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COMMONWEAL TII OF' I'ENNSYLV ANIA
INSURANCE DEPARTMENT
Harrisburg, Pi\. AoriLh..2005
Whereas, the NATIONAL GRANGE MUTUAL INSlmANCE COMPANY, located at Keene, NH,
has filed in this Department a ccrtifled copy of its charter and a detailed statemcnt of its Assets and Liabilities,
and otherwise complicd with the requirements nCSectio!1 661 of the Act of Assemhly Ofl1w Commonwealth of
Pennsylvania, entitled "An act relating to insurance; amending, rc\ising and consolidating the Law &c.,"
approvcd the 17lh day of May, A.D. 192], as well as with the rcquircments of the laws of this Commonwealth
applicable to such company in doing busincss herein.
Now Thet'cfore, I, M. Diane Kokeno In:;,Irimce Commission',;r of the Commonwealth of PCl1nsyhania, do
h~reby cC11ify, in accordance with Section J, of the Act of ,\sscl1lbly ilpprcvcd JU.'le 29, 1923 and known as act
'\0.373 llfthe Laws of 1923. that the National Grange MutllallnslIrance Company, of
Kl'ene, NH, is duly authorized to become and be accepted as sole surety on all bonds. undertakings and
obligiltions requircd or permitted by law or the ordinances. rules or regulations of any municipality, board,
body, organization, or public ofllcer.
In Witness Whcrcnf. I have hercunto set my hand and
aflixcd my official seal. the day and ycar lirst above written.
'YI~
---------'''C-''t: Insurance c~mllll simler
. ~THE MAIN STREET AMERICA GROUP
Nati?nalGranqe"'IJ.\\ialllw.irnl1ceCornpany'OldDomini'Jo:\I~"JraoceCool,Oal1Y
MoillStroolAm!riClll\ssurance Com~ny' !n/r:lffi\a!iO!l~WI1~ ~n(i $efloioes COfIlOIlIlioo.
I certify that at the Annual Meeting of the Directors of the National Grange Mutual Insurance Company duly called and heid at Keene,
New Hampshire on March 11, 2005, the foliowing officers were elected and still remain in office:
PHILIP D. KOERNER..............................................................................".......CHAIRMAN OF THE BOARD
THOMAS M. VAN BERKEL ..........,.........................................PRESIDENT AND CHIEF EXECUTIVE OFFICER
JEANNE H. EDDY ......................................,.................................................EXECUTIVE VICE PRESIDENT
STEPHEN CANTY, KELLY STACY
ANTONIA M PORTERFIELD..,........................................,...............................,.. SENIOR VICE PRESIDENTS
EDWARD J. KUHL...........................SENIOR VICE PRESIDENT, CHIEF FINANCIAL OFFICER & TREASURER
WILLIAM ANDERSON SCOTT B. GERLACH,
BRIAN J. BEGGS, JOSEPH L. GRAUWILER ..................,....,...........,...............,........,...... ViCE PRESIDENTS
JOEL GELB ....................................,............................vICE PRESIDENT & CHIEF INFORMATION OFFICER
RICHARD B. KELLY.................,....................................VICE PRESIDENT & CHIEF INVESTMENT OFFICER
EDWARD LOTKOWSKI ..................,........................,.................vICE PRESIDENT & CORPORATE ACTUARY
WILLIAM C, MCKENNA ........,..,........................................................,... VICE PRESIDENT & SECRETARY
MARLIN J. CRAWFORD, JOHN M, HERRON, L YN E. LANDRY,
GREG E. MANNING, GEOFFREY MOLINA, TIMOTHY O. MUZZEY,
DEBRA POSPIEL, KEVIN SMICK,
JOHN THOMPSON, DENNIS B. UHLER .................................,...................... ASSISTANT VICE PRESIDENTS
MICHAEL GROGAN, WILLIAM GARVEY,
DEBORAH JANSEN ..... ......,.,.......,. ...,.... ....,. ... .................... .,..........,.. ...,......... ASSISTANT SECRETARIES
STEPHEN SAUTHOFF
DEAN DORMAN ........,........ ..........,....., .... ........., ..."........ .... ...........,.,.....,... ,........ ASSISTANT ACTUARY
RICHARD SCHULTZ ...... ........................... .......... ...................... ..... ............ ....... ASSISTANT TREASURER
RESIDENT VICE PRESIDENTS (Appointed)
ROBERT BUCHHOLZ ............................................,...........,......VICE PRESIDENT, NEW ENGLAND REGION
MARK BERGER .............................................................................VICE PRESIDENT, SYRACUSE REGION
KEVIN KOWAR ...........................,............,.....................................vICE PRESIDENT, SOUTHERN REGION
I further certify that the foliowing statement of the Company is true as take from the records of said Company as of December 31,2004.
ADMITTED ASSETS
Bonds at Amortized Values .................. $ 305,418,434
Stocks at Market Value .......................... 277,342,367
First Mortgage Loans ............................ 1,911,324
Reai Estate ......................................... 5,290,466
Cash in Office and Banks ....................... (11,114,805)
Short Term Investments .......................... 6,146,794
Agent's Balance (Less than 90 Days) ....... 78,488,035
Accrued Interest................,................. 2,799,048
Other Assets ......................................... 56,838,922
TOTAL ADMITTED ASSETS ,............. 723,120,585
LIABILITIES
Reserve for Losses .................................... $ 157,713,317
Reserve for Loss Adjustment Expenses ............ 23,569,849
Reserve for Unearned Premiums.................. 148,991,346
Reserve for Other Underwriting Expenses......... 13,140,427
Reserve for Taxes, Licenses, and Fees .............. 3,315,109
Loss Drafts in Transit .....................................
Other liabilities ............................................ 18,083,211
Total liabilities ........................................... 364,813,259
Policyholders' Surplus .................................. 358,307,326
TOTAL ................................................. 723,120,585
Securities as deposited by law, included above = $ 8,931,286
I further certify that the following is true and exact excerpt from Article V, Section 2 of the By-Laws of National Grange Mutuai
Insurance Company which is still vaiid and existing.
"The board of directors, the president, any vice president, secretary, or the treasurer shall have the power and authority to appoint
attorneys-in-fact and to authorize them to execute on behalf of the company and affix the seal of the company thereto, bonds, recog-
nizance or conditional undertaking and to remove any such attorneys-In-fact at any time and revoke the power and authority given to
them."
Subscribed and Sworn to before me
on this 14'" day of March, 2005
IN WITNESS THEREOF, I
hereunto subscribe my name and
affix the seai of said company this
14'" day of March, 2005
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My Commission Expires March 19, 2008
68.1191 (3105\
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