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Amerisure Mutual Insurance

INDIANADEPARTMENTOFINSURANCE

311W.WashingtonSt.,Suite300

Indianapolis, IN46204-2787

Non-LIFE-STATEMENTOFCONDITION

Onthe31stdayofDecember, 2016

COMPANYNAME:Amerisure Mutual Insurance Company

ADDRESS:26777 Halsted Rd.

CITY, STATEZIPCODE:Farmington Hills, MI 48331

ORGANIZEDUNDERSTATEOFMichigan FEIN: 38-0829210

NAIC CODE: 23396

CONTACTPERSON: Andrea Koehler  PHONE: 248-615-9000

EMAIL: akoehler@amerisure.com

ASSETS OF COMPANY

(Nearest dollar)

Bonds (Schedule D)......................................................... $1,175,289,576

Stocks Schedule D)............................................................. $512,741,375

Mortgage Loans on Real Estate (Schedule B)...................................... $0

Real Estate (Schedule A)...................................................... $11,496,497

Cash & Short Term Investments (Schedule DA & E)............... $(500,424)

Agents Balances or Uncollected Premiums........................ $178,104,433

Other assets....................................................................... $354,649,703

                                TOTAL ASSETS.................................. $2,231,781,160

LIABILITIES, SURPLUS AND OTHER FUNDS

Reserve for Losses.............................................................. $663,468,296

Reserve for Loss Adjustment Expenses.............................. $227,531,771

Reserve for Unearned Premiums........................................ $242,278,088

Reserve for Taxes................................................................... $2,026,398

All Other Liabilities............................................................. $158,529,908

                                TOTAL LIABILITIES............................ $1,293,834,461

Special Surplus Funds................................................... $0

Capital Stock................................................... $5,000,000

Gross Paid in and Contributed Surplus........... $5,000,001

Unassigned Surplus.................................... $927,946,698

                Surplus as regards Policyholders........................ $937,946,699

                                TOTAL LIABILITIES AND SURPLUS...... $2,231,781,160

                   Gregory John Crabb                     Susan Gailey Vincent

                       (Print Name)                             (Print Name)

                        President                                 Secretary

State Form 1143 (R/10-87)

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