The news & observer. [volume] (Raleigh, N.C.) 1894-current, 1904-04-02
State of North Carolina,
Insurance Department,
A. L On
STATEMENT
Pacific Mutual Life Ins ur->
ance Company
on CALIFORNIA.

OF CALIFORNIA.
Condition December 81, 1903, as Shown by
Statement Filed
Capital; Paid in cash .........$ 500,O00OO
Amount Ledger Assets Dee. 31st
previous year ........,......... 4,9s2, 1853. 50
3Gi.75; Total ...............,.... s,o8s,lo.o
holders, $548, $3.50; Total 80. 4s,57s.9o
Disbursements Q.ife)--To Policy hold
ers, SG901H.69; Miscellaneous
S693. 1856; Total ............... 1885, 45s2 IS
Disbursements (Atcident)-T. Policy
holders. $5l5,sse.s2; Total ..:...... 5l5,sses2
Life Business in force-Number of
Policies, 2s,5l5; Amount .......... 4eOss, ss4.OO
Accident Business Premiums in
force, Amount ................... 42s,OO2lO
Life written during year-Number of
Policies, ll,4so; Amount ...:..... 1900. 10000
Accident Premiums written during
year, Amount .................... 7eO, 0o4 %
ASSETS.
Book Value of Real Estate Qess
amount of encumbrances) ........S 43O,O465l
Mortgage Loans on Real Estate. $500. 2l5 T4623
Loans secured by pledge of Bonds,
Stocks or other collateral. ........ 257s5O.oo
Loans TO Policy-holders this Com
Tanys Policies assigned as col
lateral Observation-Disclosures. 341,S94.56
Premium Notes on Policies in force s1.S5l75
Value OF Stocks and Bonds ~. s.
state, etc.) -..:...... s,454,s75OO
Interest and Rents due and accrued. s2,0O521
Premiums unpaid .................. 326, 1874
Non-Ledger Assets Accident Dept 1862 70
All other Assets detailed in statement 44547.lS
Total ACKNOWLEDGEMENTS. sc, 42s ooo. os
Less Assets, not admitted .......... 44,547.ls
Total admitted Assets ............ Sc, 1856, 1880
LIABILITIES.
Net Reserve, as computed IS 22I 9s4 %
Other Reserve and Special Funds g934. 90
Net Policy claims ........s.......... 4O60.1S
All other Liabilities, Accident Depart
!. ment ........................ 275,577.so
Total Liabilities as to Policy
holders ........................... $5,54s,51l.97
Capital Stock Observation-Disclosures. 500,000.0O
Unassigned Funds (suTplus) .......... S36,900.gS
Total Liabilities ................. SIS 1856. 412oO
BUSINESS IN NORTH CAROLINA IN 1908,
Policies G.ife) in force December 3lst of pre-
vious year, Number, 1913; Amount, 1921, 1900.
Policies C-ife) written and revived in 1903,
Number, 249; Amount, $277, Gg1 90
Policies (AccidenD Premiums written and re-
viyed in 1903 Amount, Sl,12G24
Policies in force Life, Number, $780, Amount,
$435, 06l CO.
Amount Losses and Claims Gife) unpaid De-
ceinber 31st previous year, None.
Amount Losses and Claims (Aecident) unpaid
December 31st previous year, Amount, None
Losses and Claims Qife), Incurred, $4,O52.GO;
Paid, 2,0S1.00.
Losses and Claims (Accident), Incurred SG7455:
Paid, S67455.
Losses and Claims unpaid December 3lst 1903,
81. 81. go.
Total amount premiums collected and secured
(Life), SI6,1202g
President, George A. Moore.
Secretary, s. NJ. Marks
Home Office, No. sos Montgomery St, San
Francisco, Cal.
General Agentsfor service, J. j. Rogers Kin
ston, N. c.
Business Manager for North Carolina, j. J.
Rogers, KinstoD. n. C.
State Of North Carolina.
Insurance Department,
Raleigh March 20, 1904.
|, James r. Young Insurance Commissioner,
do hereby certify that the above is a true and
correct abstract of the statement of the Pacific
Mutual Life Insurance Company, of San Francisco,
California, filed with this Department showing
the condition of said Company on the 3Ist day
OF December. 1908.
Witness my hand and official seal, the day and
date above written.
JAMES r. YOUNG
Insurance Commissioner