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HomeMy WebLinkAbout02-3661COMM~)A'WF~L~ 0i~ PENN~¥L INST~.ANC £ DEPARIMENT CERTIFICATE OF AUTHORITY StPJ'US AMERICAN IN-~URANCE COMPANY April 1, 2002 NAIC ID 35408 HAS COb[PLIED WITH THE RI~QUJR~MF2qT~ OF TH~ LAWS BI~ THE COIq~MONWEALTH OF P~N~ISYLVANIA I~.l ATING TO ADMiSSiON I~ SAID COI~lqW~AL'~ FOR 'rlu~ I~J~OSE OF ~I~.ANSACT~G I~SURA~NCE O USI~'~'..~S ~ Pr'~IN ~ Y'f_VANIA AJ~D THAT ~ AJ3OVE NAA,~D COMPANY IS I~iq~BY AUTHORI~ TO TRANSACT ~ BUSINESS OF: POR TI~ YEAR gNDRqG MARCI~ .I 1.2003. FA/ACCORDANCE wTnt lT.q CHARTER CONFORMITY WI'fi-! THE CA ws OF SAl~ COMMONWEALTH OF PENNSYLVANIA. IN WITNIiSS ~OF, l RAVE IW.R.EU'NTO ~T MY HAND A,¥D AFFrXI~D MY OFFICIAL SF. AL, THE DATE AND YEAR ~ABOYE WRITTEN M. DIANE ICOICL~q INSURANCE COMMISSIONER QUARTERLY STATEMENT AS OF SEPTEMBER 30. 2001 OF THE CONDITION AND AFFAIRS OF THE SIRIUS AMERICA INSURANCE COMPANY 0000 N^IC Company Code 35408 New York~ NY 10~52 11/18/1677 _. 32 Loockerman Square Suite L100 Employer's ID Number 13-2950697 Delaware . State of Domicile or Port ol Enlry United States of An~erica CommenCed Business 01/0f/1078 Dover, DE 19901 375 Park Avenue Suite 2107 212-702-3700 New York. NY 10152 375 Park Avenue Suits 2107 212-702-3704 President and Chiel Exeou~ve O[flesr . Executive Vice PresidenL Senior Vice Presldenl and · Chief Informa5ort Officer Bard Erlln~ Bunaes Chrtalopher Ltam Galla~her James Andrew Crowe OFFICERS vice President. General Counsel and Corporate Secretary Vice President a~l Audit Manager 212-702-3704 212-753-0764 John Michael Komobls Jean Made Cho John Sullivan Isabella Levers DeRoy JItan Motllal Kapadta delfre;/Alan Kurnentz DIRECTORS Bard Edlng Bunaes Lars Bk S~te Ct ..................... ~New York Courtly ol ....................... New York The ogicera of this reporting enU y. be ng duly sworn, each depose and say that they are the described ollicers o~ 8aid reporllng entity and thai on he reporllng period stated above, all of the herein described assets were the apaOlUle properl ol the said e claimethereo~.exceplashara~nsaed, endthat hss[aemenl.~ etherw Y partngen y. reeandcearf~omanyllensor Inetnzc~ions and AccounUng Pmnc~t ee and Procedures Manual except to the exlenl that: (I) state law may dlttar, or. (2) that stale rtaes or regutaticns 28th ,dayo -- October~ 2001 Notary Public. State oi N.~w York No. 01DE5037571 O~mli[ind in Richmo~ld ,",, ,, ' STATEMENT AS OF SEPTEMBER 30, 2001 OF THE Sirius America insurance Company ASSETS 1 2 3 .................................. 852,375 , ................... 642,178 ................................. 2 STATEMENT AS OF SEPTEMBER 30, 2001 OF THE Sirius America Ineurance Company LIABILITIES, SURPLUS AND OTHER FUNDS ...................................................................................... 828,235 .................. .1,056,532 ................................................................................................................ 8,447 .................... 8,448 STATEMENT AS OF SEPTEMBER 30, 2001 OF THE SIHus America Insurance Company STATEMENT OF INCOME ............................................................................................................ 32,882,481 ................ _10,545,251 ............ 14,317,694 .................. 629,469 ............... 322,8~ ................ 971,156 15, Net in~o~e before divi6e~ds ~o pcflicyho~ers snd ~eforlm federal aPld f~elgn income tins (LinesT°tal olhllr I~r~me (LJm~ 11 through tiS) ......................................... ~. Ch,,O,k~,,,~d~o~,,.~,~e,~,,~m~D,l,l~,,,)..::::::£:[._~..:.::::_~: ....................... ~.~04.ZC .~ ........... (2.9~.77~ ........ ~3.~.~ ~4' ~ ~ "t ~'~ ~' ~ ........................................ ~Z' ~q*~'"~"~ ......................................................... :.:L...~'::'~'.: ................................................................ ~.~ ?~"'f'~ ~ ,~, ~S~ ~) ~.....::::::_Z~:.-- -'"::::-~::'Z .................................................................................. ~0.~ T~f~ m ,,~m~(S~ ~,n~) ................. ~0.~ ~ ~ ~, ................. - .................................. :::"J'22:~:::::::'~::::: ........................................................ ~2. O[~de~ ~ ~m .......................... ~ ................................................................................................................................... ~. ~,~ ~ ~,,~ ,~ .................................. ~' ........................................................................................................................... ~' ~'~ ~ ~ ~", ~ ~ ', ,u~ .................................. Z::.....:::':'":..:: .......................................................................... ~e8. S~~,~rU~ ~ ~ ~ ............................... ~Z:~' -- .......................... ............ :::'"'";~':: ................................................................... STATEMENT AS OF SEPTEMBER 30, 2001 OF THE Sirius America Insurance Company CASH FLOW ............................................................................. 2.335,873 .......... d,(~4,244