17 C.F.R. § 210.12-15
| Column A | Column B | Column C | Column D |
|---|---|---|---|
| Type of investment | Cost 1 | Value | Amount at which shown in the balance sheet 2 |
| Fixed maturities: | |||
| Bonds: | |||
| United States Government and government agencies and authorities | |||
| States, municipalities and political subdivisions | |||
| Foreign governments | |||
| Public utilities | |||
| Convertibles and bonds with warrants attached 3 | |||
| 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 estate 4 | |||
| 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. |
[46 FR 54337, Nov. 2, 1981]