form 990 return of organization exempt from income tax...

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Form 990

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Return of Organization Exempt From Income TaxUnder section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung

OMB No 1545-0047

2008benefit trust or private foundation )

Departmwe of The TreasuryInternal Revenue Service ► The organization may have to use a copy of this return to satisfy state reporting requirements •

A For the 2008 calendar year, or tax year beginning , 2008, and ending , 20

B Check if applicable Please C Name of organization Pennsylvania Com pensation Ratin g Bureau D Employer identification number

use l Doing Business As 23 0958260E) Address change ^abe ioror

print or Number and street (or P 0 box if mail is not delivered to street address) Room/suite E Telephone numberq Name change type

q initial return See United Plaza Bld g, 30 S . 17th Street 1500 ( 215 320-4414Specific

Termination Instruc- City or town, state or country, and ZIP + 4q

t^cns • Philadelphia , PA 19103-4007 G Gross receipts $ 11 ,710 ,635Amended return

q Application pending F Name and address of principal officer

I

H(a) is this a group return for afruiat&[]Yes ©No

Timothy L. Wisecarver - address same as C above H(b) Are all affiliates included? q No

I Tax-exempt status 0501(c)( 6 t insertno) q 4947(a)(1) or q 527 If "No," attach a list (see instructions)

J Website : ► www. pcrb.com H (c) Group exemption number ►

K Type of organization 0 Corporation q Trust Association Other ► L Year of formation 1915 M State of legal domicile PA

Summa

1 Briefly describe the organization's mission or most significant activities: The PCRB is the licensed rating organization- - - - - -------------------------------------for thepromulgation and_determination of workers compensation insurance ratingvalues_and classification ___

msystem used bYinsurersL a ents and em to ers in the Commonwealth of Penns Ivanla---------- -g p y ---------------------- ------------- x ---------------------------------------

e ---------------------------------------------------------------------------------------------------------------------------------------------

9 f.har•.k this hnx . F1 if the oroanization discontinued Its ooeratlons or disposed of more than 25% of its assets.

ad 3 Number of voting members of the governing body (Part VI line 1 a) . . . . . . . . . 3 12,

line 1 b)4 Number of independent voting members of the governing body (Part VI 4 12

2

,

line 2a)5 Total number of employees (Part V 5 119

Q, . . . . . . . . . . . . . . . . .

6 Total number of volunteers (estimate ary) 67a Total gross unrelated business revenu e fromFRWE1IVE1Z)colum

. . . . . .

(C) 7a

b Net unrelated business taxable income from-gor4n-99Q-T Jine-34,. . . . . . .

7b(/) Prior Year Current Year

NOV 1 20 1 0lir8 Contributions and grants (Part VIII e^1h) 10 511 903 11 522 796, ) .

9 Program service revenue (Part VIII If e2g),

column10 Investment income (Part VIII

l

r^E

17c^T 105117 73212, . . . .

11 Other revenue (Part VIII, column (A), 118,214 114,627

12 Total revenue-add lines 8 through 11 (must equal Part VIII, column (A), line 12) 10 ,735 ,234 11 ,710 ,635

column (A) lines 1-3)13 Grants and similar amounts paid (Part IX ,, . . .

column (A) line 4)14 Benefits paid to or for members (Part IX

U, , . . .

lines 5-10)employee benefits (Part IX column (A)15 Salaries other compensation 8 , 158 ,299 9 1256 ,060, , ,,

16a Professional fundraising fees (Part IX, column (A), line 11 e) . . . . . .

' b Total fundraising expenses (Part IX, column (D), line 25) ► ..........................

lines 1 1 a-11 d 1 1 f-24f)17 Other expenses (Part IX column (A) 2 106 451 7 ,401 , 549. . ., , ,

column (A) line 25)18 Total expenses. Add lines 13-17 (must equal Part IX 10 ,264 ,750 16 ,657 ,609. ., ,19 Revenue less expenses. Subtract line 18 from line 12 470 ,484 (4 ,946 ,974 )

Beginning of Year End of Year

^-° 20 Total assets (Part X line 16) 3 , 801 ,625 4 492 787

a-a

, .

21 Total liabilities (Part X line 26) 4 ,244 , 729 9 , 882,865

?LL, . . . . . . . .

22 Net assets or fund balances. Subtract line 21 from line 20 . (443 , 104 ) ( 5 ,390 ,078 )

Si nature BlockUnder penalties of perjury, I declar t t I have examined this return, including accompanying schedules and statements , and to the best of my knowledgeand bel , tt , correct c plete Declaration of preparer (other than officer) is based on all information of whi h prep er has any knowledge

Sign ! /2

Here / Sig re icer

4qfL,Z-.Je"_,40/0'1 (/' Type or print name and title

Preparerssignature

Paid

'

Preparer's Finn's name (or yoursUse Only if self-employed),

address, and ZIP + 4

May the IRS discuss this return with the preparer shown abov

For Privacy Act and Paperwork Reduction Act Notice , see the sep

Form 990 (2008)

WMIM Statement of Program Service Accomplishments (see instructions)

1 Briefly Liescnbe the organization's mission:The principal function of the Pennsylvania Compensation_Rating Bureau_ is_the determination of workers_________________

Compensation ratm^ values and promulgation of the classification system for the underwriting of workers-- ------------------------------------ - -------------- - ----------------- - ---------------------------------------------------------------- - ----------------------------compensation-insurance--n the Commonwealth of Pennsylvania ____________________________________________ ____________________

2 Did the organization undertake any significant program services during the year which were not listed on

the prior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . q Yes 0 No

If "Yes," describe these new services on Schedule 0

3 Did the organization cease conducting, or make significant changes in how it conducts, any programservices? . . . . . . . . . . . . . . . . . . . q Yes © No

If "Yes," describe these changes on Schedule O.

4 Describe the exempt purpose achievements for each of the organization's three largest program services by expenses.

Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and

allocations to others, the total expenses, and revenue, if any, for each program service reported.

4a (Code: ............. ) (Expenses $ __--_-_5,538 , 086 including grants of $____________________))(Revenue $_____-_---_----_-___

Collection_ editing and_ maintainingworkers compensation_expenence clata_ for non coal mine commercial ---------------

-markets in Pennsylvania ________ ------------------------------------ ------------------------------------------------------ -----------

4b (Code:_____________) (Expenses $_______ 4,138 , 559 including grants of $____________________ ) (Revenue $.................... )Promulgation, application and enforcement of risk classifications , underwriting rules, rating values and rating

-plans applicable toworkers compensation insurance written in Pennsy_I_v_ania ____________________-__-_ ------------- -----------

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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4c (Code:_____________) (Expenses $_________ 916,800 including grants of $____________________ ) (Revenue $____________________)

Preparation , submission and defense of regulatoryflings_to amend_ and/or mamtain_nsk classifications_ _________________

underwriting rules, rating values and ratingplans applicable to workers compensation insurance written m

Pennsylyama_ ------------------------------- ----------------------------------------------------------------------------------------------

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4d Other program services. (Describe in Schedule 0.)(Expenses $ including grants of $ ) (Revenue $

4e Total program service expenses ► $ 10,593 ,445 (Must equal Part IX, Line 25, column (B).)

Form 990 (2008)

Form 990 (2008)

5

IMM Checklist of Required Schedules

1 Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes,"

complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2 Is the organization required to complete Schedule B, Schedule of Contributors?. . . . . . . . . .

3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to

candidates for public office? If "Yes," complete Schedule C, Part I . . . . . . . . . . . .

4 Section 501 (c)(3) organizations . Did the organization engage in lobbying activities? If "Yes," complete

Schedule C, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Section 501 (c)(4), 501(c)(5), and 501 (c)(6) organizations . Is the organization subject to the section 6033(e)

notice and reporting requirement and proxy tax? If "Yes," complete Schedule C, Part 111 . . .

6 Did the organization maintain any donor advised funds or any accounts where donors have the right to

provide advice on the distribution or investment of amounts in such funds or accounts9 If "Yes," complete

Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . . .

7 Did the organization receive or hold a conservation easement, including easements to preserve open space,

the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part 11 .

8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"

complete Schedule D, Part Ill . . . . . . . . . . . . . . . . . . . . . . . . . .

9 Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part

X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes,"

complete Schedule D, Part IV . . . . . . . . . . . . . . . . . . . . . . . . .

10 Did the organization hold assets in term, permanent, or quasi-endowments? If "Yes," complete Schedule D, Part V

11 Did the organization report an amount in Part X, lines 10, 12, 13, 15, or 25? If "Yes," complete Schedule D,

Parts VI, VII, Vlll, IX, or X as applicable . . . . . . . . . . . . . . . . . . . . . .

12 Did the organization receive an audited financial statement for the year for which it is completing this return

that was prepared in accordance with GAAP? If "Yes," complete Schedule D, Parts XI, Xll, and Xlll . . .

13 Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E . . . . . .

14a Did the organization maintain an office, employees, or agents outside of the U.S.? . . . . . . .

b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising,

business, and program service activities outside the U.S.? If "Yes," complete Schedule F, Part I . . . . . .

15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any

organization or entity located outside the United States? If "Yes," complete Schedule F, Part 11. . . . .

16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance

to individuals located outside the United States? If "Yes," complete Schedule F, Part Ill

17 Did the organization report more than $15,000 on Part IX, column (A), line 11 e? If "Yes," complete Schedule G, Part

18 Did the organization report more than $15,000 total on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II

19 Did the organization report more than $15,000 on Part VIII, line 9a" If "Yes," complete Schedule G, Part Ill

20 Did the organization operate one or more hospitals? If "Yes," complete Schedule H . . . . . . . .

21 Did the organization report more than $5,000 on Part IX, column (A), line 1? If "Yes," complete Schedule 1, Parts I and 11

22 Did the organization report more than $5,000 on Part IX, column (A), line 2? If "Yes," complete Schedule 1, Parts I and III

23 Did the organization answer "Yes" to Part VII, Section A, questions 3, 4, or 5? If "Yes," complete

Schedule J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

24a 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? If "Yes," answer questions

24b-24d and complete Schedule K. If "No," go to question 25 . . . . . . . . . . . .

b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?

c Did the organization maintain an escrow account other than a refunding escrow at any time during the year

to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . .

d Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?

25a Section 501(c)(3) and 501 (c)(4) organizations . Did the organization engage in an excess benefit transaction

with a disqualified person during the year? If "Yes," complete Schedule L, Part I .

b Did the organization become aware that it had engaged in an excess benefit transaction with a disqualified

person from a prior year? If "Yes," complete Schedule L, Part I . . . . . . . . . . . . . . .

26 Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or

disqualified person outstanding as of the end of the organization's tax year? If "Yes," complete Schedule L, Part 11 . .

27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, or

substantial contributor. or to a person related to such an individual? If "Yes," complete Schedule L, Part 111

6

No

15 1 1 J

16 3

17 3

18 3

19 3

20 3

21 3

22 3

24a 3

24b 3

24c 3

24d 3

25a

25b

26 3

27 3

Form 990 (2008)

4 t

Form 990 (2008)

Checklist of Required Schedules (continued)Yes No

28 During the tax year, did any person who is a current or former officer, director, trustee, or key employee:

a Have a direct business relationship with the organization (other than as an officer, director, trustee, or

employee), or an indirect business relationship through ownership of more than 35% in another entity

lete Schedule Ln A)? If "Yes " coml d in P rt VII til ith th t Sll ll tdd ,pis , ,y w er person(s) e a ec oy or co ive o(in ivi ua ec

Part IV 28a 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b Have a family member who had a direct or indirect business relationship with the organization? If "Yes,"

Part IVcomplete Schedule L 28b 3. . . . . . . . . . . . . . . . . . .,

c Serve as an officer, director, trustee, key employee, partner, or member of an entity (or a shareholder of a

" complete Schedule L Part IVprofessional corporation) doing business with the organization? If "Yes 28c 3. .,,

" complete Schedule M000 in non-cash contributions? If "Yes29 Did the organization receive more than $25 29 3,,

30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified

" complete Schedule Mconservation contributions? If "Yes 30 3. . . . . . . . , ,,

31 Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,

Part I 31 3. . . . . . . . . . . . . . . . . . . . . . . . . . . .

32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?/f "Yes, " complete

Schedule N Part 11 32 3. . . . . . . . . . . . . . . . . . . . . . . . . .,

33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations

Part I" complete Schedule R7701-2 and 301 7701-3? If "Yessections 301 33 3,. , . . . . . . . . . ..

34 Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Parts ll,

line 1111 IV and V 3 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . ., , ,

35 Is any related organization a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete

line 2Schedule R Part V 35, , . . . . . . . . . . . . . . . . . . . . .

36 Section 501 (c)(3) organizations . Did the organization make any transfers to an exempt non-charitable related

line 2" complete Schedule R Part Vorganization? If "Yes 36, , . . . . . . . . . . . . . . . .,37 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? If "Yes," complete Schedule R, PartVl. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 3

Form 990 (2008)

I,4

Form 990 (2008)

Statements Regarding Other IRS Filings and Tax ComplianceYes No

la Enter the number reported in Box 3 of Form 1096, Annual Summary and Transmittal of

'U.S. Information Returns. Enter -0- if not applicable . . . . . . . . . . . la 16

b Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable . . lb 0 -

ortablements to vendors and rel with b ku withholdin rule for re ort ble atDid th py p g p p ye organiza ion comp ac s acgaming (gambling) winnings to prize winners? 1c 3. . . . . . . . . . . . . . . . . . . .

2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax

ear endin with or within the ear covered b this returnfiled for the calendarStatements 2a 119g yy y,did the organization file all required federal employment tax returns?b If at least one is reported on line 2a b 3,

Note. If the sum of lines 1 a and 2a is greater than 250, you may be required to a-file this return. (see

r

instructions)the ear covered bross income of $1 000 or more durinanization have unrelated businessDid th or3 , g y ygga e

this return? 3. . . . . . . . . . . . . . . . . . . . . . . . . .

" provide an explanation in Schedule 0" has it filed a Form 990-T for this year? If "NoIf "Yesb 3b. . .,,

4a 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)? 4a 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b If "Yes," enter the name of the foreign country: ► ..................................................................

See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bankand Financial Accounts.

5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?. . 5a 3

b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? 513 3

c If "Yes," to question 5a or 5b, did the organization file Form 8886-T, Disclosure by Tax-Exempt Entity

Regarding Prohibited Tax Shelter Transaction? 5c. . . . . . . . . . . . . . . . . .

6a Did the organization solicit any contributions that were not tax deductible ? 6a 3. . . . . .

b If "Yes," did the organization include with every solicitation an express statement that such contributions orgifts were not tax deductible? 6b. . . . . . . . . . . . . . .

7 Organizations that may receive deductible contributions under section 170(c).

e for an ro uo contribution of more thanrovide oods or services in exchan uidd th or anizationa D g y q p qg p gi e

$759 7a. . . . . . . . . . . . . . . . . . .

" did the organization notify the donor of the value of the goods or services provided?b If "Yes 7b.,

c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was

required to file Form 8282? 7c

d If "Yes," indicate the number of Forms 8282 filed during the year . 7d

or indirectl remiums on a ersonalreceive an funds directl to an rin the eard th i ti dD y,y y p y p p, g , ,e organ za o u ye ibenefit contract? 7e. . . . . . . . . . . . . . . . . . . . . . . . . .

directly or indirectly on a personal benefit contract?pay premiumsf Did the organization during the year If,, ,,

did the organization file Form 8899 as required?g For all contributions of qualified intellectual property 7.,

h For contributions of cars, boats, airplanes, and other vehicles, did the organization file a Form 1098-C asrequired? i 7h. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8 Section 501 (c)(3) and other sponsoring organizations maintaining donor advised funds and sectiononsorinor a fund maintained banizations Did the su ortin or anization a sorti509( 3 a} ^' n ''m, gg g y pg . pp) suppor nga)(

have excess business holdings at any time during the year? . . . . . . . . .organization 8, .

9 Section 501 (c)(3) and other sponsoring organizations maintaining donor advised funds.

a Did the organization make any taxable distributions under section 4966? 9a. . . . . . . . . . .

or related person?. . . . . . ,donor advisorb Did the organization make a distribution to a donor 9b, ,

10 Section 501(c )(7) organizations . Enter:

a Initiation fees and capital contributions included on Part VIII, line 12. . . . . .

for public use of club facilitiesPart VIII line 12included on Form 990b Gross receipts

10a

10b, ,,,

11 Section 501(c)( 12) organizations . Enter.

a Gross income from members or shareholders . 11at

' M '^''`'

b Gross income from other sources (Do not net amounts due or paid to other sources againstamounts due or received from them ) 11b

m Y r u

. .

12a Section 4947(a)(1) non-exempt charitable trusts . Is the organization filing Form 990 in lieu of Form 1041? 12a

b If "Yes," enter the amount of tax-exempt interest received or accrued during the year. 112b

Form 990 (2008)

Form 990 (2008)

Governance, Management, and Disclosure (Sections A, B, and C request information about policies not

required by the Internal Revenue Code.)

Section A. Governing Body and Management

For each "Yes" response to lines 2-7b below, and for a "No" response to lines 8 or 9b below, descnbe the 2 X , ti

circumstances, processes, or changes in Schedule 0. See instructions.

la Enter the number of voting members of the governing body . . . . . . . . . la 12 . '^

b Enter the number of voting members that are independent . . . . . . . . lb 12

2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with L' ' t ")

any other officer, director, trustee, or key employee'? . . . . . . . . . . . . . 2

3 Did the organization delegate control over management duties customarily performed by or under the directsupervision of officers, directors or trustees, or key employees to a management company or other person? . 3

4 Did the organization make any significant changes to its organizational documents since the prior Form 990 was filed? 45 Did the organization become aware during the year of a material diversion of the organization's assets? 5

6 Does the organization have members or stockholders? . . . . . . . . . . . . . . . 6 3

7a Does the organization have members, stockholders, or other persons who may elect one or more members

of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . 7a 3

b Are any decisions of the governing body subject to approval by members, stockholders, or other persons? . 7b 3

8 Did the organization contemporaneously document the meetings held or written actions undertaken during $t %'

the year by thefollowing` s t

a The governing body? . . . . . . . . . . . . . . . . . .b Each committee with authority to act on behalf of the governing body? . . . . , 8b 3

9a Does the organization have local chapters, branches, or affiliates? . . . . . . . . . . . . 9a

b If "Yes," does the organization have written policies and procedures governing the activities of such chapters,affiliates, and branches to ensure their operations are consistent with those of the organization? . . . , 9b

10 Was a copy of the Form 990 provided to the organization's governing body before it was filed? All organizationsmust describe in Schedule 0 the process, if any, the organization uses to review the Form 990 . . . . . . 10 3

11 Is there any officer, director or trustee, or key employee listed in Part VII, Section A, who cannot be reached atthe organization's mailing address'? If "Yes," provide the names and addresses in Schedule 0 . 11

Section B. Policies

No

No

12a Does the organization have a written conflict of interest policy? If "No," go to line 13 . . . 12a LV -L

b Are officers, directors or trustees, and key employees required to disclose annually interests that could give

rise to conflicts? . . . . . . . . . . . . . . . . . . . . . . . . . . 12b 3

c Does the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"describe in Schedule 0 how this is done . . . . . . . . . . . . . . . . . . . .

13 Does the organization have a written whistleblower policy? . . . . . .14 Does the organization have a written document retention and destruction policy? . . . . . . .

15 Did the process for determining compensation of the following persons include a review and approval by

independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision.

a The organization's CEO, Executive Director, or top management official? . . . . . . . . . .

b Other officers or key employees of the organization ? . . . . . . . . . . . . . . . 75n

Describe the process in Schedule 0. (see instructions)

16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement

with a taxable entity during the year? . . . . . . . . . . . . . . . . . . . . 16a 3

b If "Yes," has the organization adopted a written policy or procedure requiring the organization to evaluate gZ"

its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard am :`IUthe organization's exempt status with respect to such arrangements'? 16b

Section C. Disclosure

17 List the states with which a copy of this Form 990 is required to be filed

18 Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only)

available for public inspection. Indicate how you make these available. Check all that apply.

q Own website q Another's website 0 Upon request

19 Describe in Schedule 0 whether (and if so, how), the organization makes its governing documents, conflict of interest

policy, and financial statements available to the public.

20 State the name, physical address, and telephone number of the person who possesses the books and records of the

organization: ► John E_ Panczner , c/o PCRB , United Plaza Building , Suite 1500 , 30 S_ 17th Street, Phila, PA-19103-4007

- --------------(2151 320-4414

Form 990 (2008)

Form 990 (2008)

Compensation of Officers, Directors , Trustees , Key Employees, Highest Compensated

Employees , and Independent Contractors

Section A. Officers , Directors , Trustees , Key Employees , and Highest Compensated Employees

1a Complete this table for all persons required to be listed. Use Schedule J-2 if additional space is needed

• List all of the organization' s current officers, directors, trustees (whether individuals or organizations), regardless of amountof compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

• List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee)who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from theorganization and any related organizations.

• List all of the organization' s former officers, key employees, and highest compensated employees who received more than$100,000 of reportable compensation from the organization and any related organizations

• List all of the organization 's former directors or trustees that received, in the capacity as a former director or trustee ofthe organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order individual trustees or directors; institutional trustees; officers; key employees; highestcompensated employees; and former such persons.

q Check this box if the organization did not compensate any officer, director, trustee, or key em to ee

(A) (B) (C) (D) (E) (F)

Name and Title Average Position (check all that apply) Reportable Reportable Estimatedhours per > > M = -n compensation compensation amount ofweek a ID .03,0

mo

3from from related other

aM m mo ER the organizations compensation

d-8 , is

organization (W-2/1099-MISC) from the° o o

3(W-2/1099-MISC) organization

$2 (D and related

CD organizationsmCD

American Home Assurance Company------------------------------------ 3 0 0 0

Amguard Insurance Company __________________ 0 0 0

_Harleysville_ InsuranceComany _________________ 0 0 0

of North AmericaInsurance ompanyC _ _________--- ----------------Chair 3

0 0 0

Department of Labor 8 Industry ________________0 0 0

Liberty Mutual Insurance Company--y-0 0 0

National Federation of Independent Busines0 0 0

of Bus& IndustrXPennsxlvania Chamber_ _ __ ---- 3 0 0 0

Penn National Insurance Company3 0 0 0

_PMA Insurance Companx________________________0 0 0

Selective Insurance Company3 0 0 0

State Workers Insurance Fund (Vice Chair)- ------------ 0 0 0

Zenith Insurance Company0 0 0

Timothy L. Wisecarver, President ______________25 $346,462 0 $21,2153

-Bruce

-E.

-Decker,

-Sr.

-Vice

-President

----------- -_------------------------------------ 20 135,135 0 17,3153

William J_Taggart,- Vice- President______________ 20 123,790 0 16,2063

John E. Panczner , Secretary -Treasurer30 3 100 ,979 0 18,324

Form 990 (2008)

^ t.

Form 990 (2008)

Section A. Officers , Directors, Trustees, Key Employees , and Highest Compensated Employees (continued)

(A) (B) (C) (D) (E) (F)

Name and title Average Position (check all that apply) Reportable Reportable Estimatedhours per > > 0 CD _ -n compensation compensation amount ofweek a ; m 3,0 R from from related other

CD Q. E 2 m U CD-

m the organizations compensation0 c o

'mm

organization (w-2/1099-MISC) from theo

o (W-2/1099-MISC) organization

gym

_

c m3 and relatedand related.

CDCD

CD0CDQ.

organizations

Michael J . Doyle, Chief Actuary- --------------------------------------------------- 20 145 ,813 0 9,5773

John J. Murphy , Director - Systems &-------- -- -

Programmiming-g----------------------------------- 20 3 114,863 0 19,504

Andrey Lapchenko - LAN Manager-------------------------------------------------------- 20 108,683 0 18,544

Betty Ann Campbell - Director, Rating Rules---------------------------------------------

& Policy Reporting 20 3 106 ,092 0 15,775

Vincent P. Dean - Director , Classification &----- perations ----------------------------------Field- -- -- -- 20 3 101 ,704 0 18,638

--------------------------------------------------------

--------------------------------------------------------

--------------------------------------------------------

--------------------------------------------------------

--------------------------------------------------------

--------------------------------------------------------

--------------------------------------------------------

--------------------------------------------------------

1 b Total . ► $1 ,283 , 521 1 $155,0982 Total number of individuals (including those in 1a) who received more than $100,000 in reportable compensation from the

organization ► 9

No

3 Did the organization list any former officer, director or trustee, key employee, or highest compensated '" 3 x-:1employee on line 1 a? If "Yes," complete Schedule J for such individual . . . . . . . . . 3 3

4 For any individual listed on line 1 a, is the sum of reportable compensation and other compensation fromthe organization and related organizations greater than $150 000? If "Yes " complete Schedule J for such, ,individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 3

5 Did any person listed on line 1 a receive or accrue compensation from any unrelated organization forservices rendered to the organization? If "Yes," complete Schedule J for such person 5 3

Section B. Independent Contractors

1 Complete this table for your five highest compensated independent contractors that received more than $100,000 ofcompensation from the organization.

(A)Name and business address

(B)Description of services

(C)Compensation

Yurcor , 100 E . Linton Rd, Delray , FL 33483 IT Database Mgt & $106,119Consulting

2 Total number of independent contractors (including those in 1) who received more than $100,000 mcompensation from the organization ► 1

s.?,-,ray;.: ;^

fflo$flY'n 3 `

d

Form 990 (2008)

Form 990 (2008)

Statement of Revenue(A) (B) (C) (D)

Total revenue Related or Unrelated Revenueexempt business excluded from taxfunctionrevenue

revenue under sections512 , 513 , or 514

C c la Federated campaigns 1a

o, 0 b Membership dues 1 b 10 ,656,260

m W.

c Fundraising events 1c

rn d Related organizations . . 1d 866,536

y e Government grants (contributions) 1e0

.

3 d f All other contributions, gifts, grants,l I:e and similar amounts not included above If

o g Noncash contributions included in lines la-1f $h Total. Add lines 1a-1f . . . . . . ► 11,522,796

Business Code

mcc b

d ------------------------•------------------E -----------------------eCD

------------------- -f All other program service revenue

a g Total. Add lines 2a-2f ► ,j , N ? - ,'

3 Investment income (including dividends, interest, andother similar amounts) . . . . . . . . . ► 73,212

4 Income from investment of tax-exempt bond proceeds ►5 Royalties . . . ►

O Real (n) Personal :•, ?` M . r^ :, .. x <^ s# a

a,Ca,m

a`)

0

6a Gross Rents

b Less- rental expenses

c Rental income or (loss)d Net rental income or (loss) . ►

7a Gross amount from sales of (1 Securities (ii) Other

assets other than inventory

b Less. cost or other basis

and sales expenses

c Gain or (loss)d Net gain or (loss) . . . . . . . ►

8a Gross income from fundraisingevents (not including $ ..............

of contributions reported on line 1c)See Part IV, line 18 . . . . . . a

b Less: direct expenses . . . . bc Net income or (loss) from fundraising events . . ►

9a Gross income from gaming activities.See Part IV, line 19 . . . . . . a

b Less: direct expenses. . . . . b

rar,';^:

^€^' '^'i p ,,>,+#,^.'i%1";,.,• 1 .. 6'+̂^ S: ^z,'IZ,• tiFir ^rj 'in^`"n`

iA^

c Net income or (loss) from gaming activities - ►

Oa Gross sales of inventory, lessreturns and allowances . . , a

b Less: cost of goods sold . - . bc Net income or (loss) from sales of inventory . . ►

Miscellaneous Revenue Business Code

1a Special Services, Printing & 524298- ----------------------------------------b Seminars

C ...........................................

d All other revenue . . . . . . .

e Total . Add lines 11a-11d . . . . . . . . ►2 Total Revenue . Add lines 1h, 2g, 3, 4, 5, 6d, 7d, 8c,

9c, 1Oc, and 11e . . . . . . . . . . . ►

;-Yam': "

`^

^^t^^14^^^,•^ ^xr €.^^4 '^Y„p_!- ^^6Y.-^, r^^>:^3n.

u^^ftieer T'

^ K'.w,^

Form 990 (2008)

Form 990 (2008)

Statement of Functional Expenses

Section 501 (c)(3) and 501 (c)(4) organizations must complete all columns.

An oxner organizations must complete column (ral out are not regwrea to comptese cowmns tai , 04, ano tul.

Do not include amounts reported on lines 6b,

7b, 8b, 9b, and 10b of Part Vlll.

(A)Total expenses

(e)Program service

ex penses

(c)Management andeneralex nses

(o)Fundraisingexpenses

1 Grants and other assistance to governments andorganizations in the U S See Part IV line 21,.

2 Grants and other assistance to individuals inthe U See Part IV line 22S ,. . . . . . .

3 Grants and other assistance to governments,organizations , and individuals outside the

U.S. See Part IV, lines 15 and 16

4 Benefits paid to or for members . . . .

5 Compensation of current officers , directors,

trustees, and key employees . . . . . 815,367 529 ,987 285,380

6 Compensation not included above, to disqualified

persons (as defined under section 4958 (0(1)) andpersons described in section 4958(c)(3)(B) . .

7 Other salaries and wages . . . . . . 5,759 ,069 3 ,743,395 2 ,015,674

8 Pension plan contnbutions (include section 401(k)

and section 403(b) employer contributions) . 1,229 , 713 799,313 430,400

9 Other employee benefits . . . . . . 974,016 633,110 340,906

10 Payroll taxes . . . . . . . . . . 477,895 310,632 167,263

11 Fees for services (non-employees).

a Management .. . . . . . . .b Legal . . . . . .. 72,737 47,279 25,458. . .c Accounting . . . . . . . . . . 33,700 21 , 905 11,795.d Lobbying .e Professional fundraising services See Part IV , line 17

f Investment management fees . . . . .

g Other 1,714 1,114 600

12 Advertising and promotion . . . . . .13 Office expenses . . . . . . . . . 70,138 45,590 24,548

14 Information technology . . . . . . . 773,424 502 , 726 270,698

15 Royalties .

16 Occupancy 519,001 337 , 351 181,650. . . .

17 Travel . . . . . . . . .. 152,752 99 , 289 53,463. .

18 Payments of travel or entertainment expenses

for any federal state or local public officials, ,

conventions, and meetings .19 Conferences ,

20 Interest . . . . . . . . .. . .

21 Payments to affiliates . . . . . . .

and amortization ,22 Depreciation depletion 274,215 178 , 240 95,975, ,23 Insurance . . . . . . . . . . . 68,073 44,247 23 , 826

24 Other expenses . Itemize expenses notcovered above . (Expenses g rou ped tog etherand labeled miscellaneous may not exceed5% of total expenses shown on line 25 below

J `="a

'

f ' `' 'R h , ' `

a WCRI Benchmarking Study- - - -------------------------------------- 195 , 000 126 , 750 68 ,250b Postage and telephone 93,749 60 ,937 32 ,812c Equipment and furnishings 47,408 30 , 815 16,593

d Employee overhead and education 45,844 29,799 16,045

e Minimum Pension Liability 5,053 , 794 3 ,284,966 1 ,768 828

f All other expenses .............................25 Total functional expenses . Add lines 1 throug h 24f 16,657 , 609 10,827,445 5 , 830,16426 Joint Costs. Check here ► if following

SOP 98-2. Complete this line only if theorganization reported in column (B) joint costsfrom a combined educational campaign andfundraising solicitation

Form 990 (2008)

Form 990 (2008)

1EMM Balance Sheet

(A)Beginning of year

(B)End of year

1 Cash-non-interest-bearing . . . . . . . . . . 28,523 1 261,052. . . .2 Savings and temporary cash investments 1 817 169 2 2,318 491. . . . . . . . . .

3 Pledges and grants receivable net . . . . . 3, . . . .

4 Accounts receivable, net . . . . . . . . 230,092 4 371,461. . . . . . .

5 Receivables from current and former officers, directors, trustees, keyemployees, or other related parties. Complete Part II of Schedule L 5.

6 Receivables from other disqualified persons (as defined under section4958(f)(1)) and persons described in section 4958(c)(3)(B) Complete

-

.Part II of Schedule L . . . . 6

U) 7 Notes and loans receivable net 7,

8 Inventories for sale or use . 8

a 9 Prepaid expenses and deferred charges . 456 ,231 9 314 011

and equipment: cost basis10a Land buildings 10a 1 ,727,162, ,

b Less: accumulated depreciation Complete

Part VI of Schedule D . . . . . 10b 707,061 1 , 055,287 10c 1,020,101

11 Investments-publicly traded securities . . . . . . . . . . 11

12 Investments-other securities See Part IV, line 11 . . . . . . 12

13 Investments-program-related. See Part IV, line 11 . . . . . . 13

14 Intangible assets . . . . . . . 14

15 Other assets. See Part IV, line 11 . . 214 ,323 15 207 ,67116 Total assets . Add lines 1 throu g h 15 (must equal line 34) 3 ,801,625 16 4 ,492 ,787

17 Accounts payable and accrued expenses . . . . . . . . 780,200 17 1,362,956

18 Grants payable . . . . . . . . . . . . . . . 18

19 Deferred revenue . . . . . . . . . . . . . . . 19. . .20 Tax-exempt bond liabilities . . . . . . . . . . . . 20

U). .

21 Escrow account liability. Complete Part IV of Schedule D . . . . 21

22 Payables to current and former officers, directors, trustees, key

highest compensated employeesemployees and disqualified ^^ ^^ ^ ^ ^_ t` • M^

"j, ,

persons. Complete Part II of Schedule L . 22

23 Secured mortgages and notes payable to unrelated third parties 23

24 Unsecured notes and loans payable . . 24. . .

25 Other liabilities. Complete Part X of Schedule D . . . . . . . 3,464,529 25 8 , 519 ,90926 Total liabilities . Add lines 17 through 25 4,244, 729 26 9 ,882 , 865

Organizations that follow SFAS 117, check here ► q and

complete lines 27 through 29, and lines 33 and 34. a- g" -

2 27 Unrestricted net assets . . . . . . . . . 443,104 27 (5,390,078 )M

. . .28 Temporarily restricted net assets . . . . . . . . . . . 28.29 Permanently restricted net assets . . . . . . . . . . . 29

Lio

Organizations that do not follow SFAS 117, check here 0- Eland complete lines 30 through 34. °-

11 or current funds30 Capital stock or trust principal 30

y

, . . . . . . .

or land or equipment fund31 Paid-in or capital surplus building 31, , ,

endowment, accumulated income, or other funds32 Retained earnings 32

mZ

,33 Total net assets or fund balances . . . . . . . . . . 3 , 104) 33 (5,390,078)34 Total liabilities and net assets/fund balances 3 , 801 ,625 34 4,492,787

Financial Statements and Reportin gYes No

1 Accounting method used to prepare the Form 990: q Cash q Accrual q Other

2a Were the organization's financial statements compiled or reviewed by an independent accountant? . . 2a 3

b Were the organization's financial statements audited by an independent accountant? . . . . . . 2b 3

c If "Yes" to lines 2a or 2b, does the organization have a committee that assumes responsibility for oversight of

or compilation of its financial statements and selection of an independent accountant? . .the audit review 2c 3, ,

3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth inthe Single Audit Act and OMB Circular A-133? . . . . . . . . . . . . . . . . . . 3a 3

b If "Yes," did the organization undergo the required audit or audits? . 3b

Form 990 (2008)

SCHEDULE D(Form 990) Supplemental Financial Statements

OMB No 1545-0047

Department of the Treasury ► Attach to Form 990. To be completed by organizations that

internal Revenue service answered "Yes," to Form 990, Part IV , line 6, 7 , 8, 9, 10 , 11, or 12.

Name of the organization Employer identification number

nia Compensation Rating Bureau ^ 23 ; 0958260

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts . Complete ifthe organization answered "Yes" to Form 990, Part IV, line 6.

(a) Donor advised funds I (b) Funds and other accounts

1 Total number at end of year . . . .

2 Aggregate contributions to (during year)

3 Aggregate grants from (during year)

4 Aggregate value at end of year . . .5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advised

funds are the organization's property, subject to the organization's exclusive legal control? . . . q Yes q No

6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may beused only for charitable purposes and not for the benefit of the donor or donor advisor or otherimpermissible private benefit? q Yes q No

FOM Conservation Easements . Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

1 Purpose(s) of conservation easements held by the organization (check all that apply).

q Preservation of land for public use (e.g., recreation or pleasure) q Preservation of an historically important land area

q Protection of natural habitat q Preservation of certified historic structure

q Preservation of open space

2 Complete lines 2a-2d if the organization held a qualified conservation contribution in the form of a conservation easementon the last day of the tax year.

a Total number of conservation easements . . . . . . . . . . .b Total acreage restricted by conservation easements . . . . . . . . . .

c Number of conservation easements on a certified historic structure included in (a) . .

d Number of conservation easements included in (c) acquired after 8/17/06. .

3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization duringthe taxable year ► -------------------

4 Number of states where property subject to conservation easement is located 1,--------------------

5 Does the organization have a written policy regarding the periodic monitoring, inspection, violations, andenforcement of the conservation easements it holds? . . . . . . . . . . . . . . . . . q Yes El No

6 Staff or volunteer hours devoted to monitoring, inspecting, and enforcing easements during the year

7 Amount of expenses incurred in monitoring, inspecting, and enforcing easements during the year lo- $ -------------------

8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section170(h)(4)(B)(i) and section 170(h)(4)( B)(ii)? . . . . . . . . . . . . . . . . . . . . . . El Yes 1:1 No

9 In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, andbalance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describesthe organization's accounting for conservation easements.

Organizations Maintaining Collections of Art, Historical Treasures , or Other Similar Assets.Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

la If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works ofart, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

b If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,provide the following amounts relating to these items:

() Revenues included in Form 990, Part VIII, line 1 . . . . . . . . . . . ► $_________________________

(ii) Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . ► $_________________________

2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide thefollowing amounts required to be reported under SFAS 116 relating to these items:

a Revenues included in Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . ► $________________________b Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . ► $________________________-

" ' Held at the End of the Year

2a

2b

2c

2d

For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990. Cat No 52283D Schedule D (Form 990) 2008

Schedule D (Form 990) 2008 Page 2

Organizations Maintaining Collections of Art, Historical Treasures , or Other Similar Assets (continued)

3 Using the organization's accession and other records, check any of the following that are a significant use of its collectionitems (check all that apply):

a q Public exhibition d q Loan or exchange programsb q Scholarly research e q Other ----------------------------------------------------c q Preservation for future generations

4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose inPart XIV.

5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar qassets to be sold to raise funds rather than to be maintained as part of the organization's collections q Yes No

ROM Trust, Escrow and Custodial Arrangements . Complete if organization answered "Yes" to Form 990,Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

la Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets notincluded on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . q Yes q No

b If "Yes," explain the arrangement in Part XIV and complete the following table.

Endowment Funds . Complete if organization answered "Yes" to Form 990, Part IV, line 10.(a) Current year (bl Prior year (c) Two years back (d) Three years back (e) Four years back

c Beginning balance . . . . . . . . . . . . . . . . . .

d Additions during the year . . . . . . . . . . . . . .

e Distributions during the year . . . . . . . . . . .

f Ending balance . . . . . . . . . . . . . . . . . . .

2a Did the organization include an amount on Form 990 , Part X, line 21'b If "Yes ," explain the arran gement in Part XIV.

la Beginning of year balance . . .

b Contributions . . . . . . .

c Investment earnings or losses .

d Grants or scholarships . . .

e Other expenditures for facilitiesand programs . .

f Administrative expenses . . .g End of year balance . . . .

'- ¢ - Vii, .+'L* d - a '̂6 'Y^*^yea - - ^ i', ,? •,^y, i' `5 ,, - .._ ^ e

'., - .d... .;1 ; > "fix= .oK'r• Ta 'l& ^ s` _' z. ,fir, u ^ t

'ia b

2 Provide the estimated percentage of the year end balance held as:

a Board designated or quasi-endowment ► --------------- %

b Permanent endowment ►----------------c Term endowment ► --------------- %

3a Are there endowment funds not in the possession of the organization that are held and administered for theorganization by: Yes No

(i) unrelated organizations . . . . . . . . . . . . . . . . . . . . . . . . 3a(i)

(ii) related organizations . . . . . . . . . . . . . 3a it

b If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R' . . . . . . 3b4 Describe in Part XIV the intended uses of the organization's endowment funds.

GULMI Investments - Land , Buildin s, and Eq uipment. See Form 990, Part X, line 10.

Description of investment (a) Cost or other basis(investment)

(b) Cost or otherbasis (other)

(c) Depreciation (d) Book value

is Land . . . . . . . . . . . .

b Buildings . . . . . . . . . . .

c Leasehold improvements . . 232,852 23, 046 209,806. . .d Equipment . . . . . . . . . 1,494,310 684,015 810,295e Other .

Total. Add lines 1a-1 e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).) . ► 1,020,101

Amount

1c

1d

ie

If

. . . . . . . . . . . q Yes El No

Schedule D (Form 990) 2008


Investments -Other Securities . See Form 990 , Part X , line 12.(a) Description of security or category (b) Book value ( c) Method of valuation

(including name of security) Cost or end-of-year market value

Financial derivatives and other financial products.

Closely-held equity interests . .

Other ------------------------------------------------

-------------------------------------------------------

-------------------------------------------------------

-------------------------------------------------------

-------------------------------------------------------

----------------------------------------------------------

----------------------------------------------------------

------------------------------------------------------- --

----------------------------------------------------------

Total. (Column (b) should equal Form 990, Past X, col (B) line 12) ►Investments - Program Related . See Form 990, Part X, line 13.

(a) Description of investment type

I I

(b) Book value (c) Method of valuationCost or end-of-year market value

Total. (Column (6) should equal Form 990, Part X, col. (B) line 13) ►Ims Other Assets . See Form 990, Part X, line 15.

(a) Description ( b) Book value

Total . (Column (b) should equal Form 990, Part X, col. (B) line 15.) ►Other Liabilities . See Form 990, Part X, line 25.

(a) Description of liability (b) Amount

Federal income taxes

Deferredrefundable to members

Total. (Column (b) should equal Form 990, Part X, col. (B) line 25.) ' 1 8,519,9091

In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability foruncertain tax positions under FIN 48.


4 k'J

Schedule D (Form 990) 2008 4

Reconciliation of Change in Net Assets from Form 990 to Financial Statements

1 Total revenue (Form 990, Part VIII, column (A), line 12) . . . . . . . 1 11,710,635

2 Total expenses (Form 990, Part IX, column (A), line 25) . . . . . . . . . 2 16,657,609

3 Excess or (deficit) for the year. Subtract line 2 from line 1 . . . . . . . . . . . . 3 ( 4,946,974)

4 Net unrealized gains (losses) on investments . . . . . . . . . . . . . . 45 Donated services and use of facilities . . . . . . . . . . . . . . . . 5

6 Investment expenses . . . . . . . . . . . . . . . . . . . . . . 67 Prior period adjustments . . . . . . . . . . . . . . . . . . . . 78 Other (Describe in Part XIV) . . . . . . . . . . . . . . . . . . 89 Total adjustments (net). Add lines 4-8 . . . . 910 Excess or (deficit) for the year per financial statements Combine lines 3 and 9 . 10 (4,946,974)

Reconciliation of Revenue per Audited Financial Statements With Revenue per Return

1 Total revenue, gains, and other support per audited financial statements . . . . . . . 1 10,844,099

2 Amounts included on line 1 but not on Form 990, Part VIII, line 12-

a Net unrealized gains on investments . . . . . . . . 2a

b Donated services and use of facilities . . . . . . 2b

c Recoveries of prior year grants . . . . . . . . . 2c

d Other (Describe in Part XIV) . . . . . . 2d

e Add lines 2a through 2d . . . . . . . . . . . 2e

3 Subtract line 2e from line 1 . . . . . . . . . . . . 3 10 , 844 ,0994 Amounts included on Form 990, Part VIII, line 12, but not on line 1:

a Investment expenses not included on Form 990, Part VIII, line 7b 4a

b Other (Describe in Part XIV) . . . . . . . . . 4b 866 536c Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . 4c 866,536

5 Total revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) 5 11 ,710 ,635Reconciliation of Expenses per Audited Financial Statements With Expenses per Return

1 Total expenses and losses per audited financial statements . . . . . . . . 1 15,791,073

2 Amounts included on tine 1 but not on Form 990, Part IX, line 25:

a Donated services and use of facilities . 2a ^`

b Prior year adjustments . . . . . . . . . . . 2b

c Losses reported on Form 990, Part IX, line 25 . . . . . . . 2c

d Other (Describe in Part XIV) . . . . . . . . . . . . . 2d

e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . 2e

3 Subtract line 2e from line 1 . . . . . . . . . . . . . . , 3 15,791,073

4 Amounts included on Form 990, Part IX, line 25, but not on line 1:

a Investment expenses not included on Form 990, Part VIII, line 7b 4a y,: }

b Other (Describe in Part XIV) . . . . . . . . . . . . 4b 866 , 536

c Add lines 4a and 4b 4c 866,5365 Total expenses. Add lines 3 and 4c. his should eq ual Form 990, Part I, line 18. ) 5 16 ,657 ,609

199ifM. SuoDlementalInformation

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1 a and 4; Part IV, lines 1 band 2b; Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b.

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XII 4c. Revenue received from the Delaware Compensation Rating Bureau (DCRB), Inc. is reported as an offset

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to PCRB expense as shown on the audited financial statments-------------------------------------------------------------------------------------------------------------------------------------------------------

XII 4b. Audited financial statements report PCRB expense net of reimbursement from DCRB, Inc.-------------------------------------------------------------------------------------------------------------------------------------------------------


{ I)


ORM. Supplemental Information (continued)

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SCHEDULE R(Form 990)

Department of the TreasuryInternal Revenue Service

Name of the organization

Related Organizations and Unrelated Partnerships

Attach to Form 990. To be completed by organizations that answered "Yes" to Form 990, Part IV, line 33, 34,35, 36, or 37.

See separate instructions.

Pennsylvania Compensation Rating Bureau

Identification of Disregarded Entities

OMB No. 1545-0047

2008Open to..Public

InspectionEmployer identification number

23 : 0958260

(A)Name, address, and EIN of disregarded entity

(B)Primary activity

(c)Legal domicile (stateor foreign country)

(D)Total income

(E)End-of-year assets

(F)Direct controlling

entity

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Identification of Related Tax-Exempt Organizations

(A)Name, address , and EIN of related organization

(B)Primary activity

(C)Legal domicile (stateor foreign country)

(D)Exempt Code section

(E)Public charity status( if section 501 (c)(3))

(F)

Direct controll i ngentity

-Delaware Compensation- Rating -Bureau, - Ino- -------------------------------

WIC Insurance Rate - Delaware 501 (c) 6 NIA

----United Plaza$Idg.; Suite 'F500; -30- S: 1-7th-StreetPktila;- PA--------------making

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For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990. Cat No. 50135Y Schedule R (Form 990) 2008

Schedule R (Form 990) 2008 Page 2

Identification of Related Organizations Taxable as a Partnership

(A)Name, address, and EIN of

related organization

(B)Primary activity

(C)

Legaldomicile(state orforeign

country)

(D)Direct controlling

entity

(E)

Predominantincome (related,

investment,unrelated)

(F)Share of total income

(G)Share of end-of-year

assets

(H)Disproporoonate

allocatrons?

(I)

Code V-UBIamount In box 20 of

Schedule K-1(Form 1065)

W)

General ormanagingpartner?

Yes No Yes No

-None---------------------------

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Identification of Related Organizations Taxable as a Corporation or Trust

(A)

Name, address, and EIN of related organization(B)

Primary activity

(C)

Legal domicile(state or

foreign country)

(D)Direct controlling

entity

( E)

Type of entity(C corp, S corp,

or trust)

(F)Share of total income

(G)Share of

end-of-year assets

(H)Percentageownership

-None------------------------------------------------------------

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Schedule R (Form 990) 2008


Transactions With Related Organizations

Note. Complete line 1 If any entity is listed in Parts II, III, or IV. Yes No

I During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . . . . 1a 3

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . lb 3

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . is 3

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . id 3

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . le 3

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . if 3

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 3

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1h 3

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . ii 3

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 3

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . Ilk 3

I Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . 11 3

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . IM 3n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1n 3

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 a I Ir Other transfer of cash or property from other organization(s) it 3

z if the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(A)Name of other organization(s)

(B)Transactiontype (a-r)

(C)Amount involved

(1) DCRB, Inc.p $866,536

(2)

(3)

(4)

(5)

(6)



Unrelated Organizations Taxable as a Partnership

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assetsor gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(A)

Name, address, and EIN of entity(B)

Primary activity

(C)

Legal domicile(state or foreign

country)

(D)

Are all partnerssection

501 (c)(3)organizations '?

(E)Share of

end-of-yearassets

(F)Disproportionate

allocations?

(G)

Code V-UBIamount in box 20of Schedule K-1

(Form 1065)

(H)

General ormanagingpartner?

Yes No Yes No Yes No

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SCHEDULE J(Form 990)

Department of the TreasuryInternal Revenue Service

Name of the organization

Pennsylvania Comoensation Bureau

OMB No 1545-0047

2008

Employer identification number

23 : 0958260

Compensation InformationFor certain Officers, Directors, Trustees, Key Employees, and Highest

Compensated Employees

► Attach to Form 990. To be completed by organizationsthat answered "Yes" to Form 990, Part IV, line 23.

1a Check the appropriate box(es) if the organization provided any of the following to or for a person listed in Form990, Part VII, Section A, line la. Complete Part III to provide any relevant information regarding these items

q First-class or charter travel q Housing allowance or residence for personal use

q Travel for companions q Payments for business use of personal residence

q Tax indemnification and gross-up payments q Health or social club dues or initiation fees

q Discretionary spending account q Personal services (e.g., maid, chauffeur, chef)

b If line la is checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all of the expenses described above? If "No," complete Part III to explain . . . . . . 1t

2 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by allofficers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1 a? . 2

3 Indicate which, if any, of the following the organization uses to establish the compensation of theorganization's CEO/Executive Director. Check all that apply.

Compensation committee q Written employment contract

Independent compensation consultant IZ Compensation survey or study

q Form 990 of other organizations IZ Approval by the board or compensation

4 During the year, did any person listed in Form 990, Part VII, Section A, line 1a:

a Receive a severance payment or change of control payment? . . . . . . . . . . . . . . .b Participate in, or receive payment from, a supplemental nonqualified retirement plan? . . . . . . .c Participate in, or receive payment from, an equity-based compensation arrangement?. . . . . . .

If "Yes" to any of lines 4a-.c, list the persons and provide the applicable amounts for each item in Part III.

Only 501 (c)(3) and 501(c)(4) organizations must complete lines 5-8.

5 For persons listed in Form 990, Part VII, Section A, line la, did the organization pay or accrue anycompensation contingent on the revenues of-

a The organization? . . . . . . . . . . . . . . . . . . . . . . . . . .

b Any related organization? . . . . . . . . . . . . . . . . . . . . . . . . . .

If "Yes" to line 5a or 5b, describe in Part III.

6 For persons listed in Form 990, Part VII, Section A, line la, did the organization pay or accrue anycompensation contingent on the net earnings of:

a The organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b Any related organization? . . . . . . . . . . . . . . . . . . . . . . . . . .

If "Yes" to line 6a or 6b, describe in Part III.

7 For persons listed in Form 990, Part VII, Section A, line la, did the organization provide any non-fixedpayments not described in lines 5 and 6? If "Yes," describe in Part III . . . . . . . . . . .

8 Were any amounts reported in Form 990, Part VII, paid or accrued pursuant to a contract that wassubject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe

in Part III . . . . . . . . . . . . . . . . . . .

No

4a

4b

4c

5a

5b

8

For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990. Cat No 50053T Schedule J (Form 990) 2008

Schedule J (Form 990) 2008 Page 2

kilMllill Officers, Directors , Trustees , Key Employees, and Highest Compensated Employees . Use Schedule J-1 if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (I) and from related organizations, described in theinstructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(')-(ill) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1 a.

(B) Breakdown of W-2 and/or 1099 -MISC compensation (C) Deferred (D) Nontaxable (E) Total of columns (F) Compensation

(A) Name ( i) Basecompensation

( II) Bonus & incentivecompensation

( III) Otherreportable

compensation

compensation benefits (B)()-(D) reported in priorForm 990 orForm 990-EZ

Timothy L . Wisecarver (I) ------------301 ,462 452000 ---------

--- --------- ---------------4 ,673 - -------------- 15 , 130

-- ------------ -

(1) ---------------------- --------------------- ---------------------- ---------------------- --------------- ---------------------- ----------------------

(l) ---------------------- --------------------- ---------------------- ---------------------- --------------- ----------------------

(l)ii

--------------------- -------------------- ---------------------- ---------------------- --------------- ----------------------

--------------------- ---------------------- -------------- ----------------------

(1) ---------------------- --------------------- -------- -------------

(1)(ii)

--------------------- --------------------- -------- -------------

(1)(ii)

---------------------- --------------------- --------- -------------

(1)

I

--------------------- --------------------- --------- -------------

(I)

11

--------------------- --------------------- -------------- ---------------------- --------------------- -

II

11

II

(l)

11 ^ ---------------------- ---------------------- ---------------------- ---------------------- ----------------------- ---------------------- ---------------------

(i)

(l1)

Schedule J (Form 990) 2008

u

Schedule J (Form 990) 2008 Page 3

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines la, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this partfor any additional information.

Schedule J (Form 990) 2008

•.. 0

SCHEDULE 0(Form 990) Supplemental Information to Form 990

► Attach to Form 990. To be completed by organizations to provideDepartment of the Treasury additional information for responses to specific questions for theInternal Revenue seance Form 990 or to provide any additional information.

OMB No 1545-0047

R


Pennsylvania Compensation Rating Bureau 23 ; 0958260

- Part -VI, A. 6__ The PCRB's members are comprised-of all property-casualty insurers_licensed to write workers----------------------------------------------

______________ compensation-business-in the Commonwealth of Pennsylvania__________________________________________________________

Part VI, A 7a_ Governing Board members are elected by a vote of all members present and_voting at an Annual------------------------- ----------------------------

Meeting of the PCRB attended by sufficient members to attain a quorum under the terms of the PCRB's--------------------------------

By-laws.------------------------------------------------------------------------------------------------------------------------------------------------------

_PartVI, A_7b_- -T-he- following acti-ons-requ-ire affirmative-votes of -t-he- members-hip- in-order to gain approva1:------

______________1)_Amendment, alteration or repeal of any and all provisions of the PCRB's Bylaws (such changes require

a two-thirds_vote of the members present and voting with the benefit of a quorum).

______________?)_Amendment, alteration, repeal or re-enactment fo the Bureau's Articles of Incorporation or

_____________ Bylaws with respect to the Bureau's qualification and operation as a licensed rating organization

_______________in_the Commonwealth of Pennsylvania, or the division of_the -Bureau- or the-voluntary dissolution and_____________

winding up of the Bureau, or the sale of a substantial portion of the Bureau's assets. (The preceding five

_______________types of changes require the affirmative vote of (a) two-thirds of the entire_Governin9 Board at a duly

______________convened meeting of the Governing Board called for such purpose, and (b) two-thirds of all members of the------------ ---------------------------------------

______________ Bureau at a duly convened Annual -Meeting- of the-Bureau,-or at any duly convened special meeting called for__

such purpose.-------------------------------------------------------------------------------------------------------------------------------------------------------

Part VI, A 10: Prior to filing, the 2008 Form 990 was emailed to all members of the PCRB Governing Board. All Governinq__

Board members were asked to review the form and to provide comments or questions for staffs----------------------------------------------------------------------- --------- -----------------------------------------------------------------

consideration. As of that date-that PCRB filed the-Form 990 no-adverse comments or questions requiring any

______________ changes to the form_990 as distributed to the Governing-Board-had been_ received. Should-such adverse _______

comments_or questions be received_subsequent to the filing date of-the form 990, PCRB will appropriately.....

amend its 2008 Form 990 filing.-------- - - ----------- - -------------------------------------------------------------------------------------------------

Part VI, B_13_ A Whistleblower Policy is under development and review by PCRB counsel. This policy will be

implemented before the end of 2009_- - - - - - - - -----------------------------------------------------------------------------------------

_PartVI, B_14:_A Document_Retention and Destruction Policy-is-under development and review by_PCRB_counsel._ This______

policy will be implemented before the end of 2009.

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat No 51056K Schedule 0 (Form 990) 2008

r 1w 4^

Schedule 0 (Form 990) 2008 Page 2


Pennsylvania Compensation Rating Bureau 23 ; 0958260

Part Vl, B 15a. The total remuneratinon (salary, other cash and benefits) given to the PCRB's President was reviewed by- --------------------------------------------- - --- - - - - ---- - ------------- -- - -- -------------

the Hay Group, Inc. at the request of the Compensation subcommittee of the PCRB Governing Board_

The President's compensation including incentives and benefits are established annually by action of_

___________________ the Governing Board.--------------------------------------------------------------------------------------------------------

Part VI, B 15b. The total remuneration (salary, other cash and benefits) qivent to PCRB employees other than the------------------------------------ -------- - ------- - --------------------------

President was reviewed by the_Hay Group, Inc_ at the request of the Compensation subcommittee of

the PCRB's Governing Board- Employee salaries are established by their supervisor or other applicable

representative of PCRB management subject to approval by the Governing Board. Incentive plans and_ _

benefits applicable to all employees other than the President are provided-subject to the approval of

____________________the Governing Board.--------------------------------------------------------------------------------------------------------

Part VI, C 19: Governing Documents and financial statements were posted to the PCRB_com website_ Conflict of Interest

Policy was not made available to the public in 2008.---------------------------------------------------------------------

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Reasons for amendment:-------------------------------------------------------------------------------------------------------------------------------------------------------

This return was amended to reflect our-auditor's adjustment to 2008 expense by including an additional $360,000 of

2009 pension funding as a 2008 expense. That adjustment being consistent with the pension plan's actuary restating their

reports as_well. Additionally, this return was also-amended-to include estimated other compensation amounts- ---------------

shown

----------------

shown in Part V, Column F and on Schedule J inadvertently omitted in the original filing.

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- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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Schedule 0 (Forth 990) 2008

\102