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May 5, 2011 Golden Valley News Page 7
Insurance legal
L 60836
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2010
of the
American Republic
Insurance Company
In the State of IA
Total Assets 537,807,917
Total Liabilities 272,926,908
Common Capital Stock 5,000,000
Preferred Capital Stock 0
Aggregate write-ins for
Other than special SurDluS 0
Surplus Notes 0
Gross paid in and
Contributed surplus 8,995,517
Aggregate write-ins for
Special surplus fund 7,000,000
Unassigned funds
(surplus) 243,885,492
Less treasury stock, at cost:0
# shares common 0
# share preferred 0
Surplus as regards
policyholders 264,881,009
Total Liabilities, Capital
and Surplus 537,807,917
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2010
LIFE & ANNUITY
Total Direct Premiums
written 251,989.00
Totfil Direct Losses
paid, 336,746.00
ACCIDENT & HEALTH
Total Direct Premiums
written 5,579,437.00
Total Direct Losses
Paid 5,606.595.00
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 fore-
going 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. 2011 (SEAL).
ADAM HAMM
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMIV~ISSIONER
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 exhibit-
ing its condition and business for the
year ending December 31, 2010 con-
formable to the requirements of the
laws of this State regarding the busi-
ness of insurance and
WHEREAS, the said company has
filed in this office a duly certified copy
of its charter with certificate of organi-
zation in compliance with the require-
ments 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.thr~ough its.author-
ized agents ant 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., 2012.
IN TESTIMONY WHEREOF, I
have hereunto set my hand and seal
at Bismarck this first day of May, A.D.,
2011 (SEAL).
ADAM HAMM
Commissioner of Insurance
(May 5, 12 and 19)
L60895
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2010
of the
AmericanUnitedLifeInsurance
Company
In the state of IN
Total Assets 16,537,474,423
Total Liabilities 15,725,259,540
Common Capital Stock 5,000,000
Preferred Capital Stock 0
Aggregate write-ins for
Other than special surplus 0
Surplus Notes 75,000,000
Gross paid in and
Contributed surplus 550,000
Aggregate write-ins for
Special surplus fund 20,915,846
Unassigned funds
(surplus) 710,749,037
Less treasury stock, at cost: 0
# shares common 0
# share preferred 0
Surplus as regards
policyholders 812,214,883
Total Liabilities, Capital
and Surplus 16,537,474,423
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2010
LIFE & ANNUITY
Total Direct Premiums
written 3,650,817.00
Total Direct Losses
paid 1,290,210.00
ACCIDENT & HEALTH
Total Direct Premiums
written 13,880.00
Total Direct Losses
Paid 0.00
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 fore-
going 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. 2011 (SEAL).
ADAM HAMM
Commissioner of InsLTrance
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 exhibit-
ing its condition and business for the
year ending December 31, 2010 con-
formable to the requirements of the
laws of this State regarding the busi-
ness of insurance and
WHEREAS, the said company has
filed in this office a duly certified copy
of its charter with certificate of organi-
zation in compliance with the require-
ments of insurance law aforesaid,
NOW THEREFORE, I, ADAM
HAMM, Commissioner of Insurance of
the State of North Dakota. pursuant to
the prowsions of said laws, do hereby
certify that the above named company
is fully empowered through its author-
ized 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., 2012.
IN TESTIMONY WHEREOF.
have hereunto set my hand and seal
at Bismarck this first day of May, A.D.,
2011 (SEAL).
ADAM HAMM
Commissioner of Insurance
(May 5, 12 and 19)
L 61190
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2010
of the
Auto-Owners Life Insurance Company
In the state of MI
Total Assets 2,735,645,659
Total Liabilities 2,484,770,217
Common Capital Stock 3,450,000
Preferred Capital Stock 0
Aggregate write-ins for
Other than special surplus 0
Surplus Notes 0
Gross paid in and
Contributed surplus 16,568,902
Aggregate write-ins for
Special surplus fund 3,618,707
Unassigned funds
(surplus) 227.237,832
Less treasury stock, at cost:0
# shares common 0
# share preferred 0
Surplus as regards
policyholders 250,875,441
Total Liabilities, Capital
and Surplus 2,735,645,658
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2010
LIFE & ANNUITY
Total Direct Premiums
written 4,009,514.00
Total Direct Losses
paid 923,102.00
ACCIDENT & HEALTH
Total Direct Premiums
written 106,665.00
Total Direct Losses
Paid 6,622.00
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 fore-
going 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. 2011 (SEAL).
ADAM HAMM
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY'S CF-JRTIFICATE, 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 exhibit-
ing its condition and business for the
year ending December 31, 2010 con-
formable to the requirements of the
laws of this State regarding the busi-
ness of insurance and
WHEREAS. the said company has
filed in this office a duly certified copy
of its charter with certificate of organi-
zation in compliance with the require-
ments of insurance law aforesaid,
NOW THEREFORE, I, ADAM
HAMM, Corhmlssioner 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 author-
ized 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.. 2012.
IN TESTIMONY WHEREOF,
have hereunto set my hand and seal
at Bismarck this first day bf May, A.D.,
2011 (SEAL).
ADAM HAMM
Commissioner of Insurance
(May 5, 12 and 19)
L 61301
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2010
of the
Ameritas Life Insurance Corporation
In the state of NE
Total Assets 7,124,569,433
Total Liabilities 5,793,692,846
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 457,438,387
Aggregate write-ins for
Special surplus fund 9.112,642
Unassigned funds
(surplus) 861,825,558
Less treasury stock, at cost:0
# shares common 0
# share preferred 0
Surplus as regards
policyholders 1,330,876,587
Total Liabilities, Capital
and Surplus 7,124,569,433
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2010
LIFE & ANNUITY
Total Direct Premiums
written 207,156.00
Total Direct Losses
paid 167,877.00
ACCIDENT & HEALTH
Total Direct Premiums
written 1,224,576.00
Total Direct Losses
Paid 606,384.00
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 fore-
going 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 FOR THE YEAR 2010
day of May, A.D. 2011 (SEAL). LIFE & ANNUITY
ADAM HAMM Total Direct Premiums
Commissioner of Insurance written 985,694.00
STATE OF.NORTH DAKOTA Total Direct Losses
OFFICE OF THE COMMISSIONER paid 301,936.00
OF INSURANCE ACCIDENT & HEALTH
COMPANY'S CERTIFICATE OF Total Direct Premiums
AUTHORITY written 708.899.00
WHEREAS, the above corporation Total Direct Losses
duly organized under the laws of its Paid 96,091.00
state or country of domicile, has filed STATE OF NORTH DAKOTA
in this office a sworn statement exhibit- OFFICE OF THE COMMISSIONER
ing its condition and business for the OF INSURANCE
year ending December 31, 2010 con- I. Adam Harem, Commissioner of
formable to the requirements of the Insurance of the State of North
laws of this State regarding the busi- Dakota, do hereby certify that the fore-
hess of insurance and going is a true Abstract of Statement.
WHEREAS, the said company hasas officially filed by the Company in
filed in this office a duly certified copy this office.
of its charter with certificate of organi- IN TESTIMONY WHEREOF, I have
zation in compliance with the require- hereunto set my hand~ and affixed the
ments of insurance law aforesaid, seal of this office at Bismarck, the first
NOW THEREFORE, I, ADAM day of May, A.D. 2011 (SEAL).
HAMM, Commissioner of Insurance of ADAM HAMM
the State of North Dakota, pursuant to Commissioner of Insurance
the provisions of said laws, do hereby STATE OF NORTH DAKOTA
certify that the above named corn pany OFFICE OF THE COMMISSIONER
is fully empowered through its author- OF INSURANCE
ized agents and representatives, to COMPANY'S CERTIFICATE OF
transact its appropriated business of AUTHORITY
authorized insurance in the state WHEREAS, the alcove corporation
,according to the laws thereof, until the duly organized under the laws of its
30th day of April, A.D.. 2012. state or country of domicile, has filed
IN TESTIMONY WHEREOF, 1 in this office a sworn statement exhibit-
have hereunto set my hand and seal ing its condition and business for-the
at Bismarck this first day of May, A.D.. year ending December 31, 2010 con-
2011 (SEAL). formable to the requirements of the
ADAM HAMM laws of this State regarding the busi-
Commissioner of Insurance ness of insurance and
(May 5, 12 and 19) WHEREAS, the said company has
filed in this office a duly certified copy
L 61689 of its charter with certificate of organi-
ABSTRACT OF STATEM ENT zation in compliance with the require-
FOR THE YEAR ENDING ments of insurance law aforesaid,
DECEMBER 31, 2010 NOW THEREFORE, I, ADAM
of the HAMM, Commissioner of Insurance of
Aviva Life and Annuity Corn pany the State of North Dakota, pursuant to
In the state of IA the provisions of said laws, do hereby
Total Assets 45,603,044,481 certify that the above named company
Total Liabilities 43,246,970.523 is fully empowered through its author-
Common Capital Stock 10,000.000 ized agents and representatives, to
Preferred Capital Stock 0 transact its appropriated business of
Aggregate write-insfor authorized insurance in the state
Other than special according to the laws thereof, until the
surplus 119,300.000 30th day of April, A.D., 2012.
Surplus Notes 415.000,000 IN TESTIMONY WHEREOF, I
Gross paid in and have hereunto set my hand'and seal
Contributed surplus 1,535,277,274 at Bismarck this first day of May, A.D.
Aggregate write-ins for 2011 (SEAL).
Special surplus fund 0 ADAM HAMM
Unassigned funds Commissioner of dsurance
(surplus) 276.496.685 (May 5, 12 a~nd 19)
Less treasury stock, at cost: 0
# shares commor7 0 L 61832
# share preferred e ABSTRACT OF STATEMENT
Surplus as regards FOR THE YEAR ENDING
policyholders 2,356,073,959 DECEMBER 31, 2010
of the
Chesapeake Life Insurance Company
In the state of OK
Total Assets 60,608,217
Total LiabiJities 15,883,049
Total Liabilities. Capital
and Surplus 45,603,044,482
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2010
LIFE & ANNUITY
Total Assets 2,543,794,461
Total Liabilities 1,802,130,459
Common Capital Stock 28.338.567
Preferred Capital Stock 0
Aggregate write-ins for
Other than special surplus 0
Surplus Notes 0
Gross paid in and
Contributed surplus 170,165,097
Aggregate write-ins for
Special surplus fund 67,854,232
Unassigned funds
(surplus) 475,306,106
Less treasury stock, at cost:0
# shares common 0
# share preferred 0
Surplus as regards
policyholders 741,664.002
Total Liabilities, Capital
and Surplus 2,543,794,46t
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2010
LIFE & ANNUITY
Total Direct Premiums
written 226,571,00
Total Direct Losses
paid 250,461.00
ACCIDENT & HEALTH
Total Direct Premiums
written 5,899,785.00
Total Direct Losses
Paid 1,972,256.00
STATE OF NOR:rH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Adam Harem Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the fore-
going is a true Abstra~ct of Statement,
is fully empowered through its author-
ized 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., 2012.
IN TESTIMONY WHEREOF, I
have hereunto set my hand and seat
at Bismarck this first day of May, A.D.,
2011 (SEAL).
ADAM HAMM
Commissioner of Insurance
(May 5, 12 and 19)
L 62345
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2010
of the
Berkshire Hathaway Life Insurance
Company of Nebraska
n the state of NE
Total Assets 8,413,268.236
Total Liabilities 6,860,012.922
Common Capital Stock 3,000,000
Preferred Capital Stock 0o
Aggregate write-ins for
Other than special surplus 0
Surplus Notes 0
Gross paid in and
Contributed surplus 2,454,694,979
Aggregate write-ins for
Special surplus fund 12,201,946
Unassigned funds
.(surplus) -916,641,611
Less treasury stock, at cost: 0
# shares common 0
# share preferred 0
Surplus as regards
as officially filed by'the Company in policyholders 1,553,255,314
this office. Total Liabilities, Capital
IN TESTIMONY WHEREOF, I have and Surplus 8,413,268,236
hereunto set my hand and affixed the NORTH DAKOTA BUSINESS ONLY
seal of this office at Bismarck, the first FOR THE YEAR 2010
day of May, A.D. 2011 (SEAL). LIFE & ANNUITY
ADAM HAMM Total Direct Premiums
Commissioner of Insurance written 0.00
STATE OF NORTH DAKOTA Total Direct Losses
OFFICE OF THE COMMISSIONER paid 0.00
OF INSURANCE ACCIDENT & HEALTH
COMPANY'S CERTIFICATE OF Total Direct Premiums
AUTHORITY written 0.00
WHEREAS, the above corporation Total Direct Losses
duly organized under the laws of its Paid 0.00
state or country of domicile, has filed STATE OF NORTH DAKOTA
in this office a sworn statement exhibit- OFFICE OF THE COMMISSIONER
ing its condition and business for the OF INSURANCE
year ending December 31, 2010 con- I, Adam Hamm. Commissioner of
formable to the requirements of the Insurance of the State of North
laws of this State regarding the busi- Dakota, do hereby certify that the fore-
hess of insurance and going is a true Abstract of Statement,
WHEREAS, the said company has as officially filed by the Company in
filed in this office a duly certified copy this office.
of its charter with certificate of organi- IN TESTIMONY WHEREOF, I have
zation in compliance with the require- hereunto set my hand and affixed the
ments of insurance law aforesaid, seal of this office at Bismarck, the first
NOW THEREFORE, I, ADAM dayofMay, A.D. 2011(SEAL).
HAMM, Commissioner of Insurance of ADAM HAMM
the State of North Dakota, pursuant to Commissioner of Insurance
the provisions of said laws, do hereby STATE OF NORTH D,AKOTA
certify that the above hamed company OFFICE OF THE COMMISSIONER
is fully empowered through its author- OF INSURANCE
ized agents and representatives, to COMPANY'S CERTIFICATE OF
Total Direct Premiums Common Capital Stock 2,668,000 transact its appropriated business of AUTHORITY
Preferred Capital Stock 0 authorized insurance in the state WHEREAS, the above corporation
TotalWrittenDirect Losses 17,581,969.00 Aggregate write-ins for acc0rding to the laws thereof, until the duly organized under the laws of its
paid 6,546,777.00 Other than special surplus 0 30th day of April, A.D., 2012. , • state or country of domicile, has filed
ACCIDENT & HEALTH Surplus Notes . 0 IN TESTIMONY WHEREOF, I in this office a sworn statement exhibit-
Total Direct Premiums Gross paid in and have herednt0 set my hahd and seal ing its condition and business for the
• ~wfitten ..... 7.644.00;~,ontrilm~edsu~'plu~, } .- 56~900~000 at.Sismarek,~t~ie,first~lay~f~May~,A.D.,~- year.e~ding December.31,.2010 con-
Total Direct Losses Aggregate wt'ite-ins'fot" 2011 (SEAL). formable to the requirements of the
Paid 55,575.00 Special surplus fund 0 ADAM HAMM
STATE OF NORTH DAKOTA Unassigned funds Commissioner of Insurance
OFFICE OF THE COMMISSIONER (surplus) -14.842832 (May 5, 12 and 19)
OF INSURANCE Less treasury stock, at cost: 0
I, Adam Hamm, Commissioner of # shares common 0 L 62308
Insurance of the State of North# share preferred 0 ABSTRACT OF STATEMENT
Dakota, do hereby certify that the fore- Surplus as regards FOR THE YEAR ENDING
going is a true Abstract of Statement, policyholders 44.725.168 DECEMBER 31, 2010
as officially filed by the Company in Total Liabilities, Capital of the
this office, and Surplus 60,608,217 Connecticut General Life Insurance
IN TESTIMONY WHEREOF. I have NORTH DAKOTA BUSINESS ONLY Company
hereunto set my hand and affixed the FOR THE YEAR 2010 In the state of CT
seal of this office at Bismarck. the first LIFE & ANr~UITY Total Assets 20,055,457,384
day of May, A.D. 2011 (SEAL). Total Direct PremiumsJ Total Liabilities17,040,952,884
ADAM HAMM written 74,320.00 Common Capital Stock 29,891,610
Commissioner of Insurance Total Direct Losses Preferred Capital Stock 0
STATE OF NORTH DAKOTA paid 36.642.00 Aggregate write-ins for
OFFICE OF THE COMMISSIONER ACCIDENT & HEALTH Other than special surplus 0
OF INSURANCE Total Direct Premiums Surplus Notes 0
COMPANY'S CERTIFICATE OF written 1 508.00 Gross paid in and
AUTHORITY Total Direct Losses Contributed surplus 2,049,948,565
WHEREAS. the above corporation Paid 0.00 Aggregate write-ins for
duly organized under the laws of its STATE OF NORTH DAKOTA Special surplus fund 261,537,308
state or coumry of domicile, has filed OFFICE OF THE CQMMISSIONER Unassigned funds
in this office a sworn statement exhibit- OF INSUR.~NCE (surplus) 673,127,017
ing its condition and business for the I, ~Adam Harem, Commissioner of Less treasury stock, at cost: 0
year ending December31 2010 con-Insurance of the State of North # shares common 0
,formable to the requirements of the Dakota, do hereby certify that the fore- # share preferred 0
laws of this State regarding the busi- going is a true Abstract of Statement. Surplus as regards
ness of insurance and as officially filed by the Company in policyholders 3,014,504,500
WHEREAS. the said company hasthis office. Total Liabilities, Capital
filed in this office a duly certified copy IN TESTIMONY WHEREOF, I have and Surplus 20,055,457,384
of its charter with certificate of organi- hereunto set my hand and affixed the NORTH DAKOTA BUSINESS ONLY
zation in compliance with the require- seal of this office at Bismarck, the first FOR THE YEAR 2010
ments of insurance law aforesaid, day of May, A.D. 2011 (SEAL). LIFE & ANNUITY
NOW THEREFORE, I, ADAM ADAM HAMM Total Direct Prom=urns
HAMM. Commissioner of Insurance of Commissioner of Insurance written 461,921.00
the State of North Dakota, pursuant to STATE OF NORTH DAKOTA Total Direct Losses
the provisions of said laws, do hereby OFFICE OF THE CQMMISSIONER paid 1,290,484.00
certify that the above named company OF INSURANCE ACCIDENT & HEALTH
is fully empowered through its author- COMPANY'S CERTIFICATE OF Total Direct Premiums
ized agents and representatives, to AUTHORITY written 7,729,874.00
transact its appropriated business of WHEREAS, the above corporation Total Direct Losses
authorized insurance in the state duly organized under the laws of its Paid 5,685,526.00
according to the laws thereof, until the state or country of domicile, has filed STATE OF NORTH DAKOTA
30th day of April, A.D.. 2012. in this office a sworn statement exhibit- OFFICE OF THE COMMISSIONER
IN TESTIMONY WHEREOF, I ing its condition and business for the OF INSURANCE
have hereunto set my hand and seal year ending December31, 2010 con- t. Adam Hamm, Commissioner of
at Bismarck this first day of May, A.D., formable to the requirements of the Insurance of the State of North
2011 (SEAL). laws of this State re~arding the busi- Dakota, do hereby certify that the fore-
ADAM HAMM ness of insurance and going is a true Abstract of Statement,
Commissioner of Insurance WHEREAS, the spid company has as officially filed by the Company in
(May 5, 12 and 19) filed in this office a dluly certified copy this office.
of its charter with ceCtificate of organi- IN TESTIMONY WHEREOF, I have
L 61751 zation in compliance with the require, hereunto set my hand and affixed the
ABSTRACT OF STATEMENT ments of insurance law aforesaid, seal of this office at Bismarck, the first
FOR THE YEAR ENDING NOW THEREFORE, I, ADAM day of May, A.D. 2011 (SEAL).
DECEMBER 31, 2010 HAMM, Commissioner of Insurance of ADAM HAMM
of the the State of North Dakota. pursuant to Commissioner of Insurance
Central States Health & Life Company the provisions of said laws, do hereby STATE OF NORTH DAKOTA
of Omaha certify that the above named company OFFICE OF THE COMMISSIONER
In the state of NE is fully empowered through its author- OF INSURANCE
Total Assets 331.408,787 ized agents and representatives, to COMPANY'S CERTIFICATE OF
Total Liabilities 229 126,154 transact its appropria{ed business of AUTHORITY
Common Capital Stock 0 authorized insurance n the stateWHEREAS. the above corporation
Preferred Capital Stock 0 according to the laws thereof, until the duly organized under the laws of its
Aggregate write-ins for 30th day of April, A.D., 2012. state or country of domicile, has filed
Other than special surplus 0 IN TESTIMONY WHEREOF, I in this office a sworn statement exhibit-
Surplus Notes 0 have hereunto set my hand and seal ing its condition and business for the
Gross paid in and at Bismarck this first day of May, A.D., year ending December 31, 2010 con-
Contributed surplus 0 2011 (SEAL). formable to the requirements of the
Aggregate write-ins for ADAM HAMM laws of this State regarding the busi-
Special surplus fund 0 Commissioner of Insurance hess of insurance and
Unassigned funds (May 5, 12 and 19) WHEREAS, the said company has
(surplus) 102.282 633 filed in this office a duly certified copy
Less treasury stock, at cost: 0 L 62146 of its charter with certificate of organi-
# shares common 0 ABSTRACT OF STATEMENT zation n compliance with the require-
# share preferred 0 FOR THE YEAR ENDING ments of insurance law aforesaid,
Surplus as regards DECEMBER 31, 2010 NOW ,THEREFORE, I, ADAM
policyholders 102,282,633 of the HAMM, Commissioner of Insurance of
Total Liabilities, Capital Combined Insurance Company of the State of North Dakota, pursuant to
and Surplus 331.408,787 America the provisions of said laws, do hereby
NORTH DAKOTA BUSINESS ONLY In the state of IL certify that the above named corn pany
laws of this State regarding the busi-
ness of insurance and
WHEREAS, the said company has
filed in this office a duly certified copy
of its charter with certificate of orgam-
zation in compliance with the require-
ments 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 author-
ized 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., 2012.
IN TESTIMONY WHEREOF, t
have hereunto set my hand and seal
at Bismarck this first day of May, A.D..
2011 (SEAL).
ADAM HAMM
Commissioner of Insurance
(May 5, 12 and 19)
Open house
planned
By Jane Cook
Reporter
There will be a Grand Opening
held at the Western Cooperative
Credit Union's Beach branch on
Thursday, May 12. from 9 a.m. to 5
p.m.
Local businesses have donated
items to be given away as door
prizes, with the largest one being a
$100 VISA gift card from WCCU.
The public is invited to stop in
and have a free hot dog, register for
the door prizes and pick up free
gifts. Both adult and kids' prizes
will be available.
The best cov-
erage of the
area's news,
sports and
You'll find it