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Cincinnati Indemnity Company

INDIANADEPARTMENTOFINSURANCE

311W.WashingtonSt.,Suite300

Indianapolis, IN46204-2787

Non-LIFE-STATEMENTOFCONDITION

Onthe31stdayofDecember, 2016

COMPANYNAME:CINCINNATI INDEMNITY COMPANY

ADDRESS:P.O. BOX 145496

CITY, STATEZIPCODE:CINCINNATI Ohio 45250-5496

ORGANIZEDUNDERSTATEOFOhio FEIN: 31-1241230 NAIC CODE: 23280

CONTACTPERSON: Christina Scherpenberg  PHONE: 513-870-2000

EMAIL: Christina_scherpenberg@cinfin.com

ASSETS OF COMPANY

(Nearest dollar)

Bonds (Schedule D).............................................................. $70,681,659

Stocks Schedule D)............................................................... $23,684,916

Mortgage Loans on Real Estate (Schedule B)...................................... $0

Real Estate (Schedule A)...................................................................... $0

Cash & Short Term Investments (Schedule DA & E)............... $2,083,611

Agents Balances or Uncollected Premiums.......................................... $0

Other assets......................................................................... $33,885,975

                                TOTAL ASSETS..................................... $130,336,161

LIABILITIES, SURPLUS AND OTHER FUNDS

Reserve for Losses................................................................................ $0

Reserve for Loss Adjustment Expenses................................................ $0

Reserve for Unearned Premiums.......................................................... $0

Reserve for Taxes................................................................... $3,761,070

All Other Liabilities............................................................... $33,395,731

                                TOTAL LIABILITIES................................. $37,156,801

Special Surplus Funds................................................... $0

Capital Stock................................................... $3,600,000

Gross Paid in and Contributed Surplus......... $21,600,000

Unassigned Surplus...................................... $67,979,360

                Surplus as regards Policyholders.......................... $93,179,360

                                TOTAL LIABILITIES AND SURPLUS......... $130,336,161

                    Michael J. Sewell                           Theresa A. Hoffer

                       (Print Name)                             (Print Name)

              Chief Financial Officer                         Treasurer

State Form 1143 (R/10-87)

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