Nonprofit · EIN 85-1454519
USC CAPTIVE INSURANCE COMPANY
Tax-exempt · BURLINGTON, VT 05401
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| June 30, 2025 | 990 | $9,650 | $3,750 | $5,900 | $259,651 | $3,751 | $255,900 |
| June 30, 2024 | 990 | $16,566 | $16,566 | $0 | $251,035 | $1,035 | $250,000 |
| June 30, 2023 | 990-EZ | $16,535 | $16,535 | $0 | $250,000 | $0 | $250,000 |
Financial details: 990 for the year ended June 30, 2025
Revenue
- Contributions, gifts and grants
- $0
- Program service revenue
- $9,650
- Investment income
- $0
- Other revenue
- $0
Expenses
- Grants and similar amounts paid
- $0
- Compensation of officers, directors and key employees
- $0
- Salaries, compensation and benefits (total)
- $0
- Professional fundraising fees
- $0
- Program services (functional)
- $3,750
Balance sheet and other
- Total assets, start of year
- $251,035
- Total assets, end of year
- $259,651
- Total liabilities, end of year
- $3,751
- Net assets, end of year
- $255,900
- Gross receipts
- $9,650
- Employees
- 0
- Volunteers
- 0
- Year formed
- 2020
- State of legal domicile
- VT
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 June 30, 2025, highest compensation first.
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| STEVEN D SHAPIRO MD | DIRECTOR Trustee or director | 2 | $0 | $2,914,082 | $370,964 |
| ROD HANNERS | DIRECTOR Trustee or director | 2 | $0 | $2,352,451 | $146,246 |
| BEONG-SOO KIM | DIRECTOR Trustee or director | 2 | $0 | $1,337,795 | $254,549 |
| ERIK BRINK | DIRECTOR Trustee or director | 2 | $0 | $1,261,153 | $252,727 |
| CASANDRA PORTER | TREASURER (AS OF 4/28/25)/DIR. Trustee or director, Officer | 2 | $0 | $528,798 | $161,532 |
| CAROLYN DOMEN-BROSHEARS | SECRETARY Officer | 2 | $0 | $471,083 | $117,076 |
| CAROLINE WILHELM | TREASURER (UNTIL 04/28/2025) Officer | 2 | $0 | $383,748 | $137,891 |
| JASON BENNETT | PRESIDENT/DIRECTOR Trustee or director, Officer | 20 | $0 | $444,283 | $70,234 |
| WAJEEHA SHAKEEL | FIN/DATA ANALYTICS MANAGER Highest-paid employee | 25 | $0 | $154,080 | $52,189 |
| DIANE HANSON | DIRECTOR Trustee or director | 2 | $0 | $0 | $0 |
990 for the year ended June 30, 2024: 11 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| STEVEN D SHAPIRO MD | DIRECTOR Trustee or director | 2 | $0 | $3,022,882 | $294,862 |
| ROD HANNERS | DIRECTOR (AS OF 6/28/24) Trustee or director | 2 | $0 | $2,288,159 | $59,481 |
| DAVID PENG MD MPH | DIRECTOR (UNTIL 6/28/24) Trustee or director | 2 | $0 | $1,482,989 | $85,141 |
| BEONG-SOO KIM | DIRECTOR Trustee or director | 2 | $0 | $1,270,799 | $239,341 |
| ERIK BRINK | TREASURER(UNTIL 4/22/24)/DIR. Trustee or director | 2 | $0 | $1,302,529 | $146,400 |
| CAROLYN DOMEN-BROSHEARS | SECRETARY Officer | 2 | $0 | $460,242 | $74,242 |
| JASON BENNETT | DIRECTOR/PRESIDENT Trustee or director, Officer | 10 | $0 | $430,949 | $63,551 |
| CASANDRA PORTER | DIRECTOR (AS OF 6/28/24) Trustee or director | 2 | $0 | $332,243 | $145,304 |
| CAROLINE WILHELM | TREASURER (AS OF 4/22/24) Officer | 2 | $0 | $374,582 | $62,127 |
| WAJEEHA SHAKEEL | FIN/DATA ANALYTICS MANAGER Highest-paid employee | 2 | $0 | $137,031 | $42,733 |
| DIANE HANSON | DIRECTOR Trustee or director | 2 | $0 | $0 | $0 |
990-EZ for the year ended June 30, 2023: 8 people
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| JASON BENNETT | DIRECTOR/PRESIDENT | 5 | $0 |
| ERIK BRINK | TREASURER/DIRECTOR | 2 | $0 |
| CAROLYN DOMEN-BROSHEARS | SECRETARY | 2 | $0 |
| DIANE HANSON | DIRECTOR | 2 | $0 |
| BEONG-SOO KIM | DIRECTOR | 2 | $0 |
| STEVEN SHAPIRO | DIRECTOR | 2 | $0 |
| JAMES M STATEN | DIRECTOR (THRU 02/28/23) | 2 | $0 |
| DAVID PENG | DIRECTOR | 2 | $0 |
Address and contacts
- Address (IRS master file)
- 100 BANK ST STE 630, BURLINGTON, VT 05401-4946
- In care of
- % UNIV OF SOUTHERN CALIFORNIA
- Principal officer (990 for 2024)
- JASON BENNETT, UNIVERSITY GARDENS UGB205, LOS ANGELES, CA 900898003
- Signed the 990
- CASANDRA PORTER, TREASURER
- Phone
- (213) 821-1900
- Return prepared by
- PwC US Tax LLP
Mission
USC CAPTIVE INSURANCE COMPANY ("USCCIC") IS A PUBLIC BENEFIT CORPORATION AND SPONSORED CAPTIVE INSURANCE COMPANY ORGANIZED IN ACCORDANCE WITH THE VERMONT NONPROFIT CORPORATION ACT AND CHAPTER 141 OF TITLE 8 OF THE VERMONT STATUTES ANNOTATED. USCCIC IS ORGANIZED AND OPERATED AS A SUPPORTING ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE SECTION 509(A)(3) TO PROVIDE SERVICES AND RESOURCES FOR THE BENEFIT OF, TO PERFORM FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF, THE UNIVERSITY OF SOUTHERN CALIFORNIA (USC) AND USC'S TAX EXEMPT AFFILIATES, SO LONG AS USC AND SUCH AFFILIATES ARE DESCRIBED IN PARAGRAPHS (1) OR (2) OF SECTION 509(A). SPECIFICALLY, USCCIC'S SOLE PLANNED ACTIVITY IS TO FACILITATE SELF-INSURANCE WITH RESPECT TO CERTAIN CASUALTY EXPOSURES OF USC AND USC'S TAX-EXEMPT AFFILIATES.
Program accomplishments
- USC CAPTIVE INSURANCE COMPANY ("USCCIC") IS A PUBLIC BENEFIT CORPORATION AND SPONSORED CAPTIVE INSURANCE COMPANY ORGANIZED IN ACCORDANCE WITH THE VERMONT NONPROFIT CORPORATION ACT AND CHAPTER 141 OF TITLE 8 OF THE VERMONT STATUTES ANNOTATED. USCCIC IS ORGANIZED AND OPERATED AS A SUPPORTING ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE SECTION 509(A)(3) TO PROVIDE SERVICES AND RESOURCES FOR THE BENEFIT OF, TO PERFORM FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF, THE UNIVERSITY OF SOUTHERN CALIFORNIA (USC) AND USC'S TAX EXEMPT AFFILIATES, SO LONG AS USC AND SUCH AFFILIATES ARE DESCRIBED IN PARAGRAPHS (1) OR (2) OF SECTION 509(A). SPECIFICALLY, USCCIC'S SOLE PLANNED ACTIVITY IS TO FACILITATE SELF-INSURANCE WITH RESPECT TO CERTAIN CASUALTY EXPOSURES OF USC AND USC'S TAX-EXEMPT AFFILIATES.Expenses $3,750 · revenue $9,650
What it must file and when
IRS records say it files Form 990-N (e-Postcard). Gross receipts normally $50,000 or less. Its accounting year ends in June, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | June 30, 2026 | November 16, 2026 | Not due yet |
| 2024 | June 30, 2025 | November 17, 2025 | 990 on file |
| 2023 | June 30, 2024 | November 15, 2024 | 990 on file |
IRS record
- EIN
- 85-1454519
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Supporting organization, Type I
- Donations deductible (Pub 78)
- Supporting organization, 50% limit
- Exempt since
- 2021
- Accounting year ends
- June
- Files
- Form 990-N (e-Postcard)
- Assets (IRS master file)
- $259,651
- Income (IRS master file)
- $9,650
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | June 2025 | $9,650 | $3,750 | $259,651 | IRS |
| 990 | June 2024 | $16,566 | $16,566 | $251,035 | IRS |
| 990-EZ | June 2023 | $16,535 | $16,535 | $250,000 | XML |
| 990-EZ | June 2022 | – | – | – | IRS |
| 990-EZ | June 2021 | – | – | – | IRS |
| 990-EZ | June 2020 | – | – | – | 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 85-1454519).
Questions about USC CAPTIVE INSURANCE COMPANY
- What is the EIN of USC CAPTIVE INSURANCE COMPANY?
- The employer identification number (EIN) of USC CAPTIVE INSURANCE COMPANY is 85-1454519.
- Is USC CAPTIVE INSURANCE COMPANY tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2021.
- Are donations to USC CAPTIVE INSURANCE COMPANY tax-deductible?
- Yes. It is listed in IRS Publication 78 (Supporting organization, 50% limit).
- Which annual return does USC CAPTIVE INSURANCE COMPANY file?
- Form 990-N (e-Postcard). Gross receipts normally $50,000 or less.
- When is the next return of USC CAPTIVE INSURANCE COMPANY due?
- The return for tax year 2025 (the year ending June 30, 2026) is due November 16, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did USC CAPTIVE INSURANCE COMPANY last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended June 2025.
- Who is the principal officer of USC CAPTIVE INSURANCE COMPANY?
- The 990 for the year ended June 30, 2025 names JASON BENNETT.
- Who are the officers and directors of USC CAPTIVE INSURANCE COMPANY?
- The 990 for the year ended June 30, 2025 lists 10 people; 0 received compensation from the organization.
- How much revenue does USC CAPTIVE INSURANCE COMPANY have?
- On its 990 for the year ended June 30, 2025 it reported revenue of $9,650, expenses of $3,750 and total assets of $259,651 at year end.
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