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GroupNumber:%InsMarketMethod<8%InsMarketMethod:8" LAD_BI_Year1:" LAD_BI_Year2: " LAD_BI_Year3:/" LAD_BI_Year4:>" LAD_BI_Year5:M" LAD_BI_Year6:\" LAD_BI_Year7:k'LAD_PhysDmg_Year1:'LAD_PhysDmg_Year2: 'LAD_PhysDmg_Year3:/'LAD_PhysDmg_Year4:>'LAD_PhysDmg_Year5:M'LAD_PhysDmg_Year6:\'LAD_PhysDmg_Year7:k# LAD_PIP_Year1:# LAD_PIP_Year2: # LAD_PIP_Year3:/# LAD_PIP_Year4:># LAD_PIP_Year5:M# LAD_PIP_Year6:\# LAD_PIP_Year7:k  ; z   ;z   ;z   ;4z   ;$(   ;(   ;&(   ;"(   ;0(   ;k  ;k  ;k  ;7k  ;  ;&* );&=)O)O* );+&=+)O)O  ;,  ; ]   ;]   ; ]   ;8Ќр   ;џ  ;џ  ;џ  ; џ  ;џ  ; џ  ;8џ-RateOfReturnPreTaxTOTAL:!  ReportYear:" ROR_TL_Total:! " ROR_TL_Year1:! " ROR_TL_Year2:!" ROR_TL_Year3:!" ROR_TL_Year4:!" ROR_TL_Year5:!" ROR_TL_Year6:!" ROR_TL_Year7:!:UCJFEMB_BI_TotalAmount_Year1; г:UCJFEMB_BI_TotalAmount_Year2;:UCJFEMB_BI_TotalAmount_Year3;##г:UCJFEMB_BI_TotalAmount_Year4;44:UCJFEMB_BI_TotalAmount_Year5;@@г:UCJFEMB_BI_TotalAmount_Year6;LL:UCJFEMB_BI_TotalAmount_Year7;]]г:UCJFEMB_BI_TotalAmount_Year8;ii:UCJFEMB_BI_TotalAmount_Year9;uu?!UCJFEMB_PhysDmg_TotalAmount_Year1; ?!UCJFEMB_PhysDmg_TotalAmount_Year2;?!UCJFEMB_PhysDmg_TotalAmount_Year3;##в?!UCJFEMB_PhysDmg_TotalAmount_Year4;22?!UCJFEMB_PhysDmg_TotalAmount_Year5;@@в?!UCJFEMB_PhysDmg_TotalAmount_Year6;JJ?!UCJFEMB_PhysDmg_TotalAmount_Year7;gg?!UCJFEMB_PhysDmg_TotalAmount_Year9;uu4UCJFEMB_PIP_LossIncurred_Year1< 4UCJFEMB_PIP_LossIncurred_Year2< %%4UCJFEMB_PIP_LossIncurred_Year3< --4UCJFEMB_PIP_LossIncurred_Year4< >>4UCJFEMB_PIP_LossIncurred_Year5< OO4UCJFEMB_PIP_LossIncurred_Year6< ``4UCJFEMB_PIP_LossIncurred_Year7< qq4UCJFEMB_PIP_LossIncurred_Year8< ‚‚4UCJFEMB_PIP_LossIncurred_Year9< ““0UCJFEMB_PIP_LossPaid_Year1: 0UCJFEMB_PIP_LossPaid_Year2: 0UCJFEMB_PIP_LossPaid_Year3: #0UCJFEMB_PIP_LossPaid_Year4: 40UCJFEMB_PIP_LossPaid_Year5: @0UCJFEMB_PIP_LossPaid_Year6: L0UCJFEMB_PIP_LossPaid_Year7: ]0UCJFEMB_PIP_LossPaid_Year8: i0UCJFEMB_PIP_LossPaid_Year9: u2UCJFEMB_PIP_LossUnpaid_Year1: 2UCJFEMB_PIP_LossUnpaid_Year2: 2UCJFEMB_PIP_LossUnpaid_Year3: #2UCJFEMB_PIP_LossUnpaid_Year4: 42UCJFEMB_PIP_LossUnpaid_Year5: @2UCJFEMB_PIP_LossUnpaid_Year6: L2UCJFEMB_PIP_LossUnpaid_Year7: ]2UCJFEMB_PIP_LossUnpaid_Year8: i2UCJFEMB_PIP_LossUnpaid_Year9: u5UCJFEMB_PIP_PremiumEarned_Year1: 5UCJFEMB_PIP_PremiumEarned_Year2: 5UCJFEMB_PIP_PremiumEarned_Year3: #5UCJFEMB_PIP_PremiumEarned_Year4: 45UCJFEMB_PIP_PremiumEarned_Year5: @5UCJFEMB_PIP_PremiumEarned_Year6: L5UCJFEMB_PIP_PremiumEarned_Year7: ]5UCJFEMB_PIP_PremiumEarned_Year8: i5UCJFEMB_PIP_PremiumEarned_Year9: u7!UCJFEMB_PIP_PremiumUnearned_Year1: 7!UCJFEMB_PIP_PremiumUnearned_Year2: 7!UCJFEMB_PIP_PremiumUnearned_Year3: #7!UCJFEMB_PIP_PremiumUnearned_Year4: 47!UCJFEMB_PIP_PremiumUnearned_Year5: @7!UCJFEMB_PIP_PremiumUnearned_Year6: L7!UCJFEMB_PIP_PremiumUnearned_Year7: ]7!UCJFEMB_PIP_PremiumUnearned_Year8: i7!UCJFEMB_PIP_PremiumUnearned_Year9: u6 UCJFEMB_PIP_PremiumWritten_Year1: 6 UCJFEMB_PIP_PremiumWritten_Year2: 6 UCJFEMB_PIP_PremiumWritten_Year3: #6 UCJFEMB_PIP_PremiumWritten_Year4: 46 UCJFEMB_PIP_PremiumWritten_Year5: @6 UCJFEMB_PIP_PremiumWritten_Year6: L6 UCJFEMB_PIP_PremiumWritten_Year7: ]6 UCJFEMB_PIP_PremiumWritten_Year8: i6 UCJFEMB_PIP_PremiumWritten_Year9: uСС5ъfnf№X№8”fe      !"#$%@ёџџџ€€€їыr№j№0”%$g  &D +  3 №П Р@@ё  їќ ЎЊXXXItem 2Item 3Item 5Item 6Item 8Item 1Item 4Unaffiliated Preferred StockAffiliated Preferred StockUnaffiliated Common StockItem 7Affiliated Common StockOther Invested AssetsItem 9Collateral LoansDerivative Instruments Calendar YearTotal Development FactorsFactorLDFItem 10Item 11Item 12Item 13Item 14Item 15Item 16Item 17Item 18Invested Assets Accident Year 15 months 27 months 39 months 51 months 63 months 75 months 87 months 15-27 months 27-39 months 39-51 months 51-63 months 63-75 months 75-87 monthsPremium Exhibit 1Excess Profit Refund PaidCarryforward Used Exhibit 3Part 1Part 2 Exhibit 5 Exhibit 7Part 3Part 4 Exhibit 8 Exhibit 6Mortgage Loans on Real EstateDepreciation on Real EstateTotal Deductions Exhibit 4Bonds AcquiredItem 2.1Item 2.2Item 4.1Item 4.2---Item 7aItem 7bItem 9aItem 9bItem 10aItem 10b Group Name: Group NAIC #: Year Filed:Item 2.3Item 2.4Item 2.5Item 2.6Item 2.7Item 2.8Item 2.9 Item 2.10 Item 2.11 Item 2.12 Item 2.13 Item 2.14 Item 2.15 Item 2.16 Item 2.17 Item 2.18 Item 2.19 Calendar Year Excess Profit Paid Incremental CumulativeUnpaidIncurred- Provide Documentation if greater than 1.000Sheet 1 Tail Factor: Tail Factor (99 months-ultimate) DevelopmentCol (6)DirectWrittenEarned Dividends on DirectBusinessUnearnedLossesSheet 2Sheet 3Col (1)Col (2)Col (3)Col (4)Col (5)Col (7)Col (10)"Direct Commission & Brokerage - NJDirect Written PremiumDirect Earned Premium"Direct Taxes, Licenses & Fees - NJLAD Fees Paid - NJInvestment Expense Incurred"Real Estate for Co's Own OccupancyCol (3A)Col (3B)Investment IncomeItem 4.3Item 4.4Item 4.5Ending Invested Assets Loss + ALAECol (A)Col (B)for Accident Year Direct Other Acquisition ExpenseDirect Commission & BrokerageDirect Prepaid Expenses LAD Fees Paid Direct Unearned Premium Reserves 87-99 months,Paid Dividends (incl. Excess Profit Refunds) Exhibit 1A%Direct Unpaid Loss (Case + Bulk/IBNR)$Direct Unpaid ALAE (Case +Bulk/IBNR) Exhibit 1B Exhibit 1C Exhibit 2B Exhibit 3C Exhibit 5A Exhibit 5B Exhibit 5C<Declared, but Unpaid Dividends (incl. Excess Profit Refunds)Item 19Item 20Item 21Item 22Item 23Item 24Item 25 15 mo. - ult. 27 mo. - ult. 51 mo. - ult. 63 mo. - ult. 39 mo. - ult.Item 2 Total Carryforward UsedItem 3 Carryforward UnusedItem 1 Excess Profit Paid 75 mo. - ult. 87 mo. - ult. 99 mo. - ult. Input SheetItem 26 Section A Section CDirect Written Premium - CWDirect Earned Premium - CW%Direct Other Acquisition Expense - CWDirect General Expense - CW"Direct Commission & Brokerage - CW"Direct Taxes, Licenses & Fees - CWAgents BalancesUnearned Premium Reserveas ofPart 1 - CountrywidePart 2 - New JerseyDirect General ExpenseDirect Taxes, Licenses & Fees Liability Captive Agent Indep. AgentPhysical DamageAllowable Capped Expense'Additional Allowable Efficiency ExpenseItem 6aItem 6bItem 27Item 28Item 29D (if multiple methods in group, choose method of largest company)Item 30Excess Profit Carryforward UsedReinvestment into New JerseyReinvestment Carryforward UsedExtraordinary Loss Incurred$Extraordinary Loss Carryforward UsedCalendar Year Reinvestment)Calendar Year Extraordinary Loss Incurred*Calendar Year Reinvestment into New Jersey Exhibit 9'Amount to be Reinvested into New JerseyItem 31, Note: Expense caps will be put on the DOBI web site by May 31 each year. http://www.state.nj.us/dobiNet Catastrophe Reinsurance%Net Catastrophe Reinsurance Exp. - NJ%Net Catastrophe Reinsurance Exp. - CW 7-Yr Total$NJ Department of Banking & Insurance4Division of Insurance, Office of Property & CasualtyN.J.A.C. 11:3-20 NAIC Group # Group Name Company NameNAIC Company #1NAIC Company #2NAIC Company #3NAIC Company #4 Comments: Report YearyI certify that the report complies with all statutory and regulatory requirements to the best of my knowledge and belief.enter company #1 name hereenter group # hereNotes:Item 1 Extraordinary Loss Inc. Item 2.20 Item 2.21 Item 2.22 Item 2.23Total Carryforward Used:NAIC Company #5NAIC Company #6-----Premium to Surplus Ratio"After-Tax Target Return on Surplus&After-Tax Investment Income on Surplusenter2. If using same formula as here in a prior rate filing but w/ updated values, then provide the NJ filing #, page reference #, and updated values w/ support.EInsurer Marketing Method (Direct Writer, Captive Agent, Indep. Agent) )* 89 1Private Passenger Automobile Excess Profit ReportNAIC Company #7NAIC Company #9NAIC Company #8NAIC Company #10Mortgage Loans on RECash on Hand/Depositenter code or 0000Date: enter date&Certification (N.J.A.C. 11:3-20.5(e)):]* Ensure that the AIRE codes and profit source/information is filled out on the InputA sheet.Contact Person:Name: enter hereTitle: Telephone:E-Mail:Officer Certifying Survey:aInclude any changes in companies included with reasons why, and any other clarifying information.w NJ Dept. of Banking & Insurance, Office of Property & Casualty, 20 W. State St., PO Box 325, Trenton, NJ 08625-0325enter company #1 # here (or 0)enter company #2 # here (or 0)enter company #3 # here (or 0)enter company #4 # here (or 0)enter company #5 # here (or 0)enter company #6 # here (or 0)enter company #7 # here (or 0)enter company #8 # here (or 0)enter company #9 # here (or 0)enter company #10 # here (or 0)version 06/15/2010* Please do not send in hard copies of this report and/or any cover letters or attachments (the latter two items are optional).h* Do not modify any exhibits or formulas in any way without contacting DOBI at the e-mail address above.TOTALDevelopment Adjustment9Data on this Exhibit is Countrywide for all lines writtenMAnnual Statement, Exhibit of Net Investment Income, Earned During Year columnLine 10Line 11Line 14Line 2.1 Line 2.21 Line 2.22Line 2.2Line 89Annual Statement, Assets Page, Assets Current Year columnLine 1 L 3.1+3.2 L 4.2+4.3Line 6Contract LoansLine 5$Cash, Cash Equiv., & Short Term Dep.Proj. Ultimate C.I. L+DCCEL+DCCE Dev. FactorA&OELossD&CC Loss+D&CCRatioCum. Case Inc.D&CCE Loss+D&CCENAIC Company #11NAIC Company #12enter company #11 # here (or 0)enter company #12 # here (or 0)Total from the Annual Statement!Excluded Types included in Item 1 UCJF Assessments (19.1/PIP only)Please note that the years are' in reverse order of other sections of the Input Sheet. Bodily InjuryProperty Damage Exhibit 2:Source: Countrywide Insurance Expense Exhibit (IEE) Part 3enter with trailing 000'sDirect Incurred Loss2Direct Incurred Defense & Cost Containment Expense)Direct Incurred Adjusting & Other ExpensePersonal Injury Prot.(Interest, Dividends & Real Estate IncomeBonds$Properties Held except for ins. occ.LSOF 9@Provide Documentation if greater than 0. This item is optional. Enter AIRE Codes Used by InsurerzTo remove red highlight from cells, enter the reference in the line below by overwriting the blue text in the Source linesSum of Above 2 ItemsItem 1 Reinvestment into NJ>Net AIRE [Input Sheet, Exhibit 9, Item 5A + Item 5B - Item 5C] Tail Factor (51 months-ultimate) 99 monthsItem 29aItem 29bEDirect Accident Year Ultimate Loss & LAE [Exhibit 2, Part 4, Col (4)]МAll data on Exhibit 7 is for NJ only, for all coverages combined. Date for the most recent 7 years is calculated, previous years must be entered by the user from the previous spreadsheet.›All data on Exhibit 6 is for NJ only, for all coverages comb<$ ined, and is the amount paid out as Excess Profit in accordance with a filed and approved plan.BIPDOther LiabilityPIP Phys Damage6Pre-Tax Rate of Return [Exhibit 4, Item 8, 3-Yr Total]'Total as Reported on State Page Exhibit)Exclusions Reported on State Page Exhibit%Excess Profit Data [Item 1 - Item 2]*UCJF Assessments & Excess Medical Benefits,Refund of Excess Profit, included in Col (3)(All Other Dividends, included in Col (3)Item 3-4 Exhibit 3A Exhibit 3B7Direct CY Net Earned Premium [Item 2 - Item 3 + Item 4]'Total Expenses [Sum (Item 7 - Item 13)] 7 Year Total$ Part 3, Line 21.1 (except Item 9):Source: Annual Statement - SPE, Line 19.2 (except Item 10):Source: Annual Statement - SPE, Line 19.1 (except Item 10):Source: Annual Statement - SPE, Line 21,1 (except Item 10) Line 19.1 (except Item 9) Section T All Coverages8Source: Annual Statement - State Page Exhibit, Line 19.28Source: Annual Statement - State Page Exhibit, Line 19.18Source: Annual Statement - State Page Exhibit, Line 21.1Excess Medical BenefitsCalendar Year as of March 31 Section BRate of Return&A&OE Ratio [Exhibit 2, Part 4, Col (4] Exhibit 2C Exhibit 2A Source (16)Item 16CItem 16AItem 16B Source (4)Item 4AItem 4BItem 4CLine 7 Real EstateAIRE Assessment AllocationAIRE Assessment at Present Rate&AIRE Redistribution of Investment Inc.Line 4 Assets Pg. 2"Cumulative Incurred Loss and D&CCESource for Item 16 Entries/Net Actual Loss [Item 28 - Item 29 if positive]u1. If using same formula as here in last rate filing, then provide the NJ filing # and page reference # in cell F211.Ђ3. If using a different formula in an approved rate filing than Is used here, provide the filing's profit loading, NJ filing #, and page reference # in cell F211.p* E-Mail this report by July 1 to reports@dobi.nj.gov. Alternatively, report may be sent on CD-ROM or DVD-R to:'"5'0Allowable Expense Caps for filing effective 6/15Year 2017 and PRIORYear 2018 and SUBSEQUENThenter reference(s) where data for Exhibit 9 Item 16 can be found (or indicate if an exhibit is attached)8Special Instructions for Exhibit 9, Source (16) section:М* For Year 2017 and Prior column, filer could input in figures from the 2018 Excess Profit Report or from the most recent PPA Approval filing submitted and approved in or before Year 2017.Ё* For Year 2018 and Subsequent column, filer should input in figures from the most recent PPA Prior Approval filing submitted and approved in or after Year 2018.+Net Loss [-Item 27, if Item 27 is negative]w* Please note Special Instruction on InputTOTAL Tab regarding Exhibit 9, Source (16) due to Year 2018 Change in Federal; Corporate Income Tax Rate from 35 percent to 21 percent.џВwў МўQkџЮџcГˆјjџш}AжЁ6њZяђ‡dљЗL@еђ‡zZямq aі   ‰  k   Ї а e Ъ _Ц [АE2)Осvw [№Є9ЌA}вgyаeh§SшsУXѓdВ#Р 1"s#Š˜# 5$Іd&еџ(p ccъ–Ž –PK!щоПџ[Content_Types].xmlЌ‘ЫNУ0EїHќƒх-JœВ@%щ‚ЧŽЧЂ|РШ™$ЩиВЇUћїLвTBЈ l,й3їž;уrНЕӘœЇJЏђB+$ыG]Ѕп7Oй­V‰о‚ЮВ“5Дqшx\PЏ sС6ТїОп*р+FC]†Х\dzSЌЅ№\Ш1 ƒfбЫœЮ!Ф(B:“ шQЈ}qCЁZ2Мˆ %Ыu?јE˜+zo^§хЭЋЯЩ›W/_Пјтѕ‹ППўјуз/ўцhyBз'~§йoПљгЏШ>џєыO~пŒWuќ?џњы/џёЛf fаJЂЏў№ђ__МќъПљїŸ?i€п—0ЋУЇ,ЅŠМOЯШБHQ7k_r:“o7cšѓf@‚ДHtтп_oТ ЈoМg‹G№СтЙ'ы$‘ Э8?NRx(йh€Ч†WЭТгE73—‹:юрД‰ї2ЯЕЃEŽUГ JЯіУ„zbqШ4Ф4Ѓš˜oт„вэ>dЬГы! 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О/     О0     О1MNNNNО2MNNNNО3MNNNNО4MNNNNО5MNNNNО6MNNNNО7MNNNNО8MNNNNО9MNNNNО:MNNNNО;MNNNNО<MNNNNО=MNNNNО>MNNNNО?MNNNNзDZl ,@,A,B,C,D,E,F,G,H,I,J,K,L,M,N,O,P,Q,R,S,T,U,V,W,X,Y,Z,[,\,],^,_,О@MNNNNОAMNNNNОBMNNNNОCMNNNNОDMNNNNОEMNNNNОFMNNNNОGMNNNNОHMNNNNОIMNNNNОJMNNNNОKMNNNNОLMNNNNОMMNNNNОNMNNNNОOMNNNNОPMNNNNОQMNNNNОRMNNNNОSMNNNNОTMNNNNОUMNNNNОVMNNNNОWMNNNNОXMNNNNОYMNNNNОZMNNNNО[MNNNNО\MNNNNО]MNNNNО^MNNNNО_MNNNNзDl`,a,b,c,d,e,f,g,h,i,j,k,l,m,n,o,p,q,r,О`MNNNNОaMNNNNОbMNNNNОcMNNNNОdMNNNNОeMNNNNОfMNNNNОgMNNNNОhMNNNNОiMNNNNОjMNNNNОkMNNNNОlMNNNNОmMNNNNОnMNNNNОoMNNNNОpMNNNNОqMNNNNОrMNNNNз*јhТ$ N  F e sьд№и№ %4№Р№( № №4№„Ђ №4 Г №B€H  …‹П XPƒPП?П№IŠ1№]4@  m~mHЁaOЃу‡€~ЌВрь №Ж0<1Note: If not part of a group then enter as 0000.<#љ0ь„№„Ђ №4 Г №B€˜  …‹П XPƒPП?П№IŠІ Х№]4@ gg‹ѕ2GVL–0зUE ‹ь №ЖX<YNote: If the report only includes one company then enter the remaining NAIC #s as 00000.<#№Xь„№„Ђ №4 Г №B€Ј  …‹П XPƒPП?П№I Š  Ї№]4@ у“u!S‡СJЃ*j’ФXYЧ‹ь №ЖZ<[Note: If the report only includes two companies then enter the remaining NAIC #s as 00000.<(ŸZPPь„№„Ђ №4 Г №B€ˆ  …‹П XPƒPП?П№I Š3 і№]4@ ЄЅ˜ŠKрўJ ъ ЩŒK(­‹ь №Ж\<]Note: If the report only includes three companies then enter the remaining NAIC #s as 00000.<0і\ Иь„№„Ђ №4 Г №B€ш  …‹П XPƒPП?П№I Š3 Х№]4@ e2я 1§E…+ВлЙ+Qу‹ь №Ж[<\Note: If the report only includes four companies then enter the remaining NAIC #s as 00000.<!Ё[ Иь„№„Ђ №4 Г №B€Ј   …‹П XPƒPП?П№I Š3ь№]4@ D•рHи*ЙAЈSMxўL|a‹ь №ЖP<QNote: If the report only includes five companies then enter the NAIC # as 00000.<tP Иь„№„Ђ № 4 Г №B€8  …‹П XPƒPП?П№I Š3Л№]4 @ њЫЌВЫEИЬ{ З†‡д‹ь №ЖO<PNote: If the report only includes six companies then enter the NAIC # as 00000.<#БO Иь„№„Ђ №!4 Г №B€ј  …‹П XPƒPП?П№IŠ3ž№]4!@ ­yЎqD BЃ-RІ)(к‹ь №ЖQ<RNote: If the report only includes seven companies then enter the NAIC # as 00000.<Q Иь„№„Ђ №"4 Г №B€И  …‹П XPƒPП?П№IŠ3Л№]4"@ Њ‡…˜O‰A–ісщBdЩ‹ь №Ж[<\Note: If the report only includes eight companies (or less) then enter the NAIC # as 00000.<Є[ Иь„№„Ђ №#4 Г №B€ˆ  …‹П XPƒPП?П№IŠ3Л№]4#@ ›єК ВхA”жH,Ђ8Ъ‹ь №ЖЌ<­Note: If the report only includes nine companies (or less) then enter the NAIC # as 00000. If more than ten companies are included then list the remainder in the comments.<#нЌ Иь„№„Ђ №$4 Г №B€и1g…‹П XPƒPП?П№IŠ3Л№]4$@ X тdчГH‚Је_Št‹ь №Ж[<\Note: If the report only includes eight companies (or less) then enter the NAIC # as 00000.<Є[ Иь„№„Ђ №%4 Г №B€И0g…‹П XPƒPП?П№IŠ3Š№]4%@ Ђл% ДTFЙ1w–йш‹ь №ЖЌ<­Note: If the report only includes nine companies (or less) then enter the NAIC # as 00000. If more than ten companies are included then list the remainder in the comments.<;Ќ И Matthew Burlewi Matthew Burleww Matthew Burleww Matthew Burleww Matthew Burleww Matthew Burleww Matthew Burleww!Matthew Burleww"Matthew Burleww#Matthew Burleww$Matthew Burleww%Matthew Burleww>Ж@ddth‹‹rh&&&х:(*+-.0я7ВџџџџО\ Invalid Year EnteredType in the current year here. tиICьОч NAIC Group CodeInvalid NAIC Group NumberXEnter the NAIC Group Code for the insurer here. If the insurer is independent, enter 0.?The NAIC Group Number must be between 0 (independent) and 9999.'ОX NAIC Company CodeInvalid NAIC NumberˆEnter the 5 digit NAIC Company Code here. If the insurer has less than 10 companies to report data for, enter 0 in the remaining cells.aThe NAIC Number must be a 5 digit whole number, or 0 if the filing is for less than 10 companies.)lР lР' lР№iј@ b$B%%К Sheet30ggџџџџDh4h(rRange6h4hRange5h4hRange4h4hRange3h4hRange2h4hRange1 ZOЭЩ ^ў’ЕЉmМ4з  dќЉёвMbP?_*+‚€%;РФ) Lџ&L&D&RPage &P of &Nƒ„&р?'р?(р?)р?MВAdobe PDFмдSя€ъ o0XXLetterPRIVт ''''АЄ0\KhCFFŸђџџАSMTJ 0EBDAStandardЁ"0XXр?р?œ&œU} ЊO} ŽO} ЊO}  ЊO} Њ O^  ;@ ;@ ;@ ;@ ;@  ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ЉџџџZ Group Name:Љ†џџџZenter group name hereОЊ § ГЉџџџZ Group NAIC #:Љ†џџџZenter group # hereОЊ §  НЕЉџџџZ Year Filed:Љ’ЈŸ@ќќT§ZОЏ §  kО ЈЈЊЏЈЈР‡ЈЈЈЈЈ О ЈЈЈЈЈaaaaaaaa ˆџџџZ Exhibit 1О ‰ŠŠ‹џџџZ Calendar YearО‹‹‹‹‹‹‹Œ § •‚О lmm\ЄŸ@џ C\ Ÿ@џ C\œŸ@џ C\˜Ÿ@џ C\”Ÿ@ џ C \Ÿ@ џ C \ŒŸ@ џ C \ˆŸ@ џ C n„Ÿ@џ C О bdhhTUUUUUUUV dџџ џZ€Direct Written PremiumОjddWWWWWWWWY  eџџ џZ € Col (1) (џџ џZ € Item 1 c џџ џZ €"Total from the Annual Statement cН< ZZZZZZZZ[  eџџPџZ € Col (1)§  cџџ џZ €$!Excluded Types included in Item 1 cН< ZZZZZZZZ[  eџџ џZ € Col (1) (џџџZ € Item 4 c џџџZ €# UCJF Assessments (19.1/PIP only) cН< ZZZZZZZZ[  bџџ џZ О ddŸŸŸŸŸŸŸŸЇ  dџџџZ €Direct Earned PremiumО jddŸŸŸŸŸŸŸŸЇ eџџџZ€ Col (2)(џџџZ€ Item 1c џџџZ€"Total from the Annual StatementdН<ZZZZZZZZ[ eџџџZ€ Col (2)(џџўZ€ Item 2c џџџZ€$!Excluded Types included in Item 1dН<ZZZZZZZZ[ eџџ џZ€ Col (2)(џџџZ€ Item 4c џџ%џZ€# UCJF Assessments (19.1/PIP only)dН<ZZZZZZZZ[ eџџџZОxddŸŸŸŸŸŸŸŸЇ dџџџZ€/,Paid Dividends (incl. Excess Profit Refunds)ОjddŸŸŸŸŸŸŸŸЇ eџџџZ€ Col (3A)(џџ&џZ€ Item 1c џџџZ€"Total from the Annual StatementdН<ZZZZZZZZ[ eџџUџZ€ Col (3A)(џџRџZ€ Item 2c џџ џZ€$!Excluded Types included in Item 1dН<ZZZZZZZZ[ eџџџZОddŸŸŸŸŸŸŸŸ  dџџџZ€?<Declared, but Unpaid Dividends (incl. Excess Profit Refunds)ОjddŸŸŸŸŸŸŸŸ  eџџџZ€ Col (3B)(џџџZ€ Item 1§ cdН<ZZZZZZZZ\ eџџ!џZ€ Col (3B)(џџ[џZ€ Item 2c џџTџZ€$!Excluded Types included in Item 1dН<ZZZZZZZZ\ bџџџZОdddddddddd dџџџZ€# Direct Unearned Premium ReservesОjddŸŸŸŸŸŸŸŸ  eџџџZ€ Col (4)(џџџZ€ Item 1c џџџZ€"Total from the Annual StatementdН<ZZZZZZZZ\ eџџџZ€ Col (4)(џџZџZ€ Item 2c џџџZ€$!Excluded Types included in Item 1dН<ZZZZZZZZ\ (џџSџDР Col (4)i(џџ џD @ Item 4) џџ џD @# UCJF Assessments (19.1/PIP only)*Н<111111112 bџџџZОddŸŸŸŸŸŸŸŸ  dџџ џZ€(%Direct Unpaid Loss (Case + Bulk/IBNR)ОjddŸŸŸŸŸŸŸŸ  зDOlЄЃˆ$$Y$`юаяC_ю№яCvяёC†ЖёCjю№щC ;@! ;@" ;@# ;@$ ;@% ;@& ;@' ;@( ;@ ) ;@ * ;РЯ!+ ;РЯ, ;РЯ- ;РЯ. ;РЯ/ ;РЯ0 ;РЯ1 ;РЯ2 ;РЯ3 ;РЯ4 ;РЯ!5 ;@ 6 ;РЯ7 ;РЯ8 ;РЯ9 ;РЯ: ;РЯ; ;РЯ< ;РЯ= ;РЯ> ;РЯ? ;РЯ! eџџ џZ € Col (7) (џџTџZ € Item 1 c џџ!џZ €"Total from the Annual Statement fН< ZZZZZZZZ\ !eџџ!џZ!€ Col (7)!(џџџZ!€ Item 2!c џџ"џZ!€$!Excluded Types included in Item 1!fН<!ZZZZZZZZ\ "eџџ"џZ"€ Col (7)"(џџ#џZ"€ Item 4§ "c„"fН<"ZZZZZZZZ\ #bџџ$џZ#О#ddŸŸŸŸŸŸŸŸ  $dџџ%џZ$€'$Direct Unpaid ALAE (Case +Bulk/IBNR)О$ddŸŸŸŸŸŸŸŸ  %eџџ, џZ%€ Col (10)%(џџџZ%€ Item 1%f џџџZ%€"Total from the Annual Statement%fН<%ZZZZZZZZ\ &eџџџZ&€ Col (10)&x(џџYџZ&€ Item 2&f џџ%џZ&€$!Excluded Types included in Item 1&fН<&ZZZZZZZZ\ О 'iiiiiЂЂЂЂЂЂŸŸ О (iiiiiЂЂЂЂЂЂŸŸ § )yPО)ъ–€lщwwtttt О *mъ–€lщwwttttt +y§ +|4+П§ +wV§ + !О+       x § ,oš§ ,pП,ђ„Ÿ@. џ,М,,  LР,ђˆŸ@,џ,,ђŒŸ@,џ,,ђŸ@,џ,,ђ”Ÿ@,џ,, ђ˜Ÿ@,џ,, ђœŸ@, џ,, ђ Ÿ@, џ,, ѓЄŸ@, џ C-r§ -ƒ"Н<-ŸŸŸŸŸŸŸŸЇ .Ф§ .ї#Н6.ŸŸŸttttt . -џџ/ џZ XXX/Ф§ /ї$Н0/ŸŸŸtttt / џџ/ џZ XXX/ -џџ0 џZ XXX§ 0ФK§ 0ƒ%Н*0ŸŸŸttt 0 џџ0 џZ XXX0 џџ0 џZ XXX0 -џџ1 џZ XXX§ 1ФL§ 1ƒ&Н$1ŸŸŸtt1 џџ1 џZ XXX1 џџ1 џZ XXX1 џџ1 џZ XXX1 -џџ2џZ XXX§ 2ФM§ 2ƒ'Н2ŸŸŸt2 џџ2 џZ XXX2 џџ2 џZ XXX2 џџ2 џZ XXX2 џџ2 џZ XXX2 -џџ3џZ XXX3r§ 3ƒ(Н3ŸŸŸ3 џџ3џZ XXX3 џџ3 џZ XXX3 џџ3 џZ XXX3 џџ3 џZ XXX3 џџ3 џZ XXX3 -џџ4џZ XXXО 4sММ§ 4qbН4ЪЪ4}џџ4џZ XXX4}џџ4џZ XXX4}џџ4 џZ XXX4 }џџ4 џZ XXX4 }џџ4 џZ XXX4 }џџ4 џZ XXX4 ~џџAџZ XXXО 5РРРdРРРРhhhhh О 6y|Пw          7oО7pђђђђђђђђѓ 8rО8ƒŸŸŸŸŸŸŸŸЇ 9ФО9їŸŸŸtttttu :ФО:їŸŸŸtttt - ;ФО;ƒŸŸŸttt  - <ФО<ƒŸŸŸtt   - =ФО=ƒŸŸŸt    - >rО>ƒŸŸŸ     - О ?sММqЪЪ}}}}}}~ зDplю№ЕCnяё$$0$XNX}ЂЫ№6a$$((((((((@ ;@ A ;@B ;@ C ;@ D ;@E ;@F ;@G ;@H ;@I ;@ J ;@K ;РP L ;@M ;@N ;@O ;@P ;@Q ;@R ;@S ;@T ;@U ;@V ;@W ;@X ;@Y ;@Z ;@[ ;@\ ;@] ;@О @xfddyyyhhhhhh A§ Am5A–§ AwVAПA€џџFџZA€# Tail Factor (99 months-ultimate)~ AŸ№?§ A“fОAЃЃЃЄ О Bš›e—Мœ ˜U–––™ О CРРРdРРРРhhhhh Dj§ Dm8ОDkЃЃЃЃЃЃЃЃЄ § EŽQО EdddEЅџџџZE Calendar YearОEЅЅЅЅЅЅЅІ § FО~О FРР§ FRF\ЄŸ@Fџ CF\ Ÿ@Fџ CF\œŸ@Fџ CF\˜Ÿ@Fџ CF\”Ÿ@F џ CF \Ÿ@F џ CF \ŒŸ@F џ CF \ˆŸ@F џ CF n„Ÿ@Gџ C § G~v§ GfSО GhhGdGџZGРGdGџZGРGdGџZGРGdGџZGРGdG џZGРG jG џZG РG jG џZG РG jG џZG РG ‘HџZG Р§ How§ H™TО H^jHjHџZHРHjHџZHРHjHџZHРHjHџZHРHjH џZHРH jH џZH РH jH џZH РH jH џZH РH ‘IџZH Р§ Iqy§ IzUО IŸУIУIџZIРIУIџZIРIУIџZIРIУIџZIРIУI џZIРI УI џZI РI УI џZI РI УI џZI РI LџZI РО JrŠuvvvvvwwww О K77777777777jj LjџџLџZL Exhibit 3О LzkkL{џџMџZL Calendar YearОL{{{{{{{| M•џџMџDEР=:Source: Countrywide Insurance Expense Exhibit (IEE) Part 3О MЉЂjM\ЄŸ@Mџ CM\ Ÿ@Mџ CM\œŸ@Mџ CM\˜Ÿ@Mџ CM\”Ÿ@M џ CM \Ÿ@M џ CM \ŒŸ@M џ CM \ˆŸ@M џ CM n„Ÿ@Nџ C NОџџOџDFР Line 19.1 (except Item 9)О NРР§ NRОNЈЈЈЈЈЈЈР} O~џџOџZO€ Col (1)O(џџOџZO€ Item 1Od џџO џZO€Direct Written Premium - CWOdН0OZZZZZZZ O hџџO џZ XXXO `џџPџZ XXXP~џџEџZP€ Col (1)P(џџPџZP€ Item 2Pd џџP џZP€Direct Earned Premium - CWPdН0PZZZZZZZ P hџџP џZ XXXP iџџQџZ XXXQ~џџџZQ€ Col (1)Q(џџQџZQ€ Item 3Qd џџQ џZQ€(%Direct Other Acquisition Expense - CWQdН0QZZZZZZZ Q hџџQ џZ XXXQ iџџRџZ XXXR~џџ&џZR€ Col (1)R(џџRџZR€ Item 4Rd џџR џZR€Direct General Expense - CWRdН0RZZZZZZZ R hџџR џZ XXXR iџџSџZ XXXS~џџџZS€ Col (1)S(џџSџZS€ Item 5Sd џџS џZS€%"Direct Commission & Brokerage - CWSdН0SZZZZZZZ S hџџS џZ XXXS iџџTџZ XXXT~џџ[џZT€ Col (1)T(џџYџZT€ Item 7Td џџT џZT€%"Direct Taxes, Licenses & Fees - CWTdН0TZZZZZZZ T hџџT џZ XXXT iџџUџZ XXXU~џџџZU€ Col (1)U(џџUџZU€ Item 9Ud џџU џZU€(%Net Catastrophe Reinsurance Exp. - CWUdН0UZZZZZZZ U hџџU џZ XXXU iџџXџZ XXXО VbdddјјјŸhhhhi § W•|ОWdddјјјŸhhhhi X~џџXџZX€ Col (3)X(џџXџZX€ Item 5Xd џџX џZX€%"Direct Commission & Brokerage - NJXdН0XZZZZZZZ X hџџX џZ XXXX iџџYџZ XXXY~џџQџZY€ Col (3)Y(џџџZY€ Item 7Yd џџY џZY€%"Direct Taxes, Licenses & Fees - NJYdН0YZZZZZZZ Y hџџY џZ XXXY iџџZџZ XXXZ~џџZџZZ€ Col (3)Z(џџџZZ€ Item 9Zd џџZ џZZ€(%Net Catastrophe Reinsurance Exp. - NJZdН0ZZZZZZZZ Z hџџZ џZ XXXZ iџџ[џZ XXX[~џџџZ[€ Col (3)[(џџ&џZ[€ Item 10[d џџ[ џZ[€LAD Fees Paid - NJ[jН0[ZZZZZZZ [ hџџ[ џZ XXX[ iџџџZ XXXО \ёїОjZZZhhhhhi О ]ёїpjbZZhhhhhi з@D$В$$8meSSS$$Ћz43>4;;>$0;;>,$Т0 ї h    ) P м ъ  $ e  _     >   ` Vт   ! % L% T& N& %& 'EE А G !G "G 0#G $G %G  &G  'G  (G  H !H "H #H $H %H  &H  'H  (H  I !I "I #I $I %I  &I  'I  (I  PP QQ RR SS TT  T aU 6Y YY EZ [[ &[ [  ьP№H №C@№0№( № №@>ЖB@2K‹‹ ™Њ я7К Sheet13ggџџџџDh5hO[ Range11h5hABRange10h4h44Range9h4h33Range8h4h22Range7h4h11Range6h4h00 Range5h4h// Range4h4h.. Range3h4h-- Range2h4h & Range1 ZOЭЩ      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abce§џџџfghijklmnopqrstuvwxyz{|}~€ ]шхќљ љ!  dќЉёвMbP?_*+‚€%;РФ) L &L&D&RPage &P of &Nƒ„&р?'р?(р?)р?MВAdobe PDFмдSя€ъ o.XXLetterPRIVт ''''АЄ0\KhCFFŸђџџАSMTJ 0EBDAStandardЁ".XXр?р?œ&œU} ЊO} ЊP}  ЊO} Њ O]  ;@ ;@ ;@ ;@ ;@  ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@§ ќMЈќџџџZenter group name hereОn § ЌГ§ †N­ќџџўZenter group # hereОnћ §  Н†§ ЉOЈ§ЈŸ@џZОo §  jО ЉЈ‘’ЈЈЖЛЈЈЈЈЈ О ЈЈЈЉЈРРРРРРРР § ˆ0О “Š”§ ‹О‹‹‹‹‹‹ŒŒ § •О ^_ЦQЄŸ@ џ DРR Ÿ@џ DРRœŸ@ џ DРR˜Ÿ@Mџ DРR”Ÿ@Mџ DР RŸ@Fџ DР RŒŸ@Fџ DР аˆŸ@џ DР б„Ÿ@џ DР О –^_ЦTUUUdUUUX § —~Оd^ЦWWWWWWWWY § ov§ e§ ПH ПН< ZZZZZZZZ[  ˜џџ џD Р Col (1)§ e§ ПI ПН< ZZZZZZZZ[  ˜џџџD Р Col (1)§ f§ ПJ П§ h§ § § § § § § § § š;О g^ЦŸŸŸŸŸŸŸŸ  § ›О К^ЦŸŸŸŸŸŸŸŸ  § owgџџџD @ Item 1^ џџџD @"Total from the Annual StatementЦН<ZZZZZZZZ[ ˜џџџDР Col (2)g(џџџD @ Item 2^ џџџD @$!Excluded Types included in Item 1ЦН<ZZZZZZZZ\ ˜џџџDР Col (2)g(џџџD @ Item 4^ џџџD @# UCJF Assessments (19.1/PIP only)ЦџџџD РXXXџџџМ LћџРXXXџџџXXXџџџXXXџџ џXXX џџ џXXX џџ џXXX џџ џD РXXX џџџD РXXX§ ˜;ОhЦЦŸŸŸŸŸŸŸŸ  § ›•ОК^ЦŸŸŸŸŸŸŸŸ  § ˜„gџџџD @ Item 1^ џџџD @"Total from the Annual StatementЦН<ZZZZZZZZ[ ˜џџџDР Col (3A)g(џџџD @ Item 2^ џџџD @$!Excluded Types included in Item 1ЦН<ZZZZZZZZ\ § ˜;Оg^ЦŸŸŸŸŸŸŸŸ  § › ОК^ЦŸŸŸŸŸŸŸŸ  § ˜…gџџџD @ Item 1§ ^ЦН<ZZZZZZZZ[ ˜џџџDР Col (3B)g(џџџD @ Item 2^ џџџD @$!Excluded Types included in Item 1ЦН<ZZZZZZZZ\ § š;Оg^ЦŸŸŸŸŸŸŸŸ  § ›“ОК^Цdddddddd § ˜ygџџџD @ Item 1^ џџџD @"Total from the Annual StatementЦН<ZZZZZZZZ[ ˜џџџDР Col (4)g(џџџD @ Item 2^ џџџD @$!Excluded Types included in Item 1ЦН<ZZZZZZZZ\ (џџYџDР Col (4)i(џџџD @ Item 4) џџ џD @# UCJF Assessments (19.1/PIP only)*§ +§ +§ +§ +§ +§  +§  +§  +§  ,§ š;Оg^ЦŸŸŸŸŸŸŸŸ  § ›—ОК^ЦŸŸŸŸŸŸŸŸ  зDМl|c$$FY$0t“б00Щъ-00Щы00’ы00Щъ'0 ;@! ;@" ;@# ;@$ ;@% ;@& ;@' ;@( ;@ ) ;@ * ;РЯ!+ ;РЯ, ;РЯ- ;РЯ. ;РЯ/ ;РЯ0 ;РЯ1 ;РЯ2 ;РЯ3 ;РЯ4 ;РЯ!5 ;@ 6 ;РЯ7 ;РЯ8 ;РЯ9 ;РЯ: ;РЯ; ;РЯ< ;РЯ= ;РЯ> ;РЯ? ;РЯ!§ ˜{ gџџ џD @ Item 1 ^ џџ!џD @"Total from the Annual Statement ЦН< ZZZZZZZZ[ !˜џџ!џD Р Col (7)!g(џџ!џD @ Item 2!^ џџ"џD @$!Excluded Types included in Item 1!ЦН<!ZZZZZZZZ\ "˜џџ"џD Р Col (7)"g(џџ"џD @ Item 4" џџ%џZ "Excess Medical Benefits"™§ "§ "§ "§ "§ "§ " § " § " § " § #š;О#g^ЦŸŸŸŸŸŸŸŸ  § $›˜О$К^ЦŸŸŸŸŸŸŸŸ  § %˜|%gџџ%џD @ Item 1%^ џџ&џD @"Total from the Annual Statement%ЦН<%ZZZZZZZZ[ &˜џџ&џD%Р Col (10)&g(џџ&џD @ Item 2&^ џџ, џD @$!Excluded Types included in Item 1&ЦН<&ZZZZZZZZ\ О ' œ™™ŸŸŸŸŸŸŸŸŸ О ( œ™™ŸŸŸŸŸŸŸŸŸ § )ЁPО)Єtшlщwwtttt О *kЄtшlщwwttttt +v§ +{4+П§ +wN§ + !О+       x § ,oš§ ,pП,ђ„Ÿ@7 џ,М,,  LР,ђˆŸ@,џ,,ђŒŸ@,џ,,ђŸ@,џ,,ђ”Ÿ@,џ,, ђ˜Ÿ@,џ,, ђœŸ@, џ,, ђ Ÿ@, џ,, ѓЄŸ@, џ C-r§ -ƒ"Н<-ŸŸŸŸŸŸŸŸЇ .Ф§ .ї#Н6.ŸŸŸŸŸŸŸŸ § . -/Ф§ /ї$Н0/ŸŸŸŸŸŸŸ § / § / -§ 0ФK§ 0ƒ%Н*0ŸŸŸttt § 0 § 0 § 0 -§ 1ФL§ 1ƒ&Н$1ŸŸŸtt§ 1 § 1 § 1 § 1 -§ 2ФM§ 2ƒ'Н2ŸŸŸt§ 2 § 2 § 2 § 2 § 2 -3r§ 3ƒ(Н3ŸŸŸ§ 3 § 3 § 3 § 3 § 3 § 3 -О 4sММ§ 4qbН4ЪЪ§ 4}§ 4}§ 4}§ 4 }§ 4 }§ 4 }§ 4 ~О 5ƒРРРРРРРhhhhh 6v§ 6{46П§ 6wO§ 6 !О6       x § 7oš§ 7pП7ђ„Ÿ@Eџ7М77  LР7ђˆŸ@7џ77ђŒŸ@7џ77ђŸ@7џ77ђ”Ÿ@7џ77 ђ˜Ÿ@7џ77 ђœŸ@7 џ77 ђ Ÿ@7 џ77 ѓЄŸ@7 џ C8r§ 8ƒ"Н<8ŸŸŸŸŸŸŸŸЇ 9Ф§ 9ї#Н69ŸŸŸttttt 9 u:Ф§ :ї$Н0:ŸŸŸtttt § : § : -§ ;ФK§ ;ƒ%Н*;ŸŸŸttt § ; § ; § ; -§ <ФLО<ƒŸŸŸtt   - § =ФMО=ƒŸŸŸt    - >rО>ƒŸŸŸ     - О ?sММqЪЪ}}}}}}~ зDYlЩъ 00Щы$$0$XNX`ht|„ˆ–$XNX\ht,,(@ ;@ A ;@B ;@ C ;@ D ;@E ;@F ;@G ;@H ;@I ;@ J ;@K ;РP L ;@M ;@N ;@O ;@P ;@Q ;@R ;@S ;@T ;@U ;@V ;@W ;@X ;@Y ;@Z ;@[ ;@\ ;@О @ ОРjyyyhhhhhh AЋ§ A‘5AЃ§ AwNAП§ A’i~ AŸ№?§ A“fОAЃЃЃЄ О B”•–—Мџ ˜U–––™ О CƒРРРРРРРhhhhh DЁ§ D‘8ОDЅuЃЃЃЃЃЃЃЃЄ E•џџEџZ EР=:Source: Countrywide Insurance Expense Exhibit (IEE) Part 3О EІЂjEЅџџFџD@ Calendar YearОEЅЅЅЅЅЅЅІ F•џџNџZ FР Line 19.1 (except Item 9)О FР§ FRF™ЄŸ@F џFМFF L@F™ Ÿ@M џFF™œŸ@ џFF™˜Ÿ@FџFF™”Ÿ@F џFF ™Ÿ@M џFF NŒŸ@M џFF NˆŸ@FџFF O„Ÿ@MџF§ Gov§ GОSО G_jН<GZZZZZZZZ\ § How§ HОTО HРjН<HZZZZZZZZ\ § Iqy§ IЇUО IaУН<I````````a О Jrstuvvvvvwwww О KƒОЖjjjjjjjjjj § LЁ3О LЈЅ˜§ LPОLQPPPPPPR § MŽQО MЉЂjM™ЄŸ@MџMМMM LЙџРM™ Ÿ@M џMM™œŸ@FџMM™˜Ÿ@UџMM™”Ÿ@ џMM ™Ÿ@ §MM ™ŒŸ@F џMM NˆŸ@F џMM S„Ÿ@MџD РNОџџOџDFР Line 19.1 (except Item 9)О NРР§ NRОNРРРРРРРРT § OЊv§ O„§ OОЗOjOХOџZ OРOХOџZ OРOХOџZ OРOХOџZ OРOХO џZ OРO ХO џZ O РO ХPџZ O Р§ O h§ O iPЊџџPџDOР Col (1)§ P„§ PОИPjPХPџZ PРPХPџZ PРPХPџZ PРPХPџZ PРPХP џZ PРP ХP џZ P РP ХQџZ P Р§ P h§ P iQЊџџQџDOР Col (1)§ Q„§ QОЙQjQХQџZ QРQХQџZ QРQХQџZ QРQХQџZ QРQХQ џZ QРQ ХQ џZ Q РQ ХRџZ Q Р§ Q h§ Q iRЊџџRџDOР Col (1)§ R„§ RОКRjRХRџZ RРRХRџZ RРRХRџZ RРRХRџZ RРRХR џZ RРR ХR џZ R РR ХSџZ R Р§ R h§ R iSЊџџSџDOР Col (1)§ S„§ SОЛSjSХSџZ SРSХSџZ SРSХSџZ SРSХSџZ SРSХS џZ SРS ХS џZ S РS ХTџZ S Р§ S h§ S iTЊџџTџDOР Col (1)T„(џџTџZ Item 7§ TОМTjTХTџZ TРTХTџZ TРTХTџZ TРTХTџZ TРTХT џZ TРT ХT џZ T РT ХUџZ T Р§ T h§ T iUЊџџџDPР Col (1)Uї(џџUџZ Item 9§ UpсUjUХUџZ UРUХUџZ UРUХUџZ UРUХUџZ UРUХU џZ UРU ХU џZ U РU ХXџZ U Р§ U h§ U iО VЊpЖjјјјŸhhhhi § W•{ОWpЖjјјјŸhhhhi § XЊxX„џџYџDSР Item 5§ XЖ}XjН0XZZZZZZZ § X h§ X iYЊџџZџDXР Col (3)Y„(џџ џDTР Item 7§ YО€YjН0YZZZZZZZ § Y h§ Y iZїџџZџDXР Col (3)Zї(џџ[џZ Item 9§ ZpрZjН0ZZZZZZZZ § Z h§ Z i[ёџџ[џDXР Col (3)[ї(џџџZ Item 10§ [О[jН0[ZZZZZZZ § [ h§ [ iО \ёїОjZZZhhhhhi з>0$x$$8ПŠjjj$$FHz7VVVVvv$0ЂСУФТь[ ї* h+  $   мз ъ   з e            Vт          '  А!! !! 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Range4h4h Range3h4h Range2h4h  Range1ggh'hOU @ ZOЭЩ ^Ї4NO‚_\w  dќЉёвMbP?_*+‚€%;РФLџ&L&D&RPage &P of &Nƒ„&р?'р?(р?)р?MВAdobe PDFмдSя€ъ o.XXLetterPRIVт ''''АЄ0\KhCFFŸђџџАSMTJ 0EBDAStandardЁ".XXр?р?œ&œU} ЊO} ŽO} ЊO}  ЊO} Њ O^  ;@ ;@ ;@ ;@ ;@  ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ќџџ ўZ Group Name:Љ†џџџZenter group name hereОЊ  џџџZ  Input SheetЉtџџџZ Group NAIC #:Љ†џџџZenter group # hereОЊ §  ЖЉџџџZ Year Filed:Љ’ЈŸ@ˆ’a§ZОЏ §  lО ЉЉ†ЏЈЈР‡ЈЈЈЈЈ О ЈЈЈЈЈaaaaaaaa ˆџџџZ Exhibit 1О ‰ŠŠ‹џџџZ Calendar YearО‹‹‹‹‹‹‹Œ § •ƒО \\\\ЄŸ@џ C\ Ÿ@џ C\œŸ@џ C\˜Ÿ@џ C\”Ÿ@ џ C \Ÿ@ џ C \ŒŸ@ џ C \ˆŸ@ џ C n„Ÿ@џ C О bdhhgUUUUUUUV dџџ џZ€Direct Written PremiumОjdddddddddd  eџџ џZ € Col (1) (џџ џZ € Item 1 c џџ џZ €"Total from the Annual Statement cН< ZZZZZZZZ[  eџџPџZ € Col (1)§  cџџ џZ €$!Excluded Types included in Item 1 cН< ZZZZZZZZ[  eџџџZ € Col (1) (џџџZ € Item 4 c џџџZ €# UCJF Assessments (19.1/PIP only) c ]џџ џZ XXX ]џџ џZ XXX ]џџ џZ XXX ]џџ џZ XXX ]џџ џZ XXX ]џџ џZ XXX ]џџ џZ XXX ]џџ џZ XXX ^џџ џZ XXX bџџ џZ О ddŸŸŸŸŸŸŸŸЇ  dџџџZ €Direct Earned PremiumО jddŸŸŸŸŸŸŸŸЇ eџџџZ€ Col (2)(џџџZ€ Item 1c џџџZ€"Total from the Annual StatementcН<ZZZZZZZZ[ eџџџZ€ Col (2)(џџџZ€ Item 2c џџ%џZ€$!Excluded Types included in Item 1cН<ZZZZZZZZ\ eџџ џZ€ Col (2)(џџџZ€ Item 4c џџџZ€# UCJF Assessments (19.1/PIP only)c]џџџМ LћџРXXX] џџџXXX] џџџXXX] џџџXXX] џџ џXXX ] џџ џXXX ] џџSџXXX ] џџџXXX ^ џџUџXXXe џџџZОxddŸŸŸŸŸŸŸŸ  dџџџZ€/,Paid Dividends (incl. Excess Profit Refunds)ОjddŸŸŸŸŸŸŸŸ  eџџџZ€ Col (3A)(џџџZ€ Item 1c џџџZ€"Total from the Annual StatementdН<ZZZZZZZZ[ eџџџZ€ Col (3A)(џџRџZ€ Item 2c џџ&џZ€$!Excluded Types included in Item 1dН<ZZZZZZZZ\ eџџџZОddŸŸŸŸŸŸŸŸ  dџџџZ€?<Declared, but Unpaid Dividends (incl. 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"FЖѓ§дxб?§ нО hhi О MЩ#Ы§ $ЧН %0@%€8@ %ю|?5^Кб?§ &оО 'ЫЫЬ О Џ€п!‚;kkl О Џ€п!‚;kkl § Ћ@О ЃЃЌ§ О‚ § `&О РРf\ЄŸ@џZ@\ Ÿ@ЧџZ@\œŸ@з џZ@\˜Ÿ@ џZ@\”Ÿ@$џZ@ \Ÿ@dџZ @ \ŒŸ@$ џZ @ \ˆŸ@зџZ @ ]„Ÿ@џZ @§ `'ОРЎfgUUUUUUUX § э§ „(§ ОWjН0ZZZZZZZ §  h§  i§ ёB§ „)§ О‚jН0ZZZZZZZ §  h§  i§ ёC§ „*§ Ж>jН0ZZZZZZZ §  h§  i§ ёP§ „+§ ЖjН0ZZZZZZZ §  h§  i§ ёQ§ „,§ Ж jН0ZZZZZZZ §  h§  i§ ёR§ „.§ Ж jН0ZZZZZZZ §  h§  i§ ёS§ „-§ Ж jН0ZZZZZZZ §  h§  i§ ёT§ „“§ ЖОjZZZZZZZhi § ёU§ ї/§ Ж jН0ZZZZZZZ §  h§  i§ ёV§ ї˜§ ОƒjН0ZZZZZZZ §  h§  i§ `0ОƒОjŸŸŸŸŸŸŸhi § эD§ ї1§ ЖXjН6ZZZZZZZZ §  i§ ёE§ ї2§ Ж=jН6ZZZZZZZZ §  i§ ё‡§ ї3§ ЖYjН6ZZZZZZZZ §  i§ ёˆ§ ї4§ Ж5jН6ZZZZZZZZ §  iзDEl|c$$0$R$jrh$$FG0„„„„„„„H„„0||| ;@ ! ;@" ;@ # ;@$ ;@% ;@& ;@' ;@ ( ;@) ;@ * ;@+ ;@, ;@- ;@. ;@/ ;@0 ;@1 ;@2 ;@3 ;@4 ;@5 ;@6 ;@7 ;@8 ;@9 ;@: ;@; ;@< ;@= ;@> ;@? ;@§ і‰§ ^6§ Т7 •Н6 ________ § VО !КГГjŸŸŸŸhhhhh О "ЃЈЈ7ЂЂЂЂЂЂЂŸŸ § #Ћ6О #ЃЃЌ§ #О#‚ § $`&О $РРf$\ЄŸ@џZ@$\ Ÿ@зџZ@$\œŸ@‰џZ@$\˜Ÿ@џZ@$\”Ÿ@$ џZ@$ \Ÿ@з џZ @$ \ŒŸ@зџZ @$ \ˆŸ@ џZ @$ ]„Ÿ@bџZ @О %­РЎfgUUUUUUUX § &ё§ &ї™§ &ОН&jН0&ZZZZZZZ § & h§ & i§ 'і§ '^Z§ 'О'•Н0'_______ § ' U§ ' VО (КГГjŸŸŸŸhhhhh О )ЃЈЈ7ЂЂЂЂЂЂЂŸЇ § *А<*“§ *ZgО*ВЃЃЃЃЃЃЃЃЄ О+•Б^В§ +ЅaО+ZZZZZZZ… О ,Г^_,RЈŸ@,џC,\ЄŸ@Пџ,М,,  LџР,\ Ÿ@,џ,,\œŸ@,џ,,\˜Ÿ@,џ,,\”Ÿ@, џ,, \Ÿ@, џ,, \ŒŸ@, џ,, \ˆŸ@“џ,, S§ -ž1О-ДЕЦgUUUUUUUV .W.ЖџџDџZ Р Item 1§ .X;Н<.ZZZZZZZZZ . \О /WXXjŸŸŸŸŸŸŸŸ  § 0žбО 0XX§ 0ј00џ0М00  -РРмэ00џ000џ000џ000 џ00 0 џ00 0 џ00 Aџ00  1W§ 1œB,1™џџНџin AY D,@0A0 in AY 2025Н<1ZZZZZZZZZ 1 \2W§ 2œC02™џџZџin AY D,@0A0 in AY 2024Н<2ZZZZZZZZZ 2 \3W§ 3œP03™џџXџin AY D,@0A0 in AY 2023Н<3ZZZZZZZZZ 3 \4W§ 4œQ04™џџЉџin AY D,@0A0 in AY 2022Н<4ZZZZZZZZZ 4 \5W§ 5œR05™џџ$ џin AY D,@0A0 in AY 2021Н<5ZZZZZZZZZ 5 \6W§ 6œS06™џџ=џin AY D,@0A0 in AY 2020Н<6ZZZZZZZZZ 6 \7W§ 7œT07™џџ‹џin AY D,@0A0 in AY 2019Н<7ZZZZZZZZZ 7 \8W§ 8œU08™џџЈџin AY D,@0A0 in AY 2018§ 8hН68ZZZZZZZZ 8 \9W§ 9œV09™џџ—џin AY D,@0A0 in AY 2017§ 9h§ 9hН09ZZZZZZZ 9 \:W§ :œW0:™џџmџin AY D,@ 0A0 in AY 2016§ :h§ :h§ :hН*:ZZZZZZ : \;W§ ;œX0;™џџœџin AY D,@ 0A0 in AY 2015§ ;h§ ;h§ ;h§ ;hН$;ZZZZZ ; \<W§ <œY0<™џџџin AY D,@ 0A0 in AY 2014§ <h§ <h§ <h§ <h§ <hН<ZZZZ < \=W§ =œZ0=™џџЙџin AY D,@ 0A0 in AY 2013§ =h§ =h§ =h§ =h§ =h§ =hН= ZZZ = \>W§ >œ[0>™џџ]џin AY D,@ 0A0 in AY 2012§ >h§ >h§ >h§ >h§ >h§ >h§ > hН> ZZ > \?W§ ?œ\0?™џџЖџin AY D,@0A0 in AY 2011§ ?h§ ?h§ ?h§ ?h§ ?h§ ?h§ ? h§ ? h~ ? Z? \зDl|$$FG$„„$$D:H0$GЃЇЇЇЇЇЇЏЗПЧЯзп@ ;@A ;@B ;@C ;@D ;@E ;@F ;@G ;@H ;@I ;@J ;@K ;@L ;@M ;@N ;@O ;@P ;@Q ;@R ;@S ;@T ;@U ;@V ;@W ;@X ;@Y ;@Z ;@[ ;@\ ;@] ;@ ^ ;@_ ;@ О @WXXYhhhhhhhh` ОAWXXYAZџџBџD+Р# Calendar Year Excess Profit PaidОAZZZZZZZ[ ОBWXXYB\„Ÿ@Bџ C BR€Ÿ@BџBМBB  LџРBR|Ÿ@BџBBRxŸ@BџBBRtŸ@B џBB RpŸ@B џBB RlŸ@B џBB RhŸ@CџBB SC]џџDџD-РExcess Profit Refund PaidОC^_jhhhhhhhh` DšDœџџ0џD.Р Item 1Dœ џџFџD.РDYН6DZZZZZZZZ D \О EWXXYhhhhhhhh` F]џџFџD0Р"Excess Profit Carryforward UsedО FXX§ FјFFџFМFF  -РРрFFџFFFџFFFџFFF џFF F џFF F џFF GџFF `GšGœџџHџGМGP LъџР Item 2.1,G™ џџMџin AY D,@0A0 in AY 2025GYН6GZZZZZZZZ G \HWHœџџIџG Item 2.20H™ џџШџin AY D,@0A0 in AY 2024HYН6HZZZZZZZZ H \IWIœџџJџG Item 2.30I™ џџgџin AY D,@0A0 in AY 2023IYН6IZZZZZZZZ I \JWJœџџKџG Item 2.40J™ џџUџin AY D,@0A0 in AY 2022JYН6JZZZZZZZZ J \KWKœџџLџG Item 2.50K™ џџЃџin AY D,@0A0 in AY 2021KYН6KZZZZZZZZ K \LWLœџџMџG Item 2.60L™ џџЦџin AY D,@0A0 in AY 2020LYН6LZZZZZZZZ L \MWMœџџNџG Item 2.70M™ џџWџin AY D,@0A0 in AY 2019MYН6MZZZZZZZZ M \NWNœџџOџG Item 2.80N™ џџ2џin AY D,@0A0 in AY 2018NYН6NZZZZZZZZ N \OWOœџџPџG Item 2.90O™ џџnџin AY D,@0A0 in AY 2017OYН6OZZZZZZZZ O \PWPœџџQџG Item 2.100P™ џџ џin AY D,@ 0A0 in AY 2016PYН6PZZZZZZZZ P \QWQœџџfџD?Р Item 2.150Q™ џџ,џin AY D,@ 0A0 in AY 2015QYН6QZZZZZZZZ Q \RW§ RœY0R™џџџin AY D,@ 0A0 in AY 2014RYН6RZZZZZZZZ R \SW§ SœZ0S™џџџin AY D,@ 0A0 in AY 2013SYН6SZZZZZZZZ S \TW§ Tœ[0T™џџGџin AY D,@ 0A0 in AY 2012TYН6TZZZZZZZZ T \UW§ Uœ\0U™џџЊџin AY D,@0A0 in AY 2011UYН6UZZZZZZZZ U \VW§ Vœ]0V™џџhџin AY D,@0A0 in AY 2010VYН6VZZZZZZZZ V \WW§ Wœ^0W™џџ:џin AY D,@0A0 in AY 2009WY§ WhН0WZZZZZZZ W \XW§ Xœ_‚ƒ„…†‡ˆ‰Š‹ŒŽ‘’“”•–—˜™š›œžŸ ЁЂЃЄЅІЇЈЉЊЋЌ­ЎЏАБВГДЕЖЗИЙКЛМНОПРСТУФХЦЧШЩЪЫЬЭЮЯабвгдежзийклмнопрстуфц§џџџчшщъыьэюя№ёђѓєѕіїјљњћќ§ўџ0X™џџˆџin AY D,@0A0 in AY 2008XY§ Xh§ XhН*XZZZZZZ X \Y§ Yœ`0Y™џџ‡џin AY D,@0A0 in AY 2007YY§ Yh§ Yh§ YhН$YZZZZZ Y \Z§ Zœє0Z™џџ‘џin AY D,@0A0 in AY 2006ZY§ Zh§ Zh§ Zh§ ZhНZZZZZ Z \[е§ [œѕ0[™џџЂџin AY D,@0A0 in AY 2005[Y§ [h§ [h§ [h§ [h§ [hН[ ZZZ [ [\е§ \œі0\™џџOџin AY D,@0A0 in AY 2004\Y§ \h§ \h§ \h§ \h§ \h§ \ hН\ ZZ \ []ƒ§ ]Иї0]ЙџџŸџin AY D,@0A0 in AY 2003]„§ ]U§ ]U§ ]U§ ]U§ ]U§ ] U§ ] U~ ] _] š^жО ^ Яз О _ Яз зDНl$r/aЃ$~кЫЫЫЫЫЫЫЫЬЬЋЋЋЋЋГЛУЫглс` ;@a ;@b ;@c ;@d ;@e ;@f ;@g ;@h ;@i ;@j ;@k ;@l ;@m ;@n ;@o ;@p ;@q ;@r ;@s ;@t ;@u ;@v ;@w ;@x ;@y ;@z ;@{ ;@| ;@} ;@~ ;@ ;@§ `Ё7`“§ `ZfО`ВЃЃЃЃЃЃЃЃЄ Оa•Б^В§ aЅзОaZZZZZZZ… О b•^_bRЈŸ@bџZb\ЄŸ@—џbМbb  LџРbR Ÿ@bџbbRœŸ@bџbbR˜Ÿ@bџbbR”Ÿ@b џbb RŸ@b џbb RŒŸ@b џbb RˆŸ@xџbb c§ c›дОcДЕЦgUUUUUUUX dW§ dи§ dX;§ dhddиџџdџZ+ddиџџd џZ+ddиџџdџZ+ddиџџd џZ+ddиџџdџZ+d dиџџdџZ+d dиџџќ`d§Z+~ d Zd \О eWXXjŸŸŸŸŸŸŸŸ  § fžеО fXX§ fјffџfМff  -РРмэffџfffџfffџfff џff f џff f џff wџff  gW§ gœB.g™џџoџin AY Z8,@0A0 in AY 2025§ ghН6gZZZZZZZZ g \hW§ hœC2h™џџ7џin AY Z8,@0A0 in AY 2024§ hhН6hZZZZZZZZ h \iW§ iœP2i™џџџin AY Z8,@0A0 in AY 2023§ ihН6iZZZZZZZZ i \jW§ jœQ2j™џџŽџin AY Z8,@0A0 in AY 2022§ jhН6jZZZZZZZZ j \kW§ kœR2k™џџ4џin AY Z8,@0A0 in AY 2021§ khН6kZZZZZZZZ k \lW§ lœS2l™џџ‚џin AY Z8,@0A0 in AY 2020§ lhН6lZZZZZZZZ l \mW§ mœT2m™џџТџin AY Z8,@0A0 in AY 2019§ mhН6mZZZZZZZZ m \nW§ nœU2n™џџ~џin AY Z8,@0A0 in AY 2018§ nhН6nZZZZZZZZ n \oW§ oœV2o™џџTџin AY Z8,@0A0 in AY 2017§ oh§ ohН0oZZZZZZZ o \pW§ pœW2p™џџVџin AY Z8,@ 0A0 in AY 2016§ ph§ ph§ phН*pZZZZZZ p \qW§ qœX2q™џџ>џin AY Z8,@ 0A0 in AY 2015§ qh§ qh§ qh§ qhН$qZZZZZ q \rW§ rœY2r™џџjџin AY Z8,@ 0A0 in AY 2014§ rh§ rh§ rh§ rh§ rhНrZZZZ r \sW§ sœZ2s™џџlџin AY Z8,@ 0A0 in AY 2013§ sh§ sh§ sh§ sh§ sh§ shНs ZZZ s \tW§ tœ[2t™џџФџin AY Z8,@ 0A0 in AY 2012§ th§ th§ th§ th§ th§ th§ t hНt ZZ t \uW§ uœ\2u™џџŠџin AY Z8,@0A0 in AY 2011§ uh§ uh§ uh§ uh§ uh§ uh§ u h§ u h~ u Zu \О vWXXYhhhhhhhh` ОwWXXYwZџџyџDaР,)Calendar Year Extraordinary Loss IncurredОwZZZZZZZ[ ОxWXXYx\„Ÿ@xџ DbРxR€Ÿ@xџxМxx  LџРxR|Ÿ@xџxxRxŸ@xџxxRtŸ@x џxx RpŸ@x џxx RlŸ@x џxx RhŸ@Уџxx Sy]џџzџDcРExtraordinary Loss IncurredОy^_jhhhhhhhh` zšzœџџzџDdР Item 1zœ џџ|џDdРzYН6zZZZZZZZZ z \О {WXXYhhhhhhhh` |]џџ|џDfР'$Extraordinary Loss Carryforward UsedО |XX§ |ј||џ|М||  -РРр||џ|||џ|||џ||| џ|| | 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Z8,@ 0A0 in AY 2013‰YН6‰ZZZZZZZZ ‰ \ŠW§ Šœ[2Š™џџ’џin AY Z8,@ 0A0 in AY 2012ŠYН6ŠZZZZZZZZ Š \‹W§ ‹œ\2‹™џџQџin AY Z8,@0A0 in AY 2011‹YН6‹ZZZZZZZZ ‹ \ŒW§ Œœ]2Œ™џџSџin AY Z8,@0A0 in AY 2010ŒYН6ŒZZZZZZZZ Œ \W§ œ^2™џџkџin AY Z8,@0A0 in AY 2009Y§ hН0ZZZZZZZ  [ŽW§ Žœ_2Ž™џџ}џin AY Z8,@0A0 in AY 2008ŽY§ Žh§ ŽhН*ŽZZZZZZ Ž [§ œ`2™џџ6џin AY Z8,@0A0 in AY 2007Y§ h§ h§ hН$ZZZZZ  [§ œє2™џџ?џin AY Z8,@0A0 in AY 2006Y§ h§ h§ h§ hНZZZZ  [‘§ ‘œѕ2‘™џџХџin AY Z8,@0A0 in AY 2005‘Y§ ‘h§ ‘h§ ‘h§ ‘h§ ‘hН‘ ZZZ ‘ [’§ ’œі2’™џџ5џin AY Z8,@0A0 in AY 2004’Y§ ’h§ ’h§ ’h§ ’h§ ’h§ ’ hН’ ZZ ’ [“е§ “œї2“™џџ\џin AY Z8,@0A0 in AY 2003“Y§ “h§ “h§ “h§ “h§ “h§ “ h§ “ h~ “ Z“ [О ”еœ™YhhhhhhhZ[ О •жЯЯпЯЯЯЯЯЯЯЯз § –Ё:О –БZЦ§ –риО–ннннннно О —›^_—RЈŸ@—џZ—\ЄŸ@­џ—М——  LџР—R Ÿ@—џ——RœŸ@—џ——R˜Ÿ@—џ——R”Ÿ@— џ—— RŸ@— џ—— RŒŸ@— џ—— RˆŸ@џ—— c§ ˜мвО˜ДЕЦgUUUUUUUX ™е§ ™Ж§ ™X;Н<™ZZZZZZZZZ ™ [О šеXXjŸŸŸŸŸŸŸŸЇ § ›сгО ›XX§ ›ј›§›џ›М››  -РРмэ››џ›››џ›››џ››› џ›› › џ›› › џ›› Ќџ›› Їœе§ œœB.œ™џџrџin AY Z8,@0A0 in AY 2025Н<œZZZZZZZZZ œ [е§ œC2™џџЛџin AY Z8,@0A0 in AY 2024Н<ZZZZZZZZZ  [žW§ žœP2ž™џџЗџin AY Z8,@0A0 in AY 2023Н<žZZZZZZZZZ ž \ŸW§ ŸœQ2Ÿ™џџuџin AY Z8,@0A0 in AY 2022Н<ŸZZZZZZZZZ Ÿ \зDglЭЭЭЭЭЭЮЮ­­­­­ЕНХЭену$$FJ0p$GЅЉЉ  ;@Ё ;@Ђ ;@Ѓ ;@Є ;@Ѕ ;@І ;@Ї ;@Ј ;@Љ ;@Њ ;@Ћ ;@Ќ ;@­ ;@Ў ;@Џ ;@А ;@Б ;@В ;@Г ;@Д ;@Е ;@Ж ;@З ;@И ;@Й ;@К ;@Л ;@М ;@Н ;@О ;@П ;@ W§  œR2 ™џџKџin AY Z8,@0A0 in AY 2021Н< ZZZZZZZZZ   \ЁW§ ЁœS2Ё™џџ1џin AY Z8,@0A0 in AY 2020Н<ЁZZZZZZZZZ Ё \ЂW§ ЂœT2Ђ™џџ3џin AY Z8,@0A0 in AY 2019Н<ЂZZZZZZZZZ Ђ \ЃW§ ЃœU2Ѓ™џџВџin AY Z8,@0A0 in AY 2018§ ЃhН6ЃZZZZZZZZ Ѓ \ЄW§ ЄœV2Є™џџ9џin AY Z8,@0A0 in AY 2017§ Єh§ ЄhН0ЄZZZZZZZ Є \ЅW§ ЅœW2Ѕ™џџСџin AY Z8,@ 0A0 in AY 2016§ Ѕh§ Ѕh§ ЅhН*ЅZZZZZZ Ѕ \ІW§ ІœX2І™џџџin AY Z8,@ 0A0 in AY 2015§ Іh§ Іh§ Іh§ ІhН$ІZZZZZ І \ЇW§ ЇœY2Ї™џџLџin AY Z8,@ 0A0 in AY 2014§ Їh§ Їh§ Їh§ Їh§ ЇhНЇZZZZ Ї \ЈW§ ЈœZ2Ј™џџ;џin AY Z8,@ 0A0 in AY 2013§ Јh§ Јh§ Јh§ Јh§ Јh§ ЈhНЈ ZZZ Ј \ЉW§ Љœ[2Љ™џџ†џin AY Z8,@ 0A0 in AY 2012§ Љh§ Љh§ Љh§ Љh§ Љh§ Љh§ Љ hНЉ ZZ Љ \ЊW§ Њœ\2Њ™џџ„џin AY Z8,@0A0 in AY 2011§ Њh§ Њh§ Њh§ Њh§ Њh§ Њh§ Њ h§ Њ h~ Њ ZЊ \О ЋWXXYhhhhhhhh` ОЌWXXYЌZџџЎџD–Р-*Calendar Year Reinvestment into New JerseyОЌZZZZZZZ[ О­WXXY­\„Ÿ@­џ D—Р­R€Ÿ@­џ­М­­  LџР­R|Ÿ@­џ­­RxŸ@­џ­­RtŸ@­ џ­­ RpŸ@­ џ­­ RlŸ@­ џ­­ RhŸ@$џ­­ SЎ]џџЏџD˜РReinvestment into New JerseyОЎ^_jhhhhhhhh` ЏšЏџџЏџD™Р Item 1Џœ џџБџD™РЏYН6ЏZZZZZZZZ Џ \О АWXXYhhhhhhhh` Б]џџБџD›Р!Reinvestment Carryforward UsedО БXX§ БјББџБМББ  -РРрББџБББџБББџБББ џББ Б џББ Б џББ ВџББ `ВšВœџџГџВМВЛ LъџР Item 2.1.В™ џџƒџin AY Z8,@0A0 in AY 2025ВYН6ВZZZZZZZZ В \ГWГœџџДџВ Item 2.22Г™ џџЅџin AY Z8,@0A0 in AY 2024ГYН6ГZZZZZZZZ Г \ДWДœџџЕџВ Item 2.32Д™ џџIџin AY Z8,@0A0 in AY 2023ДYН6ДZZZZZZZZ Д \ЕWЕœџџЖџВ Item 2.42Е™ џџžџin AY Z8,@0A0 in AY 2022ЕYН6ЕZZZZZZZZ Е \ЖWЖœџџЗџВ Item 2.52Ж™ џџЕџin AY Z8,@0A0 in AY 2021ЖYН6ЖZZZZZZZZ Ж \ЗWЗœџџИџВ Item 2.62З™ џџ[џin AY Z8,@0A0 in AY 2020ЗYН6ЗZZZZZZZZ З \ИWИœџџЙџВ Item 2.72И™ џџHџin AY Z8,@0A0 in AY 2019ИYН6ИZZZZZZZZ И \ЙWЙœџџКџВ Item 2.82Й™ џџКџin AY Z8,@0A0 in AY 2018ЙYН6ЙZZZZZZZZ Й \КWКœџџЛџВ Item 2.92К™ џџRџin AY Z8,@0A0 in AY 2017КYН6КZZZZZZZZ К \ЛWЛœџџМџВ Item 2.102Л™ џџ…џin AY Z8,@ 0A0 in AY 2016ЛYН6ЛZZZZZZZZ Л \МWМœџџз џDЊР Item 2.152М™ џџYџin AY Z8,@ 0A0 in AY 2015МYН6МZZZZZZZZ М \НW§ НœY2Н™џџPџin AY Z8,@ 0A0 in AY 2014НYН6НZZZZZZZZ Н \ОW§ ОœZ2О™џџNџin AY Z8,@ 0A0 in AY 2013ОYН6ОZZZZZZZZ О \ПW§ Пœ[2П™џџ.џin AY Z8,@ 0A0 in AY 2012ПYН6ПZZZZZZZZ П \зD?lЉЉЉБЙСЩбйсч$|/dЃ$}мЭЭЭЭЭЭЭЭЮЮ­­Р ;@С ;@Т ;@У ;@Ф ;@Х ;@Ц ;@Ч ;@Ш ;@ Щ ;@Ъ ;@Ы ;@Ь ;@Э ;@Ю ;@Я ;@а ;@б ;@в ;@г ;@ д ;@е ;@ж ;@з ;@и ;@й ;@к ;@л ;@м p@н ;@о ;@п ;@РW§ Рœ\2Р™џџОџin AY Z8,@0A0 in AY 2011РYН6РZZZZZZZZ Р \СW§ Сœ]2С™џџpџin AY Z8,@0A0 in AY 2010СYН6СZZZZZZZZ С \ТW§ Тœ^2Т™џџ€џin AY Z8,@0A0 in AY 2009ТY§ ТhН0ТZZZZZZZ Т \УW§ Уœ_2У™џџ8џin AY Z8,@0A0 in AY 2008УY§ Уh§ УhН*УZZZZZZ У \ФW§ Фœ`2Ф™џџИџin AY Z8,@0A0 in AY 2007ФY§ Фh§ Фh§ ФhН$ФZZZZZ Ф \ХW§ Хœє2Х™џџ$џin AY Z8,@0A0 in AY 2006ХY§ Хh§ Хh§ Хh§ ХhНХZZZZ Х \ЦW§ Цœѕ2Ц™џџ$ џin AY Z8,@0A0 in AY 2005ЦY§ Цh§ Цh§ Цh§ Цh§ ЦhНЦ ZZZ Ц \ЧW§ Чœі2Ч™џџ<џin AY Z8,@0A0 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Ћ џ D РD РХџџ@џZ  Item 4Ц џџ4џZ -*UCJF Assessments & Excess Medical BenefitsЖjџZ jџZ§ h!џZ !fџZ"§  iОХЖЖfff!!fю ХџџџZ  Item 5Ж џџBџZ /,Refund of Excess Profit, included in Col (3)Ж§ h§ h§ +§   § h§  iЧџџџZ Item 6Т џџџZ+(All Other Dividends, included in Col (3)Т§ U§ U§ _§ }}§ U§  V9:Бџџ-џ$Calendar Year CBCalendar Year 2023О ВВЄџџџDР Col (1)Є(џџ-џМ LєџР Col (2)Є(џџ-џ Col (3)Ѕ(џџ-џ Col (4)ЅЄџџ-џ Col (5) І(џџџ Col (6)О ФЖЖАџџ.џМ LєџР DirectАcџџ.џ DirectАcџџ.џ DividendsАdџџ.џ DirectААџџ.џ Direct Їcџџ. џ DirectО ФЖЖАџџ/џМ LєџР WrittenАtџџ/џ EarnedАeџџ/џ on DirectАiџџџ UnearnedААџџ/џ Unpaid Їiџџ/ џ UnpaidО ФЖЖМџџ0џМ LєџР PremiumМiџџ0џ PremiumМiџџ0џ BusinessМnџџ0џ PremiumММџџ0џ Losses ЈeџџџD&CCEзDl”“xУЊЊЊў1а„„ 8(9_”m4ъц 8; ;@! ;@" ;@# ;@$ ;@% ;@& ;@ ' ;@( ;@) ;@* ;@+ ;@, ;@ - ;@. ;@/ ;@0 ;@1 ;@2 ;@3 ;@4 ;@5 ;@6 ;@7 ;@ 8 ;@ 9 ;@: ;@; ;@< ;@= ;@> ;@? ;@ ХEџџџZ Item 1 Ж џџrџZ*'Total as Reported on State Page Exhibit Ж f"џZ  f џZ% f џZZ ! џZ ! f џZ  Љ!џZ%!Хџџ!џZ  Item 2!Ж џџ џZ ,)Exclusions Reported on State Page Exhibit!Ж%!f!џ; p%!f!џ;p0!f!џ;;B%!!"џ;p!!%!f! џ;!!p%! В"џ;&&p"Хџџ#џZ  Item 3"Ж џџ3џZ"€(%Excess Profit Data [Item 1 - Item 2]"Ж!"f џ D РD!Р!"fџ D РD!Р!"fџ D РD!Р!"!!џ D РD!Р"!!"fh џ D РD!Р!" f џ D РD! Р#Хџџ]џZ  Item 4#Ц џџ@џZ -*UCJF Assessments & Excess Medical Benefits#Ж#j#џZ #j#џZ§ #h#5#џZ #5#f%џZ"§ # iО$ХЖЖfff!!fю %Хџџ%џZ  Item 5%Ж џџ&џZ /,Refund of Excess Profit, included in Col (3)%Ж§ %h§ %h§ %+§ % % § %h§ % i&Чџџ&џZ Item 6&Т џџ)џZ+(All Other Dividends, included in Col (3)&Т§ &U§ &U§ &_§ &}&}§ &U§ & V'9(9)Јџџ*џZ  Group Name:)Њpџџ*џZ enter group name hereО):§ ) Ќ–*­џџ+џZ  Group NAIC #:*ЊpџџџZ enter group # hereО*:§ * Ќk+Јџџ-џZ  Year Filed:+ЏЈŸ@PЦd§Z О+:§ + Ќt,9:-Бџџ9џ$Calendar Year CBCalendar Year 2022О -ВВ-Єџџ9џ-М-0LяџР Col (1)-Є(џџџ- Col (2)-Є(џџ9џ- Col (3)-Ѕ(џџVџ- Col (4)-Ѕ-Єџџ9џ-М-0 LяџР Col (5)- І(џџ9 џ- Col (6)О .ФЖЖ.Аџџ:џ- Direct.Аcџџ:џ- Direct.Аcџџ:џ- Dividends.Аdџџ:џ- Direct.6.Аџџ:џ- Direct. Їcџџ: џ- DirectО /ФЖЖ/Аџџ;џ- Written/Аtџџ;џ- Earned/Аeџџ;џ- on Direct/АiџџG џ- Unearned/6/Аџџ;џ- Unpaid/ Їiџџ; џ- UnpaidО 0ФЖЖ0Мџџ<џ- Premium0Мiџџ<џ- Premium0Мiџџџ- Business0Мnџџ<џ- Premium040Мџџ<џ- Losses0 Јeџџ< џ-D&CCE1ХEџџZџZ Item 11Ж џџ=џZ*'Total as Reported on State Page Exhibit1Ж1f1џZ 1f1џZ%1f1џZZ1!1џZ1!1f1 џZ 1 Љ2џZ%2Хџџ2џZ  Item 22Ж џџJџZ ,)Exclusions Reported on State Page Exhibit2Ж%2f2џ; p%2f2џ;p02f2џ;;B%2!2џ;p2!%2f2 џ;!!p%2 В3џ;&&p3Хџџ3џZ  Item 33Ж џџ?џZ3€(%Excess Profit Data [Item 1 - Item 2]3Ж!3ftџ D1РD2Р!3f" џ D1РD2Р!3f!џ D1РD2Р!3!4џ D1РD2Р3!!3fhџ D1РD2Р!3 Ћ3џ D1 РD2 Р4ХџџiџZ  Item 44Ц џџ]џZ -*UCJF Assessments & Excess Medical Benefits4Ж4j4џZ 4j4џZ§ 4h454џZ 454f6џZ"§ 4 iО5ХЖЖfff!!fю 6Хџџ6џZ  Item 56Ж џџ7џZ /,Refund of Excess Profit, included in Col (3)6Ж§ 6h§ 6h§ 6+§ 6 6 § 6h§ 6 i7Чџџ7џZ Item 67Т џџ9џZ+(All Other Dividends, included in Col (3)7Т§ 7U§ 7U§ 7_§ 7}7}§ 7U§ 7 V89:9Бџџ9џ$Calendar Year CBCalendar Year 2021О 9ВВ9ЄџџEџ9М9<LєџР Col (1)9Є(џџEџ9 Col (2)9Є(џџEџ9 Col (3)9Ѕ(џџEџ9 Col (4)9Ѕ9ЄџџEџ9М9< LєџР Col (5)9 І(џџE џ9 Col (6)О :ФЖЖ:АџџFџ9 Direct:АcџџFџ9 Direct:АcџџFџ9 Dividends:АdџџFџ9 Direct:6:АџџFџ9 Direct: ЇcџџF џ9 DirectО ;ФЖЖ;АџџGџ9 Written;АtџџGџ9 Earned;АeџџGџ9 on Direct;АiџџGџ9 Unearned;6;АџџGџ9 Unpaid; Їiџџџ9 UnpaidО <ФЖЖ<МџџHџ9 Premium<МiџџHџ9 Premium<МiџџHџ9 Business<МnџџHџ9 Premium<4<МџџHџ9 Losses< ЈeџџH џ9D&CCE=ХEџџ"џZ Item 1=Ж џџZџZ*'Total as Reported on State Page Exhibit=Ж=f=џZ =f=џZ%=f=џZZ=!=џZ=!=f= џZ = Љ>џZ%>Хџџ>џZ  Item 2>Ж џџ>џZ ,)Exclusions Reported on State Page Exhibit>Ж%>f>џ; p%>f>џ;p0>f?џ;;B%>!>џ;p>!%>f> џ;!!p%> Њ?џ;&&p?Хџџ@џZ  Item 3?Ж џџKџZ?€(%Excess Profit Data [Item 1 - Item 2]?Ж!?f3џ D=РD>Р!?f\џ D=РD>Р!?f>џ D=РD>Р!?! џ D=РD>Р?!!?fnџ D=РD>Р!? Ћџ D= РD> РзDз!l_”m4ъц ”“x Ѓ%(&_”m4ъц Ѓ%(&_”@ ;@A ;@B ;@C ;@ D ;@ E ;@F ;@G ;@H ;@I ;@J ;@K ;@L ;@M ;@N ;@O ;@ P ;@Q ;@R ;@S ;@T ;@U ;@ V ;@W ;@X ;@Y ;@Z ;@[ ;@\ ;@] ;@^ ;@_ ;@@ХџџK џZ  Item 4@Ц џџiџZ -*UCJF Assessments & Excess Medical Benefits@Ж@j@џZ @j@џZ§ @h@5@џZ @5@fBџZ"§ @ iОAХЖЖfff!!fю BХџџCџZ  Item 5BЖ џџ_џZ /,Refund of Excess Profit, included in Col (3)BЖ§ Bh§ Bh§ B+§ B B § Bh§ B iCЧџџCџZ Item 6CТ џџEџZ+(All Other Dividends, included in Col (3)CТ§ CU§ CU§ C_§ C}C}§ CU§ C VD9:EБџџdџ$Calendar Year CBCalendar Year 2020О EВВEЄџџVџEМEHLєџР Col (1)EЄ(џџVџE Col (2)EЄ(џџVџE Col (3)EЅ(џџVџE Col (4)EЅEЄџџ џEМEH LєџР Col (5)E І(џџV џE Col (6)О FФЖЖFАџџWџE DirectFАcџџWџE DirectFАcџџWџE DividendsFАdџџWџE DirectF6FАџџWџE DirectF ЇcџџW џE DirectО GФЖЖGАџџXџE WrittenGАtџџXџE EarnedGАeџџXџE on DirectGАiџџXџE UnearnedG6GАџџXџE UnpaidG ЇiџџX џE UnpaidО HФЖЖHМџџYџE PremiumHМiџџYџE PremiumHМiџџYџE BusinessHМnџџYџE PremiumH4HМџџYџE LossesH ЈeџџY џED&CCEIХEџџIџZ Item 1IЖ џџIџZ*'Total as Reported on State Page ExhibitIЖIfIџZ IfIџZ %IfIџZ Z I!IџZ I!IfI џZ I ЉJџZ% JХџџJџZ  Item 2JЖ џџ[џZ ,)Exclusions Reported on State Page ExhibitJЖ%JfJџ; p%JfKџ; p0JfJџ; ; B%J!Jџ; pJ!%JfJ џ;!! p%J ЊKџ;&& pKХџџKџZ  Item 3KЖ џџ\џZK€(%Excess Profit Data [Item 1 - Item 2]KЖ!KfLџ DIРDJР!KfJџ DIРDJР!Kf?џ DIРDJР!K!? џ DIРDJРK!!Kf3џ DIРDJР!K Ћpџ DI РDJ РLХџџ4џZ  Item 4LЦ џџLџZ -*UCJF Assessments & Excess Medical BenefitsLЖLjLџZ LjLџZ § LhL5LџZ  L5LfNџZ" § L iОMХЖЖfff!!fю NХџџOџZ  Item 5NЖ џџwџZ /,Refund of Excess Profit, included in Col (3)NЖ§ Nh§ Nh§ N+§ N N § Nh§ N iOЧџџOџZ Item 6OТ џџRџZ+(All Other Dividends, included in Col (3)OТ§ OU§ OU§ O_§ O}O}§ OU§ O VP9Q9RЈџџR џZ  Group Name:RЊpџџ)џZ enter group name hereОR:R ЌџџSџD @ Exhibit 1AS­bџџTџZ  Group NAIC #:SЊpџџ\џZ enter group # hereОS:§ S ЌkTЈџџVџZ  Year Filed:TЏЈŸ@џZ ОT:§ T ЌuU9:VБџџZџ$Calendar Year CBCalendar Year 2019О VВВVЄџџbџVМVYLяџР Col (1)VЄ(џџbџV Col (2)VЄ(џџbџV Col (3)VЅ(џџbџV Col (4)VЅVЄџџbџVМVY LяџР Col (5)V І(џџb џV Col (6)О WФЖЖWАџџcџV DirectWАcџџcџV DirectWАcџџcџV DividendsWАdџџcџV DirectW6WАџџcџV DirectW Їcџџc џV DirectО XФЖЖXАџџdџV WrittenXАtџџџV EarnedXАeџџdџV on DirectXАiџџdџV UnearnedX6XАџџdџV UnpaidX Їiџџd џV UnpaidО YФЖЖYМџџeџV PremiumYМiџџeџV PremiumYМiџџeџV BusinessYМnџџeџV PremiumY4YМџџeџV LossesY Јeџџe џVD&CCEZХEџџfџZ Item 1ZЖ џџfџZ*'Total as Reported on State Page ExhibitZЖZfZџZ ZfZџZ %ZfZџZ Z Z!ZџZ Z!ZfZ џZ Z Љ[џZ% [Хџџ[џZ  Item 2[Ж џџgџZ ,)Exclusions Reported on State Page Exhibit[Ж%[f[џ; p%[f[џ; p0[f[џ; ; B%[![џ; p[!%[f\џ; !! %[ Њ\џ;&& p\Хџџ]џZ  Item 3\Ж џџhџZ\€(%Excess Profit Data [Item 1 - Item 2]\Ж!\f#џ DZРD[Р!\fKџ DZРD[Р!\fKџ DZРD[Р!\! џ DZРD[Р\!!\f[ џ DZРD[Р!\ Ћ\џ DZ РD[ Р]ХџџLџZ  Item 4]Ц џџ#џZ -*UCJF Assessments & Excess Medical Benefits]Ж]j]џZ ]j]џZ § ]h]5]џZ  ]5]f_џZ" § ] iО^ХЖЖfff!!fю _Хџџ`џZ  Item 5_Ж џџ1џZ /,Refund of Excess Profit, included in Col (3)_Ж§ _h§ _h§ _+§ _ _ § _h§ _ iзDеl4ъц Ѓ%(&_”m4ъц Ж“x Ѓ%(&_”m4` ;@ a ;@ b ;@c ;@d ;@e ;@f ;@g ;@h ;@i ;@j ;@k ;@l ;@ m ;@ n ;@o ;@p ;@q ;@r ;@s ;@t ;@u ;@v ;@w ;@x ;@ y ;@z ;@{ ;@| ;@} ;@~ ;@ ;@`Чџџ`џZ Item 6`Т џџbџZ+(All Other Dividends, included in Col (3)`Т§ `U§ `U§ `_§ `}`}§ `U§ ` Va9:bБџџfџ$Calendar Year CBCalendar Year 2018О bВВbЄџџџbМbeLєџР Col (1)bЄ(џџ;џb Col (2)bЄ(џџџb Col (3)bЅ(џџ- џb Col (4)bЅbЄџџ џbМbe LєџР Col (5)b І(џџ/џb Col (6)О cФЖЖcАџџџb DirectcАcџџџb DirectcАcџџџb DividendscАdџџџb Directc6cАџџ џb Directc Їcџџџb DirectО dФЖЖdАџџџb WrittendАtџџIџb EarneddАeџџџb on DirectdАiџџ<џb Unearnedd6dАџџ џb Unpaidd Їiџџ1џb UnpaidО eФЖЖeМџџџb PremiumeМiџџџb PremiumeМiџџ=џb BusinesseМnџџ0 џb Premiume4eМџџ џb Lossese Јeџџ џbD&CCEfХEџџnџZ Item 1fЖ џџ џZ*'Total as Reported on State Page ExhibitfЖfffџZ ffhџZ %fffџZ Z f!fџZ f!fff џZ f ЉgџZ% gХџџgџZ  Item 2gЖ џџtџZ ,)Exclusions Reported on State Page ExhibitgЖ%gfgџ; p%gfgџ; p0gfgџ; ; B%g!gџ; pg!%gfg џ;!! p%g Њhџ;&& phХџџiџZ  Item 3hЖ џџџZh€(%Excess Profit Data [Item 1 - Item 2]hЖ!hfq џ DfРDgР!hffџ DfРDgР!hfNџ DfРDgР!h!?џ DfРDgРh!!hf\ џ DfРDgР!h Ћ=џ Df РDg РiХџџuџZ  Item 4iЦ џџqџZ -*UCJF Assessments & Excess Medical BenefitsiЖijiџZ ijiџZ § ihi5iџZ  i5ifkџZ" § i iОjХЖЖfff!!fю kХџџkџZ  Item 5kЖ џџlџZ /,Refund of Excess Profit, included in Col (3)kЖ§ kh§ kh§ k+§ k k § kh§ k ilЧџџlџZ Item 6lТ џџnџZ+(All Other Dividends, included in Col (3)lТ§ lU§ lU§ l_§ l}l}§ lU§ l Vm9:nБџџnџ$Calendar Year C BCalendar Year 2017О nВЏnЄџџhџZ Col (1)nЄ(џџ2џZ Col (2)nЄ(џџhџZ Col (3)nЅ(џџ"џZ Col (4)nЅnЄџџn џZ Col (5)n І(џџoџZ  Col (6)О oФЖГoАџџ3 џZ DirectoДcџџnџZ DirectoАcџџoџZ Dividendso6dџџpџZ DirectoЃoДџџnџZ Directo ЇcџџpџZo € DirectО pФЖГpЙџџpџZ WrittenpЗtџџp џZ EarnedpИeџџoџZ on Directp3iџџ?џZ Unearnedp3pЗџџ3џZ Unpaidp ЇiџџqџZp € UnpaidО qФЖЖqМџџoџZ PremiumqМiџџoџZ PremiumqНiџџqџZ Businessq4nџџrџZ Premiumq4qМџџqџZ Lossesq Јeџџ?џZq €D&CCErХEџџrџZ Item 1rЖ џџ џZ*'Total as Reported on State Page ExhibitrЖrfrџZ rfrџZ %rfrџZ Z r!tџZ r!rfr џZ r ЉsџZ% sХџџsџZ  Item 2sЖ џџsџZ ,)Exclusions Reported on State Page ExhibitsЖ%sfsџ; p%sfsџ; p0sfsџ; ; B%s!sџ; ps!%sfs џ;!! p%s Њtџ;&& ptХџџt џZ  Item 3tЖ џџўZ (%Excess Profit Data [Item 1 - Item 2]tЖ!tftџ DrРDsР!tfhџ DrРDsР!tf\џ DrРDsР!t!rџ DrРDsРt!!tfKџ DrРDsР!t Ћuџ Dr РDs РuХџџџZ  Item 4uЦ џџuџZ -*UCJF Assessments & Excess Medical BenefitsuЖujuџZ ujuџZ § uhu5uџZ  u5ujwџZ" § u iОvХЖЖfff!!fю wХџџxџZ  Item 5wЖ џџSџZ /,Refund of Excess Profit, included in Col (3)wЖ§ wh§ wh§ w+§ w w § wh§ w ixЧџџxџZ Item 6xТ џџo џZ+(All Other Dividends, included in Col (3)xТ§ xU§ xU§ x_§ x}x}§ xU§ x Vy9z9{9|9}9~99зDњlц Ѓ%(&_”m4ъц ‰142_”m4ъц ТИ  den ded 3)   B ъ  џ e  [        "   Vт    !! !! !! "  " ' " А!" e"  ) 0* з+ 11 11 11 22 22 22 ?3 33 T3 \= == == >> >> >> >> K? ?? >?  ? =? ?? Z@ II II II JJ JJ \K QK KK >K _K  LL R 1S TT [[ !\ \ I\ J\ J\ \ \  ] ]] _ f SMff ff ff qg gg gg gg th hh fh gh Zh ch  i ii Aii 9n Sn rn Vn qo oo o <o Wp dp pp Wq <q Yq qq <r ss ss  t ft [t tt w x ьP№H`№*x№0№( № №x>Ж@KU‹‹ ™Њ я7К Sheet14ggџџџџD ZOЭЩ  ySЧїьxЎ4!T  dќЉёвMbP?_*+‚€%;РФ) Rџ&L&D&RPage &P of &Nƒ„      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~€§џџџ&р?'р?(р?)р?MВAdobe PDFмдSя€ъ oDќџ,LetterPRIVт ''''АЄ0\KhCFFŸђџџАSMTJ 0EBDAStandardЁ"D €ќџ,р?р?œ&œнcщмU} Ž Љ} Њ Љ} Њ&Љ} Љ} Љ}  Љ} Њ Љy  ;@ ;@ ;@ ;@  ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@  ;@  ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@  ;@  ;@ ;@ ;@ ;@ЈџџўZ Group Name:ЊpџџџZenter group name hereО§ Ћ™­џџџZ Group NAIC #:ЊpџџSџZenter group # hereО§  ЌjЈџџџZ Year Filed:ЏЈŸ@TџZО§  Ћg:Бџџџ$Calendar Year CBCalendar Year 2025О ВЏЄџџџZ Р Col (1)Є(џџџZ Р Col (2)Є(џџEџZ Р Col (3)Є(џџџZ Р Col (4)ЅЄџџ џZ Р Col (5) Ќ(џџ- џZ  Р Col (6)§ Ф;§ Ж;ЖАџџ:џZ Р DirectАcџџџZ Р DirectАcџџџZ Р DividendsАdџџџZ Р DirectААџџ џZ Р Direct Шcџџ џZ  Р Direct§ Ф;§ Ж;ЖАџџџZ Р WrittenАtџџџZ Р EarnedАeџџџZ Р on DirectАiџџџZ Р UnearnedААџџ џZ Р Unpaid Шiџџ џZ  Р Unpaid§ Ф;§ Ж;ЖМџџYџZ Р PremiumМiџџqџZ Р PremiumМiџџџZ Р BusinessМnџџџZ Р PremiumММџџ џZ Р Losses ­eџџ џZ  РD&CCEХEџџџZ Р Item 1Ж џџџZ €*'Total as Reported on State Page ExhibitЖf џZ f џZ%f џZZfџZ!f џZ  ‘ џZ%§ Х Жџџ џZ €,)Exclusions Reported on State Page Exhibit Ж% f џ; ЦВ% f џ;ЦВ0 f џ;;B% f џ;ЦВ !% f џ;!!ЦВ% Г џ;&&§ Х Жџџ џZ €(%Excess Profit Data [Item 1 - Item 2] Ж! fџ DРD Р! fџ DРD Р! fџ DРD Р! f џ DРD Р !! f џ DРD Р! mKџ D РD Р Хџџ џZ Р Item 4 Ц џџ џZ €-*UCJF Assessments & Excess Medical Benefits Ж hџџ џZ XXX hџџ џD XXX hџџ џD XXX hџџџD XXX   hџџ џD XXX џџџD XXXО ЖЖffff!fю § Х Жџџ џZ €/,Refund of Excess Profit, included in Col (3) Ж hџџ3џD XXX hџџ џD XXX§ + hџџ џD XXX   hџџ џD XXX iџџџD XXX§ ЧТџџџZ €+(All Other Dividends, included in Col (3)ТUџџ џD XXXUџџџD XXX§ _UџџџD XXX}Uџџ џD XXX VџџџD XXX:Бџџџ$Calendar Year CBCalendar Year 2024О ВЏЄџџџDР Col (1)Є(џџџD Col (2)Є(џџnџD Col (3)Є(џџџD Col (4)ЅЄџџ џD Col (5) Ќ(џџl џD  Col (6)О ФЖЖАџџџDР DirectАcџџџМ LєџР DirectАcџџџ DividendsАdџџџ DirectААџџџМ LєџР Direct Шcџџ џ DirectО ФЖЖАџџџDР WrittenАtџџџ EarnedАeџџџ on DirectАiџџџ UnearnedААџџџ Unpaid Шiџџ џ UnpaidО ФЖЖМџџџDР PremiumМiџџџ PremiumМiџџZџ BusinessМnџџџ PremiumММџџџ Losses ­eџџ џD&CCEХEџџ џМLєџР Item 1Ж џџ џ*'Total as Reported on State Page ExhibitЖfџZ fџZ%fџZZfџZ!f џZ  ‘џZ%Хџџџ Item 2Ж џџ!џ,)Exclusions Reported on State Page ExhibitЖ%fџ; ЦВ%fџ;ЦВ0fџ;;B%fџ;ЦВ!%f џ;!!p% Гџ;&&Хџџџ Item 3Ж џџGџ(%Excess Profit Data [Item 1 - Item 2]Ж!fџ DРDР!fџ DРDР!fџ DРDР!fџ DРDР!!fџ DРDР! mcџ D РD РХџџ#џ Item 4Ц џџ#џ-*UCJF Assessments & Excess Medical BenefitsЖhџџ џD XXXhџџџМ D XXXhџџџXXXhџџ џXXX hџџџXXX џџџXXXОЖЖffff!fю ХџџџD Р Item 5Ж џџ%џD Р/,Refund of Excess Profit, included in Col (3)ЖhџџџD XXXhџџџD XXX§ +hџџџМ D XXX hџџ џXXX iџџџXXXЧџџ&џDР Item 6Т џџ&џDР+(All Other Dividends, included in Col (3)ТUџџџD XXXUџџџD XXX§ _UџџџD XXX}Uџџ#џXXX VџџџXXX:Бџџџ$Calendar Year CBCalendar Year 2023О ВЏЄџџ-џDР Col (1)Є(џџnџD Col (2)Є(џџ-џD Col (3)Є(џџ-џD Col (4)ЅЄџџџD Col (5) Ќ(џџџD  Col (6)О ФЖЖАџџ.џDР DirectАcџџ.џМ LєџР DirectАcџџ.џ DividendsАdџџ.џ DirectААџџ.џМ LєџР Direct Шcџџ. џ DirectО ФЖЖАџџ/џDР WrittenАtџџ/џ EarnedАeџџ/џ on DirectАiџџ/џ UnearnedААџџ/џ Unpaid Шiџџ/ џ UnpaidО ФЖЖМџџ0џDР PremiumМiџџ0џ PremiumМiџџ0џ BusinessМnџџ0џ PremiumММџџ0џ Losses ­eџџ0 џD&CCEзD%l”“x‰GJH_tMŒQM}K(&ni™€i}K( ;@! ;@" ;@# ;@$ ;@% ;@& ;@ ) ;@* ;@+ ;@, ;@ - ;@. ;@/ ;@0 ;@1 ;@2 ;@3 ;@4 ;@5 ;@6 ;@7 ;@ 8 ;@ 9 ;@: ;@; ;@< ;@= ;@> ;@? ;@ ХEџџ1џ М #LєџР Item 1 Ж џџ1џ *'Total as Reported on State Page Exhibit Ж f џZ  f џZ% f џZZ f џZ ! f"џZ  ‘!џZ%!Хџџ2џ  Item 2!Ж џџ2џ ,)Exclusions Reported on State Page Exhibit!Ж%!f!џ; ЦВ%!f"џ;ЦВ0!f!џ;;B%!f!џ;ЦВ!!%!f! џ;!!%! Г" џ;&&"Хџџ3џ  Item 3"Ж џџџ (%Excess Profit Data [Item 1 - Item 2]"Ж!"f"џ D РD!Р!"f!џ D РD!Р!"f#џ D РD!Р!"fWџ D РD!Р"!!"f џ D РD!Р!" f"џ D РD! Р#Хџџ4џ  Item 4#Ц џџ4џ -*UCJF Assessments & Excess Medical Benefits#Ж#hџџ#џD XXX#hџџџD XXX#hџџ#џD XXX#hџџ%џD XXX# #hџџ# џD XXX# џџ%џD XXXО$ЖЖffff!fю %Хџџ%џDР Item 5%Ж џџ6џDР/,Refund of Excess Profit, included in Col (3)%Ж%hџџ%џ%М%& D XXX%h џџ#џ%XXX§ %+%hџџ% џ%XXX% %hџџ4џ%XXX% iџџ&џ%XXX&Чџџ7џDР Item 6&Т џџ7џDР+(All Other Dividends, included in Col (3)&Т&Uџџ&џ%XXX&Uџџ&џ%XXX§ &_&Uџџ& џ%XXX&}&Uџџ џ%XXX& Vџџ)џ%XXX)Јџџ*џZ Group Name:)ЊpџџџZenter group name hereО)§ ) Ћ™*­џџ+џZ Group NAIC #:*Њpџџ< џZenter group # hereО*§ * Ќj+Јџџ-џZ Year Filed:+ЏЈŸ@џZО+§ + Ћt:-Бџџ-џ$Calendar Year CBCalendar Year 2022О -ВЏ-ЄџџbџDР Col (1)-Є(џџ9џD Col (2)-Є(џџq џD Col (3)-Є(џџVџD Col (4)-Ѕ-Єџџ1џD Col (5)- Ќ(џџџD  Col (6)О .ФЖГ.АџџoџDР Direct.Аcџџ\ џ.М.0 LяџР Direct.Аcџџџ. Dividends.Аdџџџ. Direct.А.Аџџџ.М.0 LяџР Direct. Шcџџџ. DirectО /ФЖГ/АџџџDР Written/Аtџџ џ. Earned/Аeџџpџ. on Direct/АiџџXџ. Unearned/А/АџџXџ. Unpaid/ Шiџџџ. UnpaidО 0ФЖЖ0МџџqџDР Premium0Мiџџџ. Premium0Мiџџ џ. Business0Мnџџџ. Premium0М0Мџџqџ. Losses0 ­eџџџ.D&CCE1ХEџџ=џ1М14LяџР Item 11Ж џџ=џ1*'Total as Reported on State Page Exhibit1Ж1f3џZ 1f1џZ%1f3џZZ1f1џZ1!1f1 џZ 1 ‘2џZ%2Хџџ>џ1 Item 22Ж џџ>џ1,)Exclusions Reported on State Page Exhibit2Ж%2f2џ; ЦВ%2f2џ;ЦВ02f2џ;;B%2f2џ;ЦВ2!%2f2 џ;!!%2 Ў3 џ;&&3Хџџ?џ1 Item 33Ж џџ?џ1(%Excess Profit Data [Item 1 - Item 2]3Ж!3f1џ D1РD2Р!3f%џ D1РD2Р!3f1џ D1РD2Р!3f\џ D1РD2Р3!!3f;џ D1РD2Р!3 m4џ D1 РD2 Р4Хџџ@џ1 Item 44Ц џџ@џ1-*UCJF Assessments & Excess Medical Benefits4Ж4hџџ4џD XXX4hџџ6 џD XXX4hџџ&џD XXX4hџџ3џD XXX4 4hџџ4 џD XXX4 iџџ6џD XXXО5ЖЖffff!fю 6ХџџBџD%Р Item 56Ж џџBџD%Р/,Refund of Excess Profit, included in Col (3)6Ж6hџџ4џD XXX6hџџ6џD XXX§ 6+6hџџ6џD XXX6 6hџџ7џD XXX6 iџџ9џD XXX7ЧџџCџD&Р Item 67Т џџCџD&Р+(All Other Dividends, included in Col (3)7Т7Uџџ7џD XXX7Uџџ7џD XXX§ 7_7Uџџ4џD XXX7}7Uџџ9џD XXX7 Vџџ6џD XXX:9Бџџ9џ$Calendar Year CBCalendar Year 2021О 9ВЏ9ЄџџEџD Col (1)9Є(џџEџD Col (2)9Є(џџ:џD Col (3)9Є(џџ9џD Col (4)9Ѕ9ЄџџџD Col (5)9 Ќ(џџV џD  Col (6)О :ФЖГ:АџџџD Direct:ДcџџWџD Direct:Аcџџ:џD Dividends:Аdџџ;џD Direct:Ѓ:ДџџџD Direct: ШcџџW џD  DirectО ;ФЖГ;Йџџ; џD Written;Зtџџ7џD Earned;ИeџџџD on Direct;Йiџџ"џD Unearned;3;ЗџџpџD Unpaid; Шiџџ<џD  UnpaidО <ФЖЖ<Мџџ<џD Premium<МiџџYџD Premium<Нiџџ<џD Business<МnџџџD Premium<4<Мџџ=џD Losses< ­eџџY џD D&CCE=ХEџџIџ=М=@LєџР Item 1=Ж џџIџ=*'Total as Reported on State Page Exhibit=Ж=f=џZ =f=џZ%=f=џZZ=f=џZ=!=f= џZ = ‘? џZ%>ХџџJџ= Item 2>Ж џџJџ=,)Exclusions Reported on State Page Exhibit>Ж%>f>џ; ЦВ%>f>џ;ЦВ0>f>џ;;B%>f>џ;ЦВ>!%>f?џ;!!%> Ў?џ;&&?ХџџKџ= Item 3?Ж џџKџ=(%Excess Profit Data [Item 1 - Item 2]?Ж!?fџ D=РD>Р!?fџ D=РD>Р!?f@џ D=РD>Р!?f:џ D=РD>Р?!!?f> џ D=РD>Р!? m>џ D= РD> Рз@9$Dni†€i”“x}K(&ni†mi}%(&n@ ;@A ;@B ;@C ;@ D ;@ E ;@F ;@G ;@H ;@I ;@J ;@K ;@L ;@M ;@N ;@O ;@ R ;@S ;@T ;@U ;@ V ;@W ;@X ;@Y ;@Z ;@[ ;@\ ;@] ;@^ ;@_ ;@@ХџџLџ= Item 4@Ц џџLџ=-*UCJF Assessments & Excess Medical Benefits@Ж@hџџ@џD XXX@hџџ@џD XXX@hџџ@џD XXX@hџџ7 џD XXX@ @hџџ@ џD XXX@ iџџBџD XXXОAЖЖffff!fю BХџџNџD6Р Item 5BЖ џџNџD6Р/,Refund of Excess Profit, included in Col (3)BЖBhџџBџD XXXBhџџBџD XXX§ B+BhџџBџD XXXB BhџџB џD XXXB iџџCџD XXXCЧџџOџD7Р Item 6CТ џџOџD7Р+(All Other Dividends, included in Col (3)CТCUџџ@џD XXXCUџџCџD XXX§ C_CUџџCџD XXXC}CUџџC џD XXXC VџџEџD XXX:EБџџEџ$Calendar Year CBCalendar Year 2020О EВЏEЄџџVџD Col (1)EЄ(џџVџD Col (2)EЄ(џџџD Col (3)EЄ(џџџD Col (4)EЅEЄџџGџD Col (5)E Ќ(џџ џD  Col (6)О FФЖГFАџџ?џD DirectFДcџџEџD DirectFАcџџcџD DividendsFАdџџ"џD DirectFЃFДџџoџD DirectF ШcџџFџD  DirectО GФЖГGЙџџHџD WrittenGЗtџџCџD EarnedGИeџџFџD on DirectGЙiџџdџD UnearnedG3GЗџџFџD UnpaidG ШiџџFџD  UnpaidО HФЖЖHМџџџD PremiumHМiџџF џD PremiumHНiџџIџD BusinessHМnџџqџD PremiumH4HМџџGџD LossesH ­eџџHџD D&CCEIХEџџџIМILLєџР Item 1IЖ џџZџI*'Total as Reported on State Page ExhibitIЖIfIџZ IfKџZ %IfKџZ Z IfIџZ I!IfKџZ I ‘JџZ% JХџџ[џI Item 2JЖ џџ[џI,)Exclusions Reported on State Page ExhibitJЖ%JfJџ; ЦВ%JfJџ; ЦВ0JfJџ; ; B%JfJџ; ЦВJ!%JfJ џ;!! %J ЎKџ;&& KХџџ\џI Item 3KЖ џџ\џI(%Excess Profit Data [Item 1 - Item 2]KЖ!Kftџ DIРDJР!KfIџ DIРDJР!KfIџ DIРDJР!KfLџ DIРDJРK!!KfI џ DIРDJР!K m?џ DI РDJ РLХџџ]џI Item 4LЦ џџ]џI-*UCJF Assessments & Excess Medical BenefitsLЖLhџџLџD XXXLhџџLџD XXXLhџџLџD XXXLhџџLџD XXXL LhџџL џD XXXL iџџNџD XXXОMЖЖffff!fю NХџџ_џDBР Item 5NЖ џџ_џDBР/,Refund of Excess Profit, included in Col (3)NЖNhџџGџNМNOD XXXNhџџNџNXXX§ N+NhџџNџNXXXN NhџџN џNXXXN iџџOџD XXXOЧџџ`џDCР Item 6OТ џџ`џDCР+(All Other Dividends, included in Col (3)OТOUџџOџNXXXOUџџOџNXXX§ O_OUџџO џNXXXO}OUџџNџNXXXO VџџRџD XXXRЈџџR џZ Group Name:RЊpџџ)џZenter group name hereОRR ЌџџSџD  Exhibit 1BS­bџџTџZ Group NAIC #:SЊpџџ+џZenter group # hereОS§ S ЌjTЈџџVџZ Year Filed:TЏЈŸ@М$e§ZОT§ T Ќu:VБџџVџ$Calendar Year CBCalendar Year 2019О VВЏVЄџџџD Col (1)VЄ(џџK џD Col (2)VЄ(џџWџD Col (3)VЄ(џџH џD Col (4)VЅVЄџџOџD Col (5)V Ќ(џџb џD  Col (6)О WФЖЖWАџџG џD DirectWДcџџџD DirectWАcџџWџD DividendsWАdџџXџD DirectWЃWДџџFџD DirectW Шcџџ:џD  DirectО XФЖЖXЙџџXџD WrittenXЗtџџX џD EarnedXИeџџ;џD on DirectXЙiџџpџD UnearnedX3XЗџџ;џD UnpaidX ШiџџYџD  UnpaidО YФЖЖYМџџHџD PremiumYМiџџ: џD PremiumYНiџџYџD BusinessYМnџџZџD PremiumY4YМџџ9 џD LossesY ­eџџe џD D&CCEZХEџџfџZМZ]LяџР Item 1ZЖ џџfџZ*'Total as Reported on State Page ExhibitZЖZf\џZ ZfZџZ %ZfZџZ Z ZfZџZ Z!ZfZ џZ Z ‘[џZ% [ХџџgџZ Item 2[Ж џџgџZ,)Exclusions Reported on State Page Exhibit[Ж%[f[џ; ЦВ%[f\џ; ЦВ0[f[џ; ; B%[f[џ; ЦВ[!%[f[ џ;!! %[ Ў]џ;&& \ХџџhџZ Item 3\Ж џџhџZ(%Excess Profit Data [Item 1 - Item 2]\Ж!\fZџ DZРD[Р!\f[џ DZРD[Р!\f џ DZРD[Р!\ftџ DZРD[Р\!!\fџ DZРD[Р!\ m3џ DZ РD[ Р]ХџџiџZ Item 4]Ц џџiџZ-*UCJF Assessments & Excess Medical Benefits]Ж]hџџ]џD XXX]hџџ]џD XXX]hџџ]џD XXX]hџџ]џD XXX] ]hџџ] џD XXX] iџџ_џD XXXО^ЖЖffff!fю _ХџџkџDNР Item 5_Ж џџkџDNР/,Refund of Excess Profit, included in Col (3)_Ж_hџџVџ_М_`D XXX_hџџ_џ_XXX§ _+_hџџ_џ_XXX_ _hџџ_ џ_XXX_ iџџ`џD XXXз@ђ"D†mi}%(&ni†€iЖ“x}%(&ni†` ;@ a ;@ b ;@c ;@d ;@e ;@f ;@g ;@h ;@i ;@j ;@k ;@l ;@ m ;@ n ;@o ;@p ;@q ;@r ;@s ;@t ;@u ;@v ;@w ;@x ;@ `ЧџџlџDOР Item 6`Т џџlџDOР+(All Other Dividends, included in Col (3)`Т`Uџџ`џ_XXX`Uџџ`џ_XXX§ `_`Uџџ` џ_XXX`}`Uџџ_џ_XXX` VџџbџD XXXa9:bБџџbџ$Calendar Year CBCalendar Year 2018О bВЏbЄџџnџD Col (1)bЄ(џџbџD Col (2)bЄ(џџHџD Col (3)bЄ(џџ9џD Col (4)bЅbЄџџcџD Col (5)b Ќ(џџn џD  Col (6)О cФЖГcАџџbџD DirectcДcџџџD DirectcАcџџWџD DividendscАdџџdџD DirectcЃcДџџcџD Directc Шcџџ?џD  DirectО dФЖГdЙџџdџD WrittendЗtџџd џD EarneddИeџџcџD on DirectdЙiџџ;џD Unearnedd3dЗџџ џD Unpaidd ШiџџeџD  UnpaidО eФЖЖeМџџdџD PremiumeМiџџc џD PremiumeНiџџfџD BusinesseМnџџ<џD Premiume4eМџџeџD Lossese ­eџџeџD D&CCEfХEџџrџfМfiLєџР Item 1fЖ џџrџf*'Total as Reported on State Page ExhibitfЖffhџZ ffhџZ %fffџZ Z ffhџZ f!ffhџZ f ‘gџZ% gХџџsџf Item 2gЖ џџsџf,)Exclusions Reported on State Page ExhibitgЖ%gfgџ; ЦВ%gfgџ; ЦВ0gfhџ; ; B%gfgџ; ЦВg!%gfg џ;!! %g Ўh џ;&& hХџџtџf Item 3hЖ џџtџf(%Excess Profit Data [Item 1 - Item 2]hЖ!hffџ DfРDgР!hffџ DfРDgР!hfgџ DfРDgР!hffџ DfРDgРh!!hff џ DfРDgР!h miџ Df РDg РiХџџuџf Item 4iЦ џџuџf-*UCJF Assessments & Excess Medical BenefitsiЖihџџ`џD XXXihџџiџD XXXihџџiџD XXXihџџiџD XXXi ihџџi џD XXXi iџџkџD XXXОjЖЖffff!fю kХџџwџD_Р Item 5kЖ џџwџD_Р/,Refund of Excess Profit, included in Col (3)kЖkhџџkџkМklD XXXkhџџiџkXXX§ k+khџџkџkXXXk khџџk џkXXXk iџџlџD XXXlЧџџxџD`Р Item 6lТ џџxџD`Р+(All Other Dividends, included in Col (3)lТlUџџlџkXXXlUџџlџkXXX§ l_lUџџlџkXXXl}lUџџnџkXXXl VџџkџD XXX:nБџџnџ$Calendar Year C BCalendar Year 2017О nВЏnЄџџ\џD Col (1)nЄ(џџ-џD Col (2)nЄ(џџџD Col (3)nЄ(џџbџD Col (4)nЅnЄџџoџD Col (5)n Ќ(џџE џD  Col (6)О oФЖГoАџџeџD DirectoДcџџXџD DirectoАcџџoџD DividendsoАdџџo џD DirectoЃoДџџnџD Directo ШcџџpџD  DirectО pФЖГpЙџџpџD WrittenpЗtџџp џD EarnedpИeџџџD on DirectpЙiџџGџD Unearnedp3pЗџџdџD Unpaidp ШiџџqџD  UnpaidО qФЖЖqМџџџD PremiumqМiџџџD PremiumqНiџџrџD BusinessqМnџџeџD Premiumq4qМџџџD Lossesq ­eџџoџD D&CCErХEџџџrМruLєџР Item 1rЖ џџHџr*'Total as Reported on State Page ExhibitrЖrftџZ rfrџZ %rfrџZ Z rfrџZ r!rftџZ r ‘t џZ% sХџџ!џr Item 2sЖ џџYџr,)Exclusions Reported on State Page ExhibitsЖ%sfsџ; p%sfsџ; p0sfsџ; ; B%sfsџ; ps!%sfs џ;!! p%s Ўuџ;&& ptХџџ"џr Item 3tЖ џџRџr(%Excess Profit Data [Item 1 - Item 2]tЖ!tfrџ DrРDsР!tf3џ DrРDsР!tf\џ DrРDsР!tftџ DrРDsРt!!tfr џ DrРDsР!t msџ Dr РDs РuХџџџr Item 4uЦ џџ<џr-*UCJF Assessments & Excess Medical BenefitsuЖuhџџuџD XXXuhџџuџD XXXuhџџuџD XXXuhџџuџD XXXu uhџџu џD XXXu iџџwџD XXXОvЖЖffff!fю wХџџ6џDkР Item 5wЖ џџџDkР/,Refund of Excess Profit, included in Col (3)wЖwhџџwџwМwxD XXXwhџџwџwXXX§ w+whџџwџwXXXw whџџw џwXXXw iџџxџD XXXxЧџџџDlР Item 6xТ џџџDlР+(All Other Dividends, included in Col (3)xТxUџџxџwXXXxUџџxџwXXX§ x_xUџџxџwXXXx}xUџџx џwXXXx Vџџ*џD XXXз6/рi }%(&ni†€i}%(&ni†€ТР XR џ ded 3)  b Bo ъ o џd ep ; G p e t         Vт  e   3   " N 3  '  А    0 " %" !" "  ## ## ## ) * T+ n- n- !. o. ;/ p/ q0 "3 33 13 3 3  44 44 44 6  \9 X: :: J; p; Y< ? 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Direct: ШcџџFџZ!: € DirectО ;ФЖЖ;Йџџ:џZ! Written;ЗtџџcџZ! Earned;ИeџџpџZ! on Direct;ЙiџџpџZ! Unearned;3;ЗџџdџZ! Unpaid; ШiџџGџZ!; € UnpaidО <ФЖЖ<МџџqџZ! Premium<Мiџџ9џZ! Premium<Нiџџ;џZ! Business<МnџџdџZ! Premium<4<Мџџ- џZ! 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Col (1)VЄ(џџnџZ! Col (2)VЄ(џџџZ! Col (3)VЄ(џџџZ! Col (4)VЅVЄџџFџZ! Col (5)V Ќ(џџFџZ!  Col (6)О WФЖЖWАџџcџZ! DirectWДcџџoџZ! DirectWАcџџWџZ! DividendsWАdџџZџZ! DirectWЃWДџџ:џZ! DirectW ШcџџY џZ!W € DirectО XФЖЖXЙџџVџZ! WrittenXЗtџџV џZ! EarnedXИeџџdџZ! on DirectXЙiџџH џZ! UnearnedX3XЗџџhџZ! UnpaidX Шiџџ:џZ!X € UnpaidО YФЖЖYМџџeџZ! PremiumYМiџџqџZ! PremiumYНiџџXџZ! BusinessYМnџџXџZ! PremiumY4YМџџeџZ! LossesY ­eџџF џZ!Y €D&CCEZХEџџfџZМZ]LяџР Item 1ZЖ џџfџZ*'Total as Reported on State Page ExhibitZЖZfZџZ Zf\џZ  %ZfZџZ  Z  ZfZџZ  Z!ZfZ џZ Z ‘\ џZ % [Хџџ!џZ Item 2[Ж џџgџZ,)Exclusions Reported on State Page Exhibit[Ж%[f\џ; p%[f[џ;  p0[f[џ;  ;  B%[f[џ;  p[!%[f[ џ; !! p%[ Ўbџ; && p\ХџџhџZ Item 3\Ж џџhџZ(%Excess Profit Data [Item 1 - Item 2]\Ж!\f[џ DZРD[Р!\fZџ DZРD[Р!\f3џ DZРD[Р!\f<џ DZРD[Р\!!\fGџ DZРD[Р!\ mgџ DZ РD[ Р]ХџџiџZ Item 4]Ц џџiџZ-*UCJF Assessments & Excess Medical Benefits]Ж]hџџ]џZ XXX]hџџ џZ  XXX§ ]h§ ]h] ]hџџYџZ " XXX] iџџYџZ " XXXО^ХЖЖffff!fю _ХџџkџDNР Item 5_Ж џџkџDNР/,Refund of Excess Profit, included in Col (3)_Ж§ _h§ _h§ _+§ _h_ § _h_ iџџ` џZ " XXXз@\ D;цт‰142niXџЖЖx‰142niX` ;@ a ;@ b ;@c ;@d ;@e ;@f ;@g ;@h ;@i ;@j ;@k ;@l ;@ m ;@ n ;@o ;@p ;@q ;@r ;@s ;@t ;@u ;@v ;@w ;@x ;@ `ЧџџlџDOР Item 6`Т џџ)џDOР+(All Other Dividends, included in Col (3)`Т§ `U§ `U§ `_§ `U`}§ `U` VџџuџZ " XXXa9:bБџџfџ$Calendar Year CBCalendar Year 2018О bВВbЄџџ] џZ! Col (1)bЄ(џџ9џZ! Col (2)bЄ(џџ9џZ! Col (3)bЄ(џџџZ! Col (4)bЅbЄџџoџZ! Col (5)b Ќ(џџ9 џZ!  Col (6)О cФЖЖcАџџoџZ! DirectcДcџџEџZ! DirectcАcџџbџZ! DividendscАdџџ:џZ! DirectcЃcДџџoџZ! Directc ШcџџTџZ!c € DirectО dФЖЖdЙџџpџZ! WrittendЗtџџ;џZ! EarneddИeџџpџZ! on DirectdЙiџџXџZ! Unearnedd3dЗџџXџZ! Unpaidd Шiџџp џZ!d € UnpaidО eФЖЖeМџџ<џZ! PremiumeМiџџN џZ! PremiumeНiџџd џZ! BusinesseМnџџ<џZ! Premiume4eМџџqџZ! Lossese ­eџџ; џZ!e €D&CCEfХEџџrџfМfiLєџР Item 1fЖ џџrџf*'Total as Reported on State Page ExhibitfЖfffџZ fffџZ  %fffџZ  Z  fffџZ  f!fff џZ f ‘h џZ % gХџџsџf Item 2gЖ џџsџf,)Exclusions Reported on State Page ExhibitgЖ%gfgџ; p%gfgџ;  p0gfhџ;  ;  B%gfhџ;  pg!%gfg џ; !! p%g Ўnџ; && phХџџtџf Item 3hЖ џџtџf(%Excess Profit Data [Item 1 - Item 2]hЖ!hf џ DfРDgР!hfq џ DfРDgР!hfgџ DfРDgР!hfgџ DfРDgРh!!hfhџ DfРDgР!h mgџ Df РDg РiХџџ џf Item 4iЦ џџuџf-*UCJF Assessments & Excess Medical BenefitsiЖihџџuџZ XXXihџџ џZ  XXX§ ih§ ihi ihџџџZ " XXXi iџџ3 џZ " XXXОjХЖЖffff!fю kХџџwџD_Р Item 5kЖ џџwџD_Р/,Refund of Excess Profit, included in Col (3)kЖ§ kh§ kh§ k+§ khk § khk iџџ#џZ " XXXlЧџџxџD`Р Item 6lТ џџxџD`Р+(All Other Dividends, included in Col (3)lТ§ lU§ lU§ l_§ lUl}§ lUl VџџiџZ " XXX:nБџџoџ$Calendar Year C BCalendar Year 2017О nВЏnЄџџ9џZ! Col (1)nЄ(џџ\џZ! Col (2)nЄ(џџ џZ! Col (3)nЄ(џџVџZ! Col (4)nЅnЄџџ\џZ! Col (5)n Ќ(џџtџZ!  Col (6)О oФЖГoАџџX џZ! DirectoДcџџ:џZ! DirectoАcџџrџZ! DividendsoАdџџdџZ! DirectoЃoДџџ-џZ! Directo Шcџџ]џZ!o € DirectО pФЖГpЙџџnџZ! WrittenpЗtџџ;џZ! EarnedpИeџџFџZ! on DirectpЙiџџdџZ! Unearnedp3pЗџџeџZ! Unpaidp ШiџџџZ!p € UnpaidО qФЖЖqМџџFџZ! PremiumqМiџџ: џZ! PremiumqНiџџpџZ! BusinessqМnџџhџZ! Premiumq4qМџџHџZ! Lossesq ­eџџ< џZ!q €D&CCErХEџџ1џrМruLєџР Item 1rЖ џџџr*'Total as Reported on State Page ExhibitrЖrfrџZ rfrџZ  %rfrџZ  Z  rfrџZ  r!rftџZ r ‘t џZ % sХџџ[џr Item 2sЖ џџџr,)Exclusions Reported on State Page ExhibitsЖ%sfsџ; p%sftџ;  p0sfsџ;  ;  B%sfsџ;  ps!%sfs џ; !! p%s Ўtџ; && ptХџџ џr Item 3tЖ џџџr(%Excess Profit Data [Item 1 - Item 2]tЖ!tfbџ DrРDsР!tfsџ DrРDsР!tf"џ DrРDsР!tftџ DrРDsРt!!tfr џ DrРDsР!t msџ Dr РDs РuХџџ&џr Item 4uЦ џџџr-*UCJF Assessments & Excess Medical BenefitsuЖuhџџџZ XXXuhџџHџZ  XXX§ uh§ uhu uhџџx џZ " XXXu iџџ<џZ " XXXОvХЖЖffff!fю wХџџ џDkР Item 5wЖ џџџDkР/,Refund of Excess Profit, included in Col (3)wЖ§ wh§ wh§ w+§ whw § whw iџџe џZ " XXXxЧџџџDlР Item 6xТ џџ9џDlР+(All Other Dividends, included in Col (3)xТ§ xU§ xU§ x_§ xUx}§ xUx VџџџZ " XXXз6ћрџ ‰142niXџ‰142niXТА X џ  d 3)   B ъ p џ e             n Y  Vт          " ' А9 $" %" 0""  " " %" ## t# ## 2)  * Z+ 22 33 43 33  3 3 3  4 s4 44 9 9 :9 -9 :: o: W: ;; ; ;; ;; < << Y< i<  B? C?  ? ? ?  @ @ "@  E 9E %F WG pG XG DG  H SMCH  RK  K K  L LL LL NN OO R S T V  W  <X AgX GY  S[[ r`\ a\ \  \ \ \  ]] ]] __ ` nb bb bb b nb c :c oc cc c  d pd d dd ed  ee e e qe e ee  g  hh h h  i i ii ii kk Vn Vn n Юь9n Юѕƒoo utoo ћњo uРEoo  xoo ЗыЄp _ќpp Эзp ~Ф1pp ЕWxqq ‰Fqq pћRqq Ÿхžqq ­зzt uVuu ЎЦnuu mjuu лЛ uu ј~#w =Ьќxx §ŠьP№H€№<№0№( № №<>Ж@KU‹‹ ™Њ я7К Sheet11ggџџџџD ZOЭЩ  €}јђ I&pN“  dќЉёвMbP?_*+‚€%;РФ) Rџ&L&D&RPage &P of &Nƒ„&р?'р?(р?)р?MВAdobe PDFмдSя€ъ oDќџ,Letter‚ƒ„…†‡ˆ‰Š‹ŒŽ‘’“”•–—˜™š›œžŸ ЁЂЃЄЅІЇЈЉЊЋЌ­ЎЏАБВГДЕЖЗИЙКЛМНОПРСТУФХЦЧШЩЪЫЬЭЮЯабвгдежзийклмнопрстуфхцчшщъыьэюя№ёђѓєѕіїјљћ§џџџќ§ўџPRIVт ''''АЄ0\KhCFFŸђџџАSMTJ 0EBDAStandardЁ"D €ќџ,р?р?œ&œнcщмU} Њ Љ} Њ Љ} Ž&Љ}  Љ} Њ Љ€  ;@ ;@ ;@ ;@  ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@  ;@  ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@  ;@  ;@ ;@ ;@ ;@ЈџџўZ3 Group Name:ЊpџџSџZ3enter group name hereО§ Ќ0­џџџZ3 Group NAIC #:ЊpџџTџZ3enter group # hereО§  Ќ€ЈџџџZ3 Year Filed:ЏЈŸ@<Ћe§Z3О§  Ќg:Бџџџ$Calendar Year CBCalendar Year 2025О ВВЄџџџZ Р Col (1)Є(џџџZ Р Col (2)Є(џџџZ Р Col (3)Ѕ(џџџZ Р Col (4)ЅЄџџ џZ Р Col (5) І(џџџZ  Р Col (6)Ф(џџ<џZ €Ж(џџ џZ €ЖАџџџZ Р DirectАcџџџZ Р DirectАcџџџZ Р DividendsАdџџџZ Р DirectАџџџZ Р Direct ЇcџџџZ  Р DirectФcџџ!џZ €ЖcџџYџZ €ЖАџџџZ Р WrittenАtџџџZ Р EarnedАeџџџZ Р on DirectАiџџџZ Р UnearnedАџџ џZ Р Unpaid Їiџџ џZ  Р UnpaidФiџџџZ €ЖiџџџZ €ЖМџџџZ Р PremiumМiџџџZ Р PremiumМiџџџZ Р BusinessМnџџџZ Р PremiumМџџ џZ Р Losses Јeџџ џZ  РD&CCEХEџџџZ € Item 1Ж џџџZ €*'Total as Reported on State Page ExhibitЖ/fw џ: Р:Р:РB/fџ: Р:Р:РB/f џ: Р:Р:РB/!G џ: Р:Р:РB/fџ: Р:Р:РB/ ‘< џ:  Р: Р: РB ХџџџZ € Item 2 Ж џџ џZ €,)Exclusions Reported on State Page Exhibit Ж/ fџ: Р: Р: РB/ fqџ: Р: Р: РB/ fN џ: Р: Р: РB/ !1џ: Р: Р: РB / f[џ: Р: Р: РB/ Вsџ: Р: Р: РB ХџџџZ € Item 3 Ж џџ џZ €(%Excess Profit Data [Item 1 - Item 2] Ж/ f џ: Р: Р: РB/ fY џ: Р: Р: РB/ f џ: Р: Р: РB/ ! џ: Р: Р: РB / f џ: Р: Р: РB/ Ћ џ: Р: Р: РB Хџџ џZ € Item 4 Ц џџџZ €-*UCJF Assessments & Excess Medical Benefits Ж/ fg џ: Р: Р: РB/ j џ: Р: Р: РB/ jџ: Р: Р: РB/ 5 џ: Р: Р: РB / f#џ: Р: Р: РB§ i§ ЖtО ЗЗ! ИW џ D РD Р И џ М   LўџРLџџР Иџ  Й#џ   ИKџ  Кџ  ХџџџZ € Item 5 Ж џџџZ €/,Refund of Excess Profit, included in Col (3) Ж§ h§ h jџZ8.§   § h§ iЧџџџZ € Item 6Т џџџZ €+(All Other Dividends, included in Col (3)Т§ U§ U!•Wџ D РD Р§ }}§ U§  V9:Бџџџ$Calendar Year CBCalendar Year 2024О ВВЄџџџDР Col (1)Є(џџfџZ1 Col (2)Є(џџџZ1 Col (3)Ѕ(џџџZ1 Col (4)ЅЄџџ3џZ1 Col (5) І(џџE џZ1  Col (6)О ФЖЖАџџџDР DirectАcџџџМ LєџР DirectАcџџџ DividendsАdџџџ DirectААџџџМ LєџР Direct Їcџџ џ DirectО ФЖЖАџџџDР WrittenАtџџџ EarnedАeџџџ on DirectАiџџџ UnearnedААџџџ Unpaid Їiџџ џ UnpaidО ФЖЖМџџџDР PremiumМiџџџ PremiumМiџџџ BusinessМnџџџ PremiumММџџџ Losses ЈeџџџD&CCEХEџџ џМLєџР Item 1Ж џџ џ*'Total as Reported on State Page ExhibitЖ/fџ: Р:Р:РB/fu џ: Р:Р:РB/fџ: Р:Р:РB/!"џ: Р:Р:РB!/fџ: Р:Р:РB/ ‘џ:  Р: Р: РBХџџ!џ Item 2Ж џџ!џ,)Exclusions Reported on State Page ExhibitЖ/fVџ: Р:Р:РB/f џ: Р:Р:РB/fџ: Р:Р:РB/!џ: Р:Р:РB!/fI џ: Р:Р:РB/ Вџ:  Р: Р: РBХџџ"џ Item 3Ж џџ"џ(%Excess Profit Data [Item 1 - Item 2]Ж/f;џ: Р:Р:РB/fџ: Р:Р:РB/fџ: Р:Р:РB/!џ: Р:Р:РB!/fџ: Р:Р:РB/ Ћ џ:  Р: Р: РBХџџ@џ Item 4Ц џџ#џ-*UCJF Assessments & Excess Medical BenefitsЖ/fџ: Р:Р:РB/jFџ: Р:Р:РB/j#џ: Р:Р:РB/5 џ: Р:Р:РB5/fqџ: Р:Р:РB§  i§ ЖtО ЗЗ!И џ DРDР!И" џ DРDР!Иџ DРDР!Й\џ DРDРЙ!И џ DРDР! К?џ D РD РХџџ%џD Р Item 5Ж џџ%џD Р/,Refund of Excess Profit, included in Col (3)Ж§ h§ hjџZ8.§   § h§  iЧџџ&џDР Item 6Т џџ&џDР+(All Other Dividends, included in Col (3)Т§ U§ U!•] џ DРDР§ }}§ U§  V9:Бџџџ$Calendar Year CBCalendar Year 2023О ВВЄџџ-џDР Col (1)Є(џџEџZ1 Col (2)Є(џџVџZ1 Col (3)Ѕ(џџVџZ1 Col (4)ЅЄџџKџZ1 Col (5) І(џџџZ1  Col (6)О ФЖЖАџџџDР DirectАcџџ.џМ LєџР DirectАcџџ.џ DividendsАdџџ.џ DirectААџџ.џМ LєџР Direct Їcџџ. џ DirectО ФЖЖАџџ/џDР WrittenАtџџ/џ EarnedАeџџџ on DirectАiџџ/џ UnearnedААџџ/џ Unpaid Їiџџ/ џ UnpaidО ФЖЖМџџџDР PremiumМiџџ џ PremiumМiџџ0џ BusinessМnџџ0џ PremiumММџџ0џ Losses Јeџџ0 џD&CCEзD (l”“x‰mpnУХСЁџ§§ ‡K(&вСНљљ ‡K( ;@! ;@" ;@# ;@$ ;@% ;@& ;@ ' ;@( ;@) ;@* ;@+ ;@, ;@ - ;@. ;@/ ;@0 ;@1 ;@2 ;@3 ;@4 ;@5 ;@6 ;@7 ;@ 8 ;@ 9 ;@: ;@; ;@< ;@= ;@> ;@? ;@ ХEџџ1џ М #LєџР Item 1 Ж џџ1џ *'Total as Reported on State Page Exhibit Ж/ fL џ: Р: Р: РB/ fpџ: Р: Р: РB/ f"џ: Р: Р: РB/ ! џ: Р: Р: РB !/ f!џ: Р: Р: РB/ ‘; џ: Р: Р: РB!Хџџ џ  Item 2!Ж џџ2џ ,)Exclusions Reported on State Page Exhibit!Ж/!f!џ: !Р:!Р:!РB/!frџ: !Р:!Р:!РB/!f! џ: !Р:!Р:!РB/!!H џ: !Р:!Р:!РB!!/!f џ: !Р:!Р:!РB/! В1џ: ! Р:! Р:! РB"Хџџ3џ  Item 3"Ж џџџ (%Excess Profit Data [Item 1 - Item 2]"Ж/"f!џ: "Р:"Р:"РB/"f$џ: "Р:"Р:"РB/"f$џ: "Р:"Р:"РB/"!$џ: "Р:"Р:"РB"!/"f$џ: "Р:"Р:"РB/" В$ џ: " Р:" Р:" РB#Хџџ4џ  Item 4#Ц џџ4џ -*UCJF Assessments & Excess Medical Benefits#Ж/#f$џ: #Р:#Р:#РB/#j џ: #Р:#Р:#РB/#j@џ: #Р:#Р:#РB/#54џ: #Р:#Р:#РB#5/#f4џ: #Р:#Р:#РB§ # i§ $ЖtО $ЗЗ!$Иfџ D"РD#Р!$И џ D"РD#Р!$И&џ D"РD#Р!$Й3џ D"РD#Р$Й!$И"џ D"РD#Р!$ К\џ D" РD# Р%Хџџ6џDР Item 5%Ж џџ6џDР/,Refund of Excess Profit, included in Col (3)%Ж§ %h§ %h%j)џZ8.§ % % § %h§ % i&Чџџ7џDР Item 6&Т џџџDР+(All Other Dividends, included in Col (3)&Т§ &U§ &U!&•iџ D$РD%Р§ &}&}§ &U§ & V'9(9)Јџџ) џZ2 Group Name:)Њpџџ*џZ2enter group name hereО):) Ќџџ*џD Р Exhibit 1*­bџџ* џZ2 Group NAIC #:*ЊpџџџZ2enter group # hereО*:* Ќџџ+џD Р All Coverages+ЈCџџ-џZ2 Year Filed:+ЏЈŸ@ џZ2О+:§ + Ќt,9:-Бџџ.џ$Calendar Year CBCalendar Year 2022О -ВВ-ЄџџџDР Col (1)-Є(џџ џZ1 Col (2)-Є(џџ џZ1 Col (3)-Ѕ(џџVџZ1 Col (4)-Ѕ-Єџџ9џZ1 Col (5)- І(џџb џZ1  Col (6)О .ФЖЖ.Аџџ/џDР Direct.Аcџџџ.М.0 LяџР Direct.Аcџџ џ. Dividends.Аdџџџ. Direct.А.Аџџ џ.М.0 LяџР Direct. Їcџџџ. DirectО /ФЖЖ/АџџџDР Written/Аtџџџ. Earned/Аeџџ0џ. on Direct/Аiџџџ. Unearned/А/Аџџџ. Unpaid/ Їiџџџ. UnpaidО 0ФЖЖ0Мџџ0џDР Premium0Мiџџ6џ. Premium0Мiџџџ. Business0Мnџџџ. Premium0М0Мџџџ. Losses0 ЈeџџZџ.D&CCE1ХEџџ=џ1М14LяџР Item 11Ж џџ=џ1*'Total as Reported on State Page Exhibit1Ж/1f1џ: 1Р:1Р:1РB/1f1 џ: 1Р:1Р:1РB/1f џ: 1Р:1Р:1РB/1!џ: 1Р:1Р:1РB1!/1fKџ: 1Р:1Р:1РB/1 ‘2џ: 1 Р:1 Р:1 РB2Хџџ>џ1 Item 22Ж џџ>џ1,)Exclusions Reported on State Page Exhibit2Ж/2f[џ: 2Р:2Р:2РB/2f џ: 2Р:2Р:2РB/2f2џ: 2Р:2Р:2РB/2!2џ: 2Р:2Р:2РB2!/2f=џ: 2Р:2Р:2РB/2 Њk џ: 2 Р:2 Р:2 РB3Хџџ џ1 Item 33Ж џџ?џ1(%Excess Profit Data [Item 1 - Item 2]3Ж/3f џ: 3Р:3Р:3РB/3f5џ: 3Р:3Р:3РB/3f5џ: 3Р:3Р:3РB/3!5џ: 3Р:3Р:3РB3!/3f5џ: 3Р:3Р:3РB/3 Ћ5 џ: 3 Р:3 Р:3 РB4Хџџ@џ1 Item 44Ц џџ џ1-*UCJF Assessments & Excess Medical Benefits4Ж/4fџ: 4Р:4Р:4РB/4jџ: 4Р:4Р:4РB/4jV џ: 4Р:4Р:4РB/45#џ: 4Р:4Р:4РB45/4f+џ: 4Р:4Р:4РB§ 4 i§ 5ЖtО 5ЗЗ!5И3 џ D3РD4Р!5И\ џ D3РD4Р!5И7џ D3РD4Р!5Й џ D3РD4Р5Й!5И3џ D3РD4Р!5 К1џ D3 РD4 Р6ХџџBџD%Р Item 56Ж џџBџD%Р/,Refund of Excess Profit, included in Col (3)6Ж§ 6h§ 6h6j7џZ8.§ 6 6 § 6h§ 6 i7ЧџџCџD&Р Item 67Т џџCџD&Р+(All Other Dividends, included in Col (3)7Т§ 7U§ 7U!7•iџ D5РD6Р§ 7}7}§ 7U§ 7 V89:9БџџBџ$Calendar Year CBCalendar Year 2021О 9ВВ9ЄџџEџZ1 Col (1)9Є(џџ-џZ1 Col (2)9Є(џџt џZ1 Col (3)9Ѕ(џџEџZ1 Col (4)9Ѕ9ЄџџEџZ1 Col (5)9 І(џџrџZ1  Col (6)О :ФЖЖ:АџџFџZ1 Direct:ДcџџFџZ1 Direct:АcџџFџZ1 Dividends:6dџџ9џZ1 Direct:Ѓ:Дџџ-џZ1 Direct: Їcџџe џZ1: € DirectО ;ФЖЖ;ЙџџGџZ1 Written;ЗtџџhџZ1 Earned;ИeџџGџZ1 on Direct;3iџџpџZ1 Unearned;3;ЗџџdџZ1 Unpaid; ЇiџџXџZ1; € UnpaidО <ФЖЖ<Мџџ џZ1 Premium<МiџџHџZ1 Premium<НiџџHџZ1 Business<4nџџHџZ1 Premium<4<МџџHџZ1 Losses< ЈeџџZџZ1< €D&CCE=ХEџџIџ=М=@LєџР Item 1=Ж џџIџ=*'Total as Reported on State Page Exhibit=Ж/=f=џ: =Р:=Р:=РB/=f џ: =Р:=Р:=РB/=f>џ: =Р:=Р:=РB/=! џ: =Р:=Р:=РB=!/=fџ: =Р:=Р:=РB/= ‘=џ: = Р:= Р:= РB>ХџџJџ= Item 2>Ж џџJџ=,)Exclusions Reported on State Page Exhibit>Ж/>f>џ: >Р:>Р:>РB/>f>џ: >Р:>Р:>РB/>f?џ: >Р:>Р:>РB/>!2џ: >Р:>Р:>РB>!/>f> џ: >Р:>Р:>РB/> ЊIџ: > Р:> Р:> РB?ХџџKџ= Item 3?Ж џџKџ=(%Excess Profit Data [Item 1 - Item 2]?Ж/?fAџ: ?Р:?Р:?РB/?fAџ: ?Р:?Р:?РB/?fAџ: ?Р:?Р:?РB/?!K џ: ?Р:?Р:?РB?!/?fAџ: ?Р:?Р:?РB/? ЋA џ: ? Р:? Р:? РBзDу'lвСНљљ ЕИx ‡K(&вСНљљ ‰142вС@ ;@A ;@B ;@C ;@ D ;@ E ;@F ;@G ;@H ;@I ;@J ;@K ;@L ;@M ;@N ;@O ;@ P ;@Q ;@R ;@S ;@T ;@U ;@ V ;@W ;@X ;@Y ;@Z ;@[ ;@\ ;@] ;@^ ;@_ ;@@ХџџLџ= Item 4@Ц џџLџ=-*UCJF Assessments & Excess Medical Benefits@Ж/@f@џ: @Р:@Р:@РB/@j=џ: @Р:@Р:@РB/@jLџ: @Р:@Р:@РB/@5Aџ: @Р:@Р:@РB@5/@f= џ: @Р:@Р:@РB§ @ i§ AЖtО AЗЗ!AИ3џ D?РD@Р!AИh џ D?РD@Р!AИCџ D?РD@Р!AЙ4џ D?РD@РAЙ!AИ\џ D?РD@Р!A К` џ D? РD@ РBХџџNџD6Р Item 5BЖ џџNџD6Р/,Refund of Excess Profit, included in Col (3)BЖ§ Bh§ BhBjEџZ8.§ B B § Bh§ B iCЧџџOџD7Р Item 6CТ џџOџD7Р+(All Other Dividends, included in Col (3)CТ§ CU§ CU!C•=џ DAРDBР§ C}C}§ CU§ C VD9:EБџџNџ$Calendar Year CBCalendar Year 2020О EВВEЄџџbџZ1 Col (1)EЄ(џџ:џZ1 Col (2)EЄ(џџoџZ1 Col (3)EЅ(џџbџZ1 Col (4)EЅEЄџџbџZ1 Col (5)E І(џџџZ1  Col (6)О FФЖЖFАџџqџZ1 DirectFДcџџcџZ1 DirectFАcџџcџZ1 DividendsF6dџџEџZ1 DirectFЃFДџџ-џZ1 DirectF Їcџџc џZ1F € DirectО GФЖЖGЙџџdџZ1 WrittenGЗtџџ;џZ1 EarnedGИeџџWџZ1 on DirectG3iџџHџZ1 UnearnedG3GЗџџ;џZ1 UnpaidG ЇiџџXџZ1G € UnpaidО HФЖЖHМџџ џZ1 PremiumHМiџџeџZ1 PremiumHНiџџeџZ1 BusinessH4nџџeџZ1 PremiumH4HМџџYџZ1 LossesH Јeџџ>џZ1H €D&CCEIХEџџџIМILLєџР Item 1IЖ џџ џI*'Total as Reported on State Page ExhibitIЖ/IfIџ: IР:IР:IРB/Ifџ: IР:IР:IРB/IfIџ: IР:IР:IРB/I!? џ: IР:IР:IРBI!/IfJџ: IР:IР:IРB/I ‘џ: I Р:I Р:I РBJХџџ[џI Item 2JЖ џџ[џI,)Exclusions Reported on State Page ExhibitJЖ/JfZџ: JР:JР:JРB/JfIџ: JР:JР:JРB/JfJџ: JР:JР:JРB/J!Lџ: JР:JР:JРBJ!/Jf>џ: JР:JР:JРB/J ЊJџ: J Р:J Р:J РBKХџџ\џI Item 3KЖ џџ\џI(%Excess Profit Data [Item 1 - Item 2]KЖ/KfMџ: KР:KР:KРB/KfMџ: KР:KР:KРB/KfMџ: KР:KР:KРB/K!Mџ: KР:KР:KРBK!/KfMџ: KР:KР:KРB/K ЋM џ: K Р:K Р:K РBLХџџ]џI Item 4LЦ џџ]џI-*UCJF Assessments & Excess Medical BenefitsLЖ/Lftџ: LР:LР:LРB/Ljџ: LР:LР:LРB/LjX џ: LР:LР:LРB/L5[џ: LР:LР:LРBL5/LfO џ: LР:LР:LРB/L gLџ: L Р:L Р:L РB§ MЖtО MЗЗ!MИjџ DKРDLР!MИJ џ DKРDLР!MИOџ DKРDLР!MЙhџ DKРDLРMЙ!MИ^џ DKРDLР!M Кџ DK РDL РNХџџ_џDBР Item 5NЖ џџ_џDBР/,Refund of Excess Profit, included in Col (3)NЖ§ Nh§ NhNjRџZ8. § N N § Nh/N gџ: N Р:N Р:N РBOЧџџ`џDCР Item 6OТ џџ`џDCР+(All Other Dividends, included in Col (3)OТ§ OU§ OU!O•@џ DMРDNР§ O}O}§ OU/O Еsџ: O Р:O Р:O РBP9Q9RЈџџR џZ2 Group Name:RЊpџџџZ2enter group name hereОR:R ЌџџSџD @ Exhibit 1S­bџџTџZ2 Group NAIC #:SЊpџџ)џZ2enter group # hereОS:§ S Ќ€TЈџџVџZ2 Year Filed:TЏЈŸ@џZ2ОT:§ T ЌuU9:VБџџsџ$Calendar Year CBCalendar Year 2019О VВВVЄџџ_ џZ1 Col (1)VЄ(џџџZ1 Col (2)VЄ(џџbџZ1 Col (3)VЅ(џџ џZ1 Col (4)VЅVЄџџFџZ1 Col (5)V І(џџ џZ1  Col (6)О WФЖЖWАџџ:џZ1 DirectWДcџџoџZ1 DirectWАcџџ џZ1 DividendsW6dџџdџZ1 DirectWЃWДџџcџZ1 DirectW Їcџџ: џZ1W € DirectО XФЖЖXЙџџVџZ1 WrittenXЗtџџWџZ1 EarnedXИeџџ;џZ1 on DirectX3iџџLџZ1 UnearnedX3XЗџџGџZ1 UnpaidX Їiџџ[џZ1X € UnpaidО YФЖЖYМџџeџZ1 PremiumYМiџџ:џZ1 PremiumYНiџџXџZ1 BusinessY4nџџuџZ1 PremiumY4YМџџ<џZ1 LossesY ЈeџџџZ1Y €D&CCEZХEџџfџZМZ]LяџР Item 1ZЖ џџfџZ*'Total as Reported on State Page ExhibitZЖ/Zfџ: ZР:ZР:ZРB/ZfIџ: ZР:ZР:ZРB/Zfpџ: ZР:ZР:ZРB/Z!Jџ: ZР:ZР:ZРBZ!/ZfLџ: ZР:ZР:ZРB/Z ‘Zџ: Z Р:Z Р:Z РB[ХџџgџZ Item 2[Ж џџgџZ,)Exclusions Reported on State Page Exhibit[Ж/[f]џ: [Р:[Р:[РB/[fJџ: [Р:[Р:[РB/[f[ џ: [Р:[Р:[РB/[!]џ: [Р:[Р:[РB[!/[fџ: [Р:[Р:[РB/[ Њ]џ: [ Р:[ Р:[ РB\ХџџhџZ Item 3\Ж џџhџZ(%Excess Profit Data [Item 1 - Item 2]\Ж/\fKџ: \Р:\Р:\РB/\f?џ: \Р:\Р:\РB/\f^џ: \Р:\Р:\РB/\!^џ: \Р:\Р:\РB\!/\fџ: \Р:\Р:\РB/\ Ћ^ џ: \ Р:\ Р:\ РB]ХџџiџZ Item 4]Ц џџiџZ-*UCJF Assessments & Excess Medical Benefits]Ж/]f^џ: ]Р:]Р:]РB/]j^џ: ]Р:]Р:]РB/]jhџ: ]Р:]Р:]РB/]5fџ: ]Р:]Р:]РB]5/]fq џ: ]Р:]Р:]РB/] gi џ: ] Р:] Р:] РB§ ^ЖtО ^ЗЗ!^И]џ D\РD]Р!^И!џ D\РD]Р!^И`џ D\РD]Р!^Йl џ D\РD]Р^Й!^Иgџ D\РD]Р!^ К"џ D\ РD] Р_ХџџkџDNР Item 5_Ж џџkџDNР/,Refund of Excess Profit, included in Col (3)_Ж§ _h§ _h_jbџZ8. § _ _ § _h/_ guџ: _ Р:_ Р:_ РBзDС&lљљ ‰142вСНТ Е“x ‰142вСНТ` ;@ a ;@ b ;@c ;@d ;@e ;@f ;@g ;@h ;@i ;@j ;@k ;@l ;@ m ;@ n ;@o ;@p ;@q ;@r ;@s ;@t ;@u ;@v ;@w ;@x ;@ y ;@z ;@{ ;@| ;@} ;@~ ;@ ;@`ЧџџlџDOР Item 6`Т џџlџDOР+(All Other Dividends, included in Col (3)`Т§ `U§ `U!`•sџ D^РD_Р§ `}`}§ `U/` Е<џ: ` Р:` Р:` РBО a99:bБџџcџ$Calendar Year CBCalendar Year 2018О bВВbЄџџd џZ1 Col (1)bЄ(џџџZ1 Col (2)bЄ(џџnџZ1 Col (3)bЅ(џџџZ1 Col (4)bЅbЄџџnџZ1 Col (5)b І(џџ9 џZ1  Col (6)О cФЖЖcАџџkџZ1 DirectcДcџџWџZ1 DirectcАcџџnџZ1 Dividendsc6dџџbџZ1 DirectcЃcДџџoџZ1 Directc ЇcџџZџZ1c € DirectО dФЖЖdЙџџoџZ1 WrittendЗtџџGџZ1 EarneddИeџџ џZ1 on Directd3iџџXџZ1 Unearnedd3dЗџџgџZ1 Unpaidd ЇiџџcџZ1d € UnpaidО eФЖЖeМџџqџZ1 PremiumeМiџџYџZ1 PremiumeНiџџpџZ1 Businesse4nџџYџZ1 Premiume4eМџџ- џZ1 Lossese ЈeџџF џZ1e €D&CCEfХEџџrџfМfiLєџР Item 1fЖ џџrџf*'Total as Reported on State Page ExhibitfЖ/fffџ: fР:fР:fРB/fffџ: fР:fР:fРB/fff џ: fР:fР:fРB/f!?џ: fР:fР:fРBf!/ffqџ: fР:fР:fРB/f ‘gџ: f Р:f Р:f РBgХџџ?џf Item 2gЖ џџsџf,)Exclusions Reported on State Page ExhibitgЖ/gfhџ: gР:gР:gРB/gfhџ: gР:gР:gРB/gfgџ: gР:gР:gРB/g!gџ: gР:gР:gРBg!/gfiџ: gР:gР:gРB/g Њ@џ: g Р:g Р:g РBhХџџtџf Item 3hЖ џџtџf(%Excess Profit Data [Item 1 - Item 2]hЖ/hf]џ: hР:hР:hРB/hfjџ: hР:hР:hРB/hfjџ: hР:hР:hРB/h!?џ: hР:hР:hРBh!/hfvџ: hР:hР:hРB/h Ћj џ: h Р:h Р:h РBiХџџuџf Item 4iЦ џџuџf-*UCJF Assessments & Excess Medical BenefitsiЖ/if@џ: iР:iР:iРB/ijiџ: iР:iР:iРB/ijp џ: iР:iР:iРB/i5jџ: iР:iР:iРBi5/ifjџ: iР:iР:iРB/i g2 џ: i Р:i Р:i РB§ jЖtО jЗЗ!jИRџ DhРDiР!jИ5џ DhРDiР!jИlџ DhРDiР!jЙsџ DhРDiРjЙ!jИtџ DhРDiР!j К3џ Dh РDi РkХџџwџD_Р Item 5kЖ џџwџD_Р/,Refund of Excess Profit, included in Col (3)kЖ§ kh§ khkjnџZ8. § k k § kh/k g#џ: k Р:k Р:k РBlЧџџxџD`Р Item 6lТ џџxџD`Р+(All Other Dividends, included in Col (3)lТ§ lU§ lU!l•iџ DjРDkР§ l}l}§ lU/l Е"џ: l Р:l Р:l РBm9:nБџџwџ$Calendar Year C BCalendar Year 2017О nВЏnЄџџ9џZ1 Col (1)nЄ(џџYџZ1 Col (2)nЄ(џџnџZ1 Col (3)nЅ(џџ<џZ1 Col (4)nЅnЄџџ-џZ1 Col (5)n І(џџnџZ1  Col (6)О oФЖГoАџџGџZ1 DirectoДcџџ9џZ1 DirectoАcџџ:џZ1 Dividendso6dџџn џZ1 DirectoЃoДџџџZ1 Directo Їcџџ1џZ1o € DirectО pФЖГpЙџџ;џZ1 WrittenpЗtџџoџZ1 EarnedpИeџџdџZ1 on Directp3iџџdџZ1 Unearnedp3pЗџџXџZ1 Unpaidp ЇiџџtџZ1p € UnpaidО qФЖЖqМџџWџZ1 PremiumqМiџџ9џZ1 PremiumqНiџџ<џZ1 Businessq4nџџpџZ1 Premiumq4qМџџeџZ1 Lossesq Јeџџ џZ1q €D&CCErХEџџZџrМruLєџР Item 1rЖ џџ2џr*'Total as Reported on State Page ExhibitrЖ/rf4џ: rР:rР:rРB/rfo џ: rР:rР:rРB/rf[џ: rР:rР:rРB/r!tџ: rР:rР:rРBr!/rfKџ: rР:rР:rРB/r ‘Zџ: r Р:r Р:r РBsХџџ_џr Item 2sЖ џџџr,)Exclusions Reported on State Page ExhibitsЖ/sftџ: sР:sР:sРB/sfџ: sР:sР:sРB/sfџ: sР:sР:sРB/s!sџ: sР:sР:sРBs!/sfuџ: sР:sР:sРB/s Њr џ: s Р:s Р:s РBtХџџ3џr Item 3tЖ џџ#џr(%Excess Profit Data [Item 1 - Item 2]tЖ/tfvџ: tР:tР:tРB/tfvџ: tР:tР:tРB/tfvџ: tР:tР:tРB/t!vџ: tР:tР:tРBt!/tfrџ: tР:tР:tРB/t Ћs џ: t Р:t Р:t РBuХџџ%џr Item 4uЦ џџџr-*UCJF Assessments & Excess Medical BenefitsuЖ/uf џ: uР:uР:uРB/ujZ џ: uР:uР:uРB/ujuџ: uР:uР:uРB/u5џ: uР:uР:uРBu5/ufx џ: uР:uР:uРB/u gv џ: u Р:u Р:u РB§ vЖtО vЗЗ!vИuџ DtРDuР!vИrџ DtРDuР!vИxџ DtРDuР!vЙrџ DtРDuРvЙ!vИ\џ DtРDuР!v К:џ Dt РDu РwХџџ џDkР Item 5wЖ џџ џDkР/,Refund of Excess Profit, included in Col (3)wЖ§ wh§ whwj2џZ8. § w w § wh/w gџ: w Р:w Р:w РBxЧџџџDlР Item 6xТ џџ9џDlР+(All Other Dividends, included in Col (3)xТ§ xU§ xU!x•\џ DvРDwР§ x}x}§ xU/x Е4џ: x Р:x Р:x РBy9z9{9|9}9~99зDр"l‰142вСНТ ‰142вСНТ Т,   џ :+  РB B Bc ъ H џ e d W  i      '    Vт  d  h    "        '  АZ    \ 0E  q  $             6 b >     S  & "    e  !! !! c! h! "! 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CountrywideО цЦџџџDРPart 2 - New Jersey@џџџ*Calendar Year C0@A0@Calendar Year 2024ўnџџџDР Col (1)ў(џџ2џDР Col (2) ўџџ2џDР Col (3)(џџџDР Col (4)г(џџ3џМLёџР Item 1 џџџDirect Written Premium›$џZO§ ˆ;‚› џZ§ Š;гџџџ Item 2 џџџDirect Earned Premium†%џZP§ ˆ;‚† џZ§ Š;гџџ5џ Item 3 џџџ# Direct Other Acquisition Expense†&џZQ=xџ'DР DРDРB‚!†Wџ DРDР‹џDРгџџџ Item 4 џџџDirect General Expense†џZR=xџ'DР DРDРB‚!†џ DРDР‹=џDРгџџџМLёџР Item 5 џџџ Direct Commission & Brokerage†(џZS=xKџ'D@ DРD@B‚†џZX=‹_џ'DР DРDРBгџџџ Item 6a џџџ*'Expenses subject to Capping (Items 3-5)§ лF§ ТF‚#†џ %РР#‹џ %РРгџџџ Item 6b џџџAllowable Capped Expense§ лF§ ТF‚D†7џ.DР DРDРDРB_‹FЖѓ§дxб?џICуD  :8 /CуC  :8 :8 "BгЖџџџ Item 6 џџџ*'Additional Allowable Efficiency Expense§ лF§ ТF‚(†џDРDРB(‹FЖѓ§дxб?џDРDРBгЖџџџМ LёџР Item 7 џџџ Direct Taxes, Licenses & Fees†,џZT=xџ'DР DРDРB‚†џZY=‹ џ'DР DРDРBгџџџ Item 8 џџџDirect Prepaid Expenses‚у'џl%РР Oр?DРDРDРDРDРDРDРDРDРDРB=xџ'DР DРDРB‚‚уџl%РР Oр?DРDРDРDРDРDРDРDРDРDРB=‹џ'DР DРDРBгџџџ Item 9 џџ џNet Catastrophe Reinsuranceу.џZU=xџ'DР DРDРB‚!у\џ DРDР‹џDРзDЦlfBЉ„„ЬЬъєэšъДЬЄ%уЯ"Pю<їP ;@!;@";@#;@$;@%;@&;@';@(;@);@*;@+;@,;@-;@.;@/;@0;@1;@2;@3;@4;@5;@6;@7;@8;@9;@:;@;;@<;@=;@>;@?;@ гџџ џ Item 10  џџ џ LAD Fees Paid§ лF§ ТF ‚ †"џZ[= ‹џ'DР D РDРBО! „‚„ƒО "  "Цџџ"џDРPart 1 - CountrywideО "ц"Цџџ#џDРPart 2 - New Jersey"#@#џџ#џ*Calendar Year C0@A0@Calendar Year 2023#ўnџџ#џDР Col (1)#ў(џџ#џDР Col (2)# #ўџџ#џDР Col (3)#(џџ$џDР Col (4)$г(џџ$џ$М$'LтџР Item 1$ џџBџ$Direct Written Premium$›3џZO§ $ˆ;$‚$›,џZ"§ $Š;%гџџ%џ$ Item 2% џџ&џ$Direct Earned Premium%†4џZP§ %ˆ;%‚%†3џZ"§ %‰;&гџџ&џ$ Item 3& џџ'џ$# Direct Other Acquisition Expense&†5џZQ=&x&џ'D%Р D&РD%РB&‚!&†\џ D%РD&Р&‹)џD&Р'гџџ'џ$ Item 4' џџ(џ'М'/ LтџРDirect General Expense'†6џZR='x'џ'D%Р D'РD%РB'‚!'†-џ D%РD'Р'‹'џD'Р(гџџ(џ(М(/LтџР Item 5( џџ(џ' Direct Commission & Brokerage(†7џZS=(xFџ'D$@ D(РD$@B(‚(†)џZX=(‹/џ'D$Р D(РD$РB)гџџGџ( Item 6a) џџ*џ'*'Expenses subject to Capping (Items 3-5)§ )лF§ )ТF)‚#)†-џ %&(РР#)‹*џ %&(РР*гџџ*џ( Item 6b* џџ*џ'Allowable Capped Expense§ *лF§ *ТF*‚D*†+џ.D)Р D*РD)РD)РB_*‹FЖѓ§дxб?+џICуD  :8 /CуC  :8 :8 "B+гЖџџ+џ( Item 6+ џџ,џ'*'Additional Allowable Efficiency Expense§ +лF§ +ТF+‚(+†ZџD*РD)РB(+‹FЖѓ§дxб?+џD*РD)РB,гЖџџ,џ( Item 7, џџ,џ' Direct Taxes, Licenses & Fees,†;џZT=,x.џ'D$Р D,РD$РB,‚,†-џZY=,‹Qџ'D$Р D,РD$РB-гџџ-џ( Item 8- џџ.џ'Direct Prepaid Expenses‚-уbџl%&(РР Oр?D&РD'РD+РD&РD'РD&РD'РD(РD(РD,РB=-x&џ'D%Р D-РD%РB-‚‚-у џl%&(РР Oр?D&РD'РD+РD&РD'РD&РD'РD(РD(РD,РB=-‹Zџ'D%Р D-РD%РB.гџџ.џ( Item 9. џџ/џ'Net Catastrophe Reinsurance.у=џZU=.x.џ'D$Р D.РD$РB.‚!.у(џ D.РD$Р.‹LџD.Р/гџџ/џ( Item 10/ џџ/џ' LAD Fees Paid§ /лF§ /ТF/‚/†2џZ[=/‹Dџ'D$Р D/РD$РBО0     О 1  1ЦџџgџDРPart 1 - CountrywideО 1ц1Цџџ9џDРPart 2 - New Jersey12@2џџ2џ*Calendar Year C0@A0@Calendar Year 20222ўnџџQџDР Col (1)2ў(џџџDР Col (2)2 2ўџџџDР Col (3)2(џџPџDР Col (4)3г(џџџ3М3>LтџР Item 13 џџ1џ3Direct Written Premium3›;џZO§ 3ˆ;3‚3›RџZ3§ 3‰;4гџџ7џ3 Item 24 џџ@џ3Direct Earned Premium4†CџZP§ 4ц;4‚4†eџZ3§ 4‰;5гџџџ3 Item 35 џџ3џ3# Direct Other Acquisition Expense5†DџZQ=5x5џ'D4Р D5РD4РB5‚!5†џ D4РD5Р5‹7џD5Р6гџџIџ3 Item 46 џџMџ3Direct General Expense6†EџZR=6x6џ'D4Р D6РD4РB6‚!6†5џ D4РD6Р6‹8џD6Р7гџџ7џ3 Item 57 џџ_џ3 Direct Commission & Brokerage7†FџZS=7xUџ'D3@ D7РD3@B7‚7†9џZX=7‹;џ'D3Р D7РD3РB8гџџUџ3 Item 6a8 џџ6џ3*'Expenses subject to Capping (Items 3-5)§ 8лF§ 8ТF8‚#8†<џ %57РР#8‹<џ %57РР9гџџ:џ3 Item 6b9 џџ6џ3Allowable Capped Expense§ 9лF§ 9ТF9‚D9†:џ.D8Р D9РD8РD8РB_9‹FЖѓ§дxб?:џICуD  :8 /CуC  :8 :8 "B:гЖџџXџ3 Item 6: џџ4џ3*'Additional Allowable Efficiency Expense§ :лF§ :ТF:‚(:†WџD9РD8РB(:‹FЖѓ§дxб?;џD9РD8РB;гЖџџ9џ3 Item 7; џџHџ3 Direct Taxes, Licenses & Fees;†JџZT=;xBџ'D3Р D;РD3РB;‚;†<џZY=;‹Zџ'D3Р D;РD3РB<гџџ>џ3 Item 8< џџJџ3Direct Prepaid Expenses‚<уџl%57РР Oр?D5РD6РD:РD5РD6РD5РD6РD7РD7РD;РB=<x џ'D4Р D<РD4РB<‚‚<уџl%57РР Oр?D5РD6РD:РD5РD6РD5РD6РD7РD7РD;РB=<‹6џ'D4Р D<РD4РB=гџџ2џ3 Item 9= џџRџ3Net Catastrophe Reinsurance=уLџZU==x=џ'D3Р D=РD3РB=‚!=уiџ D=РD3Р=‹=џD=Р>гџџ5џ3 Item 10> џџgџ3 LAD Fees Paid§ >лF§ >ТF>‚>†AџZ[=>‹7џ'D3Р D>РD3РBО?     зDt"lш%уЯ"+Pю<ї=ш%уЯ"=ю<ї=ш@;@A;@B;@C;@D;@E;@F;@G;@H;@I;@J;@K;@L;@M;@N;@O;@P;@Q;@R;@S;@T;@U;@V;@W;@X;@Y;@Z;@[;@\;@];@^;@_;@О @  @Цџџ^џD"РPart 1 - CountrywideО @ц@ЦџџDџD"РPart 2 - New Jersey@A@AџџAџ*Calendar Year C0@A0@Calendar Year 2021Aўnџџ_џD#Р Col (1)Aў(џџ9џD#Р Col (2)A AўџџCџD#Р Col (3)A(џџjџD#Р Col (4)Bг(џџ`џBМBMLтџР Item 1B џџ`џBDirect Written PremiumB›LџZO§ Bц;B‚B›iџZ?§ B‰;CгџџBџB Item 2C џџFџBDirect Earned PremiumC†RџZP§ Cц;C‚C†џZ?§ C‰;DгџџCџB Item 3D џџ=џB# Direct Other Acquisition ExpenseD†SџZQ=DxDџ'DCР DDРDCРBD‚!D†Kџ DCРDDРD‹KџDDРEгџџ8џB Item 4E џџAџBDirect General ExpenseE†TџZR=ExEџ'DCР DEРDCРBE‚!E†Gџ DCРDEРE‹GџDEРFгџџDџB Item 5F џџFџB Direct Commission & BrokerageF†UџZS=FxJџ'DB@ DFРDB@BF‚F†HџZX=F‹Lџ'DBР DFРDBРBGгџџ)џB Item 6aG џџ>џB*'Expenses subject to Capping (Items 3-5)§ GлF§ GТFG‚#G†-џ %DFРР#G‹Dџ %DFРРHгџџ>џB Item 6bH џџ:џBAllowable Capped Expense§ HлF§ HТFH‚DH†Sџ.DGР DHРDGРDGРB_H‹FЖѓ§дxб?IџICуD  :8 /CуC  :8 :8 "BIгЖџџJџB Item 6I џџeџB*'Additional Allowable Efficiency Expense§ IлF§ IТFI‚(I†§DHРDGРB(I‹FЖѓ§дxб?IџDHРDGРBJгЖџџJџB Item 7J џџGџB Direct Taxes, Licenses & FeesJ†YџZT=Jx>џ'DBР DJРDBРBJ‚J†KџZY=J‹Mџ'DBР DJРDBРBKгџџiџB Item 8K џџMџBDirect Prepaid Expenses‚Kу$џl%DFРР Oр?DDРDEРDIРDDРDEРDDРDEРDFРDFРDJРB=Kxџ'DCР DKРDCРBK‚‚KуOџl%DFРР Oр?DDРDEРDIРDDРDEРDDРDEРDFРDFРDJРB=K‹Eџ'DCР DKРDCРBLгџџBџB Item 9L џџKџBNet Catastrophe ReinsuranceLу[џZU=LxLџ'DBР DLРDBРBL‚!Lуџ DLРDBРL‹QџDLРMгџџZџB Item 10M џџAџB LAD Fees Paid§ MлF§ MТFM‚M†PџZ[=M‹aџ'DBР DMРDBРBОN     О O  OЦџџXџD1РPart 1 - CountrywideО OцOЦџџOџD1РPart 2 - New JerseyOP@PџџPџ*Calendar Year C0@A0@Calendar Year 2020PўnџџTџD2Р Col (1)Pў(џџ=џD2Р Col (2)P PўџџSџD2Р Col (3)P(џџ4џD2Р Col (4)Qг(џџ8џQМQ\LтџР Item 1Q џџSџQDirect Written PremiumQ›`џZO § Qц;Q‚Q›<џZK§ Q‰;RгџџMџQ Item 2R џџFџQDirect Earned PremiumR†aџZP § Rц;R‚R†`џZK§ R‰;SгџџUџQ Item 3S џџhџQ# Direct Other Acquisition ExpenseS†bџZQ =SxSџ'DRР DSРDRРBS‚!S†џ DRРDSРS‹TџDSРTгџџ4џQ Item 4T џџWџQDirect General ExpenseT†cџZR =TxTџ'DRР DTРDRРBT‚!T†Hџ DRРDTРT‹6џDTРUгџџ;џQ Item 5U џџEџQ Direct Commission & BrokerageU†dџZS =Uxdџ'DQ@ DUРDQ@BU‚U†WџZX =U‹Vџ'DQР DUРDQРBVгџџbџQ Item 6aV џџkџQ*'Expenses subject to Capping (Items 3-5)§ VлF§ VТFV‚#V†cџ %SUРР#V‹\џ %SUРРWгџџVџQ Item 6bW џџ^џQAllowable Capped Expense§ WлF§ WТFW‚DW†Xџ.DVР DWРDVРDVРB_W‹FЖѓ§дxб?XџICуD  :8 /CуC  :8 :8 "BXгЖџџ1џQ Item 6X џџjџQ*'Additional Allowable Efficiency Expense§ XлF§ XТFX‚(X†8џDWРDVРB(X‹FЖѓ§дxб?YџDWРDVРBYгЖџџTџQ Item 7Y џџQџQ Direct Taxes, Licenses & FeesY†hџZT =YxSџ'DQР DYРDQРBY‚Y†\џZY =Y‹Uџ'DQР DYРDQРBZгџџEџQ Item 8Z џџKџQDirect Prepaid Expenses‚Zу'џl%SUРР Oр?DSРDTРDXРDSРDTРDSРDTРDUРDUРDYРB=Zxџ'DRР DZРDRРBZ‚‚Zуkџl%SUРР Oр?DSРDTРDXРDSРDTРDSРDTРDUРDUРDYРB=Z‹,џ'DRР DZРDRРB[гџџCџQ Item 9[ џџTџQNet Catastrophe Reinsurance[уjџZU =[x[џ'DQР D[РDQРB[‚![у)џ D[РDQР[‹(џD[Р\гџџfџQ Item 10\ џџVџQ LAD Fees Paid§ \лF§ \ТF\‚\†_џZ[ =\‹[џ'DQР D\РDQРBО]     О ^  ^Цџџ<џD@РPart 1 - CountrywideО ^ц^Цџџ[џD@РPart 2 - New Jersey^_@_џџaџ*Calendar Year C0@A0@Calendar Year 2019_ўnџџ_џDAР Col (1)_ў(џџPџDAР Col (2)_ _ўџџHџDAР Col (3)_(џџcџDAР Col (4)зD#l%уЯ"=ю<ї=ш%уЯ"=ю<ї=ш`;@a;@b;@c;@d;@e;@f;@g;@h;@i;@j;@k;@ `г(џџAџ`М`kLтџР Item 1` џџ%џ`Direct Written Premium`›џZO § `ц;`‚`›aџZ\§ `‰;aгџџUџ` Item 2a џџdџ`Direct Earned Premiuma†iџZP § aц;a‚a†џZ\§ a‰;bгџџJџ` Item 3b џџbџ`# Direct Other Acquisition Expenseb† џZQ =bxbџ'DaР DbРDaРBb‚!b†eџ DaРDbРb‹@џDbРcгџџYџ` Item 4c џџjџ`Direct General Expensec† џZR =cxcџ'DaР DcРDaРBc‚!c†iџ DaРDcРc‹5џDcРdгџџRџ` Item 5d џџdџ` Direct Commission & Brokeraged†џZS =dx[џ'DQ@ DdРD`@Bd‚d†fџZX =d‹kџ'D`Р DdРD`РBeгџџ;џ` Item 6ae џџdџ`*'Expenses subject to Capping (Items 3-5)§ eлF§ eТFe‚#e†iџ %bdРР#e‹fџ %bdРРfгџџ[џ` Item 6bf џџџ`Allowable Capped Expense§ fлF§ fТFf‚Df†gџ.DeР DfРDeРDeРB_f‹FЖѓ§дxб?gџICуD  :8 /CуC  :8 :8 "BgгЖџџLџ` Item 6g џџVџ`*'Additional Allowable Efficiency Expense§ gлF§ gТFg‚(g†.џDfРDeРB(g‹FЖѓ§дxб?hџDfРDeРBhгЖџџhџ` Item 7h џџZџ` Direct Taxes, Licenses & Feesh†џZT =hx-џ'D`Р DhРD`РBh‚h†kџZY =h‹cџ'D`Р DhРD`РBiгџџFџ` Item 8i џџEџ`Direct Prepaid Expenses‚iуџl%bdРР Oр?DbРDcРDgРDbРDcРDbРDcРDdРDdРDhРB=ixџ'DaР DiРDaРBi‚‚iу&џl%bdРР Oр?DbРDcРDgРDbРDcРDbРDcРDdРDdРDhРB=i‹<џ'DaР DiРDaРBjгџџeџ` Item 9j џџџ`Net Catastrophe ReinsurancejуdџZU =jxjџ'D`Р DjРD`РBj‚!jуџ DjРD`Рj‹jџDjРkдџџџ` Item 10k џџYџ` LAD Fees Paid§ k‡F§ kУFk…k‡џZ[ =kŒZџ'D`Р DkРD`РBз}муЯ"=ю<ї=Тx  R џ   Dk   DbP Db DdQ Р, B  S  B    H  3   ; Vт  ]   <  3   ' А   0O P   Q K     S       $  T R     U     ## ## ## $$ O$ P% !% && Q& & '' '' S( .( )) ** ++ %+ ,, ,, T, ", --  - 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    зDN"lьЁ аЯ&Aђ@ћA!ьЁ аЯ&Aђ@ћA!ь@;@A;@B;@C;@D;@E;@F;@G;@H;@I;@J;@K;@L;@M;@N;@O;@P;@Q;@R;@S;@T;@U;@V;@W;@X;@Y;@Z;@[;@\;@];@^;@_;@О @  @Чџџ4џZ@€Part 1 - CountrywideО @  @Чџџ^џZ@€Part 2 - New Jersey@AAџџ_џZA€Calendar Year 2021AўnџџFџZA€ Col (1)Aў(џџ_џZA€ Col (2)A Aўџџ*џZA€ Col (3)A(џџKџZA€ Col (4)Bќ(џџ`џZB€ Item 1B  џџPџZB€Direct Written PremiumB›FџZO§ Bˆ;B‚B›RџZ?BŠCќџџ:џZC€ Item 2C  џџGџZC€Direct Earned PremiumCDџZP§ Cˆ;C C†'џZ?CDќџџaџZD€ Item 3D  џџUџZD€# Direct Other Acquisition ExpenseDEџZQ=DxDџ'DCР DDРDCРBD‚!D†jџ DCРDDРD‹7џDDРEќџџ;џZE€ Item 4E  џџiџZE€Direct General ExpenseEFџZR=ExEџ'DCР DEРDCРBE‚!E†Dџ DCРDEРE‹EџDEРFќџџgџZF€ Item 5F  џџџZF€ Direct Commission & BrokerageFKџZS=FxCџ'DBР DFРDBРBF FHџZX=F‹Mџ'DBР DFРDBРBGќџџ)џZG€ Item 6aG  џџAџZG€*'Expenses subject to Capping (Items 3-5)§ GлF§ GТFG‚#G†[џ %DFРР#G‹fџ %DFРРHќџџZџZH€ Item 6bH  џџEџZH€Allowable Capped Expense§ HлF§ HТFH‚DH†Iџ.DGР DHРDGРDGРB_H‹ю|?5^Кб?IџICуD  :8 /CуC  :8 :8 "BIќ|џџ/џZI€ Item 6I  џџ8џZI€*'Additional Allowable Efficiency Expense§ IлF§ IТFI‚(I†cџDHРDGРB(I‹ю|?5^Кб?JџDHРDGРBJќ|џџ2џZJ€ Item 7J  џџiџZJ€ Direct Taxes, Licenses & FeesJJџZT=JxJџ'DBР DJРDBРBJ JLџZY=J‹cџ'DBР DJРDBРBKќџџHџZK€ Item 8K  џџ'џZK€Direct Prepaid Expenses‚KуFџl%DFРР Oр?DDРDEРDIРDDРDEРDDРDEРDFРDFРDJРB=Kx.џ'DCР DKРDCРBK‚‚KуGџl%DFРР Oр?DDРDEРDIРDDРDEРDDРDEРDFРDFРDJРB=K‹iџ'DCР DKРDCРBLќџџ1џZL€ Item 9L  џџBџZL€Net Catastrophe ReinsuranceLMџZU=LxLџ'DBР DLРDBРBL‚!LуKџ DLРDBРL‹LџDLРMќџџGџZM€ Item 10M  џџ8џZM€ LAD Fees Paid§ M†F§ MТFM MQџZ[=M‹Jџ'DBР DMРDBРBОN     О O  OЧџџYџZO€Part 1 - CountrywideО O  OЧџџSџZO€Part 2 - New JerseyOPPџџџZP€Calendar Year 2020Pўnџџ#џZP€ Col (1)Pў(џџ-џZP€ Col (2)P PўџџJџZP€ Col (3)P(џџ(џZP€ Col (4)Qќ(џџџZQ€ Item 1Q  џџ6џZQ€Direct Written PremiumQ›RџZO § Qˆ;Q‚Q›\џZKQŠRќџџ>џZR€ Item 2R  џџ_џZR€Direct Earned PremiumRSџZP § Rˆ;R R†aџZKRSќџџhџZS€ Item 3S  џџVџZS€# Direct Other Acquisition ExpenseSTџZQ =SxSџ'DRР DSРDRРBS‚!S†Tџ DRРDSРS‹SџDSРTќџџ<џZT€ Item 4T  џџUџZT€Direct General ExpenseTTџZR =TxTџ'DRР DTРDRРBT‚!T†Vџ DRРDTРT‹UџDTРUќџџ=џZU€ Item 5U  џџbџZU€ Direct Commission & BrokerageUUџZS =UxYџ'DQР DUРDQРBU UWџZX =U‹Vџ'DQР DUРDQРBVќџџPџZV€ Item 6aV  џџ\џZV€*'Expenses subject to Capping (Items 3-5)§ VлF§ VТFV‚#V†Zџ %SUРР#V‹Yџ %SUРРWќџџ9џZW€ Item 6bW  џџ@џZW€Allowable Capped Expense§ WлF§ WТFW‚DW†Xџ.DVР DWРDVРDVРB_W‹ю|?5^Кб?XџICуD  :8 /CуC  :8 :8 "BXќ|џџџZX€ Item 6X  џџhџZX€*'Additional Allowable Efficiency Expense§ XлF§ XТFX‚(X†[џDWРDVРB(X‹ю|?5^Кб?YџDWРDVРBYќ|џџDџZY€ Item 7Y  џџHџZY€ Direct Taxes, Licenses & FeesYYџZT =Yx[џ'DQР DYРDQРBY YZџZY =Y‹Vџ'DQР DYРDQРBZќџџ=џZZ€ Item 8Z  џџkџZZ€Direct Prepaid Expenses‚Zу[џl%SUРР Oр?DSРDTРDXРDSРDTРDSРDTРDUРDUРDYРB=ZxLџ'DRР DZРDRРBZ‚‚Zу<џl%SUРР Oр?DSРDTРDXРDSРDTРDSРDTРDUРDUРDYРB=Z‹(џ'DRР DZРDRРB[ќџџ*џZ[€ Item 9[  џџџZ[€Net Catastrophe Reinsurance[\џZU =[x[џ'DQР D[РDQРB[‚![у9џ D[РDQР[‹[џD[Р\ќџџOџZ\€ Item 10\  џџYџZ\€ LAD Fees Paid§ \†F§ \ТF\ \`џZ[ =\‹2џ'DQР D\РDQРBО]     О ^  ^ЧџџeџZ^€Part 1 - CountrywideО ^  ^ЧџџKџZ^€Part 2 - New Jersey^__џџџZ_€Calendar Year 2019_ўnџџ^џZ_€ Col (1)_ў(џџQџZ_€ Col (2)_ _ўџџ_џZ_€ Col (3)_(џџjџZ_€ Col (4)зDѕ"lЁ аЯ&Aђ@ћA!ьЁ аЯ&Aђ@ћA!ьЁ`;@a;@b;@c;@d;@e;@f;@g;@h;@i;@j;@k;@ `ќ(џџџZ`€ Item 1`  џџSџZ`€Direct Written Premium`›aџZO § `ˆ;`‚`›kџZ\`Šaќџџ џZa€ Item 2a  џџџZa€Direct Earned PremiumabџZP § aˆ;a a†iџZ\abќџџbџZb€ Item 3b  џџTџZb€# Direct Other Acquisition ExpensebcџZQ =bxbџ'DaР DbРDaРBb‚!b†iџ DaРDbРb‹bџDbРcќџџfџZc€ Item 4c  џџdџZc€Direct General ExpensecdџZR =cxcџ'DaР DcРDaРBc‚!c†bџ DaРDcРc‹cџDcРdќџџdџZd€ Item 5d  џџAџZd€ Direct Commission & BrokerageddџZS =dxjџ'D`Р DdРD`РBd dfџZX =d‹eџ'D`Р DdРD`РBeќџџ6џZe€ Item 6ae  џџZџZe€*'Expenses subject to Capping (Items 3-5)§ eлF§ eТFe‚#e†Aџ %bdРР#e‹fџ %bdРРfќџџgџZf€ Item 6bf  џџXџZf€Allowable Capped Expense§ fлF§ fТFf‚Df†gџ.DeР DfРDeРDeРB_f‹ю|?5^Кб?gџICуD  :8 /CуC  :8 :8 "Bgќ|џџ5џZg€ Item 6g  џџkџZg€*'Additional Allowable Efficiency Expense§ gлF§ gТFg‚(g†PџDfРDeРB(g‹ю|?5^Кб?hџDfРDeРBhќ|џџџZh€ Item 7h  џџHџZh€ Direct Taxes, Licenses & FeeshhџZT =hxdџ'D`Р DhРD`РBh hiџZY =h‹dџ'D`Р DhРD`РBiќџџ>џZi€ Item 8i  џџLџZi€Direct Prepaid Expenses‚iуjџl%bdРР Oр?DbРDcРDgРDbРDcРDbРDcРDdРDdРDhРB=ixCџ'DaР DiРDaРBi‚‚iуeџl%bdРР Oр?DbРDcРDgРDbРDcРDbРDcРDdРDdРDhРB=i‹`џ'DaР DiРDaРBjќџџEџZj€ Item 9j  џџ6џZj€Net Catastrophe ReinsurancejkџZU =jxjџ'D`Р DjРD`РBj‚!jу8џ DjРD`Рj‹jџDjРkџџTџZk€ Item 10k џџџZk€ LAD Fees Paid§ k‡F§ kУFkk€џZ[ =kŒ џ'D`Р DkРD`РBз’маЯ&Aђ@ћA!Т,  џ  P Dk)   Dbd Db`  DdY Р$ B1 F B 2 )  3  Vт   d   S   ' А I  0 : : _   <    > >     "" _# d# # A# $$ $$ u$ %% %%  % &&  & E' (( (( (( ))  ) H* + + ,,  , -- .- K-  - L. . 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О "  "Чџџ^џZ5"€Part 1 - CountrywideО "  "Чџџ(џZ5"€Part 2 - New Jersey"##џџџZ5#€Calendar Year 2023#ўnџџ#џZ5#€ Col (1)О #ў #ўџџ&џZ5#€ Col (3)#$ќ(џџ@џZ5$€ Item 1$  џџџZ5$€Direct Written Premium($›.џ:$Р:$РBО $ˆ‚/$›Xџ:$Р:$Р:$РB$Š%ќџџKџZ5%€ Item 2%  џџ$џZ5%€Direct Earned Premium(%†Tџ:%Р:%РBО %ˆ /%†6џ:%Р:%Р:%РB%q&ќџџ'џZ5&€ Item 3&  џџ%џZ5&€# Direct Other Acquisition Expense(&†-џ:&Р:&РBО &x‚/&†5џ:&Р:&Р:&РB&‹'ќџџ*џZ5'€ Item 4'  џџ'џZ5'€Direct General Expense('†6џ:'Р:'РBО 'x‚/'†%џ:'Р:'Р:'РB'‹(ќџџDџZ5(€ Item 5(  џџ&џZ5(€ Direct Commission & Brokerage((†џ:(Р:(РBО (x /(џ:(Р:(Р:(РB(‹)ќџџ%џZ5)€ Item 6a)  џџ џZ5)€*'Expenses subject to Capping (Items 3-5)§ )лFО )Т‚/)†&џ:)Р:)Р:)РB)‹*ќџџ+џZ5*€ Item 6b*  џџџZ5*€Allowable Capped Expense§ *лFО *Т‚/*†gџ:*Р:*Р:*РB*‹+ќџџ,џZ5+€ Item 6+  џџ(џZ5+€*'Additional Allowable Efficiency Expense§ +лFО +Т‚/+†Hџ:+Р:+Р:+РB+‹,ќџџ.џZ5,€ Item 7,  џџ)џZ5,€ Direct Taxes, Licenses & Fees(,† џ:,Р:,РBО ,x /,/џ:,Р:,Р:,РB,‹-ќџџ/џZ5-€ Item 8-  џџZџZ5-€Direct Prepaid Expenses‚-у>џl%&(РР Oр?D&РD'РD+РD&РD'РD&РD'РD(РD(РD,РBО -x‚/-у:џ:-Р:-Р:-РB-‹.ќџџLџZ5.€ Item 9.  џџ/џZ5.€Net Catastrophe Reinsurance(.†Lџ:.Р:.РBО .x‚/.уYџ:.Р:.Р:.РB.‹/ќџџ<џZ5/€ Item 10/  џџdџZ5/€ LAD Fees Paid§ /†FО /Т //7џ:/Р:/Р:/РB/‹О0     О 1  1ЧџџџZ51€Part 1 - CountrywideО 1  1Чџџ=џZ51€Part 2 - New Jersey122џџџZ52€Calendar Year 20222ўnџџQџZ52€ Col (1)О 2ў 2ўџџ"џZ52€ Col (3)23ќ(џџ џZ53€ Item 13  џџJџZ53€Direct Written Premium(3›Qџ:3Р:3РBО 3ˆ‚/3›Pџ:3Р:3Р:3РB3Š4ќџџUџZ54€ Item 24  џџ_џZ54€Direct Earned Premium(4†"џ:4Р:4РBО 4ˆ /4†Yџ:4Р:4Р:4РB4q5ќџџџZ55€ Item 35  џџJџZ55€# Direct Other Acquisition Expense(5†<џ:5Р:5РBО 5x‚/5†џ:5Р:5Р:5РB5‹6ќџџRџZ56€ Item 46  џџ:џZ56€Direct General Expense(6†3џ:6Р:6РBО 6x‚/6†4џ:6Р:6Р:6РB6‹7ќџџџZ57€ Item 57  џџBџZ57€ Direct Commission & Brokerage(7†%џ:7Р:7РBО 7x /7;џ:7Р:7Р:7РB7‹8ќџџUџZ58€ Item 6a8  џџMџZ58€*'Expenses subject to Capping (Items 3-5)§ 8лFО 8Т‚/8†Gџ:8Р:8Р:8РB8‹9ќџџ$џZ59€ Item 6b9  џџџZ59€Allowable Capped Expense§ 9лFО 9Т‚/9†Kџ:9Р:9Р:9РB9‹:ќџџVџZ5:€ Item 6:  џџ(џZ5:€*'Additional Allowable Efficiency Expense§ :лFО :Т‚/:†fџ::Р::Р::РB:‹;ќџџTџZ5;€ Item 7;  џџOџZ5;€ Direct Taxes, Licenses & Fees(;†-џ:;Р:;РBО ; /;>џ:;Р:;Р:;РB;‹<ќџџCџZ5<€ Item 8<  џџKџZ5<€Direct Prepaid Expenses‚<уџl%57РР Oр?D5РD6РD:РD5РD6РD5РD6РD7РD7РD;РBО <x‚/<у џ:<Р:<Р:<РB<‹=ќџџRџZ5=€ Item 9=  џџ џZ5=€Net Catastrophe Reinsurance(=†џ:=Р:=РBО =x‚/=у1џ:=Р:=Р:=РB=‹>ќџџBџZ5>€ Item 10>  џџeџZ5>€ LAD Fees Paid§ >†FО >Т />Yџ:>Р:>Р:>РB>‹О?     зDНlНЁКутэуъзШжъ>шНЁКутэуъзШжъ>шН@;@A;@B;@C;@D;@E;@F;@G;@H;@I;@J;@K;@L;@M;@N;@O;@P;@Q;@R;@S;@T;@U;@V;@W;@X;@Y;@Z;@[;@\;@];@^;@_;@О @  @Чџџ4џZ5@€Part 1 - CountrywideО @  @ЧџџjџZ5@€Part 2 - New Jersey@AAџџ_џZ5A€Calendar Year 2021Aўnџџ7џZ5A€ Col (1)О Aў Aўџџ*џZ5A€ Col (3)ABќ(џџ;џZ5B€ Item 1B  џџdџZ5B€Direct Written Premium(B›Aџ:BР:BРBО Bˆ‚/B›Qџ:BР:BР:BРBBŠCќџџGџZ5C€ Item 2C  џџFџZ5C€Direct Earned Premium(C†,џ:CР:CРBО Cˆ /C†kџ:CР:CР:CРBCqDќџџjџZ5D€ Item 3D  џџIџZ5D€# Direct Other Acquisition Expense(D†џ:DР:DРBО Dx‚/D†8џ:DР:DР:DРBD‹Eќџџ;џZ5E€ Item 4E  џџcџZ5E€Direct General Expense(E†4џ:EР:EРBО Ex‚/E†Cџ:EР:EР:EРBE‹FќџџgџZ5F€ Item 5F  џџџZ5F€ Direct Commission & Brokerage(F†dџ:FР:FРBО Fx /F-џ:FР:FР:FРBF‹Gќџџ,џZ5G€ Item 6aG  џџeџZ5G€*'Expenses subject to Capping (Items 3-5)§ GлFО GТ‚/G†џ:GР:GР:GРBG‹HќџџZџZ5H€ Item 6bH  џџEџZ5H€Allowable Capped Expense§ HлFО HТ‚/H†Xџ:HР:HР:HРBH‹IќџџџZ5I€ Item 6I  џџ8џZ5I€*'Additional Allowable Efficiency Expense§ IлFО IТ‚/I†9џ:IР:IР:IРBI‹Jќџџ2џZ5J€ Item 7J  џџ<џZ5J€ Direct Taxes, Licenses & Fees(J†џ:JР:JРBО Jx /Jџ:JР:JР:JРBJ‹KќџџџZ5K€ Item 8K  џџiџZ5K€Direct Prepaid Expenses‚Kу=џl%DFРР Oр?DDРDEРDIРDDРDEРDDРDEРDFРDFРDJРBО Kx‚/Kу§:KР:KР:KРBK‹LќџџKџZ5L€ Item 9L  џџ3џZ5L€Net Catastrophe Reinsurance(L†[џ:LР:LРBО Lx‚/Lу>џ:LР:LР:LРBL‹MќџџfџZ5M€ Item 10M  џџ;џZ5M€ LAD Fees Paid§ M†FО MТ /M џ:MР:MР:MРBM‹ОN     О O  OЧџџ.џZ5O€Part 1 - CountrywideО O  OЧџџSџZ5O€Part 2 - New JerseyOPPџџAџZ5P€Calendar Year 2020PўnџџWџZ5P€ Col (1)О Pў PўџџJџZ5P€ Col (3)PQќ(џџSџZ5Q€ Item 1Q  џџџZ5Q€Direct Written Premium(Q›Dџ:QР:QРBО Qˆ‚/Q›[џ:QР:QР:QРBQŠRќџџLџZ5R€ Item 2R  џџ`џZ5R€Direct Earned Premium(R†Sџ:RР:RРBО Rˆ /R†aџ:RР:RР:RРBRqSќџџBџZ5S€ Item 3S  џџcџZ5S€# Direct Other Acquisition Expense(S†bџ:SР:SРBО Sx‚/S†[џ:SР:SР:SРBS‹Tќџџ[џZ5T€ Item 4T  џџMџZ5T€Direct General Expense(T†Zџ:TР:TРBО Tx‚/T†џ:TР:TР:TРBT‹Uќџџ7џZ5U€ Item 5U  џџbџZ5U€ Direct Commission & Brokerage(U†=џ:UР:UРBО Ux /UFџ:UР:UР:UРBU‹Vќџџ8џZ5V€ Item 6aV  џџeџZ5V€*'Expenses subject to Capping (Items 3-5)§ VлFО VТ‚/V†Eџ:VР:VР:VРBV‹Wќџџ3џZ5W€ Item 6bW  џџ`џZ5W€Allowable Capped Expense§ WлFО WТ‚/W†џ:WР:WР:WРBW‹XќџџaџZ5X€ Item 6X  џџhџZ5X€*'Additional Allowable Efficiency Expense§ XлFО XТ‚/X†*џ:XР:XР:XРBX‹YќџџjџZ5Y€ Item 7Y  џџQџZ5Y€ Direct Taxes, Licenses & Fees(Y†hџ:YР:YРBО Yx /Y\џ:YР:YР:YРBY‹Zќџџ=џZ5Z€ Item 8Z  џџbџZ5Z€Direct Prepaid Expenses‚Zу7џl%SUРР Oр?DSРDTРDXРDSРDTРDSРDTРDUРDUРDYРBО Zx‚/ZуWџ:ZР:ZР:ZРBZ‹[ќџџTџZ5[€ Item 9[  џџ џZ5[€Net Catastrophe Reinsurance([†$џ:[Р:[РBО [x‚/[уcџ:[Р:[Р:[РB[‹\ќџџOџZ5\€ Item 10\  џџ'џZ5\€ LAD Fees Paid§ \†FО \Т /\hџ:\Р:\Р:\РB\‹О]     О ^  ^ЧџџџZ5^€Part 1 - CountrywideО ^  ^ЧџџbџZ5^€Part 2 - New Jersey^__џџ#џZ5_€Calendar Year 2019_ўnџџDџZ5_€ Col (1)О _ў _ўџџџZ5_€ Col (3)_зDClЁКутэуъзШжъ>шНЁКутэуъзШжъ>шНЁ`;@a;@b;@c;@d;@e;@f;@g;@h;@i;@j;@k;@ `ќ(џџ_џZ5`€ Item 1`  џџSџZ5`€Direct Written Premium(`›Rџ:`Р:`РBО `ˆ‚/`›Bџ:`Р:`Р:`РB`Šaќџџ2џZ5a€ Item 2a  џџџZ5a€Direct Earned Premium(a†џ:aР:aРBО aˆ /a†Wџ:aР:aР:aРBaqbќџџXџZ5b€ Item 3b  џџ5џZ5b€# Direct Other Acquisition Expense(b† џ:bР:bРBО bx‚/b†kџ:bР:bР:bРBb‹cќџџfџZ5c€ Item 4c  џџCџZ5c€Direct General Expense(c†iџ:cР:cРBО cx‚/c†Vџ:cР:cР:cРBc‹dќџџLџZ5d€ Item 5d  џџAџZ5d€ Direct Commission & Brokerage(d†Yџ:dР:dРBО dx /d4џ:dР:dР:dРBd‹eќџџVџZ5e€ Item 6ae  џџFџZ5e€*'Expenses subject to Capping (Items 3-5)§ eлFО eТ‚/e†\џ:eР:eР:eРBe‹fќџџgџZ5f€ Item 6bf  џџ$џZ5f€Allowable Capped Expense§ fлFО fТ‚/f†џ:fР:fР:fРBf‹gќџџ@џZ5g€ Item 6g  џџџZ5g€*'Additional Allowable Efficiency Expense§ gлFО gТ‚/g†iџ:gР:gР:gРBg‹hќџџ3џZ5h€ Item 7h  џџHџZ5h€ Direct Taxes, Licenses & Fees(h†џ:hР:hРBО hx /hkџ:hР:hР:hРBh‹iќџџџZ5i€ Item 8i  џџ'џZ5i€Direct Prepaid Expenses‚iуUџl%bdРР Oр?DbРDcРDgРDbРDcРDbРDcРDdРDdРDhРBО ix‚/iуџ:iР:iР:iРBi‹jќџџRџZ5j€ Item 9j  џџ6џZ5j€Net Catastrophe Reinsurance(j†cџ:jР:jРBО jx‚/jу1џ:jР:jР:jРBj‹kџџTџZ5k€ Item 10k џџIџZ5k€ LAD Fees Paid§ k‡FО kУ/k€џ:kР:kР:kРBkŒзБ мутэуъзШжъ>шТt  ) џ : РB  O c DbF Db Dd Р  BR    B        Z  Vт D U    1   'I А   0K  4    5    6 E     8   9     ;                @" u" T# ## ## $ $ ,$ ($ % $% 1% -% && SM%& ?& '' '' j' &' (( &( ( *( G) -) ** ** * A++ ++ S+ r,, ,, , "- H- &- .. /. 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Item 4](%Average Invested Assets [Avg. Item 4]R&S џDРDРS џМ LџџџРLџџРS џS џS џS џ S џ# s џ %Р РђkОсpppp О  џџ џDР Calendar YearО      - § ‡ (ŒŸ@ §МL@(Ÿ@џ(”Ÿ@џ(˜Ÿ@џ(œŸ@џ( Ÿ@џ (ЄŸ@џD Р ѓџџџD Р 7-Yr Total§ ь; џџ џ%Net Investment Income [DР]!Net Investment Income [Item 3] pџМ LђџРp џp џp џp џpџ p џ qџзDў%lœ‘hB$Љƒƒ„‚†}Š9ЃgW^CCCCNЏ [> ;@! ;@ # ;@& ;@' ;@) ;@* ;@+ ;@, ;@§ ь =  џџ!џ'Average Invested Assets [DР]# Average Invested Assets [Item 5]   p!џ М  LћџР p!џ  p!џ  p!џ  p!џ  p!џ  p! џ  q! џ § !*I!џџџ3Pre-Tax Rate of Return [DР / D Р]+(Pre-Tax Rate of Return [Item 6 / Item 7]!!} џ!М1!! 'LџџР LўџРLџџРB!} џ!!} џ!!} џ!!}џ!!} џ!! }џ!! ~џ!О#ХХХХХХ&B'B)B*B+B,BзR ‹С ТP ,S  K Lў   Р  Р$    D ] b  "           Vт  !  ! !  ! !! M! !  ' !  АьP№Hр№D№0№( № №D>Ж@KU‹‹ ™Њ я7К Sheet15ggџџџџD ZOЭЩ d |@  dќЉёвMbP?_*+‚€%;РХ&L&D&RPage &P of &Nƒ„&р?'р?(р?)р?MВAdobe PDFмдSя€ъ o?ќџ,LetterPRIVт ''''АЄ0\KhCFFŸђџџАSMTJ 0EBDAStandardЁ"?a€ќџ,р?р?œ&œнcщмU} уD} ЊAD} ЊD} Њ D  ;@ ;@ ;@ ;@ ;@  ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@  ;@џџўZ Group Name:ЪpџџџZenter group name hereО§ ЫЭџџџZ Group NAIC #:ЪpџџџZenter group # hereО§ ЫkџџџZ Year Filed:ЮЈŸ@ џZООЮЮЮЮЮО"#џџџZ€$ŒŸ@џ C$Ÿ@џ C$”Ÿ@џ C$˜Ÿ@џ C$œŸ@џ C$ Ÿ@џ C%ЄŸ@џ CќџџџZ€ Item 1  џџџZ8&Agents BalancespџZ8& pџZ8& pџZ8&pџZ8&pџZ8&pџZ8&qџZ8&ќџџџZ€ Item 2  џџџZ8'Unearned Premium ReservepџZ8' pџZ8' pџZ8'pџZ8'pџZ8'pџZ8'qџZ8'ќџџ џZ€ Item 3G џџџ1Agents Balance Ratio [DР / DР])&Agents Balance Ratio [Item 1 / Item 2]tџМ8.LџџР LўџРLџџРBBtџtџtџtџtџuџ ќџџ џZ € Item 4: ф џџ џ$Z@ - NJ [Exhibit 4]@+(Direct Prepaid Expenses - NJ [Exhibit 4] p џZi p€э§ZZ pџZK p џZ< p џZ- p џZ q џZ ќџџ џZ € Item 5P х џџ џ:Direct Net Written Premium - NJ@ [Exhibit 4]@.+Direct Net Written Premium - NJ [Exhibit 4] p џZ` p џZQ p џZB p џZ3 p џZ$ p џZ q џZ ќџџ џZ € Item 6H  џџ џ2Prepaid Expense Ratio [D Р / D Р]*'Prepaid Expense Ratio [Item 4 / Item 5] tџ М8 .LџџР LўџРLџџРBB tџ  tџ  tџ  tџ  tџ  uџ  ьџџџZ € Item 7aP  џџ џ:7Direct Unearned Premium Reserve - Beginning [Exhibit 1]:7Direct Unearned Premium Reserve - Beginning [Exhibit 1] pџZ h pџZ \ p џZ K p џZ ? pџZ 3 pџZ " qџZ  ьџџ џZ € Item 7bM  џџџ74Direct Unearned Premium Reserve - Ending [Exhibit 1]74Direct Unearned Premium Reserve - Ending [Exhibit 1] pџ М LџџР pџ  pџ  pџ  pџ  pџ  q џZ ьџџџZ€ Item 7Y џџ џC#Average Unearned Premium Reserve [(D Р + D Р) / 2]=:Average Unearned Premium Reserve [(Item 7a + Item 7b) / 2]pџМLўџРLџџРpџp џp џp џpџqџьџџџZ€ Item 8a  џџџKInvestable Unearned Premium [DР * (1 - DР - D Р)]?<Investable Unearned Premium [Item 7 * (1 - Item 3 - Item 6)]pџМ'LџџРLљџРLќџРBpџpџpџpџpџqџьџџџZ€ Item 9aC џџџ-*Direct Unpaid Loss - Beginning [Exhibit 1]-*Direct Unpaid Loss - Beginning [Exhibit 1]%<џZ hZ i%<џZ \Z ]%<џZ KZ L%<џZ ?Z @%<џZ 3Z 4%<џZ "Z #%= џZ Z ьџџџZ€ Item 9b@ џџџ*'Direct Unpaid Loss - Ending [Exhibit 1]*'Direct Unpaid Loss - Ending [Exhibit 1] џМLџџР џ џ џ џ  џ%=џZ Z ьџџџZ€ Item 9M џџџ7Average Loss Reserve [(DР + DР) / 2]1.Average Loss Reserve [(Item 9a + Item 9b) / 2]p џМLўџРLџџРpџpџpџpџpџqџьџџџZ€ Item 10aU џџџ?<Direct Unpaid D&CCE - Beginning [Exhibit 1, Col (6), Item 3]?<Direct Unpaid D&CCE - Beginning [Exhibit 1, Col (6), Item 3]pџZ h pџZ \ p џZ K pџZ ? pџZ 3 pџZ " qџZ  ьџџџZ€ Item 10bR џџџ<9Direct Unpaid D&CCE - Ending [Exhibit 1, Col (6), Item 3]<9Direct Unpaid D&CCE - Ending [Exhibit 1, Col (6), Item 3]pџМLџџРpџpџpџp џpџqџZ ьџџџZ€ Item 10N џџџ8Average D&CCE Reserve [(DР + DР) / 2]41Average D&CCE Reserve [(Item 10a + Item 10b) / 2]pџМLўџРLџџРpџpџpџpџp џqџќџџџZ€ Item 11§ ,ˆŽЭЬЬЬЬЬ№? џZ$& ŽЭЬЬЬЬЬ№? џZ$% ŽЭЬЬЬЬЬ№?џZ$$ ŽЭЬЬЬЬЬ№?џZ$# ŽЭЬЬЬЬЬ№?џZ$" ŽЭЬЬЬЬЬ№?џZ$! ЭЬЬЬЬЬ№? џZ$ ьЬџџџZ€ Item 12\  џџџFAverage Loss + LAE Reserve [(DР + DР) * DР]<9Average Loss + LAE Reserve [(Item 9 + Item 10) * Item 11]vџМLћџРLўџРLџџРvџvџvџv џvџwџьџџџZ€ Item 13@ џџџ*Total Reserve [DР + DР]# Total Reserve [Item 8 + Item 12]pџМ LїџРLџџРpџpџpџpџpџqџьџџџZ€ Item 14§ ,myџМCyџyџyџy џyџzџ*џџ џZ€ Item 15R џџџ<!Actual Investment Income Earned [DР * DР]63Actual Investment Income Earned [Item 13 * Item 14]r џМ LўџРLџџРrџr џr џrџr џsџО,,,,,yyyз<Р&”“j LUЛ‚›НЈЉУкЦ—ЋГДА$ШŒ)БТ„ , yS arnP 13  ]ed   e  DI   D  Р  Р&  ]     h \ K  !  Vт ?    Y 5 V [  ' АK 3   0d [ ? c  v Z  Y T h c    S :  $ 3 "    Z H h " K  <         d L F 7 $   >Ж@KU‹‹ ™Њ я7К Sheet17ggџџџџD ZOЭЩ ЬL =n  dќЉёвMbP?_*+‚€%;РХџџ&L&D&RPage &P of &Nƒ„&р?'р?(р?)р?MВAdobe PDFмдSя€ъ o?,,LetterPRIVт ''''АЄ0\KhCFFŸђџџАSMTJ 0EBDAStandardЁ"?a€ќџ,р?р?œ&œнcщмU} уD} ЊAD} ЊD} Њ D  ;@ ;@ ;@ ;@ ;@  ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@  ;@џџўZ Group Name:ЪpџџџZenter group name hereО§ ЫžЭџџџZ Group NAIC #:Ъpџџ џZenter group # hereО§ ЫjџџџZ Year Filed:ЮЈŸ@X §ZООЮЮЮЮЮО"§ #;$ŒŸ@џ C$Ÿ@џ C$”Ÿ@џ C$˜Ÿ@џ C$œŸ@џ C$ Ÿ@џ C%ЄŸ@џ C§ ќ џџџZРAgents BalancespџZ8& pџZ8& pџZ8&pџZ8&pџZ8&pџZ8&qџZ8&§ ќ џџџZРUnearned Premium ReservepџZ8' pџZ8' pџZ8'pџZ8'pџZ8'pџZ8'qџZ8'§ ќџџ џZР)&Agents Balance Ratio [Item 1 / Item 2]tџМ8.LџџР LўџРLџџРBBtџtџtџtџtџuџ§ ќ фџџ џZ Р+(Direct Prepaid Expenses - NJ [Exhibit 4] p џZi p џZZ p џZK p џZ< pџZ- pџZ q џZ§ ќ хџџ џZ Р.+Direct Net Written Premium - NJ [Exhibit 4] p џZ` p џZQ p џZB p џZ3 p џZ$ p џZ q џZ§ ќ џџџZ Р*'Prepaid Expense Ratio [Item 4 / Item 5] tџ М8 .LџџР LўџРLџџРBB tџ  tџ  tџ  tџ  tџ  uџ § ьG џџ џZ Р:7Direct Unearned Premium Reserve - Beginning [Exhibit 1] pџZh p џZ\ p џZK pџZ? pџZ3 pџZ" qџZ§ ьH џџџZ Р74Direct Unearned Premium Reserve - Ending [Exhibit 1] pџ М LџџР pџ  pџ  pџ  pџ  p џ  qџZ § ь џџџZР=:Average Unearned Premium Reserve [(Item 7a + Item 7b) / 2]pџМLўџРLџџРpџpџpџp џp џqџ§ ь џџџZР?<Investable Unearned Premium [Item 7 * (1 - Item 3 - Item 6)]pџМ'LџџРLљџРLќџРBpџpџpџpџpџqџ§ ьIџџ џZР-*Direct Unpaid Loss - Beginning [Exhibit 1]pџZhpџZ\pџZKpџZ?pџZ3p џZ"qџZ§ ьJџџџZР*'Direct Unpaid Loss - Ending [Exhibit 1]pџМLџџРp џpџpџpџpџqџZ § ьџџ џZР1.Average Loss Reserve [(Item 9a + Item 9b) / 2]pџМLўџРLџџРp џpџpџpџpџqџ§ ьKџџџZР?<Direct Unpaid D&CCE - Beginning [Exhibit 1, Col (6), Item 3]pџZh p џZ\ pџZK pџZ? pџZ3 pџZ" q џZ § ьLџџџZР<9Direct Unpaid D&CCE - Ending [Exhibit 1, Col (6), Item 3]pџМLџџРp џpџpџpџpџqџZ § ьџџџZР41Average D&CCE Reserve [(Item 10a + Item 10b) / 2]pџМLўџРLџџРpџpџp џpџpџqџ§ ќ,џџџZР)&A&OE Ratio [Exhibit 2, Part 4, Col (4]ŽЭЬЬЬЬЬ№? џZ& ŽЭЬЬЬЬЬ№?џZ% ŽЭЬЬЬЬЬ№?џZ$ ŽЭЬЬЬЬЬ№?џZ# ŽЭЬЬЬЬЬ№?џZ" ŽЭЬЬЬЬЬ№? џZ! ЭЬЬЬЬЬ№? џZ § ь џџ џZР<9Average Loss + LAE Reserve [(Item 9 + Item 10) * Item 11]vџМLћџРLўџРLџџРvџvџvџvџv џwџ§ ьџџџZР# Total Reserve [Item 8 + Item 12]pџМ LїџРLџџРpџpџpџpџpџqџ§ ьџџ џZР96Pre-Tax Rate of Return [Exhibit 4, Item 8, 3-Yr Total]yџМCyџyџyџyџyџz џ§ *џџџZР63Actual Investment Income Earned [Item 13 * Item 14]rџМ LўџРLџџРr џrџrџrџrџs џО,,,,,yyyз<!”“j ,5qEHrTXgvGK[Y]^ChHX[Тќ , y arn— 13  ]al! м  ъ  F  ek  O  5        A  g  f  \  Vт L  4  3     <      'M А e  0  f  > ;    I   F    i \ 4 "   ? >    + 3 =  #  F (   f %  $ )         > \ . > SM. A  ьP№H№№№0№( № №>Ж@KU‹‹ ™Њ я7К Sheet6ggџџџџD ZOЭЩ L{ ~Ÿ  dќЉёвMbP?_*+‚€%;РХ&L&D&RPage &P of &Nƒ„&р?'р?(р?)р?MВAdobe PDFмдSя€ъ o?,,LetterPRIVт ''''АЄ0\KhCFFŸђџџАSMTJ 0EBDAStandardЁ"?a€ќџ,р?р?œ&œнcщмU} уD} ЊAD} ЊD} Њ D  ;@ ;@ ;@ ;@ ;@  ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@  ;@џџўZ Group Name:ЪpџџџZenter group name hereО§ ЫŸЭџџџZ Group NAIC #:ЪpџџџZenter group # hereО§ ЫlџџџZ Year Filed:ЮЈŸ@ џZООЮЮЮЮЮО"#џџџZ€$ŒŸ@џ C$Ÿ@џ C$”Ÿ@џ C$˜Ÿ@џ C$œŸ@џ C$ Ÿ@џ C%ЄŸ@џ CќџџџZ€ Item 1  џџџZРAgents BalancespџZ8& pџZ8& pџZ8&pџZ8&pџZ8&pџZ8&qџZ8&ќџџџZ€ Item 2  џџџZРUnearned Premium ReservepџZ8' pџZ8' pџZ8'pџZ8'pџZ8'pџZ8'qџZ8'ќџџ џZ€ Item 3 џџ џZР)&Agents Balance Ratio [Item 1 / Item 2]tџМ8.LџџР LўџРLџџРBBtџtџtџtџtџuџ ќџџ џZ € Item 4 ф џџ џZ Р+(Direct Prepaid Expenses - NJ [Exhibit 4] pџZi pџZZ pџZK p џZ< p џZ- pџZ q Ќ§Z ќџџ џZ € Item 5 х џџџZ Р.+Direct Net Written Premium - NJ [Exhibit 4] p џZ` p џZQ p џZB p џZ3 p џZ$ p џZ q џZ ќџџ џZ € Item 6  џџџZ Р*'Prepaid Expense Ratio [Item 4 / Item 5] tџ М8 .LџџР LўџРLџџРBB tџ  tџ  tџ  tџ  tџ  uџ  ьџџ џZ € Item 7a  џџ џZ Р:7Direct Unearned Premium Reserve - Beginning [Exhibit 1] p џZh p џZ\ pџZK p џZ? pџZ3 p џZ" q џZ ьџџџZ € Item 7b  џџџZ Р74Direct Unearned Premium Reserve - Ending [Exhibit 1] pџ М LџџР pџ  pџ  pџ  pџ  pџ  qџZ ьџџџZ€ Item 7 џџџZР=:Average Unearned Premium Reserve [(Item 7a + Item 7b) / 2]p џМLўџРLџџРpџp џpџpџp џq џьџџџZ€ Item 8  џџџZР?<Investable Unearned Premium [Item 7 * (1 - Item 3 - Item 6)]pџМ'LџџРLљџРLќџРBpџpџpџpџpџqџьџџџZ€ Item 9a џџ џZР-*Direct Unpaid Loss - Beginning [Exhibit 1]pџZhpџZ\pџZKpџZ?pџZ3pџZ"qџZьџџџZ€ Item 9b џџ џZР*'Direct Unpaid Loss - Ending [Exhibit 1]pџМLџџРpџp џpџp џpџq џZ ьџџџZ€ Item 9 џџ џZР1.Average Loss Reserve [(Item 9a + Item 9b) / 2]p џМLўџРLџџРpџpџp џpџp џqџьџџџZ€ Item 10a џџ џZР?<Direct Unpaid D&CCE - Beginning [Exhibit 1, Col (6), Item 3]pџZh pџZ\ pџZK pџZ? pџZ3 pџZ" q џZ ьџџџZ€ Item 10b џџџZР<9Direct Unpaid D&CCE - Ending [Exhibit 1, Col (6), Item 3]pџМLџџРpџpџpџpџp џqџZ ьџџџZ€ Item 10 џџџZР41Average D&CCE Reserve [(Item 10a + Item 10b) / 2]p џМLўџРLџџРpџpџpџpџpџqџќџџџZ€ Item 11, џџџZР)&A&OE Ratio [Exhibit 2, Part 4, Col (4]ŽЭЬЬЬЬЬ№?џZ"& ŽЭЬЬЬЬЬ№?џZ"% ŽЭЬЬЬЬЬ№?џZ"$ ŽЭЬЬЬЬЬ№?џZ"# ŽЭЬЬЬЬЬ№?џZ"" ŽЭЬЬЬЬЬ№? џZ"! ЭЬЬЬЬЬ№?џZ" ьЬџџџZ€ Item 12  џџџZР<9Average Loss + LAE Reserve [(Item 9 + Item 10) * Item 11]vџМLћџРLўџРLџџРvџvџvџvџvџwџьџџџZ€ Item 13 џџџZР# Total Reserve [Item 8 + Item 12]pџМ LїџРLџџРpџpџpџpџpџqџьџџџZ€ Item 14 џџџZР96Pre-Tax Rate of Return [Exhibit 4, Item 8, 3-Yr Total]y џМCyџyџyџyџyџzџ*џџџZ€ Item 15 џџџZР63Actual Investment Income Earned [Item 13 * Item 14]rџМ LўџРLџџРrџr џrџr џrџs џО,,,,,yyyз<к#”“j LU‘eh’uy‡–hl{{d‰iy|Т  ,R y arn 13  ]al м ъ   e  e<  G  8      :        n  Vт (    1  %   >  -    '  А \ @ 0 n h G 2   7  = !     U T R s  g 2 " P  S E :  g [ " b # I ! K  l % $  V          h SMU <  (    >Ж@KU‹‹ ™Њ я7К Sheet18ggџџџџD ZOЭЩ ^Ќ їП  dќЉёвMbP?_*+‚€%;РХ&L&D&RPage &P of &Nƒ„&р?'р?(р?)р?MВAdobe PDFмдSя€ъ o?,,LetterPRIVт ''''АЄ0\KhCFFŸђџџАSMTJ 0EBDAStandardЁ"?a€ќџ,р?р?œ&œнcщмU} уD} ЊAD} ЊD} Њ D  ;@ ;@ ;@ ;@ ;@  ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@ ;@  ;@џџўZ- Group Name:ЪpџџџZ-enter group name hereО§ Ы6ЭџџџZ- Group NAIC #:ЪpџџџZ-enter group # hereО§ Ы$џџџZ- Year Filed:ЮЈŸ@џZ-ООЮЮЮЮЮО"#џџџZ,€$ŒŸ@џ C$Ÿ@џ C$”Ÿ@џ C$˜Ÿ@џ C$œŸ@џ C$ Ÿ@џ C%ЄŸ@џ CќџџџZ,€ Item 1  џџџZРAgents BalancesОЛЛЛЛЛЛМќџџџZ,€ Item 2  џџџZРUnearned Premium ReserveОЛЛЛЛЛЛМќџџ џZ,€ Item 3 џџ џZР)&Agents Balance Ratio [Item 1 / Item 2]ОННННННО ќџџ џZ, € Item 4 ф џџџZ Р+(Direct Prepaid Expenses - NJ [Exhibit 4]О ЛЛЛЛЛЛМ ќџџ џZ, € Item 5 х џџ џZ Р.+Direct Net Written Premium - NJ [Exhibit 4]О ЛЛЛЛЛЛМ ќџџ џZ, € Item 6  џџџZ Р*'Prepaid Expense Ratio [Item 4 / Item 5]О ННННННО ьџџ џZ, € Item 7a  џџ џZ Р:7Direct Unearned Premium Reserve - Beginning [Exhibit 1]О ЛЛЛЛЛЛМ ьџџџZ, € Item 7b  џџџZ Р74Direct Unearned Premium Reserve - Ending [Exhibit 1]О ЛЛЛЛЛЛМьџџџZ,€ Item 7 џџџZР=:Average Unearned Premium Reserve [(Item 7a + Item 7b) / 2]ОЛЛЛЛЛЛМьџџџZ,€ Item 8  џџџZР?<Investable Unearned Premium [Item 7 * (1 - Item 3 - Item 6)]ОЛЛЛЛЛЛМьџџџZ,€ Item 9a џџџZР-*Direct Unpaid Loss - Beginning [Exhibit 1]ОЛЛЛЛЛЛМьџџџZ,€ Item 9b џџ џZР*'Direct Unpaid Loss - Ending [Exhibit 1]ОЛЛЛЛЛЛМьџџџZ,€ Item 9 џџџZР1.Average Loss Reserve [(Item 9a + Item 9b) / 2]ОЛЛЛЛЛЛМьџџџZ,€ Item 10a џџџZР?<Direct Unpaid D&CCE - Beginning [Exhibit 1, Col (6), Item 3]ОЛЛЛЛЛЛМьџџџZ,€ Item 10b џџџZР<9Direct Unpaid D&CCE - Ending [Exhibit 1, Col (6), Item 3]ОЛЛЛЛЛЛМьџџџZ,€ Item 10 џџџZР41Average D&CCE Reserve [(Item 10a + Item 10b) / 2]ОЛЛЛЛЛЛМќџџџZ,€ Item 11, џџџZР)&A&OE Ratio [Exhibit 2, Part 4, Col (4]ОППППППРьџџџZ,€ Item 12  џџ џZР<9Average Loss + LAE Reserve [(Item 9 + Item 10) * Item 11]ОССССССТьџџџZ,€ Item 13 џџџZР# Total Reserve [Item 8 + Item 12]ОЛЛЛЛЛЛМьџџџZ,€ Item 14 џџџZР96Pre-Tax Rate of Return [Exhibit 4, Item 8, 3-Yr Total]ОУУУУУУФ*џџџZ,€ Item 15 џџџZР63Actual Investment Income Earned [Item 13 * Item 14]/rџ:Р:Р:РB/r§:Р:Р:РB/rџ:Р:Р:РB/rџ:Р:Р:РB/rџ:Р:Р:РB/rџ:Р:Р:РB/sџ:Р:Р:РBО,,,,,yyyз<A”“j }†”–™•ІЃЈЊ™–œЌЉ •ЈЅяТh ,? y : РB ]al м ъ    e        [    Vт         ' А  >Ж@KU‹‹ ™Њ я7К Sheet26ggџџџџD ZOЭЩ '/Ъ ћ E  dќЉёвMbP?_*+‚€%;Р џџ&L&D&RPage &P of &Nƒ„&ш?'ш?(№?)№?MВAdobe PDFмдSя€ъ oF,,LetterPRIVт       !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnp§џџџqrstuvwxyz{|}~€''''АЄ0\KhCFFŸђџџАSMTJ 0EBDAStandardЁ"F&€,,р?р?œ&œнcщмU} ЊЉ} Њ Љ}  Љ';@;@;@;@;@ ;@;@;@ ;@ ;@  ;@ ;@ ;@ ;@;@;@;@;@;@;@;@;@;@;@;@;@;@;@;@;@;@;@Щџџ ўZ Group Name:ЩЪџџ џZenter group name hereОЯЯ§ Ы< ЯџџџDР Group Name: Я ЪџџџDРenter group name hereО ЯЯЌџџџD Р Exhibit 6Эbџџ џZ Group NAIC #:ЭЪџџ џZenter group # hereОЯЯ§  Ќg ЯџџџDР Group NAIC #: Я ЪџџџDРenter group # hereО ЯЯ§ ЫtЩџџ џZ Year Filed:ЩЮЈŸ@ џZОЯЯ Яџџ џDР Year Filed: Я ЮЈŸ@џDРО ЯЯЯО.ЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯО.ЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯО .щ§ /О         џџџD€ Calendar YearО        0§ 1; ђЈŸ@ џCђЄŸ@ џ Cђ Ÿ@ џ CђœŸ@џ Cђ˜Ÿ@ џМ LџРђ”Ÿ@џђŸ@ џ ђŒŸ@ џ ђˆŸ@ џ ђ„Ÿ@ џ ђ€Ÿ@ џ ђ|Ÿ@џђxŸ@ џђtŸ@џђpŸ@ џђlŸ@ џ<hŸ@ џ§ к§ 5ЏФNџZ8.РNџZ8.РNџZ8.РNџZ8.РNџZ8.РNџZ8.РN џZ8. Р N џZ8. Р N џZ8. Р N џZ8DР N џZ8DР NџZ8DРNџZ8DРNџZ8DРNџZ8D РNџZ8D Рй џZ8D Р#л џ %РРО.ттCCCCCCCCCCCCCCCCCCО. 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РXXX тџџ џZ8? РXXX C џZ8? Р C џZ8UР C џZ8UР CџZ8UРCџZ8UРCџZ8UРCџZ8U РCџZ8U Р> џZ8U Рв$џ § ё]=hŸ@џ § œ§ œ§ œ§ œ§ œ§ œ§ œ§  œ§  œ C џZ8VР C џZ8VР CџZ8VРCџZ8VРCџZ8VРCџZ8V РCџZ8V Р> џZ8V Рвџ § ё^=dŸ@џ § œ§ œ§ œ§ œ§ œ§ œ§ œ§  œ§  œ тџџ џZ8WРXXX C џZ8WР CџZ8WРCџZ8WРCџZ8WРCџZ8W РCџZ8W Р> џZ8W Рвџ § ё_=`Ÿ@џ § œ§ œ§ œ§ œ§ œ§ œ§ œ§  œ§  œ тџџ џZ8XРXXX тџџ џZ8XРXXX CџZ8XРCџZ8XРCџZ8XРCџZ8X РCџZ8X Р> џZ8X Рвџ § ё`=\Ÿ@џ § œ§ œ§ œ§ œ§ œ§ œ§ œ§  œ§  œ тџџ џZ8YРXXX тџџ џZ8YРXXX тџџџZ8YРXXXCџZ8YРCџZ8YРCџZ8Y РCџZ8Y Р> џZ8Y Рв$ џ § ёє=XŸ@ џ § œ§ œ§ œ§ œ§ œ§ œ§ œ§  œ§  œ тџџ џZ8ZРXXX тџџ џZ8ZРXXX тџџџZ8ZРXXXтџџџZ8ZРXXXCџZ8ZРCџZ8Z РCџZ8Z Р> џZ8Z Рвџ зD„?lY6ц22ƒXp22 e‰Џ}}}}}‡‘›ЅЏЙУЭвмц№ ;@!;@";@#;@$;@%;@&;@ § ёѕ =TŸ@!џ § œ§ œ§ œ§ œ§ œ§ œ§ œ§ œ§ œ тџџ џZ8[РXXX тџџ џZ8[РXXX тџџ џZ8[РXXX тџџ џZ8[РXXX тџџ џZ8[РXXX C џZ8[ Р C џZ8[ Р >! џZ8[ Р вџ § !ёі!=PŸ@"џ § !œ§ !œ§ !œ§ !œ§ !œ§ !œ§ !œ§ ! œ§ ! œ! тџџ! џZ8\РXXX! тџџ! џZ8\РXXX! тџџ!џZ8\РXXX!тџџ!џZ8\РXXX!тџџ!џZ8\РXXX!тџџ!џZ8\ РXXX!C!џZ8\ Р!>" џZ8\ Р!вџ § "ёї"=LŸ@ џ § "?§ "?§ "?§ "?§ "?§ "?§ "?§ " ?§ " ?" @џџ" џZ8]РXXX" @џџ" џZ8]РXXX" @џџ"џZ8]РXXX"@џџ"џZ8]РXXX"@џџ"џZ8]РXXX"@џџ"џZ8] РXXX"@џџ"џZ8] РXXX"AџZ8] Р"џ § #B;О,#CDDDDDDDDDтттттттCв§ $3­$E#$C&џ % "РР$C&џ$М$$ -шџўџРР$C&џ$$C&џ$$C&џ$$C&џ$$C&џ$$ C& џ$$ C& џ$$ C& џ$$ C& џ$$ C& џ$$C&џ$$C&џ$$C&џ$$C&џ$$C&џ$#$в&џ % "РР§ %1;О,%ECCCCCCCCCCCCCCCCCв§ &FЎ&G&Nџ&М&& LсџРLўџР&N$џ&&N$џ&&N$ џ&&N$џ&&Nџ&&Nџ&& Nџ&& Nџ&& N$џ&& N$џ&& N$џ&&N!џ&&N џ&&N$џ&&N џ&&N$ џ&&6џ&з x>q>Т€   џ*  CZ  #   м  ъ  #  e                    Vт        " & & '& А&  "&  & 0T& ьP№H№ №0№( № № >Ж@UU‹‹ ™ я7К Sheet10ggџџџџD ZOЭЩ 'П ш` m  dќЉёвMbP?_*+‚€%;Р џџ&L&D&RPage &P of &Nƒ„&ш?'ш?(№?)№?MВAdobe PDFмдSя€ъ oF,,LetterPRIVт ''''АЄ0\KhCFFŸђџџАSMTJ 0EBDAStandardЁ"F,,р?р?œ&œнcщмU} ЊЉ} Њ Љ}  Љ';@;@;@;@;@ ;@;@;@ ;@ ;@  ;@ ;@ ;@ ;@;@;@;@;@;@;@;@;@;@;@;@;@;@;@;@;@;@;@Щџџ ўZ Group Name:ЩЪџџ џZenter group name hereОЯЯ§ Ы7 ЯџџџDР Group Name: Я ЪџџџDРenter group name hereО ЯЯЌџџџD Р Exhibit 7Эbџџ џZ Group NAIC #:ЭЪџџ џZenter group # hereОЯЯ§  Ќg ЯџџџDР Group NAIC #: Я ЪџџџDРenter group # hereО ЯЯ§ ЫtЩџџ џZ Year Filed:ЩЮЈŸ@ џZОЯЯ Яџџ џDР Year Filed: Я ЮЈŸ@ џDРО ЯЯЯО.ЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯО.ЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯЯО .щ§ /О         џџџD€ Calendar YearО        0§ 1; ђЈŸ@ џCђЄŸ@ џ Cђ Ÿ@ џ CђœŸ@ џМ LџРђ˜Ÿ@ џђ”Ÿ@ џђŸ@ џ ђŒŸ@ џ ђˆŸ@ џ ђ„Ÿ@ џ ђ€Ÿ@ џ ђ|Ÿ@џђxŸ@ џђtŸ@ џђpŸ@ џђlŸ@ џђhŸ@ џ C§ 2§ 5ѓФџџ џZ8d@XXXNџџџZ8d@Nџџ&џZ8d@Nџџ&џZ8d@Nџџ&џZ8d@Nџџ&џZ8d@Nџџ&џZ8d @ Nџџ& џZ8d @ N џZ8d @ N џZ8z@ N џZ8z@ NџZ8z@NџZ8z@NџZ8z@NџZ8z @NџZ8z @й џZ8z @#6џџ&џ %РРО.ттCCCCCCCCCCCCCCCCCCО. EEIIIIIIIIIIIIIIIIIч§ 82  §  зО          џџ џD €,)Calendar Year Extraordinary Loss IncurredО        9§ :Ž ; ђЈŸ@џ М LћџР ђЄŸ@џ  ђ Ÿ@џ  ђœŸ@џ  ђ˜Ÿ@џ  ђ”Ÿ@џ  ђŸ@ џ  ђŒŸ@ џ  ђˆŸ@џ  ђ„Ÿ@ џ  ђ€Ÿ@ џ  ђ|Ÿ@џ  ђxŸ@ џ  ђtŸ@џ  ђpŸ@џ  ђlŸ@џ  <hŸ@џ  4џџ џ Total§ ёB =ЄŸ@ џ C тџџ џZ8gРXXX C џZ8gР C џZ8gР C џZ8gР C џZ8gР C џZ8gР C џZ8g Р C џZ8g Р C џZ8g Р C џZ8}Р C џZ8}Р C џZ8}Р C џZ8}Р C џZ8}Р C џZ8} Р C џZ8} Р > џZ8} Р в$ џ М " -яРџР§ ёC = Ÿ@ џ C тџџ џZ8hРXXX C џZ8hР C џZ8hР C џZ8hР C џZ8hР C џZ8hР C џZ8h Р C џZ8h Р C џZ8h Р C џZ8~Р C џZ8~Р C џZ8~Р C џZ8~Р C џZ8~Р C џZ8~ Р C џZ8~ Р >џZ8~ Р в$џ § ёP=œŸ@џ CтџџџZ8iРXXXCџZ8iРCџZ8iРCџZ8iРCџZ8iРCџZ8iРC џZ8i Р C џZ8i Р C џZ8i Р C џZ8Р C џZ8Р CџZ8РCџZ8РCџZ8РCџZ8 РCџZ8 Р>џZ8 Рв$џ § ёQ=˜Ÿ@џ CтџџџZ8jРXXXCџZ8jРCџZ8jРCџZ8jРCџZ8jРCџZ8jРC џZ8j Р C џZ8j Р C џZ8j Р C џZ8€Р C џZ8€Р CџZ8€РCџZ8€РCџZ8€РCџZ8€ РCџZ8€ Р>џZ8€ Рв$џ § ёR=”Ÿ@џМ" LџџРтџџџZ8kРXXXCџZ8kРCџZ8kРCџZ8kРCџZ8kРCџZ8kРC џZ8k Р C џZ8k Р C џZ8k Р C џZ8Р C џZ8Р CџZ8РCџZ8РCџZ8РCџZ8 РCџZ8 Р>џZ8 Рв$ џ § ёS=Ÿ@џтџџџZ8lРXXXCџZ8lРCџZ8lРCџZ8lРCџZ8lРCџZ8lРC џZ8l Р C џZ8l Р C џZ8l Р C џZ8‚Р C џZ8‚Р CџZ8‚РCџZ8‚РCџZ8‚РCџZ8‚ РCџZ8‚ Р>џZ8‚ Рвџ § ёT=ŒŸ@џтџџџZ8mРXXXCџZ8mРCџZ8mРCџZ8mРCџZ8mРCџZ8mРC џZ8m Р C џZ8m Р C џZ8m Р C џZ8ƒР C џZ8ƒР CџZ8ƒРCџZ8ƒРCџZ8ƒРCџZ8ƒ РCџZ8ƒ Р>џZ8ƒ Рв$џ § ёU=ˆŸ@џтџџџZ8nРXXXCџZ8nРCџZ8nРCџZ8nРCџZ8nРCџZ8nРC џZ8n Р C џZ8n Р C џZ8n Р C џZ8„Р C џZ8„Р CџZ8„РCџZ8„РCџZ8„РCџZ8„ РCџZ8„ Р>џZ8„ Рв$џ § ёV=„Ÿ@џтџџџZ8oРXXXтџџџZ8oРXXXCџZ8oРCџZ8oРCџZ8oРCџZ8oРC џZ8o Р C џZ8o Р C џZ8o Р C џZ8…Р C џZ8…Р CџZ8…РCџZ8…РCџZ8…РCџZ8… РCџZ8… Р>џZ8… Рв"џ § ёW=€Ÿ@џтџџџZ8pРXXXтџџџZ8pРXXXтџџџZ8pРXXXCџZ8pРCџZ8pРCџZ8pРC џZ8p Р C џZ8p Р C џZ8p Р C џZ8†Р C џZ8†Р CџZ8†РCџZ8†РCџZ8†РCџZ8† РCџZ8† Р>џZ8† Рв$ џ § ёX=|Ÿ@џтџџџZ8qРXXXтџџџZ8qРXXXтџџџZ8qРXXXтџџџZ8qРXXXCџZ8qРCџZ8qРC џZ8q Р C џZ8q Р C џZ8q Р C џZ8‡Р C џZ8‡Р CџZ8‡РCџZ8‡РCџZ8‡РCџZ8‡ РCџZ8‡ Р>џZ8‡ Рвџ § ёY=xŸ@џтџџџZ8rРXXXтџџџZ8rРXXXтџџџZ8rРXXXтџџџZ8rРXXXтџџџZ8rРXXXCџZ8rРC џZ8r Р C џZ8r Р C џZ8r Р C џZ8ˆР C џZ8ˆР CџZ8ˆРCџZ8ˆРCџZ8ˆРCџZ8ˆ РCџZ8ˆ Р>џZ8ˆ Рв$ џ § ёZ=tŸ@џтџџџZ8sРXXXтџџџZ8sРXXXтџџџZ8sРXXXтџџџZ8sРXXXтџџџZ8sРXXXтџџџZ8sРXXXC џZ8s Р C џZ8s Р C џZ8s Р C џZ8‰Р C џZ8‰Р CџZ8‰РCџZ8‰РCџZ8‰РCџZ8‰ РCџZ8‰ Р>џZ8‰ Рв$џ § ё[=pŸ@џтџџџZ8tРXXXтџџџZ8tРXXXтџџџZ8tРXXXтџџџZ8tРXXXтџџџZ8tРXXXтџџџZ8tРXXXтџџ џZ8t РXXX C џZ8t Р C џZ8t Р C џZ8ŠР C џZ8ŠР CџZ8ŠРCџZ8ŠРCџZ8ŠРCџZ8Š РCџZ8Š Р>џZ8Š Рв& џ § ё\=lŸ@џтџџџZ8uРXXXтџџџZ8uРXXXтџџџZ8uРXXXтџџџZ8uРXXXтџџџZ8uРXXXтџџџZ8uРXXXтџџ џZ8u РXXX тџџ џZ8u РXXX C џZ8u Р C џZ8‹Р C џZ8‹Р CџZ8‹РCџZ8‹РCџZ8‹РCџZ8‹ РCџZ8‹ Р> џZ8‹ Рвџ § ё]=hŸ@џ§ œ§ œ§ œ§ œ§ œ§ œ§ œ§  œ§  œ C џZ8ŒР C џZ8ŒР CџZ8ŒРCџZ8ŒРCџZ8ŒРCџZ8Œ РCџZ8Œ Р> џZ8Œ Рвџ § ё^=dŸ@џ§ œ§ œ§ œ§ œ§ œ§ œ§ œ§  œ§  œ тџџ џZ8РXXX C џZ8Р CџZ8РCџZ8РCџZ8РCџZ8 РCџZ8 Р> џZ8 Рв$џ § ё_=`Ÿ@џ§ œ§ œ§ œ§ œ§ œ§ œ§ œ§  œ§  œ тџџ џZ8ŽРXXX тџџ џZ8ŽРXXX CџZ8ŽРCџZ8ŽРCџZ8ŽРCџZ8Ž РCџZ8Ž Р> џZ8Ž Рвџ § ё`=\Ÿ@џ§ œ§ œ§ œ§ œ§ œ§ œ§ œ§  œ§  œ тџџ џZ8РXXX тџџ џZ8РXXX тџџџZ8РXXXCџZ8РCџZ8РCџZ8 РCџZ8 Р> џZ8 Рвџ § ёє=XŸ@ џ§ œ§ œ§ œ§ œ§ œ§ œ§ œ§  œ§  œ тџџ џZ8РXXX тџџ џZ8РXXX тџџџZ8РXXXтџџџZ8РXXXCџZ8РCџZ8 РCџZ8 Р> џZ8 Рвџ зDс?lY6ц22ƒXz22ЉeІ‹‹‹ž‡‡‡‘›ЅЏЙУЭвмц№ ;@!;@";@#;@$;@%;@&;@ § ёѕ =TŸ@!џ§ œ§ œ§ œ§ œ§ œ§ œ§ œ§ œ§ œ тџџ џZ8‘РXXX тџџ џZ8‘РXXX тџџ џZ8‘РXXX тџџ џZ8‘РXXX тџџ џZ8‘РXXX C џZ8‘ Р C џZ8‘ Р >! џZ8‘ Р вџ § !ёі!=PŸ@"џ§ !œ§ !œ§ !œ§ !œ§ !œ§ !œ§ !œ§ ! œ§ ! œ! тџџ! џZ8’РXXX! тџџ! џZ8’РXXX! тџџ!џZ8’РXXX!тџџ!џZ8’РXXX!тџџ!џZ8’РXXX!тџџ!џZ8’ РXXX!C!џZ8’ Р!>" џZ8’ Р!вџ § "ёї"=LŸ@џ§ "?§ "?§ "?§ "?§ "?§ "?§ "?§ " ?§ " ?" @џџ" џZ8“РXXX" @џџ" џZ8“РXXX" @џџ"џZ8“РXXX"@џџ"џZ8“РXXX"@џџ"џZ8“РXXX"@џџ"џZ8“ РXXX"@џџ"џZ8“ РXXX"AџZ8“ Р"џ § #B;О,#CттттттттттттттттCв§ $3­$E§ $т$C!џ$М$$ -шџўџРР$C&џ$$C џ$$C џ$$C$џ$$C$џ$$ Cџ$$ C& џ$$ C& џ$$ C$џ$$ C& џ$$C&џ$$C&џ$$C$ џ$$C&џ$$C&џ$$вџ$§ %1;О,%ECCCCCCCCCCCCCCCCCв§ &FЎ&G§ &&Nџџџ&М&& LсџРLўџР&NLсџџџ&&NLсџџџ&&NLсџџ џ&&NLсџџџ&&NLсџџџ&& NLсџџ§&& N$џ&& Nџ&& Nџ&& N$џ&&Nџ&&N џ&&Nџ&&Nџ&&Nџ&&6џџ&џ&за x>P>ТШ   џ#  C     м  ъ (  b  e   F         $  !  ! ! 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EEIIIIIIIIIIIIIIIIIч§ 82  §  жО          џџ џD €Calendar Year ReinvestmentО        9§ :Ž ; ђЈŸ@џDР ђЄŸ@џ М LћџР ђ Ÿ@џ  ђœŸ@џ  ђ˜Ÿ@ џ  ђ”Ÿ@ џ  ђŸ@ џ  ђŒŸ@ џ  ђˆŸ@ џ  ђ„Ÿ@ џ  ђ€Ÿ@ џ  ђ|Ÿ@ џ  ђxŸ@џ  ђtŸ@џ  ђpŸ@§  ђlŸ@ џ  <hŸ@џ  4џџ џ Total§ ёB =ЄŸ@ џ C C џZ8œР C џZ8œР C џZ8œР C џZ8œР C џZ8œР C џZ8œР C џZ8œ Р C џZ8œ Р C џZ8œ Р C џZ8ВР C џZ8ВР C џZ8ВР C џZ8ВР C џZ8ВР C џZ8В Р C џZ8В Р > џZ8В Р в$џ М " -яРџР§ ёC = Ÿ@ џ C C џZ8Р C џZ8Р C џZ8Р C џZ8Р C џZ8Р C џZ8Р C џZ8 Р C џZ8 Р C џZ8 Р C џZ8ГР C џZ8ГР C џZ8ГР C џZ8ГР C џZ8ГР C џZ8Г Р C џZ8Г Р >џZ8Г Р вџ § ёP=œŸ@џ CCџZ8žРCџZ8žРCџZ8žРCџZ8žРCџZ8žРCџZ8žРC џZ8ž Р C џZ8ž Р C џZ8ž Р C џZ8ДР C џZ8ДР CџZ8ДРCџZ8ДРCџZ8ДРCџZ8Д РCџZ8Д Р>џZ8Д Рв џ § ёQ=˜Ÿ@џ CCџZ8ŸРCџZ8ŸРCџZ8ŸРCџZ8ŸРCџZ8ŸРCџZ8ŸРC џZ8Ÿ Р C џZ8Ÿ Р C џZ8Ÿ Р C џZ8ЕР C џZ8ЕР CџZ8ЕРCџZ8ЕРCџZ8ЕРCџZ8Е РCџZ8Е Р>џZ8Е Рв$џ § ёR=”Ÿ@џМ" LџџРCџZ8 РCџZ8 РCџZ8 РCџZ8 РCџZ8 РCџZ8 РC џZ8  Р C џZ8  Р C џZ8  Р C џZ8ЖР C џZ8ЖР CџZ8ЖРCџZ8ЖРCџZ8ЖРCџZ8Ж РCџZ8Ж Р>џZ8Ж Рвџ § ёS=Ÿ@џCџZ8ЁРCџZ8ЁРCџZ8ЁРCџZ8ЁРCџZ8ЁРCџZ8ЁРC џZ8Ё Р C џZ8Ё Р C џZ8Ё Р C џZ8ЗР C џZ8ЗР CџZ8ЗРCџZ8ЗРCџZ8ЗРCџZ8З РCџZ8З Р>џZ8З Рвџ § ёT=ŒŸ@џCџZ8ЂРCџZ8ЂРCџZ8ЂРCџZ8ЂРCџZ8ЂРCџZ8ЂРC џZ8Ђ Р C џZ8Ђ Р C џZ8Ђ Р C џZ8ИР C џZ8ИР CџZ8ИРCџZ8ИРCџZ8ИРCџZ8И РCџZ8И Р>џZ8И Рв$ џ § ёU=ˆŸ@џтџџџZ8ЃРXXXCџZ8ЃРCџZ8ЃРCџZ8ЃРCџZ8ЃРCџZ8ЃРC џZ8Ѓ Р C џZ8Ѓ Р C џZ8Ѓ Р C џZ8ЙР C џZ8ЙР CџZ8ЙРCџZ8ЙРCџZ8ЙРCџZ8Й РCџZ8Й Р>џZ8Й Рв$ џ § ёV=„Ÿ@џтџџџZ8ЄРXXXтџџџZ8ЄРXXXCџZ8ЄРCџZ8ЄРCџZ8ЄРCџZ8ЄРC џZ8Є Р C џZ8Є Р C џZ8Є Р C џZ8КР C џZ8КР CџZ8КРCџZ8КРCџZ8КРCџZ8К РCџZ8К Р>џZ8К Рв$ џ § ёW=€Ÿ@џтџџџZ8ЅРXXXтџџџZ8ЅРXXXтџџџZ8ЅРXXXCџZ8ЅРCџZ8ЅРCџZ8ЅРC џZ8Ѕ Р C џZ8Ѕ Р C џZ8Ѕ Р C џZ8ЛР C џZ8ЛР CџZ8ЛРCџZ8ЛРCџZ8ЛРCџZ8Л РCџZ8Л Р>џZ8Л Рвџ § ёX=|Ÿ@џтџџџZ8ІРXXXтџџџZ8ІРXXXтџџџZ8ІРXXXтџџџZ8ІРXXXCџZ8ІРCџZ8ІРC џZ8І Р C џZ8І Р C џZ8І Р C џZ8МР C џZ8МР CџZ8МРCџZ8МРCџZ8МРCџZ8М РCџZ8М Р>џZ8М Рв$ џ § ёY=xŸ@џтџџџZ8ЇРXXXтџџџZ8ЇРXXXтџџџZ8ЇРXXXтџџџZ8ЇРXXXтџџџZ8ЇРXXXCџZ8ЇРC џZ8Ї Р C џZ8Ї Р C џZ8Ї Р C џZ8НР C џZ8НР CџZ8НРCџZ8НРCџZ8НРCџZ8Н РCџZ8Н Р>џZ8Н Рв&џ § ёZ=tŸ@џтџџџZ8ЈРXXXтџџџZ8ЈРXXXтџџџZ8ЈРXXXтџџџZ8ЈРXXXтџџџZ8ЈРXXXтџџџZ8ЈРXXXC џZ8Ј Р C џZ8Ј Р C џZ8Ј Р C џZ8ОР C џZ8ОР CџZ8ОРCџZ8ОРCџZ8ОРCџZ8О РCџZ8О Р>џZ8О Рв$џ § ё[=pŸ@џтџџџZ8ЉРXXXтџџџZ8ЉРXXXтџџџZ8ЉРXXXтџџџZ8ЉРXXXтџџџZ8ЉРXXXтџџџZ8ЉРXXXтџџ џZ8Љ РXXX C џZ8Љ Р C џZ8Љ Р C џZ8ПР C џZ8ПР CџZ8ПРCџZ8ПРCџZ8ПРCџZ8П РCџZ8П Р>џZ8П Рвџ § ё\=lŸ@џтџџџZ8ЊРXXXтџџџZ8ЊРXXXтџџџZ8ЊРXXXтџџџZ8ЊРXXXтџџџZ8ЊРXXXтџџџZ8ЊРXXXтџџ џZ8Њ РXXX тџџ џZ8Њ РXXX C џZ8Њ Р C џZ8РР C џZ8РР CџZ8РРCџZ8РРCџZ8РРCџZ8Р РCџZ8Р Р> џZ8Р Рв$џ § ё]=hŸ@џ§ œ§ œ§ œ§ œ§ œ§ œ§ œ§  œ§  œ C џZ8СР C џZ8СР CџZ8СРCџZ8СРCџZ8СРCџZ8С РCџZ8С Р> џZ8С Рв$џ § ё^=dŸ@џ§ œ§ œ§ œ§ œ§ œ§ œ§ œ§  œ§  œ тџџ џZ8ТРXXX C џZ8ТР CџZ8ТРCџZ8ТРCџZ8ТРCџZ8Т РCџZ8Т Р> џZ8Т Рвџ § ё_=`Ÿ@џ§ œ§ œ§ œ§ œ§ œ§ œ§ œ§  œ§  œ тџџ џZ8УРXXX тџџ џZ8УРXXX CџZ8УРCџZ8УРCџZ8УРCџZ8У РCџZ8У Р> џZ8У Рвџ § ё`=\Ÿ@џ§ œ§ œ§ œ§ œ§ œ§ œ§ œ§  œ§  œ тџџ џZ8ФРXXX тџџ џZ8ФРXXX тџџџZ8ФРXXXCџZ8ФРCџZ8ФРCџZ8Ф РCџZ8Ф Р> џZ8Ф Рвџ § ёє=XŸ@ џ§ œ§ œ§ œ§ œ§ œ§ œ§ œ§  œ§  œ тџџ џZ8ХРXXX тџџ џZ8ХРXXX тџџџZ8ХРXXXтџџџZ8ХРXXXCџZ8ХРCџZ8Х РCџZ8Х Р> џZ8Х Рвџ зD‚?lY6ц22ƒXp22šeœ”}}‡‘›ЅЏЙУЭвмц№ ;@!;@";@#;@$;@%;@&;@ § ёѕ =TŸ@!џ§ œ§ œ§ œ§ œ§ œ§ œ§ œ§ œ§ œ тџџ џZ8ЦРXXX тџџ џZ8ЦРXXX тџџ џZ8ЦРXXX тџџ џZ8ЦРXXX тџџ џZ8ЦРXXX C џZ8Ц Р C џZ8Ц Р >! 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џZ45vџZ4$vџZ4vџZ4 #  џ %РР8§ ќДфџџџž:Direct Calendar Year Earned Premium Net of UCJF [Exhibit 1@D@@@ , Col (1), @@Z @@ - @@Z @@]@XUDirect Calendar Year Earned Premium Net of UCJF [Exhibit 1, Col (1), Item 3 - Item 4]vџZ4^vџZ4Mv џZ4AvџZ45vџZ4$vџZ4vџZ4 # џ %РР8§ ќ‘Jџџџ{6Dividends excluding Refund of Excess Profit [Exhibit 1@D@@@ , Col (3), @@Z @@]@KHDividends excluding Refund of Excess Profit [Exhibit 1, Col (3), Item 6]v џZ4`vџZ4OvџZ4Cv џZ47vџZ4&vџZ4v(џZ4# wџ %РРй§ ќ§ `-FџZ8и РZ8й РZ8к Р-FџZ8и РZ8й РZ8к Р-FџZ8и РZ8й РZ8к Р-FџZ8иРZ8йРZ8кР-FџZ8иРZ8йРZ8кР-FџZ8иРZ8йРZ8кР-FџZ8иРZ8йРZ8кР# "џ %РР8§ ќ§ w' F џDРDРDР Fџ М L§џРLўџРLџџР F(џ  Fџ  F(џ  F(џ  Fџ #  џ % РР8О ќJёёёёFFF § ќ§ фe vџZ0&  v(џZ0%  v џZ0$  v џZ0#  v џZ0"  v џZ0!  vџZ0 # џ % РР1О ќLђђђђѓѓѓє § ќ ‹ фџџџu0Direct Commission & Brokerage Expense [Exhibit 3@D@@@ , Col (3), @@Z @@]@EBDirect Commission & Brokerage Expense [Exhibit 3, Col (3), Item 5]T c Coџџџ>Z7fZ7e  :7dZ7f@Z7eZ7dBT c Coџџџ>Z7WZ7V  :7UZ7W@Z7VZ7UBT c Coџџџ>Z7HZ7G  :7FZ7H@Z7GZ7FBT c Coџџџ>Z79Z78  :77Z79@Z78Z77BT c Coџџџ>Z7*Z7)  :7(Z7*@Z7)Z7(BT c Coџџџ>Z7Z7  :7Z7@Z7Z7BT c Coџџџ>Z7 Z7   :7 Z7 @Z7 Z7 B# чc Coџџџ % РРhт§ ќ†фџџџp+Direct Other Acquisition Expense [Exhibit 3@D@@@ , Col (3), @@Z@@]@@=Direct Other Acquisition Expense [Exhibit 3, Col (3), Item 3]Tc Otџџ џ>Z7fZ7e  :7bZ7f@Z7eZ7bBTc Otџџ џ>Z7WZ7V  :7SZ7W@Z7VZ7SBTc Otџџџ>Z7HZ7G  :7DZ7H@Z7GZ7DBTc Otџџџ>Z79Z78  :75Z79@Z78Z75BTc Otџџџ>Z7*Z7)  :7&Z7*@Z7)Z7&BTc Otџџ џ>Z7Z7  :7Z7@Z7Z7BTc Otџџџ>Z7 Z7   :7Z7 @Z7 Z7B чc Otџџџ М  -љРџРhт§ ќ|фџџ џf!Direct General Expense [Exhibit 3@D@@@ , Col (3), @@Z @@]@63Direct General Expense [Exhibit 3, Col (3), Item 4]Tc Geџџ џ>Z7fZ7e  :7cZ7f@Z7eZ7cBTc Geџџџ>Z7WZ7V  :7TZ7W@Z7VZ7TBTc Geџџ џ>Z7HZ7G  :7EZ7H@Z7GZ7EBTc Geџџ џ>Z79Z78  :76Z79@Z78Z76BTc Geџџ џ>Z7*Z7)  :7'Z7*@Z7)Z7'BTc Geџџ џ>Z7Z7  :7Z7@Z7Z7BTc Geџџ џ>Z7 Z7   :7 Z7 @Z7 Z7 B чc Geџџџ § ќ‚фџџ'џl'Additional Allowable Expense [Exhibit 3@D@@@ , Col (3), @@Z @@]@<9Additional Allowable Expense [Exhibit 3, Col (3), Item 6]v'џZ7gv'џZ7Xv'џZ7Iv'џZ7:v'џZ7+v'џZ7v'џZ7  ч џ § ќƒфџџџm(Direct Taxes, Licenses & Fees [Exhibit 3@D@@@ , Col (3), @@Z@@]@=:Direct Taxes, Licenses & Fees [Exhibit 3, Col (3), Item 7]vџZ7hvџZ7Yv џZ7JvџZ7;vџZ7,vџZ7vџZ7 чџ § ќфџџџk&Net Catastrophe Reinsurance [Exhibit 3@D@@@ , Col (3), @@Z@@]@;8Net Catastrophe Reinsurance [Exhibit 3, Col (3), Item 9]vџZ7jv џZ7[vџZ7LvџZ7=v џZ7.vџZ7vџZ7 ч џ § ќsфџџџ]LAD Fees Paid [Exhibit 3@D@@@ , Col (3), @@Z@@]@.+LAD Fees Paid [Exhibit 3, Col (3), Item 10]v џZ7kvџZ7\vџZ7MvџZ7>vџZ7/v џZ7 vџZ7 чџ § ќ§ x#vџџ)џ % РРˆБvџџџМ -љџџџРРˆБv-љџџџv-љџџџv-љџџџv-љџџџv-љџџџ ч-љџџџ ОќфооооFFF § ќƒџџџmUnderwriting Income [@D Р@@ - @@D Р@@ - @@DР@@]@2/Underwriting Income [Item 5 - Item 6 - Item 14]'Frritџџ џD РD РDРFrritџџџМLѓџРLѕџРLўџРFLѓџџџFLѓџџџFLѓџџџFLѓџџџFLѓџџџ# Lѓџџџ %РР2§ ќE>џџџ/,Target After-Tax Operating Return on Surplus/,Target After-Tax Operating Return on Surplusc?e Afџџ ўMDРZ8н@Z8о@@@@Z8п@сzЎGсЪ?@@c?e AfџџџMDРZ8н@Z8о@@@@Z8п@сzЎGсЪ?@@c?e AfџџџMDРZ8н@Z8о@@@@Z8п@сzЎGсЪ?@@c?e AfџџџMDРZ8н@Z8о@@@@Z8п@сzЎGсЪ?@@c?e AfџџџMDРZ8н@Z8о@@@@Z8п@сzЎGсЪ?@@c?e Afџџ џMDРZ8н@Z8о@@@@Z8п@сzЎGсЪ?@@c?e AfџџџMDРZ8н@Z8о@@@@Z8п@сzЎGсЪ?@@# e Afџџџ %РР3§ ь•>џџџCActual Inv. Income Earned on Policyholder Supplied Funds [Exhibit 5@D@@@, @@Z.@@]@PMActual Inv. Income Earned on Policyholder Supplied Funds [Exhibit 5, Item 15]FџZ.РFџZ.РFџZ.РFџZ.РFџZ.РFџZ.РFџZ.Р# џ %РР3§ ь~фџџџhActuarial Gain [@D@@@ - @@D@@@ + @@D@@@]@/,Actuarial Gain [Item 15 - Item 16 + Item 17]FaialџџџМL§џРLўџРLџџРFL§џџџFL§џџџFL§џџџFL§џџџFL§џџџFL§џџџ# L§џџ џ %РР3§ ьЁCфџџ џ-*Total Development Adjustment [Input Sheet]-*Total Development Adjustment [Input Sheet]юџ D Рю џ D Рюџ D Рюџ D Рюџ D Рюџ D Рю"џ D Р ѕџZ8р§ ьЂgфџџџQTotal Actuarial Gain [@D@@@ - @@D@@@]@+(Total Actuarial Gain [Item 18 - Item 19]юlActџџџМ  LўџРLџџРюLўџџџюLўџџџюLўџџџюLўџџџюLўџџџюLўџџџ ѕLўџџ џОќL№№№№№№№я § ќЃBџџ(џ,)Additional Non-Excessive Profit Allowance,)Additional Non-Excessive Profit Allowance/юџDРš™™™™™™?HсzЎGщ?юџМ#LщџРš™™™™™™?HсzЎGщ?юџюџюџю(џю(џ#  џ %РРˆ§ ьЄmџџ џWGross Excess Profit (Loss) [@D@@@ - @@D@@@]@1.Gross Excess Profit (Loss) [Item 20 - Item 21]!sExcџџ$џ DРDРsExcџџ$џМ L§џРLџџРL§џџ$џL§џџ$џL§џџ$џL§џџ$џL§џџ$џ! ѕL§џџ$ џ D РD РОќL зD63l–‰n20šG*u~OкмиН7і‚ тœЙПб ;@! ;@" ;@# ;@ $ ;@ % ;@& ;@' ;@( ;@) ;@* ;@+ ;@ § ьЅn фџџ!џX2Carryforward of Refund of Excess Profit [Exhibit 6@D@@@ , Item 2]@>;Carryforward of Refund of Excess Profit [Exhibit 6, Item 2] <"џZ <!џZ < џZ < џZ <!џZ < џZ  <!џZ # чџ % РРFѕ§ !KІO!хџџ"џ96Carryforward of Extraordinary Loss [Exhibit 7, Item 2]96Carryforward of Extraordinary Loss [Exhibit 7, Item 2]!!џZ!!џZ! џZ!!џZ!џZ! џZ !"џZ #! ѕџ %!!РР4§ "KЇY"фџџ$џC@Carryforward of Reinvestment into New Jersey [Exhibit 8, Item 2]C@Carryforward of Reinvestment into New Jersey [Exhibit 8, Item 2]""џZ+" џZ+""џZ+"!џZ+"џZ+" џZ+ "" џZ+ #" ѕџ %""РР4§ #ќД§ #хк§ #ћ§ #ћ§ #ћ§ #ћ§ #ћ§ #ћ§ #ћ~ # § $хЬХ$фџџ+џЏNet Excess Profit / (Loss) [@D@@ - @@D @@ - @@D!@@ - @@D"@@ - @@D#@@]@PMNet Excess Profit / (Loss) [Item 22 - Item 23 - Item 24 - Item 25 - Item 26]$Ecesџџ&џ$М'$$ LњџРLќџРL§џРLўџРLџџР$Lњџџ&џ$$Lњџџ&џ$$Lњџџ&џ$$Lњџџ&џ$$Lњџџ&џ$$Lњџџ&џ$$ Lњџџ& џ$О%         § &ќЭ§ & Ї&p џџ*џ&М5&&+LўџР LўџР№П B&pLўџџ*џ&&pLўџџ*џ&&pLўџџ*џ&&pLўџџ*џ&&pLўџџ*џ&&pLўџџ*џ&G& qLўџџ* џ1D$ Р D$ Р№ПD# Р B§ 'ќc' џџџ'М''LщџР<9Additional Allowable Expense [Exhibit 3, Col (3), Item 6]'pџ''p)џ''p)џ''p)џ''p)џ''p)џ''p)џ'#' q џ %''РР4§ (ќd( џџџ(М((LѕџР,)Additional Non-Excessive Profit Allowance(p( џ((pџ((p џ((p џ((pџ((pџ((p џ(#( q џ %((РР4§ )ќЮ§ ) ^)p) џ)М)) -ўџџџРР4)pџ))pџ))pџ))pџ))pџ))pџ)#) q' џ %))РР4§ * а§ * œ* џџ џ*М7**-LќџРLџџР LќџРLџџР B* Lќџџ+џ** Lќџџ+џ** Lќџџ+џ** Lќџџ+џ** Lќџџ+џ** Lќџџ+џ*#* qLќџџ+џ %**РР4§ + лb+џџџLExtraordinary Loss [@D*@@ - Item 2 * 5% if positive]@96Extraordinary Loss [Item 30 - Item 2 * 5% if positive]+ardiџџ+ џ+МK++ALџџРLлџРš™™™™™Љ? 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џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020819-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџААAttribute VB_Name = "ThisWorkbook" ŒBasŒ0{00020P819-0C$0046} |GlobalаSpac’False dCreatablPredeclaIdБTru BExposeTemplateDeriv’BustomizD2№ФдџџџџЫоŽЭŽџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџ­АAttribute VB_Name = "sheetExh0A"D „Bas„0{0002082ь0-C$ 0046} |GlobalЬSpa‚c’False dCreatablPredeclaIdЏTru BExposeTemplate`Deriv’BuРstomizD2№ФдџџџџЫоŽЯŽџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЈАAttribute VB_Name = "She@et2" шBast0{000Р20820- C$0046} |Global!ФSpac’False dCreatablPre declaIdЋTru BExposeTemplateDeriv$’Bustom izD2№ФдџџџџЫоŽќџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџSheet33џџџџ;вSheet4 џџџџKбSheet5џџџџџџџџџџџџ[бSheet6 џџџџkбџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЉАAttribute VB_Name = "She€et33" №Basx0{00€020820- C$0046} |GlobaBlЦSpac’False dCre atablPr@edeclaI"dЌTru BExposeTemplateDer iv$’BustomizD2№ФдџџџџЫоŽѓŽџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЈАAttribute VB_Name = "She@et4" шBast0{000Р20820- C$0046} |Global!ФSpac’False dCreatablPre declaIdЋTru BExposeTemplateDeriv$’Bustom izD2№ФдџџџџЫоŽѕŽџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЈАAttribute VB_Name = "She@et5" шBast0{000Р20820- C$0046} |Global!ФSpac’False dCreatablPre declaIdЋTru BExposeTemplateDeriv$’Bustom izD2№ФдџџџџЫоŽїŽџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЈАAttribute VB_Name = "She@et6" шBast0{000Р20820- C$0046} |Global!ФSpac’False dCreatablPre declaIdЋTru BExposeTemplateDeriv$’Bustom izD2№ФдџџџџЫоŽКшџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџSheet10џџџџџџџџџџџџ{вSheet102џџџџџџџџџџџџ‹гSheet32џџџџџџџџџџџџ›вSheet101 џџџџЋг‚ƒ„…†‡ˆ‰ŠўџџџŒŽ‘’“”•–—˜™šўџџџœžŸ ЁЂЃЄЅІЇЈЉЊўџџџЌ­ЎЏАБВГДЕЖЗИЙКўџџџМНОПРСТУФХЦЧШЩЪўџџџЬЭЮЯабвгдежзийкўџџџмнопрстуфхцчшщъўџџџьэюя№ёђѓєѕіїјљњўџџџќ§ўџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЉАAttribute VB_Name = "She€et10" №Basx0{00€020820- C$0046} |GlobaBlЦSpac’False dCre atablPr@edeclaI"dЌTru BExposeTemplateDer iv$’BustomizD2№ФдџџџџЫоŽМžџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЊАAttribute VB_Name = "Sheet102"  јBas|0{00020820-; C$0046} |Glob„alШSpac’ False dCr@eatablP€redeclaDId­Tru BE xposeTemplateDeriv$’Bust0omizD2№ФдџџџџЫоŽэкџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЉАAttribute VB_Name = "She€et32" №Basx0{00€020820- C$0046} |GlobaBlЦSpac’False dCre atablPr@edeclaI"dЌTru BExposeTemplateDer iv$’BustomizD2№ФдџџџџЫоŽЇѕџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЊАAttribute VB_Name = "Sheet101"  јBas|0{00020820-; C$0046} |Glob„alШSpac’ False dCr@eatablP€redeclaDId­Tru BE xposeTemplateDeriv$’Bust0omizD2№ФдџџџџЫоŽ8Fџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџSheet7џџџџџџџџџџџџЛбSheet11 џџџџЫвSheet31џџџџлвSheet13џџџџџџџџџџџџывџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЈАAttribute VB_Name = "She@et7" шBast0{000Р20820- C$0046} |Global!ФSpac’False dCreatablPre declaIdЋTru BExposeTemplateDeriv$’Bustom izD2№ФдџџџџЫоŽQ;џџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЉАAttribute VB_Name = "She€et11" №Basx0{00€020820- C$0046} |GlobaBlЦSpac’False dCre atablPr@edeclaI"dЌTru BExposeTemplateDer iv$’BustomizD2№ФдџџџџЫоŽЖаџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЉАAttribute VB_Name = "She€et31" №Basx0{00€020820- C$0046} |GlobaBlЦSpac’False dCre atablPr@edeclaI"dЌTru BExposeTemplateDer iv$’BustomizD2№ФдџџџџЫоŽz7џџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЉАAttribute VB_Name = "She€et13" №Basx0{00€020820- C$0046} |GlobaBlЦSpac’False dCre atablPr@edeclaI"dЌTru BExposeTemplateDer iv$’BustomizD2№ФдџџџџЫоŽ\‚џџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџSheet14џџџџћвSheet15џџџџџџџџ вSheet30џџџџџџџџџџџџвSheet17џџџџ+в  ўџџџ  ўџџџ !"#$%&'()*ўџџџ,-./0123456789:ўџџџ<=>?АЊДЁЕўАфЖйЗЁЙѓГвБсБѕДГўџџџГЂВбБЗАПБЪВЯИщГЇАеБЋГеАТГнГлДмўџџџАРБеАїГхИПВЙВњГІЛхБ№ДкВЕГѓОБТсўџџџБєГОВдДЧБшБчАљВѕГйГмБЙЗЩГцВтГњўџџџДЅАЈДЪЖФџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(ГЇГЂџџџџГЇџџџџГЇ”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЉАAttribute VB_Name = "She€et14" №Basx0{00€020820- C$0046} |GlobaBlЦSpac’False dCre atablPr@edeclaI"dЌTru BExposeTemplateDer iv$’BustomizD2№ФдџџџџЫоŽєџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЉАAttribute VB_Name = "She€et15" №Basx0{00€020820- C$0046} |GlobaBlЦSpac’False dCre atablPr@edeclaI"dЌTru BExposeTemplateDer iv$’BustomizD2№ФдџџџџЫоŽџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЉАAttribute VB_Name = "She€et30" №Basx0{00€020820- C$0046} |GlobaBlЦSpac’False dCre atablPr@edeclaI"dЌTru BExposeTemplateDer iv$’BustomizD2№ФдџџџџЫоŽщRџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЉАAttribute VB_Name = "She€et17" №Basx0{00€020820- C$0046} |GlobaBlЦSpac’False dCre atablPr@edeclaI"dЌTru BExposeTemplateDer iv$’BustomizD2№ФдџџџџЫоŽ&џџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџSheet18џџџџџџџџџџџџ;вSheet19џџџџKвSheet25џџџџџџџџџџџџ[вSheet26џџџџkвџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЉАAttribute VB_Name = "She€et18" №Basx0{00€020820- C$0046} |GlobaBlЦSpac’False dCre atablPr@edeclaI"dЌTru BExposeTemplateDer iv$’BustomizD2№ФдџџџџЫоŽИшџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЉАAttribute VB_Name = "She€et19" №Basx0{00€020820- C$0046} |GlobaBlЦSpac’False dCre atablPr@edeclaI"dЌTru BExposeTemplateDer iv$’BustomizD2№ФдџџџџЫоŽљџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЉАAttribute VB_Name = "She€et25" №Basx0{00€020820- C$0046} |GlobaBlЦSpac’False dCre atablPr@edeclaI"dЌTru BExposeTemplateDer iv$’BustomizD2№ФдџџџџЫоŽ6žџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЉАAttribute VB_Name = "She€et26" №Basx0{00€020820- C$0046} |GlobaBlЦSpac’False dCre atablPr@edeclaI"dЌTru BExposeTemplateDer iv$’BustomizD2№ФдџџџџЫоŽi‡џџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџSheet37џџџџџџџџџџџџ{вSheet23џџџџџџџџџџџџ‹вSheet24џџџџ›вSheet16џџџџџџџџџџџџЋв‚ƒ„…†‡ˆ‰ŠўџџџŒŽ‘’“”•–—˜™šўџџџœžŸ ЁЂЃЄЅІЇЈЉЊўџџџЌ­ЎЏАБВГДЕЖЗИЙКўџџџМНОПРСТУФХЦЧШЩЪўџџџЬЭЮЯабвгдежзийклмнопрстуўџџџхцчшщъыьэюяўџџџёђѓєѕіїјљњћќ§ўџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЉАAttribute VB_Name = "She€et37" №Basx0{00€020820- C$0046} |GlobaBlЦSpac’False dCre atablPr@edeclaI"dЌTru BExposeTemplateDer iv$’BustomizD2№ФдџџџџЫоŽ|gџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЉАAttribute VB_Name = "She€et23" №Basx0{00€020820- C$0046} |GlobaBlЦSpac’False dCre atablPr@edeclaI"dЌTru BExposeTemplateDer iv$’BustomizD2№ФдџџџџЫоŽџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЉАAttribute VB_Name = "She€et24" №Basx0{00€020820- C$0046} |GlobaBlЦSpac’False dCre atablPr@edeclaI"dЌTru BExposeTemplateDer iv$’BustomizD2№ФдџџџџЫоŽ'џџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџ(SLџџџџSџџџџS”џџџџ<џџџџџџN0{00020820-0000-0000-C000-000000000046}џџџџ8€ўџџџџџџџ(џџџџџџџџџџ%џџџџHџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџпўЪџџџџџџџџxџџџџЉАAttribute VB_Name = "She€et16" №Basx0{00€020820- C$0046} |GlobaBlЦSpac’False dCre atablPr@edeclaI"dЌTru BExposeTemplateDer iv$’BustomizD2№ФдџџџџЫоŽŠМџџ#ˆЖџџџџџџџџџџџџџџџџџџџџџџџџxџџMEџџџџџџџџџџпџџ 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