California Code of Regulations
Title 10 - Investment
Chapter 5 - Insurance Commissioner
Subchapter 4 - Insurer Securities Permits
Article 12 - Contribution Certificates
Section 2612.05 - Reporting in Annual Statements

A permit authorizing issuance of contribution certificates will provide substantially as follows:

In any financial statement required by law to be filed by applicant with any public officer, or which may be published or distributed by applicant, the principal sum of and accrued interest on these and any other outstanding contribution certificates, which has not become a liability in accordance with the terms thereof and is not reported in such financial statement as a liability, shall be reported according to the appropriate "Instructions for Completing Fire and Casualty Annual Statement" blank promulgated by the Insurance Commissioner. Such amount shall be reported on the appropriate line on page 3 of the annual statement either as "contribution certificates," "outstanding contribution certificates," or "contributed surplus." Other descriptions, such as "debentures," "surplus notes," "guaranty fund," or "guaranteed certificates," are deemed misleading and are not permitted.