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Governance Register
US nonprofit · EIN 582020294 · Fort Smith, ARiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 582020294) - NTEE activity code, address.Board and officers IRS Form 990 annual filings, Part VII (directors, trustees, officers, key employees), read year by year to observe time served.Latest return IRS Form 990 series e-file data - 990 for the year to 31 December 2025: assets, liabilities, staff, website, telephone, pay.Finances by year IRS Form 990 e-file data - total revenue and total expenses by tax year.Renewal outlook Computed by Governance Register from the observed filing history and filed revenue. Not a statement that the organisation is recruiting.Exemption status IRS Automatic Revocation of Exemption List (posted to 13 October 2026).Licence US Federal Government public domain.How we handle data
Exemption reinstated on 15 May 2013. The IRS had automatically revoked it on 15 May 2013 (after three years without a return). Source: IRS Automatic Revocation of Exemption List, posted to 13 October 2026.

Arkansas Self-Insurers Association's network

11 people6 organisationsi11 people and 6 organisations on this map.The large node is the subject of this page. Solid lines are what the register itself records (11). Violet dotted lines (9) are likely: the same full name sits on the current board of another organisation in the same register and region. Form 990 filings give names without a person identifier; SEC insider filings carry a CIK. It may be a different person.

The board

11 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations in the tables. The network map shows same-name matches as likely links only, never as confirmed.Time served and departures are observed across annual filings. Observed time served is a lower bound - a member may have joined before the first year on record. The organisation reported 11 voting members of its governing body on its latest Form 990 Part VI, which matches the board listed here.
NameRole as filedSinceOn the board
Bryna MitchellCompany secretary2020
6 yrs
Carol WorleyDirector2020
6 yrs
ELI SingerDirector2023
3 yrs
Faye LockettDirector2024
2 yrs
Karen McKinneyDirector2020
6 yrs
Mark BennagePresident2020
6 yrs
Misty PetrusVice Preside2022
4 yrs
Nathan CulpDirector2020
6 yrs
Phillip ScogginsTreasurer2020
6 yrs
Shannon NewtonDirector2022
4 yrs
Shawna MadewellDirector2020
6 yrs
Under 5 years5 to 6 years6 years or moreShow all 11 →

Pay and hours

year to 31 December 2025iFrom Part VII of the Form 990: compensation reported for each officer, director, trustee, key employee and highest-paid staff member, and the average hours a week they report. Most board members are unpaid; a blank means nothing was reported. Pay from related organisations is shown separately.
NameTitle as filedHours a weekPay from the organisationRelated organisationsOther
Mark BennagePresident$0
Nathan CulpDirector$0
Faye LockettDirector$0
Shawna MadewellDirector$0
Karen McKinneyDirector$0
Bryna MitchellSecretary$0
Shannon NewtonDirector$0
Misty PetrusVice Preside$0
Phillip ScogginsTreasurer$0
Eli SingerDirector$0
Carol WorleyDirector$0

No pay was reported for anyone in Part VII on this return.

About

Legal name
Arkansas Self-Insurers Association
EIN
582020294
Address
Po Box 11926, Fort Smith, AR, 72917-1926
State
Arkansas
Mission
To further self-insurance and protect the interest of self-insurers in the state of arkansas; to maintain an active interest in the workers' compensation act and its administration; to keep members informed of pending legislation, changes in the law, regulations, and other matters of interest; to provide self-insurers representation at various hearings and conferences pertaining to the... (as filed on the Form 990)
Activity (NTEE)
S41 Community improvement and capacity building
IRS classification
501(c)06 (tax-exempt under section 501(c)(3) where shown)
Classified purpose
Community Improvement & Capacity Building
Size band
3 (IRS master file code)
Formed
1992
Principal officer
Mark Bennage (as named on the Form 990)
IRS ruling date
1 February 2015
Status
Code 01 (unconditional exemption)
Form 990 filings on record
4, latest 2024

Most connected

Longest observed on the filings

≥6years on the filingsBryna Mitchell
≥6years on the filingsCarol Worley
≥6years on the filingsKaren McKinney
≥6years on the filingsMark Bennage

Latest return

year to 31 December 2025iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 31 December 2025. US dollars, as filed.
Total assets
$70k
Total liabilities
$0
Net assets or fund balances
$70k
Contributions and grants received
$0
Program service revenue
$107k
Employees
0

Filed finances

1 yeariTotals as filed on the IRS Form 990 (revenue and expenses), by tax year.
Tax yearTotal revenueTotal expensesSurplus or deficit
2024$95k$100kDeficit $5k

As filed on the IRS Form 990. US dollars.