The Fargo forum and daily republican., 1916-05-16


Premium Notes and Policy
Stocks and Bonds. ......... a4.617, AT 81
Cash on hand and in bank 4,615,670. SO
Interest due and accrued. 2.SeT 1895 81
Net amount of deferred and
outstanding Premiums E. l242, .34
Amoruzed values OF Bonds
Stocks over book value. Iss4.bss .O4
ted Assets ............... $3.50 81
Gross Assets .......-..... .&1l3. OO1. .sss. 70
Unadmitted Assets
Agents Balances. $36.222.S3
Bills receivable. 1.212.94
All other unad-
mitted Assets. s.sos Fl
Total Unadmitted Assets 1883 SO
Total Admitted Assets.
Life Business ......... .$112,s64.SS7. so
Total Admitted Assets,
Accident. Health and
Liability Business .....S u,2S4. 1856. .ls
tAIl classes of Policies
are protected by the entire
Assets Of the Company
LiABm1TriEs
Policy claims due and un-
Policy claims in process Of
adjustment or adjusted
but unreported ........... 1881 90
Policy claims resisted by
the Company ............ lo4,2OO 90
Total Policy Claims. ..S S47.s3o. ia
Net present value of all out
standing PoliCies-'Actu-
aries" S1a per cent and
per cent American Expert
Dividends due and unpaid.
S109, ,5S9 28; Dividends de-
clared apportoned or pro-
246.22267 ................. 3.S55, 5,S11. 80
Taxes hereafter payable. " 641.SsS. .7S
Extra Reserve for total and
permanent disability bene-
Reserve under renewable
contracts ........s........ 7s1.2os. 90
pany to accumulate at in
terest, and interest there
Present value Of amounts
not yet due on supple
VoIVinE Iife Contingencies 1886 90
All other Liabilities. 453, 383. T0
Business ...............& ss,7s2, ,4s7 .21
r 7.46S.S53. 80
capissi Gtn 5soof sGt't,is 'l0'
u nassi gned
funds (Sur-
plus) ......... 7,977,212.s2
Total Surplus as regards
PolIcyholders ........... 1877, ,212 81
Total Liabilities. Life, Ac-
ctdent, Health and other
INCOME
New Premiums ............: 2,4Ss, 1895. .4s
Renewal Premiums ........ 10, 762, ,692. 50
Extra Premiums for total
and permanent disability
benefits .................. 7S.os1 90
Total OBSERVATION-DISCLOSURES 1929 ,5Ss 80
Deduct Premiums paid for
Reinsurance ....'........ 43,714.ss
Total Premium Income s 1926 ,874 81
Interest and Rents received 5.294, ,725. SO
Dividends left with Com
pany to accumulate at in
terest .,................,.. 177.sSs 30
sources ................... 2,651. .4ss ST
Total Income. Life Busi-
ness :..............:....s s 31.+Os. .7ss. Sc
Total Income, Accident,
Health an Liability
Business ............... s.52s, ,152. .e7
Total Income ............s sO.932. $50. 72
Paid for Losses and Addi-
Paid for total and perma-
nent disability claims.... Abs. 90
Paid for matured Endow-
ments and Addittons...... s.17s,1s 90
Paid to Annuttants. 67,931 90
Paid for surrer dered Poll
cies ..:.,.............. 1887. .s22 Is
Paid for claims on supple
mentary contracts not in
volving life contingent
oies ......: .:......:........ 7I.47o.27
Cash surrender values ap-
piled in payment OF Pre-
miuIns ...:........ N1.l46.2 20
piled to purchase paid-up
additions and annuities.. 306, S54 .27
Dividends paid to Policy
holders or applied or left
with Company to accu-
mulate at Interest. ..... L4o7,l68 2l
Dividends held on deposit,
and interest thereon. sur
rendered during the year LAG, 9sS "a
Dividends paid to Stock
Cash paid during the year
for Commissions and Sal
aries ..................... 1887, $40. .2s
Rents paid during the year 111.631. .08
Taxes paid during the year 491. 792. .46
Cash paid for Advertising,
Printing and Stationery,
Postage, Telegraph, Tele-
Exchange :....::.....;:.. 1887. SO
Commissions ............: 1880. SO
Amount Of all other cash
Expenditures ............. s31,375 ST
Total Expenditures. Life
Business .:;..........;..s 17.145.2Oo 81
Total Expenditures, Acct
dent, Health and Liabil-
ity Business ............. s.442,1s1. .48
Tots H6RTE Rf3prfsHsqtE B%s6T1 RsSSgS 2sSs3
Whole number of Policies
written in North Dakota
during the year. Life. -. H2
Whole number of Policies
written in North Dakota
during the year. Accident.
Health and Liability..... Ss6
Total Risks taken during
the year in North Dakota.
Total Risks taken during
the yea in North Dakota,
Accident. Health and La
Total Premiums received
Dakota, Life .........:..: 77.71o.s1
Total Premiums received
Dakota, Accident. Health
and Liability .:.:..;...;;:. s1.o4s.s1
Total Losses paid during the
LIE ............ - 80 ...:.'s... ~ 17.oOs. 90
year in North Dakota.
Accident. Health and LA
Total Losses incurred dur
ing the year in North
Dakota, Life ............. 17,00S 90
Total Losses incurred dur
ting the year in North gg7T~T--T
Dakota, Accident. Health
and Liability ........... G,$Se 80
STATE OF NORTH DAKOTA.
Office Of Commissioner of Insurance
surance Of the State of North Dakota. do
hereby certify that the foregoing is a true
abstract of the original statement now on
In testimony whereof 7 have hereunto