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SEC Rules
Regulation S-X
Form and Content of and Requirements for Financial Statements
Section 12-15

Summary of investments – other than investments in related parties.

[For Insurance Companies]

Column A Column B Column C Column D
Type of investment Cost1 Value Amount at which shown in the balance sheet2
Fixed maturities:
United States Government and government
agencies and authorities
States, municipalities and political subdivisions
Foreign governments
Public utilities
Convertibles and bonds with warrants attached3
All other corporate bonds
Certificates of deposit
Redeemable preferred stock
Total fixed maturities
Equity securities:
Common stocks:
Public utilities
Banks, trust and insurance companies
Industrial, miscellaneous and all other
Nonredeemable preferred stocks
Total equity securities
Mortgage loans on real estate
Real estate4
Policy loans
Other long-term investments
Short-term investments
Total investments

1 Original cost of equity securities and, as to fixed maturities, original cost reduced by repayments and adjusted for amortization of premiums or accrual of discounts.

2 If the amount at which shown in the balance sheet is different from the amount shown in either column B or C, state the reason for such difference. The total of this column should agree with the balance sheet.

3 All convertibles and bonds with warrants shall be included in this caption, regardless of issuer.

4 State separately any real estate acquired in satisfaction of debt.