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Object ID: 202233159349304038 - Rendered 2024-12-26
TIN: 74-2615873
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
21
Open to Public Inspection
Name of the organization
TEXAS MUTUAL INSURANCE COMPANY
Employer identification number
74-2615873
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
First-class or charter travel
Housing allowance or residence for personal use
Travel for companions
Payments for business use of personal residence
Tax idemnification and gross-up payments
Health or social club dues or initiation fees
Discretionary spending account
Personal services (e.g., maid, chauffeur, chef)
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain
.....
1b
Yes
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a?
....
2
Yes
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
Compensation committee
Written employment contract
Independent compensation consultant
Compensation survey or study
Form 990 of other organizations
Approval by the board or compensation committee
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment?
.............
4a
Yes
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan?
.........
4b
Yes
c
Participate in, or receive payment from, an equity-based compensation arrangement?
.........
4c
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization?
....................
5a
b
Any related organization?
.......................
5b
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
..................
6a
b
Any related organization?
......................
6b
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III
............
7
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III
..........................
8
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)?
.........................
9
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2021
Schedule J (Form 990) 2021
Page
2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees.
Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note.
The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A)
Name and Title
(B)
Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC
(C)
Retirement and other deferred compensation
(D)
Nontaxable
benefits
(E)
Total of columns
(B)(i)-(D)
(F)
Compensation in column (B) reported as deferred on prior Form 990
(i)
Base
compensation
(ii)
Bonus & incentive
compensation
(iii)
Other
reportable compensation
1
Richard Gergasko
President & CEO
(i)
(ii)
723,170
-------------
0
766,422
-------------
0
167,553
-------------
0
34,888
-------------
0
19,908
-------------
0
1,711,941
-------------
0
0
-------------
0
2
Leonard Johnson
SVP Investments
(i)
(ii)
406,528
-------------
0
185,952
-------------
0
340,690
-------------
0
96,901
-------------
0
9,192
-------------
0
1,039,263
-------------
0
255,513
-------------
0
3
Brenda Ward
Chief Operating Officer
(i)
(ii)
420,821
-------------
0
286,748
-------------
0
63,955
-------------
0
102,229
-------------
0
9,192
-------------
0
882,945
-------------
0
53,757
-------------
0
4
Mary Nichols
SVP & General Counsel
(i)
(ii)
374,674
-------------
0
172,554
-------------
0
88,274
-------------
0
34,888
-------------
0
10,992
-------------
0
681,382
-------------
0
0
-------------
0
5
Perry Barron
SVP & CFO
(i)
(ii)
138,604
-------------
0
0
-------------
0
499,776
-------------
0
13,964
-------------
0
4,737
-------------
0
657,081
-------------
0
0
-------------
0
6
Michael Hernandez
Chief Data Officer
(i)
(ii)
337,575
-------------
0
160,547
-------------
0
12,700
-------------
0
62,217
-------------
0
21,698
-------------
0
594,737
-------------
0
0
-------------
0
7
Michael Stubblefield
SVP & Chief Information Officer
(i)
(ii)
337,302
-------------
0
160,939
-------------
0
11,402
-------------
0
57,154
-------------
0
20,948
-------------
0
587,745
-------------
0
0
-------------
0
8
Kim Haugaard
SVP Policyholder Services
(i)
(ii)
294,860
-------------
0
138,762
-------------
0
37,218
-------------
0
81,450
-------------
0
11,210
-------------
0
563,500
-------------
0
26,537
-------------
0
9
Paul Schlaud
SVP & Special Counsel
(i)
(ii)
309,910
-------------
0
147,657
-------------
0
10,029
-------------
0
53,193
-------------
0
27,024
-------------
0
547,813
-------------
0
0
-------------
0
10
Jeffrey Lentz
SVP Underwriting
(i)
(ii)
267,527
-------------
0
125,804
-------------
0
47,550
-------------
0
75,527
-------------
0
30,609
-------------
0
547,017
-------------
0
37,962
-------------
0
11
Jo Betsy Norton
SVP Public Affairs
(i)
(ii)
264,434
-------------
0
124,583
-------------
0
47,885
-------------
0
69,677
-------------
0
11,112
-------------
0
517,691
-------------
0
35,876
-------------
0
12
Willard Potter
SVP & CFO
(i)
(ii)
327,134
-------------
0
79,241
-------------
0
9,877
-------------
0
51,254
-------------
0
28,338
-------------
0
495,844
-------------
0
0
-------------
0
13
David John
VP IT Infrastructure
(i)
(ii)
234,801
-------------
0
87,073
-------------
0
46,742
-------------
0
71,949
-------------
0
30,422
-------------
0
470,987
-------------
0
37,244
-------------
0
14
James Kohloff
VP Regional Operations
(i)
(ii)
249,839
-------------
0
79,638
-------------
0
45,170
-------------
0
64,291
-------------
0
29,774
-------------
0
468,712
-------------
0
33,864
-------------
0
15
Elise Teeter
SVP & General Auditor
(i)
(ii)
245,832
-------------
0
114,551
-------------
0
18,155
-------------
0
59,825
-------------
0
17,196
-------------
0
455,559
-------------
0
8,260
-------------
0
16
Phoebe Murphy
VP & Chief Actuary
(i)
(ii)
236,578
-------------
0
72,879
-------------
0
45,966
-------------
0
62,686
-------------
0
13,728
-------------
0
431,837
-------------
0
36,271
-------------
0
17
Lawrence Martin
SVP Human Resources
(i)
(ii)
263,163
-------------
0
69,303
-------------
0
24,535
-------------
0
59,308
-------------
0
10,176
-------------
0
426,485
-------------
0
14,042
-------------
0
18
Erica Sanchez
VP & Controller
(i)
(ii)
217,537
-------------
0
76,776
-------------
0
38,562
-------------
0
62,254
-------------
0
19,946
-------------
0
415,075
-------------
0
29,047
-------------
0
19
Jeannette Sprague
VP Applications
(i)
(ii)
216,214
-------------
0
79,054
-------------
0
52,721
-------------
0
34,888
-------------
0
30,609
-------------
0
413,486
-------------
0
0
-------------
0
20
Edward Coates
VP HR Employee Services
(i)
(ii)
201,573
-------------
0
73,512
-------------
0
35,136
-------------
0
65,610
-------------
0
29,774
-------------
0
405,605
-------------
0
24,429
-------------
0
21
Billy Jackson
VP Regional Operations
(i)
(ii)
219,751
-------------
0
78,349
-------------
0
44,718
-------------
0
34,888
-------------
0
20,388
-------------
0
398,094
-------------
0
0
-------------
0
22
Nathan Scott
VP Investments
(i)
(ii)
215,707
-------------
0
77,779
-------------
0
17,515
-------------
0
55,949
-------------
0
29,024
-------------
0
395,974
-------------
0
7,344
-------------
0
23
Lisa Evans
VP Distribution & Customer Engagement
(i)
(ii)
244,616
-------------
0
84,677
-------------
0
9,880
-------------
0
52,610
-------------
0
1,200
-------------
0
392,983
-------------
0
0
-------------
0
24
Peppia Gates
VP Regional Operations
(i)
(ii)
221,435
-------------
0
77,193
-------------
0
19,470
-------------
0
56,388
-------------
0
17,696
-------------
0
392,182
-------------
0
8,023
-------------
0
25
Shannon Pounds
VP Claims Litigation
(i)
(ii)
203,874
-------------
0
73,932
-------------
0
34,678
-------------
0
54,321
-------------
0
17,196
-------------
0
384,001
-------------
0
25,291
-------------
0
26
Amy Green-Hinojosa
VP Project Management Office
(i)
(ii)
203,784
-------------
0
71,834
-------------
0
21,806
-------------
0
65,536
-------------
0
18,834
-------------
0
381,794
-------------
0
12,481
-------------
0
27
Jeremiah Bentley
VP Marketing & Community Affairs
(i)
(ii)
200,794
-------------
0
72,151
-------------
0
19,869
-------------
0
59,152
-------------
0
29,774
-------------
0
381,740
-------------
0
10,654
-------------
0
28
Lynette Caldwell
SVP Human Resources
(i)
(ii)
123,173
-------------
0
138,703
-------------
0
79,312
-------------
0
32,376
-------------
0
7,935
-------------
0
381,499
-------------
0
0
-------------
0
29
Benjamin Siddons
VP Business Development
(i)
(ii)
215,828
-------------
0
73,434
-------------
0
9,514
-------------
0
51,649
-------------
0
28,774
-------------
0
379,199
-------------
0
0
-------------
0
30
Nicholas Tsourmas
VP & Medical Director
(i)
(ii)
213,419
-------------
0
72,133
-------------
0
39,009
-------------
0
34,858
-------------
0
18,948
-------------
0
378,367
-------------
0
0
-------------
0
31
Roger Humecky
VP Data Analytics & Business Intelligence
(i)
(ii)
223,268
-------------
0
77,925
-------------
0
9,523
-------------
0
50,275
-------------
0
17,196
-------------
0
378,187
-------------
0
0
-------------
0
32
Beverly Harris
VP Strategic Planning & Analysis
(i)
(ii)
205,016
-------------
0
70,691
-------------
0
26,812
-------------
0
54,489
-------------
0
18,948
-------------
0
375,956
-------------
0
17,282
-------------
0
33
Anthony Seraphim
VP Data Governance
(i)
(ii)
207,561
-------------
0
74,104
-------------
0
9,494
-------------
0
49,677
-------------
0
29,424
-------------
0
370,260
-------------
0
0
-------------
0
34
Eric Bourquin
VP Safety Services
(i)
(ii)
195,314
-------------
0
70,629
-------------
0
16,670
-------------
0
52,722
-------------
0
30,581
-------------
0
365,916
-------------
0
7,369
-------------
0
35
Curtis Johnson
VP Claim Operations
(i)
(ii)
196,120
-------------
0
69,371
-------------
0
36,034
-------------
0
28,945
-------------
0
29,774
-------------
0
360,244
-------------
0
0
-------------
0
36
Catherine Brown
VP Facility Services
(i)
(ii)
201,740
-------------
0
68,389
-------------
0
44,151
-------------
0
32,819
-------------
0
12,350
-------------
0
359,449
-------------
0
0
-------------
0
37
Greta Gonzales
VP & Chief Risk Officer
(i)
(ii)
206,439
-------------
0
72,201
-------------
0
10,377
-------------
0
49,378
-------------
0
18,156
-------------
0
356,551
-------------
0
0
-------------
0
38
Leila Williams
VP & Medical Director
(i)
(ii)
212,655
-------------
0
71,982
-------------
0
10,067
-------------
0
48,060
-------------
0
0
-------------
0
342,764
-------------
0
0
-------------
0
39
Paschal Strong
VP Underwriting Operations
(i)
(ii)
210,382
-------------
0
56,066
-------------
0
23,404
-------------
0
50,195
-------------
0
0
-------------
0
340,047
-------------
0
14,234
-------------
0
40
Svetlana Bronshteyn
VP Enterprise Product Management
(i)
(ii)
198,568
-------------
0
0
-------------
0
77,847
-------------
0
22,077
-------------
0
11,260
-------------
0
309,752
-------------
0
0
-------------
0
Schedule J (Form 990) 2021
Schedule J (Form 990) 2021
Page
3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference
Explanation
Schedule J, Part I, Line 1a
Social club memberships were paid for Jeff Lentz, Jo Betsy Norton, Richard Gergasko, Mike Barron, and Jim Kohloff. The memberships are used for business purposes such as hosting employee meetings, hosting events, and meetings with legislative stakeholders.
Schedule J, Part I, Line 4
a) Perry Barron $495,716; Lynette Caldwell $76,285 b) Richard Gergasko $149,469; Leonard Johnson $388,714; Brenda Ward $121,098; Mary Nichols $65,974; Michael Hernandez $27,329; Michael Stubblefield $22,266; Kim Haugaard $73,099; Paul Schlaud $18,305; Jeffrey Lentz $78,601; Jo Betsy Norton $70,665; Willard Potter $16,366; David John $74,304; James Kohloff $63,267; Elise Teeter $33,197; Phoebe Murphy $64,070; Lawrence Martin $38,462; Erica Sanchez $56,413; Jeannette Sprague $36,579; Edward Coates $55,798; Billy Jackson $30,368; Nathan Scott $28,405; Lisa Evans $17,722; Peppia Gates $29,523; Shannon Pounds $45,704; Amy Green-Hinojosa $43,924; Jeremiah Bentley $35,806; Benjamin Siddons $16,761; Nicholas Tsourmas $23,175; Roger Humecky $16,619; Beverly Harris $37,967; Anthony Seraphim $14,789; Eric Bourquin $27,156; Curtis Johnson $21,937; Catherine Brown $32,885; Greta Gonzales $15,203; Leila Williams $13,708; Paschal Strong $32,575
Schedule J (Form 990) 2021
Additional Data
Software ID:
21013178
Software Version:
v1.00