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Walsh County Press
Park River , North Dakota
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May 29, 2013     Walsh County Press
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MAY 29, 2013 THE PRESS PAGE 11 P11185 P13986 ABSTRACT OF STATMENT ABSTRACT OF STATMENT FOR THE YEAR ENDING FOR THE YEAR ENDING DECEMBER 31, 2012 DECEMBER 31, 2012 of the of the Foremost Insurance Company Frankenmuth Mutual Insurance In the state of Michigan Company Total Assets 1,774,411,860In the state of Michigan Total Liabilities 780,873,669Total Assets 1,01 5,649,791 Aggregate write-ins for Total Liabilities 625,828,941 special surplus fund 623,006 Aggregate write-ins for Common Capital Stock 4,800,000 special surplus fund 250,000 Preferred Capital Stock 0 Common Capital Stock 0 Aggregate write-ins for Preferred Capital Stock 0 other than special surplus 0 Aggregate write-ins for Surplus notes 0 other than special surplus 0 Gross paid in and Surplus notes 0 contributed surplus 185,056,352Gross paid in and Unassigned funds(surplus) 803,058,833 contributed surplus 0 Less treasury stock, at cost0 Unassigned funds(surplus) 389,570,850 # shares common 0 Less treasury stock, at cost 0 # shares preferred 0 # shares common 0 Surplus as Regards # shares preferred 0 Policyholders 993,538,191Surplus as Regards Total Liabilities, Capital Policyholders 389,820,850 and Surplus 1,774,411,860 Total Liabilities, Capital NORTH DAKOTA BUSINESS ONLY and Surplus 1,015,649,791 FOR THE YEAR 2012 NORTH DAKOTA BUSINESS ONLY Total Direct Premiums FOR THE YEAR 2012 Earned 4,023,040Total Direct Premiums Total Direct Losses Earned 0 Incurred 861,166 Total Direct Losses Total Accident & Health Direct Incurred 0 Premiums Earned 0 Total Accident & Health Direct Total Accident & Health Direct Premiums Earned 0 Losses Incurred 0 Total Accident & Health Direct STATE OF NORTH DAKOTA Losses Incurred 0 OFFICE OF THE COMMISSIONER STATE OF NORTH DAKOTA OF INSURANCE OFFICE OF THE COMMISSIONER I, Adam Harem, Commissioner of OF INSURANCE Insurance of the State of North Dakota, I, Adam Hamm, Commissioner Of do hereby certify that the foregoing is a Insurance of the State of North Dakota, true Abstract of Statement, as officially do hereby certify that the foregoing is a filed by the Company in this office, true Abstract of Statement, as officially IN TESTIMONY WHEREOF, I have hereunto filed by the Company in this office. set my hand and affixed the seal of this Office at IN TESTIMONY WHEREOF, I have hereunto Bismarck, the first day of May, A.D. 2013 set my hand and afrrxed the seal of this office at (SEAL). Bismarck, the first day of May, A.D. 2013 ADAM HAMM (SEAL). Commissioner of Insurance ADAM HAMM STATE OF NORTH DAKOTA Commissioner of Insurance OFFICE OF THE COMMISSIONER STATE OF NORTH DAKOTA OF INSURANCE OFFICE OF THE COMMISSIONER COMPANY'S CERTIFICATE OF OF INSURANCE AUTHORITY COMPANY'S CERTIFICATE OF WHEREAS, the above corporation duly AUTHORITY organized under the laws of its state or WHEREAS, the above corporation duly country of domicile, has filed in this office organized under the laws of its state or 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, 2012 conformable to the and business for the year ending requirements of the laws of the State December 31, 2012 conformable to the regarding the business of insurance and requirements of the laws of the State WHEREAS, the said company has filed in regarding the business of insurance and this office a duly certified copy of its charter WHEREAS, the said company has filed in with certificate of organization in this office a duly certified copy of its charter compliance with the requirements of with certificate of organization in insurance lawaforesald, compliance with the requirements of NOW THEREFORE, I, ADAM HAMM, insurance law aforesaid, Commissioner of Insurance of the State of NOW THEREFORE, I, ADAM HAMM, North Dakota, pursuant to the provisions of Commissioner of Insurance of the State of said laws, do hereby certify that the above North Dakota, pursuant to the provisions of named company is fully empowered said laws, do hereby certify that the above through its authorized agents and named company is fully empowered representatives, to transact its appropriated through its authorized agents and business of authonzed insurance in the representatives, to transact its appropriated state according to the laws thereof, until the business of authorized insurance in the 30th day of Apnl, A.D. 2014. state according to the laws thereof, until the IN TESTIMONY WHEREOF, I have 30thdayofApriI, A.D. 2014. hereunto set my hand and affixed the seal at IN TESTIMONY WHEREOF, I have Bismarck, the first day of May, A.D. 2013 hereunto set myhand and affixedthe seal at ADAM HAMM (SEAL), Commissioner of Insurance ADAM HAMM (May 1, 8, 29, 2013) Commissioner of Insurance (May 1, 8, 29, 2013) P26832 ABSTRACT OF STATMENT P26344 FOR THE YEAR ENDING ABSTRACT OF STATMENT DECEMBER 31, 2012 FOR THE YEAR ENDING of the DECEMBER 31, 2012 Great American Alliance Insurance of the Company Great American Assurance Company In the state of Ohio In the state of Ohio Total Assets 31,293,415Total Assets 21,328,084 Total Liabilities 439,978 Total Liabilities 2,719,899 Aggregate write-ins for Aggregate writa-ins for special surplus fund 0 special surplus fund0 Common Capital Stock 3,501,000 Common Capital Stock3,510,000 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 18,489,979contributed surplus 8,716,521 Unassigned funds(surplus) 8,862,458 Unassigned funds(surplus) 6,381,665 Less 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 30,853,437Policyholders 18,608,186 Total Liabilities, Capital Total Liabilities, Capital and Surplus 31,293,415and Surplus 21,328,085 NORTH DAKOTA BUSINESS ONLY NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2012 FOR THE YEAR 2012 Total Direct Premiums Total Direct Premiums Earned 186,685 Earned 309,625 Total Direct Losses Total Direct Losses Incurred 79,121 Incurred 42,366 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 ofI, 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 Office at Bismarck, the first day of May, A.D. 2012 Bismarck, the first day of May, A.D. 2013 (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, 2012 conformable to the December 31, 2012 conformable to the requirements of the laws of the State requirements of the laws of the State regarding the business of insurance and regarding the business of insurance 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 appropnated 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. 2013. 30th day Of Apnl, A.D. 2014. 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. 2012 Bismarck, the first day of May, A.D. 2013 (SEAL), (SEAL), ADAM HAMM ADAM HAMM Commissioner of Insurance Commissioner of Insurance (May 1, 8, 29, 2013) (May 1, 8, 29, 2013) P24414 P24732 P11967 ABSTRACT OF STATMENT ABSTRACT OF STATMENT ABSTRACT OF STATMENT FOR THE YEAR ENDING FOR THE YEAR ENDING FOR THE YEAR ENDING DECEMBER 31, 2012 DECEMBER 3i, 2012 DECEMBER 31, 2012 of the of the of the General Causualty Company Of General Insurance Company Of America General Star National Insurance Wisconsin In the state of New Hampshire Company In the state of Wisconsin Total Assets 1,999,941,310 In the state of Delaware Total Assets 1,024,950,372 Total Liabilities 1,692,800,728 Total Assets 250,653,902 Total Liabilities 576,844,447 Aggregate write-ins for Total Liabilities 69,463,924 Aggregate write-ins for special surplus fund 1,614,347 Aggregate write-ins for special surplus fund 1,118,181 Common Capital Stock 5,000,000 special surplus fund 0 Common Capital Stock 4,000,000 Preferred Capital Stock 0 Common Capital Stock 4,000,000 Preferred Capital Stock 0 Aggregate write-ins for Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 other than special surplus 0 Surplus notes 0 Gross paid in and Surplus notes 0 Gross paid in and contributed surplus 170,891,058 Gross paid in and contributed surplus 277,977,705Unassigned funds(surplus) 129,635,177 contributed surplus 60,107,585 Unassigned funds(surplus) 184,912,177 Less treasury stock, at cost 0 Unassigned funds (surplus) 117,082,393 Less treasury stock, at cost 19,902,138 # shares common 0 Less treasury stock, at cost 0 750 shares common 150,000 # shares preferred 0 # shares common 0 # shares preferred 0 Surplus as Regards # shares preferred 0 Surplus as Regards Policyholders 307,140,528Surplus as Regards Policyholders 448,105,925Total Liabilities, Capital Policyholders 181,189,978 Total Liabilities, Capital and Surplus 1,999,941,310 Total Liabilities, Capital and Surplus 1,024,950,372NORTH DAKOTA BUSINESS ONLY and Surplus 250,653,902 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2012 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2012 Total Direct Premiums FOR THE YEAR 2012 Total Direct Premiums Earned 1,118,794Total Direct Premiums Earned 5,345,720Total Direct Losses Earned 3,870 Total Direct Losses Incurred -78,371Total Direct Losses Incurred 1,383,915Total Accident & Health DirectIncurred -7,000 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health Direct Premiums Earned 0 Total Accident & Health DirectPremiums Earned 0 Total Accident & Health Direct Losses Incurred 0 Total Accident & Health Direct Losses Incurred 0 STATE OF NORTH DAKOTA Losses Incurred 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Hamm, Commissioner of OF INSURANCE I, Adam Harem, Commissioner of Insurance of the State of North Dakota, I, Adam Hamm, Commissioner of Insurance of the State of North Dakota, do hereby certify that the foregoing is a Insurance of the State of North Dakota, do hereby certify that the foregoing is a true Abstract of Statement, as officially do hereby certify that the foregoing is a true Abstract of Statement, as officially filed by the Company in this office, true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of this office at IN TESTIMONY WHEREOF, I have hereunto setmyhandandaffixedthesealofthisofficeat Bismarck, the first day of May, A.D. 2013 setmyhandandaffixedthesealofthisofficeat Bismarck, the first day of May, A.D. 2013 (SEAL). Bismarck, the first day of May, A.D. 2013 (SEAL). ADAM HAMM (SEAL). ADAM HAMM Commissioner of Insurance ADAM HAMM Commissioner of Insurance STATE OF NORTH DAKOTA Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly AUTHORITY WHEREAS, the above corporation duly organized under the laws of its state or WHEREAS, the above corporation duly organized under the laws of its state or country of domicile, has filed in this office organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition country of domicile, has filed in this office asworn statement exhibiting its condition and business for the year ending a sworn statement exhibiting its condition and business for the year ending December 31, 2012 conformable to the and business for the year ending December 31, 2012 conformable to the requirements of the laws of the State December 31, 2012 conformable to the requirements of the laws of the State regarding the business of insurance and requirements of the laws of the State regarding the business of insurance and WHEREAS, the said company has filed in regarding the business of insurance and WHEREAS, the said company has filed in this office a duly certified copy of its charter WHEREAS, the said company has filed in this office a duly certified copy of its charter with certificate of organization in this office a duly certified copy of its charter with certificate of organization in compliance with the requirements of with certificate of organization in compliance with the requirements of insurance law aforesaid, compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, ADAM HAMM, insurance law aforesaid, NOW THEREFORE, I, ADAM HAMM,Commissioner of Insurance of the State of NOW THEREFORE, I, ADAM HAMM, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empowered said laws, do hereby certify that the above named company is fully empowered through its authorized agents and named company is fully empowered through its authorized agents and representatives, to transact its appropriated through its authorized agents and representatives, to transact its appropriated business of authorized insurance in the representatives, to transact its appropnated business of authorized insurance in the state according to the laws thereof, until the business of authorized insurance in the state according to the laws thereof, until the 30th day of April, A.D. 2014. state according to the laws thereof, until the 30thdayofApnI, A.D. 2014. IN TESTIMONY WHEREOF, I have 30thdayofApriI, A.D. 2014. IN TESTIMONY WHEREOF, I have~ hereunto set my hand and affixed the seal at IN TESTIMONY WHEREOF, I have hereunto set myhand and affiXed the seal at Bismarck, the first day of May, A.D. 2013 hereunto set myhand and affixed the seal at Bismarck,,the ~irst da, y,~fJV~y~A.D.~20,1,3~ij(p~SAL)~ .... ~ ............. .~ ~ .. :Bismarck, the first day of May, A.D. 2013 (SEAL), ADAM HAMM (SEAL), ADAM HAMM Commissioner of Insurance ADAM HAMM Commissioner of Insurance ~'(May~l, 8, 29, 2013) Commissioner of Insurance (May 1, 8, 29, 2013) (May 1, 8, 29, 2013) P22136 ABSTRACT OF STATMENT P33723 P16691 FOR THE YEAR ENDING ABSTRACT OF STATMENT ABSTRACT OF STATMENT DECEMBER 31, 2012 FOR THE YEAR ENDING FOR THE YEAR ENDING of the DECEMBER 31, 2012 DECEMBER 31, 2012 Great American Insurance Company Of of the of the New York Great American Spirit Insurance Great American Insurance Company In the state of New York Company In the state of Ohio Total Assets 46,837,412In the state of Ohio Total Assets 5,132,593,204 Total Liabilities 1,606,247 Total Assets 22,547,257 Total Liabilities 3,662,948,328 Aggregate write-ins for Total Liabilities 1,346,918 Aggregate write-ins for special surplus fund 0 Aggregate write-ins for special surplus fund 144,802,992Common Capital Stock 3,800,000 special surplus fund0 Common Capital Stock 15,440,600 Preferred Capital Stock 0 Common Capital Stock3,504,000 Preferred Capital Stock 0 Aggregate write-ins for Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 other than special surplus 0 Surplus notes 0 Gross paid in and Surplus notes 0 Gross paid in and . contributed surplus20,250,000Gross paid in and contributed surplus 308,795,354Unassigned funds(surplus) 21,181,164contributed surplus 8,546,000 Unassigned funds (surplus)1,000,605,930 Less treasury stock, at cost 0 Unassigned funds(surplus) 9,150,339 Less treasury stock, at cost0 # shares common 0 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 # shares common 0 # shares preferred 0 Surplus as Regards # shares preferred 0 Surplus as Regards Policyholders 45,231,164Surplus as Regards Policyholders 1,469,644,876 Total Liabilities, Capital Policyholders 21,200,339 Total Liabilities, Capital and Surplus 46,837,411Total Liabilities, Capital and Surplus 5,132,593,204 NORTH DAKOTA BUSINESS ONLY and Surplus 22,547,257 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2012 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2012 Total Direct Premiums FOR THE YEAR 2012 Total Direct Premiums Earned 699,745 Total Direct Premiums Earned 70,410,445Total Direct Losses Earned 0 Total Direct Losses Incurred Total Direct Losses Incurred 21,122,282 1,526,572Incurred 0 Total Accident & Health DirectTotal Accident & Health DirectTotal Accident & Health Direct Premiums Earned 0 Premiums Earned 0 Premiums Earned 0 Total Accident & Health DirectTotal Accident & Health DirectTotal Accident & Health Direct Losses Incurred 0 Losses Incurred 0 Losses Incurred 0 STATE OF NORTH DAKOTA STATE OF NORTH DAKOTA STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OFFICE OF THE COMMISSIONER OFFICE OF THE COMMISSIONER OF INSURANCE OF INSURANCE OF INSURANCE I, Adam Hamm, Commissioner ofI, Adam Harem, Commissioner ofI, Adam Hamm, Commissioner of Insurance of the State of North Dakota, 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 do hereby certify that the foregoing is a true Abstract of Statement, as officially 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, filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto 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 set my hand and affixed the seal of this ofrce at Bismarck, the first day of May, A.D. 2013 Bismarck, the first day of May, A.D. 2013 Bismarck, the first day of May, A.D. 2013 (SEAL). (SEAL). (SEAL). ADAM HAMM ADAM HAMM ADAM HAMM Commissioner of Insurance Commissioner of Insurance Commissioner of Insurance STATE OF NORTH DAKOTA STATE OF NORTH DAKOTA STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OFFICE OF THE COMMISSIONER OFFICE OF THE COMMISSIONER OF INSURANCE OF INSURANCE OF INSURANCE COMPANY'S CERTIFICATE OF COMPANY'S CERTIFICATE OF COMPANY'S CERTIFICATE OF AUTHORITY AUTHORITY AUTHORITY WHEREAS, the above corporation duly 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 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 a sworn statement exhibiting its condition a sworn statement exhibiting its condition and business for the year ending and business for the year ending and business for the year ending December 31, 2012 conformable to the December 31, 2012 conformable to the December 31, 2012 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 and regarding the business of insurance and regarding the business of insurance and WHEREAS, the said company has filed in 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 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 requirements of compliance with the requirements of compliance with the requirements of insurance law aforesaid, insurance law aforesaid, insurance law aforesaid, NOW THEREFORE, I, ADAM HAMM, NOW THEREFORE, I, ADAM HAMM, NOW THEREFORE, I, ADAM HAMM, Commissioner of Insurance of the State of 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 North Dakota, pursuant to the provisions of said laws, do hereby certify that the above 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 named company is fully empowered through its authorized agents and through its authorized agents and through its authorized agents and representatives, to transact its appropriated representatives, to transact its appropnated representatives, to transact its appropriated business of authorized insurance in the 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 state according to the laws thereof, until the 30th day of April, A.D. 2014.30th day of April, A.D. 2014. 30th day of April, A.D. 2014. IN TESTIMONY WHEREOF, I have 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 hereunto set my hand and affixed the seal at Bismarck, the first day of May, A.D. 2013 Bismarck, the first day of May, A.D. 2013 Bismarck, the first day of May, A.D. 2013 (SEAL), (SEAL), (SEAL), ADAM HAMM ADAM HAMM ADAM HAMM Commissioner of Insurance Commissioner of Insurance Commissioner of Insurance (May 1, 8, 29, 2013) (May 1, 8, 29, 2013) (May 1, 8, 29, 2013) P 18759 ABSTRACT OF STATMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of 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 Surplus as 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 affixed the seal 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 appropnated 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) 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 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 affixed the seal 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 appropnated 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 day of May, A.D. 2013 (SEAL), ADAM HAMM Commissioner of Insurance (May 1, 8, 29, 2013)