Forest City press. (Forest City, Potter County, D.T. [S.D.]) 1883-19??, 1907-08-01
ANIMAL Sc AyEMENT.
For the Year Ending December 81.
a. ID. i3n6.
OF the condition and affairs of the
UNION CENTRAL LIFE INSURANCE

Ohio. made to the Insurance Depart
ment of the state of South Dakota.
dent. Jesse r. Clark. Secretary. john
ID. Sage. Incorporated, 1861 Com
menced business. 1861. Home Office. BIB
West Fourth street, Cincinnati. OHIO.
l.. CAPITAL STOCK.
Amount of capital paid up
(a) Amount of ledger assets
Gas per balance December
3lst of previous year....... AZ, is1,969.61
III. INCOME.
Total rcmium income...... SS,35s, 1913
(c) Consideration for supple
mentary contracts not in
volving life contingencies. lu2. il2.17
Total interest and rents. 80. 2,.t,, Sli2;
From other sources ........ +iS..}D
Total income ........... .$ll, 9Gs.oI90s
Ill. DISBURSEMENTS.
Net amount paid for losses
and matured endowmentS.. s.. i21 .9S1.O2
For %annuities involving life
contingencies ............. - - ~
Premium notes, voided by
lapse .ll,2lj!,S
Surrender values ............ 30. SOL
Dividends to p~olicyholdcrs. 2IT,s39oI
Paid for claims on supple
mentary contracts not in
volving life contingencies. 30, 10
Paid stockholders for inter-
est or dividends ........... 1oM1Oo
Commissions and bonuses to
agents LOGS. 1921
Committing renewal commits
sions > 3,o9J.52
Salaries and allowances for
agencies. managers. agents
and clerks .... 4IoS5 Si
Agency supervision. travelling
ana all other agency eX-
lenses 2o,2G5.53
Medical examiners fees and
insneetion of risks......... 56.5i72 Is
Salaries and all other COM
rensation of officers and
home office employees ...... 9l.4SO. II
Rent. including amount for
company's own occupancy. 3o,O77.S6
Advertising. legal expenses.
printing and stationery. and
postage :.........:.... 7sG35os
furniture, nNtureS and safe. 431aul
Insurance. taxes. licenses and
department fees ..... 1Jg 33G %
Taxes. repairs and expenses
ON real estate ............ II. 800. so
Dividends to pay renewal
premiums and applied to
purchase paid up annui-
TIES 5ss.334.7o
All o,aer disbursements 49,. t2l.G3i.Sl
Total disbursements ..... sc. 13o.e5G5 "a
Balance .$53,a BIG 1906
~. LEDGER ASSETS.
Book value of real estate I'M
incumbered ................ $3.50. GO. 30
Mortgage loans on real es-
tate, first liens ............ 45.G24.5 S1.S7
Loans made to policyholders
on this company's policies
assigned as collateral. -. 5.2os, 1874. 80
Premium notes on policies in
Book value of bonds and
stocks 100000
Sasn IN companys oftice.... S6i..3 80
Cash In banks .............. 5S. 965.66
Total ledger assets 5000. .$53. 325, 634.11
NON-LEDGER ASSETS.
Interest due and accrued. $l,9ls. 1914
Rents due and accrued. $40. l.SG1.2j
Market value of real estate,
over book value ;........, 2s.Gls.37
stocks over book Value. 1o0Go
Net amount of uncollected
and deferred premiums. 5~2G.1a7.2l
cross assets .............S55 SEQ. !epj1t
DEDUCT ASSETS NOT ADMITTED.
Book value of ledger assets
over market value ........ Sa3, a63.34
Total 500, 74G, 942.77
v. LIABILITIES.
Net reserve ............... .s45, 2l2, 921OO
not yet due on supple
mentary contracts not in
volying life contingencies. s92.s12oo
Total policy claims ......... l793D3o 90
Premiums paid in advance,
including surrender values
so applied ............... IS. GOO az
Commissions due agents on
premiums notes when paid. 221. olGO6
Salaries. rents. office cXpen-
Dividends or other profits
due policyholders .......... " cas- q,
Dividends apportioned ...... 7..20'oi1MI
GGanit, iaoalSes ............. 3t.iTl.s2
Unassigned d'1 funds i surpiusj. l4o,9 92 %
TOTAL liabilities ............s55.7iG.o42.0
VI. EXHIBIT OF CERTIFlcATGs.
Policies in force December
81 OF previous year. So33 o39 100 M
Policies issued during the
year 3G.3ss. G35oo
ao,ai .......:..:......$270,32l.77l oo
Deduct ceased to be in force
during the year .......... 24.1s5. 7GsOo
Policies in force December
81 .$2iG. 136. 0030o
BUSINESS IN THE STATE OF SOUTH
DAKOTA DURING THE YEAR 1906.
Policies on the lives of citi-
zens of said state issued
during the year ....:......; s17a,5ooW
Losses and claims incurred
during the year ..:;;.;... 4.245oo
Losses and claims settled dur
Losses s"e ard sda' claims unpaid ''2ls-oo
December 81 .............. 1.O3o 90
Premiums collected ......... 36'5G0 AZ
Expenses in South Dakota
during the year ............ $4,000
STATE q r SOUTH DAKOTA.
Department of Insurance.
Company's Certificate of Authority
Whereas. The Union Central Life In
surance. Company. a corporation organ
lied under the laws of Ohio, has filed in
TINS office a sworn statement exhibiting
Its condition and business for the wear
ending December 81. 1906, co%nformabie To
the requirements of the laws of this
state regulating he business of insur-
ance: and
Whereas, the said compa has fled in
this office a duly certified copy of its
charter. with certificate of ORGANIZATION.
N compliance with the requirements of