Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | PROGRAM SERVICE EXPENSE. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE ASSOCIATION IS COMPRISED OF ALL INSURERS AUTHORIZED TO WRITE INSURANCE PURSUANT TO SECTIONS 202 (C)(4) AND (11) OF THE ACT OF MAY 17, 1921 (P.L. 682, NO. 284) |
| FORM 990, PAGE 6, PART VI, LINE 7A | YES. |
| FORM 990, PAGE 6, PART VI, LINE 9 | MARTIN TRICHTINGER, M.D. 500 OLD YORK ROAD JENKINTOWN, PA 19046 JEFFREY J. DAVIS ONE TRINITY DRIVE EAST DILLSBURG, PA 17019-8522 CRAIG G. KRIZA, DPM, JD 1343 FIELDPOINT DRIVE WEST CHESTER, PA 19382 ADAM PARSONS ESQ P.O. BOX 2361 HARRISBURG, PA 17105 CHERYL TAMASITIS 1777 SENTRY PARKWAY WEST BLUE BELL, PA 19422 JOHN S. OLKOWSKI 1777 SENTRY PARKWAY WEST BLUE BELL, PA 19422 MARK DOMBROWSKI 100 ERIE INSURANCE PLACE ERIE, PA 16530 |
| FORM 990, PAGE 6, PART VI, LINE 11B | STATUTORY AUDIT PERFORMED PRIOR TO FILING. BOARD MEMBERS HAVE BEEN NOTIFIED THAT THE FORM 990 IS AVAILABLE FOR REVIEW ON THE COMPANY'S SECURE WEBSITE. |
| FORM 990, PAGE 6, PART VI, LINE 12C | MONITORED ON A REGULAR BASIS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | EXECUTIVE COMPENSATION DISCUSSED AT ANNUAL MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 15B | KEY EMPLOYEE COMPENSATION DISCUSSED AT ANNUAL MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS AVAILABLE ON GUIDESTAR. |
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