(Amount paid for losses incurred in previous years included in net amount paid, $9,986.60) Loss adjustment expenses.. 4,110.08 Agents' compensation, including brokerage. 80,902.72 Furniture and fixtures, including rent of and repair of same- 945.93 253.92 Inspections and surveys, including Underwriters' Boards and Tariff Asso Legal expenses, excluding legal expenses on losses.. Postage, telegraph and telephone, exchange and express Advertising and subscriptions, $595.63; printing and stationery, $1,265.02....... 4,420.66 1,886.70 .10 6,307.46 558.59 500.40 1,860.65 Deposit premiums returned on perpetual risks net item of disbursed assets.. 13,914.13 125, 133.33 83.43 Mortgage loans on real estate, per Schedule B, first liens. $ 401,400.00 Agents' balances written representing business written subsequent to October 1, 1922. 6,240.76 Agents' balances representing business written prior to October 1, 1922. NON-LEDGER ASSETS Interest due, $6,529.99 and accrued, $8,964.80 on mortgages, per Schedule B. 15,494.79 Interest accrued on bonds not in default, per Schedule D, part 1. 729.49 Market value (not including interest in item 18) of bonds and stocks over book value, per Schedule D... Due from reinsurance companies on paid losses.. 1,677.11 1,683.49 Agents' balances, representing business written prior to October 1, 1922. 1,160.01 Totals 5,430.97 $ Gross premiums (less reinsurance) received and receivable upon 12,344.40 $ 240.00 5,430.97 20.20 6,653.23 55,890.93 4,724.42 Gross premiums (less reinsurance) received and receivable upon all unexpired risks effective prior to Jan. 1, 1921, $2,399.18; unearned premiums thereon per recapitulation. 1,168.81 Total unearned premiums as computed above. 61,784.16 Salaries, rents, expense, bills, accounts, fees, etc., due or accrued. Estimated amount hereafter payable for federal, state and other taxes based upon the business of the year of this statement.. RECAPITULATION OF FIRE RISKS AND PREMIUMS ON ALL BUSINESS EFFECTIVE ON AND AFTER JANUARY 1, 1921, AND ON PERPETUAL RISKS WHENEVER WRITTEN 56.92 56.92 56.92 56.92 51.22 $ 3,308.45 249.75 Premiums Less RECAPITULATION OF 'GROSS PREMIUMS ON ALL UNEXPIRED RISKS, OTHER THAN FIRE RISKS, EFFECTIVE ON AND AFTER JANUARY 1, 1921 Premiums Less Running One Year or Less +Amount Amount Unearned Unearned RISKS AND PREMIUMS ON ALL BUSINESS EFFECTIVE PRIOR TO JANUARY 1, 1921 (Excluding Perpetual Risks) In force on the 31st day of December, 1921.. Written or renewed during the year... Risks 185,778 $ 1,808 'Gross Premiums Thereon Dollars Cts. 1,435.28 21.16 RECAPITULATION OF RISKS AND PREMIUMS ON ALL BUSINESS EFFECTIVE PRIOR TO JANUARY 1, 1922 (EXCLUDING PERPETUAL RISKS Have all the transactions of the company of which notice was received at the home office on or before the close of business, December 31, been truthfully and accurately entered on its books? Yes. Except as shown in the next succeeding question, does this statement show the condition of the company as shown by the books, records and data at the home office at the close of business, December 31? Yes. Have there been included in this statement proper reserves to cover liabilities which may have been actually incurred on or before December 31, but of which no notice was received at the home office until subsequently? Yes. Gross premiums (less reinsurance and return premiums) received from organization of company, $447,003.02. Net losses paid since organization (item 5, page 8, of last year's statement, plus item 13, page 3, of this statement), $213,044.58. Total dividends declared since commencing business-cash, none, stock, none. In all cases where the company has assumed risks from another company, there should be charged in this statement on account of such reinsurance a reserve equal to that which the original company would have been required to charge had it retained the risks. Has this been done? Yes. Largest gross aggregate amount insured in any one hazard, without any deductions whatever for reinsurance, whether the same be in admitted or non-admitted companies? $15,000.00. Largest net aggregate amount insured in any one hazard. $2,500.00. What amount of installment notes is owned and now held by the company? None. Have any of these notes been hypothecated, sold or used in any manner as security for money loaned within the past year? If so, what amount? None. Balance of scrip outstanding and deliverable to policyholders, none; scrip not actually delivered, none. Scrip dividends declared during the year, none; limit of scrip accumulation before any redempton, none. Net cash participating premiums received during the year, none. Total amount of the company's stock owned by the directors at par value, $38,616.66. Total amount loaned during the year to directors or other officers, none; to stockholders not officers, none. Total amount of loans outstanding at end of year to directors or other officers, $1,100.00; to stockholders not officers, none. Does any officer, director or trustee receive any commission on the business of the company? No. What interest, direct or indirect, has this company in the capital stock of any other insurance company? None. Is a majorty of the capital stock of this company owned or controlled, directly or indirectly, by any other corporation? No. Has this company guaranteed policies issued by any other company and now in force? No. Were all the stocks, bonds and other securities owned December 31 of the year of this statement in the actual possession of the company on said date, except as shown by the Schedule of Special and Other Deposits? Yes. Were any of the stocks, bonds or other assets of the company loaned during the year covered by this statement? No. State if an examination of this company's affairs has been conducted during the year of this statement by any insurance department. If so. what department? Iowa Insurance Department. Has any change been made during the year of this statement in the charter, articles of incorporation, or deed of settlement of the company? No. What officials and heads of departments of the company supervised the making of this report? Treasurer. Have the instructions printed on the inside front cover of this blank Leen followed in every detail? Yes. Municipal: BONDS AND STOCKS OWNED BY COMPANY Book Value City of Tulsa, Oklahoma, special assessment City of Des Moines, Iowa, sewer and water Town of Kingsley, Iowa, street improvement Stocks: 1,000.00 3,086.76 500.00 1,000.00 11,000.00 2,193.95 12% shares Great Republic Insurance Company, Des Moines, Iowa... Total State Iowa South Dakota. Wyoming Total HAWKEYE SECURITIES FIRE INSURANCE COMPANY Located at No. 308-316 Masonic Temple, Des Moines, Iowa Incorporated January 3, 1918 Commenced Business January 11, 1919 Secretary, R. S. Howell President, H. R. Howell Capital paid up in cash. CAPITAL $ 1,000,000.00 Amount of ledger assets December 31, of previous year------ |