SELF-INSURANCE INSTITUTE OF AMERICA, INC. PAC (SELF-INSURANCE PAC)
Political Action Committee
Campaign Contribution Details
2010 Election Cycle

Committee Information
Download all of the 2010 Individual Contribution Records for this Committee to a Spreadsheet or Other File Type
Name	SELF-INSURANCE INSTITUTE OF AMERICA, INC. PAC (SELF-INSURANCE PAC)
Connected Organization Name	SELF-INSURANCE INSTITUTE OF AMERICA, I
Address	1250 H STREET, NW SUITE 901 WASHINGTON, DC 20005
Interest Group Category	Trade/Memership/Health
Affiliated Party	--
Affiliated Candidate	--
Download all of the 2010 Individual Contribution Records for this Committee to a Spreadsheet or Other File Type

Financial Details in the 2010 Election Cycle
SELF-INSURANCE INSTITUTE OF AMERICA, INC. PAC (SELF-INSURANCE PAC)

Through 12/31/2010

Category	$ Dollar Amount
Total Receipts	$42,820
Transfers From Affiliates	$0
Contributions From Individuals	$32,320
Contributions From Other Political Committees	$10,500
Total Loans Received	$0
Total Disbursements	$18,833
Transfers To Affiliates	$0
Refunds To Individuals	$0
Refunds to Committees	$0
Loan Repayments	$0
Beginning Cash	$0
Ending Cash	$23,987
Debts Owed By	$0
Nonfederal Transfers Received	$0
Contributions Made To Other Committees	$18,800
Independent Expenditures Made	$0
Party Coordinated Expenditures Made	$0
Nonfederal Share of Expenditures	$0

Top 100 Donations/Contributions in the 2010 Election Cycle
SELF-INSURANCE INSTITUTE OF AMERICA, INC. PAC (SELF-INSURANCE PAC)

Name/ Location	Employer/ Occupation	Contribution $ Amount	Primary/ General	Date
Healy, Richard Peterborough, NH 03458	RT Consulting/Managing Director	$5,000	P	06/24/2009
Shores, Willam L. Mr. Orlando, FL 32801	Shores, Tagman, Butler & Co./Attorn	$2,500	P	05/26/2010
Kinne, Gordon Springfield, MO 65804	Med-Pay, Inc./President/CEO	$1,000	P	07/31/2009
Belding, Thomas Edmond, OK 73013	Pro. Reinsurance Marketing Srv/Pres	$1,000	P	01/12/2010
Visser, Dirk Missoula, MT 59802	Allegiance Benefit Plan Mgmt/CEO	$1,000	P	03/30/2010
Youngs, John Elk Grove, CA 95757	OneSource Stop Loss/CEO	$1,000	P	03/30/2010
Theriault, Janice Simsbury, CT 06070	Arbor Benefit Corp/Executive Vice P	$1,000	P	04/20/2010
Wilneff, Mitchell Glencoe, IL 60022	Allied Benefit Systems, Inc./Presid	$1,000	P	04/20/2010
Jackson, Clay ,		$1,000	P	11/05/2010
Caldwell, Charles Oklahoma City, OK 73112	Midlands Management Corporatio	$1,000	P	11/12/2010
Rasnick, Steve Naples, FL 34110	Self Insured Plans, LLC/President	$500	P	02/04/2009
Ritchie, Andrew J Woodstock, GA 30189	HCC Life Insurance Company/Senior V	$500	P	04/22/2009
Clemente, Robert Warren, NJ 07059	PAC Associates/Owner	$500	P	06/03/2009
Kelbel, Craig Houston, TX 77025	HCC Life/President	$500	P	07/02/2009
Cook, Cori Billings, MT 59106	EBMS/Vice President/General Counsel	$500	P	01/29/2010
Bigsby, Bruce Roswell, GA 30075	GlobalCare, Inc/President/CEO	$500	P	02/16/2010
Ritchie, Andrew J Woodstock, GA 30189	HCC Life Insurance Company/Senior V	$500	P	03/15/2010
Burkholder, James Fair Oaks Ranch, TX 78015	TPA Benefits, Inc./President/CEO	$500	P	03/30/2010
Clevenger, Ernie Brentwood, TN 37027	Carehere, LLC/President	$500	P	03/30/2010
Mariner, Elizabeth Wellington, FL 33414	Re-Solutions/Executive Vice Preside	$500	P	03/30/2010
Noble, Ronald Chester Springs, PA 19425	Noble-Guardian Inc/President	$500	P	03/30/2010
Noel, Rob Kirkwood, MO 63122	Pharmaceutical Strategies Grp/Pract	$500	P	03/30/2010
Greenblott, Lisa Sagle, ID 83860	DCC, Inc./President/CEO	$500	P	04/14/2010
Hodges, Joseph Tampa, FL 33679	Inetico/President	$500	P	04/20/2010
Lord, John Sudbury, MA 01776	Zurich/Senior Vice President	$500	P	04/20/2010
Ross, Laura Charleston, SC 29401	Eldorado/Vice President	$500	P	04/20/2010
Tierney, Robert Sherborn, MA 01770		$500	P	09/29/2010
Clemente, Robert Warren, NJ 07059	PAC Associates/Owner	$500	P	12/15/2010
Hetzel, Stephen Mr. Scottsbluff, NE 69361	RCI/President	$300	P	05/11/2010
Gates, Gerald Princeton, MA 01541	SLIS/AmWins	$300	P	11/05/2010
Repke, Robert San Fransisco, CA 94127	Medical Destination Thailand/Presid	$250	P	03/11/2009
Wallbank, Nigel Red Bank, NJ 07701	American Health Holding/Senior VP B	$250	P	04/15/2009
Donley, Curtis Indianapolis, IN 46250	Donley & Co/President	$250	P	07/21/2009
Boughner, Leslie Highland Park, IL 60035	Willis/Executive Vice President	$250	P	01/05/2010
Burgess, Joe Reno, NV 89519	CHSI/Senior Executive Vice Presiden	$250	P	01/05/2010
Gordon Brown, Mollie Twinsburg, OH 44087	Coalition America/President	$250	P	03/15/2010
LeRoy, James Eagan, MN 55123	Meadowbrook Insurance Company/Senio	$250	P	03/15/2010
Young, Gerald Washington, DC 20015	Specialty Care Management/President	$250	P	03/30/2010
Goodison, Brooks Haddam, CT 06438	Diversified Group Brokerage/Preside	$250	P	08/10/2010
Soleau, Charles Manchester, CT 06042	Diversified Group Brokerage/Vice Pr	$250	P	08/10/2010
Soucier, Daniel Colchester, CT 06415	Diversified Group Brokerage/CFO	$250	P	08/10/2010

Political Candidates Receiving Contributions in the 2010 Election Cycle from
SELF-INSURANCE INSTITUTE OF AMERICA, INC. PAC (SELF-INSURANCE PAC)

Candidate Name	Office	Party	State	District	Primary/ General	$ Dollar Amount	Date
ALTMIRE, JASON	House of Reps	Democrat	PA	04	P	$1,000	04/28/2010
CAMPBELL, JOHN BT III	House of Reps	Republican	CA	48	P	$1,500	02/10/2010
COATS, DANIEL R	Senate	Republican	IN	--	G	$500	06/10/2010
CRAPO, MICHAEL D	Senate	Republican	DC	--	G	$1,000	07/29/2010
GRASSLEY, CHARLES E SENATOR	Senate	Republican	IA	--	P	$1,000	05/19/2010
HOEVEN, JOHN	Senate	Republican	ND	--	P	$1,000	05/12/2010
LINCOLN, BLANCHE L	Senate	Democrat	AR	--	P	$1,500	07/09/2009
LINCOLN, BLANCHE L	Senate	Democrat	AR	--	P	$500	07/23/2009
MOORE, DENNIS W.	House of Reps	Democrat	KS	03	P	$2,500	10/14/2009
NELSON, E BENJAMIN	Senate	Democrat	NE	--	P	$500	06/17/2009
NELSON, E BENJAMIN	Senate	Democrat	NE	--	P	$500	01/27/2010
PRICE, THOMAS EDMUNDS	House of Reps	Republican	GA	06	G	$500	06/29/2010
REHBERG, DENNIS R	House of Reps	Republican	MT	00	G	$500	06/23/2010
SHELBY, RICHARD C	Senate	Republican	AL	--	P	$1,000	11/05/2009
TESTER, JON	Senate	Democrat	MT	--	P	$2,500	12/15/2009
TESTER, JON	Senate	Democrat	MT	--	P	$500	03/25/2009
THOMAS, DAVID L	House of Reps	Republican	SC	04	P	$500	11/12/2009
TOOMEY, PATRICK JOSEPH	Senate	Republican	PA	--	P	$1,500	09/29/2010
VITTER, DAVID	Senate	Republican	LA	--	P	$1,000	03/25/2010