The Washburn leader., 1916-06-02
ADsTRAcr OF STATEMENT.
For the Year ENDING December ~

A1sreAcr OF srAT1MEMr.
a. 8. 1916.
OF the condition and affairs Of The
orsanized under the laws Of the state 81
Insurance Of the state Of North Dakota,
Eaw.nd sns sesd. 81 sid
First Vice President and General Nam
ager, Charles =: Holland.
Secretary. William Mackintosh: IItfs s...
New % YoPf city. .1 II. y Z: o. IMAM ee'
Attorney for Service of Process in the
State Of North Dakota:
Name. Commissioner Of Insurance;
Location. Bismarck, N. d.
50: oIsne'zsd ISL. or Incorporated September mo-.
Commenced bqsinssz, rns;$.F February 49, 1911.
Amount Of Capital Stock am ooo 4.
Stocks and Bonds. ...:..... /, s.4ss. .7o5. 81
Cash on hand and in bank. 1887 13
Interest due and accrued. 53,042.10
Premiums in course of coll
lection and transmission S44, ,153. 80
Bills receivable. not ma
tured. taken for risks. 1857 80
All other sums due to tho
Ss!ance Of Deposit with
| New York Workmen's
Compensation Commits
Equity quit. in Funds Of the
Workmen's Compensa-
tion Reinsurance Bu-
Agents sundry Balance
EXPENSE EXT ~ ............... ] s1.o11 .Os
5 1856. as g
Deduct Unadmitted Assets 1875. .743.22
Total Asset. ............. 5 4.s59.s7s. II
Gross claims for
Losses unad-
justed and ad-
justed and un-
LOSES Raaa resisted resisted sS''l''S -
by the Com
plny 61s6Iz.VV Il
Total gross s4s&
amount OF
claims for ~.
Losses ..:.. $sS6,517.H
Deduct Rein
surance and
salvage claims
thereon z4,S6I.zo
Net amount Of unpaid
Amount Hs Of unearned Pre-
miums on all outstanding
Due "S for unpaid Dividends.
Commissions and Broker
age Observation-Disclosures. lSO,So5. %
, 2,s4s, ,s74. o5
All other Liabilities, includ-
ing Voluntary Contingent
Reserve Of $475.000.00.... 2.011, ,5ss. II
Total Liabilities ........ $ 4,S59.s II
Premiums written during
the year ................. $ $3.50. 1888. 90
ceived during the year. 1ss ,ose 80
other sources ............ 1882. "a
Total Receipts ........... $ 3.s2s, ,oo7. 50
Losses paid during the year 1,501 ,521 90
Dividends. Commissions and
year ................... $1,000. a
Fees al and le other &c Charges. sss,o4s. Sc
Amount of all other Dis
bursements - Gross de.
crease. by adjustment, in
book value of Ledger AS
sets; Bonds .............. 0,6b8 IL
re,s' soREs R!sss!5s%s5s: SzRSSA EyalsESS ID
sT&TE sa1!Rs OF 51e NSRTH SasTi DxKoTA. ''''"
Office of Commissioner Of Insurance.
l. w. G. Taylor. Commissioner OF In.
8Ofauce OF IHe Sldle VI NOTlA baholas u9
hereby certify that the foregoing is :
now on file in this office.
In testimony whereof. have hereunte
set my hand and affixed the seal OF this
Office, at Bismarck, the LIST day OF April
1sEAL1 w. c. TAYLOR.
Commissioner Of Insurance
STATE OF NORTH DAKOTA.
''es coMPANY's cERTIF1cATE OF
AUTHORITY.
Whereas. The Royal Indemnity Com
pany, q corporation organized under tn@
laws Of New York. has filed in this Office
q sworn statement exhibiting its condt-
ton and business for the year end1ne
December 81, 1915. conformable to the
requirements Of the laws Of this state,
regulating the business of Insurance.
and.
whereas. The said Company has filed
in this office q duly certified copy. Of ita
charter with certificate of organization
in compliance with the requirements o1
the Insurance laws aforesaid.
Now, therefore. I, w. c: Taylor, Com.
missioner Of Insurance OF the state l oi
North Dakota. pursuant to the provisions row. 91,s
above named Company is fully empow.
cred through its authorized agents. to
transact its appropriate business OF Au-
thorized Insurance in this state accordine
10 the laws thereof, until the 3lst day OF
March, A. d. 1917.
In testimony whereof. I have hereunte I.s
set my hand and seal at Bismarck, this
1st 1shafx, aax of April A. D. W. Rsls; 4. TAYLOR.
~ Commissioner Of Insurance