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Nonprofiteer
← PENNSYLVANIA ACACIA INSURANCE COMPANY LTD

Form 990 for tax year 2022

Filed by PENNSYLVANIA ACACIA INSURANCE COMPANY LTD.

Totals

Total revenue
$236,191
Total expenses
$161,724
Contributions and grants received
$0
Grants paid
$0
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$56,196
Management and general expenses
$104,553
Fundraising expenses
$975
Program service expenses (Part III)
$56,196

Program services were 34.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • WILLIAM KINGSBURY

    PRESIDENT/DIRECTOR

    Total calculated
    $516,986
    From this org
    $0
    From related orgs
    $485,052
    Other
    $31,934
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $485,052 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $13,967 related
    Nontaxable benefits
    $0 + $17,967 related
    Filer's total
    $0 + $516,986 related

  • PAMELA S FORMICA

    TREASURER/DIRECTOR

    Total calculated
    $344,085
    From this org
    $0
    From related orgs
    $317,487
    Other
    $26,598
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $317,487 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $15,468 related
    Nontaxable benefits
    $0 + $11,130 related
    Filer's total
    $0 + $344,085 related

  • DEBRA BROCKMAN

    VP/DIRECTOR

    Total calculated
    $264,297
    From this org
    $0
    From related orgs
    $238,251
    Other
    $26,046
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $238,251 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $12,076 related
    Nontaxable benefits
    $0 + $13,970 related
    Filer's total
    $0 + $264,297 related

  • PATRICK SAMPSELL

    DIRECTOR (FROM OCT '22)

    Total calculated
    $253,952
    From this org
    $0
    From related orgs
    $224,611
    Other
    $29,341
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0 + $224,611 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $11,374 related
    Nontaxable benefits
    $0 + $17,967 related
    Filer's total
    $0 + $253,952 related

  • ROBERT SNYDER II

    CHAIRPERSON/DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 20 related

  • STEPHANIE MAPES

    SECRETARY/DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MICHAEL MAGLARAS

    ASST SECRETARY/DIRECTOR

    Total calculated
    $0
    Hours/week
    2

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE CEO OF THE PARENT COMPANY (MASONIC VILLAGES) SERVES AS PRESIDENT OF PENNSYLVANIA ACACIA INSURANCE COMPANY. THE COMPENSATION OF MASONIC VILLAGES' CEO IS BASED UPON COMPENSATION SURVEYS AND IS APPROVED BY THE MASONIC VILLAGES' BOARD OF DIRECTORS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Provenance

Return type
form_990
Tax year
2022
Filed
27 June 2023
IRS schema version
2022v5.0
Source object
202331799349300823

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