PENNSYLVANIA ACACIA INSURANCE COMPANY LTD

Address
159 BANK STREET FOURTH FLOOR
BURLINGTON, VT 05401
Contact
Phone: +1 (802) 860-1958
Nonprofit
NTEE: Y20 - Insurance Providers, Services
EIN: 42-1566974

Mission

THE ORGANIZATION WAS FORMED TO PROVIDE HEALTHCARE PROFESSIONAL LIABILITY, EMPLOYEE BENEFITS LIABILITY, SEXUAL MISCONDUCT LIABILITY AND GENERAL LIABILITY COVERAGE TO MASONIC VILLAGES, A NOT FOR PROFIT 501(C)(3) UNIT OF THE GRAND LODGE.
 20172016201520142013
Basic features of the organization
Year of formation2002
Subsection code03
PF filing required0    
Metropolitan statistical area1303
Form of organization
CorporationTrue
Human resources, including compensation
Summary compensation info
Sum of reportable (W2/1099) compensation$0.00$0.00$0.00$0.00 
Number of employees0000 
Number of people compensated >$100k0000 
Number of volunteers2000 
Number of highly compensated contractors0000 
Personnel
11613, Robin
Title   VP/DIRECTOR - SEVERENCE 
Name of key/compensated person   ROBIN DOBSON TERM 11613 
Position of compensated person
Former officers, key employees, highest compensated employees, directors or trustees   True 
Average hours per week working for org   0.00 
Reportable compensation from org   $0.00 
Breakdown of reportable comp
Base reportable compensation from org   $0.00 
Bonus and incentive reportable compensation   $0.00 
Other reportable compensation from org   $0.00 
Retirement and other deferred compensation   $0.00 
Nontaxable benefits from org   $0.00 
Compensation from org previously reported as deferred   $0.00 
Other comp, non-reportable, from org and related orgs   $3,082.00 
Sum of all compensation from org   $0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs    $72,818.00 
Average hours per week working for related orgs   0.00 
Brockman, Debra
TitleVP/DIRECTOR (FROM JUN '17)    
Name of key/compensated personDEBRA BROCKMAN    
Position of compensated person
Average hours per week working for org1.00    
Reportable compensation from org$0.00    
Breakdown of reportable comp
Base reportable compensation from org$0.00    
Bonus and incentive reportable compensation$0.00    
Other reportable compensation from org$0.00    
Retirement and other deferred compensation$0.00    
Nontaxable benefits from org$0.00    
Compensation from org previously reported as deferred$0.00    
Other comp, non-reportable, from org and related orgs$29,005.00    
Sum of all compensation from org$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $183,065.00    
Average hours per week working for related orgs40.00    
Coy, Jeffrey
TitleCHAIRPERSON/DIRECTORCHAIRPERSON/DIRECTORCHAIRPERSON/DIRECTORCHAIRPERSON/DIRECTOR 
Name of key/compensated personJEFFREY COYJEFFREY COYJEFFREY COYJEFFREY COY 
Position of compensated person
Average hours per week working for org1.001.001.001.00 
Reportable compensation from org$0.00$0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $50,000.00$50,000.00$50,000.00$40,000.00 
Average hours per week working for related orgs20.0020.0020.0020.00 
Maglaras, Michael
TitleASST SECRETARY/DIRECTORASST SECRETARY/DIRECTORASST SECRETARY/DIRECTORASST SECRETARY/DIRECTOR 
Name of key/compensated personMICHAEL MAGLARASMICHAEL MAGLARASMICHAEL MAGLARASMICHAEL MAGLARAS 
Position of compensated person
Average hours per week working for org2.002.002.002.00 
Reportable compensation from org$0.00$0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00 
Average hours per week working for related orgs 0.000.000.00 
Mapes, Stephanie
TitleSECRETARY/DIRECTORSECRETARY/DIRECTORSECRETARY/DIRECTORSECRETARY/DIRECTOR 
Name of key/compensated personSTEPHANIE MAPESSTEPHANIE MAPESSTEPHANIE MAPESSTEPHANIE MAPES 
Position of compensated person
Average hours per week working for org1.001.001.001.00 
Reportable compensation from org$0.00$0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00 
Average hours per week working for related orgs 0.000.000.00 
Murphy, Joseph
TitlePRESIDENT/DIRECTORPRESIDENT/DIRECTORPRESIDENT/DIRECTORPRESIDENT/DIRECTOR 
Name of key/compensated personJOSEPH MURPHYJOSEPH MURPHYJOSEPH MURPHYJOSEPH MURPHY 
Position of compensated person
Average hours per week working for org1.001.001.001.00 
Reportable compensation from org$0.00$0.00$0.00$0.00 
Breakdown of reportable comp
Base reportable compensation from org$0.00$0.00$0.00$0.00 
Bonus and incentive reportable compensation$0.00$0.00$0.00$0.00 
Other reportable compensation from org$0.00$0.00$0.00$0.00 
Retirement and other deferred compensation$0.00$0.00$0.00$0.00 
Nontaxable benefits from org$0.00$0.00$0.00$0.00 
Compensation from org previously reported as deferred$0.00$0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$41,565.00$35,307.00$37,860.00$30,322.00 
Sum of all compensation from org$0.00$0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $444,250.00$417,167.00$416,397.00$378,380.00 
Average hours per week working for related orgs40.0040.0040.0040.00 
Prazenica, William
TitleTREASURER/DIRECTORTREASURER/DIRECTORTREASURER/DIRECTORTREASURER/DIRECTOR 
Name of key/compensated personWILLIAM PRAZENICAWILLIAM PRAZENICAWILLIAM PRAZENICAWILLIAM PRAZENICA 
Position of compensated person
Average hours per week working for org1.001.001.001.00 
Reportable compensation from org$0.00$0.00$0.00$0.00 
Breakdown of reportable comp
Base reportable compensation from org$0.00$0.00$0.00$0.00 
Bonus and incentive reportable compensation$0.00$0.00$0.00$0.00 
Other reportable compensation from org$0.00$0.00$0.00$0.00 
Retirement and other deferred compensation$0.00$0.00$0.00$0.00 
Nontaxable benefits from org$0.00$0.00$0.00$0.00 
Compensation from org previously reported as deferred$0.00$0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$26,084.00$20,834.00$20,398.00$15,847.00 
Sum of all compensation from org$0.00$0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $242,757.00$227,040.00$228,998.00$207,594.00 
Average hours per week working for related orgs40.0040.0040.0040.00 
Stephens, Claudia
TitleVP/DIRECTOR (TO JUN '17)VICE PRESIDENT/DIRECTORVICE PRESIDENT/DIRECTORVICE PRESIDENT/DIRECTOR 
Name of key/compensated personCLAUDIA STEPHENSCLAUDIA STEPHENSCLAUDIA STEPHENSCLAUDIA STEPHENS 
Position of compensated person
Average hours per week working for org1.001.001.001.00 
Reportable compensation from org$0.00$0.00$0.00$0.00 
Breakdown of reportable comp
Base reportable compensation from org $0.00$0.00$0.00 
Bonus and incentive reportable compensation $0.00$0.00$0.00 
Other reportable compensation from org $0.00$0.00$0.00 
Retirement and other deferred compensation $0.00$0.00$0.00 
Nontaxable benefits from org $0.00$0.00$0.00 
Compensation from org previously reported as deferred $0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$6,345.00$12,119.00$12,019.00$7,982.00 
Sum of all compensation from org $0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $104,782.00$202,671.00$201,415.00$179,903.00 
Average hours per week working for related orgs40.0040.0040.0040.00 
Purpose: mission, activities, & accomplishments
Mission or significant activitiesTO PROVIDE HEALTHCARE PROFESSIONAL LIABILITY, EMPLOYEE BENEFITS LIABILITY, SEXUAL MISCONDUCT LIABILITY AND GENERAL LIABILITY COVERAGE TO MASONIC VILLAGESSEE FORM 990, PART III, LINE 1SEE FORM 990, PART III, LINE 1SEE FORM 990, PART III, LINE 1 
Program service expenses, total-$15,260.00-$206,582.00-$66,672.00-$39,853.00 
Programs, including revenue & expenses
THE COMPANY PROVIDES HEALTHCARE PROFESSIONAL LIABILITY, EMPLOYEE BENEFITS LIABILITY, SEXUAL MISCONDUCT LIABILITY AND GENERAL LIABILITY COVERAGE TO A NOT-FOR-PROFIT AFFILIATE, MASONIC VILLAGES.
Program expenses-$15,260.00-$206,582.00-$66,672.00-$39,853.00 
Program revenue$105,479.00$218,088.00$218,000.00$218,000.00 
Program descriptionTHE COMPANY PROVIDES HEALTHCARE PROFESSIONAL LIABILITY, EMPLOYEE BENEFITS LIABILITY, SEXUAL MISCONDUCT LIABILITY AND GENERAL LIABILITY COVERAGE TO A NOT-FOR-PROFIT AFFILIATE, MASONIC VILLAGES.THE COMPANY PROVIDES HEALTHCARE PROFESSIONAL LIABILITY, EMPLOYEE BENEFITS LIABILITY, SEXUAL MISCONDUCT LIABILITY AND GENERAL LIABILITY COVERAGE TO A NOT-FOR-PROFIT AFFILIATE, MASONIC VILLAGES.THE COMPANY PROVIDES HEALTHCARE PROFESSIONAL LIABILITY, EMPLOYEE BENEFITS LIABILITY, SEXUAL MISCONDUCT LIABILITY AND GENERAL LIABILITY COVERAGE TO A NOT-FOR-PROFIT AFFILIATE, MASONIC VILLAGES.THE COMPANY PROVIDES HEALTHCARE PROFESSIONAL LIABILITY, EMPLOYEE BENEFITS LIABILITY, SEXUAL MISCONDUCT LIABILITY AND GENERAL LIABILITY COVERAGE TO A NOT-FOR-PROFIT AFFILIATE, MASONIC VILLAGES. 
Financial data
Revenue
Total revenue$860,669.00$848,190.00$948,152.00$793,034.00 
Revenue from contributions (total)  $0.00$0.00$0.00
Investment income, current yr$755,190.00$630,102.00$730,152.00$575,034.00 
Total revenue from grants, etc., current yr$0.00$0.00$0.00$0.00 
Total unrelated business revenue$0.00$0.00$0.00$0.00 
Other revenue, current yr$0.00$0.00$0.00$0.00 
Net unrelated business taxable revenue$0.00$0.00$0.00$0.00 
Program service revenue (total)$105,479.00$218,088.00$218,000.00$218,000.00$228,088.00
Gross receipts$860,669.00$848,190.00$948,152.00$793,034.00 
Other types of revenue
Income from dividends, interest, and similar investments$755,190.00$167,679.00$157,918.00$155,229.00 
Net rental income  $0.00$0.00$0.00
Expense categories (totals)
Total functional expenses: sum of all$85,213.00-$112,511.00$25,550.00$52,436.00 
Total functional expenses: program service -$15,260.00-$206,582.00-$66,672.00-$39,853.00 
Total functional expenses: management and general$100,473.00$94,071.00$92,222.00$92,289.00 
Total functional expenses: fundraising$0.00$0.00$0.00$0.00 
Fees for services
Legal fees (total)$7,282.00$5,379.00$4,002.00$4,791.00 
Fundraising service fees (total)$0.00$0.00$0.00$0.00 
General management fees (total)$38,500.00$38,500.00$38,500.00$38,500.00 
Assets and liabilities
Total assets$12,272,753.00$10,638,742.00$10,006,187.00$9,888,902.00$9,249,346.00
Total assets, beginning of year$10,638,742.00$10,006,187.00$9,888,902.00$9,249,346.00 
Total liabilities$795,629.00$890,939.00$1,130,288.00$1,177,373.00$1,228,662.00
Total liabilities, beginning of year$890,939.00$1,130,288.00$1,177,373.00$1,228,662.00 
Net assets$11,477,124.00$9,747,803.00$8,875,899.00$8,711,529.00 
Net assets, beginning of year$9,747,803.00$8,875,899.00$8,711,529.00$8,020,684.00 
Other liabilities$733,026.00$767,042.00$981,624.00$1,056,296.00 
Investments: other securities$11,939,899.00$10,335,488.00$9,664,330.00$9,544,755.00 
Cash: non-interest bearing$51,961.00$41,480.00$13,381.00-$6,085.00 
Cash: non-interest bearing, beginning of year$41,480.00$13,381.00-$6,085.00$5,118.00 
Other financial variables
Revenue less expenses$775,456.00$960,701.00$922,602.00$740,598.00 
Savings & temp cash investment$271,268.00$261,624.00$328,326.00$332,980.00 
Accounts receivable, net  $0.00$7,477.00 
Prepaid expenses & deferred charges$9,625.00$150.00$150.00$9,775.00 
Accounts payable & accrued expenses$52,186.00$33,001.00$57,831.00$30,244.00 
Deferred revenue$10,417.00$90,896.00$90,833.00$90,833.00 
Total net assets or fund balances$11,477,124.00$9,747,803.00$8,875,899.00$8,711,529.00 
Governance and accountability
Number of voting members6666 
Number of independent voting members2111 
Financial sheets auditedTrueTrueTrueTrue 
Audited on both consolidated and separate basisTrueTrueTrueTrue 
Accrual accountingTrueTrueTrueTrue 
Tax year start date2017-01-012016-01-012015-01-012014-01-01 
Tax year end date2017-12-012016-12-012015-12-012014-12-012013-12-01
Indicators for schedules (selected)
Business transaction with entity ownerTrueTrueTrueTrue 
Metadata about the filing
E-return type: 990, 990EZ, or 990PF990990990990 
Date e-filing submitted2018-09-042017-08-312016-08-262015-08-10 
IRS schema version2017v2.22016v3.02015v2.12014v5.0 
Filing identifier201801309349303355201701239349300805201601039349300420201521119349300727 
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