2025-06-05T15:32:25-05:00 2024-12-31 352123203 KSM BUSINESS SERVICES INC PO BOX 40857 INDIANAPOLIS IN 46240 990 2024-01-01 350837318 INDIANA COMPENSATION RATING BUREAU INDI 3178422800 5920 CASTLEWAY WEST DRIVE 121 INDIANAPOLIS IN 46250 PAUL KEATHLEY PRESIDENT 3178422800 2025-06-03 1 1 CASSE TATE P01271193 3175802000 2025-06-03 2024 2025-03-06 01:10:19Z PAUL KEATHLEY 5920 CASTLEWAY WEST DRIVE 121 INDIANAPOLIS IN 46250 2836616 0 X WWW.ICRB.NET X 1935 IN TO REGULATE WORKER COMPENSATION RATES IN THE STATE OF INDIANA. 8 8 11 9 0 0 0 0 2739998 2836616 0 0 0 0 2739998 2836616 0 0 0 0 1307719 1350065 0 0 0 1513440 1366663 2821159 2716728 -81161 119888 2302336 2465109 439509 482394 1862827 1982715 TO REGULATE WORKER COMPENSATION RATES IN THE STATE OF INDIANA. 0 0 THE ICRB GATHERS INFORMATION FROM ITS MEMBER COMPANIES TO ESTABLISH FAIR AND ADEQUATE ADVISORY RATES. THIS INFORMATION IS THEN SUBMITTED TO THE INDIANA DEPARTMENT OF INSURANCE FOR REVIEW AND THEN DISTRIBUTED TO ALL MEMBER COMPANIES. IN ADDITION TO THE DATA-COLLECTION AND RATEMAKING FUNCTIONS, THE ICRB IS RESPONSIBLE FOR VARIOUS WORKERS COMPENSATION PROGRAMS INCLUDING RULES PROMULGATION, EXPERIENCE RATING, INSPECTION AND CLASSIFICATION, ASSIGNED-RISK ADMINISTRATION, INDUSTRY EDUCATION AND DISPUTE RESOLUTION. 0 0 0 1 0 0 0 0 0 1 0 0 1 1 1 1 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 1 8 0 1 11 1 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 1 1 0 IN X PAUL KEATHLEY 3178422800 5920 CASTLEWAY WEST DRIVE SUITE 121 INDIANAPOLIS IN 46250 IRA FEUERLICHT THRU JUNE 2024 CHAIRPERSON 2.00 X X 0 0 0 FRANK BAKER CO-CHAIR VICE CHAIRPERSON 2.00 X X 0 0 0 EDWIN HERRERA GOVERNING BOARD MEMBER 0.30 X 0 0 0 ROB SMITH GOVERNING BOARD MEMBER 0.30 X 0 0 0 LINDSAY LADIN CO-CHAIR GOVERNING BOARD MEMBER 0.30 X X 0 0 0 SCOTT DAHLAGER GOVERNING BOARD MEMBER 0.30 X 0 0 0 ALLISON SIDNAM GOVERNING BOARD MEMBER 0.30 X 0 0 0 CRAIG EVANS GOVERNING BOARD MEMBER 0.30 X 0 0 0 MICHAEL NUNNEY GOVERNING BOARD MEMBER 0.30 X 0 0 0 PAUL KEATHLEY PRESIDENT 40.00 X 215927 0 100058 JENNIFER COX FINANCE DIRECTOR 40.00 X 132731 0 26787 SCOTT LEREW VICE PRESIDENT 40.00 X 184969 0 77953 533627 0 204798 3 0 1 0 0 ASSESSMENT REVENUE 541900 2836616 2836616 2836616 2836616 2836616 0 0 738425 388745 50010 111714 61171 43134 24150 18680 20013 68507 77363 26070 13007 22056 66883 NCCI FEES 735000 COMPSCOPE STUDY 205000 DUES AND SUBSCRIPTIONS 24428 EQUIPMENT RENTAL & MAIN 9564 12808 2716728 1932639 2095955 525 437477 375670 67251 61807 302446 306822 2302336 2465109 112944 154475 326565 327919 439509 482394 X 1862827 1982715 1862827 1982715 2302336 2465109 119888 0 X X 0 1 X 1 0 0 1 0 437477 375670 61807 61807 RIGHT OF USE ASSET 306822 306822 OPERATING LEASE LIABILITY - NONCURRENT 217225 OPERATING LEASE LIABILITY - CURRENT 110694 327919 X 2836616 0 2836616 0 2836616 2716728 0 2716728 0 2716728 PART X, LINE 2: THE BUREAU IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(6) OF THE INTERNAL REVENUE CODE THOUGH IT IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSE, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE INTERNAL REVENUE CODE. THERE WAS NO UNRELATED BUSINESS INCOME FOR 2024 AND 2023. THE BUREAU FILES U.S. FEDERAL AND STATE OF INDIANA INFORMATION TAX RETURNS. THE BUREAU IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2021. MANAGEMENT BELIEVES THAT THE BUREAU'S INCOME TAX FILING POSITIONS WILL BE SUSTAINED ON AUDIT AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WILL RESULT IN MATERIAL CHANGE. 1 X X X X 0 0 0 PAUL KEATHLEY PRESIDENT 215927 0 0 0 0 0 43062 0 56996 0 315985 0 0 0 SCOTT LEREW VICE PRESIDENT 184969 0 0 0 0 0 38616 0 39337 0 262922 0 0 0 JENNIFER COX FINANCE DIRECTOR 132731 0 0 0 0 0 25580 0 1207 0 159518 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT REVIEWS FORM 990 NOTING POTENTIAL ERRORS, INCONSISTENCIES, AND AREAS FOR POTENTIAL IMPROVEMENT. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY ALL EMPLOYEES, INCLUDING OFFICERS, MUST REVIEW OUR EMPLOYEE HANDBOOK, WHICH CONTAINS OUR CONFLICT OF INTEREST POLICY, AND SIGN AN ASSOCIATE HANDBOOK ACKNOWLEDGEMENT FORM. IF A CONFLICT OF INTEREST ARISES, MANAGEMENT WILL LOOK AT EACH CASE INDIVIDUALLY AND DECIDE ON AN APPROPRIATE RESOLUTION. FORM 990, PART VI, SECTION B, LINE 15 THE PRESIDENT'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS USING COMPARABILITY DATA AND OTHER INFORMATION. ALL OTHER COMPENSATION IS DETERMINED THROUGH AN OUTSIDE HUMAN RESOURCES CONSULTING FIRM, WHO IS ENGAGED TO DETERMINE THE APPROPRIATE OVERALL PERCENTAGE RAISE. THE MANAGEMENT TEAM THEN ALLOCATES THE DETERMINED PERCENTAGE TO EACH EMPLOYEE BASED ON THE MANAGEMENT TEAM'S DISCRETION. FORM 990, PART VI, SECTION C, LINE 18 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE COMPANY WEBSITE, WWW.ICRB.NET. ALL OTHER RELATED DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C THE AUDIT REVIEW PROCESS HAS NOT CHANGED FROM PRIOR YEAR.