The Washburn leader., 1916-06-09

AosTeAcr OF srATEMENr.
For the Year Endlne December q.
OF tn. condition ii D. .ms ,s,'' AFFAIR. of Tn.
Royal indemnity Company. Of New York,
Organized under the laws Of the state Of
New York. made to the Commissioner OF
- president. Edwsrd q srd f. FIVE Bedd.ii d ii'' ''
First Vice President and General Man-
'fss secrst.aa. eaars' wiiis% I'll a9lfaa Mack,ntosh
ndr nRTineiPs! YaP 6{a 9{es NJ g William Street.
Attorney for Service of Process in the
State Of North Dakota:
Name. Commissioner Of Insurance;
Location. Bismarck. N. D.
- o5sanlzed Is;a or Incorporated. September
Commenced business, February Is. 1911.
Amount Of Capital Stock
paid up in full. l........... : 1000, 900 20
Stocks and sBonds: Asshrs ... $3.50, ,7os .o1
Cash on hand and in bank. 493.977 .13
Interest due and accrued. 53.042.10
lection and transmission s44.15s. 81
Bills receivable. not ma
tured. taken for risks.... 1867 .ss
All other sums due to the
Balance Of Deposit with
New York Workmen's
Compensation Commits
Equity quit in Funds Of tho
Workmen's Compensa-
I. tion Reinsurance Bu-
Agents sundry Balance
and Advance Travelling =.
Expense ............... Sl.Vll'Vs
Deduct un.am,.t.s Asset. '4iissSS isS:7as: Is: ::
Total Asset. 5 4,s5s.s7s. II
Gross claims for
Losses unad-
1usted and adj
5usted and un- '.'
Losses aata resisted resisted 'S''''''
by the Com j.
pany 61,S72.0o -
Total gross :sxsl
amount OF
claims for :;
Deduct Ds' Rein: Rein: ''''''''
surance and
salvage claims
thereon 24.S67.zt
Net amount Of unpaid
Amount sns Of unearned Pre- ''''
miums on all outstanding
Due "s for unpaid Dividends.
Commissions and Broker
age ...:.................. 1SO,S 90
/, 2,s4s. .s74 .o5
All other Liabilities. includ-
ing Voluntary Contingent
Reserve Of SAFE. .o00.00.... 2.011,5s9 IL
Total Liabilities 100000. !, 1859. .s7s II
RECEIPTS
Premiums written during
Interest T Seaa and Dividends re- ''''0'''' %
ceived during the year. 1ss,oss. 80
other sources ............ . 1882 ~
Total Receipts ........... 1898. .oo7. /. 80
Losses paid during the year S l.5o1. .52l 90
Dividends, Commissions and
Brokerage paid during -
Paid for Salaries, Taxes,
Fees and other charges. 999, ,049 .86
Amount of all other Dis
bursements = Gross de-
crease, by adjustment, in
book value of Ledger AS ...s ..
sets; Bonds .............. 6,66S. IL
ro,s' sqRHs R!tse?ss$sss: Szs9sA RgslsHsS ~:
Total Premiums received
sfRTE SS5!Hs OF The NSRTH SssTi i'i DxKorA, 'ls'"
Office Of Commissioner Of Insurance.
]. w. e. Taylor, commissioner OF lns
surance Of the State Of North Dakota. do
hereby. certify that the foregoing is 9
true abstract Of the original statement
now on file in this Office.
In testimony whereof. have hereuntc
set my hand and affixed the seal of this
Office, at Bismarck, the LIST day Of April,
4; p; 1915. w = r.v,op
Commissioner Of Insurance
STATE OF NORTH DAKOTA.
Office Of Commissioner Of Insurance:
CoMPANY.'SS, S,uIIHSTnY GERT1EIcATE OF
Whereas, The Royal Indemnity. Com
pany, q corporation organized under ths
laws of New York. has filed in this office
2 sworn statement exhibiting its condi-
tion and business for the year ending
December 81. 1915, conformable to the
requirements Of the laws Of this state.
regulating the business OF Insurance.
and,
in this Office q duly certified copy, Of ita
charter with certificate of organization
the Insurance laws aforesaid.
Now. therefore. I. w. c: Taylor, Com.
missioner of Insurance of the state OF
North Dakota, pursuant to the provisions
Of said laws, do hereby certify that ths
above, named Company is fully empoW.
cred, through its authorized agents. to
transact its appropriate business cnrd;ns oi Mu
to the laws thereof. until the 31st day Of
INIT: In testimony whereof. I have hereunte
set my hand and seal ct Bismarck TINS
1st day of April. A. d. T 1919; rAvroR
Commissioner Of Insurance.