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COMMONWEALTH OF PENNSYLVANIA

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31 Pa. Code § 23.94. Interest in securities of the insurer—<B>Item 3.</B>

§ 23.94. Interest in securities of the insurer—Item 3.

 (a)  The amount of each class of the securities of the insurer owned by the person filling out the form, either beneficially, directly or indirectly, shall be stated.

 (b)  The amount of each class of securities of the insurer owned of record but not beneficially shall be stated.

 (c)  As to all securities of the insurer purchased or sold within the past two years, the dates on which they were purchased or sold and the amount purchased or sold on each date shall be stated.

 (d)  If any part of the purchase price or market value of any of the securities specified in subsection (c) is represented by funds borrowed or otherwise obtained for the purpose of acquiring or holding such securities, that fact shall be stated as well as the amount of the indebtedness as of the latest practicable date. If the funds were borrowed or obtained in any other way than by a margin account or bank loan in the regular course of business of a bank, broker, or dealer, the transaction shall be briefly described and the names of the parties shall be stated.

 (e)  The person filling out the form shall state whether he is a party to any contracts, arrangements, or understandings with any person with respect to any securities of the insurer, 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. The persons with whom such contracts, arrangements, or understandings exist and the details shall be stated.

 (f)  The person filling out the form shall state the amount of the insurer’s securities owned beneficially either directly or indirectly, by each of his associates, and the name and address of each associate.

 (g)  The amount of securities of each class shall be stated if owned by any parent, subsidiary, or affiliate of the insurer, but which the person filling out the form owns beneficially, whether directly or indirectly.


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