SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
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OMB No. 1545-0047
2017
Open to Public
Inspection
Name of the organization
American Mutual Life Association
 
Employer identification number

34-6577472
Return Reference Explanation
Part VI, Line 2 - Officer has family or business relationship with other officer The organization has 2 members that are brothers and 2 members that are cousins
Part VI, Line 6 - Organization has members or stockholders The organization is a fraternal benefit society with its members being the owners of a life insurance policy. Members are active by maintaining an insurance or annuity policy.
Part VI, Line 7a - Persons and Groups who can elect any members of governing body Members are active by maintaining an insurance or annuity policy. Members can be elected to be a convention delegate through their respective lodges. Members can be nominated for the Board or for officer positions at the convention. The convention is held every four years.
Part VI, Line 7b - Governing body decisions are subject to approval by Delegates to the convention vote on changes to the bylaws. The governing body then executes policies as defined by the bylaws.
Part VI, Line 11b - Process used by the organization to review this 990 return Certified Public Accountant prepare the form and review it with the President and Treasurer. Form reviewed for amounts reconciled to certified statutory audit and for any changes in policy or procedures from the prior year.
Part VI, Line 12c - Monitoring and enforcement of conflict of interest policy Each September the Directors complete a disclosure form. The President, and secretary review these forms for any potential conflicts and propose any resolutions. The audit chairman reviews the officer disclosure forms. The potential for conflicts is monitored through the year at each Board meeting.
Part VI, Line 15a and 15b - Compensation review process A Compensation Committee of Directors reviews performance and recommends any salary increases every July for full time officer. The convention sets the minimum and maximum ranges of compensation for the Board and Officers. Increases cannot exceed the maximums. The convention sets limits every four years. The Compensation Committee adjusts wages for the full time officers each July using the criteria as stated in Part VI, Line 15a. Director salaries are set every four years by the convention. Salary reviews are conducted by the Board of Director.
Part VI, Line 19 - How Org makes documentation, policies & statements public A copy of the organization bylaws are provided to each new member. The bylaws are reviewed at each convention and published in the association monthly newspaper when the convention adopts changes. Any governing document is available to a member upon request at the home office. The annual statement that is filed with the Ohio Department of Insurance is available upon request at the home office. A condensed summary of it is published in the association newspaper on an annual basis.
Part XI, Line 9 - Reconciliation changes in net assets or fund balances Projected Pension Benefit Obligation - ($20,915), Increase in Asset Valuation Reserve - $99,582, Change in Non-Admitted Assets - $3,344, Correction in Annuity Interest - Prior Period - $75. Total Other Changes in Surplus - $82,086.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2017


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