-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, TMlxD5CcxIkvgru8w95dzFIoo0jzMHumcrJ91FEmrK6zl+tE0fc+9JBxZzq0qjmJ VIy9DwepwCwRZ9gMckRLew== 0001193125-07-146484.txt : 20070629 0001193125-07-146484.hdr.sgml : 20070629 20070629083059 ACCESSION NUMBER: 0001193125-07-146484 CONFORMED SUBMISSION TYPE: 11-K PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061231 FILED AS OF DATE: 20070629 DATE AS OF CHANGE: 20070629 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FREMONT MICHIGAN INSURACORP INC CENTRAL INDEX KEY: 0001271245 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 421609947 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 11-K SEC ACT: 1934 Act SEC FILE NUMBER: 000-50926 FILM NUMBER: 07948566 BUSINESS ADDRESS: STREET 1: 933 E. MAIN ST CITY: FREMONT STATE: MI ZIP: 49412 BUSINESS PHONE: 231 924 0300 MAIL ADDRESS: STREET 1: 933 E. MAIN ST CITY: FREMONT STATE: MI ZIP: 49412 11-K 1 d11k.htm FORM 11-K Form 11-K

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 11-K

 

 

x ANNUAL REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended: December 31, 2006

OR

 

¨ TRANSITION REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from              to             

Commission File Number: 000-50926

 

FREMONT INSURANCE COMPANY 401(K) PLAN

(Full Title of Plan)

FREMONT MICHIGAN INSURACORP, INC.

933 E. Main St.

Fremont, Michigan 49412

(Name of Issuer of the Securities Held Pursuant to the Plan and the Address of its Principal Executive Office)

 

Required Information

The Fremont Insurance Company 401(K) Plan (the “Plan”) is subject to the requirements of the Employee Retirement Income Security Act of 1974 (“ERISA”). The following financial statements and schedules of the Plan have been prepared in accordance with the financial reporting requirements of ERISA under 29 CFR 2520.104-41. The financial statements and schedules are unaudited as the Plan has claimed a waiver of the annual examination and report of an independent qualified public accountant under 29 CFR 2520.104-46.

Fremont Insurance Company 401(K) Plan

Form 5500, Schedule I, Part 1, Line 1—Plan Assets and Liabilities

(Unaudited)

 

    

December 31,

2006

   

December 31,

2005

Total plan assets

    $ 4,188,701    $ 3,118,605

Total plan liabilities

      —        730
             

Net plan assets

    $ 4,188,701    $ 3,117,875
             

Fremont Insurance Company 401(K) Plan

Form 5500, Schedule I, Part 1, Line 2—Income, Expenses

and Transfers for this Plan Year

(Unaudited)

 

    

Year ended

December 31,

2006

Additions:

   

Employer contributions

    $ 118,050

Participants’ contributions

      264,379

Other income

      1,155,217
      

Total additions

      1,537,646

Deduction - Benefits paid

      466,820
      

Net income

    $ 1,070,826
      

Fremont Insurance Company 401(K) Plan

Form 5500, Schedule I, Part 1, Line 3d —Specific Assets

(Unaudited)

 

    

December 31,

2006

Fremont Michigan InsuraCorp, Inc. Common Stock

    $ 1,604,123

Signatures

Pursuant to the requirements of the Securities Exchange Act of 1934, the trustees (or other persons who administer the employee benefit plan) have duly caused this annual report to be signed on its behalf by the undersigned hereunto duly authorized.

Date: June 28, 2007

 

FREMONT INSURANCE COMPANY 401(K) PLAN
By:  

/s/ Richard E. Dunning

  Richard E. Dunning, Trustee
By:  

/s/ Marvin R. Deur

  Marvin R. Deur, Trustee
By:  

/s/ Chris Streichhirsch

  Chris Streichhirsch, Trustee
 -----END PRIVACY-ENHANCED MESSAGE-----