Ill. Admin. Code tit. 50, § 203.EXHIBIT A
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
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:
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:
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:
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:
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.
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.
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:
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.
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