Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. Officer, directors, etc. family relationship (Part VI, line 2) | GARY AND TODD MARICLE ARE FATHER AND SON | |
| 02. Members or stockholder classes and rights (Part VI, line 6) | COMPANY IS A MUTUAL INSURANCE COMPANY POLICYHOLDERS ARE MEMBERS | |
| 03. Member election for additional members (Part VI, line 7a) | THE POLICYHOLDERS HAVE THE RIGHT TO ELECT THE OFFICERS AND DIRECTORS AT THE ANNUAL MEETING | |
| 04. Governing body decisions (Part VI, line 7b) | THE 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 AND COMPANY PREPARES 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) | THE COMPANY RETAINS A COPY OF THE FINANCIAL STATEMENTS AND TAX RETURN ON FILE TO BE PROVIDED UPON REQUEST BY A MEMBER | |
| 07. General explanation attachment | LOSSES INCURRED LOSSES PAID 390248 SALVAGE 1000 REINS RECOVERED 301240 REINS RECOV ON PAID LOSSES CY 6251 REINS RECOV ON PAID LOSSES PY 22802 SUBTOTAL 104559 UNPAID LOSSES CY 34000 UNPAID LOSSES PY 21500 REINS RECOV ON UNPAID LOSSES PY 11500 NET LOSSES INCURRED 128559 GROSS RECEIPTS PREMIUMS WRITTEN PAGE 17 OF ANNUAL STMT 491682 POLICY FEES 16491 SUBTOTAL 508173 COMMISSIONS RECEIVED ON LIABILITY PREM 36238 INVESTMENT INCOME 6771 MISCELLANEOUS 250 TOTAL GROSS RECEIPTS 551432 PREMIUMS PER TAX RETURN PREMIUMS WRITTEN 508173 INCREASE IN UNEARNED PREM 3766 PREMIUMS EARNED 504407 |
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