The Black Hills union and western stock review. [volume] (Rapid City, S.D.) 1904-19??, 1905-05-26
I. CAPITAL STOCK.

AihouHl VI Cdp'IdI sIDSA pNA
Amour, Of net ledger assets
year 5.os4.s1s.ss
II. INCOME DURING YEAR,
Net cash actually received for
premiums so,Zlo.s2s-S
Total Interest and rents...... 252. EST
Profit on ledger assets...... 6l2S
Income from al! other sources 1O.341.l5
Total income actually re-
ceived during the year,
ccSn
III. DISBURSEMENTS DURING THE
YEAR.
Adjustment of claims....... $685.. es3. 45
Net paid policy holders. ...... I.AI. G62.l7
TO stockholders for interest or
CiVldendS ................. So,cOU
Commissions to agents. ...... LAG. JOo.O2
expenses OF onacers and
home office employes........ COZ GOA.l7
Medical examiners fees and
salaries e.316ss
Inspections l79.U5S.5o
fees and licenses .......... 12e.171,71
Rent AZ. 6S9.36
Legal expenses .............. e,OU2.1o
Furniture. nxtures. postage
anu express ............... oo,4fI.UO
Advertising, general printing
ana stationery .............. S2.OOO.Ol
Slndry expenses .......... b., b94.2 u
Profit and loss .............. 5000 So
Total disbursements .......$ 81. $3.50. S96. 9
Balance 5.5lS. S9A.73
". ASSETS.
Book value Of real estate after
dcductlng membranes 80. 1921 .OS1. 10
Book value OF bonds and
stocks 4.733, s72.5
Cash in coInpany's ofhce.... l7,27l.A ~
Cash deposited In banks...... 15O,S2O.28
Bills receivable .............. 1872. 46
Total 50, 52s, 927.e
Deduct ledger liabiHties: Bal
ance of sundry ~accounts.... 5,O33.2e
Total net ledger assets. 49,. IS, 5lS, e94.7 10
Total outstanding interest and
rents 1O.s31.ls
Market value OF bonds and
stocks over book value...... 54e, 4s2. Al
Total net amount Of outstand-
ing premiums ............. es4, 400. GA
Total assets. as per the
books OF the company. 800. sc, rec, 61T. 90
Bills receivable .............. 81. O6S.S7
Total admitted assets. ......s SO. s67. $500
v. NON-LEDiER LIABILITIES.
N process of adjustments. s279. 40
Known or reported; proofs not
filed 56.s44.40
by company on its
own account 80, 953. 40
for policy holders. 5ss, esq %
for settling claims
~testinated) ................ /" n5s.43
untarned premiums. 2,7a.,s7l3 5
Commissions. brokerage. etc. l63, 23l .O5
Due and accrued for salaries,
rent, advertising. commits
slons. agency and other ex-
penses II. le5.59
special FUND ................ lUO.UOOUO
contingent fund.-. 10000 10
Total amount Of all liabili-
ties. except capital stock. 81, $50, $50. 81
Joint stock capital actually
paid up in 100000
Surplus beyond capital and
other liabilities ............. 1851. 2es.H
vi. RISKS.
outstanding at the
date of preceding statement. IS. Os8. 4SI, ST
written since pre-
ceding statement .... 255. 800 II
Cancelled and ex-
pired during the year,. 6,SSI, sos. SO
reinsured during
lne year 1890 %
IN THE STATE OF SOUTH
DAKOTA DURING THE YEAR 1904
received ........, SI.936O7
Losses paid ], 6ys II
Losses incurred ............. 1,69s.77
THE STATE OF SOUTH DAKOTA.
Department Of Insurance.
Gonipany's Certificate OF Authority.
Whereas. the Fidelity and Casualty
ganized under the laws Of New York,
has filed in this office a sworn statement
its condition and bust
ness FOR the year ending Decem-
Der 81. 1904, conformable to the require
.ents Of the laws OF this state regulating
business Of Insurance.: and,
In this office a duly certified copy Of its
with certificate OF orgunizutio-,
IN compliance with the requirements Of
the insurance law aforesaid;
Now. Therefore, /. John c. Perkins,
commissioner Of Insurance Of the State
South Dakota. pursuant to the pro-
of said laws. do hereby certify
that the above named company Is fully
to transact its appropriate business OF
Accident. Health. Liability Plate Glass.
Steam Boiler. Burglary insurance In this
state according to the laws thereof, I'M
I'll the 31st day Of December, A. D. zoos
In Testimony Whereof. l AVE hereunts
icy my hand ana othcial seal at Pierre,
this 2lst day Of February. A. D. 1an5.
(SeaI.) JOHN c. PERKINS,
Commissioner Of Insurance.
t.