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Newspaper Archive of
Golden Valley News
Beach, North Dakota
May 18, 2017     Golden Valley News
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May 18, 2017
 
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Page 10 Golden Valley News May 18, 2017 surance I 76236 Abstract of Statement For the Year Ending December 31, 2016 of the 31NCINNATI LIFE INSURANCE COM- PANY In the state of Ohio total Assets 4,266,450,845 total Liabilities 4,066,122,787 3ommon Capital Stock $3,000,000 ~referred Capital Stock 0 ~,ggregate write-ins for Dther than special surplus 0 Surplus Notes 0 3ross paid in and 3ontributed surplus $1,000,000 ~,ggregate write-ins for Special surplus funds 0 Jnassigned funds ',surplus) $196,328,058 _ess treasury stock, at cost: shares common 0 shares preferred 0 Surplus as regards ~olicyholders 200,328,058 total Liabilities, Capital ~,nd Surplus 4,266,450,845 North Dakota Business Only for the Year 2016 _ife & Annuity total Direct Premiums Written 2,106,450.00 rotal Direct Losses Paid 1,475,027.00 b, ccident & Health lotal Direct Premiums Written7,842.00 total Direct Losses Paid 19,505.00 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Jon Godfread, Commissioner of In- 3urance of the State of North Dakota, to hereby certify that the foregoing is 3 true Abstract of Statement, as offi- cially filed by the Company in this of- :ice. En Testimony Whereof, I have hereunto set my hand and affixed the seal of :his office at Bismarck, the first day of Vlay, A. D. 2017 (Seal). Jon Godfread .~ommissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation July organized under the laws of its 3tate or country of domicile, has filed n this office a sworn statement ex- libiting its condition and business for :he year ending December 31,2016 ;onformable to the requirements of the aws of this state regarding the busi- less of insurance and ~VHEREAS, the said company has :lied in this office a duly certified copy ~f its charter with certificate of organi- _,ation in compliance with the require- -nents of insurance law aforesaid, NOW THEREFORE, I, Jon Godfread, .~ommissioner of Insurance of the .~tate of North Dakota, pursuant to the ~rovisions of said laws, do hereby car- :ify that the above named company_is :ully empowered through' its-~~JfhOrized agents and representatives, to trans- act its appropriated business of au- :horized insurance in the state ]ccording to the laws thereof, until the ]0th day of April, A. D. 2018. IN TESTIMONY WHEREOF, I have ~ereunto set my hand and seal at Bis- "narck this first day of May, A. D. 2017 ',Seal) Jon Godfread 3ommissioner of Insurance (May 11, 18 and 25) 15691 Abstract of Statement For the Year Ending December 31, 2016 of the 3LEAR SPRING LIFE INSURANCE 3OMPANY !n the state of Texas ]'otal Assets 281,012,799 ]'otal Liabilities 229,126,804 3ommon Capital Stock $3,000,000 =referred Capital Stock 0 ~,ggregate write-ins for ~ther than special surplus 0 Surplus Notes 0 .Jross paid in and ~ontributed surplus $49,700,000 ~,ggregate write-ins for Special surplus funds 0 Jnassigned funds ',surplus) -$814,005 _ess treasury stock, at cost: shares common 0 ~f shares preferred 0 Surplus as regards . =olicyholders "5~1,885,995 ]'otal Liabilities, Capital 8,nd Surplus 281,012,799 egal " 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 AprU, A. D. 2018. IN TESTIMONY WHEREOF, I have hereunto set my hand and seal at Bis- marck this first day of May, A. D. 2017 (Seal) Jon Godfread Commissioner of Insurance (May 11, 18 and 25) 86371 Abstract of Statement For the Year Ending December 31, 2016 of the CLOVER INSURANCE COMPANY In the state of New Jersey Total Assets 189,074,335 Total Liabilities 121,087,335 Common Capital Stock $700,000 Preferred Capital Stock 0 Aggregate write-ins for Other than special surplus 0 Surplus Notes $40,000,000 Gross paid in and Contributed surplus $88,173,869 Aggregate write-ins for Special surplus funds 0 Unassigned funds (surplus) --$60,887,101 Less treasury stock, at cost: # shares common 0 # shares preferred 0 Surplus as regards Policyholders 67,986,768 Total Liabilities, Capital And Surplus 189,074,103 North Dakota Business Only for the Year 2016 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- 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, 2017 (Seal). Jon'Godfread " . ............ Commissioner of Insurance Total Direct Losses Paid 6,073,250.00 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- lice. 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. 2017 (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, 2016 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. 2017 (Seal) Jon Godfread Commissioner of Insurance (May 11, 18 and 25) 62359 Abstract of Statement For the Year Ending December 31, 2016 of the CONSTITUTION LIFE INSURANCE COMPANY In the state of Texas Total Assets 444,069,569 Total Liabilities 388,511,017 Common Capital Stock $2,681,100 Preferred Capital Stock 0 Aggregate write-ins for Other than special surplus 0 Surplus Notes 0 Gross paid in and Contributed surplus $21,249,401 Aggregate write-ins for Special surplus funds $9,971,870 Unassigned funds (surplus) $21,656,181 Less treasury stock, at cost: # shares common 0 # shares preferred 0 Surplus as regards Policyholders 55,558,552 STATE OF NORTH DAKOTA Total Liabilities, Capital OFFICE OF THE COMMISSIONER And Surplus 444,069,569 OF INSURANCE COMPANY'S CERTIFICATE OF North Dakota Business Only AUTHORITY for the Year 2016 WHEREAS, the above corporation Life & Annuity duly organized under the laws of its Total Direct Premiums state or country of domicile, has filed Written 6,266.61 in this office a sworn statement ex- Total Direct Losses Paid 26,699.96 hibiting its condition and business for Accident & Health the year ending December 31, 2016 Total Direct Premiums conformable to the requirements of the Written 50,435.16 laws of this state regarding the busi- Total Direct Losses Paid 30,771.63 hess 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, Jon Godfread, 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, Jon Godfread, 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 rice. 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. 2017 (Seal). act its appropriated business of au- Jon Godfread thorized insurance in the state Commissioner of Insurance according to the laws thereof, until the 30th day of April, A. D. 2018. STATE OF NORTH DAKOTA IN TESTIMONY WHEREOF, I have OFFICE OF THE COMMISSIONER hereunto set my hand and seal at Bis- OF INSURANCE mamk this first day of May, A. D. 2017 COMPANY'S CERTIFICATE OF (Seal) AUTHORITY Jon Godfread WHEREAS, the above corporation . C0mmissi0ner'of Insurance duly organized under the laws of its (May 11, 18 and 25) state or country of domicile, has filed 77828 North Dakota Business Only Abstract of Statement for the Year 2016 For the Year _ife & Annuity Ending December 31, 2016 total Direct Premiums Written 0 of the Total Direct Losses Paid 0 COMPANION LIFE INSURANCE ~,ccident & Health COMPANY ]-otal Direct Premiums In the state of South Carolina ~/ritten 0 Total Assets 338,691,623 ]'otal Direct Losses Paid 0 Total Liabilities 152,448,127 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 ~urance of the State of North Dakota, Gross paid in and ~1o hereby certify that the foregoing is Contributed surplus $31,651,512 a true Abstract of Statement, as offi- Aggregate write-ins for ;ially filed by the Company in this of- Special surplus funds 0 :ice. Unassigned funds !n Testimony Whereof, I have hereunto (surplus) $152,091,984 set my hand and affixed the seal of Less treasury stock, at cost: :his office at Bismarck, the first day of # shares common 0 Vlay, A. D. 2017 (Seal). # shares preferred 0 Jon Godfread Surplus as regards 3ommissioner of Insurance Policyholders 186,243,496 Total Liabilities, Capital STATE OF NORTH DAKOTA And Surplus 338,691,623 OFFICE OF THE COMMISSIONER OF INSURANCE North Dakota Business Only COMPANY'S CERTIFICATE OF for the Year 2016 AUTHORITY Life & Annuity INHEREAS, the above corporation Total Direct Premiums tuly organized under the laws of its Written 35,969.00 3tate or country of domicile, has filed Total Direct Losses Paid 0 n this office a sworn statement ex- Accident & Health ~ibiting its condition and business for Total Direct Premiums :he year ending December 31, 2016 Written 5,058,483.00 in this office a sworn statement ex- hibiting its condition and business for the year ending December 31,2016 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. 2017 (Seal) Jon Godfread Commissioner of Insurance (May 11, 18 and 25) 71730 Abstract of Statement For the Year Ending December 31, 2016 of the CONTINENTAL AMERICAN INSUR- ANCE COMPANY In the state of Nebraska Total Assets 607,026,336 Total Liabilities 432,670,787 Common Capital Stock $2,500,000 Preferred Capital Stock $300,000 Aggregate write-ins for Other than special surplus $3,691,594 Surplus Notes $50,000,000 Gross paid in and Contributed surplus $82,437,395 Aggregate write-ins for Special surplus funds 0 Unassigned funds (surplus) $35,426,560 Less treasury stock, at cost: # shares common 124,385 # shares preferred 0 Surplus as regards Policyholders 174,355,549 Total Liabilities, Capital And Surplus 607,026,336 North Dakota Business. Only for the Year 2016 Life & Annuity Total Direct Premiums Written 5,553.00 Total Direct Losses Paid 30,000.00 Accident & Health Total Direct Premiums Written 642,310.00 Total Direct Losses Paid 327,943.00 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- 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. 2017 (Seal). Jon Godfread Commissioner of Insurance 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. 2017 (Seal) Jon Godfread Commissioner of Insurance (May 11, 18 and 25) 14188 Abstract of Statement For the Year Ending December 31, 2016 of the DAKOTA CAPITAL LIFE INSURANCE COMPANY In the state of North Dakota Total Assets 4,077,482 Total Liabilities 2,918,596 Common Capital Stock $500,000 Preferred Capital Stock 0 Aggregate write-ins for Other than special surplus 0 Surplus Notes 0 Gross paid in and Contributed surplus $3,000,000 Aggregate write-ins for Special surplus funds 0 Unassigned funds (surplus) -$2,341,114 Less treasury stock, at cost: # shares common 0 # shares preferred 0 Surplus as regards Policyholders 1,158,886 Total Liabilities, Capital STATE OF NORTH DAKOTA And Surplus 4,077,482 OFFICE OF THE COMMISSIONER OF INSURANCE North Dakota Business Only COMPANY'S CERTIFICATE OF for the Year 2016 AUTHORITY Life & Annuity WHEREAS, the above corporation Total Direct Premiums duly organized under the laws of its Written 1,217,652.00 state or country of domicile, has filed Total Direct Losses Paid 97,552.00 in this office a sworn statement ex- Accident & Health hibiting its condition and business for Total Direct Premiums the year ending December 31,2016 Written 22,235.00 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 Godfread, 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. 2017 (Seal). agents and representatives, to trans- Jon Godfreed 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 seat at Bis .... COMPANY'S CERTIFICATE OF merck this first day of May, A. D. 2017 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 11, 18 and 25) in this office a sworn statement ex- hibiting its condition and business for the year ending December 31,2016 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. 2017 (Seal) Jon Godfread Commissioner of Insurance (May 11, 18 and 25) .82880 Abstract of Statement For the Year Ending December 31, 2016 of the CSI LIFE INSURANCE COMPANY In the state of Nebraska Total Assets 19,748,305 Total Liabilities 5,862,456 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 $3,607,403 Aggregate write-ins for Special surplus funds 0 Unassigned funds (surplus) $7,278,441 Less treasury stock, at cost: # shares common 0 # shares preferred 0 Surplus as regards Policyholders 13,885,844 Total Liabilities, Capital And Surplus 19,748,300 North Dakota Business Only for the Year 2016 Life & Annuity Total Direct Premiums Written 2,040.b0 Total Direct Losses Paid 0 Accident & Health Total Direct Premiums Written 0 Total Direct Losses Paid 0 79065 Abstract of Statement For the Year Ending'December 31, 2016 " of the DELAWARE LIFE INSURANCE COM- PANY In the state of Delaware Total Assets 37,683,973,521 Total Liabilities 36,048,076,193 Common Capital Stock $6,437,000 Preferred Capital Stock 0 Aggregate write-ins for Other than special surplus 0 Surplus Notes $565,000,000 Gross paid in and Contributed surplus $653,698,314 Aggregate write-ins for Special surplus funds 0 Unassigned funds (surplus) $410,762,014 Less treasury stock, at cost: # shares common 0 # shares preferred 0 Surplus as regards Policyholders 1,635,897,328 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. 2017 (Seal). Jon Godfread Commissioner of Insurance STATE OF NORTH DAKOTA Total Liabilities, Capital OFFICE OF THE COMMISSIONER And Surplus 37,683,973,521 OF INSURANCE COMPANY'S CERTIFICATE OF North Dakota Business Only AUTHORITY for the Year 2016 WHEREAS, the above corporation Life & Annuity duly organized under the laws of its Total Direct Premiums state or country of domicile, has filed Written 1,110,758.00 in this office a sworn statement ex- Total Direct Losses Paid 4,778,266.00 hibiting its condition and business for Accident & Health the year ending December 31,2016Total Direct Premiums 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, 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. 2017 (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, 2016 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. 2017 (Seal) Jon Godfread Commissioner of Insurance (May 11, 18 and 25) 97705 Abstract of Statement For the Year Ending December 31, 2016 of the DIRECT GENERAL LIFE INSUR- ANCE COMPANY In the state of South Carolina Total Assets 25,525,988 Total Liabilities 10,411,478 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 $3,406,674 Aggregate write-ins for Special surplus funds 0 Unassigned funds (surplus) $9,207,846 Less treasury stock, at cost: # shares common 0 # shares preferred 0 Surplus as regards Policyholders 15,114,520 Total Liabilities, Capital And Surplus 25,525,998 .... North Dakota Business Only ............. for the Year 2016 Life & Annuity Total.Direct Premiums Written 0 Total Direct Losses Paid 0 Accident & Health Total Direct Premiums Written0 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- 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. 2017 (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 31,2016 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. 2017 (Seal) Jon Godfread Commissioner of Insurance (May 11, 18 and 25)