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WASHINGTON INTERNATIONAL INSURANCE COMPANY <br />476 N. MARTINGALE ROAD. SUITE 060, SCHAUMBURG, ILLINOIS U173 <br />0475731231, FAX- 0474736401, 800133"M <br />WASHINGTON INTERNATIONAL INSURANCE COMPANY <br />A New Hampshire Corporation <br />BALANCE SHEET AS OF DECEMBER 31, 2016 <br />Statutory Basis) <br />Valuation of securities on National Association of Insurance Commissioner Basis <br />ASSETS LIABILITIES <br />Cash 12,914,376 Reserve for Unearned Premiums 15,000 <br />Bands 82,838,360 Reserve for Loam and Loss Adjustment Expenses 1,881,581 <br />Other Invested Assets Funds Withheld 9,800,547 <br />Other Admitted Assets 4,489,638 Taxes and Other Liabilities 8,493,056 <br />TOTAL ADMITTED ASSETS <br />Surplus <br />TOTAL LIABIL.ITLE81h <br />80,052,190 <br />100,242,374100,242,374 <br />POLICYHOLDERS' SURPLUS <br />The undersigned, being duly swom, says. That he is Senior Vice President of Washington Intematdanal Insurance Company, Schaumburg, Illinois <br />that said company is a corporation duly organized, existing by virtue of the taws of the State of New Hampshire and that said Company has also <br />complied with and Is duly qualified to act as Surety under the Act of Congress approvrdi July 1947 6 U.S. C. sec. 6-13, and that to the best <br />of his knawledge and belief the above statement is a full, true andel staters t the financial condition of the said Company on the <br />31 at day of December, 2016 <br />WASHINGTON INTERNATIONAL. INSURANCE COMPANY <br />Subscribed and swam before me, <br />this 30th day of March, 2017 <br />Notary Public tj <br />EOFFICIAL SEAL <br />M KENNY <br />NOTARWYBUC, STATE OF MLWSISON9XPR81077