2024-11-13T14:01:35-06:00 2023-12-31 831514211 FMC CPAS PLLC 3100 WEST END AVENUE STE 700 NASHVILLE TN 37203 990 2023-01-01 620422666 FARMERS MUTUAL INSURANCE COMPANY OF GILES COUNTY FARM 9313631322 PO BOX 732 PULASKI TN 38478 AMI N BURNS SECRETARY/ TREASURER 9313631322 2024-11-13 1 0 X RANDALL K THOMASON P01748852 6152923011 2024-11-12 2023 2024-10-15 13:58:12Z AMI N BURNS PO BOX 732 PULASKI TN 38478 803437 0 X N/A X 1900 TN PROVIDES PROPERTY INSURANCE WITHIN GILES COUNTY, TN AND COUNTIES CONTIGUOUS THERETO 6 0 6 0 40949 32378 0 0 252544 281082 20090 -94425 44849 48084 317483 234741 0 0 0 0 121720 149234 0 0 0 196895 289061 318615 438295 -1132 -203554 1106782 873612 263024 255488 843758 618124 THE COMPANY WAS FORMED FOR THE PURPOSE OF PROVIDING INSURANCE FOR ITS MEMBERS AND TO REINSURE AND ACCEPT REINSURANCE FOR FIRE, LIGHTNING, EXTENDED COVERAGES, THEFT, PROPERTY AND OTHER COVERAGES PERMITTED FOR A COUNTY MUTUAL INSURANCE COMPANY BY TENNESSEE INSURANCE LAW. 0 0 THE COMPANY IS A NON-PROFIT MUTUAL BENEFIT CORPORATION THAT WRITES FIRE AND EXTENDED COVERAGE INSURANCE AS A MUTUAL FIRE, LIGHTNING, HAIL, EXTENDED COVERAGE, AND TORNADO COMPANY AND PROVIDES COVERAGE PRIMARILY TO RESIDENTS OF GILES COUNTY, TENNESSEE AND COUNTIES CONTIGUOUS THERETO IN THE STATE OF TENNESSEE. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 6 0 1 6 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 6 0 1 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 1 0 0 0 TN X AMI N BURNS 9313631322 1029 WEST COLLEGE STREET PULASKI TN 38478 JANIE MARIE WILBURN SECRETARY/TREASURER 40.00 X X 33409 0 0 HARRY WINFORD BURNS PRESIDENT/DIRECTOR 1.00 X X 6260 0 0 RICHARD EUGENE LONG JR DIRECTOR 1.00 X 1410 0 0 CLINT WINFORD BURNS DIRECTOR 1.00 X 1409 0 0 LANE EVERETTE ROSE VICE-PRESIDENT 1.00 X X 1410 0 0 WENDELL WILBURN DIRECTOR/AGENT 40.00 X 58909 0 0 102807 0 0 0 0 0 0 0 POLICY PREMIUMS 524126 281082 281082 281082 27255 27255 447016 568696 -121680 -121680 -121680 AGENCY COMM. (SCH R) 524298 40949 40949 SHARED SERVICE AGREEMENT INCOME 524298 4919 4919 COMMISSIONS AND MISC. INCOME 524126 2216 2216 48084 234741 193792 40949 0 102807 36250 186 9991 16470 1191 16066 9285 3475 5561 UNRELATED BUSINESS INCO 8906 NET LOSSES INCURRED 206212 TAXES, LICENSES, FEES 6678 REAL ESTATE EXPENSES AN 6088 9129 438295 257547 205333 139961 539962 32997 37840 91349 10232 106672 81117 569605 9360 1106782 873612 15305 1046 236723 253036 10996 1406 263024 255488 X 0 0 0 0 843758 618124 843758 618124 1106782 873612 X -203554 -22080 X 1 X 0 0 0 91077 9960 81117 272 272 0 81117 SHARED SERVICE FEES PAYABLE 1406 1406 FORM 990, PART VI, SECTION A, LINE 2 THE ORGANIZATION'S TREASURER IS MARRIED TO A MEMBER OF THE BOARD OF DIRECTORS. THE TREASURER RETIRED SUBSEQUENT TO 2023 YEAR-END, EFFECTIVE MARCH 1, 2024. THE ORGANIZATION APPOINTED A NEW TREASURER LATER IN 2024. THE NEW TREASURER IS MARRIED TO A NEWLY ADDED MEMBER OF THE BOARD OF DIRECTORS (BECAME A DIRECTOR IN 2024). FORM 990, PART VI, SECTION A, LINE 7A EACH POLICYHOLDER VOTES ON BOARD MEMBERS, WHO ARE ELECTED FOR A 3 YEAR TERM WITH NO LIMIT OF THE NUMBER OF TERMS THEY SERVE FORM 990, PART VI, SECTION B, LINE 11B EACH MEMBER OF THE BOARD OF DIRECTORS IS GIVEN A DRAFT COPY OF THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE KEPT IN THE OFFICE FILED IN A FIRE-PROOF CABINET AND ARE AVAILABLE FOR VIEWING AT THE COMPANY OFFICE LOCATED AT 1029 WEST COLLEGE STREET, PULASKI, TN 38478. FORM 990, PART XI, LINE 9: UNDER THE COMPANY'S REGULATORY REPORTING REQUIREMENTS IN -22,080. ITS STATE OF DOMICILE, A TOTAL OF $39,233 OF ITS FIXED ASSET NET BOOK VALUE IS REQUIRED TO BE "NON-ADMITTED" AS AN ASSET ON THE COMPANY'S BOOKS. THERE WERE $17,153 NON-ADMITTED FIXED ASSETS RECORDED IN 2022, AND THEREFORE THE CURRENT YEAR CHANGE IN NON-ADMITTED FIXED ASSETS IS REFLECTED AS AN "OTHER CHANGE IN NET ASSETS OR FUND BALANCES" ON PART XI, LINE 9. FARMERS MUTUAL AGENCY GILES COUNTY LLC PO BOX 732 PULASKI TN 384780732 INSURANCE AGENCY TN 33378 62445 FARMERS MUTUAL INSURANCE COMPANY OF GILES COUNTY