Civic Intelligence

Berry & Roxbury Mutual Insurance Company

EIN 39-1052956 • 501(c)15 • Cross Plains, WI

Profile

Insurance company with gross receipts not exceeding 600,000, more than 50 percent of which consist of premiums.

4766 County Road KPCross Plains, WI 53528
Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

62nd percentile

0.08x

Higher debt load relative to assets than 62% of similar nonprofits.

$1M-$5M nonprofits • Source year 2022

Liabilities / Revenue

85th percentile

0.54x

Higher debt load relative to revenue than 85% of similar nonprofits.

$1M-$5M nonprofits • Source year 2022

Net Margin

67th percentile

17%

Higher net margin than 67% of similar nonprofits.

$1M-$5M nonprofits • Source year 2022

Top Officer Pay

58th percentile

$38,501

Higher top officer pay than 58% of similar nonprofits.

Top officer pay equals 13.6% of source-year revenue.

$1M-$5M nonprofits • Source year 2022

Asset Growth

31st percentile

-1.9%

Faster asset growth than 31% of similar nonprofits.

$1M-$5M nonprofits • Annualized from 2021 to 2022

Revenue Growth

70th percentile

29%

Faster revenue growth than 70% of similar nonprofits.

$1M-$5M nonprofits • Annualized from 2021 to 2022

Balance Sheet
Liabilities / Assets62nd percentile

Assets

Down

$1,992,729

Down $37,960 (-1.9%) from 2021

Liabilities

Down

$152,420

Down $40,581 (-21%) from 2021

Net Assets

Up

$1,840,309

Up $2,621 (+0.1%) from 2021

Operations
Liabilities / Revenue85th percentileNet Margin67th percentile

Revenue

Up

$283,594

Up $63,923 (+29%) from 2021

Expenses

Up

$234,913

Up $56,925 (+32%) from 2021

Net Income

Up

$48,681

Up $6,998 (+17%) from 2021

Trend Graphs

Balance Sheet Trend

Asset Growth31st percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$3.0M$2.0M$1.0M$0Assets 2011: $2,253,151Liabilities 2011: $213,662Net Assets 2011: $2,039,4892011Assets 2012: $2,286,901Liabilities 2012: $218,555Net Assets 2012: $2,068,3462012Assets 2013: $2,250,847Liabilities 2013: $194,456Net Assets 2013: $2,056,3912013Assets 2014: $2,196,098Liabilities 2014: $215,363Net Assets 2014: $1,980,7352014Assets 2015: $2,147,072Liabilities 2015: $187,503Net Assets 2015: $1,959,5692015Assets 2016: $2,058,966Liabilities 2016: $241,785Net Assets 2016: $1,817,1812016Assets 2017: $2,015,915Liabilities 2017: $200,826Net Assets 2017: $1,815,0892017Assets 2018: $1,962,362Liabilities 2018: $185,852Net Assets 2018: $1,776,5102018Assets 2019: $1,950,745Liabilities 2019: $187,988Net Assets 2019: $1,762,7572019Assets 2020: $1,961,739Liabilities 2020: $161,182Net Assets 2020: $1,800,5572020Assets 2021: $2,030,689Liabilities 2021: $193,001Net Assets 2021: $1,837,6882021Assets 2022: $1,992,729Liabilities 2022: $152,420Net Assets 2022: $1,840,3092022

Highlighted filing

2022

Assets$1,992,729
Liabilities$152,420
Net Assets$1,840,309
Open 2022 Filing

Operations Trend

Revenue Growth70th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400K$200K$0-$200KRevenue 2011: $273,512Expenses 2011: $364,711Net Income 2011: -$91,1992011Revenue 2012: $245,270Expenses 2012: $198,983Net Income 2012: $46,2872012Revenue 2013: $209,171Expenses 2013: $224,967Net Income 2013: -$15,7962013Revenue 2014: $222,585Expenses 2014: $347,834Net Income 2014: -$125,2492014Revenue 2015: $199,488Expenses 2015: $221,742Net Income 2015: -$22,2542015Revenue 2016: $196,764Expenses 2016: $365,310Net Income 2016: -$168,5462016Revenue 2017: $200,858Expenses 2017: $241,804Net Income 2017: -$40,9462017Revenue 2018: $210,485Expenses 2018: $243,241Net Income 2018: -$32,7562018Revenue 2019: $216,770Expenses 2019: $233,162Net Income 2019: -$16,3922019Revenue 2020: $233,131Expenses 2020: $193,493Net Income 2020: $39,6382020Revenue 2021: $219,671Expenses 2021: $177,988Net Income 2021: $41,6832021Revenue 2022: $283,594Expenses 2022: $234,913Net Income 2022: $48,6812022

Highlighted filing

2022

Revenue$283,594
Expenses$234,913
Net Income$48,681
Open 2022 Filing

Filings

Most recent year

2022 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$1,992,729
Liabilities
$152,420
Net assets
$1,840,309
Revenue
$283,594
Expenses
$234,913
Net income
$48,681
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.99$0.15$1.84$0.28$0.23$0.05
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.03$0.19$1.84$0.22$0.18$0.04
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.96$0.16$1.80$0.23$0.19$0.04
2019Summary only. Only limited summary data is available for this year.$1.95$0.19$1.76$0.22$0.23$0.02
2018Summary only. Only limited summary data is available for this year.$1.96$0.19$1.78$0.21$0.24$0.03
2017Summary only. Only limited summary data is available for this year.$2.02$0.20$1.82$0.20$0.24$0.04
2016Summary only. Only limited summary data is available for this year.$2.06$0.24$1.82$0.20$0.37$0.17
2015Summary only. Only limited summary data is available for this year.$2.15$0.19$1.96$0.20$0.22$0.02
2014Summary only. Only limited summary data is available for this year.$2.20$0.22$1.98$0.22$0.35$0.13
2013Summary only. Only limited summary data is available for this year.$2.25$0.19$2.06$0.21$0.22$0.02
2012Summary only. Only limited summary data is available for this year.$2.29$0.22$2.07$0.25$0.20$0.05
2011Summary only. Only limited summary data is available for this year.$2.25$0.21$2.04$0.27$0.36$0.09
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
May 8, 2023
Return Version
2022v5.0
Gross Receipts
$297,207
Mission and Program Overview

Mission

Insurance company with gross receipts not exceeding 600,000, more than 50 percent of which consist of premiums.

Balance Sheet Detail
LineBeginningEndChange
Assets
Pd in Cap Srpls Land Bldg Eqp Fund$1,837,688$1,840,309▲ $2,621
Savings and Temporary Cash Investments$945,139$1,008,279▲ $63,140
Investments in Publicly Traded Securities$700,233$692,465▼ $7,768
Investments Other Securities$273,246$239,623▼ $33,623
Cash and Non-Interest-Bearing Accounts$54,103$6,142▼ $47,961
Land, Buildings, and Equipment, Net$105--
Total Assets$2,030,689$1,992,729▼ $37,960
Other Assets Total$57,863$46,220▼ $11,643
Liabilities
Other Liabilities$193,001$152,420▼ $40,581
Total Liabilities$193,001$152,420▼ $40,581
Net Assets / Fund Balance
Total Net Assets Fund Balance$1,837,688$1,840,309▲ $2,621
Total Liabilities and Net Assets / Fund Balance$2,030,689$1,992,729▼ $37,960

Asset Categories

AssetBook ValueDepreciationBasis
Equipment-$1,514$1,514
Other Securities$239,623--
Compensation and Service Providers
Top Officer Pay58th percentile

Employees

NameTitleFull / Part TimeBaseTotal
L Peter WolfSecretary - TreasurerPT$38,501$38,501
Paul EndresDirector-$26,676$26,676
Karen WolfEmployee-$21,667$21,667
Gary WipperfurthPresident-$10,520$10,520
Robert ClasonVice President-$4,935$4,935
Marvin FreyDirector-$3,600$3,600
Carl KetelbeoterDirector-$3,300$3,300
Roger KahlDirector-$2,850$2,850
Nicholas WipperfurthDirector-$2,700$2,700
Richard WipperfurthDirector-$1,950$1,950
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$248,570
Investment Income
$26,221
Other Revenue
$8,803
Change in Net Assets
$48,681
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$128,938
Other Expenses$105,975
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees---$95,032
Other Salaries and Wages---$29,416
Fees for Services Accounting---$27,350
Insurance---$10,832
All Other Expenses---$10,016
Office Expenses---$7,636
Other Expenses---$5,882
Payroll Taxes---$4,490
Conferences and Meetings---$2,147
Advertising---$1,998
Occupancy---$1,200
Total Functional Expenses$0$0$0$234,913
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Karen WolfSpouse of OfficerSalaryNo$21,667
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Commissions payable$130,586
Unearned premiums$13,882
Federal income taxes$4,550
Unpaid loss adjustment expenses$3,352
Net unpaid losses$50
Reinsurance payable-
Amounts withheld for account of others-
Payroll taxes payable-
Accounts payable-
Premiums received in advance-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
Yes
Business relationship with family members
Yes
Business relationship with organization members
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

“All of the organizations policyholders are treated as members.”

Form 990, Part VI, Section A, Line 7A

“The policyholders elect the members of the governing body.”

Form 990, Part VI, Section A, Line 7B

“One class of the Board of Directors is elected by the members at the Annual Meeting of the Corporation. At each Annual Meeting, 10 members constitute a quorum and each member has one vote.”

Form 990, Part VI, Section B, Line 11A

“Form 990 is provided in advance to each member of the Board of Directors and reviewed at a regular Board meeting prior to filling.”

Form 990, Part VI, Section B, Line 15

“The board approves all compensation changes for officers, directors and/or key employees after review of company financial performance and personal performance evaluations.”

Form 990, Part VI, Section C, Line 19

“The governing documents and conflict of interest policy are not available to the public. The Annual Statement is available to the public through the office of the Commissioner of Insurance of the State of Wisconsin.”

Filing and Contact Details

Filer

Filer Name
Berry & Roxbury Mutual Insurance Company
EIN
39-1052956
Phone
6087984766
Address
4766 County Road KP, Cross Plains, WI 53528

Signing Officer

Name
L Peter Wolf
Title
Secretary
Phone
6087984766
Signed
2023-05-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
L Peter Wolf
Formed
1905
Legal Domicile
Wi
Voting Board Members
9
Independent Board Members
6
Employees
4

Preparer

Firm
Strohm Ballweg LLP
Address
9701 Brader Way Suite 301, Middleton, WI 53562
Preparer
Heather Hafeman
Phone
6088210600
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

“Other changes in net assets consist of 6,705 change in nonadmitted assets.”

Raw XML AppendixShowing 400 of 403 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt08803
IRS990/OtherRevenueTotalAmt08803
IRS990/OtherSalariesAndWagesGrp/TotalAmt029416
IRS990/PartialLiquidationInd0true
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayrollTaxesGrp/TotalAmt04490
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt01837688
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt01840309
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0L Peter Wolf
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0524126
IRS990/ProgramServiceRevenueGrp/Desc0Premiums Earned
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0248570
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0248570
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt034098
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt087572
IRS990/PYOtherRevenueAmt01824
IRS990/PYProgramServiceRevenueAmt0183749
IRS990/PYRevenuesLessExpensesAmt041683
IRS990/PYSalariesCompEmpBnftPaidAmt090416
IRS990/PYTotalExpensesAmt0177988
IRS990/PYTotalRevenueAmt0219671
IRS990/ReconcilationRevenueExpnssAmt048681
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0true
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0945139
IRS990/SavingsAndTempCashInvstGrp/EOYAmt01008279
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/EquipmentGrp/DepreciationAmt01514
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt01514
IRS990ScheduleD/InclEscrowCustodialAcctLiabInd0false
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt04550
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt150
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt23352
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt3130586
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt413882
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Federal income taxes
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1Net unpaid losses
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2Unpaid loss adjustment expenses
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc3Commissions payable
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc4Unearned premiums
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc5Reinsurance payable
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc6Amounts withheld for account of others
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc7Payroll taxes payable
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc8Accounts payable
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc9Premiums received in advance
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt0239623
IRS990ScheduleD/OtherSecuritiesGrp/Desc0Financial derivatives and other financial products
IRS990ScheduleD/OtherSecuritiesGrp/Desc1Closely-held equity interests
IRS990ScheduleD/OtherSecuritiesGrp/Desc2Non-publicly traded stocks at fair value
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0F
IRS990ScheduleD/TotalBookValueSecuritiesAmt0239623
IRS990ScheduleD/TotalLiabilityAmt0152420
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm0Karen Wolf
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0Spouse of Officer
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd0false
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt021667
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0Salary
IRS990ScheduleN/DirectorOfSuccessor2Ind0true
IRS990ScheduleN/DispositionOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0Merger of company 100 of assets
IRS990ScheduleN/DispositionOfAssetsDetail/BusinessName/BusinessNameLine1Txt0Merrimac Lodi Mutual Insurance Company
IRS990ScheduleN/DispositionOfAssetsDetail/DistributionDt02023-01-01
IRS990ScheduleN/DispositionOfAssetsDetail/FairMarketValueOfAssetAmt01840309
IRS990ScheduleN/DispositionOfAssetsDetail/IRCSectionTxt0501C-15
IRS990ScheduleN/DispositionOfAssetsDetail/MethodOfFMVDeterminationTxt0equity method of B/S
IRS990ScheduleN/EmployeeOfSuccessor2Ind0false
IRS990ScheduleN/OwnerOfSuccessor2Ind0false
IRS990ScheduleN/ReceiveCompensation2Ind0false
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0Berry Roxbury has been merged with and into Merrimac Lodi Mutual Insurance Company effective 1/1/2023. The surviving company was renamed Wisconsin River Mutual Insurance.
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt1Paul Endres and Richard Wipperfurth have been brought in as Directors of the surviving Entity. Peter Wolf and Gary Wipperfurth have been made Directors Emeritus of the surviving entity.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0Part II Line 1
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc1Part II Line 2a
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0All of the organizations policyholders are treated as members.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The policyholders elect the members of the governing body.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2One class of the Board of Directors is elected by the members at the Annual Meeting of the Corporation. At each Annual Meeting, 10 members constitute a quorum and each member has one vote.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Form 990 is provided in advance to each member of the Board of Directors and reviewed at a regular Board meeting prior to filling.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4The board approves all compensation changes for officers, directors and/or key employees after review of company financial performance and personal performance evaluations.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5The governing documents and conflict of interest policy are not available to the public. The Annual Statement is available to the public through the office of the Commissioner of Insurance of the State of Wisconsin.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Other changes in net assets consist of 6,705 change in nonadmitted assets.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, Line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, Line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section A, Line 7b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section B, Line 11a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section B, Line 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VI, Section C, Line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part XI, Line 9
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0WI
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt02030689
IRS990/TotalAssetsEOYAmt01992729
IRS990/TotalAssetsGrp/BOYAmt02030689
IRS990/TotalAssetsGrp/EOYAmt01992729
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt04
IRS990/TotalFunctionalExpensesGrp/TotalAmt0234913
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0193001
IRS990/TotalLiabilitiesEOYAmt0152420
IRS990/TotalLiabilitiesGrp/BOYAmt0193001
IRS990/TotalLiabilitiesGrp/EOYAmt0152420
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt01837688
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt01840309
IRS990/TotalProgramServiceRevenueAmt0248570
IRS990/TotalReportableCompFromOrgAmt0116699
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0283594
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0283594
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt02030689
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01992729
IRS990/TravelGrp/TotalAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt08194 Hwy V
IRS990/USAddress/CityNm0Sauk City
IRS990/USAddress/StateAbbreviationCd0WI
IRS990/USAddress/ZIPCd053583
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt06
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd02
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0L Peter Wolf
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Secretary
ReturnHeader/BusinessOfficerGrp/PhoneNum06087984766
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-05-08
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Berry & Roxbury Mutual Insurance Company
ReturnHeader/Filer/BusinessNameControlTxt0BERR
ReturnHeader/Filer/EIN0391052956
ReturnHeader/Filer/PhoneNum06087984766
ReturnHeader/Filer/USAddress/AddressLine1Txt04766 County Road KP
ReturnHeader/Filer/USAddress/CityNm0Cross Plains
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WI
ReturnHeader/Filer/USAddress/ZIPCd053528
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0391969986
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Strohm Ballweg LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt09701 Brader Way Suite 301
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Middleton
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0WI
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd053562
ReturnHeader/PreparerPersonGrp/PhoneNum06088210600
ReturnHeader/PreparerPersonGrp/PreparationDt02023-05-08
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Heather Hafeman
ReturnHeader/ReturnTs02023-05-08T09:52:40-00:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0L Peter
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0Wolf

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