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May 14, 2015 Golden Valley News Page 9
Insurance I
63290
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2014
OF THE
Fidelity Life Association, A Legal Re-
serve Company
In the state of Illinois
Total Assets 411,863,776
Total Liabilities 277,162,470
Common Capital Stock 2,500,000
Preferred Capital Stock 0
Aggregate write-ins for
Other than special surplus0
Surplus Notes 0
Gross paid in and
Contributed surplus 0
Aggregate write-ins for
Special surplus fund 0
Unassigned funds
(surplus) 132,201,306
Less treasury stock, at cost:
2,488,490 shares common 0
# shares preferred 0
Surplus as regards
Policyholders 134,701,306
Total Liabilities, Capital
And Surplus 411,863,776
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2014
LIFE & ANNUITY
Total Direct Premiums
Written 325,756
Total Direct Losses
Paid 508,557
ACCIDENT & HEALTH
Total Direct Premiums
Written 2,038
Total Direct Losses
Paid 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Adam Hamm, Commissioner of In-
surance of the State of North Dakota,
do hereby certify that the foregoing is
a true Abstract of Statement, as offi-
cially filed by the Company in this of-
rice.
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 ex-
hibiting its condition and business for
the year ending December 31,2014
conformable 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-
',: merits of insurance law aforesaid~
u NOW THEREFOI~E;~I#~I~i~~,
Commissioner of Insurance of 4he/-
i :State Of North Dakota, pursuant to the
provisions of said laws, do hereby cer-
tify that the above named company is
fully empowered through its authorized
agents and representatives, to trans-
act its appropriated business of au-
thorized 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 seal at Bis-
marck this first day of May, A. D. 2015
(Seal)
ADAM HAMM
Commissioner of Insurance
(May 14, 21 and 28)
67652
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2014
OF THE
First Penn-Pacific Life Insurance Com-
pany
In the state of indiana
Total Assets 1,741,790,31 4
Total Liabilities 1,533,364,076
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 12,916,120
Aggregate write-ins for
Special surplus fund
Unassigned funds
(surplus) 193,010,118
Less treasury stock, at cost:
2,488,490 shares common 0
# shares preferred 0
Surplus as regards
Policyholders 208,426,238
Total Liabilities, Capital
And Surplus 1,741,790,314
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2014
LIFE & ANNUITY
Total Direct Premiums
Written 288,149
Total Direct Losses
Paid 179,036
ACCIDENT & HEALTH
Total Direct Premiums
Written 0
Total Direct Losses
Paid 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Adam Harem, Commissioner of In-
surance of the State of North Dakota,
do hereby certify that the foregoing is
a true Abstract of Statement, as offi-
cially filed by the Company in this of-
rice.
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
egal "
in this office a sworn statement ex-
hibiting its condition and business for
the year ending December 31,2014
conformable 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 cer-
tify that the above named company is
fully empowered through its authorized
agents and representatives, to trans-
act its appropriated business of au-
thorized insurance in the state
according to the laws thereof, until the
30th day of Apdl, A. D. 2016.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at Bis-
marck this first day of May, A. D. 2015
(Seal)
ADAM HAMM
Commissioner of Insurance
(May 14, 21 and 28)
67679
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2014
OF THE
American Republic Corp Insurance
Company
In the state of Nebraska
Total Assets 25,436,009
Total Liabilities 16,967,536
Common Capital Stock 1,500,000
Preferred Capital Stock 0
Aggregate write-ins for
Other than special surplus 0
Surplus Notes 0
Gross paid in and
Contributed surplus 5,994,1t5
Aggregate write-ins for
Special surplus fund 0
Unassigned funds (surplus) 974,358
Less treasury stock, at cost:
2,488,490 shares common 0
# shares preferred 0
Surplus as regards
Policyholders 8,468,473
Total Liabilities, Capital
And Surplus 25,436,009
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2014
LIFE & ANNUITY
Total Direct Premiums
Written 0
Total Direct Losses
Paid 0
ACCIDENT & HEALTH
Total DirectPremiums
Written 1,436,934
Total Direct Losses
Paid 1,070,441
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
ACCIDENT & HEALTH
Total Direct Premiums
Written 0
Total Direct Losses
Paid 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Adam Harem, Commissioner of In-
surance of the State of North Dakota,
do hereby certify that the foregoing is
a true Abstract of Statement, as offi-
cially filed by the Company in this of-
rice.
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 ex-
hibiting its condition and business for
the year ending December 31, 2014
conformable 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 cer-
tify that the above named company is
fully empowered through its authorized
agents and representatives, to trans-
act its appropriated business of au-
thorized 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 seal at Bis-
marck this first day of May, A. D. 2015
(Seal)
ADAM HAMM
Commissioner of Insurance
(May 14, 21 and 28)
71013
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2014
OF THE
Bankers Reserve Life Insurance Com-
pany of Wisconsin
In the state of Wisconsin
Total Assets 458,653,659
Total Liabilities 190,565,056
Common Capital Stock 2,400,000
Preferred Capital Stock 0
Gross paid in and
Contributed surplus 324,897,809
Surplus Notes 0
I, Adam Hamm, Commissioner of In- Aggregate,write-ins for
suranCeo~theState.ot~Norlh Dakota, ::: .Other than special:surplus funds 0
do hereby ceni~y~.that tl~ fOl'etjok~4s -~Jmassilgne(~/un~s-mr.m h,~ ~,~- ~,~:;
a true Abstract of Statet~'e:rtt; as~:~(~ffi'- (surplUs) -72,000,885
cially filed by the Company in:this of- Less treasury stock, at cost:
rice. 2,488,490 shares common 0
In Testimony Whereof, I have hereunto # shares preferred 0
set my hand and affixed the seal of Surplus as regards
this office at Bismarck, the first day of Policyholders 255,296,924
May, A. D. 2015 (Seal). Total Liabilities, Capital
ADAM HAMM. And Surplus 445,861,980
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 ex-
hibiting its condition and business for
the year ending December 31, 2014
conformable 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 cer-
tify that the above named company is
fully empowered through its authorized
agents and representatives, to trans-
act its appropriated business of au-
thorized 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 seal at Bis-
marck this first day of May, A. D. 2015
(Seal)
ADAM HAMM
Commissioner of Insurance
(May 14, 21 and 28)
70866
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2014
OF THE
Allstate Assurance Company
In the state of Illinois
Total Assets 2,192,804
Total Liabilities 1,452,359
Common Capital Stock 3,000,000
Preferred Capital Stock 0
Aggregate write-ins for
Other than special surplus " 0
Surplus Notes 0
Gross paid in and
Contributed surplus 4,373,634
Aggregate write-ins for
Special surplus fund 0
Unassigned funds (surplus) 3,366,811
Less treasury stock, at cost:
2,488,490 shares common 0
# shares preferred 0
Surplus as regards
Policyholders 10,740,445
Total Liabilities, Capital
And Surplus 12,192,804
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2014
LIFE & ANNUITY
Total Direct Premiums
Written 0
Total Direct Losses
Paid 0
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2014
ACCIDENT & HEALTH
Total Premiums Earned 0
Total Amount Incurred 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Adam Hamm, Commissioner of In-
surance of the State of North Dakota,
do hereby certify that the foregoing is
a true Abstract of Statement, as offi-
cially filed by the Company in this of-
rice.
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
Gross paid in and
Contributed surplus 0
Aggregate write-ins for
Special surplus fund 0
Unassigned funds
(surplus) 298,033,225
Less treasury stock, at cost:
2,488,490 shares common 0
# shares preferred 0
Surplus as regards
Policyholders 300,547,225
Total Liabilities, Capital
And Surplus 2,463,612,973
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2014
LIFE & ANNUITY
Total Direct Premiums
Written 345,240
Total Direct Losses
Paid 366,380
ACCIDENT & HEALTH
Total Direct Premiums
Written 274,518
Total Direct Losses
Paid 43,968
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Adam Hamm, Commissioner of In-
surance of the State of North Dakota,
do hereby certify that the foregoing is
a true Abstract of Statement, as offi-
cially filed by the Company in this of-
rice.
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 ex-
hibiting its condition and business for
the year ending December 31, 2014
conformable 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 duty 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 cer-
tify that the above named company is
fully empowered through its authorized
agents and representatives, to trans-
act its appropriated business of au-
thorized 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 seal at Bis-
marck this first day of May, A. D. 2015
~ (Seal) ~ ~.; :? !! : ~ ~ ~
ADAM HAMM > !"~'~",~ ~:
"~Commissioner of Insurance : : '
(May 14, 21 and 28)
71714
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2014
OF THE
Berkshire Life Insurance Company of
America
In the state of Massachusetts
Total Assets 3,377,311,135
Total Liabilities 3,107,848,633
Common Capital Stock 3,198,000
Preferred Capital Stock 0
Aggregate write-ins for
Other than special surplus 0
Surplus Notes 0
Gross paid in and
Contributed surplus293,369,928
Aggregate write-ins for
Special surplus fund -27,105,426
Unassigned funds (surplus)
Less treasury stock, at cost:
2,488,490 shares common 0
# shares preferred
Surplus as regards
Policyholders 269,462,502
Total Liabilities, Capital
And Surplus 3,377,311,135
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER NORTH DAKOTA BUSINESS ONLY
OF INSURANCE FOR THE YEAR 2014
COMPANY'S CERTIFICATE OF LIFE & ANNUITY
AUTHORITY Total Direct Premiums
WHEREAS, the above corporation Written 3,522
duly organized under the laws of its Total Direct Losses
state or country of domicile, has filed Paid 0
in this office a sworn statement ex-
hibiting its condition and business for ACCIDENT & HEALTH
the year ending December 31,2014 Total Direct Premiums
conformable to the requirements of the Written 852,043
laws of this state regarding the busi- Total Direct Losses
ness of insurance Paid 11,929
and
WHEREAS, the said company has STATE OF NORTH DAKOTA
filed in this office a duly certified copy OFFICE OF THE COMMISSIONER
of its charter with certificate of organi- OF INSURANCE
zation in compliance with the require- I, Adam Hamm, Commissioner of In-
ments of insurance law aforesaid, surance of the State of North Dakota,
NOW THEREFORE, I, ADAM HAMM, do hereby certify that the foregoing is
Commissioner of Insurance of the a true Abstract of Statement, as offi-
State of North Dakota, pursuant to the cially filed by the Company in this of-
provisions of said laws, do hereby cer- fice.
tify that the above named company is In Testimony Whereof, I have hereunto
fully empowered through its authorized set my hand and affixed the seal of
agents and representatives, to trans- this office at Bismarck, the first day of
act its appropriated business of au- May, A. D. 2015 (Seal).
thorized insurance in the state ADAM HAMM
according to the laws thereof, until the Commissioner of Insurance
30th day of April, A. D. 2016.
IN TESTIMONY WHEREOF, I have STATE OF NORTH DAKOTA
hereunto set my hand and seal at Bis- OFFICE OF THE COMMISSIONER
marok this first day of May, A. D. 2015 OF INSURANCE
(Seal) COMPANY'S CERTIFICATE OF
ADAM HAMM AUTHORITY
Commissioner of Insurance WHEREAS, the above corporation
(May 14, 21 and 28) duly organized under the laws of its
71439
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2014
OF THE
Assurity Life Insurance Company
In the state of Nebraska
Total Assets 2,484,639,474
Total Liabilities 2,163,065,748
Common Capital Stock 2,500,000
Preferred Capital Stock 0
Aggregate write-ins for
Other than special surplus 14,000
Surplus Notes 0
state or country of domicile, has filed
in this office a sworn statement ex-
hibiting its condition and business for
the year ending December 31,2014
conformable 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 cer-
tify that the above named company is
fully empowered through its authorized
agents and representatives, to trans-
act its appropriated business of au-
thorized 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 seal at Bis-
marck this first day of May, A. D. 2015
(Seal)
ADAM HAMM
Commissioner of Insurance
(May 14, 21 and 28)
7173O
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2014
OF THE
Continental American Insurance Com-
pany
In the state of South Carolina
Total Assets 396,955,766
Total Liabilities
287,305,044
Common Capital Stock 2,500,000
Preferred Capital Stock 300,000
Aggregate write-ins for
Other than special surplus 15,356,638
Surplus Notes 50,000,000
Gross paid in and
Contributed surplus 82,437,395
Aggregate write-ins for
Special surplus fund 11,416
Unassigned funds
(surplus) -40,954,737
Less treasury stock, at cost:
2,488,490 shares common 0
# shares preferred 0
Surplus as regards
Policyholders 109,650,712
Total Liabilities, Capital
And Surplus 396,955,756
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2014
LIFE & ANNUITY
Total Direct Premiums
Written 7,367
Total Direct Losses
Paid 0
ACCIDENT & HEALTH
Total Direct Premiums
Written 496,820
Total Direct Losses
Paid 145,368
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Adam Hamm, Commissioner of In-
surance of the State of North Dakota,
do hereby certify that the foregoing is
a true Abstract of Statement, as offi-
cially filed by the Company. in this of-
rice.
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
a true Abstract of Statement, as offi-
cially filed by the Company in this of-
fice.
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 Ihsurance
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 ex-
hibiting its condition and business for
the year ending December 31,2014
conformable 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 cer-
tify that the above named company is
fully empowered through its authorized
agents and representatives, to trans-
act its appropriated business of au-
thorized 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 seal at Bis-
marck this first day of May, A. D. 2015
(Seal)
ADAM HAMM
Commissioner of Insurance
(May 14, 21 and 28)
63088
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
. DECEMBER 31, 2014 " "
OF THE
Farm Bureau4 ife Insurance Company
In the state of Iowa
Total Assets 8,088,771,659
Total Liabilities 7,536,750,836
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 surplus130,982,867
Aggregate write-ins for
Special surplus fund 0
Unassigned funds
(surplus) 418,537,956
Less treasury stock, at cost:
2,488,490 shares common 0
# shares preferred
Surplus as regards
Policyholders 552,020,823
Total Liabilities, Capital
And Surplus 8,088,771,659
-STATE OE NQRTH DAKOTA . NORTH DAKOTA BUSINESS ONLY
OFFICE OF;THE COMMISSIONER FOR THE YEAR 2014
'"r~'~ ' OPINSUIlIANOEI'~'~ ~,' " LIFE'!& ANNUITY ' -
COMPANY'S :CERTIFICATE OF Total Direct Premiums
AUTHORITY; Written 9,275,49t
WHEREAS, the above corporation Total Direct Losses
duly organized under the laws of its Paid 3,692,020
state or country of domicile, has filed
in this office a sworn statement ex- ACCIDENT & HEALTH
hibiting its condition and business for Total Direct Premiums
the year ending December 31, 2014 Written 69,203
conformable to the requirements of the Total Direct Losses
laws of this state regarding the busi- Paid 14,785
ness of insurance
and STATE OF NORTH DAKOTA
WHEREAS, the said company has OFFICE OF THE COMMISSIONER
filed in this office a duly certified copy OF INSURANCE
of its charter with certificate of organi- I, Adam Hamm, Commissioner of In-
zation in compliance with the require- surance of the State of North Dakota,
ments of insurance law aforesaid, do hereby certify that the foregoing is
NOW THEREFORE, I, ADAM HAMM, a true Abstract of Statement, as offi-
Commissioner of Insurance of the cially filed by the Company in this of-
State of North Dakota, pursuant to the fice.
provisions of said laws, do hereby cer- In Testimony Whereof, I have hereunto
tify that the above named company is set my hand and affixed the seal of
fully empowered through its authorized this office at Bismarck, the first day of
agents and representatives, to trans- May, A. D. 2015 (Seal).
act its appropriated business of au- ADAM HAMM
thorized insurance in the state Commissioner of Insurance
according to the laws thereof, until the
30th day of April, A. D. 2016. STATE OF NORTH DAKOTA
IN TESTIMONY WHEREOF, I have OFFICE OF THE COMMISSIONER
hereunto set my hand and seal at Bis- OF INSURANCE
marck this first day of May, A. D. 2015 COMPANY'S CERTIFICATE OF
(Seal) AUTHORITY
ADAM HAMM WHEREAS, the above corporation
Commissioner of Insurance duly organized under the laws of its
(May 14, 21 and 28) state or country of domicile, has filed
71854
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2014
OF THE
AAA Life Insurance Company
In the state of Michigan
Total Assets 605,970,239
Total Liabilities 452,388,585
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 87,258,905
Aggregate write-ins for
Special surplus fund 0
Unassigned funds
(surplus) 32,943,198
Less treasury stock, at cost:
2,488,490 shares common 0
# shares preferred
Surplus as regards
Policyholders 122,702,103
Total Liabilities, Capital
And Surplus 575,090,688
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2014
LIFE & ANNUITY
Tc~al Direct Prc~niums
Written 461,339
Total Direct Losses
Paid 310,690
ACCIDENT & HEAJ~TH
Total Direct Premiums
Written 207,441
Total Direct Losses
Paid 58,799
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Adam Hamm, Commissioner of In-
surance of the State of North Dakota,
do hereby certify that the foregoing is
in this office a sworn statement ex-
hibiting its condition and business for
the year ending December 31,2014
conformable 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 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 cer-
tify that the above named company is
fully empowered through its authorized
agents and representatives, to trans-
act its appropriated business of au-
thorized 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 seal at Bis-
marck this first day of May, A. D. 2015
(Seal)
ADAM HAMM
Commissioner of Insurance
(May 14, 21 and 28)