 470,038      
d Lobbying ........... 468,759      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 23,061,107      
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 25,180,763      
12 Advertising and promotion .... 7,098,688      
13 Office expenses ....... 5,477,499      
14 Information technology ...... 16,958,496      
15 Royalties .. 0      
16 Occupancy ........... 17,898,685      
17 Travel ............ 3,060,278      
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 1,055,689      
20 Interest ........... 1,313,151      
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 12,815,693      
23 Insurance ... 1,206,741      
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Loses Incurred & Loss Adjustment Expense 394,973,673      
b Dividends to Policyholders 347,562,715      
c Net Commission and Brokerage 145,525,869      
d Total Taxes, Licenses and Fees 26,600,252      
e All other expenses 14,624,949      
25 Total functional expenses. Add lines 1 through 24e 1,176,764,127 0 0 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2019)
Form 990 (2019)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ -25,497,087 1 -35,591,508
2 Savings and temporary cash investments ......... 180,361,505 2 118,704,026
3 Pledges and grants receivable, net ...... 0 3  
4 Accounts receivable, net ............. 420,412,268 4 454,478,624
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6  
7 Notes and loans receivable, net ........... 0 7  
8 Inventories for sale or use ............ 0 8  
9 Prepaid expenses and deferred charges ...... 0 9  
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 121,396,221
b Less: accumulated depreciation 10b 10,179,691 111,852,176 10c 111,216,530
11 Investments—publicly traded securities . 5,506,685,403 11 5,899,934,951
12 Investments—other securities. See Part IV, line 11 ..... 944,821,896 12 1,045,399,774
13 Investments—program-related. See Part IV, line 11 .. 0 13  
14 Intangible assets ............... 0 14  
15 Other assets. See Part IV, line 11 ........... 38,906,212 15 37,448,335
16 Total assets. Add lines 1 through 15 (must equal line 33)... 7,177,542,373 16 7,631,590,732
Liabilities 17 Accounts payable and accrued expenses ..... 130,605,185 17 109,070,866
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 511,164,296 19 524,872,092
20 Tax-exempt bond liabilities ......... 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 50,081,572
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 2,970,087,248 25 2,947,564,465
26 Total liabilities. Add lines 17 through 25.. 3,611,856,729 26 3,631,588,995
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions ..........   27  
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds ..... 0 29 0
30 Paid-in or capital surplus, or land, building or equipment fund ... 0 30 0
31 Retained earnings, endowment, accumulated income, or other funds 3,565,685,644 31 4,000,001,737
32 Total net assets or fund balances ........... 3,565,685,644 32 4,000,001,737
33 Total liabilities and net assets/fund balances ........ 7,177,542,373 33 7,631,590,732
Form 990 (2019)
Form 990 (2019)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,394,588,110
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,176,764,127
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
217,823,983
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
3,565,685,644
5
Net unrealized gains (losses) on investments ...............
5
213,011,977
6
Donated services and use of facilities .................
6
0
7
Investment expenses .....................
7
0
8
Prior period adjustments .....................
8
0
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
3,480,133
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
4,000,001,737
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2019)
Form 990 (2019)
Additional Data


Software ID: 19009572
Software Version: v1.00
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
TEXAS MUTUAL INSURANCE COMPANY
 
Employer identification number

74-2615873
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ..... 0 8,173,406 8,173,406
b Buildings .... 0 99,996,059 4,275,181 95,720,878
c Leasehold improvements 0 0 0 0
d Equipment .... 0 13,226,756 5,904,510 7,322,246
e Other ..... 0 0 0 0
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 111,216,530
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 3
Part VII
Investments—Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives......... 0  
(2) Closely-held equity interests........ 0  
(3) Other
(A) GOLUB CAPITAL PEARLS LP
96,208,071 F

(B) MARANON SENIOR CREDIT FUND II-A LP
1,890,000 F

(C) WA STRUCTURED PROD OPPORTUNITIES
27,501,810 F

(D) WA OPPORTUNISTIC US$ HIGH YIELD
7,111,958 F

(E) WA FLOATING RATE HIGH INCOME FUND
36,588,594 F

(F) WA OPPORTUNISTIC NON-$ HEDGED
22,502 F

(G) WA EMERGING MARKETS LOCAL DEBT
22,345,154 F

(H) SILCHESTER INTL INVESTORS
131,682,845 F

(I) PARAMETRIC DEFENSIVE EQTY FUND LLC
136,378,978 F

(J) CLARION LION PROPERTIES FUND
126,092,010 F

(K) USAA EAGLE REAL ESTATE LP
121,988,395 F

(L) PRINCIPAL RE DEBT FUND LP
737,362 F

(M) PRINCIPAL RE DEBT FUND II LP
83,605,212 F

(N) HEITMAN RE DEBT PARTNERS LP
32,920 F

(O) HEITMAN CORE RE DEBT INCOME TR LP
54,330,264 F

(P) PARTNERS FUND
77,432,282 F

(Q) PARTNERS GROUP RE SECOND 2013A LP
44,952,265 F

(R) CRESTLINE OPPORTUNITY FUND III LTD
45,890,000 F

(S) CL CHOWDER CO-INVEST LP
3,195,000 F

(T) GSO CREDIT ALPHA FUND II LP
23,069,601 F

(U) CL GAS CO-INVEST LP
2,190,600 F

(V) AMFAM VC FUND III LP
2,153,951 F
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 1,045,399,774
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 2,947,564,465
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 1,359,026,805
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a 0
b Donated services and use of facilities ......... 2b 0
c Recoveries of prior year grants ........... 2c 0
d Other (Describe in Part XIII.) ............ 2d 0
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1.................. 3 1,359,026,805
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a 35,561,305
b Other (Describe in Part XIII.) ........... 4b 0
c Add lines 4a and 4b.................... 4c 35,561,305
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 1,394,588,110
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 1,141,202,822
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a 0
b Prior year adjustments ............ 2b 0
c Other losses ................ 2c 0
d Other (Describe in Part XIII.) ............ 2d 0
e Add lines 2a through 2d.................... 2e 0
3 Subtract line 2e from line 1................... 3 1,141,202,822
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a 35,561,305
b Other (Describe in Part XIII.) ............ 4b 0
c Add lines 4a and 4b..................... 4c 35,561,305
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 1,176,764,127
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D (Form 990) 2019


Additional Data


Software ID: 19009572
Software Version: v1.00




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
TEXAS MUTUAL INSURANCE COMPANY
 
Employer identification number

74-2615873
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region
(f) Total expenditures
for and investments
in the region
Europe (including Iceland and Greenland)     Investments   254,067,392
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ....      
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 0 0 254,067,392
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount
of noncash
assistance
(h) Description
of noncash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
noncash
assistance
(g) Description
of noncash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2019
Additional Data


Software ID: 19009572
Software Version: v1.00




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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
TEXAS MUTUAL INSURANCE COMPANY
 
Employer identification number
74-2615873
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) CTL SALES OF TEXAS
610 Port Drive
Liberty,TX77575
20-4021864   5,008       Tropical Storm Imelda Relief
(2) SPRINT WASTE SERVICES LP
3310 FM 523 Road
Freeport,TX77541
20-4435522   5,250       Tropical Storm Imelda Relief
(3) HOUSTON ACADEMY OF CAREER DEVELOPMENT
1102 W Dallas St
Conroe,TX77301
74-1285095   5,277       Tropical Storm Imelda Relief
(4) CATHODIC CONTROL SYSTEMS INC
2030 North Loop W
Suite 104
Houston,TX77018
74-2090467   5,500       Tropical Storm Imelda Relief
(5) APPLICATION FACTORY INC
845 Lindbergh Drive
Beaumont,TX77707
76-0586102   5,933       Tropical Storm Imelda Relief
(6) M & N BUILDERS LLC
431 County Rd 601
Dayton,TX77535
46-3309792   6,000       Tropical Storm Imelda Relief
(7) TAG OPERATING CO INC
County Road 331
Cleveland,TX77327
76-0208212   6,300       Tropical Storm Imelda Relief
(8) FITTZ & SHIPMAN INC
1405 Cornerstone Court
Beaumont,TX77706
74-2087306   6,651       Tropical Storm Imelda Relief
(9) D WAGNER CONSTRUCTION COMPANY INC
2410 FM 646 North
Santa Fe,TX77510
74-2144836   6,760       Tropical Storm Imelda Relief
(10) ANTONIO GOMEZ
1013 Shady Lane
Jasper,TX75966
47-3589502   7,000       Tropical Storm Imelda Relief
(11) HOWELL FURNITURE CO LTD
6095 Folsom St
Beaumont,TX77706
74-1364185   7,000       Tropical Storm Imelda Relief
(12) VORTEX CONSTRUCTION LLC
1226 Zoyas Creek Trail
Katy,TX77494
47-4204931   7,010       Tropical Storm Imelda Relief
(13) O'Brien Counseling Services Inc
220 W Davis
Conroe,TX77301
76-0647854   7,280       Tropical Storm Imelda Relief
(14) SCOOP LE POOP PET WASTE REMOVAL SERVICE LLC
5005 W 34th
103b
Houston,TX77091
20-5148344   7,332       Tropical Storm Imelda Relief
(15) IMMCO INC
PO BOX 1054
NEDERLAND,TX77627
76-0152797   7,500       Tropical Storm Imelda Relief
(16) VIC'S TRUCK & TRAILER REPAIR INC OF TX
2615 Hwy 62 N
Orange,TX77630
27-1062613   7,500       Tropical Storm Imelda Relief
(17) ACE GLASS & MIRROR INC
716 S Twin City Hwy
Nederland,TX77627
76-0099765   7,588       Tropical Storm Imelda Relief
(18) THREE BROTHERS BAKERY INC
4036 S Braeswood Blvd
Houston,TX77025
74-1387675   7,793       Tropical Storm Imelda Relief
(19) BOLAR UNDERGROUND CABLE INC
5001 I 45 houston
Houston,TX77067
20-8228941   7,900       Tropical Storm Imelda Relief
(20) TRANSLIQUID TECHNOLOGIES LLC
1012 Hirsch Rd
Houston,TX77016
27-2855296   7,975       Tropical Storm Imelda Relief
(21) TEXAS CONCRETE COMPANY
18773 hwy
105
Sour Lake,TX77659
20-5684995   8,000       Tropical Storm Imelda Relief
(22) SAFETY ADJUSTERS INC
535 N M L King Jr Pkwy
Beaumont,TX77701
76-0503868   8,000       Tropical Storm Imelda Relief
(23) NOLA PO BOYS
5739 Dwinnell St
Houston,TX77023
58-7777740   8,048       Tropical Storm Imelda Relief
(24) KURZ & CO INC
4640 BRITTMOORE RD
Houston,TX77041
76-0582370   8,083       Tropical Storm Imelda Relief
(25) KINSMAN SERVICES LLC
15809 Second Street
1
Channelview,TX77530
32-0491601   8,138       Tropical Storm Imelda Relief
(26) JACK SMITH JR & ASSOCIATES
21738 e wallis
porter,TX77365
76-0460355   8,200       Tropical Storm Imelda Relief
(27) IMANI QUALITY CONCEPTS LLC
3115 Washington Blvd
Beaumont,TX77705
20-5902011   8,900       Tropical Storm Imelda Relief
(28) THINK ENVIRONMENTAL
2739 FM 1006
Orange,TX77631
74-2452880   9,028       Tropical Storm Imelda Relief
(29) Roberts Body Shop Inc
413 CAROL ST
ORANGE,TX77630
76-0673410   9,043       Tropical Storm Imelda Relief
(30) A & D PROPANE INC
14353 OLD HUMBLE PIPELINE ROAD
CONROE,TX77302
77-0593729   9,068       Tropical Storm Imelda Relief
(31) FOXWORTH REAL ESTATE CO LTD
3720 Nederland Ave
Nederland,TX77627
76-0698913   9,500       Tropical Storm Imelda Relief
(32) MEMORIAL COUNCIL OF CO-OWNERS
93333 Memorial Dr
Houston,TX77024
76-0046922   9,500       Tropical Storm Imelda Relief
(33) ROCKINDFENCING
4720 Self Street
Santa Fe,TX77517
48-0112927   9,685       Tropical Storm Imelda Relief
(34) PRICE INSURANCE AGENCY
510 N Main
Vidor,TX77662
76-0276790   9,750       Tropical Storm Imelda Relief
(35) N & T CONSTRUCTION CO INC
1376 laurel ave
beaumont,TX77701
76-0292289   9,797       Tropical Storm Imelda Relief
(36) PERKINS ROOFING COMPANY INC
1145 Lindbergh Drive
Beaumont,TX77707
74-1390009   9,940       Tropical Storm Imelda Relief
(37) ATDP INC
3119 Luell St
Houston,TX77093
68-0587258   9,955       Tropical Storm Imelda Relief
(38) RAEIS CONSTRUCTORS LLC
2000 S DAIRY ASHFORD SUITE 555
HOUSTON,TX77077
47-3598001   9,980       Tropical Storm Imelda Relief
(39) A & A ELECTRIC COMPANY OF BEAUMONT INC
6250 Walden Road
Beaumont,TX77707
76-0109719   9,981       Tropical Storm Imelda Relief
(40) TEXAS STORAGE CO
656 Neches Street
Beaumont,TX77701
74-0944180   9,999       Tropical Storm Imelda Relief
(41) A B LADDER COMPANY INC
2228 Telephone Rd
Houston,TX77023
74-2008654   10,000       Tropical Storm Imelda Relief
(42) A-1 SHEET METAL & AIR CONDITIONING INC
2935 Milam St
Beaumont,TX77701
74-2033891   10,000       Tropical Storm Imelda Relief
(43) ADVANCED TRANSPORTATION LLC
12334 LIma Driver
Houston,TX77099
81-3854276   10,000       Tropical Storm Imelda Relief
(44) AESCIT CORPORATION
14000 W Road
Houston,TX77041
47-4445813   10,000       Tropical Storm Imelda Relief
(45) AGS SOLUTIONS INC
3205 Highway 69 N
113
Nederland,TX77627
76-0392343   10,000       Tropical Storm Imelda Relief
(46) AC PARTS & SUPPLY
625 N Main
Beaumont,TX77701
76-0263224   10,000       Tropical Storm Imelda Relief
(47) AMERICAN BEDROOM
2470 South 11th St
Beaumont,TX77701
74-1826041   10,000       Tropical Storm Imelda Relief
(48) All American Inspection LLC
1430 ASHLEY ST
BEAUMONT,TX77701
82-3527396   10,000       Tropical Storm Imelda Relief
(49) RG RECYCLING
5500 Winfield Rd
Houston,TX77039
47-1527030   10,000       Tropical Storm Imelda Relief
(50) Allied Siding and Windows
28341 SH 249 Suite100
Tomball,TX77375
76-0696787   10,000       Tropical Storm Imelda Relief
(51) AmeraGlass Co
6808 S Major Dr
Beaumont,TX77705
76-0380005   10,000       Tropical Storm Imelda Relief
(52) AMPM SERVICES
5053 Gessner Rd
Houston,TX77041
47-4728913   10,000       Tropical Storm Imelda Relief
(53) ANGEL REACH INC
2017 N Frazier St
G4 and G5
Conroe,TX77301
20-5665097   10,000       Tropical Storm Imelda Relief
(54) VALENCIA FORESTRY
2500 Monkey Lane
77656
Silsbee,TX77656
76-0639907   10,000       Tropical Storm Imelda Relief
(55) ARROW SERVICES INC
10202 Airline Drive
Suite A
Houston,TX77037
76-0318229   10,000       Tropical Storm Imelda Relief
(56) ATLANTIC PETROLEUM & MINERAL RESOURCES INC
11700 BEAUMONT HWY
HOUSTON,TX77049
27-0129663   10,000       Tropical Storm Imelda Relief
(57) AVANCE INC
2702 AldineWestfield
Houston,TX77093
74-1769114   10,000       Tropical Storm Imelda Relief
(58) B & L WATER WELL SERVICE INC
1238 FM 1406 East
Winnie,TX77665
76-0524131   10,000       Tropical Storm Imelda Relief
(59) B & N MAIL SERVICES
5815 Walden Road
Beaumont,TX77707
76-0397243   10,000       Tropical Storm Imelda Relief
(60) BAKERS' SIGN & LIGHTING MAINTENANCE INC
11201 FM 1485
CONROE,TX77306
76-0656945   10,000       Tropical Storm Imelda Relief
(61) BASIC ENVIRONMENTAL GROUP LLC
11339 Neeshaw Dr
Houston,TX77095
45-2262095   10,000       Tropical Storm Imelda Relief
(62) BEAUMONT RICE MILL INC
1800 Pecos St
Beaumont,TX77701
74-0504770   10,000       Tropical Storm Imelda Relief
(63) NUTTY JERRY'S
18291 Englin Rd
Winnie,TX77665
26-0170705   10,000       Tropical Storm Imelda Relief
(64) BELL ENGINEERING INC
15358 IH 10
Vidor,TX77662
76-0104151   10,000       Tropical Storm Imelda Relief
(65) BELL'S LAUNDRIESLLC
2950 S 8th St
Beaumont,TX77701
27-0190086   10,000       Tropical Storm Imelda Relief
(66) BEN'S TIRE AND LUBE
7835 Business Row
Orange,TX77632
76-0359701   10,000       Tropical Storm Imelda Relief
(67) BIG 6 DRILLING CO
3155 Texas Hwy 326
Sour Lake,TX77659
74-1024288   10,000       Tropical Storm Imelda Relief
(68) BORTUNCO
6315 Hermann Road
Houston,TX77050
26-3173205   10,000       Tropical Storm Imelda Relief
(69) BOYS AND GIRLS CLUBS OF GREATER HOUSTON
815 CROSBY ST
HOUSTON,TX77019
76-0270942   10,000       Tropical Storm Imelda Relief
(70) TRINITY DOORS
1025 N Rose City Drive
Vidor,TX77662
76-0633334   10,000       Tropical Storm Imelda Relief
(71) BRENNAN'S OF HOUSTON INC
3300 Smith Street
Houston,TX77006
74-1558866   10,000       Tropical Storm Imelda Relief
(72) HASTINGS CONSTRUCTION GROUP
10859 Church Lane
Houston,TX77043
76-0760272   10,000       Tropical Storm Imelda Relief
(73) BRYSTAR CONTRACTING INC
8385 Chemical Rd
Beaumont,TX77705
76-0374862   10,000       Tropical Storm Imelda Relief
(74) BUILDERS EQUIPMENT & TOOL COMPANY INC
2535 W Cardinal Dr
Beaumont,TX77705
74-1287880   10,000       Tropical Storm Imelda Relief
(75) BURGERWORKS TEXAS LLC
14935 FM 1663
Winnie,TX77665
47-1650495   10,000       Tropical Storm Imelda Relief
(76) C & C TRAFFIC CONTROL LLC
5939 Boyce Springs Dr
Houston,TX77066
61-1637592   10,000       Tropical Storm Imelda Relief
(77) C JOHNNIE ON THE SPOT PORTABLE TOILETS
4635 Hodgson Road
Nederland,TX77627
76-0492681   10,000       Tropical Storm Imelda Relief
(78) C3 CONSTRUCTORS LLC
502 W Montgomery St
515
Willis,TX77378
47-4350803   10,000       Tropical Storm Imelda Relief
(79) C3 OIL COMPANY
11845 Highway 62 North
Orange,TX77626
46-3840703   10,000       Tropical Storm Imelda Relief
(80) CAT5 RESOURCES LLC
14554 Powers Rd
Winnie,TX77665
46-3004394   10,000       Tropical Storm Imelda Relief
(81) Slack Farms
PO BOX 848
China,TX77613
45-7822808   10,000       Tropical Storm Imelda Relief
(82) CHARLES MICHAEL BLANCHARD JR
5390 Highway 124
Beaumont,TX77705
63-7164187   10,000       Tropical Storm Imelda Relief
(83) CREWMAN COMPANY
18248 SPLIT OAK CIR
NEW CANEY,TX77357
46-2781276   10,000       Tropical Storm Imelda Relief
(84) VISITING ANGELS
1310 IH10 South
105
Beaumont,TX77707
46-4123173   10,000       Tropical Storm Imelda Relief
(85) COASTAL AUTOMATION SERVICES INC
2295 Delaware Street
Beaumont,TX77703
27-1039973   10,000       Tropical Storm Imelda Relief
(86) COASTAL SPRINKLER COMPANY INC
6233 Industrial Road
Beaumont,TX77705
76-0220578   10,000       Tropical Storm Imelda Relief
(87) COLE'S PEST MANAGEMENT INC
3505 Burkett Dr
La Porte,TX77571
46-4441516   10,000       Tropical Storm Imelda Relief
(88) CONSOLIDATED CONTAINMENT LLC
5450 Avenue A
bldg 3
Beaumont,TX77720
81-0836495   10,000       Tropical Storm Imelda Relief
(89) MISTER SPARKY OF BEAUMONT CO
6650 WESTWOOD BLVD
B
BEAUMONT,TX77707
27-2373592   10,000       Tropical Storm Imelda Relief
(90) COWBOY HARLEY-DAVIDSON BEAUMONT
1150 Interstate 10 S
Beaumont,TX77707
76-0618318   10,000       Tropical Storm Imelda Relief
(91) COWBOY POWERSPORTS
1280 Interstate 10 S
Beaumont,TX77707
20-0317482   10,000       Tropical Storm Imelda Relief
(92) C-STRIPE
7375 Frint Drive
Beaumont,TX77705
76-0119960   10,000       Tropical Storm Imelda Relief
(93) ANGELIC RESALE
727 West Davis Street
Conroe,TX77301
91-1909309   10,000       Tropical Storm Imelda Relief
(94) D AND R FOUNDATION DRILLING CO INC
1488 County Road 180
Alvin,TX77511
76-0464823   10,000       Tropical Storm Imelda Relief
(95) CLEAR LAKE SAND & FILL
7309 FM 2403
Alvin,TX77511
76-0279728   10,000       Tropical Storm Imelda Relief
(96) DANIELS BUILDING & CONSTRUCTION INC
2898 West Cedar Street
Beaumont,TX77702
74-1871974   10,000       Tropical Storm Imelda Relief
(97) CYPRESS TRAILS EQUESTRIAN CENTER
21415 Cypresswood Dr
Humble,TX77338
90-0602809   10,000       Tropical Storm Imelda Relief
(98) LIEUTENANT'S HOUSE
13834 Aldine Westfield Rd
Houston,TX77039
76-0634773   10,000       Tropical Storm Imelda Relief
(99) DCOMM INC
4080 Washington Blvd Building 1
Beaumont,TX77705
43-2093379   10,000       Tropical Storm Imelda Relief
(100) DIRT CHEAP MULCH CO INC
4460 FM 1960 RD E
HUMBLE,TX77346
22-3857054   10,000       Tropical Storm Imelda Relief
(101) DREWETT OPERATIONS LLC
2000 Wilson Road
Humble,TX77396
81-1882117   10,000       Tropical Storm Imelda Relief
(102) SECURITY PEST MANAGEMENT
1710 IH10 South
Beaumont,TX77707
83-1726676   10,000       Tropical Storm Imelda Relief
(103) ELENAS MEXICAN RESTAURANT INC
1865 College Street
Beaumont,TX77701
76-0402614   10,000       Tropical Storm Imelda Relief
(104) EMI SUPPLY LLC
415 SOUTH MAIN
VIDOR,TX77662
44-9808684   10,000       Tropical Storm Imelda Relief
(105) ENVIBE CONDITION MONITORING
1120 W 20TH St
HOUSTON,TX77008
76-0547579   10,000       Tropical Storm Imelda Relief
(106) ESQUIRE FINE CLEANERS (TEXAS) INC
5161 San Felipe
340
Houston,TX77056
76-0411532   10,000       Tropical Storm Imelda Relief
(107) ESTEBAN FLORES GRANITE & TILE
14100 DELPAPA ST
Trl 54
Houston,TX77047
47-1139681   10,000       Tropical Storm Imelda Relief
(108) DBA MOTORCYCLES OF THE WOODLANDS
198 ED ENGLISH DR
SHENANDOAH,TX77385
47-2154730   10,000       Tropical Storm Imelda Relief
(109) EXPRESS THEATRE INC
4800 W 34th Street
C3
Houston,TX77092
76-0392202   10,000       Tropical Storm Imelda Relief
(110) Fabco LLC
405 McCarty
na
Houston,TX77049
01-0933826   10,000       Tropical Storm Imelda Relief
(111) FAMILY SERVICES OF SOUTHEAST TEXAS
3755 Corley
Beaumont,TX77701
74-1382713   10,000       Tropical Storm Imelda Relief
(112) FEH CONSTRUCTION LLC
4215 Terrace St
Vidor,TX77662
46-4703008   10,000       Tropical Storm Imelda Relief
(113) FEMCO INC
4655 Wild Indigo
Houston,TX77027
76-0248989   10,000       Tropical Storm Imelda Relief
(114) FIRST UNITED METHODIST CHURCH OF WINNIE
1708 HWY 124
Winnie,TX77665
74-1291799   10,000       Tropical Storm Imelda Relief
(115) FCI PRECISION MACHINING
14527 Smith Road
HSE
Humble,TX77396
76-0539809   10,000       Tropical Storm Imelda Relief
(116) FRED CLARK FELT CO INC
6305 6281 and 6391 Industrial Road
Beaumont,TX77705
74-1787940   10,000       Tropical Storm Imelda Relief
(117) INSTAFUEL
12354 Amelia Dr
Houston,TX77045
47-5248665   10,000       Tropical Storm Imelda Relief
(118) GAULDING FARMS
10477 Bill Gaulding Road
Hamshire,TX77622
74-1902095   10,000       Tropical Storm Imelda Relief
(119) GB SALES AND CONSULTING LLC
200 Seaberg Lane
Dayton,TX77535
45-3559929   10,000       Tropical Storm Imelda Relief
(120) GENERAL STRUCTURAL DEVELOPMENT LP
1901 Houston Avenue
Houston,TX77007
22-3975882   10,000       Tropical Storm Imelda Relief
(121) GEORGE L MCLEOD INC
1852 FM 2684
Liberty,TX77575
74-2053750   10,000       Tropical Storm Imelda Relief
(122) GOLDLINE INTERNATIONAL EQUIPMENT MANUFACTURING LLC
110 N Shaver
Pasadena,TX77506
76-0451861   10,000       Tropical Storm Imelda Relief
(123) GREENFORCE PEST SOLUTIONS LLC
717A Dunson Glen Dr
Houston,TX77090
47-2235539   10,000       Tropical Storm Imelda Relief
(124) LARRY'S FRENCH MARKET
3701 Pure Atlantic Rd
Groves,TX77619
47-4665640   10,000       Tropical Storm Imelda Relief
(125) GSL INVESTMENTS INC
2200 Lauder Rd
Houston,TX77031
76-0022427   10,000       Tropical Storm Imelda Relief
(126) GUILLEN LANDSCAPE CONTRACTOR LP
1839 Laverne St
Houston,TX77080
61-1467083   10,000       Tropical Storm Imelda Relief
(127) Gulfcoast Trinity Environmental
308 Glade Bridge Ln
Dickinson,TX77539
47-3649434   10,000       Tropical Storm Imelda Relief
(128) H & H ONSITE WASTEWATER SYSTEMS INC
360 South Main
Vidor,TX77662
76-0602824   10,000       Tropical Storm Imelda Relief
(129) H B NEILD & SONS INC
5950 Walden Rd
Beaumont,TX77707
76-0003324   10,000       Tropical Storm Imelda Relief
(130) THE FLOOR SHOPPE
4215 Calder Avenue
Beaumont,TX77706
81-4607479   10,000       Tropical Storm Imelda Relief
(131) HERBERT CLUBB AND SONS CATTLE
18559 Wilber rd
Hamshire,TX77622
76-0452060   10,000       Tropical Storm Imelda Relief
(132) WOOD ALTERNATOR & STARTER SERVICE
680 Aldine Mail Route Road
Houston,TX77037
76-0021317   10,000       Tropical Storm Imelda Relief
(133) HOUSTON BALLET
601 Preston Street
Houston,TX77002
74-1394920   10,000       Tropical Storm Imelda Relief
(134) HOUSTON KACO INC
7938 mchard road
Pearland,TX77581
53-5745685   10,000       Tropical Storm Imelda Relief
(135) HOUSTON METRO UROLOGY PA
4223 Richmond Ave
Suite 100
Houston,TX77027
20-4473802   10,000       Tropical Storm Imelda Relief
(136) HOUSTON OIL PRODUCING ENTERPRISES INC
Petro Lewis Road off of FM 1985
Winnie,TX77665
76-0032547   10,000       Tropical Storm Imelda Relief
(137) INDUSTRIAL & COMMERCIAL MECHANICAL LLC
4445 Westpark Avenue
Beaumont,TX77705
45-4656598   10,000       Tropical Storm Imelda Relief
(138) INLAND BOAT WORKS
2842 East Roundbunch Rd
Orange,TX77630
76-0506836   10,000       Tropical Storm Imelda Relief
(139) INTEGRITY SOLUTIONS NDE LLC
20220 Hempstead Hwy
Suite 41
Houston,TX77065
45-3026718   10,000       Tropical Storm Imelda Relief
(140) FAST FELT SOUTHERN
7013 DIXIE DR
HOUSTON,TX77087
76-0191458   10,000       Tropical Storm Imelda Relief
(141) J M MALY INC
18916 W Industrial Pkwy
New Caney,TX77357
76-0058475   10,000       Tropical Storm Imelda Relief
(142) J Z RUSSELL INDUSTRIES INC
925 Jade Ave
Pt Arthur,TX77640
76-0699688   10,000       Tropical Storm Imelda Relief
(143) JAMEADCO MECHANICAL SERVICE INC
3111 Monroe Street
Nederland,TX77627
26-0154751   10,000       Tropical Storm Imelda Relief
(144) JAMES CONEY ISLAND INC
1750 STEBBINS DR
Houston,TX77025
74-1734349   10,000       Tropical Storm Imelda Relief
(145) DELTA INDUSTRIAL SERVICE SUPPLY
3157 Summit
Port Neches,TX77651
76-0696202   10,000       Tropical Storm Imelda Relief
(146) JJ & D CONSTRUCTION LLC
4305 FM 408
Orange,TX77630
27-1946973   10,000       Tropical Storm Imelda Relief
(147) old hatcreek service LLC
365 Olbury rd
Vidor,TX77662
32-0663463   10,000       Tropical Storm Imelda Relief
(148) JOHN WIESNER INC
1645 INTERSTATE 45 NORTH
CONROE,TX77356
74-1849677   10,000       Tropical Storm Imelda Relief
(149) JOHNSEN WHOLESALE FLORIST INC
1170 LINDBERGH DR
BEAUMONT,TX77707
74-1082815   10,000       Tropical Storm Imelda Relief
(150) LA & A PROFESSIONAL LAWN SERVICE
3202 Sparks Rd
Bay City,TX77414
45-3065671   10,000       Tropical Storm Imelda Relief
(151) JP MARBLE AND GRANITE LLC
9811 Harwin Dr
Ste N
Houston,TX77036
81-5332794   10,000       Tropical Storm Imelda Relief
(152) JPL ELECTRIC LLC
11720 Dugat Rd
Beaumont,TX77705
30-0579388   10,000       Tropical Storm Imelda Relief
(153) KENNEDY FAB LP
14650 Duke Rd
Splendora,TX77372
47-3686819   10,000       Tropical Storm Imelda Relief
(154) KIESCHNICK INDUSTRIES INC
3050 WEST CEDAR STREET
BEAUMONT,TX77702
76-0689438   10,000       Tropical Storm Imelda Relief
(155) Kristin Hargraves
South of 1985 White Ranch road
Anahuac,TX77514
46-3967384   10,000       Tropical Storm Imelda Relief
(156) KT TRUCKING AND CATTLE LLC
PO BOX 757
nederland,TX77627
45-4908274   10,000       Tropical Storm Imelda Relief
(157) LABELLECO FABRICATION
7335 Frint
Beaumont,TX77705
46-1893887   10,000       Tropical Storm Imelda Relief
(158) IHOP# 1435
19711 Eastex Fwy
Spring,TX77338
76-0451847   10,000       Tropical Storm Imelda Relief
(159) LIBERTY DAYTON REGIONAL MED CTR
1353 N Travis
Liberty,TX77575
80-0490207   10,000       Tropical Storm Imelda Relief
(160) CORPUS TILE
1338 15th St
Galena Park,TX77547
82-4257483   10,000       Tropical Storm Imelda Relief
(161) LINCOLN SECURITY SYSTEMS INC
10142 KNOBOAK DR
HOUSTON,TX77080
20-8765648   10,000       Tropical Storm Imelda Relief
(162) LNC FABRICATION LLC
17970 IH 10
Vidor,TX77662
27-3712561   10,000       Tropical Storm Imelda Relief
(163) LONE STAR X-RAY SHIELDING INC
24982 FM 2090
Splendora,TX77372
20-8651376   10,000       Tropical Storm Imelda Relief
(164) WOODLAKE RV PARK
6860 S Major Drive
Beaumont,TX77713
80-0877948   10,000       Tropical Storm Imelda Relief
(165) M&J FERTILIZER COMPANY INC
515 First Street
Winnie,TX77665
74-1831314   10,000       Tropical Storm Imelda Relief
(166) MAGNOLIA SERVICES INC
8701 gulf freeway
Houston,TX77017
76-0590439   10,000       Tropical Storm Imelda Relief
(167) MAIN STREET MINISTRIES
335 N Main
Vidor,TX77662
20-0837927   10,000       Tropical Storm Imelda Relief
(168) MASON CONSTRUCTION LLC
6285 Walden Rd
Beaumont,TX77707
74-1675517   10,000       Tropical Storm Imelda Relief
(169) MATAGORDA CONCRETE LLC
1900 FM 3156
Bay City,TX77414
47-1575873   10,000       Tropical Storm Imelda Relief
(170) Mauriceville Municipal Utility District
15509 FM 1442
Orange,TX77632
76-0468027   10,000       Tropical Storm Imelda Relief
(171) MAVAGI ENTERPRISES INC
3420 Plaza Circle
Beaumont,TX77707
74-3008826   10,000       Tropical Storm Imelda Relief
(172) MCGUYER HOMEBUILDERS INC
7676 Woodway Drive
104
Houston,TX77063
76-0356275   10,000       Tropical Storm Imelda Relief
(173) McKinley Homebuilders Inc
2397 E Houston Street
Cleveland,TX77327
81-2809384   10,000       Tropical Storm Imelda Relief
(174) MECHANICAL SPECIALTY SYSTEMS LLC
4070 Washington Boulevard
Beaumont,TX77705
46-4980422   10,000       Tropical Storm Imelda Relief
(175) MILESTONE OPERATING INC
3368 Steinhagen Rd
Beaumont,TX77705
76-0665888   10,000       Tropical Storm Imelda Relief
(176) MK VALVE SALES INC
4080 Washington Blvd
4
Beaumont,TX77705
47-4417723   10,000       Tropical Storm Imelda Relief
(177) MOLEX HOLDINGS LLC OF TEXAS
3641 FM 1663
Hankamer,TX77560
46-1511151   10,000       Tropical Storm Imelda Relief
(178) MONCLAS INC
2530 W CARDINAL DR
BEAUMONT,TX77705
74-0791630   10,000       Tropical Storm Imelda Relief
(179) MONTGOMERY COUNTY ESD 9
16723 FM 2090
Conroe,TX77306
47-4184950   10,000       Tropical Storm Imelda Relief
(180) MONTGOMERY COUNTY MUD 16
25820 Hickory Lane
Splendora,TX77372
76-0271214   10,000       Tropical Storm Imelda Relief
(181) MONUMENT ROOFING SYSTEMS
8101 Chemical Rd
Beaumont,TX77705
76-0670222   10,000       Tropical Storm Imelda Relief
(182) MOTIVATION EDUCATION & TRAINING INC
1022 Texas Ave
Liberty,TX77575
74-1604560   10,000       Tropical Storm Imelda Relief
(183) NATIONAL WIRE LLC
12262 fm 3083
conroe,TX77301
90-0271435   10,000       Tropical Storm Imelda Relief
(184) NEHEMIAH'S VISION INC
460 North Main St
Vidor,TX77662
20-3705076   10,000       Tropical Storm Imelda Relief
(185) NGN DESIGN
10020 Papalote Street
Houston,TX77041
81-1981841   10,000       Tropical Storm Imelda Relief
(186) O'CONNELL COLLLEGE PREPARATORY SCHOOL
1320 Tremont
Galveston,TX77550
36-4556466   10,000       Tropical Storm Imelda Relief
(187) NEXTPOINT HAULING
1509 Brittmoore Rd
Houston,TX77043
26-0368999   10,000       Tropical Storm Imelda Relief
(188) PARDALIS INDUSTRIAL ENTERPRISES INC
3320 Longhorn Drive
Houston,TX77084
20-2954139   10,000       Tropical Storm Imelda Relief
(189) PAUL CORMIER WELL SERVICE CO
6289 Cormier Rd
Orange,TX77630
74-1811577   10,000       Tropical Storm Imelda Relief
(190) PERKINS BROWN CONSTRUCTION CO
1324 Burt St
Beaumont,TX77701
86-1006235   10,000       Tropical Storm Imelda Relief
(191) IHOP #1947
401 Marina Bay Dr
Clear Lake Shores,TX77565
04-3717065   10,000       Tropical Storm Imelda Relief
(192) PETEREIT INVESTMENTS INC
705733 West Davis
Conroe,TX77301
74-2054509   10,000       Tropical Storm Imelda Relief
(193) PINNACLE PROPERTY SERVICES LLC
4673 Washington Blvd
D
Beaumont,TX77707
27-5217388   10,000       Tropical Storm Imelda Relief
(194) SONNY'S PLUMBING
2230 County Road 124
Pearland,TX77581
27-3920447   10,000       Tropical Storm Imelda Relief
(195) PRECISE SERVICES INC
22337 Sandy Ln
Porter,TX77365
27-3682088   10,000       Tropical Storm Imelda Relief
(196) CALIBER SOLUTIONS
4850 Lafin Drive
Beaumont,TX77705
26-4751651   10,000       Tropical Storm Imelda Relief
(197) PROSPERITY BANK
520 Main Street
Liberty,TX77575
74-2139516   10,000       Tropical Storm Imelda Relief
(198) PUMP TEX INC
715 Chamberlin Dr
Beaumont,TX77707
76-0523644   10,000       Tropical Storm Imelda Relief
(199) PURCELL CONSTRUCTION INC
277 DENNIS ST
HUMBLE,TX77338
76-0316615   10,000       Tropical Storm Imelda Relief
(200) RP EMPLOYER SOLUTIONS OF TEXAS INC
3280 Eastex Freeway
Beaumont,TX77703
46-0646128   10,000       Tropical Storm Imelda Relief
(201) TRI-SUPPLY INC
7220 Eastex Freeway
Beaumont,TX77708
74-1947529   10,000       Tropical Storm Imelda Relief
(202) TRIANGLE CLUTCH REBUILDERS
6330 Washington Blvd
Beaumont,TX77707
76-0439132   10,000       Tropical Storm Imelda Relief
(203) SOUTH EAST TEXAS COUNCIL ON ALCOHOL AND
46734675 Washington Blvd
All Suites
Beaumont,TX77707
74-1400228   10,000       Tropical Storm Imelda Relief
(204) REED SERVICE COMPANY
4725 Washington Blvd
Beaumont,TX77707
74-1831542   10,000       Tropical Storm Imelda Relief
(205) REM SERVICES INC
3730 Kirby Drive
Suite 1200
Houston,TX77098
76-0559237   10,000       Tropical Storm Imelda Relief
(206) PEREZ CONSTRUCTION CO
11842 Vickery St
houston,TX77039
20-2393140   10,000       Tropical Storm Imelda Relief
(207) RESOURCE & CRISIS CENTER OF GALVESTON
1204 45th Street
Galveston,TX77550
76-0121011   10,000       Tropical Storm Imelda Relief
(208) Rhonda Brady property Prevation
824 Magnolia Avenue
Crosby,TX77532
83-3532960   10,000       Tropical Storm Imelda Relief
(209) RICHARD AUTOMATION LLC
9243 Gulf Beach Hwy
Cameron,LA70631
27-4704623   10,000       Tropical Storm Imelda Relief
(210) RICHARD CONSTRUCTION INC
13969 Hwy 90
Beaumont,TX77713
20-4181369   10,000       Tropical Storm Imelda Relief
(211) RICHARD DESIGN SERVICES INC
750 pearl st
beaumont,TX77701
20-2036476   10,000       Tropical Storm Imelda Relief
(212) RICHARD L SHORKEY EDUCATION &
855 S 8th Street
Beaumont,TX77701
74-1143063   10,000       Tropical Storm Imelda Relief
(213) FIXTURES INTERNATIONAL
2301 Canada Dry St
Houston,TX77023
47-1168235   10,000       Tropical Storm Imelda Relief
(214) RISE CIL
755 S 11th St
Ste 101
Beaumont,TX77701
76-0462862   10,000       Tropical Storm Imelda Relief
(215) ROBERT BAUER & SONS INC
18623 George Bauer Lane
Winnie,TX77665
74-2195644   10,000       Tropical Storm Imelda Relief
(216) HARDY CONTRACTORS
1750 AVALON STREET
BEAUMONT,TX77707
76-0434474   10,000       Tropical Storm Imelda Relief
(217) ROGERS LUMBER COMPANY INC
8330 Old Hwy 90
Orange,TX77630
76-0557314   10,000       Tropical Storm Imelda Relief
(218) RSFM Inc
15720 Park Row
Suite 200
Houston,TX77084
20-4866401   10,000       Tropical Storm Imelda Relief
(219) INSULATION INDUSTRIES
8480 Highway 87 North
Orange,TX77632
75-2425783   10,000       Tropical Storm Imelda Relief
(220) Baryam Engineering Inc
13911 Faber Street
Houston,TX77037
26-4332606   10,000       Tropical Storm Imelda Relief
(221) Waller Farms
South Lawhorn Road
China,TX77613
63-2019069   10,000       Tropical Storm Imelda Relief
(222) SIP SERVICES LLC
16095 Sabine Consolidated Road
Beaumont,TX77705
38-3919974   10,000       Tropical Storm Imelda Relief
(223) SMART INTERNATIONAL INC
10570 Bissonnet St
Suite 190
Houston,TX77099
76-0566044   10,000       Tropical Storm Imelda Relief
(224) SOUTH EAST TEXAS BASEBALLSOFTBALL
4905 I10 South
Beaumont,TX77705
76-0690878   10,000       Tropical Storm Imelda Relief
(225) Specialty Sand Company
16601 Garrett Rd
Houston,TX77044
74-1945426   10,000       Tropical Storm Imelda Relief
(226) SPRINGER & SPRINGER INC
11799 Lena Lane
Cleveland,TX77328
76-0552841   10,000       Tropical Storm Imelda Relief
(227) SR TILLEY BUILDERS INC
990 Old Hwy 90 West
Vidor,TX77662
46-0761761   10,000       Tropical Storm Imelda Relief
(228) STAINLESS PLUS INC
14444 chrisman road
houston,TX77039
76-0287382   10,000       Tropical Storm Imelda Relief
(229) STEINHAGEN OIL COMPANY INC
3890 IH 10 S
Beaumont,TX77705
76-0101497   10,000       Tropical Storm Imelda Relief
(230) SOUTHEAST TEXAS INDUSTRIAL SERVICES INC
635 Old Hwy 90
Vidor,TX77662
74-2004513   10,000       Tropical Storm Imelda Relief
(231) Storage Plus of Livingston LLC
18318 US 59Business
New Caney,TX77357
83-3052026   10,000       Tropical Storm Imelda Relief
(232) STRUTTON PLUMBING COMPANY INC
5805 Cypress Street
Houston,TX77074
76-0332835   10,000       Tropical Storm Imelda Relief
(233) SUPERIOR ENERGIES INC
PO Box 386
Groves,TX77619
74-2037298   10,000       Tropical Storm Imelda Relief
(234) PHILLIPS TRUCKING
12647 Hwy 90
Beaumont,TX77713
26-2865785   10,000       Tropical Storm Imelda Relief
(235) Superior Pattern Works Inc
1524 Mesquite Stree
Houston,TX77093
76-0159361   10,000       Tropical Storm Imelda Relief
(236) SWICEGOOD MUSIC COMPANY INC
3685 College St
Beaumont,TX77701
74-1312965   10,000       Tropical Storm Imelda Relief
(237) F & F FARMS
2018 FM 1985
Anahuac,TX77514
80-0882629   10,000       Tropical Storm Imelda Relief
(238) BETTER BUILT METAL BUILDINGS
7339 Cohenour Rd
Orange,TX77632
76-0628665   10,000       Tropical Storm Imelda Relief
(239) TCB SERVICES LLC
2626 south loop west
150
houston,TX77054
76-3845177   10,000       Tropical Storm Imelda Relief
(240) TCT INDUSTRIES INC
2680 HIGHWAY 12
VIDOR,TX77662
76-0481556   10,000       Tropical Storm Imelda Relief
(241) TEJAS TOYOTA INC
19011 Hwy 59 North
Humble,TX77338
74-1785339   10,000       Tropical Storm Imelda Relief
(242) SLACK FARMS
354 South Broadway
China,TX77613
01-0631442   10,000       Tropical Storm Imelda Relief
(243) TEXAS RICE IMPROVEMENT ASSOCIATION
1509 Aggie Drive
Beaumont,TX77713
74-1242104   10,000       Tropical Storm Imelda Relief
(244) THE FAY SCHOOL
105 N Post Oak Ln
Houston,TX77024
76-0321325   10,000       Tropical Storm Imelda Relief
(245) THE HEIGHTS GENERAL STORE LLC
350 W 19th Ste C
Houston,TX77008
46-0820774   10,000       Tropical Storm Imelda Relief
(246) GUARANTEED SERVICE
255 Interstate 10 South
Beaumont,TX77702
76-0236452   10,000       Tropical Storm Imelda Relief
(247) BALDEMAR BRAVO
193 Grammar Rd
Houston,TX77047
83-3506828   10,000       Tropical Storm Imelda Relief
(248) TOLUNAY-WONG ENGINEERS INC
2455 West Cardinal Drive
A
Beaumont,TX77705
76-0409302   10,000       Tropical Storm Imelda Relief
(249) TONI SPENCER
9551 Gaulding Road
Beaumont,TX77705
46-3298802   10,000       Tropical Storm Imelda Relief
(250) TOP DECK INC
10861 Highway 62 N
Orange,TX77626
27-0185627   10,000       Tropical Storm Imelda Relief
(251) TORO DIRECTIONAL DRILLING
13625 Darjean St
Houston,TX77039
82-4940358   10,000       Tropical Storm Imelda Relief
(252) TRAVIS BROTHERS BUILDING AUTOMATION TEXAS LLC
1539 East Lane
Suite 300
Beaumont,TX77713
56-2666045   10,000       Tropical Storm Imelda Relief
(253) NOVROZSKY'S HAMBURGERS
144 south main
Lumberton,TX77657
76-0620344   10,000       Tropical Storm Imelda Relief
(254) EXXPRESS MART
P O BOX 20555
BEAUMONT,TX77705
74-1647339   10,000       Tropical Storm Imelda Relief
(255) TRICON PRECAST LTD
15055 Henry Road
Houston,TX77060
76-0570916   10,000       Tropical Storm Imelda Relief
(256) TRIDENT AQUATICS LLC
15802 mendocino
Houston,TX77083
66-5888888   10,000       Tropical Storm Imelda Relief
(257) TRIPLE C PROJECT SERVICES LLC
10908 HWY 146 N
Baytown,TX77523
26-0047212   10,000       Tropical Storm Imelda Relief
(258) TWIN COUNTY AIR-AG INC
214 Airport Rd
Winnie,TX77665
76-0331899   10,000       Tropical Storm Imelda Relief
(259) VAN & SONS DRILLING SERVICE INC
319 JOHN ALBER
HOUSTON,TX77076
76-0030877   10,000       Tropical Storm Imelda Relief
(260) VECTOR CONTRACTING INC
17691 Hwy 124
Beaumont,TX77705
76-0664731   10,000       Tropical Storm Imelda Relief
(261) VICTORY TEMPLE
2630 South 11th Street
Beaumont,TX77701
42-0534531   10,000       Tropical Storm Imelda Relief
(262) VISA CORP
12270 fm 3083
conroe,TX77301
20-1999557   10,000       Tropical Storm Imelda Relief
(263) VOLUNTEERS OF AMERICA TEXAS INC
4808 Yale Street
Houston,TX77018
75-0827469   10,000       Tropical Storm Imelda Relief
(264) W M DEWEY & SON INC
1101 McCarty Drive
Houston,TX77029
74-1224201   10,000       Tropical Storm Imelda Relief
(265) WEBER-BALKE FOUNDATION CO INC
9830 Synott
Houston,TX77083
76-0330487   10,000       Tropical Storm Imelda Relief
(266) WEST JEFFERSON COUNTY MUNICIPAL WATER
7824 Glenbrook Dr
Beaumont,TX77705
74-1969787   10,000       Tropical Storm Imelda Relief
(267) CLEAR ROW
14200 S Mansfield Ferry Road
Orange,TX77630
45-1356067   10,000       Tropical Storm Imelda Relief
(268) RICELAND MEDICAL CENTER
538 BROADWAY AVE
WINNIE,TX77665
75-2922928   10,000       Tropical Storm Imelda Relief
(269) WINSTON ALDRICH
5218 FM 1009
Nome,TX77629
63-0289611   10,000       Tropical Storm Imelda Relief
(270) WOODLANDS MECHANICAL GROUP LLC
27622 Commerce Oaks Drive
Oak Ridge North,TX77385
46-0663852   10,000       Tropical Storm Imelda Relief
(271) WRIGHTS SCRAP AND RECYCLING
5802 WASHINGTON
BEAUMONT,TX77707
74-1619542   10,000       Tropical Storm Imelda Relief
(272) YUPPIE DOG LLC
2203 Durham Dr
houston,TX77007
26-1979895   10,000       Tropical Storm Imelda Relief
(273) Jewish Community Center of Dallas
7900 Northaven
Dallas,TX75230
75-1461847   10,000       October Storms Relief
(274) Star Tire Company Inc
PO Box 541508
Dallas,TX75354
75-1502226   10,000       October Storms Relief
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
25
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
250
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2019

Schedule I (Form 990) 2019
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1) Provision of books 21 11,431 0    
(2) Scholarships for students attending Cameron University 1 2,915 0    
(3) Scholarships for students attending College of Southern Nevada 1 3,201 0    
(4) Scholarships for students attending Del Mar College 1 1,140 0    
(5) Scholarships for students attending Hardin-Simmons University 1 8,773 0    
(6) Scholarships for students attending Hill College 1 5,590 0    
(7) Scholarships for students attending Hillsborough Community College 1 3,069 0    
(8) Scholarships for students attending Huntington University 1 4,157 0    
(9) Scholarships for students attending Jarvis Christian College 1 1,850 0    
(10) Scholarships for students attending Laredo College 1 1,685 0    
(11) Scholarships for students attending Midland College District 1 1,726 0    
(12) Scholarships for students attending Midwestern State University 2 8,890 0    
(13) Scholarships for students attending Navarro College 1 2,392 0    
(14) Scholarships for students attending Prairie View A&M 1 5,266 0    
(15) Scholarships for students attending Sam Houston State University 1 4,650 0    
(16) Scholarships for students attending Southeastern Oklahoma State University 1 5,580 0    
(17) Scholarships for students attending St Louis University 1 6,000 0    
(18) Scholarships for students attending Stephen F Austin University 1 2,337 0    
(19) Schoalrships for students attending Tarrant County College Northwest 1 4,602 0    
(20) Scholarhsips for students attending Texas A&M International University 1 9,048 0    
(21) Scholarships for students attending Texas A&M Kingsville 1 440 0    
(22) Scholarships for students attending Texas A&M University 3 18,993 0    
(23) Scholarships for students attending Texas Tech University 4 46,400 0    
(24) Scholarships for students attending The University of Texas at Arlington 1 3,182 0    
(25) Scholarships for students attending The University of Texas at Austin 1 5,056 0    
(26) Scholarhsips for students attending The University of Texas Rio Grande Valley 2 8,474 0    
(27) Scholarships for students attending Tyler Junior College 1 3,382 0    
(28) Scholarships for students attending University of North Texas 1 13,073 0    
(29) Scholarships for students attending Vernon College 1 3,033 0    
(30) Scholarships for students attending Weatherford College 1 3,543 0    
(31) Scholarships for students attending Wharton County Junior College 1 1,498 0    
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 Students qualify for the scholarship if they are a dependent of an individual that has had a death or life time benefits claim with Texas Mutual. The number of applicants is driven by the number of those types of workers compensation claims with dependents, and is not preset.
Schedule I, Part III Students quality for the scholarship if they are dependent of an individual that has had a death or life time benefit claim with Texas Mutual. The number of applicants is driven by the number of those types of workers compensation claims with dependents, and is not a preset.
Schedule I (Form 990) 2019



Additional Data


Software ID: 19009572
Software Version: v1.00


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
TEXAS MUTUAL INSURANCE COMPANY
 
Employer identification number

74-2615873
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
 
b
Any related organization? .......................
5b
 
 
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
 
b
Any related organization? ......................
6b
 
 
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
 
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1Richard Gergasko
President & CEO
(i)

(ii)
579,756
-------------
0
343,647
-------------
0
72,862
-------------
0
119,117
-------------
0
15,612
-------------
0
1,130,994
-------------
0
55,318
-------------
0
2William McLellan
SVP Information Technology
(i)

(ii)
192,855
-------------
0
101,910
-------------
0
253,424
-------------
0
33,884
-------------
0
9,167
-------------
0
591,240
-------------
0
0
-------------
0
3Brenda Ward
Chief Operating Officer
(i)

(ii)
341,810
-------------
0
141,504
-------------
0
48,887
-------------
0
74,227
-------------
0
6,204
-------------
0
612,632
-------------
0
38,501
-------------
0
4Perry Barron
SVP & CFO
(i)

(ii)
329,034
-------------
0
112,590
-------------
0
69,734
-------------
0
33,884
-------------
0
17,542
-------------
0
562,784
-------------
0
0
-------------
0
5Leonard Johnson
SVP Investments
(i)

(ii)
340,934
-------------
0
119,227
-------------
0
48,292
-------------
0
77,191
-------------
0
6,204
-------------
0
591,848
-------------
0
35,628
-------------
0
6Mary Nichols
SVP & General Counsel
(i)

(ii)
317,636
-------------
0
110,708
-------------
0
71,320
-------------
0
33,884
-------------
0
7,704
-------------
0
541,252
-------------
0
0
-------------
0
7Lynette Caldwell
SVP Human Resources
(i)

(ii)
251,088
-------------
0
90,578
-------------
0
45,214
-------------
0
66,490
-------------
0
19,249
-------------
0
472,619
-------------
0
34,321
-------------
0
8Michael Hernandez
Chief Data Officer
(i)

(ii)
312,391
-------------
0
62,630
-------------
0
11,259
-------------
0
44,615
-------------
0
17,542
-------------
0
448,437
-------------
0
0
-------------
0
9Kim Haugaard
SVP Policyholder Services
(i)

(ii)
265,562
-------------
0
88,080
-------------
0
31,646
-------------
0
64,386
-------------
0
8,122
-------------
0
457,796
-------------
0
21,100
-------------
0
10Jo Betsy Norton
SVP Public Affairs
(i)

(ii)
230,762
-------------
0
73,562
-------------
0
33,833
-------------
0
60,257
-------------
0
16,030
-------------
0
414,444
-------------
0
23,353
-------------
0
11Elise Teeter
SVP & General Auditor
(i)

(ii)
195,835
-------------
0
62,970
-------------
0
14,869
-------------
0
49,371
-------------
0
13,380
-------------
0
336,425
-------------
0
5,421
-------------
0
12Michael Stubblefield
SVP & Chief Information Officer
(i)

(ii)
105,718
-------------
0
0
-------------
0
3,759
-------------
0
10,300
-------------
0
5,367
-------------
0
125,144
-------------
0
0
-------------
0
13Paul Schlaud
SVP & Special Counsel
(i)

(ii)
56,196
-------------
0
0
-------------
0
1,869
-------------
0
2,307
-------------
0
4,512
-------------
0
64,884
-------------
0
 
-------------
0
14David John
VP IT Infrastructure
(i)

(ii)
221,012
-------------
0
66,526
-------------
0
35,180
-------------
0
61,774
-------------
0
27,730
-------------
0
412,222
-------------
0
25,257
-------------
0
15Phoebe Murphy
VP & Chief Actuary
(i)

(ii)
223,867
-------------
0
59,565
-------------
0
33,745
-------------
0
55,363
-------------
0
18,880
-------------
0
391,420
-------------
0
24,386
-------------
0
16Martin Leifker
VP IT Architecture & Digital Innovation
(i)

(ii)
228,186
-------------
0
63,202
-------------
0
20,823
-------------
0
61,152
-------------
0
26,722
-------------
0
400,085
-------------
0
11,452
-------------
0
17Catherine Brown
VP Facility Services
(i)

(ii)
167,540
-------------
0
48,675
-------------
0
90,585
-------------
0
46,047
-------------
0
8,662
-------------
0
361,509
-------------
0
53,849
-------------
0
18Nicholas Tsourmas
VP & Medical Director
(i)

(ii)
208,157
-------------
0
58,597
-------------
0
34,765
-------------
0
32,974
-------------
0
14,892
-------------
0
349,385
-------------
0
0
-------------
0
19Jeffrey Lentz
VP Underwriting
(i)

(ii)
198,674
-------------
0
58,264
-------------
0
39,744
-------------
0
57,370
-------------
0
27,557
-------------
0
381,609
-------------
0
29,911
-------------
0
20James Kohloff
VP Regional Operations
(i)

(ii)
207,218
-------------
0
61,371
-------------
0
24,168
-------------
0
54,809
-------------
0
26,722
-------------
0
374,288
-------------
0
13,896
-------------
0
21Jeannette Sprague
VP Applications
(i)

(ii)
196,463
-------------
0
54,743
-------------
0
39,018
-------------
0
31,481
-------------
0
27,557
-------------
0
349,262
-------------
0
0
-------------
0
22Woody Hill
VP & Customer Experience Officer
(i)

(ii)
199,910
-------------
0
56,805
-------------
0
24,359
-------------
0
51,255
-------------
0
3,382
-------------
0
335,711
-------------
0
14,139
-------------
0
23Billy Jackson
VP Regional Operations
(i)

(ii)
190,502
-------------
0
55,517
-------------
0
31,097
-------------
0
30,020
-------------
0
16,392
-------------
0
323,528
-------------
0
0
-------------
0
24Amy Green-Hinojosa
VP Project Management Office
(i)

(ii)
193,989
-------------
0
47,570
-------------
0
19,725
-------------
0
49,727
-------------
0
13,380
-------------
0
324,391
-------------
0
9,942
-------------
0
25Erica Sanchez
VP & Controller
(i)

(ii)
188,461
-------------
0
54,133
-------------
0
17,857
-------------
0
53,057
-------------
0
15,380
-------------
0
328,888
-------------
0
8,568
-------------
0
26Curtis Johnson
VP Claim Operations
(i)

(ii)
177,211
-------------
0
53,218
-------------
0
29,212
-------------
0
28,212
-------------
0
26,722
-------------
0
314,575
-------------
0
0
-------------
0
27Benjamin Siddons
VP Business Development
(i)

(ii)
199,189
-------------
0
50,943
-------------
0
9,306
-------------
0
41,301
-------------
0
14,180
-------------
0
314,919
-------------
0
0
-------------
0
28Edward Coates
VP HR Employee Services
(i)

(ii)
181,488
-------------
0
56,880
-------------
0
19,847
-------------
0
52,805
-------------
0
26,722
-------------
0
337,742
-------------
0
10,510
-------------
0
29Roger Humecky
VP Data Analytics & Business Intelligence
(i)

(ii)
186,292
-------------
0
0
-------------
0
59,441
-------------
0
22,508
-------------
0
13,908
-------------
0
282,149
-------------
0
0
-------------
0
30Beverly Harris
VP Strategic Planning & Analysis
(i)

(ii)
179,420
-------------
0
51,563
-------------
0
14,537
-------------
0
45,525
-------------
0
15,132
-------------
0
306,177
-------------
0
5,220
-------------
0
31Lisa Evans
VP Distribution & Customer Engagement
(i)

(ii)
197,346
-------------
0
33,973
-------------
0
9,458
-------------
0
34,635
-------------
0
500
-------------
0
275,912
-------------
0
0
-------------
0
32Shannon Pounds
VP Claims Litigation
(i)

(ii)
177,331
-------------
0
52,026
-------------
0
9,338
-------------
0
40,649
-------------
0
13,380
-------------
0
292,724
-------------
0
0
-------------
0
33Lawrence Martin
VP HR Consulting Services
(i)

(ii)
170,201
-------------
0
51,358
-------------
0
15,688
-------------
0
47,427
-------------
0
7,212
-------------
0
291,886
-------------
0
6,371
-------------
0
34Willard Potter
VP Premium Audit
(i)

(ii)
184,447
-------------
0
37,607
-------------
0
9,270
-------------
0
34,673
-------------
0
24,572
-------------
0
290,569
-------------
0
0
-------------
0
35Jeremiah Bentley
VP Marketing & Customer Engagement
(i)

(ii)
161,752
-------------
0
48,062
-------------
0
17,435
-------------
0
46,066
-------------
0
26,722
-------------
0
300,037
-------------
0
7,992
-------------
0
36Nathan Scott
VP Investments
(i)

(ii)
161,467
-------------
0
50,279
-------------
0
14,710
-------------
0
42,318
-------------
0
26,722
-------------
0
295,496
-------------
0
5,400
-------------
0
37Peppia Gates
VP Regional Operations
(i)

(ii)
175,854
-------------
0
34,341
-------------
0
15,411
-------------
0
31,865
-------------
0
14,130
-------------
0
271,601
-------------
0
5,804
-------------
0
38Greta Gonzales
VP & Chief Risk Officer
(i)

(ii)
164,962
-------------
0
48,047
-------------
0
10,093
-------------
0
37,593
-------------
0
16,030
-------------
0
276,725
-------------
0
0
-------------
0
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 4 Question 4a: William McLellan $159,910. Question 4b: Richard Gergasko $140,551; Brenda Ward $78,844; Perry Barron $53,810; Leonard Johnson $78,935; Mary Nichols $51,672; Lynette Caldwell $66,927; Michael Hernandez $10,731; Kim Haugaard $51,602; Jo Betsy Norton $49,726; Elise Teeter $23,141; David John $53,146; Phoebe Murphy $45,864; Martin Leifker $38,720; Catherine Brown $99,527; Nicholas Tsourmas $21,672; Jeffrey Lentz $55,160; James Kohloff $35,100; Jeannette Sprague $26,067; Woody Hill $34,122; Billy Jackson $20,133; Amy Green-Hinojosa $30,558; Erica Sanchez $32,021; Curtis Johnson $19,124; Benjamin Siddons; $10,846; Edward Coates $33,915; Beverly Harris $22,939; Lisa Evans $7,145; Shannon Pounds $13,175; Lawrence Martin $27,480; Willard Potter $7,685; Jeremiah Bentley $28,522; Nathan Scott $21,998; Peppia Gates $12,634; Greta Gonzales $11,980
Schedule J (Form 990) 2019

Additional Data


Software ID: 19009572
Software Version: v1.00
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
TEXAS MUTUAL INSURANCE COMPANY
 
Employer identification number

74-2615873
Return Reference Explanation
Form 990, Part VI, Section A, Line 7a The Company was established by Texas statute. The Company has a nine-member Board of Directors consisting of Texas business employers. Five members, including the chair are appointed by the Governor of Texas and confirmed by the Senate. The remaining four board members are elected by the policyholders.
Form 990, Part VI, Section A, Line 7b Legislation prohibits the appointment or election of any person who has the potential conflict of interest because of other involvement in the insurance industry.
Form 990, Part VI, Section B, Line 11b The 990 Tax Return is completed by an accountant in the Financial Reporting department using work papers and verification to the Company's Annual Statement and Audited Statutory annual report. The return is reviewed by management prior to filing the return.
Form 990, Part VI, Section B, Line 12c The Company's Conflict of Interest Policy is reviewed annually. The policy is distributed to all employees annually and all employees are required to acknowledge receipt.
Form 990, Part VI, Section B, Line 15 An annual compensation review is performed by the Company's Human Resources Department for all benchmark positions, including executive positions. The Board of Directors reviews and approves the compensation package for the President and General Auditor. The President or his designee approves the pay for all employees.
Form 990, Part VI, Section C, Line 19 All external request for organizational information can be obtained through written requests. Additionally, certain financial information is available on the Company's website.
Form 990, Part XI, Line 9 Change in Nonadmitted Assets $3,495,204; Change in Provision for Reinsurance -$15,071
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID: 19009572
Software Version: v1.00