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97-06985
I' ii " ~ ia ~ 'l' ~ " ! \i " S' .~ , ~" ~ , , , .. ~, ~' , ' \ , , '~, \ ) //' r / 1\ I i I I' ..... . ~ ~ \J ~ ,~ ~' ~' " t ~I ~I , i . ~II~ ~ M ~P1~~ (Jl 60S M "I~6 (Jl ~i~~ s i" !r1 n "'~~~ ~ ~2l1-< M atl~El "" ...:! :i~ mill ~ EP' M~ I-<(;l ~~~~ g lS ..~o ~~ 01-< "I ~a ~el:l~ !il5 o~ . e !~ ... 2M I-< ~in: :J:\DIIl~ "'.. ~~ )0101 ... gR~ OUld I-< r:~ COH~ tl~ III ~< n.J ~~ ~~ ~l"l 1.'1 ~(Jl H .. >i (') :0 ~U 5~ 1"0 ~C;~ Z:nNIIl I-< . OUl>' ~.. ~;i at'" i~ S ~~ III !il: ~ ~l"l ~ IlO "" 5~1 III a OtJ~ ~ . . l:ll-< i; .... ~~i ...!lJ i~;j .... ~ a i~ ~ N ~~ it ~ ~.~ ... ro al ~;i :0 I ~< .... ~ &;! I-<(;l ~::J~ .... ~a ?':i H 0>' m I ;! ~ ~ I-< . ... .. 5 I i I I-< .. S;!~ I" II~ 5 a H~! ... ~ . ..lOa ... 0 ! i 5 5 III Im~ III I I-< "" -0 i~ ~ I-< .. -,l I '4 &II-< ~ ~ i 3 I-< ~ 0 ~ ~ -~e ~ . 3 , DEe 11 ' 91 10' 56A'1 WESTERN SlJ'E:TY UNIVERSAL SURETY OF AMERICA Statutory Statemellt. of Admitted Auets, Liabilities alld Capital and Surplus December 31, 1996 III1d 1995 P.2/2 AiImlDed ~..et! Casb and m.n1-lenn invllllllenu (nole 3): Cuh Cub equlvllents, II COIl, which approximatel markt! Short-term bonds, alllllonizcd COlt, which approxlmllC' market CtriifiCIlII of deposit TOlal cl!h IIld short-tenn investmcnu 1996 1995 S 63,423 6$6.995 7~I,462 750,414 1,045,645 1.405,212 J 70,000 420,000 2,040,530 3,:232,621 23,609,681 18,319,522 763,669 25.650,211 22,315,812 1,929,721 1,472,101 311,289 207,478 214,351 1IS,332 427,517 550,663 186,729 142.034 S 28719818 24.873.420 2,356,071 2,:270,943 125,000 12,000 748,600 601,333 10,523,788 9,111,213 501,100 254,252 2,599,416 3,189,100 38,034 183,514 132,:277 11,869 139 17,024,256 1S.6\lAJ63 Bonds, atamonlzcd cost, muket S23,668,484In 1996 and SI8,553,7041n 1995 (note 3) Preferred stock (nole 3) Totallnveltcd asseu ^8UU' balances and premiums recelvlble AJSUDIed premiums nccivabJe from rwured company (notc 7) In~t due and aCClUed ReiDSUl'IIlce recoverable (nole 4) Illectronlc data ProCClssinl equipment, net ohccumulated dcprecllllon ofS229,81B in 1996 end S180.931 in 1995 Toul odmiltcd asSeIS l.1.hnitiell md {'~'pfalllnrt !';uq,lu!I Liability for unpaid losses IIld 1015 edjuslmcnl expenses (nole 4) Contlnacu% commissions ACClUed expenses Unearned premiums (nole 4) Ceded premiums payable to reinlums Fwds held u collateral federallncome taxes payable (note 5) Payable to parentlllld affIlims Othar liabilities T otalllablUties Commllmentl and conlingcncics (notes 4 and 9) Capital and surplus (nole 6): Common stock, $1 pll'v&lue. 5,000,000 slwc$ ~uthorized; 4,:200.000 and 3.000,000 shares issued and outstanding in 1996 and J 995, nspectively Paid-in surplus Unasu.ned surplus Total capiQI IIld surplus TOlillliabilities and "pical and ~urplus 4,200,000 1.000,000 _~.49S,S32 --1.1,69'.532 S 28,719,81l 3.000,000 548.884 5.630.17,1- ----2. I 79.051 24,173.4:l0 r Dee 11 '97 11:03 6053::150357 PAGE.a2