Nevada Administrative Code
Chapter 692C - Holding Companies
ACQUISITIONS, MERGERS, REGISTRATION, SUBSIDIARIES AND TRANSACTIONS
Section 692C.020 - Form for filing statement relating to acquisition or merger

1. A person required to file a statement with the Commissioner pursuant to NRS 692C.180 shall furnish the required information on the form provided by the Commissioner entitled "Form A - Statement Regarding the Acquisition of Control of or Merger with a Domestic Insurer."

2. If the subject of the proposed acquisition is deemed to be a domestic insurer pursuant to subsection 5 of NRS 692C.180 solely because it controls a domestic insurer:

3. The person may attach any exhibit to the form if the exhibit is clearly marked to indicate the matter to which it refers.

4. If there is any change in the information provided on the form filed with the Commissioner before the Commissioner approves or disapproves the merger or other acquisition of control, the person shall immediately notify the Commissioner of that change.

5. Form A must be completed in accordance with the current version of the Insurance Holding Company System Reporting Instructions of the National Association of Insurance Commissioners and the instructions provided by the Commissioner. A copy of Form A and the general instructions for Form A may be obtained at http://doi.nv.gov.