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05.L//9;2
FEDERAL INSURANCE COMPANY
STATEMENT OF ASSETS, LIABIlITIES AND SURPLUS TO POUCYHOLDERS
ASSETS
Cash and Short Term Investments....... $
Unfted Stales Govemment, State and
Municipal Bonds ....................................
Other Bonds .........................................._......
Slocks ..................,.....,.................................."
Other Invested Assets ........................'......
TOTAL INVESTMENTS ..........................
Investments in Affiliates:
Chubb Investment Holdings, Inc. ........
Pacific Indemnity Company...................
Executive Risk Indemnity Inc. ............
Chubb Insurance Company of Europe..
Great Northern Insurance Company..
CC Canada Holdings Lid. ......................
Vigilant Insoranc& Company.................
Other Affinales .....................................,....
Premiums Receivable ................................
Other Assets ........,.......................................
Statutory Basis
DECEMBER 31, 2004
Qn thousands of dolers)
383,074
10,946,632
2,719,905
643,464
827,529
15,520,604
1,552,797
1,151,862
585,218
676,261
254,959
263,553
119.470
292.070
1,591,736
1,120,195
TOTAL ADMITTED ASSETS................ $ 23,128,725
LIABILITIES
AND
SURPLUS TO POLICYHOLDERS
Oolstandl1g Losses and Loss Expenses .... $
Unearned Premiums .....................................
Reinsurance Premiums Payable .............
Provision for Reinsurance..........................
Other LlabiNties ...............................................
9,939,617
3,564,397
466.431
168,509
1,225,106
TOTAL LIABIUTIES .......................................
15,364,060
Capital Stock ................................................
Paid - In Surplus ........................................
Unassigned Funds ....................................'
20,980
3,106,790
4,636,895
SURPLUS TO POLICyHOLDERS.........
7,764,665
TOTAL LIABILITIES AND SURPLUS
TO POLICyHOLDERS...............,.......... $ 23,128,725
Inveslments are vaOOd in accordance with requirements of the National Association of Insurance Commissioners,
Investments vaOOd at $285,855 are deposfted wfth government authorities as required by taw.
State, County 8. city of New York, _ ss:
Anna Maria Lovecchio kc;si!i;tant SAl"'.tAtarv of the Federal Insurance Company being
duly swom, deposes and says that the Ioregoing Statement of Assets, Uabillties and Surplus to Policyholders of said
Federal/nsurance Company on December 31, 2004 is true and correct and Is a true abstract of the Annoal Statement of
said Company as filed wil/1 the Secretary of the Treasury of the Unfted States for the 12 months ending December 31,
2004.
Subscribed and sworn 10 before me
this
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Notary Pubic
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CAR1. SICIUANO
NOTARY PUSUC. S'" oJ_Vorlr.
No. 01~
QuoIIlIod In SulIoIr County
Comm_ ElqIINoApdl21, 2007
Form 21-11).. 0071A (RdV. 5. 05)
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WELLS FARGO FINANCIAL,
ACCEPTANCE PENNSYLVANIA
INC.,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
PLAINTIFF
V.
SHANNON M. MURPHY,
DEFENDANT
05-3625 CIVIL TERM
AMENDED ORDER OF COURT
AND NOW, this
>4
day of August, 2005, this court's order of July
27, 2005, is amended to reflect that the "plaintiff shall post a bond in accordance with
Pa.R.C.P. 1075.3(b) in the amount of $13,316.00." All other provisions of this court's
order shall remain in full force and effect.
Michael F.J. Romano, Esquire
52 Newton Avenue
P.O. Box 456
Woodbury, NJ 08096
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LAW OFFICES OF
MICHAEL F.J. ROMANO
52 NEWTON AVENUE
P.O. BOX 456
WOODBURY, NJ 08096
Telephone: (856) 384-1515
Telefax: (856) 384-6371
E-mail: mroman046@comcast.net
MICHAEL F.J. ROMANO*
FRANCIS J. SKINNER*
O/Counsel:
ALFRED J. QUASTI, JR.*
*Membe.s ofNJ & PA Ba.
August II, 2005
Of Counsel:
MICHAEL D. BLOOM**
P.O. Box 13, Tenafly, NJ 07670
Telephone: (201) 266-4351
**Member ofNJ, NY, FL & DC Bar
Office of the Prothonotary
Court of Common Pleas
Cumberland County
One Courthouse Square
Carlisle, PA 17013
Attn: Renee
Re: Wells Fargo Financial Acceptance Pennsylvania, Inc.
v. Shannon M. Murphy
Case No.: 2005-03625
Our File No.: 1&0-WFF-020
Dear Renee:
This office represents plaintiff Wells Fargo Financial Acceptance Pennsylvania, Inc.
("Wells Fargo") with regard to the above-referenced matter. Pursuant to your conversation with Tammy
of my office, enclosed herein please find the financial statement of Federal Insurance Company, the
provider of our Bond in this matter. Also, enclosed please find check# 1&12 in the amount of $7.00.
indly provide us with copies of the signed Order, time-stamped Complaint and Motion package.
Thank you kindly for all your help with regard to this matter.
~
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t..:, Michael FJ. Romano
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MFJR:ty
Enclosures
cc: Wells Fargo Financial Acceptance