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Newspaper Archive of
Golden Valley News
Beach, North Dakota
May 17, 2018     Golden Valley News
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May 17, 2018
 
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May 17, 2018 Golden Valley News Page 9 Insurance pu lic 93521 hibiting its condition and business for Abstract of Statement the year ending December 31,2017 For the Year conformable to'the requirements of the Ending December 31, 2017 laws of this state regarding the busi- of the ness of insurance GENERAL FIDELITY LIFE INSUR- and ANCE COMPANY WHEREAS, the said company has In the state of South Carolina filed in this office a duly certified copy Total Assets 23,410,288 of its charter with certificate of organi- Total Liabilities 7,037,298 zation in compliance with the require- Common Capital Stock$5,000,000 ments of insurance law aforesaid, f Preferred Capital Stock 0 NOW THEREFORE, I, Jon Godfread, Aggregate write-ins for Commissioner of Insurance of the Other than special surplus 0 State of North Dakota, pursuant to tile Surplus Notes 0 provisions of said laws, do hereby cer~- Gross paid in and tify that the above named company is Contributed surplus $1,577,388 fully empowered through its authorized Aggregate write-ins for agents and representatives, to trans- Special surplus funds $0 act its appropriated business of au- Unassigned funds thorized insurance in the state (surplus) $9,795,602 according to the laws thereof, until the Less treasury stock, at cost: 30th day of April, A. D. 2018. # shares common 0 IN TESTIMONY WHEREOF, I have # shares preferred 0 hereunto set my hand and seal at Bis- Surplus as regards marck this first day of May, A. D. 2018 Policyholders 16,372,990 (Seal) Total Li~.bilities, Capital Jon Godfread And Surplus 23,410,288 Commissioner of Insurance (May 10, 17 and 24) North Dakota Business Only for the Year 2017 Life & Annuity Total Direct Premiums Written 0 Total Direct Losses Paid 0 Accident & Health Total Direct Premiums Written 0 Total Direct Losses Paid 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, 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. 2018 (Seal). Jon Godfread 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, 2017 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, Jon Godfresd, 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. 2018. IN TESTIMONY WHEREOF, I have hereunto set my hand and seal at Bis- marck this first day of May, A. D. 2018 (Seal) Jon Godfread Commissioner of Insurance (May 10, 17 and 24) 63312 Abstract of Statement For the Year Ending December 31, 2017 of the GREAT AMERICAN LIFE INSUR- ANCE COMPANY In the state of Ohio Total Assets 32,576,634,113 Total Liabilities 30,445,121,117 Common Capital Stock $2,512,500 Preferred Capital Stock $0 Aggregate write-ins for Other than special surplus 0 Surplus Notes 0 Gross paid in and Contributed surplus $810,751,297 Aggregate write-ins for Special surplus funds 0 Unassigned funds (su rplus) $1,318,249,199 Less treasury stock, at cost: # shares common 0 # shares preferred 0 Surplus as regards Policyholders 2,131,512,996 Total Liabilities, Capital And Surplus 32,576,634,113 North Dakota Business Only for the Year 2017 Life & Annuity Total Direct Premiums Written 14,909,757.00 Total Direct Losses Paid 3,279,649.00 Accident & Health Total Direct Premiums Written 0 Total Direct Losses Paid 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, 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. 2018 (Seal). Jon Godfread Commissioner of Insurance 68322 Abstract of Statement For the Year Ending December 31, 2017 of the GREAT-WEST LIFE & ANNUITY IN- SURANCE COMPANY In the state of Colorado Total Assets o 58,010,229,241 Total Liabilities 56,880,719,597 Common Capital Stock $7,320,176 Preferred Capital Stock 0 Aggregate write-ins for Other than special surplus 0 Surplus Notes $539,929,624 Gross paid in and Contributed surplus $706,178,477 Aggregate write-ins for Special surplus funds 0 Unassigned funds (surplus) -$123,918,633 Less treasury stock, at cost: # shares common 0 # shares preferred 0 Surplus as regards Policyholders 1,129,509,644 Total Liabilities, Capital And Surplus 58,010,229,241 North Dakota Business Only for the Year 2017 Life & Annuity Total Direct Premiums Written 18,855,110.00 Total Direct Losses Paid12,121,599.00 Accident & Health Total Direct Premiums Written 198,319.00 Total Direct Losses Paid 150,415.00 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, Commissioner of In- surance of the State of North Dakota, do hereb~eeffify 'that.~l'te' fotegOIIr~ t~'~ : ~ 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. 2018 (Seal). Jon Godfread Commissioner of Insurance Accident & Health HCC LIFE INSURANCE COMPANY Total Direct Premiums In the state of Indiana Written 0 Total Assets 994,757,871 Total Direct Losses Paid 0 Total Liabilities 588,600,160 Common Capital Stock $2,500,000 STATE OF NORTH DAKOTA Preferred Capital Stock $0 OFFICE OF THE COMMISSIONER Aggregate write-ins for OF INSURANCE Other than special surplus0 I, Jon Godfread, Commissioner of In- Surplus Notes 0 surance of the State of North Dakota, Gross paid in and do hereby certify that the foregoing is Contributed surplus $317,289,323 a true Abstract of Statement, as offi- Aggregate write-ins for cially filed by the Company in this of- Special surplus funds 0 rice. Unassigned funds In Testimony Whereof, I have hereunto (surplus) $86,368,388 set my hand and affixed the seal of Less treasury stock, at cost: this office at Bismarck, the first day of # shares common 0 May, A. D. 2018 (Seal). # shares preferred 0 Jon Godfread Surplus as regards Commissioner of Insurance Policyholders 406,157,711 Total Liabilities, Capital STATE OF NORTH DAKOTA And Surplus 994,757,871 OFFICE OF THE COMMISSIONER OF INSURANCE North Dakota Business Only COMPANY'S CERTIFICATE OF for the Year 2017 AUTHORITY Life & Annuity WHEREAS, the above corporation Total Direct Premiums duly organized under the laws of its Written 159.00 state or country of domicile, has filed Total Direct Losses Paid 0 in this office a sworn statement ex- Accident & Health hibiting its condition and business for Total Direct Premiums the year ending December 31,2017 Written 1,790,840.00 conformable to the requirements of the Total Direct Losses Paid 994,027.00 laws of this state regarding the busi- ness of insurance STATE OF NORTH DAKOTA and OFFICE OF THE COMMISSIONER WHEREAS, the said company has OF INSURANCE filed in this office a duly certified copy I, Jon Godfread, Commissioner of In- of its charter with certificate of organi- surance of the State of North Dakota, zation in compliance with the require- do hereby certify that the foregoing is ments of insurance law aforesaid, a true Abstract of Statement, as offi- NOW THEREFORE, I, Jon Godfread, cially filed by the Company in this of- Commissioner of Insurance of the fice. State of North Dakota, pursuant to the In Testimony Whereof, I have hereunto provisions of said laws, do hereby cer- set my hand and affixed the seal of tify that the above named company is this office at Bismarck, the first day of fully empowered through its authorized May, A. D. 2018 (Seal). agents and representatives, to trans- Jon Godfrasd act its appropriated business of au- Commissioner of Insurance thorized insurance in the state according to the laws thereof, until the STATE OF NORTH DAKOTA 30th day of April A.D. 2018. OFFICE OF THE COMMISSIONER IN TESTIMONY WHEREOF, I have OF INSURANCE hereunto set my hand and seal at Bis- COMPANY'S CERTIFICATE OF marck this first day of May, A. D. 2018 AUTHORITY (Seal) WHEREAS, the above corporation Jon Godfread duly organized under the laws of its Commissioner of Insurance state or country of domicile, has filed (May 17, 24 and 31) in this office a sworn statement ex- hibiting its condition and business for 70815 the year ending December 31,2017 Abstract of Statement conformable to the requirements of the ,For the Year laws of this state regarding the busi- Ending December 31, 2017 ness of insurance of the and HARTFORD LIFE AND ACCIDENT WHEREAS, the said company has INSURANCE COMPANY filed in this office a duly certified copy In the state of Connecticut of its charter with certificate of organi- Total Assets 12,935,775,368zation in compliance with the require- Total Liabilities 10,907,262,511ments of insurance law aforesaid, Common Capital Stock $2,500,000 NOW THEREFORE, I, Jon Godfread, Preferred Capital Stock 0 Commissioner of Insurance of the Aggregate write-ins for State of North Dakota, pursuant to the Other than special surplus 0 provisions of said laws, do hereby cer- Surplus Notes 0 rl tiff/that the above named company is Gross paid in and .~ 'fully empowered through its authorized Contributed surplus $2,014,567,495 . agents and representatives, to trans- Aggregate write-ins for act its appropriated business of au- Special surplus funds $0 thorized insurance in the state Unassigned funds according to the laws thereof, until the (surplus) $11,445,36230th day of April, A. D. 2018. Less treasury stock, at cost: IN TESTIMONY WHEREOF, I have. # shares common 0 hereunto set my hand and seal at Bis- # shares preferred 0 marck this first day of May, A. D. 2018 Surplus as regards (Seal) Policyholders 2,028,512,857Jon Godfread STATE OF NORTH DAKOTA Total Liabilities, Capital Commissioner of Insurance OFFICE OF THE COMMISSIONER And Surplus 12,935,775,368 (May 10, 17 and 24) OF INSURANCE COMPANY'S CERTIFICATE OF North Dakota Business Only 73288 AUTHORITY for the Year 2017 Abstract of Statement WHEREAS, the above corporation Life & Annuity For the Year duly organized under the laws of its Total Direct Premiums Ending December 31, 2017 state or country of domicile, has filed Written 2,598,727.00 of the in this office a sworn statement ex- Total Direct Losses Paid 1,035,470.00 HUMANA INSURANCE COMPANY hibiting its condition and business for Accident & Health In the state of Wisconsin the year ending December 31,2017 Total Direct Premiums Total Assets $8,716,643,649 conformable to the requirements of the Written 2,361,289.00Total Liabilities $4,532,130,309 laws of this state regarding the busi- Total Direct Losses Paid 2,105,363.00 Common Capital Stock $8,833,336 ness of insurance Preferred Capital Stock 0 and STATE OF NORTH DAKOTA Aggregate write-ins for WHEREAS, the said company has OFFICE OF THE COMMISSIONER Other than special surplus0 filed in this office a duly certified copy OF INSURANCE Surplus Notes 0 of its charter with certificate of organi- I, Jon Godfread, Commissioner of In- Gross paid in and zation in compliance with the require- surance of the State of North Dakota, Contributed surplus $2,086,790,088 ments of insurance law aforesaid, do hereby certify that the foregoing is Aggregate write-ins for NOW THEREFORE, I, Jon Godfread, a true Abstract of, Statement, as offi- Special surplus funds $474,068,972 Commissioner of Insurance of the cially filed by the Company in this of- Unassigned funds State of North Dakota, pursuant to the fice. (surplus) $1,614,820,944 provisions of said laws, do hereby cer- In Testimony Whereof, I have hereunto Less treasury stock, at cost: tify that the above named company is set my hand and affixed the seal of # shares common 0 fully empowered through its authorized this office at Bismarck, the first day of # shares preferred 0 agents and representatives, to trans- May, A. D. 2018 (Seal). Surplus as regards act its appropriated business of au- Jon Godfread Policyholders $4,184,513,340 thorized insurance in the StateCommissioner of Insurance Total Liabilities, Capital according to the laws thereof, until the And Surplus $8,716,643,649 30th day of April, A. D. 20!8. STATE OF NORTH DAKOTA IN TESTIMONY WHEREOF, I have OFFICE OF THE COMMISSIONER North Dakota Business Only hereunto set my hand and seal at Bis- OF INSURANCE for the Year 2017 marck this first day of May, A. D. 2018 COMPANY'S CERTIFICATE OF Life & Annuity (Seal) AUTHORITY Total Direct Premiums Written 0 Jon Godfread WHEREAS, the above corporation Total Direct Losses Paid 0 Commissioner of Insurance duly organized under the laws of its Accident & Health (May 10, 17 and 24) state or country of domicile, has filed Total Direct Premiums in this office a sworn statement ex- Written $34,307,418.00 78778 Abstract of Statement For the Year Ending December 31, 2017 of the GUARDIAN INSURANCE & ANNUITY COMPANY INC In the state of Delaware Total Assets 17,357,037,422 Total Liabilities 17,046,814,957 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 $531,500,000 Aggregate write-ins for Special surplus funds 0 Unassigned funds (surplus -$223,777,535 Less treasury stock, at cost: # shares common 0 # shares preferred 0 Surplus as regards Policyholders 310,222,465 STATE OF NORTH DAKOTA Total Liabilities, Capital OFFICE OF THE COMMISSIONER And Surplus 17,357,037,422 OF INSURANCE COMPANY'S CERTIFICATE OF North Dakota Business Only AUTHORITY for the Year 2017 WHEREAS, the above corporation Life & Annuity duly organized under the laws of its Total Direct Premiums state or country of domicile, has filed Written 895,406.00 in this office a sworn statement ex- Total Direct Losses Paid 1,294,365.00 hibiting its condition and business for Total Direct Losses the year ending December 31,2017 Paid $27,707,439.00 conformable to the requirements of the laws of this state regarding the busi- STATE OF NORTH DAKOTA ness of insurance OFFICE OF THE COMMISSIONER and OF INSURANCE WHEREAS, the said company has I, Jon Godfread, Commissioner of In- filed in this office a duly certified copy surance of the State of North Dakota, of its charter with certificate of organi- do hereby certify that the foregoing is zation in compliance with the require- a true Abstract of Statement, as offi- ments of insurance law aforesaid, cially filed by the Company in this of- NOW THEREFORE, I, Jon Godfresd, rice. Commissioner of Insurance of the In Testimony Whereof, I have hereunto State of North Dakota, pursuant to the set my hand and affixed the seal of provisions of said laws, do hereby cer- this office at Bismarck, the first day of tify that the above named company is May, A. D. 2018 (Seal). fully empowered through its authorized Jon Godfrasd agents and representatives, to trans- Commissioner of Insurance act its appropriated business of au- thorized insurance in the state STATE OF NORTH DAKOTA according to the laws thereof, until the OFFICE OF THE COMMISSIONER 30th day of April, A. D. 2018. OF INSURANCE IN TESTIMONY WHEREOF, I have COMPANY'S CERTIFICATE OF hereunto set my hand and seal at Bis- AUTHORITY marck this first day of May, A. D. 2018 WHEREAS, the above corporation (Seal) duly organized under the laws of its Jon Godfread state or country of domicile, has filed Commissioner of Insurance in this office a sworn statement ex- (May 10, 17 and 24) hibiting its condition and business for the year ending December 31,2017 conformable to the requirements of the laws of this state regarding the busi- ness of insurance and WHEREAS, the said company has 92711 Abstract of Statement For the Year Ending December 31, 2017 of the 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, Jon Godfread, 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. 2018. IN TESTIMONY WHEREOF, I have hereunto set my hand and seal at Bis- marck this first day of May, A. D. 2018 (Seal) Jon Godfread Commissioner of Insurance (May 10, 17 and 24) 64580 Abstract of Statement For the Year Ending December 31, 2017 of the ILLINOIS MUTUAL LIFE INSURANCE COMPANY In the state of Illinois Total Assets 1,442,321,916 Total Liabilities 1,212,541,355 Common Capital Stock $0 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 funds $0 Unassigned funds (surplus) 0 Less treasury stock, at cost: # shares common 0 # shares preferred 0 Surplus as regards Policyholders 0 Total Liabilities, Capital And Surplus 1,212,541,355 North Dakota Business Only for the Year 2017 Life & Annuity Total Direct Premiums Written 371,320.00 Total Direct Losses Paid 146,864.00 Accident & Health Total Direct Premiums Written 336,681.00 Total Direct Losses Paid 107,525.00 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, 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. 2018 (Seal). Jon Godfread Commissioner of Insurance 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- 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. 2018 (Seal). Jon Godfread 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 31,2017 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, Jon Godfrasd, 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. 2018. IN TESTIMONY WHEREOF, I have hereunto set my hand and seal at Bis- marck this first day of May, A. D. 2018 (Seal) Jon Godfread .Commissioner of Insurance (May 10, 17 and 24) 74780 Abstract of Statement For the Year Ending December 31, 2017 of the INTEGRITY LIFE INSURANCE COM- PANY In the state of Ohio Total Assets 9,210,212,750 Total Liabilities8,334,454,097 Common Capital Stock $3,000,000 Preferred Capital Stock 0 Aggregate write-ins for Other than special surplus0 Surplus Notes 0 Gross paid in and Contributed surplus $658,163,872 Aggregate write-ins for Special surplus funds 0 Unassigned funds (surplus) $214,594,781 Less treasury stock, at cost: # shares common 0 # shares preferred 0 SUrplus as regards Policyholders 875,758,653 Total Liabilities, Capital STATE OF NORTH DAKOTA And Surplus 9,210,212,750 OFFICE OF THE COMMISSIONER OF INSURANCE North Dakota Business Only COMPANY'S CERTIFICATE OF for the Year 2017 AUTHORITY Life & Annuity WHEREAS, the above corporation Total Direct Premiums duly organized under the laws of its Written 401,472.00 state or country of domicile, has filed Total Direct Losses Paid24,003,108.00 in this office a sworn statement ex- Accident & Health hibiting its condition and business for Total Direct Premiums the year ending December 31,2017 Written 0 conformable to the requirements of the Total Direct Losses Paid 0 laws of this state regarding the busi- ness of insurance STATE OF NORTH DAKOTA and OFFICE OF THE COMMISSIONER WHEREAS, the said company has OF INSURANCE filed in this office a duly certified copy I, Jon Godfread, Commissioner of In- of its charter with certificate of organi- surance of the State of North Dakota, zation in compliance with the require- do hereby certify that the foregoing is ments of insurance law aforesaid, a true Abstract of Statement, as offi- NOW THEREFORE, I, Jon Godfrasd, cially filed by the Company in this of- Commissioner of Insurance of the rice. State of North Dakota, pursuant to the In Testimony Whereof, I have hereunto provisions of said laws, do hereby cer- set my hand and affixed the seal of tify that the above named company is this office at Bismarck, the first day of fully empowered through its authorized May, A. D. 2018 (Seal). agents and representatives, to trans- Jon Godfread act its appropriated business of au- Commissioner of Insurance thorized insurance in the state according to the laws thereof, until the 30th day of April, A. D. 2018. IN TESTIMONY WHEREOF, I have hereunto set my hand and seal at Bis- marck this first day of May, A. D. 2018 (Seal) Jon Godfrasd Commissioner of Insurance (May 10, 17 and 24) 64602 Abstract of Statement For the Year Ending December 31, 2017 of the INDEPENDENCE LIFE AND ANNU- ITY COMPANY In the state of Delaware ,Total Assets ,3,144,330,768 Total Liabilities 2,983,028,013 Common Capital Stock $2,500,350 Preferred Capital Stock 0 Aggregate write-ins for Other than special surplus 0 Surplus Notes 0 Gross paid in and Contributed surplus $197,719,680 Aggregate write-ins for Special surplus funds 0 Unassigned funds (surplus) -$381917,275 Less treasury stock, at cost: # shares common 0 # shares preferred 0 Surplus as regards Policyholders 161,302,755 Total Liabilities, Capital And Surplus 3,144,330,768 North Dakota Business Only for the Year 2017 Life & Annuity Total Direct Premiums Written 0 Total Direct Losses Paid 0 Accident & Health Total Direct Premiums Written 0 Total Direct Losses Paid 0 I, STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE Jon Goclfread, Commissioner of In- 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, 2017 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, Jon Godfread, 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. 2018. IN TESTIMONY WHEREOF, I have hereunto set my hand and seal at Bis- marck this first day of May, A. D. 2018 (Seal) Jon Godfread Commissioner of Insurance (May 10, 17 and 24)