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Newspaper Archive of
Golden Valley News
Beach, North Dakota
May 28, 2015     Golden Valley News
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May 28, 2015
 
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Page 8 Golden Valley News May 28, 2015 Insurance I 62146 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2014 OF THE Combined Insurance Company of America In the state of Illinois Total Assets 1,378,320,774 Total Liabilities 1,243,960,988 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 surplus171,747,865 Aggregate write-ins for Special surplus fund 3,209,000 Unassigned funds (surplus) -68,935,646 Less treasury stock, at cost: 2,488,490 shares common 0 # shares preferred 0 Surplus as regards Policyholders 134,359,786 Total Liabilities, Capital And Surplus 1,378,320,774 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2014 LIFE & ANNUITY Total Direct Premiums Written 209,375 Total Direct Losses Paid 154,388 ACCIDENT & HEALTH Total Direct Premiums Written 5,746,850 Total Direct Losses Paid 1,862,951 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, 1 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 stateme0t 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) 62308 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2014 OF THE Connecticut General Life Insurance Company In the state of Connecticut Total Assets 17,768,919,754 Total Liabilities 14,295,660,816 Common Capital Stock 29,891,610 Preferred Capital Stock 0 Aggregate write-ins for Other than special surplus 0 Surplus Notes 0 Gross paid in and Contributed surplus 2,375,029,586 Aggregate write-ins for Special surplus fund 6,009,295 Unassigned funds (surplus) 1,062,328,447 Less treasury stock, at cost: # shares common 0 # shares preferred 0 Surplus as regards Policyholders 3,473,258,938 Total Liabilities, Capital And Surplus 17,768,919,754 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2014 LIFE & ANNUITY Total Direct Premiums Written 298,674 Total Direct Losses Paid 548,168 ACCIDENT & HEALTH Total Direct Premiums Written 265,828 Total Direct Losses Paid 19,557 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- 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 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 egal " 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) 62383 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2014 OF THE Centurion Life Insurance Company In the state of Iowa Total Assets 1,259,284,336 Total Liabilities1,008,053,627 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 13,112,552 Aggregate write-ins for Special surplus fund0 Unassigned funds (surplus) 235,618,157 Less treasury stock, at cost: 2,488,490 shares common 0 # shares preferred 0 Surplus as regards Policyholders 251,230,709 Total Liabilities, Capital And Surplus 1,259,284,336 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2014 LIFE & ANNUITY Total Direct Premiums Written 1,010 Total Direct Losses Paid 158,510 ACCIDENT & HEALTH Total Direct Premiums Written 40 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- 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 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. 20t6. 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) 62413 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2014 OF THE Continental Assurance Company In the state of Illinois Total Assets 2,450,382,232 Total Liabilities 2,200,075,915 Common Capital Stock 21,830,865 Preferred Capital Stock 0 Aggregate write-ins for Other than special surplus 0 Surplus Notes 0 Gross paid in and Contributed surplus147,551,613 Aggregate write-ins for Special surplus fund 76,503,884 Unassigned funds (surplus) 4,419,954 Less treasury stock, at cost: 2,488,490 shares common 0 # shares preferred 0 Surplus as regards Policyholders 250,306,316 Total Liabilities, Capital And Surplus 2,450,382,231 ACCIDENT & HEALTH Total Direct Premiums Written 0 Total Direct Losses Paid 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE 1, 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- 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 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 aflo 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) 62510 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2014 OF THE Equitrust Life Insurance Company In the state of Illinois Total Assets 14,454,695,663 Total Liabilities 13,557,662,315 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 644,666,772 Aggregate write-ins for Special surplus fund 0 Unassigned funds (surplus) 249,366,576 Less treasury stock, at cost: 2,488,490 shares common 0 # shares preferred 0 Surplus as regards Policyholders 897,033,348 Total Liabilities, Capital And Surplus 14,454,695,663 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2014 LIFE & ANNUITY Total Direct Premiums Written .912,684 Total Direct Losses Paid 1,636,396 ACCIDENT & HEALTH Total Direct Premiums Written 0 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, t 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 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2014 62553 LIFE & ANNUITY ABSTRACT OF STATEMENT Total Direct Premiums FOR THE YEAR ENDING Written 13,446 DECEMBER 31, 2014 Total Direct Losses OF THE Paid 6,200 Country Life Insurance Company In the state of Illinois Total Assets 10,697,206,271 Total Liabilities 9,573,237,271 Common Capital Stock 4,500,000 Preferred Capital Stock 0 Aggregate write-ins for Other than special surplus 0 Surplus Notes 0 Gross paid in and Contributed surplus 22,702,662 Aggregate write-ins for Special surplus fund 0 Unassigned funds (surplus) 1,096,890,046 Less treasury stock, at cost: # shares common 20 # shares preferred 0 Surplus as regards Policyholders 1,123,968,323 Total Liabilities, Capital And Surplus 10,697,206,271 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2014 LIFE & ANNUITY Total Direct Premiums Written 1,442,406 Total Direct Losses Paid 547,334 ACCIDENT & HEALTH Total Direct Premiums Written 148,114 Total Direct Losses Paid 155,770 STATE OF NORTH DAKU IA 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- fice. In Testimony Whereof, t 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) 62626 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2014 OF THE CMFG Life Insurance Company In the state of Iowa Total Assets 15,490,072,587 Total Liabilities 13,857,195,918 Common Capital Stock 7,500,000 Preferred Capital Stock 0 Aggregate write-ins for Other than special surplus 0 Surplus Notes 85,000,000 Gross paid in and Contributed surplus 62,836,994 Aggregate write-ins for Special surplus fund 0 Unassigned funds (surplus) 1,477,539,676 Less treasury stock, at cost: 2,488,490 shares common 0 # shares preferred 0 Surplus as regards Policyholders 1,632,876,670 Total Liabilities, Capital And Surplus 15,490,072,588 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 6,856,541 duly organized under the laws of its Total Direct Losses state or country of domicile, has filed Paid 6,389,680 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 1,720,602 laws of this state regarding the busi- Total Direct Losses ness of insurance Paid 455,180 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- rice. 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 marck 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 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) 62928 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2014 OF THE EMC National Life Company In the state of Iowa Total Assets 1,009,848,367 Total Liabilities 911,001,996 Common Capital Stock 11,666,700 Preferred Capital Stock 24,000,000 Aggregate write-ins for Other than special surplus 0 Surplus Notes 0 Gross paid in and Contributed surplus 34,830,042 Aggregate write-ins for Special surplus fund 0 Unassigned funds (surplus) 28,349,629 Less treasury stock, at cost: 2,488,490 shares common 0 # shares preferred Surplus as regards Policyholders 98,846,371 Total Liabilities, Capital And Surplus 1,009,648,367 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2014 LIFE & ANNUITY Total Direct Premiums Written 917,316 Total Direct Losses Paid 1,100,210 ACCIDENT & HEALTH Total Direct Premiums Written 4,454 Total Direct Losses Paid 5,916 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- 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 Insurance 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- 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 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) 63274 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2014 OF THE Fidelity & Guaranty Life Insurance Company In the state of Iowa Total Assets 18,973,194,928 Total .Liabilities 17,761,596,910 Common Capital Stock 3,000,000 Preferred Capital Stock 0 Aggregate write-ins for Other than special surplus 0 Surplus Notes 225,000,000 Gross paid in and Contributed surplus 700,597,494 Aggregate write-ins for Special surplus fund 6,823,441 Unassigned funds (surplus) 276,177,082 Less treasury stock, at cost: 2,488,490 shares common 0 # shares preferred 0 Surplus as regards Policyholders 1,211,598,017 Total Liabilities, Capital STATE OF NORTH DAKOTA And Surplus 18,973,194,927 OFFICE OF THE COMMISSIONER OF INSURANCE NORTH DAKOTA BUSINESS ONLY COMPANY'S CERTIFICATE OF FOR THE YEAR 2014 AUTHORITY LIFE & ANNUITY WHEREAS, the above corporation Total Direct Premiums duly organized under the laws of its Written 4,670.030 state or country of domicile, has filed Total Direct Losses in this office a sworn statement ex- Paid 947,731 hibiting its condition and business for the year ending December 31,2014 ACCIDENT & HEALTH conformable to the requirements of the Total Direct Premiums laws of this state regarding the busi- Written 0 ness of insurance Total Direct Losses and Paid 0 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 Harem, 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- rice. 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 marck 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 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) 63223 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2014 OF THE Federal Life Insurance Company (Mu- tual) In the state of Illinois Total Assets 229,695,155 Total Liabilities 212,408,306 Common Capital Stock 0 Preferred Capital Stock 0 Aggregate write-ins for Other than special surplus 0 Surplus Notes 0 Gross paid in and Contributed surplus 0 Aggregate write-ins for Special surplus fund 400,000 Unassigned funds (surplus) 16,886,849 Less treasury stock, at cost: 2,488,490 shares common 0 # shares preferred 0 Surplus as regards Policyholders 17,286,849 Total Liabilities, Capital And Surplus 229,695,155 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2014 LIFE & ANNUITY Total Direct Premiums Written 1,057 Total Direct Losses Paid 0 ACCIDENT & HEALTH Total Direct Premiums Written 4 Total Direct Losses