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These benefits were treated as taxable compensation to the employee receiving the benefit. Mark Sektnan $200 Gift Certificate $99 Tax Gross-up Armand R. Feliciano $200 Gift Certificate $216 Fitness Reimbursement $99 Tax Gross-up David Sampson $200 Gift Certificate $250 Fitness Reimbursement $1,464 Tax Gross-up June T, Holmes $200 Gift Certificate $250 Fitness Reimbursement $542 Tax Gross-up PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, QUESTION 4B The organization has a 457(F) plan, the following individuals deferred amounts as follows: David A. Sampson $42,250 June T. Holmes $14,456 DAVID SAMPSON AND JUNE HOLMES PARTICIPATE IN A SECTION 457(F) PLAN. AMOUNTS CONTRIBUTED HAVE BEEN INCLUDED AS COMPENSATION IN BOX 5 OF THEIR 2012 IRS FROM W-2. THEREFORE, THE AMOUNTS CONTRIBUTED HAVE BEEN RECORDED AS COMPENSATION ON THE FORM 990. Common Paymaster Schedule J, Part I, Line 3 All persons employed by ACIC are paid by its parent and sole governing member, the Property Casualty Insurers Association of America (PCIAA), which acts as common paymaster. 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These benefits were treated as taxable compensation to the employee receiving the benefit. Mark Sektnan $200 Gift Certificate $99 Tax Gross-up Armand R. Feliciano $200 Gift Certificate $216 Fitness Reimbursement $99 Tax Gross-up David Sampson $200 Gift Certificate $250 Fitness Reimbursement $1,464 Tax Gross-up June T, Holmes $200 Gift Certificate $250 Fitness Reimbursement $542 Tax Gross-up PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, QUESTION 4B The organization has a 457(F) plan, the following individuals deferred amounts as follows: David A. Sampson $42,250 June T. Holmes $14,456 DAVID SAMPSON AND JUNE HOLMES PARTICIPATE IN A SECTION 457(F) PLAN. AMOUNTS CONTRIBUTED HAVE BEEN INCLUDED AS COMPENSATION IN BOX 5 OF THEIR 2012 IRS FROM W-2. THEREFORE, THE AMOUNTS CONTRIBUTED HAVE BEEN RECORDED AS COMPENSATION ON THE FORM 990. Common Paymaster Schedule J, Part I, Line 3 All persons employed by ACIC are paid by its parent and sole governing member, the Property Casualty Insurers Association of America (PCIAA), which acts as common paymaster. 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