3. Increases in policy reserves--- 4. Policy reserves at beginning of period 5. Policy reserves at end of period-(b) Death and other benefits- $---(c) Insurance in force--‒‒‒‒ 1 This schedule shall be prepared from and be in substantially the same form as the analysis of increase in reserves during the year (gain and loss exhibit) of the annual statement filed with the respective domiciliary State regulatory authority. If the company writes more than one line of business, e.g., industrial, ordinary, group life insurance, the schedule shall show in columnar form the changes in the policy reserves and the amounts of benefits and insurance in force allocable to each line of business. In lieu of this schedule there may be filed the aforementioned analysis of increase in reserves during the year (gain and loss exhibit) of the annual statement filed with the respective domiciliary State regulatory authority together with the information required regarding death and other benefits and insurance in force. 2 State separately any significant items. Effective date. The amendment shall be effective with respect to financial statements for any fiscal year ending on or after December 31, 1964, filed as a part of any registration statement, application for registration or report. However, if a registrant so elects, the revised articles may be applied to financial statements filed prior to that date. [29 F.R. 14722, Oct. 29, 1964] FOR BANK HOLDING COMPANIES § 210.12-32 Investments in securities of affiliates; banks.1 (For bank holding companies only.) Column A. Name of issuer and title of issue.2 Column B. Shares owned by the person for which statement is filed: (1) Number; (2) Percent of total outstanding: Column C. Total capital, surplus, and undivided profits of affiliated banks: (1) Preferred shares, capital notes, or debentures; (2) Common shares; (3) Surplus and undivided profits; (4) Total common shares, surplus, and undivided profits; (5) Adjustments, if any, necessary to arrive at net tangible asset value; (6) Net tangible asset value. 4 Column D. Amount of net tangible asset value applicable to shares owned by others. Column E. Amount of net tangible asset value applicable to shares owned by person for which statement is filed. Column F. Amount at which carried in balance sheet of person for which statement is filed.5 Column G. Net additions to profits of each affiliate for period.3• 1 Subcolumns C (1), (2), (3), (4), (5), and (6) and Columns D, E, F, and G shall be totaled. 2 Each issue shall be separately listed. Group according to combined statements, if any; otherwise group by States. Within each group segregate national banks from state banks. Designate by an appropriate method those banks which are (a) not members of the Federal Reserve System, and (b) not insured with the Federal Deposit Insurance Corporation. If preferred shares, state par value and if the redemption or retirable value is other than par value, state such other value. 3 The information called for in Subcolumns C (1), (2), (3), and (4) and Column G shall be as shown by the "Reports of Condition" and the "Reports of Earnings and Dividends" submitted by the affiliate to a Federal authority, or if it does not report to a Federal authority, to its respective State authority. Describe briefly the nature of the adjustments. Deduct here any excess of redemption or retirable value over par value of preferred shares or principal amount of capital notes and debentures. 5 If the amount shown in Column F differs from the amount shown in Column E, state the basis of determining the amount in Column F. • The information required by Column G shall be shown separately for each period for which a profit and loss statement is filed. [Reg. S-X, 5 F.R. 972, Mar. 6, 1940] FOR ALL UNIT INVESTMENT TRUSTS, AND FOR THOSE UNINCORPORATED MANAGEMENT INVESTMENT COMPANIES WHICH ARE ISSUERS OF PERIODIC PAYMENT PLAN CERTIFICATES [For all unit investment trusts, and for those unincorporated management investment companies which are issuers of periodic payment plan certificates] 1 The required information is to be given as to each issue of securities held at any time during the period. 2 Group separately (a) shares of investment companies, and (b) other securities. As to securities set forth in group (a) list separately (1) trust shares in trusts created or serviced by the depositor or sponsor of this trust; (2) trust shares in other trusts; and (3) securities of other investment companies. As to securities set forth in group (b) list (1) evidences of indebtedness; (2) preferred shares; (3) common shares; and (4) other securities. Within each of these subdivisons classify according to type of business insofar as possible, e.g., railroads, utilities, banks, insurance companies, industrials. Give totals of each group, subdivision, and class. 3 Describe briefly the nature of any additions otherwise than through cash purchases. 4 State the basis upon which cost has been determined. State in a footnote to this column the aggregate cost for purposes of the Federal income tax. 5 Columns F, G and H shall be totaled. The total of column G at the close of the most recent period shall agree with the related caption in the statement of condition. If the amount shown in column G differs from the amount shown in either column F or H, state the basis of determining the amount in column G. If the amounts to be shown in column G are identical with the amounts to be shown in columns F or H, a statement to that effect will suffice. If market value is determined on any basis other than closing prices reported on any national securities exchange, explain such other basis in a note. Identify all dividends other than cash taken up in income, and state the basis on which so taken up. [7 F.R. 216, Jan. 13, 1942, as amended at 7 F.R. 3220, May 1, 1942; 16 F.R. 2655, Mar. 24, 1951] 3 State separately all significant items. If market appreciation of underlying trust property is included, the amount thereof shall be shown separately. Income required to be set forth in the statement of income and distributable funds shall not be set forth here. 4 State separately all significant items. If market depreciation of underlying trust property is included, the amount thereof shall be shown separately. Expenses required to be set forth in the statement of income and distributable funds shall not be set forth here. 5 The balance at the close of the most recent period shall agree with caption 8 of the related statement of condition. [7 F.R. 216, Jan. 13, 1942, as amended at 7 F.R. 3220, May 1, 1942] FOR FACE-AMOUNT CERTIFICATE INVESTMENT COMPANIES SOURCE: §§ 210.12-35 to 210.12-41 appear at 16 F.R. 348, Jan. 13, 1951, unless otherwise noted. Investments in securities of unaffiliated issuers. § 210.12-35 1 (a) The required information is to be given as to all securities held as of the close of the period of report. Each issue shall be listed separately. (b) Indicate by an appropriate symbol those securities which are non-income-producing securities. Evidences of indebtedness and preferred shares may be deemed to be income-producing it, on the respective last interest payment date or dates for the declaration of dividends prior to the date of the related balance sheet, there was only a partial payment of interest or a declaration of only a partial amount of the dividends payable; in such case, however, each such issue shall be indicated by an appropriate symbol referring to a note to the effect that, on the last interest or dividend date, only partial interest was paid or partial dividends declared. If, on such respective last interest or dividend date, no interest was paid or no dividends declared, the issue shall not be deemed to be income-producing. Common shares shall not be deemed to be income-producing unless, during the last year preceding the date of the related balance sheet, there was at least one dividend paid upon such common shares. List separately (1) bonds; (2) preferred shares; (3) common shares. Within each of these subdivisions classify according to type of business, insofar as practicable: e. g., investment companies, railroads, utilities, banks, insurance companies, or industrials. Give totals for each group, subdivision, and class. 2 Indicate any securities subject to option at the end of the most recent period and state in a note the amount subject to option, the option prices, and the dates within which such options may be exercised. 3 Columns C and D shall be totaled. The totals of columns C and D should agree with the correlative amounts required to be shown by the related balance sheet captions. State in a footnote to column C the aggregate cost for Federal income tax purposes. If any investments have been written down or reserved against by such companies pursuant to § 210.6-21 (f), indicate each such item by means of an appropriate symbol and explain in a footnote. Where value is determined on any other basis than closing prices reported on any national securities exchange, explain such other basis in a foonote. § 210.12-36 Investments in and advances to affiliates and income thereon. 1 (a) The required information is to be given as to all investments in affiliates as of the close of the period. See captions 10, 13 and 20 of § 210.6-22. List each issue and group separately (1) investments in majority-owned subsidiaries, segregating subsidiaries consolidated; (2) other controlled companies; and (3) other affiliates. Give totals for each group. If operations of any controlled companies are different in character from those of the registrant, group such affiliates within divisions (1) and (2) by type of activities. (b) Changes during the period. If during the period there has been any increase or decrease in the amount of investment in any affiliate, state in a footnote (or if there have been changes as to numerous affiliates, in a supplementary schedule) (1) name of each issuer and title of issue; (2) balance at beginning of period; (3) gross purchases and additions; (4) gross sales and reductions; (5) balance at close of period as shown in column C. Include in such footnote or schedule comparable information as to affiliates in which there was an investment at any time during the period even though there was no investment in such affiliate as of the close of such period. Indicate any securities subject to option at the end of the most recent period and state in a footnote the amount subject to option, the option prices, and the dates within which such options may be exercised. 3 If the cost in column C represents other than cash expenditure, explain. 4(a) Columns C, D and E shall be totaled. The totals of columns C and D should agree with correlative amounts required to be shown by the related balance sheet captions. State in a footnote the aggregate cost for Federal income tax purposes. (b) If any investments have been written down or reserved against by such companies pursuant to § 210.6-21 (†), indicate each such item by means of an appropriate symbol and explain in a footnote. State the basis of determining the amounts shown in column D. 6 Show in column E (1) as to each issue held at close of period, the dividends or interest included in caption 1 of the profit and loss or income statement. In addition, show as the final item in column E (1) the aggregate dividends and interest included in the profit and loss or income statement in respect of investments in affiliates not held at the close of the period. The total of this column should agree with the amounts shown under such caption. Include in column E (2) all other dividends and interest. Explain briefly in an appropriate footnote the treatment accorded each item. Identify by an appropriate symbol all non-cash dividends and explain the circumstances in a footnote. See §§ 210.622 (b) and 210.6-23 (a). 7 The information required by column F need be furnished only as to controlled companies. The equity in the net profit and loss of each person required to be listed separately shall be computed on an individual basis. In addition, there may be submitted the information required as computed on the basis of the statements of each such person and its subsidiaries consolidated. § 210.12-37 Mortgage loans on real estate and interest earned on mortgages.1 1 All money columns shall be totaled. 2 If mortgages represent other than first liens, list separately in a schedule in a like manner, indicating briefly the nature of the lien. Information need not be furnished as to such liens which are fully insured or wholly guaranteed by an agency of the United States Government. 3 In a separate schedule classify by states in which the mortgaged property is located the total amounts in support of columns B, C, D and E. 4(a) Interest in arrears for less than 3 months may be disregarded in computing the total amount of principal subject to delinquent interest. (b) Of the total principal amount, state the amount acquired from controlled and other affiliates. In order to reconcile the total of column G with the amount shown in the profit and loss or income statement, interest income earned applicable to period from mortgages sold or canceled during period should be added to the total of this column. 6 If the information required by columns F and G is not reasonably available because the obtaining thereof would involve unreasonable effort or expense, such information may be omitted if the registrant shall include a statement showing that unreasonable effort or expense would be involved. In such an event, state in column G for each of the above classes of mortgage loans the average gross rate of interest on mortgage loans held at the end of the fiscal period. 7 Each mortgage loan included in column C in an amount in excess of $500, 000 shall be listed separately. Loans from $100,000 to $500, 000 shall be grouped by $50, 000 groups, indicating the number of loans in each group. In a footnote to this schedule, furnish a reconciliation, in the following form, of the carrying amount of mortgage loans at the beginning of the period with the total amount shown in column C: Balance at beginning of period.. Additions during period: Deductions during period: Cost of mortgages sold Other (describe).. Balance at close of period. If additions represent other than cash expenditures, explain. If any of the changes during the period result from transactions, directly or indirectly with affiliates, explain the bases of such transactions, and amounts involved. State the aggregate amount of mortgages (a) renewed and (b) extended. If the carrying amount of the new mortgages is in excess of the unpaid amount (not including interest) of prior mortgages, explain. If any item of mortgage loans on real estate investments has been written down or reserved against pursuant to $210.6-21 describe the item and explain the basis for the write-down or reserve. 10 State in a footnote to column C the aggregate cost for Federal income tax purposes. 11 If the total amount shown in column C includes intercompany profits, state the bases of the transactions resulting in such profits and, if practicable, state the amounts thereof. 12 Summarize the aggregate amounts for each columr applicable to captions 6(b), 6 (c) and 12 of § 210 6-22. [16 F.R. 848, Jan. 13, 1951, as amended at 16 F.R. 2655, Mar. 24, 1951] 1 All money columns shall be totaled. 2 Each item of property included in column E in an amount in excess of $100, 000 shall be listed separately. In a separate schedule classify by states in which the real estate owned is located the total amounts in support of columns E and F. 4 In a footnote to this schedule, furnish a reconciliation, in the following form, of the total amount at which real estate was carried at the beginning of the period with the total amount shown in column E: Balance at beginning of period.......... Additions during period: Aquisitions through foreclosure. Deductions during period: Cost of real estate sold. Balance at close of period. If additions, except acquisitions through foreclosure, represent other than cash expenditures, explain. If any of the changes during the period result from transactions, directly or indirectly, with affiliates, explain and state the amount of any intercompany gain or loss. 5 If any item of real estate investments has been written down or reserved against pursuant to § 210.6-21 (f), describe the item and explain the basis for the write-down or reserve. 6 State in a footnote to column E the aggregate cost for Federal income tax purposes. 7 The amount of all intercompany profits included in the total of column E shall be stated if material. 8 Summarize the aggregate amounts for each column applicable to captions 7 and 12 of § 210.6-22. [16 F.R. 348, Jan. 13, 1951, as amended at 16 F.R. 2655, Mar. 24, 1951] 1 Amounts resulting from transactions with affiliates shall be stated separately. 2 State separately each category of expense representing more than 5 percent of the total expense shown under this item. |