TY 2021 Form 990EZ

Check if applicable:

Address change

Name change

Initial return

Final return/terminated

Amended return

Application pending

C Name of organization
CALIFORNIA ALLIANCE OF SELF-INSURED
GROUPS

Number and street (or P. O. box, if mail is not delivered to street address)950 GLENN DRIVE SUITE 150
Room/suite

City or town, state or province, country, and ZIP or foreign postal code FOLSOM, CA95630

D Employer identification number

26-0435224

E Telephone number

(855) 735-7403

F Group Exemption
Number bullet

Part ⅢStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . .	Expenses (Required for section 501(c)(3) and 501(c)(4) organizations; optional for others.)
What is the organization's primary exempt purpose? The purpose of California Alliance of Self-Insured Groups is:1. To sponsor educational conferences and programs to benefit and enhance the administration of Self-Insured Groups (SIGS);2. To provide a forum for SIGS to exchange information on mutual issues arising in the administration and operation of SIGS;3. To work effectively in initiating legislation and/or administrative policies and/or regulations and provide support for or opposition to legislation affecting program of SIGS;4. To provide accreditation standards and award certificates of Accreditation to SIGS which meet those standards; and5. To act as a peer resource to members in administering SIG programs.
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 California Alliance of Self-Insured Groups is an association dedicated to support high standards for self-insurance as a reliable alternative for businesses. It is an organization of self-insured group administrators, self-insured groups and industry professionals that has been established to create an accreditation process for program administrators and to encourage best practices in its membership.Our goals are to participate in the regulatory changes, to work closely with the Office of Self-insured plans to develop administrative standards, and to provide networking and educational opportunities for members. (Grants $ ) If this amount includes foreign grants, check here ...		28a
29 (Grants $ ) If this amount includes foreign grants, check here ...		29a
30 (Grants $ ) If this amount includes foreign grants, check here ...		30a
31 Other program services (describe in Schedule O) ................ (Grants $ ) If this amount includes foreign grants, check here...	31a
32 Total program service expenses (add lines 28a through 31a)..........	32

(a) Name and title	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC) (if not paid, enter -0-)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation
GREG FAMOUS President	1.00	0
JEFFREY EINHORN Vice President	1.00	0
MICHAEL LYON Secretary	1.00	0
LJ BATTAGLIESE Treasurer	1.00	0
CLAY A JACKSON past president	1.00	0
association resource center Executive Dir.	10.00	0

Yes

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

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

49a

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

49a

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

49b

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

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

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

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

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

Return Reference	Explanation
Other Revenue.1	MISCELLANEOUS INCOME $5000
Other Expenses.1001	Advertising and Promotion $204
Other Expenses.1002	Office Expenses $280
Other Expenses.1003	Information Technology $856
Other Expenses.1005	Travel $679
Other Expenses.1012	Insurance $1568
Other Expenses.1	BOARD MEETINGS $8481
Other Expenses.2	BANK/MERCHANT CHARGES $466
Other Assets.1011	Prepaid Expenses and Deferred Charges - Beginning $324 Prepaid Expenses and Deferred Charges - Ending $1640
Total Liabilities.1003	Deferred Revenue - Beginning $4000 Deferred Revenue - Ending $10805

Return Reference

Explanation

Other Revenue.1

MISCELLANEOUS INCOME $5000

Other Expenses.1001

Advertising and Promotion $204

Other Expenses.1002

Office Expenses $280

Other Expenses.1003

Information Technology $856

Other Expenses.1005

Travel $679

Other Expenses.1012

Insurance $1568

Other Expenses.1

BOARD MEETINGS $8481

Other Expenses.2

BANK/MERCHANT CHARGES $466

Other Assets.1011

Prepaid Expenses and Deferred Charges - Beginning $324 Prepaid Expenses and Deferred Charges - Ending $1640

Total Liabilities.1003

Deferred Revenue - Beginning $4000 Deferred Revenue - Ending $10805

1	Contributions, gifts, grants, and similar amounts received ....................	1
2	Program service revenue including government fees and contracts ................	2
3	Membership dues and assessments .............................	3	42,750
4	Investment income ....................................	4	94
5a	Gross amount from sale of assets other than inventory .......	5a
b	Less: cost or other basis and sales expenses ............	5b	0
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......	5c
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000)	6a
b	Gross income from fundraising events (not including $ of contributions from fundraising events reported on line 1) (attach Schedule G if the			sum of such gross income and contributions exceeds $15,000) ..	6b	0
c	Less: direct expenses from gaming and fundraising events ...	6c	0
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)	6d
7a	Gross sales of inventory, less returns and allowances ......	7a
b	Less: cost of goods sold .............	7b	0
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........	7c
8	Other revenue (describe in Schedule O) ....................	8	5,000
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 ..............	9	47,844

10	Grants and similar amounts paid (list in Schedule O) ................	10
11	Benefits paid to or for members ......................	11
12	Salaries, other compensation, and employee benefits ................	12
13	Professional fees and other payments to independent contractors ............	13	40,640
14	Occupancy, rent, utilities, and maintenance ...................	14
15	Printing, publications, postage, and shipping ...................	15
16	Other expenses (describe in Schedule O) ...................	16	12,534
17	Total expenses. Add lines 10 through 16 .................	17	53,174

18	Excess or (deficit) for the year (Subtract line 17 from line 9) ............	18	-5,330
19	Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
	end-of-year figure reported on prior year’s return) .................	19	175,084
20	Other changes in net assets or fund balances (explain in Schedule O) ...........	20
21	Net assets or fund balances at end of year. Combine lines 18 through 20 ..........	21	169,754

Sign Here

	Signature of officer	Date

	Type or print name and title

Software ID:	21013475
Software Version:	2021v4.0

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures