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Walsh County Press
Park River , North Dakota
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May 3, 2017     Walsh County Press
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Page I 0 THE WALSH COUNTY PRESS WEDNESDAY, MAY 3, 2017 INSURANCE ABSTRACTS 2016 INSURANCE ABSTRACTS INSURANCE ABSTRAC 1, 10801 22055 24732 39322 ABSTRACT OF STATMENT ABSTRACT OF STATMENT ABSTRACT OF STATMENT ABSTRACT OF STATMENT FOR THE YEAR ENDING FOR THE YEAR ENDING FOR THE YEAR ENDING FOR THE YEAR ENDING DECEMBER 31, 2016 DECEMBER 31, 2016 DECEMBER 31, 2016 DECEMBER 31, 2016 of the of the of the of the FORTRESS INSURANCE COMPANY GEICO INDEMNITY COMPANY GENERAL INSURANCE COMPANY OF GENERAL SECURITY NATIONAL In the state of Illinois In the state of Maryland AMERICA INSURANCE COMPANY Total Assets 135,429,686Total Assets 8,166,875,658In the state of New Hampshire In the state of New York Total Liabilities 72,659,257Total Liabilities 3,568,667,174 Total Assets 111,577,315Total Assets 346,086,287 Aggregate write-ins for Aggregate write-ins for Total Liabilities 3,922,258 Total Liabilities 207,661,570 special surplus fund 0 special surplus fund 0 Aggregate write-ins for Aggregate write-ins for Common Capital Stock 19,046,430Common Capital Stock 3,000,000 special surplus fund 0 special surplu~ fund0 Preferred Capital Stock 0 Preferred Capital Stock 0 Common Capital Stock 5,000,000 Common Capital Stock5,000,000 Aggregate write-ins for Aggregate write-ins for Preferred Capital Stock 0 Preferred Capital Stock 0 other than special surplus 0 other than special surplus 0 Aggregate write-ins for Aggregate write-ins for Surplus notes 0 Surplus notes 0 other than special surplus 0 other than special surplus 0 Gross paid in and Gross paid in and Surplus notes 0 Surplus notes 0 contributed surplus 34,046,430contributed surplus443,354,309 Gross paid in and Gross paid in and Unassigned funds(surplus) 9,677,569Unassigned funds(surplus) 4,151,854,175 contributed surplus 44,412,179contributed surplus 297,207,000 Less treasury stock, at cost 0 Less treasury stock, at cost0 Unassigned funds(surplus) 58,242,878Unassigned funds(surplus) -163,782,283 # shares common 0 # shares common 0 Less treasury stock, at cost0 Less treasury stock, at cost0 # shares preferred 0 # shares preferred 0 # shares common 0 # shares common 0 Surplus as Regards Surplus as Regards # shares preferred 0 # shares preferred 0 Policyholders 62,770,429 Policyholders 4,598,208,484 Surplus as Regards Surplus as Regards Total Liabilities, Capital Total Liabilities, Capital Policyholders 107,655,057Policyholders 138,424,717 and Surplus 135,429,686and Surplus 8,166,875,658 Total Liabilities, Capital Total Liabilities, Capital NORTH DAKOTA BUSINESS ONLY NORTH DAKOTA BUSINESS ONLY and Surplus 111,577,315and Surplus 346,086,287 FOR THE YEAR 2016 FOR THE YEAR 2016 NORTH DAKOTA BUSINESS ONLY NORTH DAKOTA BUSINESS ONLY Total Direct Premiums Total Direct Premiums FOR THE YEAR 2016 FOR THE YEAR 2016 Earned 2,785 Earned 5,703,838Total Direct Premiums Total Direct Premiums Total Direct Losses Total Direct Losses Earned 424,086 Earned 61,179 Incurred 1,344 Incurred 3,567,521Total Direct Losses Total Direct Losses Total Accident & Health Direct Total Accident & Health Direct Incurred 1,331,432Incurred 82,424 Premiums Earned 0 Premiums Earned 0 Total Accident & Health Direct Total Accident& Health Direct Total Accident & Health Direct Total Accident & Health Direct Premiums Earned 0 Premiums Earned 0 Losses Incurred 0 Losses Incurred 0 Total Accident & Health Direct Total Accident & Health Direct STATE OF NORTH DAKOTA STATE OF NORTH DAKOTA Losses Incurred 0 Losses Incurred 0 OFFICE OF THE COMMISSIONER OFFICE OF THE COMMISSIONER STATE OF NORTH DAKOTA STATE OF NORTH DAKOTA OF INSURANCE OF INSURANCE OFFICE OF THE COMMISSIONER OFFICE OF THE COMMISSIONER I, Jon Godfread, Commissioner of I, Jon Godfread, Commissioner of Insurance of the State of North Dakota, Insurance of the State of North Dakota, do hereby certify that the foregoing is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of this ofrce at Bismarck, the first day of May, A.D. 2017 (SEAL). JON GODFREAD Commissioner of insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2016 conformable to the requirements of the laws of the State regarding the business of insurance and WHEREAS, the said company has filed in this office a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authonzed insurance in the state according to the laws thereof, until the 30th day of Apnl, A.D. 2018 IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at do hereby certify that the foregoing is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of this office at Bismarck, the first day of May, A.D. 2017 (SEAL). JON GODFREAD Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2016 conformable to the requirements of the laws of the State regarding the business of insurance and WHEREAS, the said company has filed in this office a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof, until the 30th day of Apnl, A.D. 2018 IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, tbe first day. of M&y, A,D..2017 ~, Bismarck .the first day of May, A.D. 2017 (SEAL). ..... (SEAL). OF INSURANCE OF INSURANCE I, Jon Godfread, Commissioner of I, Jon Godfread, Commissioner of Insurance of the State of North Dakota, Insurance of the State of North Dakota, do hereby certify that the foregoing is a do hereby certify that the foregoing is a true Abstract of Statement, as officially true Abstract of Statement, as officially filed by the Company in this office, filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of this office at set my hand and affixed the seal of this office at Bismarck, the first day of May, A.D. 2017 Bismarck, the first day of May, A.D. 2017 (SEAL). (SEAL). JON GODFREAD JON GODFREAD Commissioner of Insurance Commissioner of Insurance STATE OF NORTH DAKOTA STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OFFICE OF THE COMMISSIONER OF INSURANCE OF INSURANCE COMPANY'S CERTIFICATE OF COMPANY'S CERTIFICATE OF AUTHORITY AUTHORITY WHEREAS, the above corporation duly WHEREAS, the above corporation duly organized under the laws of its state or organized under the laws of its state or country of domicile, has filed in this office country of domicile, has filed in this office a sworn statement exhibiting its condition a sworn statement exhibiting its condition and business for the year ending and business for the year ending December 31, 2016 conformable to the December 31, 2016 conformable to the requirements of the laws of the State requirements of the laws of the State regarding the business of insurance regarding the business of insurance and and WHEREAS, the said company has filed in WHEREAS, the said company has filed in this office a duly certified copy of its charter this office a duly certified copy of its charter with certificate of organization in with certificate of organization in compliance with the requirements of compliance with the requirements of insurance law aforesaid, insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above said laws, do hereby certify that the above named company is fully empowered named company is fully empowered through its authorized agents and through its authorized agents and representatives, to transact its appropriated representatives, to transact its appropriated business of authorized insurance in the business of authorized insurance in the state according to the laws thereof, until the state according to the laws thereof, until the 30th day of April, A.D. 2018 30th day of April, A.D. 2018 IN TESTIMONY WHEREOF, I have IN TESTIMONY WHEREOF, I have JON GODFREAD JON GODFREAD Commissioner of Insurance Commissioner of Insurance (May 3, 10, 24, 2017) (May 3, 10, 24, 2017) hereunto set my hand and affixed the seal: at.. hereunto set mY hand and affixed the seal at Bismarck, the first day of May, A.D. 2017" "'Bimar(~kl the ~ii'St day of May, A.D. 2017 (SEAL). (SEAL). JON GODFREAD JON GODFREAD Commissioner of Insurance Commissioner of Insurance (May 3, 10, 24, 2017) (May 3, 10, 24, 2017) 22063 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2016 of the GOVERNMENT EMPLOYEES INSURANCE COMPANY In the state of Maryland Total Assets 27,197,917,293 Total Liabilities 11,495,351,339 Aggregate write-ins for special surplus fund 0 Common Capital Stock 33,436,758 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 1,201,206,515 Unassigned funds(surplus) 14,467,922,681 Less treasury stock, at cost 0 0 shares common 0 # shares preferred 0 ou~plu~ a~ Ruy~ld~ Policyholders 15,702,565,954 Total Liabilities, Capital and Surplus 27,197,917,293 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2016 Total Direct Premiums Earned 2,507,163 Total Direct Losses Incurred 2,625,261 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, Commissioner of Insurance of the State of North Dakota, do hereby certify that the foregoing is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of this office at Bismarck, the first day of May, A.D. 2017 (SEAL). JON GODFREAD Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2016 conformable to the requirements of the laws of the State regarding the business of insurance and WHEREAS, the said company has filed in this office a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof, until the 30th day of April, A.D. 2018 IN TESTIMONY WHEREOF, I have heret4ntq set ~ I~0d and aft xed the seal at Bisma"-rck', the' flrst day"of May:A.D. 20~'7 (SEAL). JON GODFREAD Commissioner of Insurance (May 3, 10, 24, 2017) 26832 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2016 of the GREAT AMERICAN ALLIANCE INSURANCE COMPANY In the state of Ohio Total Assets 30,368,646 Total Liabilities 5,733 Aggregate write-ins for special surplus fund 0 Common Capital Stock 3,501,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 18,489,979 Unassigned funds(surplus) 8,371,934 Less treasury stock, at cost 0 # shares common 0 # shams preferred 0 ~u~p=u~ us Regards Policyholders 30,362,913 Total Liabilities, Capital and Surplus 30,368,646 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2016 Total Direct Premiums Earned 123,280 Total Direct Losses Incurred 23,692 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, Commissioner of Insurance of the State of North Dakota, do hereby certify that the foregoing is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto set my hand and atT|xed the seal of this office at Bismarck, the first day of May, A.D. 2017 (SEAL). JON GODFREAD Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2016 conformable to the requirements of the laws of the State regarding the business of insurance and WHEREAS, the said company has filed in this office a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropnated business of authorized insurance in the state according to the laws thereof, until the 30th day of April, A.D. 2018 IN TESTIMONY WHEREOF, I have her e~to set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2017 (SEAL). JON GODFREAD Commissioner of Insurance (May 3, 10, 24, 2017) 26344 16691 ABSTRACT OF STATMENT ABSTRACT OF STATMENT FOR THE YEAR ENDING FOR THE YEAR ENDING DECEMBER 31, 2016 DECEMBER 31, 2016 of the of the GREAT AMERICAN ASSURANCE GREAT AMERICAN INSURANCE COMPANY COMPANY In the state of Ohio In the state of Ohio Total Assets 19,752,034Total Assets 6,851,230,772 Total Liabilities 1,878 Total Liabilities 4,852,363,624 Aggregate write-ins for Aggregate write-ins for special surplus fund 0 special surplus fund 102,381,675 Common Capital Stock 3,510,000 Common Capital Stock 15,440,600 Preferred Capital Stock 0 Preferred Capital Stock 0 Aggregate write-ins for Aggregate write-ins for other than special surplus 0 other than special surplus 0 Surplus notes 0 Surplus notes 0 Gross paid in and Gross paid in and contributed surplus 8,716,521 contributed surplus638,362,982 Unassigned funds(surplus) 7,523,635Unassigned funds(surplus) 1,242,681,891 Less treasury stock, at cost 0 Less treasury stock, at cost0 # shares common 0 # shares common 0 # shares preferred 0 # shares preferred 0 Surplus as Regards Surplus as Regards Policyholders 19,750,156Policyholders 1,998,867,148 Total Liabilities, Capital Total Liabilities, Capital and Surplus 19,752,034and Surplus 6,851,230,772 NORTH DAKOTA BUSINESS ONLY NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2016 FOR THE YEAR 2016 Total Direct Premiums Total Direct Premiums Earned 487,926 Earned 69,612,140 Total Direct Losses Total Direct Losses Incurred 133,451 Incurred 30,124,300 Total Accident & Health Direct Total Accident & Health Direct Premiums Earned 0 Premiums Earned 0 Total Accident & Health Direct Total Accident & Health Direct Losses Incurred 0 Losses Incurred 0 STATE OF NORTH DAKOTA STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OFFICE OF THE COMMISSIONER OF INSURANCE OF INSURANCE I, Jon Godfread, Commissioner ofI, Jon Godfread, Commissioner of Insurance of the State of North Dakota, Insurance of the State of North Dakota, do hereby certify that the foregoing is a do hereby certify that the foregoing is a true Abstract of Statement, as officially true Abstract of Statement, as officially filed by the Company in this office, filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of this office at set my hand and affixed the seal of this office at Bismarck, the first day of May, A.D. 2017 Bismarck, the first day of May, A.D. 2017 (SEAL). (SEAL). JON GODFREAD JON GODFREAD Commissioner of Insurance Commissioner of Insurance STATE OF NORTH DAKOTA STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OFFICE OF THE COMMISSIONER OF INSURANCE OF INSURANCE COMPANY'S CERTIFICATE OF COMPANY'S CERTIFICATE OF AUTHORITY AUTHORITY WHEREAS, the above corporation duly WHEREAS, the above corporation duly organized under the laws of its state or organized under the laws of its state or country of domicile, has filed in this office country of domicile, has filed in this office a sworn statement exhibiting its condition a sworn statement exhibiting its condition and business for the year ending and business for the year ending December 31, 2016 conformable to the December 31, 2016 conformable to the requirements of the laws of the State requirements of the laws of the State regarding the business of insurance regarding the business of insurance and and WHEREAS, the said company has filed in WHEREAS, the said company has filed in this office a duly certified copy of its charter this office a duly certified copy of its charter with certificate of organization in with certificate of organization in compliance with the requirements of compliance with the requirements of insurance law aforesaid, insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above said laws, do hereby certify that the above named company is fully empowered named company is fully empowered through its authorized agents and through its authorized agents and representatives, to transact its appropriated representatives, to transact its appropriated business of authorized insurance in the business of authorized insurance in the state according to the laws thereof, until the state according to the laws thereof, until the 30th day of April, A.D. 2018 30th day of April, A.D. 2018 IN TESTIMONY WHEREOF, I have IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2017 Bismarck, the first day of May, A.D. 2017 (SEAL). (SEAL). JON GODFREAD JON GODFREAD Commissioner of Insurance Commissioner of Insurance (May 3, 10, 24, 2017) (May 3, 10, 24, 2017) 31135 22136 ABSTRACT OF STATMENT ABSTRACT OF STATMENT FOR THE YEAR ENDING FOR THE YEAR ENDING DECEMBER 31, 2016 DECEMBER 31, 2016 of the of the GREAT AMERICAN SECURITY GREATAMERICAN INSURANCE INSURANCE COMPANY COMPANY OF NEW YORK In the state of Ohio In the state of New York Total Assets 15,337,005 Total Assets 48,238,250Total Liabilities 3,576 Total Liabilities 60,457 Aggregate write-ins for Aggregate write-ins for special surplus fund 0 special surplus fund 0 Common Capital Stock 3,504,000 Common Capital Stock 3,800,000 Preferred Capital Stock 0 Preferred Capital Stock 0 Aggregate write-ins for Aggregate write-ins for other than special surplus 0 other than special surplus 0 Surplus notes 0 Surplus notes 0 Gross paid in and Gross paid in and contributed surplus 8,696,000 contributed surplus 20,250,000Unassigned funds(surplus) 3,133,429 Unassigned funds(surplus) 24,127,793Less treasury stock, at cost 0 Less treasury stock, at cost 0 # shares common 0 # shares common 0 # shares preferred 0 # shares preferred 0 Surplus as Regards Surplus as Regards Policyholders 15,333,429 Policyholders 48,177,793Total Liabilities, Capital Total Liabilities, Capital and Surplus 15,337,005 and Surplus 48,238,250 NORTH DAKOTA BUSINESS ONLY NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2016 FOR THE YEAR 2016 Total Direct Premiums Total Direct Premiums 1,001,636Earned 0 Total Direct Losses Total Direct Losses Incurred 47,957 Incurred 0 Total Accident & Health Direct Total Accident & Health Direct Premiums Earned 0 Premiums Earned 0 Total Accident & Health Direct Total Accident & Health Direct Losses Incurred 0 Losses Incurred 0 STATE OF NORTH DAKOTA STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OFFICE Ol~ THE COMMISSIONER OF INSURANCE OF INSURANCE I, Jon Godfread, Commissioner of I, Jon Godfread, Commissioner of Insurance of the State of North Dakota, Insurance of the State of North Dakota, do hereby certify that the foregoing is a do hereby certify that the foregoing is a true Abstract of Statement, as officially true Abstract of Statement, as officially filed by the Company in this office, filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of this office at set my hand and affixed the seal of this office at Bismarck, the first day of May, A.D. 2017 Bismarck, the first day of May, A.D. 2017 (SEAL). (SEAL). JON GODFREAD JON GODFREAD Commissioner of Insurance Commissioner of Insurance STATE OF NORTH DAKOTA STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OFFICE OF THE COMMISSIONER OF INSURANCE OF INSURANCE COMPANY'S CERTIFICATE OF COMPANY'S CERTIFICATE OF AUTHORITY AUTHORITY WHEREAS, the above corporation duly WHEREAS, the above corporation duly organized under the laws of its state or organized under the laws of its state or country of domicile, has filed in this office country of domicile, has filed in this office a sworn statement exhibiting its condition a sworn statement exhibiting its condition and business for the year ending and business for the year ending December 31, 2016 conformable to the December 31, 2016 conformable to the requirements of the laws of the State requirements of the laws of the State regarding the business of insurance regarding the business of insurance and and WHEREAS, the said company has filed in WHEREAS, the said company has filed in this office a duly certified copy of its charter this office a duly certified copy of its charter with certificate of organization in with certificate of organization in compliance with the requirements of compliance with the requirements of insurance law aforesaid, insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above said laws, do hereby certify that the above named company is fully empowered named company is fully empowered through its authorized agents and through its authorized agents and representatives, to transact its appropriated representatives, to transact its appropriated business of authorized insurance in the business of authorized insurance in the state according to the laws thereof, until the state according to the laws thereof, until the 30th day of April, A.D. 2018 30th day of April, A.D. 2018 IN TESTIMONY WHEREOF, I have IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2017 Bismarck, the first day of May, A.D. 2017 (SEAL). (SEAL). JON GODFREAD JON GODFREAD Commissioner of Insurance Commissioner of Insurance (May 3, 10, 24, 2017) (May 3, 10, 24, 2017) 33723 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2016 of the GREAT AMERICAN SPIRIT INSURANCE COMPANY In the state of Ohio Total Assets 16,878,878 Total Liabilities 13,352 Aggregate write-ins for special surplus fund 0 Common Capital Stock 3,504,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 8,546,000 Unassigned funds(surplus) 4,815,526 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 16,865,526 Total Liabilities, Capital and Surplus 16,878,878 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2016 Total Direct Premiums Earned 10,934 Total Direct Losses Incurred 1,348 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, Commissioner of Insurance of the State of North Dakota, do hereby certify that the foregoing is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of this office at Bismarck, the first day of May, A.D. 2017 (SEAL). JON GODFREAD Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2016 conformable to the requirements of the laws of the State regarding the business of insurance and WHEREAS, the said company has filed in this office a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof, until the 30th day of April, A.D. 2018 IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2017 (SEAL). JON GODFREAD Commissioner of Insurance (May 3, 10, 24, 2017) 14117 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2016 of the GRINNELL MUTUAL REINSURANCE COMPANY In the state of Iowa Total Assets 1,104,343,675 Total Liabilities 514,440,749 Aggregate write-ins for special surplus fund 1,000,000 Common Capital Stock 0 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus0 Unassigned funds(surplus) 588,902,926 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 589,902,926 Total Liabilities, Capital and Surplus 1,104,343,675 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2016 Total Direct Premiums Earned 14,506,782 Total Direct Losses Incurred 10,405,979 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, Commissioner of Insurance of the State of North Dakota, do hereby certify that the foregoing is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the ssal of this office at Bismarck, the first day of May, A.D. 2017 (SEAL). JON GODFREAD Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2016 conformable to the requirements of the laws of the State regarding the business of insurance and WHEREAS, the said company has filed in this office a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof, until the 30th day of April, A.D. 2018 IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2017 (SEAL). JON GODFREAD Commissioner of Insurance (May 3, 10, 24, 2017)