Current through Register Vol. 50, No. 9, September 20, 2024
A. Revocability of Proxy
1. State whether or not the person giving the
proxy has the power to revoke it. If the right of revocation before the proxy
is exercised is limited or is subject to compliance with any formal procedure,
briefly describe such limitation or procedure.
B. Dissenters' Right of Appraisal
1. Outline briefly the rights of appraisal or
similar rights of dissenting security holders with respect to any matter to be
acted upon and indicate any statutory procedure required to be followed by such
security holders in order to perfect their rights. Where such rights may be
exercised only within a limited time after the date of the adoption of a
proposal, the filing of a charter amendment, or other similar act, state
whether the person solicited will be notified of such date.
C. Persons Making Solicitations
Not Subject to §7121
1. If the solicitation is
made by the management of the insurer, so state. Give the name of any director
of the insurer who has informed the management, in writing, that he intends to
oppose any action intended to be taken by the management and indicate the
action which he intends to oppose.
2. If the solicitation is made otherwise than
by the management of the insurer, state the names and addresses of the persons
by whom and on whose behalf it is made and the names and addresses of the
persons by whom the cost of solicitation has been or will be borne, directly or
indirectly.
3. If the solicitation
is to be made by specially engaged employees or paid solicitors, state:
a. the material features of any contract or
arrangement for such solicitation and identify the parties; and
b. the cost or anticipated cost
thereof.
D.
Interest of Certain Persons in Matters to Be Acted Upon
1. Describe briefly any substantial interest,
direct or indirect, by security holders or otherwise, of any director, nominee
for election for director, officer and, if the solicitation is made otherwise
than on behalf of management, each person on whose behalf the solicitation is
made, in any matter to be acted upon other than elections to office.
E. Voting Securities
1. State, as to each class of voting equity
security of the insurer entitled to be voted at the meeting, the number of
shares outstanding and the number of votes to which each class is
entitled.
2. Give the date as of
which the record list of security holders entitled to vote at the meeting will
be determined. If the right to vote is not limited to security holders of
record on that date, indicate the conditions under which other security holders
may be entitled to vote.
3. If
action is to be taken with respect to the election of directors and if the
persons solicited have cumulative voting rights, make a statement that they
have such rights and state briefly the conditions precedent to the exercise
thereof.
F. Nominees and
Directors
1. If action is to be taken with
respect to the election of directors, furnish the following information, in
tabular form to the extent practicable, with respect to each person nominated
for election as a director and each other person whose term of office as a
director will continue after the meeting.
a.
Name each such person, state when his term of office or the term of office for
which he is a nominee will expire, and all other positions and offices with the
insurer presently held by him, and indicate which persons are nominees for
election as directors at the meeting.
b. State his present principal occupation or
employment and give the name and principal business of any corporation or other
organization in which such employment is carried on. Furnish similar
information as to all of his principal occupations or employments during the
last five years, unless he is now a director and was elected to his present
term of office by a vote of security holders at a meeting for which proxies
were solicited under this regulation.
c. If he is or has previously been a director
of the insurer, state the period or periods during which he has served as
such.
d. State, as of the most
recent practicable date, the approximate amount of each class of stock of the
insurer or any of its parents, subsidiaries or affiliates other than directors'
qualifying shares, beneficially owned directly or indirectly by him. If he is
not the beneficial owner of any such equity securities make a statement to that
effect.
G.
Remuneration and Other Transactions with Management and Others
1. Furnish the information reported or
required in item one of Schedule SIS under the heading "Information Regarding
Management and Directors" if action is to be taken with respect to:
a. the election of directors;
b. any remuneration plan, contract or
arrangement in which any director, nominee for election as a director, or
officer of the insurer will participate;
c. any pension or retirement plan in which
any such person will participate; or
d. the granting of extension to any such
person of any options, warrants or rights to purchase any equity securities,
other than warrants or rights issued to security holders, as such, on a pro
rata basis. If the solicitation is made on behalf of persons other than the
management, information shall be furnished only as to Item IA of the aforesaid
heading of Schedule SIS.
H. Bonus, Profit Sharing and Other
Remuneration Plans
1. If action is to be taken
with respect to any bonus, profit sharing, or other remuneration plan, of the
insurer furnish the following information:
a.
a brief description of the material features of the plan, each class of persons
who will participate therein, the approximate number of persons in each such
class, and the basis of such participation;
b. the amounts which would have been
distributable under the plan during the last calendar year to:
i. each person named in item
§7123 G;
ii. directors and officers as a group;
and
iii. to all other employees as
a group, if the plan had been in effect;
c. if the plan to be acted upon may be
amended (other than by a vote of security holders) in a manner which would
materially increase the cost thereof to the insurer or materially alter the
allocation of the benefits as between the groups specified in
§7123. H.1 b, the
nature of such amendments should be specified.
I. Pension and Retirement Plans
1. If action is to be taken with respect to
any pension or retirement plan of the insurer, furnish the following
information:
a. a brief description of the
material features of the plan, each class of persons who will participate
therein, the approximate number of persons in each such class, and the basis of
such participation;
b. state:
i. the approximate total amount necessary to
fund the plan with respect to past services, the period over which such amount
is to be paid, and the estimated annual payments necessary to pay the total
amount over such period;
ii. the
estimated annual payment to be made with respect to current services;
and
iii. the amount of such annual
payments to be made for the benefit of:
(a).
each person named in
§7123 G;
(b). directors and officers as a group;
and
(c). employees as a group;
c. if the
plan to be acted upon may be amended (other than by a vote of security holders)
in a manner which would materially increase the cost thereof to the insurer or
materially alter the allocation of the benefits as between the groups specified
in §7123.
I.b iii the nature of such amendments should
be specified.
J. Options, Warrants, or Rights
1. If action is to be taken with respect to
the granting or extension of any options, warrants or rights (all referred to
herein as "warrants") to purchase stock of the insurer or any subsidiary or
affiliate, other than warrants issued to all security holders on a pro rata
basis, furnish the following information:
a.
the title and amount of equity security called for or to be called for, the
prices, expiration dates and other material conditions upon which the warrants
may be exercised, the consideration received or to be received by the insurer,
subsidiary or affiliate for the granting or extension of the warrants and the
market value of the equity security called for or to be called for by the
warrants, as of the latest practicable date;
b. if known, state separately the amount of
equity security called for or to be called for by warrants received or to be
received by the following persons, naming each such person:
i. each person named in
§7123 G; and
ii. each other person who will be entitled to
acquire 5 percent or more of the equity security called for or to be called for
by such warrants;
c. if
known, state also the total amount of equity security called for or to be
called for by such warrants, received or to be received by all directors and
officers of the company as a group and all employees, without naming
them.
K.
Authorization or Issuance of Stock
1. If
action is to be taken with respect to the authorization or issuance of any
equity security of the insurer furnish the title, amount and description of the
equity security to be authorized or issued.
2. If the shares of equity security are other
than additional shares or common equity security of a class outstanding,
furnish a brief summary of the following, if applicable:
a. dividend;
b. voting;
c. liquidation;
d. preemptive and conversion
rights;
e. redemption and sinking
fund provisions;
f. interest rate
and date of maturity.
3.
If the shares of equity security to be authorized or issued are other than
additional shares of common equity security of a class outstanding, the
commissioner may require financial statements comparable to those contained in
the annual report.
L.
Mergers, Consolidations, Acquisitions and Similar Matters
1. If action is to be taken with respect to a
merger, consolidation, acquisition, or similar matter, furnish in brief outline
the following information:
a. the rights of
appraisal or similar rights of dissenters with respect to any matters to be
acted upon. Indicate any procedure required to be followed by dissenting
security holders in order to perfect such rights;
b. the material features of the plan or
agreement;
c. the business done by
the company to be acquired or whose assets are being acquired;
d. if available, the high and low sales
prices for each quarterly period within two years;
e. the percentage of outstanding shares which
must approve the transaction before it is consummated.
2. For each company involved in a merger,
consolidation or acquisition, the following financial statements should be
furnished:
a. a comparative balance sheet as
of the close of the last two fiscal years;
b. a comparative statement of operating
income and expenses for each of the last two fiscal years and, as a
continuation of each statement, a statement of earnings per share after related
taxes and cash dividends paid per share;
c. a pro forma combined balance sheet and
income and expenses statement for the last fiscal year giving effect to the
necessary adjustments with respect to the resulting company.
M. Restatement of
Accounts
1. If action is to be taken with
respect to the restatement of any asset, capital, or surplus of the insurer,
furnish the following information.
a. State
the nature of the restatement and the date as of which is to be
effective.
b. Outline briefly the
reasons for the restatement and for the selection of the particular effective
date.
c. State the name and amount
of each account affected by the restatement and the effect of the restatement
thereon.
N.
Matters Not Required to Be Submitted
1. If
action is to be taken with respect to any matter which is not required to be
submitted to a vote of security holders, state the nature of such matter, the
reason for submitting it to a vote of security holders and what action is
intended to be taken by the management in the event of a negative vote on the
matter by the security holders.
O. Amendment of Charter, By-Laws, or Other
Documents
1. If action is to be taken with
respect to any amendment of the insurer's charter, by-laws or other documents
as to which information is not required above, state briefly the reasons for
and general effect of such amendment and the vote needed for its
approval.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
22:1525 and
22:1533.