293-22 Exhibit A.pdf

FIRST INDEMNITY OF AMERICA INSURANCE COMPANY 2740 Route 10 West, Suite 205, Morris Plains, N.J. 07950 STATEMENT OF FINANCIAL CONDITION AS OF DECEMBER 31, 2017 Assets: Bonds $ 1,175,645 Preferred & Common Stocks 7,445,188 Mortgage Loans 120,000 Real Estate 1,066,243 Cash and Short Tenn Investments 1,314,787 Investment Income Due and Accrued 20,576 Premiums in the Course of Collection (Under 90 Days) 258,211 Reinsurance Recoverable on loss and ~E Payments 82,415 Deferred Tax Asset 381,188 Other Assets 79,848 Total Admitted Assets 11,944,101 liabilities and surplus: Reserve for Loss amd Loss Adjustment E>:penses 2,171.169 Other Expenses 250,441 Taxes licenses and Fees 77,118 Federal Income Tax Payable 31,000 Unearned Premium 2,113,536 Amounts Withheld or Retained for Others 21,664 Ceded Reinsurance Balances Payable

2,113,536 Amounts Withheld or Retained for Others 21,664 Ceded Reinsurance Balances Payable 155,322 Uabi!itiy for Unauthorized Reinsurers Total Liabititfes 4,820,250 Capital & Surplus: Common Stock, Paid Up 2,500,000 Paid in and Contributed Surplus 1,480,945 Unaslgned Surplus 3,142,906 Surplus as Regards to Pollcyholders 7,123,851 Total Liabilities and Surplus $ 11,944,101 I, Glenn A. Runne, Chief Financial Officer of First Indemnity of America Insurance Company, do hereby certify that the foregoing statement is a correct exhibit of the assets and surplus of the said company, on the 31st day of December, 2017, according to the best information, knowledge, and belief, .4a&n o R~ Glenn A Runne Chleffim:mcial Officer State of New Jersey) County of Morris) SS» Subscribed and sworn to, before me, a Notary Public of the State of New Jersey in the Township of Morris Plains, this 31st day of December, 2017. ~~hr£ I &/;ekJ) My Commission Expires March 16, 2020