Hawaii Administrative Rules
Title 16 - DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Chapter 1 - PROXIES, CONSENTS, AND AUTHORIZATIONS OF DOMESTIC STOCK INSURERS
Stockholders Information Supplement
Current through November, 2024
Financial Reporting to Stockholder.
1. Did the company distribute to its stockholders prior to the (insert current year) Annual Meeting an Annual Report for the year (insert preceding year)?
Answer__________________________
If answer is "Yes" attach copy. If answer is "No" explain in detail below. Attach separate sheet if necessary.
2. Will the company distribute to its stockholders prior to the (insert following year) Annual Meeting an Annual Report for the year (insert current year)?
Answer__________________________
If answer is "Yes" a copy of the report shall be forwarded to the insurance commissioner of the company's domiciliary state at the time as it is disctributed to stockholders. If answer is "No" explain in detail below. Attach separate sheet if necessary.
3. If an Annual Report to stockholders was distributed for the year (insert preceding year):
Answer__________________________
If the answer is "No" explain in detail below. Attach separate sheet if necessary.
To be answered by Life and A & H Companies:
To be answered by Fire and Casualty Companies:
To be Answered by Title Insurance Companies:
| Column A | Column B | ||
| YES | NO | YES | NO |
Information Regarding Management and Directors.
| Principal | Benefits Accrued or set aside During Current Year | Est. Annual benefits Upon Retirement | |||||
| Name and Title (1) | Occupation or Employment (2) | Served as Director From (3) | Aggregate Direct Remuneration (4) | Retirement Plan (5) | Other Emp. Benefits (6) | Retirement Plan (7) | Other Emp. Benefits (8) |
1. Furnish the above information for each director, and for each of the three highest paid officers, whose aggregate direct remuneration exceeded $20,000 during the year, naming each such person.
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______ ______ ______ ______ ______ ______ ______ ______
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Furnish on a separate sheet the following information as to each of the individuals named above or state below that such information is not present:
2. Answer "Yes" or "No" in each column as to whether or not the information in item 1 has been, or will be, furnished to stockholders in any proxy statement relating to:
______ ______ ______ ______ ______ ______ ______ ______
3. Furnish the information specified in item 1 for all directors and officers of the company, as a group, without naming them.
XXXXX XXXXX ______ ______ ______ ______ ______ ______
4. Did the stockholders have an opportunity to vote for or against the election of directors and also other matters to be presented at any stockholders' meeting?
Answer_______________. If answer is "No" explain on separate sheet.
5. Will the company solicit proxies from its stockholders during (insert following year) and will the solicitation(s) precede any shareholders' meeting or meetings by at least ten days?
Answer_______________. If answer is "Yes" and proxies are to be solicited, copies of the proxy statement and form of proxy and other soliciting material to be furnished stockholders shall be submitted to the insurance commissioner of the company's domiciliary state at least ten days prior to the date the material is first sent or given to stockholders. If answer is "No" and proxies are not to be solicited from stockholders, explain in detail below. Attach separate sheet if necessary.
