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COM'TO:">WEALTH OF PE:-;NSYLVANIA
[i'SURANCE DEPARTMENT
Harrisbur~'. PA Ajlrill,2Q!l:
Whereas, the A~U:IUCA\' STA TES INSURANCE CO\lP.\:\Y, located ill Indianapolis, IN. has likJ
In this Department ~~ certilied l.:Opy of its charter and a detailed statement of its Assets (lnO Liabilities, and
othcn,:ise complied with tbe requirements of Sectit'JI1 li6l of lhe Act llf..\~;scmhl:: of tilt: Commonv..'calth of
1).:m1~_;yl\'ama, t!llilied r\n au relaTing to inS,-lCd1CC; an~el1dinl'" j,t';"\-ising and CO;-\~iolida:illg the L~l\-\ &c.."
api)f(lvcd th~ I ill day of 1'v1ay_ A. iJ. 1921, as we! \ (-l;-; ,"vith the rcqui1\;'l1lCnb of the laws of this Conunon\\:ealth
applicah~c ro such cOlnpany in Ji.Jing bu:-;inc~;s h(~:t2;i"l.
Now Thl'rcfore~ t 1\11. Diane Kokcll:. Insurance l>lll1mis-"ju[~:~r of the COIl1rnonwca!th (If Pcnnsyl\'ani;l, do
he-reby Ltn;ry, in accordance with SecTIOJl 1, nfd1c' J.-\U or .\ss(:mbly Cl:~-rr-'~'\'I..>tl :":211C 29, 1 ()2J ~'nJ kJ1C\\"n ~,S :lc!
~~(l. 373 oft.he L;l\vS uf 1l)23, th,n the /\IDcTic:.!n Sratc:-.: 'nsunu:::cr Comp,ul~'~ ur IrH.iianapoti~~ I~,~:. dul.,
auth(,liLl.J to become all~ be accep~_cd a~ soiL' ,:-;urdy en all bonds_ underbkings and lJbligiltion~ required or
j'c'rmitteJ by la\\; or the ordinances, rules or reguhnions of any municipality. hoard, hody, oqpmtzali\ln_ (\r
publi, officer.
In Witness Whereof. ] hav" hcreunw ,ct my hand ,md
aftixed 111) official seal. the day and year first "bow written.
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Insurance Comtnissioner
.
&!III.
AMERICAN STATES INSURANCE COMPANY
FINANCIAL STATEMENT - DECEMBER 31, 2005
Assets
Cash and Bank Deposits................................................ $ 175,000
"Bonds - U.S Govemment.................................... 187,717.700
"Other Bonds...... ..... ..' ........... '" ..... ................. ...... ....... 1,498,124,046
"Stocks ....... ........ .............. ..... '" ........ ...... ................. 218,654,878
Real Estate... ........... ........ ... ........ ................. ............. 7,391,449
Agents' Balances or Uncollected Premiums.......... 281,925,076
Accrued Interest and Rents.................................... 22,774,124
Other Admitted Assets........................................... 123.]93.598
Total Admitted A..ets.................................... ~2 139 9~~ 871
8~'<-s INSUI;>~
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"INDIA>>\>-.
Liabilities
Uneat1led Premiums........... ... ..' ...... ...... '" ... ... ,.. ... _.'
$ 409,426.866
932,881,434
o
491,723
Reserve for Claims and Claims Expense ..............
Funds Held Under Reinsurance Treaties.......................
Reserve for Dividends to Policyholders...................
Additional Statutory Reserve.................................
Reserve for Commissions, Taxes and
Other Liahilities ............................................... 224.381.107
TolaI............................................................ $1,567,181,130
Capital Stock............................. $ 5,000,000
Paid in Surplus.......................... 557,757,201
Unassigned Surplus .................... 210.oI7.540
Surplus to Policyholders ..............................
Total Liabllltie. and Surplu................................ S2.H9 9~~ 87J
772.774.741
* Bonds are stated at amortized or investment value; Stocks at Association Market Values.
Securities carried at $68,560,074 are deposited as required by law.
I, MICHAEL C. PETERS, President, Surety, of American States Insurance Company, do hereby certity that the foregoing is a true, and
correct statement of the Assets and Liabilities of said Corporation, as of December 31, 2005, to the best of my knowledge and belief
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Corporation at Seattle, Washington, this 1st day of
March, 2006.
S-1262ASl/a 3/06
President, Surety
Safeco and the Safeca logo are registered trademarks of Safeco Corporation
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