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Are the members required to make advance payments of assessments? Yes. If so, upon what basis are such advance payments calculated? Rate of 1896 as established by the state board of underwriters when obtainable, if not by companies schedule less 50%.

Is any portion of the assessments used for any other purpose than the payment of losses? No.

Are accounts kept with the members, individually crediting them with all payments made to the company and charging them with their individual proportions of all losses and expenses? No.

Does the constitution or by-laws provide for the levying on all members of additional assessments if the funds of the company are not sufficient to pay losses? Yes.

Are such assessments limited? No.

What property is insured other than that mentioned in section 5, chapter 305, laws of 1887, as amended? None.

Does the constitution or by-laws provide for the insuring of sucn other property? Yes, except those specifically prohibited.

Are agents employed to solicit insurance? Yes.

Are the answers to the foregoing questions true and complete to the best of your knowledge and belief? Yes.

VILLAGE OF WAUKESHA MUTUAL FIRE INSURANCE COMPANY,

WAUKESHA, WAUKESHA COUNTY.

(Organized or incorporated March 2, 1889; commenced business May 12, 1889.)

President, JOHN L. GASPER, Waukesha, Wis.

Vice-President, VAN H. BUGBEE, Waukesha, Wis.
Secretary, GEORGE J. VANDERPOOL, Waukesha, Wis.
Treasurer, JOHN SPERBER, Waukesha, Wis.

ASSETS.

Cash in company's office.

$1,522 72

Other assets, viz.: Books, blanks, stationery, etc.....

16 00

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Cash received from all other sources, viz.: Premiums.....

544 60

Total

$560 60

DISBURSEMENTS.

Amount paid for losses..

$50 20

Paid as salaries and fees to president, $25.00; secretary, $38.32

63 32

All other disbursements, viz.: Examination by insurance department, $8.72; Waukesha fire department, $39.33; books, blanks, stationery, postage, etc., $20.95...

Total disbursements.

69 00

$182 52

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In force on the 31st day of December of the pre

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Average amount of insurance in force per policy
Amount of losses paid since organization......
Number and amount of policies issued since or-
ganization

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MISCELLANEOUS QUESTIONS.

In what counties does the company transact business? Waukesha, and in city of Waukesha only.

What is the form of policy used? Wisconsin Standard.

Are the constitution and by-laws printed in full on the back of the policy? Yes, or attached.

Is the assessment liability of the members clearly defined and embodied in or printed on the back of the policy? Yes.

What is the maximum amount and the longest period for which a risk is written? $2,000.00. Years, three.

Are any of the outstanding risks of the company re-insured in other companies? No.

Are the officers of the company required to furnish bonds for the faithful performance of their duties? Yes. Treasurer, $5,000.00. What is the amount of membership fees charged? One dollar. What is the amount of annual dues charged? None.

Are the members required to make advance payments of assessments? No.

Is any portion of the assessments used for any other purpose than the payment of losses? No.

Are accounts kept with the members, individually crediting them

with all payments made to the company and charging them with their individual proportions of all losses and expenses? Yes.

Does the constitution or by-laws provide for the levying on all members of additional assessments if the funds of the company are not sufficient to pay losses? Yes.

What property is insured other than that mentioned in section 5, chapter 305, laws of 1887, as amended? None.

Does the constitution or by-laws provide for the insuring of such other property? No.

Are agents employed to solicit insurance? None.

Are the answers to the foregoing questions true and complete to the best of your knowledge and belief? Yes.

WEST BEND MUTUAL FIRE INSURANCE COMPANY,

WEST BEND, WASHINGTON COUNTY.

(Organized or incorporated April 13, 1894; commenced business May 2, 1894.)

President, PATRICK O' MEARA, West Bend, Wis.
Vice-President, JOSEPH OTT, West Bend, Wis.

Secretary, C. F. LEINS, West Bend, Wis.

Treasurer, S. F. MAYER, West Bend, Wis.

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Other assets, viz.: Accrued interest, $185.43; one Mac

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Advance assessments (70% of which is put in loss fund)..

RECEIPTS.

Cash received from all other sources, viz.: Advance assess

ments, $6,286.23; interest, $125.97; advance assessments from 1896, $3.28

$5,974 55

$6,415 48

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