2025-01-27T13:22:14-06:00 2024-08-31 232489722 WALZ GROUP PO BOX 5555 LANCASTER PA 176065555 990 2023-09-01 616553054 TRUST AGREEMENT PENNSYLVANIA INDEPENDENT SCHOOLS INSURANCE CONSORTIUM TRUS 7249342270 101 BRADFORD ROAD 340 WEXFORD PA 15090 MARLENE HALBEDL CHAIRPERSON 7249342270 2025-01-27 1 1 DANIEL T MASSEY P00695866 7173928200 2025-01-24 2023 2025-03-06 01:10:19Z MARLENE HALBEDL PO BOX 308 TYRONE PA 16686 0 0 X N/A X 2015 PA PROVIDE SUPPORT FOR HEALTH CARE OF EDUCATIONAL INSTITUTIONS' EMPLOYEES. 9 9 0 0 0 0 3179140 0 0 0 1954 0 0 0 3181094 0 0 0 3126422 0 0 0 0 0 0 688501 0 3814923 0 -633829 0 207682 207682 584813 584813 -377131 -377131 PROVIDE SUPPORT FOR HEALTH CARE OF EDUCATIONAL INSTITUTIONS' EMPLOYEES. 0 0 PROVIDE SUPPORT FOR HEALTH CARE OF EDUCATIONAL INSTITUTIONS' EMPLOYEES. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 PA X ALICIA CLINGAN 8778295500 801 GALTEE CT YORK PA 17402 X JULIA JAMES TRUSTEE 1.00 X 0 0 0 LEA CROFCHECK TRUSTEE 1.00 X 0 0 0 LINDSEY GOOD TRUSTEE 1.00 X 0 0 0 MICHAEL PETERSON TRUSTEE 1.00 X 0 0 0 BRENDA TARVIN TRUSTEE 1.00 X 0 0 0 JOANNA HESS TRUSTEE 1.00 X 0 0 0 KEVIN FRY TRUSTEE 1.00 X 0 0 0 REBECCA NISSLY TRUSTEE 1.00 X 0 0 0 MARLENE HALBEDL CHAIRPERSON 1.00 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117924 117924 88328 88328 1430 1430 207682 207682 10631 10631 574182 574182 584813 584813 X -377131 -377131 -377131 -377131 207682 207682 0 0 X 0 0 0 X X X 7 LONDONDERRY SCHOOL 231743706 2 0 0 0 LANCASTER COUNTRY DAY 231352396 2 0 0 0 THE GRIER SCHOOL 231517016 2 0 0 0 MANHEIM CHRISTIAN DAY SCHOOL 236005334 2 0 0 0 THE CIRCLE SCHOOL 232304696 2 0 0 0 LITITZ AREA MENNONITE SCHOOL 232074222 2 0 0 0 THE JANUS SCHOOL 232578832 2 0 0 0 7 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SUPPLEMENTAL INFORMATION FOR PURPOSES OF LINE 12G, COLUMN (IV), NO SUPPORTED ORGANIZATION IS LISTED IN THE SUPPORTING ORGANIZATION'S GOVERNING DOCUMENT (THE TRUST). SUPPORTED ORGANIZATIONS ARE DESIGNATED UNDER THE TRUST BY CLASS AND ARE LIMITED TO MEMBERS OF THE PENNSYLVANIA INDEPENDENTT SCHOOLS INSURANCE CONSORTIUM DESCRIBED IN CODE SECTION 509(A)(1). 0 ESTIMATED HEALTH CLAIMS IBNR 428294 CLAIMS REPORTED AND PAYABLE 135998 PREMIUM PAYABLE 9890 574182 FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS TO REVIEW FORM 990 DRAFT OF COMPLETED 990 REVIEWED BY ORGANIZATION'S PRINCIPAL OFFICERS BEFORE SUBMITTING FOR FILING. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS DISCLOSURE EXPLANATION DOCUMENTS MADE AVAILABLE TO THE PUBLIC UPON REQUEST. LONDONDERRY SCHOOL 1800 BAMBERGER RD HARRISBURG PA 17110 231743706 SCHOOL PA 501(C)(3) LINE 2 N/A 0 LANCASTER COUNTRY DAY 725 HAMILTON RD LANCASTER PA 17603 231352396 SCHOOL PA 501(C)(3) LINE 2 N/A 0 THE GRIER SCHOOL 2522 GRIER SCHOOL RD BIRMINGHAM PA 16686 231517016 SCHOOL PA 501(C)(3) LINE 2 N/A 0 MANHEIM CHRISTIAN DAY SCHOOL 686 LEBANON RD MANHEIM PA 17545 236005334 SCHOOL PA 501(C)(3) LINE 2 N/A 0 THE CIRCLE SCHOOL 727 WILHELM RD HARRISBURG PA 17111 232304696 SCHOOL PA 501(C)(3) LINE 2 N/A 0 LITITZ AREA MENNONITE SCHOOL 1050 E NEWPORT RD LITITZ PA 17543 232074222 SCHOOL PA 501(C)(3) LINE 2 N/A 0 THE JANUS SCHOOL 205 LEFEVER RD MOUNT JOY PA 17552 232578832 SCHOOL PA 501(C)(3) LINE 2 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0