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Walsh County Press
Park River , North Dakota
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May 27, 2015     Walsh County Press
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v THE WALSH COUNTY PRESS WEDNESDAY, MAY 27, 2015 Pase I I 2014 INSURANCE ABSTRACTS 2014 INSURANCE ABSTRACTS 2014 INSURANCE ABSTRACTS 24732 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2014 of the GENERAL INSURANCE COMPANY OF AMERICA In the state of New Hampshire Total Assets 110,892,523 Total Liabilities 5,831,392 Aggregate write-ins for special surplus fund 0 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 contributed surplus 44,412,179 Unassigned funds(surplus) 55,648,952 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 105,061,131 Total Liabilities, Capital and Surplus 110,892,523 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2014 Total Direct Premiums Earned 206,395 Total Direct Losses Incurred 204,577 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 office at Bismarck, the first day of May, A.D. 2015 (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, 2014 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. 2016 IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2015 (SEAL). ADAM HAMM Commissioner of Insurance (May 6, 20, 27, 2015) 11231 22063 26832 26344 16691 ABSTRACT OF STATMENT 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 FOR THE YEAR ENDING DECEMBER 31,201.4 DECEMBER 31, 2014 DECEMBER 31, 2014 DECEMBER 31, 2014 DECEMBER 31, 2014 of the of the of the of the of the GENERALI - U S BRANCH GOVERNMENT EMPLOYEES GREAT AMERICAN ALLIANCE GREAT AMERICAN ASSURANCE GREAT AMERICAN INSURANCE In the state of New York INSURANCE COMPANY INSURANCE COMPANY COMPANY COMPANY Total Assets 62,869,986In the state of Maryland In the state of Ohio In the state of Ohio In the state of Ohio Total Liabilities 35,487,524Total Assets 23,472,632,076 Total Assets 29,111,462Total Assets 19,213,892Total Assets 5,811,739,783 Aggregate write-ins for Total Liabilities 10,289,664,979 Total Liabilities 0 Total Liabilities 5,360 Total Liabilities 4,398,173,784 special surplus fund 0 Aggregate write-ins for - Aggregate write-ins for Aggregate write-ins for Aggregate write-ins for Common Capital Stock 0 special surplus fund 0 special surplus fund 0 special surplus fund 0 special surplus fund 121,695,341 Preferred Capital Stock 0 Common Capital Stock 33,436,758 Common Capital Stock 3,501,000 Common Capital Stock 3,510,000 Common Capital Stock 15,440,600 Aggregate write-ins for Preferred Capital Stock 0 Preferred Capital Stock 0 Preferred Capital Stock 0 Preferred Capital Stock 0 other than special surplus 500,000 Aggregate write-ins for Aggregate write-ins for Aggregate write-ins for Aggregate write-ins for Surplus notes 0 other than special surplus 0 other than special surplus 0 other |han special surplus 0 other than special surplus 0 Gross paid in and Surplus notes 0 Surplus notes 0 Surplus notes 0 Surplus notes 0 contributed surplus 0 Gross paid in and Gross paid in and Gross paid in and Gross paid in and Unassigned funds(surplus) 26,882,461contributed surplus1,201,206,515 contributed surplus 18,489,979contributed surplus 8,716,521contributed surplus 322,831,611 Less treasury stock, at cost 0 Unassigned funds(surplus)12,208,323,824 Unassigned funds(surplus) 7,120,483Unassigned funds(surplus) 6,982,012Unassigned funds(surplus) 953,598,448 # shares common - 0 Less treasury stock, at cost0 Less treasury stock, at cost0 Less treasury stock, at cost0 Less treasury stock, at cost0 # shares preferred 0 # shares common 0 # shares common 0 # shares common 0 # shares common 0 Surplus as Regards # shares preferred 0 # shares preferred 0 # shares preferred 0 # shares preferred 0 Policyholders 27,382,461Surplus as Regards Surplus as Regards Surplus as Regards Surplus as Regards Total Liabilities, Capital Policyholders 13.442,967,097 Policyholders 29,111,462 Policyholders 19,208,533Policyholders 1,413,566,000 and Surplus 62,869,985Total Liabilities, Capital Total Liabilities, Capital Total Liabilities, Capital Total Liabilities, C~pital NORTH DAKOTA BUSINESS ONLY and Surplus 23,732,632,076 and Surplus 29,111,462and Surplus 19,213,893and Surplus 5,811,739,784 FOR THE YEAR 2014 NORTH DAKOTA BUSINESS ONLY NORTH DAKOTA BUSINESS ONLY NORTH DAKOTA BUSINESS ONLY NORTH DAKOTA BUSINESS ONLY Total Direct Premiums FOR THE YEAR 2014 FOR THE YEAR 2014 FOR THE YEAR 2014 FOR THE YEAR 2014 Earned 64,~)51Total Direct Premiums Total Direct Premiums Total Direct Premiums Total Direct Premiums Total Direct Losses Earned 2,441,749Earned 202,004 Earned 509,753 Earned 67,747,399 Incurred 23,592 Total Direct Losses Total Direct Losses Total Direct Losses Total Direct Losses Total Accident & Health Direct Incurred 1,727,768Incurred -27,127 Incurred 148,960 Incurred 42,622,952 Premiums Earned 0 Total Accident & Health Direct Total Accident & Health Direct Total Accident & Health Direct Total Accident & Health Direct Total Accident & Health Direct Premiums Earned 0 Premiums Earned 0 Premiums Earned 0 Premiums Earned 0 Losses Incurred 0 Total Accident & Health Direct Total Accident & Health Direct Total Accident & Health Direct Total Accident & Health Direct STATE OF NORTH DAKOTA Losses Incurred 0 Losses Incurred 0 Losses Incurred 0 Losses Incurred 0 OFFICE OF THE COMMISSIONER STATE OF NORTH DAKOTA STATE OF NORTH DAKOTA STATE OF NORTH DAKOTA STATE OF NORTH DAKOTA OF INSURANCE OFFICE OF THE COMMISSIONER OFFICE OF THE COMMISSIONER OFFICE OF THE COMMISSIONER OFFICE OF THE COMMISSIONER I, Adam Hamm, Commissioner of OF INSURANCE OF INSURANCE OF INSURANCE OF INSURANCE Insurance of the State of North Dakota, I, Adam Hamm, Commissioner of I, Adam Harem, Commissioner of I, Adam Hamm, Commissioner of I, Adam Hamm, Commissioner of do hereby certify that the foregoing is a Insurance of the State of North Dakota, Insurance of the State of North Dakota, Insurance of the State of North Dakota, Insurance of the State of North Dakota, true Abstract of Statement, as officially do hereby certify that the foregoing is a do hereby certify that the foregoing is a do hereby certify that the foregoing is a do hereby certify that the foregoing is a filed by the Company in this office, true Abstract of Statement, as officially true Abstract of Statement, as officially true Abstract of Statement, as officially true Abstract of Statement, as officially IN TESTIMONY WHEREOF, I have hereunto filed by the Company in this office, filed by the Company in this office, filed by the Company in this office, filed by the Company in this office. set my hand and affixed the seal of this office at IN TESTIMONY WHEREOF, I have hereunto IN TESTIMONY WHEREOF, I have hereunto IN TESTIMONY WHEREOF, I have hereunto IN TESTIMONY WHEREOF, I have hereunto Bismarck, the first day of May, A.D. 2015 set my hand and affixed the seal of this office at setmyhandandaffixedthesealofthisofficeat set my hand and affixed the seal of this office at setmyhandandaffixedthesealofthisofficeat (SEAL). Bismarck, the first day of May, A.D. 2015 Bismarck, the first day of May, A.D. 2015 Bismarcl~, the first day of May, A.D. 2015 Bismarck, the first day of May, A.D. 2015 ADAM HAMM (SEAL). (SEAL). (SEAL). (SEAL). Commissioner of Insurance ADAM HAMM ADAM HAMM ADAM HAMM ADAM HAMM STATE OF NORTH DAKOTA Commissioner of Insurance Commissioner of Insurance Commissioner of Insurance Commissioner of lns(Jrance OFFICE OF THE COMMISSIONER STATE OF NORTH DAKOTA STATE OF NORTH DAKOTA STATE OF NORTH DAKOTA STATE OF NORTH DAKOTA OF INSURANCE OFFICE OF THE COMMISSIONER OFFICE OF THE COMMISSIONER OFFICE OF THE COMMISSIONER OFFICE OF THE COMMISSIONER COMPANY'S CERTIFICATE OF OF INSURANCE OF INSURANCE OF INSURANCE OF INSURANCE AUTHORITY COMPANY'S CERTIFICATE OF COMPANY'S CERTIFICATE OF COMPANY'S CERTIFICATE OF COMPANY'S CERTIFICATE OF WHEREAS, the above corporation duly AUTHORITY AUTHORITY AUTHORITY AUTHORITY organized under the laws of its state or WHEREAS, the above corporation duly WHEREAS, the above corporation duly WHEREAS, the above corporation duly WHEREAS, the above corporation duly country of domicile, has filed in this office organized under the laws of its state or organized under the laws of its state or 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 country of domicile, has filed in this office a sWorn statement exhibiting its condition~ country of domicile, has filed in this office and business for the year ending asworn statement exhibiting its condition December 31, 2014 conformable to the and business for the year ending requirements of the laws of the State December 31, 2014 conformable to the regarding the business of insurance requirements of the laws of the State and regarding the business of insurance WHEREAS, the said company has filed in and this office a duly certified copy of its charter WHEREAS, the said company has filed in a sworn statement exhibiting its condition a sworn statem.ent exhibiting its condition a sworn statement exhibiting its condition and business for the year ending and business for the year endingand business for the year ending December 31, 2014 conformable to the December 31, 2014 conformable to the December 31, 2014 conformable to the requirements of the laws of the State requirements of the laws of the State requirements of the laws of the State regarding the business of insurance regarding the business of insurance regarding the business of insurance and and and WHEREAS, the said company has filed in WHEREAS, the said company has filed in WHEREAS, the said company has filed in with certificate of organization in compliance with the requirements of insurance taw 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. 2016 IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2015 (SEAL). ADAM HAMM Commissioner of Insurance (May 6, 20, 27, 2015) this office a duly certified copy of its charter 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 with certificate of organization in compliance with the requirementsof compliance withthe requirements of compliance with the requirements of insurance law aforesaid, insurance law aforesaid, 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. 2016 IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2015 (SEAL): ADAM HAMM Commissioner of Insurance (May 6, 20, 27, 2015) 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. 2016 IN TESTIMONY WHEREOF, I have 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. 2016 IN TESTIMONY WHEREOF, I have hereunto set my hand and aff0(ed.the seal at Bismarck, the first day of May, A.D. 2015 (SEAL). "- ' ADAM HAMM Commissioner of Insurance, (May 6, 20, 27, 2015) this office a duly certified copy of its charter with certificate of organization in compliance withthe 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. 2016 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. 2015 Bismarck the first day of May, A.D. 2015 (SEAL). ~ ' : ." " "(SEAL). ADAM HAMM ADAM HAMM Commissioner of Insurance Commissioner of Insurance (May 6, 20, 27, 2015) (May 6, 20, 27, 2015) 22136 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2014 of the GREAT AMERICAN INSURANCE COMPANY OF NEW YORK In the state of New York Total Assets 47,191,278 Total Liabilities 0 Aggregate write-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) 23,141,278 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 47,191,278 Total Liabilities, Capital and Surplus 47,191,278 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2014 Total Direct Premiums Earned 1,065,304 Total Direct Losses Incurred -2701614 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 office at Bismarck, the first day of May, A.D. 2015 (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, 2014 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. 2016 IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2015 (SEAL). ADAM HAMM Commissioner of Insurance (May 6, 20, 27, 2015) 11371 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2014 of the GREAT WEST CASUALTY COMPANY In the state of Nebraska Total Assets 1,848,385,475 Total Liabilities 1,275,257,121 Aggregate write-ins for special surplus fund 0 Common Capital Stock 2,500,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 56,130,928 Unassigned funds(surplus) 514,497,426 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 573,128,354 Total Liabilities, Capital and Surplus 1,848,385,475 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2014 Total Direct Premiums Earned 25,035,456 Total Direct Losses Incurred 13,823,507 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE l, 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 office at Bismarck, the first day of May, A.D. 2015 (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, 2014 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. 2016 IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2015 (SEAL). ADAM HAMM Commissioner of Insurance (May 6, 20, 27, 2015) 22322 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2014 , of the GREENWICH INSURANCE COMPAI~Y In the state of Delaware Total Assets 1,073,077,237 Total Liabilities 675,738,142 Aggregate write-ins for special surplus fund 0 Common Capital Stock 3,558,100 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus346,796,780 Unassigned funds(surplus) 46,984,215 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 397,339,095 Total Liabilities, Capital and Surplus 1,073,077,237 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2014 Total Direct Premiums Earned 540,431 Total Direct Losses Incurred -81,395 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 office at Bismarck, the first day of May, A.D. 2015 (SEAL). ADAM HAMM Commissionm" 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, 2014 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. 2016 IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2015 (SEAL). ADAM HAMM Commissioner of Insurance (May 6, 20, 27, 2015) 14117 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2014 of the GRiNNELL MUTUAL REINSURANCE 913,706,406 473,622,757 1,000,000 COMPANY in the state of Iowa Total Assets Total Liabilities Aggregate write-ins for special surplus fund Common Capital Stock Preferred Capital Stock Aggregate write-ins for other than special surplus Surplus notes Gross paid in and contributed surplus 16144 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2014 of the GRINNELL SELECT INSURANCE COMPANY In the state of Iowa Total Assets 40,173,388 Total Liabilities 12,606,335 Aggregate write-ins for special surplus fund @ 0 Common Capital Stock 1,999.950 0 . Preferred Capital Stock Aggregate writeqns for 0 other than special surplus 0 Surplus notes Gross paid in and 0 contributed surplus 0 0 Unassigned funds(surplus) 439,083,650 Unassigned fund surpius) .23,067,103 Less treasury stock, at cost 0 Less treasury stoc~ ~t cost 0 # shares common 0 # shares common 0 # shares preferred 0 # shares preferred 0 Surplus as Regards Surplus as Regards Policyholders 440,083,650Policyholders 27,567,053 Total Liabilities, Capital Total Liabilities, Capital and Surplus 913,706,407and Surplus 40,173,388 NORTH DAKOTA BUSINESS ONLY NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2014 FOR THE YEAR 2014 Total Direct Premiums Total Direct Premiums Earned 14,293,155Earned 3,704,373 Total Direct Losses Total Direct Losses Incurred 5,508,467 Incurred 2,037,841 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, Adam Harem, Commissioner of I, Adam Hamm, 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 olfice at Bismarck, the first day of May, A.D. 2015 Bismarck, the first day of May, A.D. 2015 (SEAL). (SEAL). ADAM HAMM ADAM HAMM 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, 2014 conformable to the December 31, 2014 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, ADAM HAMM, NOW THEREFORE, I, ADAM HAMM, 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. 2016 30th day of April, A.D. 2016 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. 2015 Bismarck, the first day of May, A.D. 2015 (SEAL). (SEAL). ADAM HAMM ADAM HAMM Commissioner of Insurance Commissioner of Insurance (May 6, 20, 27, 2015) (May 6, 20, 27, 2015) 2,500,000 15032 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31. 201a of the GUIDEONE MUTt ~A! COMPANY In the stat~ . Tota! ~-, 5,682 T, 4; -:53.059 610 ,~ ~u 1 250.000 ,#J[al Stock0 . ~d Capital Stock 0 :,9gregate write-ins for other than special surplus 0 Surplus notes 50,000,000 Gross paid in and contributed surplus 0 Unassigned funds(surplus) 390,869,075 Less treasury stock; at cost 0 # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 442,119,075 Total Liabilities, Capital and Surplus 1,695,178.685 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2014 Total Direct Premiums Earned 64,033,734 Total Direct Losses Incurred 38,375,348 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health Direct Losses Incurred STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONt~ ~ OF INSURANCE I, Adam Hamm, Commlss,~,~e~ ol 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. 2015 (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, 2014 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 H.AMM, 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. 2016 IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2015 (SEAL). ADAM HAMM Commissioner of Insurance (May 6, 20, 27, 2015) "i