2023-05-02T13:56:21-05:00 2022-12-31 911123435 THE MYERS ASSOCIATES PC 520 PIKE ST STE 1040 SEATTLE WA 981012397 990 2022-01-01 911011311 SURPLUS LINE ASSOCIATION OF WASHINGTON SURP 2066823409 600 UNIVERSITY ST 1710 SEATTLE WA 98101 ROBERT HOPE EXECUTIVE DIRECTOR 2066823409 2023-05-02 1 ROBERT HOPE 999009999 0 MARK T LONG CPA P00047630 2066236116 2023-03-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROBERT HOPE 600 UNIVERSITY ST 1710 SEATTLE WA 98101 2488377 0 X WWW.SURPLUSLINES.ORG X 1976 WA ASSOCIATION OF SURPLUS LINE INSURANCE BROKERS 9 9 10 0 0 0 0 0 1693495 2086372 124329 147160 0 0 1817824 2233532 10000 19000 0 0 1269026 1316368 0 0 0 867666 912431 2146692 2247799 -328868 -14267 8316069 7637163 900279 799609 7415790 6837554 X ASSOCIATION OF SURPLUS LINE INSURANCE BROKERS 0 0 PROMOTE A STABLE NON-ADMITTED INSURANCE MARKET IN WASHINGTON STATE IN ORDER TO OFFER VIABLE OPTIONS TO THE INSURANCE BUYING PUBLIC.ENCOURAGE AND FACILITATE COMPLIANCE BY ITS MEMBERS WITH THE LAWS OF WASHINGTON STATE AND THE U.S. RELATIVE TO SURPLUS LINE INSURANCE COVERAGE, AND WITH THE LAWS, RULES & REGULATIONS OF THE INSURANCE COMMISSIONER OF WASHINGTON STATE. SEE CONTINUATION ON SCHEDULE O.PROVIDE MEANS FOR THE EXAMINATION OF SURPLUS LINE POLICIES PLACED BY MEMBERS ON WASHINGTON RISKS IN ACCORDANCE WITH RULES AS ESTABLISHED BY THE ASSOCIATION, AND PROVIDE ASSISTANCE TO MEMBERS IN FILING AND COMPLIANCE. SUPPLY EDUCATIONAL SUPPORT TO THE MEMBERS OF THE ASSOCIATION INCLUDING DISSEMINATION OF INFORMATION REGARDING LAWS, RULES AND REGULATIONS RELEVANT TO SURPLUS LINE INSURANCE.SUPPORT INSURANCE EDUCATION RELATIVE TO SURPLUS LINE INSURANCE IN WASHINGTON STATE THROUGH SPONSORSHIP OF TRAINING CLASSES AND SEMINARS, OR GRANTS OF MONEY OR EXPERTISE TO EDUCATIONAL INSTITUTIONS. COMMUNICATE WITH THE LEGISLATURE AND OFFICE OF THE INSURANCE COMMISSIONER IN SUPPORT OF OUR MEMBERS AND THE NON-ADMITTED MARKETPLACE. 0 0 0 1 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 1 10 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X THE ORGANIZATION 2066823409 600 UNIVERSITY ST 1710 SEATTLE WA 98101 EDWARD BUKOVINSKY PAST PRESIDENT 0.50 X X 0 0 0 LINDA MUSSELMAN-GALANTI PRESIDENT 0.50 X X 0 0 0 JEFFREY ABRAM VICE PRESIDENT 0.50 X X 0 0 0 EDWIN BOLIN DIRECTOR 0.50 X 0 0 0 JILLIAN FASSBURG DIRECTOR 0.50 X 3088 0 0 CONNIE DIVELBISS TREASURER 0.50 X X 0 0 0 HELEN VRABEL DIRECTOR 0.50 X 0 0 0 ROY RANKIN DIRECTOR 0.50 X 0 0 0 ANNE LUND DIRECTOR 0.50 X 0 0 0 ROBERT HOPE EXECUTIVE DIRECTOR 40.00 X 290646 0 62509 CATHERINE GORMAN CHIEF FINANCIAL OFFICER 20.00 X 123509 0 34503 417243 0 97012 2 0 1 0 0 EXAMINING FEES 524298 2017172 2017172 MEMBERSHIP FEES 524298 66300 66300 SEMINAR FEES 524298 2900 2900 2086372 152005 152005 250000 254845 -4845 -4845 -4845 2233532 2086372 0 147160 19000 514255 569396 85587 75560 71570 85980 16600 90000 10000 31452 327732 163240 86120 22384 19393 BUSINESS TAXES/LICENSES 46070 DUES/SUBSCRIPTIONS 13460 2247799 109073 126634 1587519 1170611 204787 261022 11507 24873 903977 887861 36752 16116 5723855 5555067 642576 482840 8316069 7637163 222363 284963 677916 514646 900279 799609 X 7415790 6837554 7415790 6837554 8316069 7637163 -14267 -563969 0 X X 0 1 X 1 0 1 0 0 177420 161304 16116 726557 726557 0 16116 RIGHT OF USE LEASE ASSET 482840 482840 LEASE LIABILITY 514646 514646 1659563 -563969 -563969 2223532 10000 10000 2233532 2237799 0 2237799 10000 10000 2247799 1 THE WSIA EDUCATION FOUNDATION 4131 NORTH MULBERRY DRIVE SUITE 200 KANSAS CITY MO 64116 431601552 501(C)(3) 10000 0 SCHOLARSHIP FUNDING CALIFORNIA INSURANCE WHOLESALERS ASSOCIATION 4160 SUISUN VALLEY ROAD GARFIELD CA 94534 954369749 501(C)(3) 9000 0 SCHOLARSHIP FUNDING PART I, LINE 2: THE ORGANIZATION CONTRIBUTES RECURRING AMOUNTS EACH YEAR TO FUND EDUCATION FOR SURPLUS LINE PROFESSIONALS. 1 X X X 0 0 0 ROBERT HOPE EXECUTIVE DIRECTOR 178500 0 111500 0 646 0 43500 0 19009 0 353155 0 0 0 CATHERINE GORMAN CHIEF FINANCIAL OFFICER 111469 0 11500 0 540 0 18445 0 16058 0 158012 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OF THE SURPLUS LINE ASSOCIATION CONSIST OF PERSONS, FIRMS, AND CORPORATIONS LICENSED AS SURPLUS LINE BROKERS IN THE STATE OF WASHINGTON. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF THE SURPLUS LINE ASSOCIATION ELECT THE BOARD OF DIRECTORS DURING AN ANNUAL MEETING OF MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS OF THE SURPLUS LINE ASSOCIATION ELECT THE BOARD OF DIRECTORS AND APPROVE OTHER BUSINESS DURING THE ANNUAL MEETING OF MEMBERS, OR DURING SPECIAL MEETINGS WHEN REQUESTED BY THE BOARD OF DIRECTORS OR BY 15% OF THE MEMBERSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND THE AUDIT ARE REVIEWED BY THE BOARD. ANY UNUSUAL OR SIGNIFICANT ITEMS ARE DISCUSSED AND RESOLVED. FORM 990, PART VI, SECTION B, LINE 12C ANY POTENTIAL CONFLICTS OF INTEREST ARE DISCUSSED IN THE MONTHLY MEETINGS OF THE BOARD OF DIRECTORS. THE POTENTIAL APPEARANCE OF A CONFLICT OF INTEREST IS ALSO SUBJECT TO REGULAR SCRUTINY BY THE BOARD & EXEC DIRECTOR. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION OF OFFICERS AND KEY EMPLOYEES (CURRENTLY ONLY THE EXECUTIVE DIRECTOR) IS DETERMINED, REVIEWED, AND APPROVED BY THE FULL BOARD OF DIRECTORS IN A REGULAR BOARD MEETING. FORM 990, PART VI, SECTION C, LINE 19 THE SURPLUS LINE ASSOCIATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ONLY TO MEMBERS UPON REQUEST. PART XII, LINE 2C THE AUDIT IS OVERSEEN BY THE BOARD OF DIRECTORS.