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Nonprofit · EIN 23-7162592

MICHIGAN SELF-INSURERS ASSN

Tax-exempt · TROY, MI 48084

Financials

$153K$137K2022$194K$158K2023$164K$159K2024
Revenue Expenses · by fiscal year end
Financials of MICHIGAN SELF-INSURERS ASSN by year, from its e-filed returns
Year endedFormRevenueExpensesNet incomeTotal assetsLiabilitiesNet assets
August 31, 2025990$163,661$158,976$4,685$109,140$20,142$88,998
August 31, 2024990$193,732$157,693$36,039$94,562$2,690$91,872
August 31, 2023990$153,341$136,681$16,660$61,283$0$61,283
Financial details: 990 for the year ended August 31, 2025

Revenue

Contributions, gifts and grants
$1,000
Program service revenue
$162,383
Investment income
$278
Other revenue
$0

Expenses

Grants and similar amounts paid
$0
Salaries, compensation and benefits (total)
$0
Professional fundraising fees
$0
Legal fees
$21,000
Accounting fees
$1,141
Travel
$926
Program services (functional)
$101,212
Management and general (functional)
$57,764

Balance sheet and other

Total assets, start of year
$94,562
Total assets, end of year
$109,140
Total liabilities, end of year
$20,142
Net assets, end of year
$88,998
Net assets without donor restrictions
$88,998
Gross receipts
$163,661
Employees
0
Year formed
1952
State of legal domicile
MI

From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.

Officers, directors and key employees

As listed on the 990 for the year ended August 31, 2025, highest compensation first.

NameTitleHours / weekCompensation
DAWN MDROBNICHEXECUTIVE SE
Officer
–$0
MICHAEL J NIEHAUSTREASURER
Officer
–$0
PAMELA GALLOWAYASST GENERAL
Trustee or director
–$0
SANDRA DICICCIO2NDT VICE CH
Officer
–$0
JEROME HOOPERDIRECTOR
Trustee or director
–$0
THERESA HILEMANDIRECTOR
Trustee or director
–$0
KATHRYN DOMINGUEZCHAIR
Officer
–$0
SAM VOGEL1ST VICE CHA
Officer
–$0
ERIC VAN HATTENDIRECTOR
Trustee or director
–$0
DARLA WALZDIRECTOR
Trustee or director
–$0
LINDSAY PIERCEDIRECTOR
Trustee or director
–$0
ROXANNA PEREZDIRECTOR
Trustee or director
–$0
CYNTHIA PARKERDIRECTOR
Trustee or director
–$0
HEATHER BANULESDIRECTOR
Trustee or director
–$0
LYNDA RACEYDIRECTOR
Trustee or director
–$0
2 more people on this return
NameTitleHours / weekCompensation
COURTNEY M QUILTERDIRECTOR
Trustee or director
–$0
DENISE PRETZERDIRECTOR
Trustee or director
–$0
990 for the year ended August 31, 2024: 17 people
NameTitleHours / weekCompensation
DAWN MDROBNICHEXECUTIVE SE
Officer
5$0
MICHAEL J NIEHAUSTREASURER
Officer
1$0
PAMELA GALLOWAYDIRECTOR
Trustee or director
0.5$0
SANDRA DICICCIO2NDT VICE CH
Officer
0.5$0
JEROME HOOPERCHAIR
Officer
1$0
THERESA HILEMANDIRECTOR
Trustee or director
0.5$0
KATHRYN DOMINGUEZDIRECTOR
Trustee or director
1$0
SAM VOGELDIRECTOR
Trustee or director
0.5$0
ERIC VAN HATTENDIRECTOR
Trustee or director
0.5$0
REBECCA PARRISDIRECTOR
Trustee or director
0.5$0
LINDSAY PIERCEDIRECTOR
Trustee or director
0.5$0
ROXANNA PEREZDIRECTOR
Trustee or director
0.5$0
WENDY KOLBUSZDIRECTOR
Trustee or director
0.5$0
KATHLEEN M RYCHINSKI1ST VICE CHA
Officer
0.5$0
LYNDA RACEYDIRECTOR
Trustee or director
0.5$0
COURTNEY M QUILTERDIRECTOR
Trustee or director
0.5$0
RUTH WOHLGEMUTHDIRECTOR
Trustee or director
0.5$0
990 for the year ended August 31, 2023: 22 people
NameTitleHours / weekCompensation
DAWN MDROBNICHEXECUTIVE SE
Officer
1$0
WENDY BLOCKCHAIRPERSON'
Trustee or director
0.5$0
DEBRA WHITECHAIRPERSON'
Trustee or director
0.5$0
MICHAEL J NIEHAUSTREASURER
Officer
1$0
PAMELA GALLOWAYDIRECTOR
Trustee or director
0.5$0
MARY PENZCHAIRPERSON'
Trustee or director
0.5$0
SANDRA DICICCIO2ND VICE CHA
Officer
1$0
JEROME HOOPERDIRECTOR
Trustee or director
0.5$0
THERESA HILEMANDIRECTOR
Trustee or director
0.5$0
DAVE WORTHAMSCHAIRPERSON'
Trustee or director
0.5$0
DANIELLE F SUSSERDIRECTOR
Trustee or director
0.5$0
KATIE DOMINGUEZCHAIR
Officer
1$0
SAM VOGEL1ST VICE CHA
Trustee or director, Officer
0.5$0
ERIC VAN HATTENDIRECTOR
Trustee or director
0.5$0
DARLA WALZDIRECTOR
Trustee or director
0.5$0
LINDSAY PIERCEDIRECTOR
Trustee or director
0.5$0
ROXANNA PEREZDIRECTOR
Trustee or director
0.5$0
CYNTHIA PARKERDIRECTOR
Trustee or director
0.5$0
COURTNEY M QUILTERDIRECTOR
Trustee or director
0.5$0
ANDROMEDA MATZDIRECTOR
Trustee or director
0.5$0
HEATHER BANULESDIRECTOR
Trustee or director
0.5$0
LYNDA RACEYDIRECTOR
Trustee or director
0.5$0

Address and contacts

Address (IRS master file)
3001 W BIG BEAVER, TROY, MI 48084-3101
Principal officer (990 for 2024)
KATHRYN DOMINGUEZ, 18900 MICHIGAN AVE, DEARBORN, MI 48126
Signed the 990
MICHAEL J NIEHAUS, TREASURER
Phone
(517) 267-3901
Return prepared by
CULVER CPA GROUP

Mission

TO EDUCATE SELF-INSURERS ON WORKER'S COMPENSATION ISSUES.

990 for the year ended August 31, 2025

Program accomplishments

  • TO BE AN ADVOCATE FOR AND TO EDUCATE EMPLOYERS WHO SELF- INSURE WORKERS' COMPENSATION CLAIMS.
    Expenses $101,212 · revenue $162,383

What it must file and when

IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in August, so each return is due on the 15th day of the 5th month after that.

Tax yearYear endedDueIRS public records
2025August 31, 2026January 15, 2027Not due yet
2024August 31, 2025January 15, 2026990 on file
2023August 31, 2024January 15, 2025990 on file

IRS record

EIN
23-7162592
Tax-exempt status
501(c)(6): Business league or chamber of commerce
Donations deductible
No
Exempt since
1974
Accounting year ends
August
Files
Form 990 or 990-EZ
Assets (IRS master file)
$109,140
Income (IRS master file)
$163,661

Filing history

FormYear endedRevenueExpensesAssetsReturn
990August 2025$163,661$158,976$109,140XML
990August 2024$193,732$157,693$94,562XML
990August 2023$153,341$136,681$61,283XML
990August 2022$92,130$100,161$44,623IRS
990August 2021–––IRS
990August 2020–––IRS
990August 2019–––IRS
990August 2018–––IRS

990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 23-7162592).

Questions about MICHIGAN SELF-INSURERS ASSN

What is the EIN of MICHIGAN SELF-INSURERS ASSN?
The employer identification number (EIN) of MICHIGAN SELF-INSURERS ASSN is 23-7162592.
Is MICHIGAN SELF-INSURERS ASSN tax-exempt?
Yes. The IRS lists it as tax-exempt under section 501(c)(6) since 1974.
Are donations to MICHIGAN SELF-INSURERS ASSN tax-deductible?
No. The IRS master file says contributions to it are not deductible.
Which annual return does MICHIGAN SELF-INSURERS ASSN file?
Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
When is the next return of MICHIGAN SELF-INSURERS ASSN due?
The return for tax year 2025 (the year ending August 31, 2026) is due January 15, 2027. Form 8868 extends it by six months; the 990-N cannot be extended.
When did MICHIGAN SELF-INSURERS ASSN last file with the IRS?
The latest return in the IRS public files is the 990 for the year ended August 2025.
Who is the principal officer of MICHIGAN SELF-INSURERS ASSN?
The 990 for the year ended August 31, 2025 names KATHRYN DOMINGUEZ.
Who are the officers and directors of MICHIGAN SELF-INSURERS ASSN?
The 990 for the year ended August 31, 2025 lists 17 people; 0 received compensation from the organization.
How much revenue does MICHIGAN SELF-INSURERS ASSN have?
On its 990 for the year ended August 31, 2025 it reported revenue of $163,661, expenses of $158,976 and total assets of $109,140 at year end.

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