Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE ORGANIZATION'S PURPOSE IS THE PROVISION OF ADMINISTRATIVE, CLAIMS AND RISK MANAGEMENT SERVICES ON BEHALF OF THE ASSOCIATION OF COUNTY COMMISSIONS OF ALABAMA SELF-INSURERS FUND AND THE ASSOCIATION OF COUNTY COMMISSIONS OF ALABAMA LIABILITY SELF-INSURANCE FUND, INC. IN MONTGOMERY, ALABAMA. THE AFOREMENTIONED FUNDS ARE NONPROFIT ORGANIZATIONS PROVIDING SELF-INSURED WORKERS COMPENSATION AND LIABILITY INSURANCE PROTECTION FOR THEIR MEMBERS. MEMBERS OF THE FUNDS ARE COMPOSED OF COUNTIES OF THE STATE OF ALABAMA THAT HAVE POOLED RESOURCES AND FUNDS TO PROVIDE THE INSURANCE CONVERAGE. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE BOARD SHALL CONSIST OF FIVE PERSONS. THE MEMBERS OF THE BOARD OF DIRECTORS SHALL INCLUDE TWO PERSONS APPOINTED BY THE BOARD OF TRUSTEES OF THE ASSOCIATION OF COUNTY COMMISSIONS OF ALABAMA SELF-INSURERS FUND; TWO PERSONS APPOINTED BY THE BOARD OF TRUSTEES OF THE ASSOCIATION OF COUNTY COMMISSIONS OF ALABAMA LIABILITY SELF-INSURANCE FUND, INC; AND THE EXECUTIVE DIRECTOR OF THE ASSOCIATION OF COUNTY COMMISSIONS OF ALABAMA. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS REVIEWED BY THE PRESIDENT. NO REVIEW WAS OR WILL BE CONDUCTED BY THE ORGANIZATION'S GOVERNING BODY. |
| FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |
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