Forest City press. (Forest City, Potter County, D.T. [S.D.]) 1883-19??, 1907-08-08

ment of the State of South Dakota.
pursuant to the laws thereof. Presi-
dent, Jesse r. Clark. Secretary. John
ID. Sage. incorporated, 1867. Com
menced business, 1867. Home office, 353
West Fourth street, Cincinnati, ONO.
1. CAPITAL STOCK.
Amount of capital paid up
(ao Amount Of ledger assets '
Gas per balance) December
3lst of previous year. ...... Al, 4S1, 969.61
III. INCOME.
Total premium income. 500. S., 95S, 4O5.79
(c) Consideration for supple
mentary contracts not in
VolVing life contingencies. 1O2, 412.57
Total interest and rents..... 2,9O6, S13.23
From other sources ........ 1850
Total income ...........$ 11, 96S, O79.9S
Ill. DISBURSEMENTS.
Net amount paid for losses
and matured endoWments.. s., ADJ, 9S5.O2
For annuities involving life
contingencies ............. % 232 %
Premium notes. voided by
lapse 81 .2469s
Surrender values ........... 329. $50 %
Dividends to policyholders. 277.sso97
Paid for claims on supple
mentary contracts not in
vOlving life contingencies. 81. 14J 10
Paid stockholders for inter-
est or dividends 10000 IN
Commissions and bonuses to
agents LOGS. 77o34
Committing renewal commits
sions SO, O95.3 81
Salaries and allowances for
agencies. managers. agents
ana clerks Al oS5 81
Agency supervision, travelling
and all other agency eX-
lenses 2o,2G5.5a
Medical examiners fees and
inspection of risks ........ 5G.547.2s
Salaries and all other COM
penSation of officers and
home office employees ... 91.4SO45
Kent. including amount for
company's own occupancy. 3o.O77.s6
Advertising, legal expenses,
printing and stationery, and
Furniture. fxtures and safe. Io33"i
Insurance, taxes, licenses and
department fees ;.......... 1919. 1886 %
Taxes. repairs and expenses
ON real estate .......... II, 500 go
Dividends to pay renewal
purchase paid up annui-
ties 5ss. 334. 20
All other disbursements .... All 63l. ST
Total disbursements ...... sri. 49,. 278 53
Balance .$53. ZIG. 1896
Nv. LEDGER ASSETS.
Book value of real estate UNI
incumhcred S539. G33. 30
Mortgage loans ON real es-
tate. first liens Al. GA, 5SIS7
Loans made to policyholders
on this company's policies
assigned as collateral. 5,29S. 1874. 50
notes on policies in
oIc 1,IuI, t(l 10
Book value OF bonds and
stocks 1O,ONOOO
oasl IN cohllinNS ofiice.... SGi. :33
LASH III panNS .............. Is, 49,. GS
Total ledger assets ........ SOB. 81. 634.1 II
NON-LEDGER ASSETS.
Interest due. and accrued, Sl.91S4 so1 -
Rents due and accrued. .... 1.SB72 81
Market value of real estate.
over book value oSe1S3 ~
Market value of bonds and
stocks over book value... 1NM
Net amount of uncollected
and deferred premiums. i. 500. 1924
Gross assets $55, $40. 9O6 IL
DEDUCT ASSETS o ADMITTED.
Book value of ledger assets
over market value ..... S53 o62 "a
lotai $50. GAG. 94o II
V. LIABILITIES.
bet reserve .............. .s45. 2l2. 92l.00
not yet due on supple
mentary contracts not in
Noiying life contingencies.. 1902. $500
premiums paid in advance.
including surrender values
Commissions due agents on "''"''
premiums notes when maid ooA one oa
Salaries. rents. Office expen-
Dividends or other profits SSH"
que polcyholders ..:....... 81, $685. ri
l tho nl~fit. o6SO.SOlVt
Ganit,, staaain,es ............. 34.8T1.S2
Unassigned funds (surpiusI. la 2S1 Ss
Total liabilities $3.50. TAG. 94277
vi. EXHIBIT OF CERTIFICATES.
Policies In force December
81 or previous year. ..... 500, 93s33. 136 O0
Policies issued during the
year 81. :3SS. 63J. On
Deduct ceased to be in force ''io"
during the year ..,...... d is, 7cs M
Policies In force December
.xc4G. 13G. fO3 m
BUSINESS IN THE STATE OF SOIITH
DAKOTA DURING THE YEAR 1901.
Policies on the lives of citi-
zens of said state issued
during the year .... $40 ,Oo m
Losses and claims incurred
curing tne year ..::.:..... 4.245OO.
Ing the year . , ~
Losses ard claims unpaii '0"
december IL O9D m
Premiums collected ,.... al SG0 a
Expenses in Soutk Dakota
curing the year ............ $4,000
STATS or SOUTH DAKOTA,
Department of Insurance.
Company's Certificate of Autnor,v
Whereas, The Union Central Iifs IN
surance Company. a corporation nrpam-
iZeu unaer the laws ot Ohio. has filed I'm
.nis once q sworn abatement exhihitin1
lts conditioh and business for the vaan
en's,G pecemher II, 1906. conformohi.t =.
w. requirements of the laws or mi.