TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE SUBCHAPTER b: DOMESTIC STOCK COMPANIES
PART 203
PROXIES, CONSENTS AND AUTHORIZATIONS OF
DOMESTIC STOCK COMPANIES
SECTION 203.10 AUTHORITY, APPLICATION AND EFFECTIVE DATE
Section 203.10 Authority,
Application and Effective Date
This Part is prescribed by the
Director of Insurance under the authority granted him in Subsection (a) of
Section 28.2 of the Illinois Insurance Code by which the Director is
authorized to regulate proxies, consents, and authorizations in respect to
securities issued by a company subject to Article II of the Illinois
Insurance Code. This Part is applicable to each domestic stock company which
has any class of equity security held of record by 100 or more persons. But,
this Part does not apply to any company if 95 per cent or more of its equity
securities are owned or controlled by a parent or an affiliated company and the
remaining securities are held of record by less than 500 persons. A domestic
stock company which files with the Securities and Exchange Commission forms of
proxies, consents and authorizations complying with the requirements of the
Securities Exchange Act of 1934 (15 U.S.C. 78a et seq.), as amended, and the
applicable regulations promulgated thereunder, is exempt from this Part with
respect to any class of securities subject to Securities and Exchange
Commission (SEC) jurisdiction. This Part is effective on January 1, 1970.
 | TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE SUBCHAPTER b: DOMESTIC STOCK COMPANIES
PART 203
PROXIES, CONSENTS AND AUTHORIZATIONS OF
DOMESTIC STOCK COMPANIES
SECTION 203.20 PROXIES, CONSENTS AND AUTHORIZATIONS
Section 203.20 Proxies,
Consents and Authorizations
No domestic stock company, or
any director, officer or employee of such company subject to Section 203.10 of
this Part or any other person, may solicit, or permit the use of his name to
solicit by mail or otherwise, any proxy, consent or authorization concerning
any class of equity security of the company held of record by 100 or more
persons in contravention of this Part and Exhibits A and B, which are a part of
this Part.
 | TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE SUBCHAPTER b: DOMESTIC STOCK COMPANIES
PART 203
PROXIES, CONSENTS AND AUTHORIZATIONS OF
DOMESTIC STOCK COMPANIES
SECTION 203.30 DISCLOSURE OF EQUIVALENT INFORMATION
Section 203.30 Disclosure of
Equivalent Information
If proxies, consents or
authorizations concerning any class of equity security of a domestic company
subject to Section 203.10 are not solicited by or on behalf of the management
of the company from the holders of record of the security in accordance with this
Part and Exhibits prior to any annual or other meeting of the security holders,
the company must, in accordance with this Part and such other Parts as the
Director may adopt, file with the Director and transmit to all security holders
of record information substantially equivalent to the information which would
be required to be transmitted if a solicitation were made. The company must
transmit a written information statement containing the information specified
in Subsection (d) of Section 203.50 to every security holder who is entitled to
vote in regard to any matter to be acted upon at the meeting and from whom a
proxy is not solicited on behalf of the management of the company. But, in the
case of a class of securities in unregistered or bearer form, the statement
must be transmitted only to those security holders whose names and addresses
are known to the company.
 | TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE SUBCHAPTER b: DOMESTIC STOCK COMPANIES
PART 203
PROXIES, CONSENTS AND AUTHORIZATIONS OF
DOMESTIC STOCK COMPANIES
SECTION 203.40 DEFINITIONS
Section 203.40 Definitions
a) For purposes of this Part the term "company" is
defined in Subsection (e) of Section 2 of the Illinois Insurance Code (Ill.
Rev. Stat. 1981, ch. 73, par. 614).
b) The terms "solicit" and "solicitation" for
purposes of this Part include:
1) Any request for a proxy, whether or not accompanied by or
included in a form of proxy; or
2) any request to execute or not to execute, or to revoke, a
proxy; or
3) the furnishing of a form of proxy or other communication to
security holders under circumstances reasonably calculated to result in the
procurement, withholding or revocation of a proxy.
c) The terms "solicit" and "solicitation" do
not include:
1) any solicitation by a person concerning securities of which he
is the beneficial owner;
2) action by a broker or other person concerning securities
carried in his name or in the name of his nominee in forwarding to the
beneficial owner of the securities soliciting material received from the
company, or impartially instructing the beneficial owner to forward a proxy to
the person, in any, to whom the beneficial owner desires to give a proxy, or
impartially requesting instructions from the beneficial owner concerning the
authority to be conferred by the proxy and stating that a proxy will be given
if the instructions are received by a certain date;
3) the furnishing of a form of proxy to a security holder upon
the unsolicited request from the security holder, or the performance by any
person of ministerial acts on behalf of a person soliciting a proxy.
(Source: Amended at 2 Ill. Reg. 48, p. 38, effective November 30, 1978)
 | TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE SUBCHAPTER b: DOMESTIC STOCK COMPANIES
PART 203
PROXIES, CONSENTS AND AUTHORIZATIONS OF
DOMESTIC STOCK COMPANIES
SECTION 203.50 INFORMATION TO BE FURNISHED TO SECURITY HOLDERS
Section 203.50 Information
to Be Furnished to Security Holders
a) No solicitation subject to this Part may be made unless each
person is concurrently furnished or has previously been furnished with a
written proxy statement containing the information specified in Exhibit A.
b) If the solicitation is made on behalf of the management of the
company and relates to an annual meeting of security holders at which directors
are to be elected, each proxy statement furnished pursuant to Subsection (a)
must be accompanied or preceded by an annual report (in preliminary or final form)
to the security holders containing such financial statements for the fiscal
year as are referred to in Schedule SIS of the annual statement form as
prescribed by the National Association of Insurance Companies (N.A.I.C.) under
the heading "Financial Reporting to Stockholders". Subject to the
requirements with respect to financial statements, the annual report to
security holders may be in any form deemed suitable by the management which
meets the requirements of law. If there is more than one security holder in a
household, the company may, upon written authorization of all such security
holders in the same household, send only one annual report to the security
holder so designated by those security holders resident in the same household.
c) One copy of each report sent to the security holders under
this Section must be mailed to the Director not later than the date on which
the report is first sent or given to security holders or the date on which
preliminary copies of solicitation material are filed with the Director under
Subsection (a) of Section 203.70, whichever date is later.
d) If no solicitation is being made by management of the company
with respect to any annual or other meeting, the company must mail to every
security holder of record at least 20 days prior to the meeting date, and
information statement as required by Section 203.30, containing the information
called for by all of the Items of Exhibit A, other than Items 1, 3 and 4, which
would be applicable to any matter to be acted upon at the meeting if proxies
were to be solicited in connection with the meeting. If the information
statement relates to an annual meeting at which directors are to be elected, it
must be accompanied by an annual report to the security holders in the form provided
in Subsection (b) of this Subpart.
(Source: Amended at 2 Ill. Reg. 48, p. 38, effective November 30, 1978)
 | TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE SUBCHAPTER b: DOMESTIC STOCK COMPANIES
PART 203
PROXIES, CONSENTS AND AUTHORIZATIONS OF
DOMESTIC STOCK COMPANIES
SECTION 203.60 REQUIREMENTS AS TO PROXY AND INFORMATION STATEMENT
Section 203.60 Requirements
as to Proxy and Information Statement
a) The form of proxy:
1) must indicate in bold-face type whether or not the proxy is
solicited on behalf of the management;
2) must provide a specifically designated blank space for dating
the proxy; and
3) must identify clearly and impartially each matter or group of
related matters intended to be acted upon, whether proposed by the management,
or security holders.
No reference need be made to proposals as to which discretionary
authority is conferred under Subsection (c) of this Section.
b)
1) Means must be provided in the proxy for the person solicited
to specify by ballot a choice between approval or disapproval of each matter or
group of related matters referred to therein, other than elections to office. A
proxy may confer discretionary authority with respect to matters as to which a
choice is not specified if the form of proxy states in bold-face type how it is
intended to vote the shares or authorization represented by the proxy in each
case.
2) A form of proxy which provides both for elections to office
and for action on other specified matters must be prepared so as to clearly
provide, by a box or otherwise, means by which the security holder may withhold
authority to vote for elections to office. Any form of proxy which is executed
by the security holder in such manner as not to withhold authority to vote for
elections to office grants that authority, if the form of proxy so states in
bold-face type.
c) A proxy may confer discretionary authority concerning other
matters which may come before the meeting, if the persons on whose behalf the
solicitation is made are not aware a reasonable time prior to the time the
solicitation is made that any other matters are to be presented for action at
the meeting and if a specific statement to that effect is made in the proxy
statement or in the form of proxy.
d) No proxy may confer authority:
1) to vote for the election of any person to any office for which
a bona fide nominee is not named in the proxy statement, or
2) to vote at any annual meeting other than the next annual
meeting (or any adjournment thereof) to be held after the date on which the
proxy statement and form of proxy are first sent or given to security holders.
e) The proxy statement or form of proxy must provide, subject to
reasonable specified conditions, that the proxy will be voted and that where
the person solicited specifies, by means of ballot provided under Subsection
(b) of this Section, a choice with respect to any matter to be acted upon, the
vote will be in accordance with the specifications so made.
f) The information included in the proxy statement or information
statement must be clearly presented and the statements made must be divided
into groups according to subject matter, with appropriate headings. All
printed proxy statements or information statements must be clearly and legibly
presented.
 | TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE SUBCHAPTER b: DOMESTIC STOCK COMPANIES
PART 203
PROXIES, CONSENTS AND AUTHORIZATIONS OF
DOMESTIC STOCK COMPANIES
SECTION 203.70 MATERIAL REQUIRED TO BE FILED
Section 203.70 Material
Required to Be Filed
a) Two preliminary copies of the information statement or the
proxy statement and form of proxy and any other soliciting material to be
furnished to security holders concurrently therewith must be filed with the
Director at least 10 days prior to the date definitive copies of this material
are first sent or given to security holders, or any shorter period prior to
that date which the Director may authorize upon a showing of good cause.
b) Two preliminary copies of any additional soliciting material
relating to the same meeting or subject matter to be furnished to security
holders subsequent to the proxy statements must be filed with the Director at
least 2 days (exclusive of Saturdays, Sundays or holidays) prior to the date
copies of this material are first sent or given to security holders or any
shorter period prior to that date which the Director may authorize upon a
showing of good cause.
c) Two definitive copies of the information statement or the
proxy statement, form of proxy and all other soliciting material, in the form
in which this material is furnished to security holders, must be filed with, or
mailed for filing to, the Director not later than the date the material is
first sent or given to the security holders.
d) Where any information statement or proxy statement, form of
proxy or other material filed under this Part is amended or revised, 2 of the
copies must be clearly marked to show the changes.
e) Copies of replied to inquiries from security holders
requesting further information and copies of communications which do no more
than request that forms of proxy previously solicited be signed and returned
need not be filed.
f) Notwithstanding subsections (a) and (b) of this Section and of
Subsections (e) of Section 203.100, copies of soliciting material in the form
of speeches, press releases and radio or television scripts may, but need not,
be filed with the Director prior to use or publication. Definitive copies,
however, must be filed with or mailed for filing to the Director as required by
subsection (e) of this Section not later than the date on which material is
used or published. Subsections (a) and (b) of this Section and subsection (e)
of Section 203.100 do apply, however, to any reprints or reproductions of all
or any part of such material.
 | TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE SUBCHAPTER b: DOMESTIC STOCK COMPANIES
PART 203
PROXIES, CONSENTS AND AUTHORIZATIONS OF
DOMESTIC STOCK COMPANIES
SECTION 203.80 FALSE OR MISLEADING STATEMENTS
Section 203.80 False or
Misleading Statements
No proxy statement, form of
proxy, notice of meeting, information statement or other communication, written
or oral, subject to this Part, may contain any statement which at the time and
in the light of the circumstances under which it is made, is false or
misleading with respect to any material fact, or which omits to state any
material fact necessary in order to make the statements therein not false or
misleading or necessary to correct any statement in any earlier communication
with respect to the same meeting or subject matter which has become false or
misleading.
 | TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE SUBCHAPTER b: DOMESTIC STOCK COMPANIES
PART 203
PROXIES, CONSENTS AND AUTHORIZATIONS OF
DOMESTIC STOCK COMPANIES
SECTION 203.90 PROHIBITION OF CERTAIN SOLICITATION
Section 203.90 Prohibition
of Certain Solicitation
No person making a solicitation
which is subject to this Part may solicit any updated or postdated proxy or any
proxy which provides that it is considered to be dated as of any date
subsequent to the date on which it is signed by the security holder.
 | TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE SUBCHAPTER b: DOMESTIC STOCK COMPANIES
PART 203
PROXIES, CONSENTS AND AUTHORIZATIONS OF
DOMESTIC STOCK COMPANIES
SECTION 203.100 SPECIAL PROVISIONS APPLICABLE TO ELECTION CONTESTS
Section 203.100 Special
Provisions Applicable to Election Contests
a) Applicability
This Section applies to any solicitation subject to the Part
by any person or group for the purpose of opposing a solicitation subject to
this Part by any other person or group with respect to the election or removal
of director at any annual or special meeting of security holders.
b) "Participant" or "Participant in a
Solicitation".
1) For purposes of this Section, the term "participant"
and "participant in a solicitation" include:
A) the company;
B) any director of the company, and any nominee for whose election
as a director proxies are solicited;
C) any other person, acting alone or with one or more other
persons, committees or groups, in organizing, directing or financing the
solicitation.
2) For the purpose of this Section, the terms "participant"
and "participant in a solicitation" do not include:
A) a bank, broker or dealer who, in the ordinary course of
business, lends money or executes orders for the purchase or sale of securities
and who is not otherwise a participant;
B) any person or organization retained or employed by a
participant to solicit security holders or any person who merely transmits
soliciting material or performs ministerial or clerical duties;
C) any person employed in the capacity of attorney, accountant or
advertising, public relations or financial adviser, and whose activities are
limited to the performance of his duties in the course of his employment;
D) any person regularly employed as an officer or employee of the
company or any of its subsidiaries or affiliates who is not otherwise a
participant; or
E) any officer or director of, or any person regularly employed by
any other participant, if that officer, director, or employee is not otherwise
a participant.
c) Filing of Information Required by Schedule B.
1) No solicitation subject to this Section may be made by any
person other than the management of a company unless at least 5 business days
prior thereto, or any shorter period that the Director may authorize upon a
showing of good cause, there has been filed with the Director by or on behalf
of each participant in the solicitation, a statement in duplicate containing
the information specified by Exhibit B and a copy of any material proposed to
be distributed to security holders in furtherance of the solicitation. When
preliminary copies of any materials are filed, distribution to security holders
should be deferred until the Director's comments have been received and
complied with.
2) Within 5 business days after a solicitation subject to this
Section is made by the management of a company, or any longer period that the
Director may authorize upon a showing of good cause, there must be filed with
the Director by or on behalf of each management nominee for director, a
statement in duplicate containing the information specified by Exhibit B.
3) If any solicitation on behalf of management or any other
person has been made, or if proxy material is ready for distribution prior to
an opposition solicitation subject to this Section, a statement in duplicate
containing the information specified in Exhibit B must be filed with the
Director by or on behalf of each participant other than the company in the
prior solicitation, as soon as reasonably practical after the commencement of
the opposition solicitation.
4) If, subsequent to the filing of the statements required by
paragraphs (1), (2), and (3) of this Subsection, additional persons become
participants in a solicitation subject to this Section, there must be filed
with the Director, by or on behalf of each of those persons, a statement in
duplicate containing the information specified in Exhibit B, within 3 business
days after the person becomes a participant, or any longer period that the
Director may authorize upon a showing of good cause.
5) If any material change occurs in the facts reported in any
statement filed by or on behalf of any participant, an appropriate amendment to
the statement must be filed promptly with the Director.
6) Each statement and amendment filed under this Section is part
of the public files of the Director.
d) Solicitations Prior to Furnishing Required Written Proxy
Statement.
Notwithstanding subsection (a) of Section 203.50, a
solicitation subject to this Section may be made prior to furnishing security
holders a written proxy statement containing the information specified in
Schedule A concerning the solicitation if:
1) The statements required by subsection (c) of this Section are
filed by or on behalf of each participant in the solicitation.
2) No form of proxy is furnished to security holders prior to the
time the written proxy statement required by subsection (a) of Section 203.50
is furnished to the security holders. But, this paragraph (2) does not apply
when a proxy statement then meeting the requirements of Exhibit A has been
furnished to security holders.
3) At least the information specified in paragraphs (2) and (3)
of the statements required by subsection (c) of this Section to be filed by
each participant, or an appropriate summary thereof, are included in each
communication sent or given to security holders in connection with the
solicitation.
4) A written proxy statement containing the information specified
in Exhibit A concerning a solicitation is sent or given security holders at the
earliest practical date.
e) Solicitations Prior to Furnishing Required Written Proxy
Statement – Filing Requirements.
Two copies of any soliciting material proposed to be sent or
given to security holders prior to the furnishing of the written proxy
statement required by Subsection (a) of Section 203.50 must be filed with the
Director in preliminary form at least 5 business days prior to the date
definitive copies of the material are first sent or given to the security
holders, or any shorter period that the Director may authorize upon a showing
of good cause.
f) Application of This Section to Annual Report.
Notwithstanding subsections (b) and (c) of Section 203.50,
two copies of any portion of the annual report referred to in Subsection (b) of
Section 203.50, which comments upon or refers to any solicitation subject to
this Section, or to any participant in that solicitation, other than the
solicitation by the management, must be filed with the Director, as proxy
material subject to this Part. That portion of the report must be filed with
the Director, in preliminary form, at least 5 business days prior to the date copies
of the report are first sent or given to security holders.
 | TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE SUBCHAPTER b: DOMESTIC STOCK COMPANIES
PART 203
PROXIES, CONSENTS AND AUTHORIZATIONS OF
DOMESTIC STOCK COMPANIES
SECTION 203.110 PROPOSALS FROM SECURITY HOLDERS
Section 203.110 Proposals
From Security Holders
a) If any security holder entitled to vote at a meeting of the
company submits to the management of the company a proposal which is
accompanied by notice of his intention to present the proposal for action at
the meeting a reasonable time before the solicitation is made, the management
must include the proposal in its proxy statement, identify the proposal in its
proxy and provide means by which the choices allowed for in subsections (b) and
(c) of Section 203.60 can be made. Such a proposal submitted with respect to
an annual meeting more than 60 days in advance of a day corresponding to the
first date on which management proxy soliciting material was released to
security holders in connection with the last annual meeting of the company is
prima facie considered to be submitted a reasonable time before the
solicitation. But this Section does not apply to elections to office.
b) If the management opposes the proposal, it must also, at the
request of the security holder, include in its proxy statement the name and
address of the proposer and a statement by that person of not more than 100
words in support of the proposal. The statement and request must be furnished
to the management at the same time that the proposal is furnished. Neither the
management nor the company is responsible for the statement.
c) Management may omit a proposal and any statement in support
thereof from its proxy statement and form of proxy under any of the following
circumstances:
1) If the proposal as submitted is not a proper subject for
action by security holders under the laws of this State; or
2) If it clearly appears that the proposal is submitted primarily
for the purpose of enforcing a personal claim or redressing a personal
grievance against the company or its management, or primarily for the purpose
of promoting general economic, political, racial, religious, social or similar
causes; or
3) If the management has, at the security holder's request,
included a proposal in its proxy statement and form of proxy relating to either
of the last 2 annual meetings or any special meeting held subsequent to the
earlier of those 2 annual meetings and the security holder has failed, without
good cause, to represent the proposal, in person or by proxy, for action at the
meeting; or
4) If substantially the same proposal has previously been
submitted in the management's proxy statement and form of proxy relating to any
annual or special meeting held within the preceding 5 calendar years, it may be
omitted from the management's proxy material relating to any meeting held
within the 3 calendar years after the latest previous submission, if the
proposal received less than 5 per cent of the total number of votes cast on the
proposal at the time of its latest submission; or
5) If the proposal consists of a recommendation or request that
the management take action concerning a matter relating to the conduct of the
ordinary business operations of the company.
d) Whenever the management asserts that a proposal and any
statement in support of the proposal may properly be omitted from its proxy
statement and form of proxy, it must file with the Department, not later than
20 days prior to the date the preliminary copies of the proxy statement and
form of proxy are filed under Subsection (a) of Section 203.70, or any shorter
period prior to such date that the Director may permit, a copy of the proposal
and any statement in support of the proposal received from the security holder,
together with a statement of the reasons why the management considers its
omission to be proper and, when those reasons are based on matters of law, a
supporting opinion of counsel. At the same time the management must, if it has
not already done so, notify the security holder submitting the proposal of its
intention to omit the proposal from its proxy statement and form of proxy and
must forward to him a copy of the statement of the reasons why the management
considers its omission of the proposal to be proper and a copy of any
supporting opinion of counsel.
Section 203.EXHIBIT A Information Required in Proxy Statement or Information Statement
 | TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE SUBCHAPTER b: DOMESTIC STOCK COMPANIES
PART 203
PROXIES, CONSENTS AND AUTHORIZATIONS OF
DOMESTIC STOCK COMPANIES
SECTION 203.EXHIBIT A INFORMATION REQUIRED IN PROXY STATEMENT OR INFORMATION STATEMENT
Section 203.EXHIBIT A Information
Required in Proxy Statement or Information Statement
Item 1. Revocability
of Proxy
State whether
or not the person giving the proxy has the power to revoke it. If the right of
revocation before the proxy is exercised is limited or is subject to compliance
with any formal procedure, briefly describe that limitation or procedure.
Item 2. Dissenters'
Rights of Appraisal.
Outline
briefly the rights of appraisal or similar rights of dissenting security
holders concerning any matter to be acted upon and indicate any statutory
procedure required to be followed by those security holders in order to perfect
their rights. Where those rights may be exercised only within a limited time
after the date of the adoption of a proposal, the filing of an amendment to
Articles of Incorporation, or other similar act, state whether the person
solicited will be notified of such date.
Item 3. Persons
Making Solicitation Not Subject to Section 203.100
a) If the solicitation is made by the management of the company,
so state. Give the name of any director of the company who has informed the
management in writing that he intends to oppose any action intended to be taken
by the management and indicate the action which he intends to oppose.
b) If the solicitation is made other than by the management of
the company, state the names and addresses of the persons by whom and on whose
behalf it is made and the names and addresses of the persons by whom the cost
of solicitation has been or will be borne, directly or indirectly.
c) If the solicitation is to be made by specially engaged
employees or paid solicitors, state (i) the material features of any contract
or arrangement for the solicitation and identify the parties, and (ii) the cost
or anticipated cost thereof.
Item 4. Interest of
Certain Persons in Matters to Be Acted Upon.
Describe
briefly any substantial interests, directly or indirectly, by security holdings
or otherwise, of any director, nominee for election as director, officer and,
if the solicitation is made other than on behalf of management, each person on
whose behalf the solicitation is made, in any matter to be acted upon, other
than elections to office.
Item 5. Voting
Securities
a) State, as to each class of voting securities of the company
entitled to be voted at the meeting, the number of shares outstanding and the
number of votes to which each class is entitled.
b) Give the date as of which the record list of security holders
entitled to vote at the meeting will be determined. If the right to vote is
not limited to security holders of record on that date, indicate the conditions
under which other security holders may be entitled to vote.
c) If action is to be taken concerning the election of directors
and if the persons solicited have cumulative voting rights, make a statement
that they have such rights and state briefly the conditions precedent to the
exercise of those rights.
Item 6. Nominees and
Directors
If action is to
be taken concerning the election of directors, furnish the following
information, in tabular form to the extent practical, with respect to each
person nominated for election as a director and each other person whose term of
office as a director will continue after the meeting:
a) Name each person, state when his term of office or the term of
office for which he is a nominee will expire, and all other positions and
offices with the company presently held by him, and indicate which persons are
nominees for election as directors at the meeting;
b) State his present principal occupation or employment and the
name and principal business of any corporation or other organization by which
he is employed. Furnish similar information as to all of his principal occupations
or employments during the last 5 years, unless he is now a director and was
elected to his present term of office by a vote of security holders at a
meeting for which proxies were solicited under this regulation;
c) If he is or has previously been a director of the company,
state the period or periods during which he served as a director of the
company; and
d) State, as of the most recent practical date, the approximate
number of shares of each class of equity securities of the company or any of
its parents, subsidiaries or affiliates other than director's qualifying
shares, beneficially owned directly or indirectly by him. If he is not the
beneficial owner of any of those securities, make a statement to that effect.
Item 7. Remuneration
and other Transactions With Management and Others.
Furnish the
information reported or required in Item One of Schedule SIS of the annual
statement form as prescribed by the N.A.I.C. under the heading
"Information Regarding management and Directors" if action is to be
taken concerning (a) the election of directors, (b) any remuneration plan,
contract or arrangement in which any director, nominee for election as a
director, or officer of the company will participate, (c) any pension or
retirement plan in which any such person will participate, or (d) the granting
or extension to any such person of any options, warrants or rights to purchase
any securities, other than warrants or rights issued to all security holders on
a pro rata basis. If the solicitation is made on behalf of persons other than
the management, information need be furnished only as to Item 1A of the
described heading of Schedule SIS.
Item 8. Bonus,
Profit Sharing and Other Remuneration Plans.
If action is
to be taken concerning any bonus, profit sharing, or other remuneration plan of
the company, furnish the following information:
a) A brief description of the material features of the plan, each
class of persons who will participate in the plan, the approximate number of
persons in each class, and the basis of participation;
b) The amounts which would have been distributable under the plan
during the last calendar year to (1) each person named in Item 7 of this
Exhibit, (2) directors and officers as a group, and (3) all other employees as
a group, if the plan had been in effect as to other employees; and
c) If the plan to be acted upon may be amended (other than by a
vote of security holders) in a manner which would materially increase the cost
to the company or would materially alter the allocation of the benefits as
between the groups specified in paragraph (b) of this Item, the nature of the
amendments must be specified.
Item 9. Pension and
Retirement Plans.
If action is
to be taken concerning any pension or retirement plan of the company, furnish
the following information:
a) A brief description of the material features of the plan, each
class of persons who will participate in the plan, the approximate number of
persons in each class, and the basis of participation;
b) State (1) the approximate total amount necessary to fund the
plan with respect to past services, the period over which the amount is to be
paid, and the estimated annual payments necessary to pay the total amount over
the period; (2) the estimated annual payment to be made for current services;
and (3) the amount of the annual payments to be made for the benefit of (i)
each person named in Item 7 of this Exhibit, (ii) directors and officers as a
group and (iii) employees as a group; and
c) If the plan to be acted upon may be amended (other than by a
vote of security holders) in a manner which would materially increase the cost
thereof to the company or would materially alter the allocation of the benefits
between the groups specified in sub-paragraph (3) of sub-paragraph (b) of this
Item, the nature of the amendments must be specified.
Item 10. Options,
Warrants, or Rights.
If action is
to be taken concerning the granting or extension of any options, warrants or
rights (all referred to in this Item as "warrants") to purchase
equity securities of the company or any subsidiary or affiliate, other than
warrants issued to all security holders on a pro rate basis, furnish the
following information:
a) The title and number of shares of securities called for or to
be called for, the prices, expiration dates and other material conditions upon
which the warrants may be exercised, the consideration received or to be
received by the company, subsidiary or affiliate for the granting or extension
of the warrants and the market value of the securities called for or to be
called for by the warrants, as of the latest practical date;
b) If known, state separately the total number of shares of
securities called for or to be called for by warrants received or to be received
by the following persons, naming each person: (1) each person named in Item 7
of this Exhibit, and (2) each other person who will be entitled to acquire 5
per cent or more of the securities called for or to be called for by the
warrants; and
c) If known, state also the total number of shares of securities
called for or to be called for by the warrants received or to be received by
all directors and officers of the company as a group and all employees, without
naming them.
Item 11. Authorization
or Issuance of Securities.
a) If action is to be taken concerning the authorization or
issuance of any securities of the company, furnish the title, number of shares
or total face amount, as applicable, and description of the securities to be
authorized or issued.
b) If the securities are other than additional shares of common
stock of a class outstanding, furnish a brief summary of the following, as
applicable: dividend, voting, liquidation, preemptive, and conversion rights,
redemption and sinking fund provisions, interest rate and date of maturity.
c) If the securities to be authorized or issued are other than
additional shares of common stock of a class outstanding, the Director may
require financial statements comparable to those contained in the annual
report.
Item 12. Mergers,
Consolidations, Acquisitions and Similar Matters.
a) If action is to be taken concerning a merger, consolidation,
acquisition, or similar matter, furnish in brief outline the following
information:
1) The rights of appraisal or similar rights of dissenters with
respect to any matters to be acted upon. Indicate any procedure required to be
followed by dissenting security holders in order to perfect their rights;
2) The material features of the plan or agreement;
3) The business done by the company to be acquired or whose
assets are being acquired;
4) If available, the high and low sale prices of all outstanding
securities issued by each company involved for each quarterly period within 2
years; and
5) The percentage of outstanding shares which must approve the
transaction before it is consummated.
b) For each company involved in a merger, consolidation or
acquisition, the following financial statements must be furnished;
1) A comparative balance sheet as of the close of the last 2
fiscal years;
2) A comparative statement of operating income and expenses for
each of the last 2 fiscal years and, as a continuation of each statement, a
statement of earnings per share after related taxes and cash dividends paid per
share; and
3) A pro forma combined balance sheet and income and expense
statement for the last fiscal year giving effect to the necessary adjustments
with respect to the resulting company.
Item 13. Restatement
of Accounts.
If action is
to be taken concerning the restatement of an asset, capital, or surplus account
of the company, furnish the following information:
a) State the nature of the restatement and the date as of which
it is to be effective;
b) Outline briefly the reasons for the restatement and for the
selection of the particular effective date; and
c) State the name and amount of each account affected by the
restatement and the effect of the restatement on each account.
Item 14. Matters Not
Required to Be Submitted.
If action is
to be taken concerning any matter which is not required to be submitted to a
vote of security holders, state the nature of the matter, the reason for
submitting it to a vote of security holders and what action is intended to be
taken by the management in the event of a negative vote on the matter by the
security holders.
Item 15. Amendment of
Articles of Incorporation, By-Laws, or Other Documents.
If action is
to be taken concerning any amendment to the company's Articles of
Incorporation, By-Laws or other documents about which information is not
otherwise required in this Exhibit, state briefly the reasons for and general
effect of the amendment and the vote required for its approval.
 | TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE SUBCHAPTER b: DOMESTIC STOCK COMPANIES
PART 203
PROXIES, CONSENTS AND AUTHORIZATIONS OF
DOMESTIC STOCK COMPANIES
SECTION 203.EXHIBIT B INFORMATION TO BE INCLUDED IN STATEMENTS FILED BY OR ON BEHALF OF A PARTICIPANT (OTHER THAN THE COMPANY IN A PROXY SOLICITATION IN AN ELECTION CONTEST)
Section 203.EXHIBIT B Information
to be Included in Statements Filed By or on Behalf of a Participant (Other than
the Company in a Proxy Solicitation in an Election Contest)
Item 1. Company.
State the name and address of the company.
Item 2. Identity and
Background.
a) State the following:
1) Your name and business address; and
2) Your present principal occupation or employment and the name,
principal business and address of any corporation or other organization by
which you are employed.
b) State the following:
1) Your residence address, age, birthplace, birthdate, and social
security number; and
2) Information as to all material occupations, positions, offices
or employments during the last 10 years, giving starting and ending dates of
each and the name, principal business and address of any business corporation
or other business organization for which each occupation, position, office or
employment was carried on.
c) State whether or not you are or have been a participant in any
other proxy contest involving this company or other companies within the past
10 years. If so, identify the principals, the subject matter and your
relationship to the parties and the outcome.
d) State whether or not, during the past 10 years, you have been
convicted in a criminal proceeding (excluding traffic violations or similar
misdemeanors) and, if so, give dates, nature of conviction, name and location
of court, and penalty imposed or other disposition of the case. A negative
answer to this sub-item need not be included in the proxy statement or other
proxy soliciting material.
Item 3. Interest in
Securities of the Company.
a) State the amount of each class of securities of the company
which you own beneficially, directly or indirectly.
b) State the amount of each class of securities of the company
which you own of record but not beneficially.
c) State with respect to all securities of the company purchased
or sold within the past 2 years, the dates on which they were purchased or sold
and the amount purchased or sold on each date.
d) If any part of the purchase price or market value of any of
the securities specified in paragraph (c) is represented by funds borrowed or
otherwise obtained for the purpose of acquiring or holding those securities, so
state and indicate the amount of the indebtedness as of the latest practical
date. If the funds were borrowed or obtained other than pursuant to a margin
account or bank loan in the regular course of business of a bank, broker or
dealer, describe the transaction, and state the names of the parties.
e) State whether or not you are a party to any contract,
arrangements or understandings with any persons concerning any securities of the
company, including but not limited to joint ventures, loan or option
arrangements, puts or calls, guarantees against losses or guarantees of
profits, division of losses or profits, or the giving or withholding of
proxies. If so, name any persons with whom such contracts, arrangements, or
understandings exist and give the details thereof.
f) State the amount of securities of the company owned
beneficially, directly or indirectly, by each of your associates and the name
and address of each of those associates.
g) State the amount of each class of securities of any parent,
subsidiary or affiliate of the company which you own beneficially, directly or
indirectly.
Item 4. Further
Matters.
a) Describe the time and circumstances under which you became a
participant in the solicitation and state the nature and extent of your
activities or proposed activities as a participant.
b) Describe briefly, and where practical state the approximate
amount of any material interest, direct or indirect, of yourself and of each of
your associates in any material transactions since the beginning of the
company's last fiscal year, or in any material proposed transactions, to which
the company or any of its subsidiaries or affiliates was or is to be a party.
c) State whether or not you or any of your associates have any
arrangement or understanding with any person:
1) with respect to any future employment by the company or its
subsidiaries or affiliates; or
2) with respect to any future transactions to which the company
or any of its subsidiaries or affiliates will or may be a party.
If so,
describe that arrangement or understanding and state the names of the parties
thereto.
Item 5. Signature.
The statement
must be dated and signed in the following manner:
I certify that
the statements made in this statement are true, complete, and correct, to the
best of my knowledge and belief.
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