Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. Officer, directors, etc. family relationship (Part VI, line 2) | MICHAEL DETERS AND REBEKAH DETERS ARE MARRIED | |
| 02. Members or stockholder classes and rights (Part VI, line 6) | THE COMPANY IS A MUTUAL INSURANCE COMPANY POLICYHOLDERS ARE MEMBERS | |
| 03. Member election for additional members (Part VI, line 7a) | POLICYHOLDERS HAVE THE RIGHT TO ELECT OFFICERS AND DIRECTORS AT THE ANNUAL MEETING | |
| 04. Governing body decisions (Part VI, line 7b) | POLICYHOLDERS HAVE THE RIGHT TO VOTE ON ACTIONS OF THE BOARD AT THE ANNUAL MEETING | |
| 05. Form 990 governing body review (Part VI, line 11) | PATTON & COMPANY PREPAPRES THE 990 UPON COMPLETION A COPY IS PROVIDED TO THE COMPANY FOR THEM TO REVIEW SIGN AND FILE WITH THE IRS | |
| 06. Governing documents, etc, available to public (Part VI, line 19) | A COPY OF THE FINANCIAL STATEMENTS AND 990 IS KEPT BY THE COMPANY TO PROVIDE UPON REQUEST BY A MEMBER | |
| 07. Explanation of other changes in net assets or fund balances (Part XI, line 5) | UNREALIZED GAIN ON INVESTMENTS | |
| 08. General explanation attachment | GROSS RECEIPTS PREMIUMS WRITTEN PAGE 17 OF ANNUAL STMT 454707 POLICY FEES 14499 SUBTOTAL 469206 COMMISSIONS RECEIVED ON LIAB PREMIUMS 5800 INVESTMENT INCOME 65813 OTHER 360 TOTAL GROSS RECEIPTS 541179 PREMIUMS PER TAX RETURN PREMIUMS WRITTEN 469206 DECREASE IN UNEARNED PREMIUMS 5800 PREMIUMS EARNED 463406 NET LOSSES LOSSES PAID 224183 LESS REINSURANCE 27414 NET LOSSES PAID 196769 UNPAID LOSSES CY 7000 UNPAID LOSSES PY 8000 REINS RECOV ON UNPAID CY - REINS RECOV ON UNPAID PY - NET LOSSES 195769 |
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