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APPLE RIVER SCANDINAVIAN MUTUAL FIRE

INSURANCE COMPANY,

APPLE RIVER, POLK COUNTY.

(Organized and incorporated June 20th, 1885; commenced business June 20th, 1885.)

President, J. P. JOHNSON, Volga.

Secretary, N. A. DAVIDSON, Balsam Lake.

Treasurer, JOHN G. SWANSON, Volga.

ASSETS.

Cash belonging to company in hands of treasurer.
Cash belonging to company deposited in Amery bank..........

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$84 03

500 00

$584 03

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Paid as salaries and fees to president, $6.25; secretary,

$106,00; treaurer, $7.50; directors, $54.58; total......

174 33

All other disbursements, viz.: Committee work

To balance on hand Dec. 31st, 1897 .....

1 50 584 03

Total disbursements..

$824 86

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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? In Polk only.

Are the constitution and by-laws printed in full on the back of policy? Part, but not in full. We distribute by-laws to members. Is the assessment liability of the members clearly defined and embodied in or printed on the back of the policy? No, they are stated in by-laws.

What is the maximum amount and the longest period for which a risk is written? About $1,000.00. Years, five.

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

Are the officers of the company required to furnish bonds for the faithful performance of their duties? Secretary, $500.00; treasurer, $5,000.00.

What is the amount of membership fees charged? $1.00. What is the amount of annual dues charged? Not had any annual dues. Premium 3 mills for new members and 2 for renewal. Is any portion of the assessments used for any purpose other than the payment of losses? Never had any assessments.

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 individual accounts kept.

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

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 1931, as amended? Not any.

Are agents employed to solicit insurance? No agents-only the secretary.

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

ARKDALE MUTUAL FIRE INSURANCE COMPANY,

STRONG'S PRAIRIE, MONROE AND QUINCY, ADAMS COUNTY.

(Organized or incorporated April 6, 1896; commenced business April 11th, 1896.)

President, TOLLEF KNUTSON, Strong's Prairie, Wis.
Vice-President, M. H. STRAND, Strong's Prairie, Wis.
Secretary, EDWARD PAULSON, Arkdale, Wis.
Treasurer, L. E. GORDON, Arkdale, Wis.

Cash in company's office

Bills receivable-secured.

Total assets..

ASSETS.

LIABILITIES. (None.)

RECEIPTS.

Cash received as annual dues..

DISBURSEMENTS.

Paid as salaries and fees to secretary, $6.00; directors,

$12.05; total.......

All other disbursements, viz.: Postage, etc...

Total disbursements

$96 70

12 60

$109 30

$116 00

$18 05

1 25

$19 30

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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 Number and amount of policies issued since organization

$876 00

85

76,499 00

MISCELLANEOUS QUESTIONS.

In what counties does the company transact business? Adams. Are the constitution and by-laws printed in full on the back of the the policy? Yes.

Is the asssessment 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, five.

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 annual dues charged? 1 mill on the dollar. 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.

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Are agents employed to solicit insurance? The directors.

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

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