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May 9, 2013     Valley News and Views
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Page 10 May 9th, 2013 Valley News & Views L-66370 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the Mony Life Insurance Company In the state of New York Total Assets 8,441,060,278 Total Liabilities 7,821,496,462 Common Capital Stock 2,500,000 Preferred Capital Stock 0 Aggregate wrge-ine for other than special surplus 0 Surplus Notes 1,090,548 Gross paid in and contributed surplus 1,343,359,984 Aggregate wrge-ins for special surplus funds 25,475,000 Unassigned funds (surplus) -752,861,716 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as regards Policyholders 619,563,816 Total Liahilities, Capital and Surplus 8,441,060,278 North Dakota Business Only For the Year 2012 Life & Annuity Total Direst Premiums Written 155,897.00 Total Direst Losses Paid 317,038.00 Accident & Health Total Direct Premiums Written 16,800.00 Total direct Lasses Paid O0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Harem, Commissioner of Insurance of the State of North Dakota, do hereby certify that the foregoing is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOE I have hereunto set my hand and affixed the seal of this office at Bis- marck, the first day of May, A.D. 2013 (SEAL), ADAM HAMM Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly orga- nized under the laws of its state or country of domicile. has filed in this office a sworn statement exhibiting its Condition and business for the year ending December 31, 2012 conformable to the requirements of the laws of this State regarding the business of insurance and WHEREAS, the said company has filed in this office a duly certified copy of its charter with certifi- cate of organization in compliance with the require- ments of insurance law aforesaid, NOW THEREFORE, I, ADAM HAMM, Com- missioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby cer- tify that the above named company is fully empow- ered through its authorized agents and representatives, to transact its appropriated business of authorized in- surance in the state according to the laws thereof, until the 30th day of April, A.D. 2014. IN TESTIMONY WHEREOF, 1 have hereunto set my hand and seal at Bismarck this first day of May, A.D., 2013 (SEAL) ADAM HAMM Commissioner of Insurance May9, 16,23,2013 L-71412 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the Mutual Of Omaha Insurance Company In the state of Nebraska Total Assets 5,549,777,861 Total Liabilities 3,143,752,143 Common Capital Stock 0 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus Notes 584,085,572 Gross paid in and contribuled surplus 0 Aggregate write-ins for special surplus funds 0 Unassigned funds (surplus) 1,821,940,146 Less treasury stock, at cost 0 # shares common O # shares preferred 0 Surplus as regards Policyholders 2,406,025,718 Total Liabilities, Capital and Surplus 5,549,777,861 North Dakota Business Only For the Year 2012 Life & Annuity Total Direct Premiums Wriilen 0 Total Direct Losses Paid 0 Accident & Health Total Direct Premiums Written 9,150,864.00 Total Direst Lasses Paid 7,617,050.00 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Harem, Commissioner of Insurance of the State of North Dakota, do hereby certify that the fore- going is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOE I have hereunto set my hand and affixed the seal of this office at Bismarck. the first day of May, A.D. 2013 (SEAL). ADAM HAMM Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly orga- nized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2012 conformable to the requirements of the laws of this State regarding the business of insurance and WHEREAS, the said company has filed in this of- rice a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, ADAM HAMM, Com- missioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby cer- tify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authorized insur- ance in the state according to the laws thereof, until the 30th day of ApriL A.D. 2014. IN TESTIMONY WHEREOF, I have hereunto set my hand and seal at Bismarck this first day of May, A.D., 2013 (SEAL) ADAM HAMM Commissioner of Insurance May 9, 16, 23, 2013 L-66974 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the North American Company For Life and Heath Insurance In the state of Iowa Total Assets 13,018,692,594 Total Liabilities 12,041,317,784 Common Capital Stock 2,500,0DD Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus Notes 35,000,000 dross paid in and contribuled surprue 424,113,095 Aggregate write-ies for special surplus funds 0 Unassigned funds (surplus) 515,761,715 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as regards Policyholders 977,374,810 Total Liabilities, Capital and Surplus t3,018,692,594 North Dakota Business Only For the Year 2012 Life & Annuity Total Direct Premiums Written 8,356,107.00 Total Diresl Losses Paid 8,98&852.00 Accident & Health Total Direcl Premiums Written 0 Total Direct Losses Paid 0 STATE 11F NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I. Adam Harem. Commissioner of Insurance of the State of North Dakota, do hereby certify that the tore- going is a true Ab'tract of Stalement. as officially filed by the Company in this office. IN TESTIMONY WHEREOF. 1 have hereunto set my hand and affixed the seal of this office at Bismarck. the first day of May, A.D. 2013 (SEAL). ADAM HAMM Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly orga- nized under the laws of its state or country of domicile. has filed in this office a sworn statement exhibiting its condition and business for the year ending December 3 I, 2012 conformable to the requirements of the laws of this State regarding the business of insurance and WHEREAS, the said company has filed in this of- fice a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, ADAM HAMM, Com- missioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby cer- tify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authorized insur- ance in the state according to the laws thereof, until the 30tfi day of April. A.D. 2014. IN TESTIMONY WHEREOF, l have hereunto set my hand and seal at Bismarck this first day of May. A.D., 2013 (SEAL) ADAM HAMM Commissioner of Insurance May9. 16. 23. 2013 L-66583 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the Nationat Guardian Life Insurance Company in the state of Wisconsin Total Assets 2,532,783,821 Total Liabilities 2,336,420,289 Common Capital Stock 0 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus Notes 31,500,000 Gross paid in and contributed surplus 0 Aggregate write-ins for spesial surplus funds 0 Unassigned funds (surplus) 164,863,532 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as regards Policyholders t 96,363,532 Total Liabilities, Capital and Surplus 2,532,783,821 North Dakota Business Only For the Year 2012 Life & Annuity Total Direct Premiums Written 4,894,001.00 Total Direst Losses Paid 2202,293.00 Accident & Health Iota Direct Premiums Written 1,071,290.00 Total Direst Losses Paid 751,25900 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE l, Adam Harem, Commissioner of Insurance of the State of North Dakota, do hereby certify that the fore- going is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF. 1 have hereunto set my hand and affixed the seal of this office at Bismarck, the first day of May, A.D. 2013 (SEAL). ADAM HAMM Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly orga- nized under the laws of its state or country of domicile. has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31. 2012 conformable to the requirements of the laws of this State regarding the business of insurance and WHEREAS, the said company has filed in this of- rice a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, ADAM HAMM, Com- missioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empow- ered through its authorized agents and representatives, to transact its appropriated business of authorized in- surance in the state according to the laws thereof, until the 30th day of April, A.D. 2014. IN TESTIMONY WHEREOF, I have hereunto set my hand and seal at Bismarck this first day of May, A.D., 2013 (SEAL) ADAM HAMM Commissioner of Insurance May 9, 16, 23, 2013 L-92657 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the Nationwide Life And Annuity Insurance Company In the stale of Ohio Total Assets 6,243,320,954 Total Liabilities 5,932,325,808 Common Capital Stock 2,640,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus Notes 0 Gross paid in and contributed surplus 615,624,500 Aggregate write-ins for special surplus funds 0 Unassigned funds (surplus) -307,269,354 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as regards Policyholders 310,995,146 Total Liabilities, Capital and Surplus 6,243,320,954 North Dakota Business Only For the Year 2012 Life & Annuity Total direct Premiums Written 866,881.00 Total Direst Losses Paid 1,377,354.00 Accident & Health Total Direct Premiums Written 0 Total Direst Losses Paid 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE 1. Adam Hamm, Commissioner of Insurance of the State of North Dakota, do hereby certify that the fore- going is a true Abstract of Statement. as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of this office at Bismarck, the first day of May, A.D. 2013 (SEAL). ADAM HAMM Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly orga- nized under the laws of its state or country of domicile. has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2012 conformable to the requirements of the laws of this State regarding the business of insurance and WHEREAS, the said company has filed in this of- fice a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, 1, ADAM HAMM, Com- missioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empow- ered through its authorized agents and representatives. to transact its appropriated business of authorized in- surance in the state according to the laws thereof, until the 30th day of April, A.D. 2014. IN TESTIMONY WHEREOF, 1 have hereunto set my hand and seal at Bismarck this first day of May, A.D.. 2013 (SEAL) ADAM HAMM Commissioner of Insurance May 9, 16, 23, 2013 L-66869 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the Nationwide Life Insurance Company In the stale of Ohio Total Assets 106,577,543,255 Total Liabilities 102,740,909,342 Common Capital Stock 3,814,779 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus Notes 700,000,000 Gross paid in and contributed surplus 954,086,517 Aggregate write-ins for special surplus funds 0 Unassigned funds (surplus) 2,178,732,617 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as regards Policyholders 3,836,633,913 Total Liabilities, Capital and Surplus 106,577,543,255 North Dakota Business Only For the Year 2012 Life & Annuity Total Direst Premiums Written 29,378,470.00 Total Direst Losses Paid 12,974,389.00 Accident & Health Total Ditesl Premiums Written 90,449.00 Total Direst Losses Paid 19,456.00 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE 1, Adam Harem, Commissioner of Insurance of the State of North Dakota, do hereby certify that the fore- going is a true Abstract of Statement. as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of this office at Bismarck. the first day of May. A.D. 2013 (SEAL), ADAM HAMM Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER dE INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly orga- nized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31,2012 conformable to the requirements of the laws of this State regarding the business of insurance and WHEREAS, the said company has filed in this of- fice a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, ADAM HAMM, Com- missioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws. do hereby certify that the above named company is fully empow- ered through its authorized agents and representatives, to transact its appropriated business of authorized in- surance in the state according to the laws thereof, until the 30th day of April, A.D. 2014. 1N TESTIMONY WHEREOF, 1 have hereunto set my hand and seal at Bismarck this first day of May, A.D., 2013 (SEAL) ADAM HAMM Commissioner of Insurance May 9, 16, 23, 2013 L-91596 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the New York Life Insurance And Annuity Corporation In the state of Delaware Total Assets 109,5"10,229,241 Total Uabilities 103,111,592,073 Common Capital Stock 25,000,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus Notes 0 Gross paid in and contributed surplus 3,927,757,314 Aggregate write ins for special surplus funds 0 Unassigned funds {surplus) 2,445,879,854 Less treasury stock, at cost D # shares common 0 # shares preferred 0 Surplus as regards Policyholders 6,398,637,168 Total Liabilities, Capital and Surplus 109,510,229,241 North Dakota Business Only For the Year 2012 Life & Annuity ,. Total Direct Premiums Written T9,573,50&OO Total Direct Losses Paid 14,758,371.00 Accident & Health Total Direct Premiums Written 0 Total Direct Losses Paid 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE l, Adam Hamm, Commissioner of Insurance of the State of North Dakota, do hereby certify that the fore- going is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOE I have hereunto set my hand and affixed the seal of this office at Bismarck, the first day of May, A.D. 2013 (SEAL), ADAM HAMM Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly orga- nized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31,2012 conformable to the requirements of the laws of this State regarding the business of insurance and WHEREAS, the said company has filed in this of- rice a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, 1, ADAM HAMM, Com- missioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empow- ered through its authorized agents and representatives, to transact its appropriated business of authorized in- surance in the state according to the laws thereof, until the 30th day of April, A.D. 2014. IN TESTIMONY WHEREOF, 1 have hereunto set my hand and seal at Bismarck this first day of May, A.D., 2013 (SEAL) ADAM HAMM Commissioner of Insurance May 9, 16, 23. 2013 L-81264 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the Nippon Life Insurance Company Of America In the state of Iowa Total Assets 213,665,355 Total Liabilities 79,062,821 Common Capital Stock 3,600,D00 Referred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus Notes 0 Gross paid in and contributed surplus 94,953,992 Aggregate write-ins for special surplus funds 0 Unassigned funds (surplus) 36,048,542 Less treasury stock, at cost 0 # shares common O # shares preferred 0 Surplus as regards Policyholders 134,602,534 Total Liabilities, Capital and Surplus 213,655,355 North Dakota Business Only For the Year 2012 Life & Annuity Total Direct Premiums Written 0 Total Direct Losses Paid O Accident & Health Total Direct Premiums Written 0 Total Direst Losses Paid 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE 1, Adam Hamm, Commissioner of Insurance of the State of North Dakota, do hereby certify that the fore- going'is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of this office at Bismarck, the first day of May, A.D. 2013 (SEAL), ADAM HAMM Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly orga- nized under the laws of its state or country of domicile. has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2012 conformable to the requirements of the laws of this State regarding the business of insurance and WHEREAS, the said company has filed in this of- fice a duly certified copy of its chaer with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, ADAM HAMM, Com- missioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empow- ered through its authorized agents and representatives, to transact its appropriated business of authorized in- surance in the state according to the laws thereof, until the 30th day of April, A.D. 2014. IN TESTIMONY WHEREOF, 1 have hereunto set my hand and seal at Bismarck this first day of May. A.D., 2013 (SEAL) ADAM HAMM Commissioner of Insurance May 9, Ifi, 23, 2013 L-67172 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the Ohio National Life Insurance Company In the state of Ohio Total Assets 21,631,247,430 Total Liabil)ties 20,582,931,858 Common Capital Stock 10,000,000 Preferred Capital Stock 0 Aggregate write ins for other than special surplus 0 Surplus Notes 309,240,757 Gross paid in and contributed surplus 183,297,154 Aggregate write-ins for special surplus funds 0 Unassigned funds (surplus) 545,777,664 Less treasury stock, at cost 0 # shartS common 0 # sha preferred 0 Surplbs as regards Policyholders 1,048,315,575 Total I.rabilities, Capdal and Surplus 21,631,247,433 North Dakota Business Only For the Year 2012 Life & Annuity Total Jrect Premiums Written 2,021,023.00 Total Direct Losses Paid 3,431,284 O0 Accident & Health Total Direst Premiums Writtee 111,507.00 Total Direst Losses Paid 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE 1, Adam Hamm, Commissioner of Insurance of the State of North Dakota, do hereby certify that the fore- going is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, 1 have hereunto set my hand and affixed the seal of this office at BismarcL the first day of May, A.D. 2013 (SEAL), . ADAM HAMM Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly orga- nized under the laws of its state or country of domicile. has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2012 conformable to the requirements of the laws of this State regarding the business of insurance and WHEREAS, the said company has filed in this of- fice a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, 1, ADAM HAMM, Com- missioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws. do hereby certify that the above named company is fully empow- ered through its authorized agents and representatives. to transact its appropriated business of authorized in- suran.ce in the state according to the laws thereof, until the 30th day of April. A.D. 2014. IN TESTIMONY WHEREOF, I have hereunto set my hand and seal at Bismarck this first day of May. A.D., 2013 (SEAL) ADAM HAMM Commissioner of Insurance May 9. 16. 23. 2013 L-13100 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the Omaha Insurance Company In the state of Nebraska Total Assets 19,948,310 Total Liabilities 3,689,280 Common Capital Stock 2,000,000 Preferred Capital Stock 0 Aggregale wrde-ies for other than special surplus 0 Surplus Notes 0 Gross paid in and contributed surplus 18,126,000 Aggregate writs-ins for special surplus funds 0 Unassigned funds (surplus) -3,866,970 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as regards Policyholders 16,259,030 Total Liabilities, Capital and Surplus 19,948,3t 0 North Dakota Business Only For the Year 2012 Life & Annuity Total Direct Prereiums Wfilten 6 Total Direct Losses Paid 0 Accident & Health Total Direst Premiums Written 0 Total Direst Losses Paid 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Hamm, Commissioner of Insurance of the State of North Dakota, do hereby certify that the fore- going is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, 1 have hereunto set my hand and affixed the seal of this office at Bismarck, the first day of May, A.D. 2013 (SEAL), ADAM HAMM Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly orga- nized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2012 conformable to the requirements of the laws of this State regarding the business of insurance and WHEREAS, the said company has filed in this of- rice a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, 1, ADAM HAMM, Com- missioner of Insurance of the State of North Dakota. pursuant to the provisions of said laws, do hereby certify that the above named company is fully empow- ered through its authorized agents and representatives, to transact its appropriated business of authorized in- surance in the state according to the laws thereof, until the 30th day of April, A.D. 2014. IN TESTIMONY WHEREOF, I have hereunto set my hand and seal at Bismarck this first day of May, A.D., 2013 (SEAL) ADAM HAMM Commissioner of Insurance Mayq, Ifi, 23, 2013 L-97268 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the Pacific Life and Annuity Company In the state of Arizona Total Assets 5,329,839,965 Total Liabilities 4,841,273,279 Common Capital Stock 2,900,000 Preferred Capital Stock 0 Aggregate write ins for other than special surplus 0 Surplus Notes O Gross paid in and contributed surplus 134,606,714 Aggregate write-ins for special surplus funds D Unassigned funds (surplus) 351,059,972 Less treasury stock, at cost 0 # shares common 0 # shares preferred 0 Surplus as regards Policyholders 486,566,686 Total Liabilities, Capital and Surplus 5,329,839,965 North Dakota Business Only For the Year 2012 Life & Annuity Total Direct Premfurns'written 0 Totat Direct Losses Paid 33,775.00 Accident & Health Total Direct Premiums Written 0 Total Direct Losses Paid 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE 1, Adam Harem, Commissioner of Insurance of the State of North Dakota` do hereby certify that the fore- going is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of this office at Bismarck. the first day of May, A.D. 2013 (SEAL). ADAM HAMM Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly orga- nized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2012 conformable to the requirements of the laws of this State regarding the business of insurance and WHEREAS, the said company has filed in this of- rice a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, I, ADAM HAMM, Com- missioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empow- ered through its authorized agents and representatives, to transact its appropriated business of authorized in- surance in the state according to the laws thereof, until the 30th day of April, A.D. 2014. IN TESTIMONY WHEREOF, I have hereunto set my hand and seal at Bismarck this first day of May, A.D., 2013 (SEAL) ADAM HAMM Commissioner of Insurance May9, 16, 23, 2013 L-67466 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2012 of the Pacific Life Insurance Company In the state of Nebraska Total Assets 101,000,915,366 Total Liabilities 94,825,814,119 Common Capital Stock 30,000,000 Preferred Capital Stock 0 Aggregate writs-ins for other than special surplus 398,154,040 Surplus Noles 1,599,425,789 Gross paid in and contributed surplus 1,185,438,610 Aggregate write ins for special surplus funds 0 Unassigned funds (surplus) 2,962,082,808 Less treasury stock, at cost 0 # shares common O # sbarss preferred 0 Surplus as regards Policyholders 6,175,101,247 Total Liabilities, Capital and Surplus 101,000,915,366 North Dakota Business Only For the Yem" 2012 Life & Annuity Total Direct Premiums Written 16,865,647.00 Total Direst Losses Paid 11,724,917.00 Accident & Health Total Direct Premiums Written 0 Total Direst Losses Paid 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Harem, Commissioner of Insurance of the State of North Dakota. do hereby certify that the fore- going is a true Abstract of Statement. as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of this office at Bismarck, the first day of May. A.D. 2013 (SEAL), ADAM HAMM Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, the above corporation duly orga- nized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2012 conformable to the requirements of the laws of this State regarding the business of insurance and WHEREAS, the said company has filed in this of- rice a duly certified copy of its charter with certificate of organization in compliance with the requirements of insurance law aforesaid, NOW THEREFORE, l, ADAM HAMM, Com- missioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empow- ered through its authorized agents and representatives, to transact its appropriated business of authorized in- surance in the state according to the laws thereof, until the 30th day of April, AD. 2014. IN TESTIMONY WHEREOF, l have hereunto set my hand and seal at Bismarck this first day of May, A.D., 2013 (SEAL) ADAM HAMM Commissioner of Insurance Senior Meals Through Friday May 17th Thursday May 9th Roast Turkey with Gravy, Sweet Potatoes, Cranberry Sauce, Mashed Potatoes, Stuffing and Apple Crisp with Topping Friday May lOth BBQ Chicken, Potato Salad, Baked Beans and Strawberries Monday May 13th Lasagna, Green Beans, Broccoli with Ranch Dressing and Cantaloupe Tuesday May 14th Hamburger on WW Bun, Corn and Potato Chowder, Carrot Sticks and Pear Sauce Wednesday May 15th Swedish Meatballs, Mashed Potatoes, Squash, Mandarin Orange Sauce and Oatmeal Raisin Cookie Thursday May 16th Beef and Spanish Rice, Peas, Romaine Lettuce with Dressing, Pineapple Ring, Angel Food Cake with Strawberry Topping and WW Bread-1 Friday May 17th Swiss Steak with Tomatoes and Onions, Parslied Potatoes, Green Beans and Apple Crisp with Topping All meals served with who wheat bread, margarine and 1% milk. Suggested donaUon is $4.00, Under 60, $6.75. Pembiea County Meals and Transpodation - Call: 454-6586 KC's Column Continued From Page 4 He was named Mr. DHS in a vote by the freshmen, sophomores, and juniors in the 41st Annual DHS Senior Poll. He was also a member of the Titans boys' basketball tealTl. This is Bradley's seventh time as Student of the Week, having been selected for Nov. 26-30, 2007; ]an. 12-16, 2009; News we can use? Call 'the VNV Hot Line 70] 360-3005 Or Email volleynpolarcomm.com Subscribe or renew your subscription to Valley News and Views Online by going tc www.valleynv.com Winner of he Animal Republic of Robbin's Pullet Egg Prize. FREE Estimates Local ND Company $300 OFF! CALL FOR DETAILS 701-650-0095 CentralCityRemodelers.com Dec. 14-16, 2009; Dec. 13-17, 2010; Jan. 23-27, 2011; and Sept. 24-28, 2013. Trivia Quiz Answers (1.b; 2. b; 3. c; 4. b; 5. b) 2012 NORTH DAKOTA EXPORTER OF THE WAR START ] BUtLDING YOUR LEGACY TODAY . 1 SO0 237-9620 Thousands of Satislied Customers Transferable Warranty Ucensed-lmumd MN Ucense #20S42636 ND License #38488 800-348-6247 wwwcom = Basement and Crawl Space r Problems Solved Leaky basements made dry Drain tile & baseboard systems Buckling walls corrected Foundation repair & wall crack repair Egress window installation --mlt nt water Cnll=tled f t ............................................................................................................................. )iiii!iiiil !//i! i!iii i !!!ii i i: !iiii' i! i!i00i ii!00!iZ!ijl i! !ii00ii!i;ii: !! i ! i!ii!i i i i! I ! i! iii!!! i il: i i: