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Walsh County Press
Park River , North Dakota
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May 8, 2013     Walsh County Press
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/Y 8p 2013 THE PRESS PAGE 9 VI-1-1-85 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the Foremost Insurance Company In the state of Michigan Total Assets 1,774,411,860 Total Liabilities 780,873,669 Aggregate write-ins for special surplus fund 623,006 Common Capital Stock 4,800,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contnbuted surplus 185,056,352 Unassigned funds(surplus) 803,058,833 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 P 13986 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the Frankenmuth Mutual Insurance Company In the state of Michigan Total Assets 1,015,849,791 Total Liabilities 625,828,941 Aggregate write-ins for special surplus fund 250,000 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 surplus 0 Unassigned funds(surplus) 389,570,850 Less treasury stock, at cost 0 # shares common 0 P24414 ABSTRACT OF STATMENT " FOR THEYEAR ENDING DECEMBER 31, 2012 of the General Causualty Company Of Wisconsin In the state of Wisconsin Total Assets 1,024,950,372 Total Liabilities 576,844,447 Aggregate write-ins for special surplus fund 1,118,181 Common Capital Stock 4,000,000 Preferred Capital Stock 0 Aggregate wdte-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 277,977,705 Unassigned funds(surplus) 184,912,177 Less treasury stock, at cost 19,902,138 750 shares common 150,000 Surplus as Regards ............. Policyholders Total Liabilities, Capital and Surplus 1,774,411,860 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2012 Total Direct Premiums Earned 4,023,040 Total Direct Losses Incurred 861,166 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, Adam Hamm, 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 axed the seal of this office at Bismarck, the first day of May, A.D. 2013 (SEAL): # shares preferred 0 # shares preferred 0 - - 993;538,191 .... SurpT0s iSRb-&fd. ............................ Surplus as Regards ........ Policyholders 389,820,850 Total Liabilities, Capital and Surplus 1,015,849,791 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2012 Total Direct Premiums Earned 0 Total Direct Losses Incurred 0 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, Adam Hamm, 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 afixed the seal of this olfico at Bismarck, the first day of May, A.D. 2013 Policyholders 448,105,925 Total Liabilities, Capital and Surplus 1,024,950,372 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2012 Total Direct Premiums Earned 5,345,720 Total Direct Losses Incurred 1,383,915 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, Adam Hamm, 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 otrce at Bismarck, the first day of May, A.D. 2013 P24732 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the General Insurance Company Of America In the state of New Hampshire Total Assets 1,999,941,310 Total Liabilities 1,692,800,728 Aggregate write-ins for special surplus fund 1,614,347 Common Capital Stock 5,000,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contnbuted surplus 170,891,058 Unassigned funds(surplus) 129,635,177 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders ..... 307,140,528 Total Liabilities, Capital and Surplus 1,999,941,310 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2012 Total Direct Premiums Earned 1,118,794 Total Direct Losses Incurred -78,371 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, Adam Hamm, 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 sat my hand and afitxed the seal of this olfice at Bismarck, the first day of May, A.D. 2013 (SEAL). ADAM HAMM 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, 2012 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, ADAM HAMM, 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 authonzed agents and representatives, to transact its appropriated business of authonzed insurance in the state according to the laws thereof, until the 30th day of Apdl, A.D. 2014. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2013 (SEAL). (SEAL). ADAM HAMM ADAM HAMM ........................ ADAM HAMM .......................... Cmmlssloner of Insurance ...... 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, 2012 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, ADAM HAMM, 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 apprepriated business of authorized insurance in the state according to the laws thereof, until the 30th day of Apdl, A.D. 2014. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at 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, 2012 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, ADAM HAMM, 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 authonzed 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. 2014. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at EAL), AM HAMM Commissioner of Insurance (May 1, 8, 29, 2013) Bismarck, the 5rst aYoo! May, A.D. 2013 .................. (SEAL), ADAM HAMM Commissioner of Insurance (May 1, 8, 29, 2013) P26832 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the Great American Alliance Insurance Company In the state of Ohio Total Assets 3!,293,1_5. Total Liabilities 439,978 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) 8,862,458 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 30,853,437 Total Liabilities, Capital and Surplus 31,293,415 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2012 Total Direct Premiums Earned 186,685 Total Direct Losses Incurred 79,121 Total Accident & Health Direct Premiums Earned 0 la] Accident & Heaffh Direct Losses Incurred 0 B/smar,k, the fit day.of May, A.D. 2013 (SEAL), ADAM HAMM Commissioner of Insurance (May 1, 8, 29, 2013) P26344 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the Great American Assurance Company In the state of Ohio In the state of Ohio __'l'otal Assets_ ........... 21,328,084 . Total Assets ........... Total Liabilities 2,719,899 Aggregate write-ins for special surplus fund 0 Common Capital Stock 3,510,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 8,716,521 Unassigned funds(surplus) 6,381,665 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 18,608,186 Total Liabilities, Capital and Surplus 21,328,085 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2012 Total Direct Premiums Earned 309,625 Total Direct Losses Incurred 42,366 Total Accident & Health Direct P16691 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the Great American Insurance Company 5 !32.5.93 3,662,948,328 Total Liabilities Aggregate write-ins for special surplus fund 144,802,992 Common Capital Stock 15,440,600 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 308,795,384 Unassigned funds (surplus)1,000,605,930 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 1,469,644,876 Total Liabilities, Capital and Surplus 5,132,593,204 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2012 Total Direct Premiums Earned 70,410,445 Total Direct Losses Incurred 21,122,262 Total Accident & Health Direct PremiumsEamed ..... 0 Premiums Earned ......... Total Accident & Health Direct Total Accident & Health Direct Losses Incurred 0 Losses Incurred 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, 2012 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, ADAM HAMM, 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 aued insurance in the state according to the laws thereof, until the 30th day of Apdl, A.D. 2014. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismamk, the first day of May, A.D. 2013 EAL) DEAM'HAMM ........ Commissioner of Insurance (May 1, 8, 29, 2013) P22136 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the Great American Insurance Company Of New York In the state of New York Total Assets 46,837,412 Total Liabilities 1,6(.. ,24,7 Aggrega|e {Nrlte-ins for special surplus fund 0 Common Capital Stock 3,800,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 20,250,000 Unassigned funds(surplus) 21,181,164 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 45, 231,164 Total Liabilities, Capital and Surplus 46,837,411 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2012 Total Direct Premiums Earned 699,745 Total Direct Losses Incurred 1,526,572 Total Accident & Health Direct 0 Premiums Earned 0 .... 'i'()[a.l'/(c'cident & Health 13irect " 0 Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Hamm, 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 TESTI WHEREOF, I have hereunto set my hand and adfixed the seal of this olfice at Bismarck, the first day of May, A.D. 2012 (SEAL). ADAM HAMM 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, 2012 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, ADAM HAMM, 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 transect its appropnated business of authonzed insurance in the state according to the laws thereof, until the 30th day of April, A.D. 2013. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismamk, the first day of May, A.D. 2012 (SEAL), ADAM HAMM Commissioner of Insurance (May 1, 8, 29, 2013) STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Hamm, 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 ofrce at Bismarck, the first day of May, A.D. 2013 (SEAL). ADAM HAMM 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, 2012 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, ADAM HAMM, 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. 2014. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2013 (SEAL), ADAM HAMM Commissioner of Insurance (May 1, 8, 29, 2013) STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Hamm, 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 alixed the seal of this olfice at Bismarck, the first day of May, A.D. 2013 (SEAL). ADAM HAMM 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 fUed in this office a sworn statement exhibiting its condition and business for the. year ending December 31, 2012 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, ADAM HAMM, 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 authonzed agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof, untit the 30th day of Apdl, AD. 2014. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2013 (SEAL), ADAM HAMM Commissioner of Insurance (May 1, 8, 29, 2013) STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Hamm, 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 sst my hand and axed the ssal of this olfce at Bismarck, the first day of May, A.D. 2013 (SEAL). ADAM HAMM 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, 2012 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, ADAM HAMM, 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. 2014. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D, 2013 (SEAL), ADAM HAMM Commissioner of Insurance (May 1, 8, 29, 2013) Pl1967 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the General Star National Insurance Company In the state of Delaware Total Assets 250,653,902 Total Liabilities 69,463,924 Aggregate write-ins for special surplus fund 0 Common Capital Stock 4,000,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 60,107,565 Unassigned funds (surplus) 117,082,393 Less treasury stock, at cost 0 # shares common 0 # shams preferred 0 Surplus as Regards Policyholders 181,189,978 Total Liabilities, Capital and Surplus 250,653,902 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2012 Total Direct Premiums Eamed 3,870 Total Direct Losses Incurred -7,000 Total Accident & Health Direct Premiums Eamed 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Harem, 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 axedthe ss of Us oce at the first day of May, A.D. 2013 (SEAL). ADAM HAMM " 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, 2012 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, ADAM HAMM, 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 authonzed . agents and representaUves, to transact its appropriated business of authorized insurance in the state according to the laws thereof, until the 30th day of Apdl, A.D. 2014. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first (;lay,of M a.y,,,.D,.,:O).13. (SEAL), . ADAM HAMM Commissioner of Insurance (May 1, 8, 29, 2913) P33723 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the Great Amedcan Spirit Insurance Company In the state of Ohio .rota! Assets . 22,547,257 Total Liabilities 1,346,918 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) 9,150,339 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 21,200,339 Total Liabilities, Capital and Surplus 22,547,257 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2012 Total Direct Premiums Eamed 0 Total Direct Losses Incurred 0 Total Accident & Health Direct __Pe. rniums_Earned 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Hamm, 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 afrlxed the seal of gs ofrce at Bismarck, the first day of May, A.D. 2013 (SEAL). ADAM HAMM 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, 2012 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, ADAM HAMM, 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 Apdl, AD. 2014. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D 2013 (SEAL), ADAM HAMM Commissioner of Insurance (May 1, 8, 29, 2913) P18759 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2012 ol the Genworth Residential Mortgage Assurance Corporation In the state of North Carolina Total Assets 93,126,355 Total Liabilities 11,864,441 Aggregate write-ins for special surplus fund 0 Common Capital Stock 3,425,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 43,000,009 Unassigned funds(surplus) 34,836,905 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surpfusas Regards; Policyholders 81,261.914 Total Liabilities, Capital and Surplus 93,126,335 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2012 Total Direct Premiums Earned 0 Total Direct Losses Incurred 0 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, Adam Hamm, 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 alfixed the seal of this offioe at Bismarck, the first day of May, A.D. 2013 (SEAL). ADAM HAMM 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, 2012 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, ADAM HAMM, 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 Apdl, A.D. 2014. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the .firq.day ofMe, y,.L.Q. 2013 (SEAL), ADAM HAMM Commissioner of Insurance (May 1, 8, 29, 2013) P26654 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the Great Northwest Insurance Company In the state of Indiana Total Assets 20,943,161 Total Liabilities 14,562,756 Aggregate write-ins for special surplus fund 0 Common Capital Stock 3,000,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 13,141,848 Gross paid in and contributed surplus -9,761,443 Unassigned funds(surplus) 0 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 6,380,405 Total Liabilities, Capital and Surplus 20,943,161 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2012 Total Direct Premiums Earned 656,924 Total Direct Losses Incurred 358,477 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, Adam Hamm, 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. 2013 (SEAL). ADAM HAMM 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, 2012 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, ADAM HAMM, 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 approphated business of authorized insurance in the state according to the laws thereof, until the 30th day of April, A.D. 2014. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2013 (SEAL), ADAM HAMM Commissioner of Insurance (May 1, 8, 29, 2013) t t