First Founders Assurance Company in Chester, New Jersey (NJ)

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First Founders Assurance Company
Employer Identification Number (EIN)201384826
Name of OrganizationFirst Founders Assurance Company
In Care of NameBruce S Haskell
Address6 Mill Ridge Ln, Chester, NJ 07930-2486
SubsectionMutual Insurance Company or Assoc. Other Than Life or Marine
Ruling Date11/2010
DeductibilityContributions are not deductible
FoundationAll organizations except 501(c)(3)
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period12/2013
Assets$1,000,000 to $4,999,999
Income$500,000 to $999,999
Filing Requirement990 (all other) or 990EZ return
Asset Amount$4,432,294
Amount of Income$822,794
Form 990 Revenue Amount$592,481
National Taxonomy of Exempt Entities (NTEE)Diseases, Disorders, Medical Disciplines: AIDS


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Amount of income in 2013: $822,794 (it was $591,149 in 2012)
First Founders Assurance Company: 

 $822,794
Other organizations performing similar types of work: 

 $103,713

Assets in 2013: $4,432,294 (it was $4,013,363 in 2012)
This organization: 

 $4,432,294
Other organizations performing similar types of work: 

 $30,552

Expenses in 2013: $330,077
This organization: 

 $330,077
Other organizations performing similar types of work: 

 $105,321

Income to expenses ratio in 2013: 2.5
This organization: 

 2.5
Other organizations performing similar types of work: 

 1.1

Grants share in income in 2013: 0.0%
This organization: 

 0.0%
Other organizations performing similar types of work: 

 100.0%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Checklist
20122013
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?NoNo
Is the organization required to complete Schedule B, Schedule of Contributors?NoNo
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?NoNo
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?NoNo
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?NoNo
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?NoNo
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?NoNo
Did the organization maintain collections of works of art, historical treasures, or other similar assets?NoNo
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?NoNo
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?NoNo
Did the organization report an amount for land, buildings, and equipment?NoNo
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?NoNo
Did the organization report an amount for investments-program related that is 5% or more of its total assets?NoNo
Did the organization report an amount for other assets that is 5% or more of its total assets?NoNo
Did the organization report an amount for other liabilities?YesYes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?NoNo
Did the organization obtain separate, independent audited financial statements for the tax year?YesYes
Was the organization included in consolidated, independent audited financial statements for the tax year?NoNo
Is the organization a school described in section 170(b)(1)(A)(ii)?NoNo
Did the organization maintain an office, employees, or agents outside of the United States?NoNo
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?NoNo
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?NoNo
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?NoNo
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?NoNo
Did the organization report more than $15,000 total of fundraising event gross income and contributions?NoNo
Did the organization report more than $15,000 of gross income from gaming activities?NoNo
Did the organization operate one or more hospital facilities?NoNo
Did the organization attach a copy of its audited financial statements?NoNo
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?NoNo
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?NoNo
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?YesYes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?NoNo
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?NoNo
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?NoNo
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?NoNo
Did the organization engage in an excess benefit transaction with a disqualified person during the year?NoNo
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?NoNo
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?NoNo
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?NoNo
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?NoNo
A family member of a current or former officer, director, trustee, or key employee?NoNo
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?NoNo
Did the organization receive more than $25,000 in non-cash contributions?NoNo
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?NoNo
Did the organization liquidate, terminate, or dissolve and cease operations?NoNo
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?NoNo
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?NoNo
Was the organization related to any tax-exempt or taxable entity?YesYes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?NoNo
Did the organization make any transfers to an exempt non-charitable related organization?NoNo
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?NoNo
Statements Regarding Other IRS Filings and Tax Compliance
201120122013
The number reported in Box 3 of Form 1096009
The number of Forms W-2G000
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?NoNoNo
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return000
Did the organization file all required federal employment tax returns?NoNoNo
Did the organization have unrelated business gross income of $1,000 or more during the year?NoNoNo
Has it filed a Form 990-T for this year?NoNoNo
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?NoNoNo
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?NoNoNo
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?NoNoNo
Did the organization file Form 8886-T?NoNoNo
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?NoNoNo
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?NoNoNo
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?NoNoNo
Did the organization notify the donor of the value of the goods or services provided?NoNoNo
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?NoNoNo
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?NoNoNo
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?NoNoNo
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?NoNoNo
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?NoNoNo
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?NoNoNo
Did the sponsoring organization make any taxable distributions under section 4966?NoNoNo
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?NoNoNo
Initiation fees and capital contributions$0$0$0
Gross receipts for public use of club facilities $0$0$0
Gross income from members or shareholders$0$0$0
Gross income from other sources$0$0$0
Is the organization filing Form 990 in lieu of Form 1041?NoNoNo
The amount of tax-exempt interest received or accrued during the year$0$0$0
Is the organization licensed to issue qualified health plans in more than one state?NoNoNo
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans$0$0$0
The amount of reserves on hand$0$0$0
Did the organization receive any payments for indoor tanning services during the tax year?NoNoNo
Has it filed a Form 720 to report these payments?NoNoNo
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
20122013
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization$21,000$21,000
Total reportable compensation from related organizations$695,847$658,738
Total estimated amount of other compensation from the organization and related organizations$0$0
Total number of individuals who received more than $100,000 of reportable compensation from the organization00
Total number of independent contractors who received more than $100,000 of compensation from the organization00
Statement of Revenue
201120122013
Total revenue$542,997$591,149$592,481
Contributions, Gifts, Grants and Other Similar Amounts$0$0$0
Program Service Revenue$376,259$396,871$381,574
All Other Insurance Related Activities $376,259$396,871$381,574
All other program service revenue$0$0$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$165,391$182,879$187,092
Income from investment of tax-exempt bond proceeds$0$0$0
Royalties$0$0$0
Net rental income$0$0$0
Net gain/loss from sales of assets other than inventory$1,347$11,399$23,815
Gross amount from sales of assets other than inventory (Securities / Other)$0 / $0$0 / $0$254,128 / $0
Less: cost or other basis and sales expenses (Securities / Other)$0 / $0$0 / $0$230,313 / $0
Gain or (loss) (Securities / Other)$0 / $0$0 / $0$23,815 / $0
Net income/loss from fundraising events$0$0$0
Net income/loss from gaming activities$0$0$0
Net income/loss from sales of inventory$0$0$0
Miscellaneous Revenue$0$0$0
Statement of Functional Expenses
201120122013
Total functional expenses$313,966$351,939$330,077
Grants and other assistance to domestic organizations and domestic governments$0$0$0
Grants and other assistance to domestic individuals$0$0$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals$0$0$0
Benefits paid to or for members$0$0$0
Compensation of current officers, directors, trustees, and key employees$21,000$21,000$21,000
Compensation not included above, to disqualified persons$0$0$0
Other salaries and wages$0$0$0
Pension plan accruals and contributions$0$0$0
Other employee benefits$0$0$0
Payroll taxes$0$0$0
Fees for services (non-employees)
Management$0$0$0
Legal$0$0$2,537
Accounting$36,250$30,738$27,541
Lobbying$0$0$0
Professional fundraising services$0$0$0
Investment management fees$36,476$36,091$33,332
Other$7,395$8,146$7,971
Advertising and promotion$0$1,440$0
Office expenses$4,376$4,400$4,507
Information technology$0$0$0
Royalties$0$0$0
Occupancy$0$0$0
Travel$1,353$1,168$933
Payments of travel or entertainment expenses for any federal, state, or local public officials$0$0$0
Conferences, conventions, and meetings$0$0$0
Interest$0$0$0
Payments to affiliates$0$0$0
Depreciation, depletion, and amortization$0$0$0
Insurance$0$0$0
Other expenses$138,109$139,745$130,947
Other expenses$59,620$77,787$77,007
Other expenses$8,138$17,772$17,118
Other expenses$1,224$9,449$2,524
Other expenses$25$4,203$4,660
Balance Sheet
201120122013
Total assets$3,604,637$4,013,363$4,432,294
Cash - non-interest-bearing$59,243$84,186$52,222
Savings and temporary cash investments$250,000$250,000$250,113
Pledges and grants receivable, net$0$0$0
Accounts receivable, net$0$0$0
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees$0$0$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations$0$0$0
Notes and loans receivable, net$36,278$37,903$39,241
Inventories for sale or use$0$0$0
Prepaid expenses and deferred charges$0$0$0
Land, buildings, and equipment: cost or other basis$0$0$0
Investments - publicly traded securities$3,227,070$3,615,282$4,062,782
Investments - other securities$0$0$0
Investments - program-related$0$0$0
Intangible assets$0$0$0
Other assets$32,046$25,992$27,936
Total liabilities$528,486$601,795$753,277
Accounts payable and accrued expenses$0$0$0
Grants payable$0$0$0
Deferred revenue$0$0$0
Tax-exempt bond liabilities$0$0$0
Escrow or custodial account liability$0$0$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons$0$0$0
Secured mortgages and notes payable to unrelated third parties$0$0$0
Unsecured notes and loans payable to unrelated third parties$0$0$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)$528,486$601,795$753,277
Total net assets or fund balances$3,076,151$3,411,568$3,679,017
Unrestricted net assets$0$0$0
Temporarily restricted net assets$0$0$0
Permanently restricted net assets$0$0$0
Capital stock or trust principal, or current funds$1,000,000$1,000,000$1,000,000
Paid-in or capital surplus, or land, building, or equipment fund$1,400,000$1,400,000$1,400,000
Retained earnings, endowment, accumulated income, or other funds$676,151$1,011,568$1,279,017
Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:Not provided
Number of organizations supported0
Sum of amounts of support$0
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1South Jersey Against Aids Inc Dba South Jersey Aids Alliance19 Gordons Alley, Atlantic City, NJ 08401-7406NJ1986-11$2,066,618
2First Founders Assurance Company6 Mill Ridge Ln, Chester, NJ 07930-2486NJ2010-11$822,794
3Smith Center For Infectious Disease & Urban Health PaPO BOX 54, Roseland, NJ 07068-0054NJ2010-02$492,145
4Well Of Hope Community Development Corporation Inc, Well Of Hope Cdc207 Martin Luther King Jr Way, Paterson, NJ 07501NJ2008-08$470,544
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7New Jersey Aids Walk44 South St, Morristown, NJ 07960-4136NJ2012-02$103,713
8Udt Family Life Center Inc202 Hawthorne Ave, Newark, NJ 07112-2731NJ2004-06$63,091
9Aids Interfaith Ministry329 N Front St, Camden, NJ 08102-1625NJ2002-01$0
10Centro De Intrvencion Para Familias Inc, Cifi311 Jordan Rd, New Milford, NJ 07646-1105NJ2006-02$0
11Eugene J Robinson Foundation304 Park Ave, East Orange, NJ 07017-3849NJ2007-03$0
12Family Services And Healthcare Inc39-41 Lincoln Park Ste B2, Newark, NJ 07102-2348NJ2012-09$0
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14Iwarva Aids Service Organization616 N Kentucky Ave, Atlantic City, NJ 08401NJ2013-08$0
15Latinahivcom Inc22 Towsen Rd, Wayne, NJ 07470-2421NJ2006-08$0
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17Open Arms Foundation Inc105 Raider Blvd Suite 101, Hillsborough, NJ 08844NJ2001-09$0
18Sickle Cell Foundation Of New Jersey Inc196 Lyons Ave, Newark, NJ 07112-2026NJ1999-02$0
19Swaa International Usa Inc2600 Kennedy Blvd Apt 1b, Jersey City, NJ 07306-6037NJ2009-02$0
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Number of organizations performing similar types of work
Alaska1
Alabama12
Arkansas4
Arizona9
California86
Colorado11
Connecticut6
District of Columbia37
Delaware2
Florida84
Georgia38
Iowa3
Idaho2
Illinois29
Indiana16
Kansas5
Kentucky7
Louisiana14
Massachusetts18
Maryland36
Maine1
Michigan17
Minnesota9
Missouri10
Mississippi6
Montana4
North Carolina39
Nebraska2
New Hampshire3
New Jersey24
New Mexico4
Nevada8
New York90
Ohio16
Oklahoma3
Oregon10
Pennsylvania26
Rhode Island4
South Carolina11
South Dakota2
Tennessee8
Texas72
Utah4
Virginia28
Vermont2
Washington16
Wisconsin4
West Virginia1
Wyoming1
International8
Total853

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