each class of voting securities of each affiliate which is owned, directly or indirectly, by
another affiliate. If control of any person within the system is maintained other than by the
ownership or control of voting securities, indicate the basis of such control. As to each
person specified in such chart or listing, indicate the type of organization (e.g., corporation,
trust, partnership) and the state or other jurisdiction of domicile.
ITEM 3. THE ULTIMATE CONTROLLING PERSON
As to the ultimate controlling person in the insurance holding company system furnish the
(b) Home office address.
(c) Principal executive office address.
(d) The organizational structure of the person, i.e., corporation, partnership, individual,
(e) The principal business of the person.
(f) The name and address of any person who holds or owns 10% or more of any class of
voting security, the class of such security, the number of shares held of record or
known to be beneficially owned, and the percentage of class so held or owned.
(g) If court proceedings involving a reorganization or liquidation are pending, indicate the
title and location of the court, the nature of proceedings, and the date when
ITEM 4. BIOGRAPHICAL INFORMATION
Furnish the following information for the directors and executive officers of the ultimate
controlling person: the individual's name and address, his or her principal occupation, and
all offices and positions held during the past five years, and any conviction of crimes other
than minor traffic violations during the past ten years.
ITEM 5. TRANSACTIONS AND AGREEMENTS
Briefly describe the following agreements in force and transactions currently outstanding or
which have occurred during the last calendar year between the registrant and its affiliates:
(a) loans, other investments, or purchases, sales, or exchanges of securities of the
affiliates by the registrant or of the registrant by its affiliates;
(b) purchases, sales,' or exchanges of assets;
(c) transactions not in the ordinary course of business;
(d) guarantees or undertakings for the benefit of an affiliate which result in an actual
contingent exposure of the registrant's assets to liability, other than insurance contracts
entered into in the ordinary course of the registrant's business;
(e) all management agreements, service contracts, and all cost-sharing arrangements;
(f) reinsurance agreements;
(g) dividends and other distributions to shareholders;
(h) consolidated tax allocation agreements; and
(i) any pledge of the registrant's stock and/or of the stock of any subsidiary or controlling
affiliate, for a loan made to any member of the insurance holding company system.