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2019-06-10_REVISION - M1982015
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2019-06-10_REVISION - M1982015
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Last modified
12/27/2024 10:06:45 AM
Creation date
6/19/2019 1:16:09 PM
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Template:
DRMS Permit Index
Permit No
M1982015
IBM Index Class Name
REVISION
Doc Date
6/10/2019
Doc Name
Incompleteness Response
From
Carma Bayshore
To
DRMS
Email Name
PSH
Media Type
D
Archive
No
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Libei� GENERAL INSURANCE COMPANY OF AMERICA <br /> U�Ul. FINANCIAL STATEMENT--DECEMBER 31,1014 <br /> SURETY <br /> Assets Liabilities <br /> Cash and Bank Deposit......... ................ S 22,832 Unearned Premiums................. ................ S 0 <br /> *Bonds U S Gommment.... ............... ....... 69,312,858 Reserve for Claims and Claims Expcnic ............. 0 <br /> *Other .................. 15,821,227 Funds Held Under Reinsurance Treaties. <br /> Reserve for Dividends to Policyholders'............ 0 <br /> Stocks..............I..................... ........ ...... 14,811.799 <br /> Additional Statutory Resvrvc...... ............ <br /> Rc3J[state.... ....................................... ....... 0 RLserve for Commissinns,'fuws und <br /> Agcnis'Balanccs or Uncollected Prurniurns...... 0 Other Liabilities. ................... ........ 5,831,392 <br /> Accrued Interest and Rents............................. 397,976 Total............................................................. 5,931,392 <br /> Other Admitted Assets..... .. 10,525,831 Special Surplus Funds S 0 <br /> Capital Stock............ 5,000,0D0 <br /> Total Admitted Assets................................. Paid in Surplus....... . 44,411,179 <br /> Unassigned Surplus 55,648.952 <br /> Surplus to Policyholders............................. 105,061,131 <br /> Total Liabilities and Surplus............................. SI1CA21,ga <br /> act cos'. <br /> fro <br /> 1923 w X Bonds arc stated at amortized or investment valve;Stocks at Association Market Values <br /> .• 0•11 The foregoing financial information is taken from General Insurance Company's financial statement <br /> a. riled with the slate of New Hampshire Department of Insurance. <br /> 1,TIM MIKOLAJEWSKI.Assistant Secretary of General Insurance Company of America,do hereby certify that the foregoing is a true, <br /> and correct statement of the Assets and Liabilities of said Corporation,as or DtcLtnbcr 31,2014.to the best of my knowledge and belief. <br /> IN WITNESS WHEREOF, I have hereunto set my hand and affixed the scat of said Corporation at Seattle,Washington,this 20th day of <br /> March.2015 <br /> Assistant Secretary <br />
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