ANNUAL STATEMENT - Avatar Ins March Filing.pdf · 2017-03-02 · ANNUAL STATEMENT FOR THE YEAR 2016...

*13139201620100100*PROPERTY AND CASUALTY COMPANIES—ASSOCIATION EDITION

ANNUAL STATEMENTFor the Year Ended December 31, 2016

OF THE CONDITION AND AFFAIRS OF THE

Avatar Property & Casualty Insurance CompanyNAIC Group Code , NAIC Company Code 13139 Employer’s ID Number 26-0718939

(Current Period) (Prior Period)

Organized under the Laws of Florida , State of Domicile or Port of Entry Florida

Country of Domicile United States

Incorporated/Organized 01/30/2008 Commenced Business 04/14/2008

Statutory Home Office 1101 E Cumberland Ave , Tampa, FL, US 33602

(Street and Number) (City or Town, State, Country and Zip Code)

Main Administrative Office 1101 E Cumberland Ave Tampa, FL, US 33602 813-514-0333(Street and Number) (City or Town, State, Country and Zip Code) (Area Code) (Telephone Number)

Mail Address 1101 E Cumberland Ave , Tampa, FL, US 33602

(Street and Number or P.O. Box) (City or Town, State, Country and Zip Code)

Primary Location of Books and Records 1101 E Cumberland Ave Tampa, FL, US 33602 813-514-0333(Street and Number) (City or Town, State, Country and Zip Code) (Area Code) (Telephone Number)

Internet Web Site Address avatarins.com

Statutory Statement Contact Christine Mellon 813-514-2797

(Name) (Area Code) (Telephone Number) (Extension)

[email protected] 813-514-0255(E-Mail Address) (Fax Number)

OFFICERSName Title Name Title

Hitesh Prabhudas Adhia , President Christine Marie Mellon # , Chief Accounting OfficerMark Cecil Shealy # , Chief Financial/Operating Officer ,

OTHER OFFICERS, ,

DIRECTORS OR TRUSTEESHitesh Prabhudas Adhia Mark Cecil Shealy Kiranbhai Chhotbhai Patel Dr.

Manubhai Chhotubhai Karia Stuart Thomas Wheeler Michael Picton Rudd

State of

County of

Florida

Hillsboroughss

The officers of this reporting entity, being duly sworn, each depose and say that they are the described officers of said reporting entity, and that on the reporting period statedabove, all of the herein described assets were the absolute property of the said reporting entity, free and clear from any liens or claims thereon, except as herein stated, andthat this statement, together with related exhibits, schedules and explanations therein contained, annexed or referred to, is a full and true statement of all the assets andliabilities and of the condition and affairs of the said reporting entity as of the reporting period stated above, and of its income and deductions therefrom for the period ended,and have been completed in accordance with the NAIC Annual Statement Instructions and Accounting Practices and Procedures manual except to the extent that: (1) state lawmay differ; or, (2) that state rules or regulations require differences in reporting not related to accounting practices and procedures, according to the best of their information,knowledge and belief, respectively. Furthermore, the scope of this attestation by the described officers also includes the related corresponding electronic filing with the NAIC,when required, that is an exact copy (except for formatting differences due to electronic filing) of the enclosed statement. The electronic filing may be requested by variousregulators in lieu of or in addition to the enclosed statement.

Hitesh Prabhudas Adhia Christine Marie Mellon Mark Cecil ShealyPresident Chief Accounting Officer Chief Financial/Operating Officer

a. Is this an original filing? Yes [ X ] No [ ]

Subscribed and sworn to before me b. If no: this day of February, 2017 1. State the amendment number

2. Date filed3. Number of pages attached

ANNUAL STATEMENT FOR THE YEAR 2016 OF THE Avatar Property & Casualty Insurance Company

ASSETSCurrent Year Prior Year

1

Assets

2

Nonadmitted Assets

3

Net Admitted Assets(Cols. 1 - 2)

4

Net AdmittedAssets

1. Bonds (Schedule D) 36,783,643 36,783,643 32,602,812

2. Stocks (Schedule D):

2.1 Preferred stocks 0 0 0

2.2 Common stocks 2,881,154 2,881,154 1,968,368

3. Mortgage loans on real estate (Schedule B):

3.1 First liens 0 0

3.2 Other than first liens 0 0

4. Real estate (Schedule A):

4.1 Properties occupied by the company (less

$ encumbrances) 0 0

4.2 Properties held for the production of income

(less $ encumbrances) 0 0

4.3 Properties held for sale (less

$ encumbrances) 0 0

5. Cash ($ 3,048,407 , Schedule E-Part 1), cash equivalents

($ 355,862 , Schedule E-Part 2) and short-term

investments ($ 1,031,554 , Schedule DA) 4,435,823 4,435,823 5,947,668

6. Contract loans (including $ premium notes) 0 0

7. Derivatives (Schedule DB) 0 0 0

8. Other invested assets (Schedule BA) 0 0 0

9. Receivables for securities 0 0

10. Securities lending reinvested collateral assets (Schedule DL) 0 0

11. Aggregate write-ins for invested assets 112 112 0 0

12. Subtotals, cash and invested assets (Lines 1 to 11) 44,100,732 112 44,100,620 40,518,848

13. Title plants less $ charged off (for Title insurers

only) 0 0

14. Investment income due and accrued 291,216 291,216 285,975

15. Premiums and considerations:

15.1 Uncollected premiums and agents’ balances in the course of

collection 3,726,015 3,726,015 1,423,633

15.2 Deferred premiums, agents’ balances and installments booked but

deferred and not yet due (including $ earned

but unbilled premiums) 0 0

15.3 Accrued retrospective premiums ($ ) and

contracts subject to redetermination ($ ) 0 0

16. Reinsurance:

16.1 Amounts recoverable from reinsurers 0 490,591

16.2 Funds held by or deposited with reinsured companies 0 0

16.3 Other amounts receivable under reinsurance contracts 0 0

17. Amounts receivable relating to uninsured plans 0 0

18.1 Current federal and foreign income tax recoverable and interest thereon 281,852 281,852 295,968

18.2 Net deferred tax asset 1,000,388 1,000,388 994,764

19. Guaranty funds receivable or on deposit 0 0

20. Electronic data processing equipment and software 0 0

21. Furniture and equipment, including health care delivery assets

($ ) 0 0

22. Net adjustment in assets and liabilities due to foreign exchange rates 0 0

23. Receivables from parent, subsidiaries and affiliates 0 0

24. Health care ($ ) and other amounts receivable 0 0

25. Aggregate write-ins for other-than-invested assets 589,722 384,463 205,259 150,982

26. Total assets excluding Separate Accounts, Segregated Accounts and

Protected Cell Accounts (Lines 12 to 25) 49,989,925 384,575 49,605,350 44,160,761

27. From Separate Accounts, Segregated Accounts and Protected

Cell Accounts 0 0

28. Total (Lines 26 and 27) 49,989,925 384,575 49,605,350 44,160,761

DETAILS OF WRITE-INS

1101. Interactive Brokers Account 112 112 0 0

1102. 0 0

1103. 0 0

1198. Summary of remaining write-ins for Line 11 from overflow page 0 0 0 0

1199. Totals (Lines 1101 through 1103 plus 1198) (Line 11 above) 112 112 0 0

2501. Prepaid Expenses 383,252 383,252 0 0

2502. FIGA Recoupment Recievable 0 0

2503. Claims Subrogation 1,211 1,211 0 16,006

2598. Summary of remaining write-ins for Line 25 from overflow page 205,259 0 205,259 134,976

2599. Totals (Lines 2501 through 2503 plus 2598) (Line 25 above) 589,722 384,463 205,259 150,982

2


LIABILITIES, SURPLUS AND OTHER FUNDS1

Current Year2

Prior Year

1. Losses (Part 2A, Line 35, Column 8) 5,425,849 4,457,754

2. Reinsurance payable on paid losses and loss adjustment expenses (Schedule F, Part 1, Column 6) 0

3. Loss adjustment expenses (Part 2A, Line 35, Column 9) 2,695,953 2,412,184

4. Commissions payable, contingent commissions and other similar charges 190,608 221,393

5. Other expenses (excluding taxes, licenses and fees) 40,543 18,913

6. Taxes, licenses and fees (excluding federal and foreign income taxes) 0 8,220

7.1 Current federal and foreign income taxes (including $ on realized capital gains (losses)) 0

7.2 Net deferred tax liability 0

8. Borrowed money $ and interest thereon $ 0

9. Unearned premiums (Part 1A, Line 38, Column 5) (after deducting unearned premiums for ceded reinsurance of

$ 2,137,084 and including warranty reserves of $ and accrued accident and

health experience rating refunds including $ for medical loss ratio rebate per the Public Health Service Act) 13,143,619 11,632,623

10. Advance premium 482,536 528,585

11. Dividends declared and unpaid:

11.1 Stockholders 0

11.2 Policyholders 0

12. Ceded reinsurance premiums payable (net of ceding commissions) 1,087,568 363,376

13. Funds held by company under reinsurance treaties (Schedule F, Part 3, Column 19) 0

14. Amounts withheld or retained by company for account of others 0

15. Remittances and items not allocated 0

16. Provision for reinsurance (including $ certified) (Schedule F, Part 8) 0 0

17. Net adjustments in assets and liabilities due to foreign exchange rates 0

18. Drafts outstanding 0

19. Payable to parent, subsidiaries and affiliates 1,441,985 690,724

20. Derivatives 0 0

21. Payable for securities 0

22. Payable for securities lending 0

23. Liability for amounts held under uninsured plans 0

24. Capital notes $ and interest thereon $ 0

25. Aggregate write-ins for liabilities 712,343 51,169

26. Total liabilities excluding protected cell liabilities (Lines 1 through 25) 25,221,004 20,384,941

27. Protected cell liabilities 0

28. Total liabilities (Lines 26 and 27) 25,221,004 20,384,941

29. Aggregate write-ins for special surplus funds 0 0

30. Common capital stock 1,000 1,000

31. Preferred capital stock 0

32. Aggregate write-ins for other-than-special surplus funds 0 0

33. Surplus notes 3,000,000 3,000,000

34. Gross paid in and contributed surplus 9,999,000 9,999,000

35. Unassigned funds (surplus) 11,384,346 10,775,820

36. Less treasury stock, at cost:

36.1 shares common (value included in Line 30 $ ) 0

36.2 shares preferred (value included in Line 31 $ ) 0

37. Surplus as regards policyholders (Lines 29 to 35, less 36) (Page 4, Line 39) 24,384,346 23,775,820

38. Totals (Page 2, Line 28, Col. 3) 49,605,350 44,160,761


2501. Due to Citizens (owed to Citizens for unsettled opt-out policies) 0 19,997

2502. Accrued opt-outs for Citizens take out policies 700,000 0

2503. Accrued Audit Fees 12,343 31,172

2598. Summary of remaining write-ins for Line 25 from overflow page 0 0

2599. Totals (Lines 2501 through 2503 plus 2598) (Line 25 above) 712,343 51,169

2901. 0

2902. 0

2903. 0


2999. Totals (Lines 2901 through 2903 plus 2998) (Line 29 above) 0 0

3201. 0

3202. 0

3203. 0


3299. Totals (Lines 3201 through 3203 plus 3298) (Line 32 above) 0 0

3


STATEMENT OF INCOME1

Current Year2

Prior Year

UNDERWRITING INCOME

1. Premiums earned (Part 1, Line 35, Column 4) 18,392,304 21,194,860 DEDUCTIONS:

2. Losses incurred (Part 2, Line 35, Column 7) 5,749,516 4,786,9703. Loss adjustment expenses incurred (Part 3, Line 25, Column 1) 2,424,991 2,604,4574. Other underwriting expenses incurred (Part 3, Line 25, Column 2) 9,739,715 9,273,8515. Aggregate write-ins for underwriting deductions 162,530 159,4506. Total underwriting deductions (Lines 2 through 5) 18,076,752 16,824,728

7. Net income of protected cells 08. Net underwriting gain (loss) (Line 1 minus Line 6 plus Line 7) 315,552 4,370,132

INVESTMENT INCOME

9. Net investment income earned (Exhibit of Net Investment Income, Line 17) 552,563 247,42710. Net realized capital gains (losses) less capital gains tax of $ (Exhibit of Capital Gains (Losses)) 83,708 264,127

11. Net investment gain (loss) (Lines 9 + 10) 636,271 511,554

OTHER INCOME

12. Net gain (loss) from agents' or premium balances charged off (amount recovered $ amount

charged off $ ) 013. Finance and service charges not included in premiums 32,445 23,37014. Aggregate write-ins for miscellaneous income 0 0

15. Total other income (Lines 12 through 14) 32,445 23,370

16. Net income before dividends to policyholders, after capital gains tax and before all other federal and foreign income taxes(Lines 8 + 11 + 15) 984,268 4,905,056

17. Dividends to policyholders 018. Net income, after dividends to policyholders, after capital gains tax and before all other federal and foreign income taxes

(Line 16 minus Line 17) 984,268 4,905,05619. Federal and foreign income taxes incurred 264,115 1,579,032

20. Net income (Line 18 minus Line 19) (to Line 22) 720,153 3,326,024

CAPITAL AND SURPLUS ACCOUNT

21. Surplus as regards policyholders, December 31 prior year (, Line 39, Column 2) 23,775,820 17,391,56422. Net income (from Line 20) 720,153 3,326,02423. Net transfers (to) from Protected Cell accounts 024. Change in net unrealized capital gains or (losses) less capital gains tax of $ 210,895 (140,946)25. Change in net unrealized foreign exchange capital gain (loss) 026. Change in net deferred income tax 5,624 192,80227. Change in nonadmitted assets (Exhibit of Nonadmitted Assets, Line 28, Col. 3) (328,034) 6,37628. Change in provision for reinsurance (Page 3, Line 16, Column 2 minus Column 1) 0 029. Change in surplus notes 3,000,00030. Surplus (contributed to) withdrawn from protected cells 031. Cumulative effect of changes in accounting principles 032. Capital changes:

32.1 Paid in 0

32.2 Transferred from surplus (Stock Dividend) 0

32.3 Transferred to surplus 033. Surplus adjustments:

33.1 Paid in 0

33.2 Transferred to capital (Stock Dividend) 0

33.3 Transferred from capital 034. Net remittances from or (to) Home Office 035. Dividends to stockholders 036. Change in treasury stock (Page 3, Lines 36.1 and 36.2, Column 2 minus Column 1) 0 037. Aggregate write-ins for gains and losses in surplus 0 0

38. Change in surplus as regards policyholders for the year (Lines 22 through 37) 608,638 6,384,256

39. Surplus as regards policyholders, December 31 current year (Line 21 plus Line 38) (Page 3, Line 37) 24,384,458 23,775,820


0501. Miscellaneous 4,254 7,4010502. 00503. Bank charges 158,276 152,0490598. Summary of remaining write-ins for Line 5 from overflow page 0 00599. Totals (Lines 0501 through 0503 plus 0598) (Line 5 above) 162,530 159,450

1401. Miscellaneous 01402. 01403. 01498. Summary of remaining write-ins for Line 14 from overflow page 0 01499. Totals (Lines 1401 through 1403 plus 1498) (Line 14 above) 0 0

3701. 03702. 03703. 03798. Summary of remaining write-ins for Line 37 from overflow page 0 03799. Totals (Lines 3701 through 3703 plus 3798) (Line 37 above) 0 0

4


CASH FLOW1

Current Year2

Prior Year

Cash from Operations

1. Premiums collected net of reinsurance 18,279,061 21,521,8172. Net investment income 882,897 435,4793. Miscellaneous income 32,445 23,3704. Total (Lines 1 through 3) 19,194,403 21,980,6665. Benefit and loss related payments 4,290,830 2,814,2696. Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts 0 07. Commissions, expenses paid and aggregate write-ins for deductions 12,383,365 10,737,0208. Dividends paid to policyholders 0 09. Federal and foreign income taxes paid (recovered) net of $ tax on capital gains (losses) 255,623 2,337,670

10. Total (Lines 5 through 9) 16,929,818 15,888,95911. Net cash from operations (Line 4 minus Line 10) 2,264,585 6,091,707

Cash from Investments

12. Proceeds from investments sold, matured or repaid:

12.1 Bonds 5,427,787 5,291,93812.2 Stocks 338,680 3,421,29012.3 Mortgage loans 0 012.4 Real estate 0 012.5 Other invested assets 0 012.6 Net gains or (losses) on cash, cash equivalents and short-term investments 0 012.7 Miscellaneous proceeds 0 0

12.8 Total investment proceeds (Lines 12.1 to 12.7) 5,766,467 8,713,22813. Cost of investments acquired (long-term only):

13.1 Bonds 9,944,959 16,430,05913.2 Stocks 956,096 3,538,64313.3 Mortgage loans 0 013.4 Real estate 0 013.5 Other invested assets 0 013.6 Miscellaneous applications 0 0

13.7 Total investments acquired (Lines 13.1 to 13.6) 10,901,055 19,968,70214. Net increase (decrease) in contract loans and premium notes 0 015. Net cash from investments (Line 12.8 minus Line 13.7 minus Line 14) (5,134,588) (11,255,474)

Cash from Financing and Miscellaneous Sources

16. Cash provided (applied):

16.1 Surplus notes, capital notes 0 3,000,00016.2 Capital and paid in surplus, less treasury stock 0 016.3 Borrowed funds 0 016.4 Net deposits on deposit-type contracts and other insurance liabilities 016.5 Dividends to stockholders 0 016.6 Other cash provided (applied) 1,358,158 (1,433,395)

17. Net cash from financing and miscellaneous sources (Lines 16.1 to 16.4 minus Line 16.5 plus Line 16.6) 1,358,158 1,566,605

RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS

18. Net change in cash, cash equivalents and short-term investments (Line 11, plus Lines 15 and 17) (1,511,845) (3,597,162)19. Cash, cash equivalents and short-term investments:

19.1 Beginning of year 5,947,668 9,544,83019.2 End of year (Line 18 plus Line 19.1) 4,435,823 5,947,668

5


UNDERWRITING AND INVESTMENT EXHIBITPART 1 - PREMIUMS EARNED

Line of Business

1

Net PremiumsWritten per

Column 6, Part 1B

2Unearned PremiumsDec. 31 Prior Year -

per Col. 3, Last Year’sPart 1

3Unearned Premiums

Dec. 31 CurrentYear - per Col. 5

Part 1A

4

Premiums EarnedDuring Year

(Cols. 1 + 2 - 3)

1. Fire 0 0 0 0

2. Allied lines 0 0 0 0

3. Farmowners multiple peril 0 0 0 0

4. Homeowners multiple peril 16,454,410 11,632,623 10,956,537 17,130,496

5. Commercial multiple peril 3,448,890 0 2,187,082 1,261,808

6. Mortgage guaranty 0 0 0 0

8. Ocean marine 0 0 0 0

9. Inland marine 0 0 0 0

10. Financial guaranty 0 0 0 0

11.1 Medical professional liability-occurrence 0 0 0 0

11.2 Medical professional liability-claims-made 0 0 0 0

12. Earthquake 0 0 0 0

13. Group accident and health 0 0 0 0

14. Credit accident and health (group and individual) 0 0 0 0

15. Other accident and health 0 0 0 0

16. Workers' compensation 0 0 0 0

17.1 Other liability-occurrence 0 0 0 0

17.2 Other liability-claims-made 0 0 0 0

17.3 Excess workers’ compensation 0 0 0 0

18.1 Products liability-occurrence 0 0 0 0

18.2 Products liability-claims-made 0 0 0 0

19.1,19.2 Private passenger auto liability 0 0 0 0

19.3,19.4 Commercial auto liability 0 0 0 0

21. Auto physical damage 0 0 0 0

22. Aircraft (all perils) 0 0 0 0

23. Fidelity 0 0 0 0

24. Surety 0 0 0 0

26. Burglary and theft 0 0 0 0

27. Boiler and machinery 0 0 0 0

28. Credit 0 0 0 0

29. International 0 0 0 0

30. Warranty 0 0 0 0

31. Reinsurance-nonproportional assumed property 0 0 0 0

32. Reinsurance-nonproportional assumed liability 0 0 0 0

33. Reinsurance-nonproportional assumed financial lines 0 0 0 0

34. Aggregate write-ins for other lines of business 0 0 0 0

35. TOTALS 19,903,300 11,632,623 13,143,619 18,392,304


3401.

3402.

3403.

3498. Sum. of remaining write-ins for Line 34 from overflow page 0 0 0 0

3499. Totals (Lines 3401 through 3403 plus 3498) (Line 34 above) 0 0 0 0

6


UNDERWRITING AND INVESTMENT EXHIBIT

PART 1A - RECAPITULATION OF ALL PREMIUMS

Line of Business

1Amount Unearned

(Running One Year orLess from Date of

Policy)(a)

2Amount Unearned

(Running More ThanOne Year from Date

of Policy)(a)

3

Earnedbut

Unbilled Premium

4Reserve for Rate

Credits andRetrospective

Adjustments Basedon Experience

5

Total Reservefor

Unearned PremiumsCols. 1 + 2 + 3 + 4

1. Fire 0

2. Allied lines 0

3. Farmowners multiple peril 0

4. Homeowners multiple peril 10,956,537 10,956,537

5. Commercial multiple peril 2,187,082 2,187,082

6. Mortgage guaranty 0

8. Ocean marine 0

9. Inland marine 0

10. Financial guaranty 0

11.1 Medical professional liability-occurrence 0

11.2 Medical professional liability-claims-made 0

12. Earthquake 0

13. Group accident and health 0

14. Credit accident and health (group and individual) 0

15. Other accident and health 0

16. Workers' compensation 0

17.1 Other liability-occurrence 0

17.2 Other liability-claims-made 0

17.3 Excess workers’ compensation 0

18.1 Products liability-occurrence 0

18.2 Products liability-claims-made 0

19.1,19.2Private passenger auto liability 0

19.3,19.4Commercial auto liability 0

21. Auto physical damage 0

22. Aircraft (all perils) 0

23. Fidelity 0

24. Surety 0

26. Burglary and theft 0

27. Boiler and machinery 0

28. Credit 0

29. International 0

30. Warranty 0

31. Reinsurance-nonproportional assumed property 0

32. Reinsurance-nonproportional assumed liability 0

33. Reinsurance-nonproportional assumed financiallines 0

34. Aggregate write-ins for other lines of business 0 0 0 0 0

35. TOTALS 13,143,619 0 0 0 13,143,619

36. Accrued retrospective premiums based on experience

37. Earned but unbilled premiums

38. Balance (Sum of Lines 35 through 37) 13,143,619


3401. 0

3402. 0

3403. 0

3498. Sum. of remaining write-ins for Line 34 fromoverflow page 0 0 0 0 0

3499. Totals (Lines 3401 through 3403 plus 3498) (Line34 above) 0 0 0 0 0

(a) State here basis of computation used in each case. Daily prorata basis, net of prepaid reinsurance

7


UNDERWRITING AND INVESTMENT EXHIBIT

PART 1B - PREMIUMS WRITTEN

1 Reinsurance Assumed Reinsurance Ceded 6

Line of Business

DirectBusiness

(a)

2From

Affiliates

3From

Non-Affiliates

4To

Affiliates

5To

Non-Affiliates

Net PremiumsWritten Cols.

1 + 2 + 3 - 4 - 5

1. Fire 0

2. Allied lines 0

3. Farmowners multiple peril 0

4. Homeowners multiple peril 26,522,535 556,429 9,511,696 16,454,410

5. Commercial multiple peril 5,991,533 91,814 2,450,829 3,448,890

6. Mortgage guaranty 0

8. Ocean marine 0

9. Inland marine 0

10. Financial guaranty 0

11.1 Medical professionalliability-occurrence 0

11.2 Medical professionalliability-claims-made 0

12. Earthquake 0

13. Group accident and health 0

14. Credit accident and health(group and individual) 0

15. Other accident and health 0

16. Workers' compensation 0

17.1 Other liability-occurrence 0

17.2 Other liability-claims-made 0

17.3 Excess workers’compensation 0

18.1 Products liability-occurrence 0

18.2 Products liability-claims-made 0

19.1,19.2 Private passenger autoliability 0

19.3,19.4 Commercial auto liability 0

21. Auto physical damage 0

22. Aircraft (all perils) 0

23. Fidelity 0

24. Surety 0

26. Burglary and theft 0

27. Boiler and machinery 0

28. Credit 0

29. International 0

30. Warranty 0

31. Reinsurance-nonproportional assumedproperty XXX 0

32. Reinsurance-nonproportional assumedliability XXX 0

33. Reinsurance-nonproportional assumedfinancial lines XXX 0

34. Aggregate write-ins for otherlines of business 0 0 0 0 0 0

35. TOTALS 32,514,068 0 0 648,243 11,962,525 19,903,300


3401. 0

3402. 0

3403. 0

3498. Sum. of remaining write-ins for Line 34 fromoverflow page 0 0 0 0 0 0

3499. Totals (Lines 3401 through3403plus 3498) (Line 34 above) 0 0 0 0 0 0

(a) Does the company’s direct premiums written include premiums recorded on an installment basis? Yes [ ] No [ X ]

If yes: 1. The amount of such installment premiums $

2. Amount at which such installment premiums would have been reported had they been recorded on an annualized basis $

8


UNDERWRITING AND INVESTMENT EXHIBITPART 2 - LOSSES PAID AND INCURREDLosses Paid Less Salvage 5 6 7 8

Line of Business

1

Direct Business

2

ReinsuranceAssumed

3

ReinsuranceRecovered

4

Net Payments(Cols. 1 + 2 - 3)

Net LossesUnpaid

Current Year(Part 2A, Col. 8)

Net LossesUnpaid

Prior Year

Losses IncurredCurrent Year

(Cols. 4 + 5 - 6)

Percentage of LossesIncurred

(Col. 7, Part 2)to Premiums Earned

(Col. 4, Part 1)

1. Fire 0 0 0 0 0.02. Allied lines 0 0 0 0 0.03. Farmowners multiple peril 0 0 0 0 0.04. Homeowners multiple peril 4,910,810 288,762 4,622,048 5,225,849 4,457,754 5,390,143 31.55. Commercial multiple peril 159,373 159,373 200,000 0 359,373 28.56. Mortgage guaranty 0 0 0 0 0.08. Ocean marine 0 0 0 0 0.09. Inland marine 0 0 0 0 0.0

10. Financial guaranty 0 0 0 0 0.011.1 Medical professional liability-occurrence 0 0 0 0 0.011.2 Medical professional liability-claims-made 0 0 0 0 0.012. Earthquake 0 0 0 0 0.013. Group accident and health 0 0 0 0 0.014. Credit accident and health (group and individual) 0 0 0 0 0.015. Other accident and health 0 0 0 0 0.016. Workers' compensation 0 0 0 0 0.017.1 Other liability-occurrence 0 0 0 0 0.017.2 Other liability-claims-made 0 0 0 0 0.017.3 Excess workers’ compensation 0 0 0 0 0.018.1 Products liability-occurrence 0 0 0 0 0.018.2 Products liability-claims-made 0 0 0 0 0.019.1,19.2 Private passenger auto liability 0 0 0 0 0.019.3,19.4 Commercial auto liability 0 0 0 0 0.021. Auto physical damage 0 0 0 0 0.022. Aircraft (all perils) 0 0 0 0 0.023. Fidelity 0 0 0 0 0.024. Surety 0 0 0 0 0.026. Burglary and theft 0 0 0 0 0.027. Boiler and machinery 0 0 0 0 0.028. Credit 0 0 0 0 0.029. International 0 0 0 0 0.030. Warranty 0 0 0 0 0.031. Reinsurance-nonproportional assumed property XXX 0 0 0 0 0.032. Reinsurance-nonproportional assumed liability XXX 0 0 0 0 0.033. Reinsurance-nonproportional assumed financial lines XXX 0 0 0 0 0.034. Aggregate write-ins for other lines of business 0 0 0 0 0 0 0 0.035. TOTALS 5,070,183 0 288,762 4,781,421 5,425,849 4,457,754 5,749,516 31.3


3401. 0 0 0 0 0.03402. 0 0 0 0 0.03403. 0 0 0 0 0.03498. Sum. of remaining write-ins for Line 34 from overflow page 0 0 0 0 0 0 0 0.03499. Totals (Lines 3401 through 3403 + 3498) (Line 34 above) 0 0 0 0 0 0 0 0.0

9


UNDERWRITING AND INVESTMENT EXHIBITPART 2A - UNPAID LOSSES AND LOSS ADJUSTMENT EXPENSES

Reported Losses Incurred But Not Reported 8 9

Line of Business

1

Direct

2

ReinsuranceAssumed

3

Deduct ReinsuranceRecoverable

4

Net Losses Excl.Incurred ButNot Reported

(Cols. 1 + 2 - 3)

5

Direct

6

ReinsuranceAssumed

7

ReinsuranceCeded

Net LossesUnpaid

(Cols. 4 +5 + 6 - 7)

Net Unpaid LossAdjustmentExpenses

1. Fire 0 02. Allied lines 0 03. Farmowners multiple peril 0 04. Homeowners multiple peril 3,442,431 3,442,431 1,783,418 5,225,849 2,543,6755. Commercial multiple peril 10,000 10,000 190,000 200,000 152,2786. Mortgage guaranty 0 08. Ocean marine 0 09. Inland marine 0 0

10. Financial guaranty 0 011.1 Medical professional liability-occurrence 0 011.2 Medical professional liability-claims-made 0 012. Earthquake 0 013. Group accident and health 0 (a) 014. Credit accident and health (group and individual) 0 015. Other accident and health 0 (a) 016. Workers' compensation 0 017.1 Other liability-occurrence 0 017.2 Other liability-claims-made 0 017.3 Excess workers’ compensation 0 018.1 Products liability-occurrence 0 018.2 Products liability-claims-made 0 019.1,19.2 Private passenger auto liability 0 019.3,19.4 Commercial auto liability 0 021. Auto physical damage 0 022. Aircraft (all perils) 0 023. Fidelity 0 024. Surety 0 026. Burglary and theft 0 027. Boiler and machinery 0 028. Credit 0 029. International 0 030. Warranty 0 031. Reinsurance-nonproportional assumed property XXX 0 XXX 032. Reinsurance-nonproportional assumed liability XXX 0 XXX 033. Reinsurance-nonproportional assumed financial lines XXX 0 XXX 034. Aggregate write-ins for other lines of business 0 0 0 0 0 0 0 0 035. TOTALS 3,452,431 0 0 3,452,431 1,973,418 0 0 5,425,849 2,695,953

DETAILS OF WRITE-INS 3401. 0 03402. 0 0

3403. 0 0 3498. Sum. of remaining write-ins for Line 34 from overflow page 0 0 0 0 0 0 0 0 0 3499. Totals (Lines 3401 through 3403 + 3498) (Line 34 above) 0 0 0 0 0 0 0 0 0(a) Including $ for present value of life indemnity claims.

10


UNDERWRITING AND INVESTMENT EXHIBITPART 3 - EXPENSES

1Loss Adjustment

Expenses

2Other Underwriting

Expenses

3InvestmentExpenses

4

Total

1. Claim adjustment services:

1.1 Direct 1,037,419 1,037,419

1.2 Reinsurance assumed 0

1.3 Reinsurance ceded 220,647 220,647

1.4 Net claim adjustment services (1.1 + 1.2 - 1.3) 816,772 0 0 816,772

2. Commission and brokerage:

2.1 Direct, excluding contingent 3,002,863 3,002,863

2.2 Reinsurance assumed, excluding contingent 0

2.3 Reinsurance ceded, excluding contingent 0

2.4 Contingent-direct 0

2.5 Contingent-reinsurance assumed 0

2.6 Contingent-reinsurance ceded 0

2.7 Policy and membership fees 0

2.8 Net commission and brokerage (2.1 + 2.2 - 2.3 + 2.4 + 2.5 - 2.6 + 2.7) 0 3,002,863 0 3,002,863

3. Allowances to manager and agents 0

4. Advertising 400,060 400,060

5. Boards, bureaus and associations 65,930 65,930

6. Surveys and underwriting reports 78,363 78,363

7. Audit of assureds' records 0

8. Salary and related items:

8.1 Salaries 0

8.2 Payroll taxes 0

9. Employee relations and welfare 0

10. Insurance 7,430 7,430

11. Directors' fees 22,000 22,000

12. Travel and travel items 42,527 42,527

13. Rent and rent items 0

14. Equipment 0

15. Cost or depreciation of EDP equipment and software 0

16. Printing and stationery 0

17. Postage, telephone and telegraph, exchange and express 662 662

18. Legal and auditing 1,288,778 165,174 1,453,952

19. Totals (Lines 3 to 18) 1,288,778 782,146 0 2,070,924

20. Taxes, licenses and fees:

20.1 State and local insurance taxes deducting guaranty association

credits of $ 50,396 50,396

20.2 Insurance department licenses and fees 13,067 13,067

20.3 Gross guaranty association assessments 0

20.4 All other (excluding federal and foreign income and real estate) 495,653 495,653

20.5 Total taxes, licenses and fees (20.1 + 20.2 + 20.3 + 20.4) 0 559,116 0 559,116

21. Real estate expenses 0

22. Real estate taxes 0

23. Reimbursements by uninsured plans 0

24. Aggregate write-ins for miscellaneous expenses 319,441 5,395,590 136,970 5,852,001

25. Total expenses incurred 2,424,991 9,739,715 136,970 (a) 12,301,676

26. Less unpaid expenses-current year 2,695,953 217,642 13,509 2,927,104

27. Add unpaid expenses-prior year 2,412,184 172,184 76,342 2,660,710

28. Amounts receivable relating to uninsured plans, prior year 0 0 0 0

29. Amounts receivable relating to uninsured plans, current year 0

30. TOTAL EXPENSES PAID (Lines 25 - 26 + 27 - 28 + 29) 2,141,222 9,694,257 199,803 12,035,282


2401. MGA Fee expense 466,125 466,125

2402. Actuarial expense 134,385 134,385

2403. OIR examination fees 0

2498. Summary of remaining write-ins for Line 24 from overflow page 319,441 4,795,080 136,970 5,251,491

2499. Totals (Lines 2401 through 2403 plus 2498) (Line 24 above) 319,441 5,395,590 136,970 5,852,001

(a) Includes management fees of $ 4,517,220 to affiliates and $ to non-affiliates.

11


EXHIBIT OF NET INVESTMENT INCOME1

CollectedDuring Year

2Earned

During Year

1. U.S. Government bonds (a)

1.1 Bonds exempt from U.S. tax (a) 603,298 515,4501.2 Other bonds (unaffiliated) (a) 262,422 349,4601.3 Bonds of affiliates (a) 02.1 Preferred stocks (unaffiliated) (b) 02.11 Preferred stocks of affiliates (b) 02.2 Common stocks (unaffiliated) 60,332 60,3322.21 Common stocks of affiliates 03. Mortgage loans (c)

4. Real estate (d)

5. Contract loans6. Cash, cash equivalents and short-term investments (e) 13,939 19,9917. Derivative instruments (f)

8. Other invested assets 9. Aggregate write-ins for investment income 0 0

10. Total gross investment income 939,991 945,233

11. Investment expenses (g) 136,97112. Investment taxes, licenses and fees, excluding federal income taxes (g)

13. Interest expense (h) 255,69914. Depreciation on real estate and other invested assets (i)

15. Aggregate write-ins for deductions from investment income 016. Total deductions (Lines 11 through 15) 392,67017. Net investment income (Line 10 minus Line 16) 552,563


0901.0902.0903.0998. Summary of remaining write-ins for Line 9 from overflow page 0 00999. Totals (Lines 0901 through 0903 plus 0998) (Line 9 above) 0 0

1501.1502.1503.1598. Summary of remaining write-ins for Line 15 from overflow page 01599. Totals (Lines 1501 through 1503 plus 1598) (Line 15 above) 0

(a) Includes $ 160,967 accrual of discount less $ 496,542 amortization of premium and less $ 17,944 paid for accrued interest on purchases.(b) Includes $ accrual of discount less $ amortization of premium and less $ 0 paid for accrued dividends on purchases.(c) Includes $ 0 accrual of discount less $ 0 amortization of premium and less $ paid for accrued interest on purchases.(d) Includes $ for company’s occupancy of its own buildings; and excludes $ interest on encumbrances.(e) Includes $ accrual of discount less $ 3,852 amortization of premium and less $ paid for accrued interest on purchases.(f) Includes $ accrual of discount less $ amortization of premium.(g) Includes $ 136,971 investment expenses and $ investment taxes, licenses and fees, excluding federal income taxes, attributable to

segregated and Separate Accounts.(h) Includes $ 255,699 interest on surplus notes and $ interest on capital notes.(i) Includes $ depreciation on real estate and $ depreciation on other invested assets.

EXHIBIT OF CAPITAL GAINS (LOSSES)1

RealizedGain (Loss)On Sales or

Maturity

2

OtherRealized

Adjustments

3

Total Realized CapitalGain (Loss)

(Columns 1 + 2)

4

Change inUnrealized Capital

Gain (Loss)

5

Change inUnrealized ForeignExchange Capital

Gain (Loss)

1. U.S. Government bonds 01.1 Bonds exempt from U.S. tax 1,000 1,0001.2 Other bonds (unaffiliated) (1,767) (1,767)1.3 Bonds of affiliates 0 0 0 0 02.1 Preferred stocks (unaffiliated) 0 0 0 0 02.11 Preferred stocks of affiliates 0 0 0 0 02.2 Common stocks (unaffiliated) 84,475 0 84,475 210,895 02.21 Common stocks of affiliates 0 0 0 0 03. Mortgage loans 0 0 0 0 04. Real estate 0 0 0 05. Contract loans 06. Cash, cash equivalents and short-term investments 0 0 07. Derivative instruments 08. Other invested assets 0 0 0 0 09. Aggregate write-ins for capital gains (losses) 0 0 0 0 0

10. Total capital gains (losses) 83,708 0 83,708 210,895 0 DETAILS OF WRITE-INS

0901. Options exercised 00902. 00903. 00998. Summary of remaining write-ins for Line 9 from

overflow page 0 0 0 0 00999. Totals (Lines 0901 through 0903 plus 0998) (Line 9

above) 0 0 0 0 0

12


EXHIBIT OF NONADMITTED ASSETS1

Current Year TotalNonadmitted Assets

2

Prior Year TotalNonadmitted Assets

3Change in Total

Nonadmitted Assets(Col. 2 - Col. 1)

1. Bonds (Schedule D) 0 0 0

2. Stocks (Schedule D):

2.1 Preferred stocks 0 0 0

2.2 Common stocks 0 0 0

3. Mortgage loans on real estate (Schedule B):

3.1 First liens 0 0 0

3.2 Other than first liens 0 0 0

4. Real estate (Schedule A):

4.1 Properties occupied by the company 0 0 0

4.2 Properties held for the production of income 0 0 0

4.3 Properties held for sale 0 0 0

5. Cash (Schedule E-Part 1), cash equivalents (Schedule E-Part 2) and

short-term investments (Schedule DA) 0 0 0

6. Contract loans 0 0 0

7. Derivatives (Schedule DB) 0 0 0

8. Other invested assets (Schedule BA) 0 0 0

9. Receivables for securities 0 0 0

10. Securities lending reinvested collateral assets (Schedule DL) 0 0 0

11. Aggregate write-ins for invested assets 0 0 0

12. Subtotals, cash and invested assets (Lines 1 to 11) 0 0 0

13. Title plants (for Title insurers only) 0 0 0

14. Investment income due and accrued 0 0 0

15. Premiums and considerations:

15.1 Uncollected premiums and agents’ balances in the course of

collection 0 0 0

15.2 Deferred premiums, agents’ balances and installments booked but deferred

and not yet due 0 0 0

15.3 Accrued retrospective premiums and contracts subject to redetermination 0 0 0

16. Reinsurance:

16.1 Amounts recoverable from reinsurers 0 0 0

16.2 Funds held by or deposited with reinsured companies 0 0 0

16.3 Other amounts receivable under reinsurance contracts 0 0 0

17. Amounts receivable relating to uninsured plans 0 0 0

18.1 Current federal and foreign income tax recoverable and interest thereon 0 0 0

18.2 Net deferred tax asset 0 0 0

19. Guaranty funds receivable or on deposit 0 0 0

20. Electronic data processing equipment and software 0 0 0

21. Furniture and equipment, including health care delivery assets 0 0 0

22. Net adjustment in assets and liabilities due to foreign exchange rates 0 0 0

23. Receivables from parent, subsidiaries and affiliates 0 0 0

24. Health care and other amounts receivable 0 0 0

25. Aggregate write-ins for other-than-invested assets 384,463 56,429 (328,034)

26. Total assets excluding Separate Accounts, Segregated Accounts and

Protected Cell Accounts (Lines 12 to 25) 384,463 56,429 (328,034)

27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts 0 0 0

28. Total (Lines 26 and 27) 384,463 56,429 (328,034)


1101. 0 0

1102. 0 0

1103. 0 0

1198. Summary of remaining write-ins for Line 11 from overflow page 0 0 0

1199. Totals (Lines 1101 through 1103 plus 1198) (Line 11 above) 0 0 0

2501. Prepaid expenses 383,252 54,218 (329,034)

2502. FIGA recoupment 0 0

2503. Claims Subrogation 1,211 2,211 1,000

2598. Summary of remaining write-ins for Line 25 from overflow page 0 0 0

2599. Totals (Lines 2501 through 2503 plus 2598) (Line 25 above) 384,463 56,429 (328,034)

13


NOTES TO FINANCIAL STATEMENTS


1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES AND GOING CONCERN:

A. Accounting Practices

The accompanying financial statements of Avatar Property & Casualty Insurance Company(the “Company”) have been prepared in accordance with accounting practices prescribed bythe Florida Office of Insurance Regulation (the “FLOIR”).

The State of Florida requires insurance companies domiciled in the state of Florida to preparetheir statutory financial statements in accordance with the National Association of InsuranceCommissioners’ (the “NAIC”) Accounting Practices and Procedures Manual subject to anydeviations prescribed or permitted by the FLOIR. Many changes were made to this NAICmanual effective January 1, 2001.

State of Domicile 2016 2015Net Income1) Avatar state basis FL $ 720,153 $ 3,326,0242) State Prescribed Practices: None 0 03) State Permitted Practices: None 0 04) NAIC SAP FL $ 720,153 $ 3,326,024

Surplus5) Avatar state basis FL $24,384,346 $23,775,8206) State Prescribed Practices: None 0 07) State Permitted Practices: None 0 08) NAIC SAP FL $24,384,346 $23,775,820

Use of Estimates in the Preparation of the Financial StatementsB.

The preparation of financial statements requires management to make estimates andassumptions that affect the amounts reported in the financial statements and notes. Actualresults could differ from these estimates.

Accounting PoliciesC.

Direct and assumed premiums are earned over the terms of the related policies. Unearnedpremiums are established to cover the unexpired portion of premiums written. Such reservesare computed by pro rata methods for direct and assumed business and for reinsurance ceded.Expenses incurred in connection with acquiring new insurance business, including acquisitioncosts such as sales commissions are charged to operations as incurred. Expenses incurred arereduced for ceding allowances received or receivable.

Net investment income earned consists primarily of interest, dividends less investment relatedexpense. Interest is recognized on an accrual basis and dividends are recognized on an ex-dividend basis. Net realized capital gains (losses) are recognized on a specific identificationbasis when securities are sold, redeemed or otherwise disposed. Realized capital lossesinclude write downs for impairments considered to be other than temporary.

In addition, the Company uses the following accounting policies:

Short-term investments are stated at amortized cost using the interest method. Non-1.investment grad short-term investments are stated at the lower of amortized cost or fairvalue.

Investment grade bonds not backed by other loans are stated at amortized value using2.the interest method. Non-investment grade bonds with NAIC designations of 3through 6 are stated at the lower of amortized cost or fair value.

Common stock are carried at market value.3.

14



The Company holds no preferred stock.4.

The Company holds no mortgage loans.5.

Investment grade single class and multi-class mortgage-backed securities are reported6.at amortized cost using the bond pay down method.

The Company holds no investment in subsidiaries.7.

The Company holds no joint ventures, partnerships, & limited liability companies.8.

Derivative instruments are carried at market value.9.

The Company does not anticipate investment income when evaluating the need for10.premium deficiency reserves.

Unpaid losses and loss adjustment expenses include amounts determined from11.individual case estimates, loss reports and amounts, based on past experience, forlosses incurred but not reported. Such liabilities are based on assumptions andestimates, and while management believes the amounts are adequate, the ultimateliabilities may be in excess of or less than the amounts provided. Any adjustments arereflected in the period determined.

The Company has a written capitalization policy for prepaid expenses and purchases of12.items such as electronic data processing equipment, software, furniture, vehicles, otherequipment, and leasehold improvements. The predefined capitalization thresholdsunder this policy have not changed from its initial establishment.

Going Concern – N/AD.

2. ACCOUNTING CHANGES AND CORRECTIONS OF ERRORS:

A. Accounting Changes Other than Codification and Correction of Errors – N/A

3. BUSINESS COMBINATIONS AND GOODWILL

A. Statutory Purchase Method – N/A

Statutory Merger – N/AB.

C. Impairment Loss – N/A

DISCONTINUED OPERATIONS4.

N/A

5. INVESTMENTS

A. Mortgage Loans – N/A

B. Debt Restructuring – N/A

C. Reverse Mortgages – N/A

D. Loan Backed Securities – N/A

E. Repurchase Agreements – N/A

Real Estate – N/AF.

Low Income Housing Tax Credits – N/AG.

14.1



6. JOINT VENTURES, PARTNERSHIPS AND LIMITED LIABILITY COMPANIES

Detail for Those Greater than 10% of Admitted Assets – N/AA.

B. Write downs for Impairment of Joint Ventures, Partnerships and LLCs – N/A

7. INVESTMENT INCOME

A. Accrued Investment Income

The Company non-admits investment income due and accrued if amounts are over 90 dayspast due.

B. Amounts Non-admitted – N/A

8. DERIVATIVE INSTRUMENTS

N/A

9. INCOME TAXESA. Deferred Tax Asset/(Liability) -

Net admitted deferred tax asset consists of the following:

Total deferred tax assets $ 1,000,388

Unrecognized Deferred Tax Liabilities – N/AB.

Current Tax and Change in Deferred Tax – The Company estimates its tax liabilities using aC.weighted average rate of 38.02%.

Income per book $ 1,034,664Temporary Differences:

Earned premiums 302,199IBNR 46,078

Permanent differences:Tax exempt interest and other (555,736)

Income per tax $ 827,205

Components of Income Tax:Federal income tax incurred $ 264,115State income tax incurred 50,396Federal deferred tax 1,393State deferred tax 4,574Total $ 320,478

Reconciliation of Federal Income Tax Rate to Actual Effective Rate – N/AD.

Operating Loss and Tax Credit Carryforwards – N/AE.

Consolidated Federal Income Tax Return – N/AF.

10. INFORMATION CONCERNING PARENT, SUBSIDIARIES AND AFFILIATES

Nature of RelationshipsA.

The Company is a wholly owned subsidiary of Avatar Partners, LP, a privately ownedDelaware partnership.

Avatar Management, LLC is affiliated with the Company through common ownership.

14.2



Adhia Investment Advisors, Inc. (“Advisor”) serves as the investment advisor for theCompany’s investment portfolio. The owner of the Advisor is an officer and director of theCompany.

Global Fund Solutions, LLC ("GFS") provides IT support and programming to the Companyand its affiliate Avatar Management, LLC. The owner of GFS is an officer and director of theCompany.

Rudd and Diamond, P.A. provides legal services to the Company. The owner of Rudd andDiamond P.A. is a director of the Company.

Avatar Re, LLC, a captive reinsurer, is affiliated with the Company through commonownership.

Detail of Transactions Greater than ½% of Admitted AssetsB.

Avatar Management, LLC (“MGA”) serves as a managing general agent for the Companyresponsible for underwriting, policy processing, premium collection, and binding services forbusiness placed with the Company by independent agents. The MGA is also responsible forproviding claims processing. The Company is responsible for Claims adjusting and paymentson claims. During the year ended December 31, 2016, the MGA received management fees of$4,517,220.

C. Change in Terms of Intercompany Arrangements - None

D. Amounts Due to or from Related Parties at December 31, 2016

Payable due to Advisor $ 10,878Payable due to MGA $1,431,107

$1,441,985

E. Guarantees or Contingencies for Related Parties – None

F. Management, Service Contracts, Cost Sharing Arrangements

Management contract between the Company and the MGA is discussed in B above.

G. Nature of Relationships that Could Affect Operations

The stock of the Company and its affiliates are under common control.

H. Amount deducted for Investment in Upstream Company – N/A

I. Detail of Investments in Affiliates Greater than 10% of Admitted Assets

None

J. Writedown for Impairments of Investments in Subsidiary, Controlled or Affiliated Companies– N/A

11. DEBT

Capital Notes – N/AA.

All Other Debt – N/AB.

12. RETIREMENT PLANS, DEFERRED COMPENSATION, POSTEMPLOYMENT BENEFITS,AND COMPENSATED ABSENCES AND OTHER POSTRETIREMENT BENEFITS PLANS

Defined Benefit Plans – N/AA.

14.3



Defined Contribution Plans – N/AB.

Multiemployer Plans – N/AC.

Consolidated/Holding Company Plans – N/AD.

Postemployment Benefits and Compensated Absences – N/AE.

F. Impact of Medicare Modernization Act on Postretirement Benefits (INT 04-17) – N/A

13. CAPITAL AND SURPLUS, SHAREHOLDERS’ DIVIDEND RESTRICTIONS AND QUASI-REORGANIZATION

A. Outstanding Shares

The Company has 1,000 shares of $1.00 par value common stock authorized and outstandingwhich is owned by Avatar Partners, LP. The Company has no preferred stock authorized,issued or outstanding.

B. Dividend Rate of Preferred Stock – N/A

C., D. and E. Dividend Restrictions – N/A

F. Mutual Surplus Advances – N/A

G. Company Stock Held for Special Purposes – N/A

H. Changes in Special Surplus Funds – N/A

I. Changes in Unassigned Funds

Beginning Balance, 12/31/15 $10,775,820Net Income 720,153Change in net deferred tax assets 5,624Change in non-admitted assets (328,146)Change in unrealized capital gain 210,895Ending Balance, 12/31/16 $11,384,346

J. Surplus Notes

On February 6th, 2015, the Company received a Surplus Note from the Parent Company,Avatar Partners LP, in the amount of $3 million. The note is due February 6th, 2020, with anannual interest rate of 8.5% to be paid quarterly. The carrying value of the note is $3 million.

The following interest payments have been made to Avatar Partners LP for a total of$484,849:

Payment Date Amount06/24/2015 $100,602.7410/01/2015 $ 64,273.9701/27/2016 $ 64,273.9703/31/2016 $ 63,575.2906/29/2016 $ 63,575.4009/27/2016 $ 64,273.9712/29/2016 $ 64,273.97

K. and L. Quasi Reorganization – N/A

14. CONTINGENCIES

A. Contingent Commitments – N/A

14.4



B. Assessments – N/A

C. Gain Contingencies – N/A

D. All Other Contingencies

15. LEASES

Lessee Leasing Arrangements – N/AA.

Lessor Leasing Arrnagements – N/AB.

16. INFORMATION ABOUT FINANCIAL INSTRUMENTS WITH OFF-BALANCE SHEETRISK AND FINANCIAL INSTRUMENTS WITH CONCENTRATIONS OF CREDIT RISK

Financial Instruments with Off-Balance Sheet Risk – N/AA.

Financial Instruments with Concentration of Credit Risk – N/AB.

17. SALE, TRANSFER AND SERVICING OF FINANCIAL ASSETS AND EXTINGUISHMENTSOF LIABILITIES

Transfers of Receivables Reported as Sales – N/AA.

Transfers and Servicing of Financial Assets – N/AB.

Wash Sales – N/AC.

18. GAIN OR LOSS OF THE REPORTING ENTITY FROM UNINSURED A & H PLANS ANDTHE UNINSURED PORTION OF PARTIALLY INSURED PLANSN/A

19. DIRECT PREMIUM WRITTEN/PRODUCED B MANAGING AGENTS/THIRD PARTYADMINISTRATORS

Name and address of Exclusive Lines Authority Total Direct MGA FEIN Contract Written Granted Premiums Written

Avatar Management, LLC 20-8498458 No HO3, HO6, DP1 CA, R, P $ 32,514,068 Commercial

20. Fair Value Measurements

A. (1) Fair Value Measurements at Reporting Date

Description of assets at Fair Values Level 1 Level 2 Level 3 TotalCommon Stock Industrial and Miscellaneous $2,881,154 $ 0 $ 0 $2,881,154Total assets at fair value $2,881,154 $ 0 $ 0 $2,881,154

A. (2) Fair Value Measurements in (Level 3) of the Fair Value.

N/A, all common stock prices were obtained from the exchange on which the particular stock istraded. All common stock investments consisted of U.S. common stocks and index funds listed onhighly traded exchanges.

21. OTHER ITEMS

A. Unusual or Infrequent Items – N/A

B. Troubled Debt Restructuring for Debtors – N/A

C. Other Disclosures

14.5



Assets in the amount of $355,862 at December 31, 2016 were on deposit with governmentauthorities (FLOIR) as required by law.

D. Uncollected Premiums Receivable –

Agents’ Balances or Uncollected Premiumsper Statement – before reduction for cededreinsurance balances payable $ 3,726,015(1)

Premiums collected from “Controlled” or“Controlling Persons” $ - (2)

Premiums collected by “Controlled” or“Controlling Person” within 15 workingDays immediately preceding reportingPeriod; F.S. 625.012(5) (a) 1. $ - (3)

Amounts of Applicable:Trust Fund $ - (4)Letter of Credit $ - (5)Financial Guaranty Bond $ - (6)

Total of Lines (4), (5) and (6) $ - (7)

(2) minus (3) minus (7); should not exceed zero $ - (8)

E. Business Interruption Insurance Recoveries – N/A

F. State Transferable Tax Credits – N/A

22. EVENTS SUBSEQUENT

None

23. REINSURANCE

A. Unsecured Reinsurance Recoverables – None

B. Reinsurance Recoverables in Dispute - None

C. Reinsurance Assumed and Ceded

Summary of the Company's Catastrophic reinsurance arrangementsfor the 2016-2017 storm season:

Unearned ReinsuranceTotal Premiums Deposit Payable

Florida Hurricane Catastrophe Fund $ 4,776,824 $ 1,990,343 $ -All other 8,543,008 141,735 1,078,499

Total $ 13,319,832 $ 2,132,078 1,078,499

Summary of the Company's other reinsurance arrangements:Unearned Reinsurance

Total Premiums Deposit PayableStop Loss $ 150,000 $ - $ -Facultative 432,248 5,006 9,068

Total $ 582,248 5,006 9,068

D. Uncollectible Reinsurance - None

E. Commutation of Ceded Reinsurance - None

14.6



F. Retroactive Reinsurance - None

G. Reinsurance Accounted for as a Deposit - None

H. Disclosures for the Transfer of Property and Casualty Run-off Agreements - None

I. Certified Reinsurer Rating Downgraded or Status Subject to Revocation - None

J. Reinsurance Agreements Qualifying for Reinsurer Aggregation - None

24. RETROSPECTIVELY RATED CONTRACTS AND CONTRACTS SUBJECT TOREDETERMINATION

N/A

25. CHANGES IN INCURRED LOSSES AND LOSS ADJUSTMENT EXPENSES

Balance Balance 12/31/15 Incurred Paid 12/31/16

Losses $ 4,457,754 $ 5,749,516 $ 4,781,421 $ 5,425,849Loss Adjustment Expenses 2,412,184 2,424,991 2,141,222 2,695,953Total $ 6,869,938 $ 8,174,507 $ 6,922,643 $ 8,121,802

26. INTERCOMPANY POOLING ARRNAGEMENTS

N/A

27. STRUCTURED SETTLEMENTS

N/A

28. HEALTH CARE RECEIVABLES

N/A

29. PARTICIPATING POLICIES

N/A

30. PREMIUM DEFICIENCY RESERVES

N/A

31. HIGH DEDUCTIBLES

N/A

32. DISCOUNTING OF LIABILITIES FOR UNPAID LOSSES OR UNPAID LOSSADJUSTMENT EXPENSES

N/A

33. ASBESTOS AND ENVIRONMENTAL RESERVES

N/A

34. SUBSCRIBER SAVINGS ACCOUNTS

N/A

14.7



35. MULTIPLE PERIL CROP INSURANCE

N/A

36. FINANCIAL GUARANTY INSURANCE

N/A

14.8


GENERAL INTERROGATORIESPART 1 - COMMON INTERROGATORIES

GENERAL1.1 Is the reporting entity a member of an Insurance Holding Company System consisting of two or more affiliated persons, one or more of

which is an insurer? Yes [ X ] No [ ]

If yes, complete Schedule Y, Parts 1, 1A and 2.

1.2 If yes, did the reporting entity register and file with its domiciliary State Insurance Commissioner, Director or Superintendent or with suchregulatory official of the state of domicile of the principal insurer in the Holding Company System, a registration statement providingdisclosure substantially similar to the standards adopted by the National Association of Insurance Commissioners (NAIC) in its ModelInsurance Holding Company System Regulatory Act and model regulations pertaining thereto, or is the reporting entity subject tostandards and disclosure requirements substantially similar to those required by such Act and regulations? Yes [ X ] No [ ] N/A [ ]

1.3 State Regulating?

FL

2.1 Has any change been made during the year of this statement in the charter, by-laws, articles of incorporation, or deed of settlement of thereporting entity? Yes [ ] No [ X ]

2.2 If yes, date of change:

3.1 State as of what date the latest financial examination of the reporting entity was made or is being made. 12/31/2011

3.2 State the as of date that the latest financial examination report became available from either the state of domicile or the reporting entity. Thisdate should be the date of the examined balance sheet and not the date the report was completed or released. 12/31/2011

3.3 State as of what date the latest financial examination report became available to other states or the public from either the state of domicile orthe reporting entity. This is the release date or completion date of the examination report and not the date of the examination (balance sheetdate). 10/16/2012

3.4 By what department or departments? FLOIR

3.5 Have all financial statement adjustments within the latest financial examination report been accounted for in a subsequent financialstatement filed with Departments? Yes [ X ] No [ ] N/A [ ]

3.6 Have all of the recommendations within the latest financial examination report been complied with? Yes [ X ] No [ ] N/A [ ]

4.1 During the period covered by this statement, did any agent, broker, sales representative, non-affiliated sales/service organization or anycombination thereof under common control (other than salaried employees of the reporting entity) receive credit or commissions for orcontrol a substantial part (more than 20 percent of any major line of business measured on directpremiums) of: 4.11 sales of new business? Yes [ ] No [ X ]

4.12 renewals? Yes [ ] No [ X ]

4.2 During the period covered by this statement, did any sales/service organization owned in whole or in part by the reporting entity or anaffiliate, receive credit or commissions for or control a substantial part (more than 20 percent of any major line of business measured ondirect premiums) of:

4.21 sales of new business? Yes [ ] No [ X ]

4.22 renewals? Yes [ ] No [ X ]

5.1 Has the reporting entity been a party to a merger or consolidation during the period covered by this statement? Yes [ ] No [ X ]

5.2 If yes, provide the name of the entity, NAIC company code, and state of domicile (use two letter state abbreviation) for any entity that hasceased to exist as a result of the merger or consolidation.

1Name of Entity

2NAIC Company Code

3State of Domicile

6.1 Has the reporting entity had any Certificates of Authority, licenses or registrations (including corporate registration, if applicable) suspendedor revoked by any governmental entity during the reporting period? Yes [ ] No [ X ]

6.2 If yes, give full information

7.1 Does any foreign (non-United States) person or entity directly or indirectly control 10% or more of the reporting entity? Yes [ ] No [ X ]

7.2 If yes,

7.21 State the percentage of foreign control 0.0

7.22 State the nationality(s) of the foreign person(s) or entity(s); or if the entity is a mutual or reciprocal, the nationality of itsmanager or attorney-in-fact and identify the type of entity(s) (e.g., individual, corporation, government, manager or attorney-in-fact).

1Nationality

2Type of Entity

15


GENERAL INTERROGATORIES

8.1 Is the company a subsidiary of a bank holding company regulated by the Federal Reserve Board? Yes [ ] No [ X ]

8.2 If response to 8.1 is yes, please identify the name of the bank holding company.

8.3 Is the company affiliated with one or more banks, thrifts or securities firms? Yes [ ] No [ X ]8.4 If response to 8.3 is yes, please provide the names and locations (city and state of the main office) of any affiliates regulated by a federal

financial regulatory services agency [i.e. the Federal Reserve Board (FRB), the Office of the Comptroller of the Currency (OCC), theFederal Deposit Insurance Corporation (FDIC) and the Securities Exchange Commission (SEC)] and identify the affiliate’s primary federalregulator.

1

Affiliate Name

2Location

(City, State)

3

FRB

4

OCC

5

FDIC

6

SEC

9. What is the name and address of the independent certified public accountant or accounting firm retained to conduct the annual audit?

Berkower LLC, 517 Route One, Iselin, NJ 08830

10.1 Has the insurer been granted any exemptions to the prohibited non-audit services provided by the certified independent public accountantrequirements as allowed in Section 7H of the Annual Financial Reporting Model Regulation (Model Audit Rule), or substantially similar statelaw or regulation? Yes [ ] No [ X ]

10.2 If the response to 10.1 is yes, provide information related to this exemption:

10.3 Has the insurer been granted any exemptions related to the other requirements of the Annual Financial Reporting Model Regulation asallowed for in Section 18A of the Model Regulation, or substantially similar state law or regulation? Yes [ ] No [ X ]

10.4 If the response to 10.3 is yes, provide information related to this exemption:

10.5 Has the reporting entity established an Audit Committee in compliance with the domiciliary state insurance laws? Yes [ X ] No [ ] N/A [ ]

10.6 If the response to 10.5 is no or n/a, please explain

11. What is the name, address and affiliation (officer/employee of the reporting entity or actuary/consultant associated with an actuarialconsulting firm) of the individual providing the statement of actuarial opinion/certification?

12.1 Does the reporting entity own any securities of a real estate holding company or otherwise hold real estate indirectly? Yes [ ] No [ X ]

12.11 Name of real estate holding company

12.12 Number of parcels involved 0

12.13 Total book/adjusted carrying value $

12.2 If yes, provide explanation

13. FOR UNITED STATES BRANCHES OF ALIEN REPORTING ENTITIES ONLY:

13.1 What changes have been made during the year in the United States manager or the United States trustees of the reporting entity?

13.2 Does this statement contain all business transacted for the reporting entity through its United States Branch on risks wherever located? Yes [ ] No [ ]

13.3 Have there been any changes made to any of the trust indentures during the year? Yes [ ] No [ ]

13.4 If answer to (13.3) is yes, has the domiciliary or entry state approved the changes? Yes [ ] No [ ] N/A [ ]

14.1 Are the senior officers (principal executive officer, principal financial officer, principal accounting officer or controller, or persons performingsimilar functions) of the reporting entity subject to a code of ethics, which includes the following standards? Yes [ X ] No [ ]

a. Honest and ethical conduct, including the ethical handling of actual or apparent conflicts of interest between personal and professionalrelationships;

b. Full, fair, accurate, timely and understandable disclosure in the periodic reports required to be filed by the reporting entity;

c. Compliance with applicable governmental laws, rules and regulations;

d. The prompt internal reporting of violations to an appropriate person or persons identified in the code; and

e. Accountability for adherence to the code.

14.11 If the response to 14.1 is no, please explain:

14.2 Has the code of ethics for senior managers been amended? Yes [ ] No [ X ]

14.21 If the response to 14.2 is yes, provide information related to amendment(s)

14.3 Have any provisions of the code of ethics been waived for any of the specified officers? Yes [ ] No [ X ]

14.31 If the response to 14.3 is yes, provide the nature of any waiver(s).

15.1



15.1 Is the reporting entity the beneficiary of a Letter of Credit that is unrelated to reinsurance where the issuing or confirming bank is not on theSVO Bank List? Yes [ ] No [ X ]

15.2 If the response to 15.1 is yes, indicate the American Bankers Association (ABA) Routing Number and the name of the issuing or confirmingbank of the Letter of Credit and describe the circumstances in which the Letter of Credit is triggered.

1

AmericanBankers

Association(ABA) Routing

Number

2

Issuing or ConfirmingBank Name

3

Circumstances That Can Trigger the Letter of Credit

4

Amount

BOARD OF DIRECTORS16. Is the purchase or sale of all investments of the reporting entity passed upon either by the board of directors or a subordinate committee

thereof? Yes [ X ] No [ ]

17. Does the reporting entity keep a complete permanent record of the proceedings of its board of directors and all subordinate committeesthereof? Yes [ X ] No [ ]

18. Has the reporting entity an established procedure for disclosure to its board of directors or trustees of any material interest or affiliation onthe part of any of its officers, directors, trustees or responsible employees that is in conflict or is likely to conflict with the official duties ofsuch person? Yes [ X ] No [ ]

FINANCIAL

19. Has this statement been prepared using a basis of accounting other than Statutory Accounting Principles (e.g., Generally AcceptedAccounting Principles)? Yes [ ] No [ X ]

20.1 Total amount loaned during the year (inclusive of Separate Accounts, exclusive of policy loans): 20.11 To directors or other officers $

20.12 To stockholders not officers $

20.13 Trustees, supreme or grand(Fraternal only) $

20.2 Total amount of loans outstanding at the end of year (inclusive of Separate Accounts, exclusive ofpolicy loans): 20.21 To directors or other officers $

20.22 To stockholders not officers $

20.23 Trustees, supreme or grand(Fraternal only) $

21.1 Were any assets reported in this statement subject to a contractual obligation to transfer to another party without the liability for suchobligation being reported in the statement? Yes [ ] No [ X ]

21.2 If yes, state the amount thereof at December 31 of the current year: 21.21 Rented from others $

21.22 Borrowed from others $

21.23 Leased from others $

21.24 Other $

22.1 Does this statement include payments for assessments as described in the Annual Statement Instructions other than guaranty fund orguaranty association assessments? Yes [ ] No [ X ]

22.2 If answer is yes: 22.21 Amount paid as losses or risk adjustment $

22.22 Amount paid as expenses $

22.23 Other amounts paid $

23.1 Does the reporting entity report any amounts due from parent, subsidiaries or affiliates on Page 2 of this statement? Yes [ ] No [ X ]

23.2 If yes, indicate any amounts receivable from parent included in the Page 2 amount: $

INVESTMENT

24.01 Were all the stocks, bonds and other securities owned December 31 of current year, over which the reporting entity has exclusive control, inthe actual possession of the reporting entity on said date? (other than securities lending programs addressed in 24.03) Yes [ X ] No [ ]

24.02 If no, give full and complete information, relating thereto

24.03 For security lending programs, provide a description of the program including value for collateral and amount of loaned securities, andwhether collateral is carried on or off-balance sheet. (an alternative is to reference Note 17 where this information is also provided)

24.04 Does the company’s security lending program meet the requirements for a conforming program as outlined in the Risk-Based CapitalInstructions? Yes [ ] No [ ] NA [ X ]

24.05 If answer to 24.04 is yes, report amount of collateral for conforming programs. $

24.06 If answer to 24.04 is no, report amount of collateral for other programs. $

24.07 Does your securities lending program require 102% (domestic securities) and 105% (foreign securities) from the counterparty at theoutset of the contract? Yes [ ] No [ ] NA [ X ]

24.08 Does the reporting entity non-admit when the collateral received from the counterparty falls below 100%? Yes [ ] No [ ] NA [ X ]

24.09 Does the reporting entity or the reporting entity’s securities lending agent utilize the Master Securities Lending Agreement (MSLA) toconduct securities lending? Yes [ ] No [ ] NA [ X ]

24.10 For the reporting entity’s security lending program, state the amount of the following as of December 31 of the current year:

24.101 Total fair value of reinvested collateral assets reported on Schedule DL, Parts 1 and 2 $

24.102 Total book adjusted/carrying value of reinvested collateral assets reported on Schedule DL, Parts 1 and 2 $

24.103 Total payable for securities lending reported on the liability page $

15.2



25.1 Were any of the stocks, bonds or other assets of the reporting entity owned at December 31 of the current year not exclusively under thecontrol of the reporting entity or has the reporting entity sold or transferred any assets subject to a put option contract that is currently in force?(Exclude securities subject to Interrogatory 21.1 and 24.03). Yes [ ] No [ X ]

25.2 If yes, state the amount thereof at December 31 of the current year:

25.21 Subject to repurchase agreements $

25.22 Subject to reverse repurchase agreements $

25.23 Subject to dollar repurchase agreements $

25.24 Subject to reverse dollar repurchase agreements $

25.25 Placed under option agreements $

25.26 Letter stock or securities restricted as to sale – excluding FHLB Capital Stock $

25.27 FHLB Capital Stock $

25.28 On deposit with states $

25.29 On deposit with other regulatory bodies $

25.30 Pledged as collateral – excluding collateral pledged to an FHLB $

25.31 Pledged as collateral to FHLB – including assets backing funding agreements $

25.32 Other $

25.3 For category (25.26) provide the following:

1Nature of Restriction

2Description

3Amount

26.1 Does the reporting entity have any hedging transactions reported on Schedule DB? Yes [ ] No [ X ]

26.2 If yes, has a comprehensive description of the hedging program been made available to the domiciliary state? Yes [ ] No [ ] N/A [ ]If no, attach a description with this statement.

27.1 Were any preferred stocks or bonds owned as of December 31 of the current year mandatorily convertible into equity, or, at the option ofthe issuer, convertible into equity? Yes [ ] No [ X ]

27.2 If yes, state the amount thereof at December 31 of the current year. $

28. Excluding items in Schedule E – Part 3 – Special Deposits, real estate, mortgage loans and investments held physically in the reportingentity’s offices, vaults or safety deposit boxes, were all stocks, bonds and other securities, owned throughout the current year heldpursuant to a custodial agreement with a qualified bank or trust company in accordance with Section 1, III – General ExaminationConsiderations, F. Outsourcing of Critical Functions, Custodial or Safekeeping agreements of the NAIC Financial Condition ExaminersHandbook? Yes [ X ] No [ ]

28.01 For agreements that comply with the requirements of the NAIC Financial Condition Examiners Handbook, complete the following:

1Name of Custodian(s)

2Custodian’s Address

The Bank of New York Trust Company, N.A. 10161 Centurion Parkway, Jacksonville, FL 32256

28.02 For all agreements that do not comply with the requirements of the NAIC Financial Condition Examiners Handbook, provide the name,location and a complete explanation:

1Name(s)

2Location(s)

3Complete Explanation(s)

28.03 Have there been any changes, including name changes, in the custodian(s) identified in 28.01 during the current year? Yes [ ] No [ X ]28.04 If yes, give full and complete information relating thereto:

1

Old Custodian

2

New Custodian

3Date ofChange

4

Reason

15.3



28.05 Investment management – Identify all investment advisors, investment managers, broker/dealers, including individuals that have theauthority to make investment decisions on behalf of the reporting entity. For assets that are managed internally by employees of thereporting entity, note as such. [“…that have access to the investment accounts”; “…handle securities”]

1Name of Firm or Individual

2Affiliation

Adhia Investment Advisors, Inc. A

28.0597For those firms/individuals listed in the table for Question 28.05, do any firms/individuals unaffiliated with the reporting entity(i.e., designated with a “U”) manage more than 10% of the reporting entity’s assets? Yes [ ] No [ ]

28.0598For firms/individuals unaffiliated with the reporting entity (i.e., designated with a “U”) listed in the table for Question 28.05,does the total assets under management aggregate to more than 50% of the reporting entity’s assets? Yes [ ] No [ ]

28.06 For those firms or individuals listed in the table for 28.05 with an affiliation code of “A” (affiliated) or “U” (unaffiliated), provide the information for the table below.

1Central RegistrationDepository Number

2Name of Firm or

Individual

3Legal Entity

Identifier (LEI)

4

Registered With

5Investment ManagementAgreement (IMA) Filed

CRD #111607Adhia Investment Advisors,Inc.

Securities ExchangeCommission DS

1CUSIP #

2Name of Mutual Fund

3Book/Adjusted Carrying Value

29.2999 TOTAL 0

29.3 For each mutual fund listed in the table above, complete the following schedule:

1

Name of Mutual Fund(from above table)

2

Name of Significant Holdingof the Mutual Fund

3Amount of Mutual Fund’s

Book/Adjusted Carrying ValueAttributable to the Holding

4

Date of Valuation

30. Provide the following information for all short-term and long-term bonds and all preferred stocks. Do not substitute amortized value orstatement value for fair value.

1

Statement (Admitted)Value

2

Fair Value

3Excess of Statementover Fair Value (-),

or Fair Valueover Statement (+)

30.1 Bonds 37,815,197 38,010,838 195,641

30.2 Preferred Stocks 0 0

30.3 Totals 37,815,197 38,010,838 195,641

30.4 Describe the sources or methods utilized in determining the fair values:

31.1 Was the rate used to calculate fair value determined by a broker or custodian for any of the securities in Schedule D? Yes [ X ] No [ ]

31.2 If the answer to 31.1 is yes, does the reporting entity have a copy of the broker’s or custodian’s pricing policy (hard copy or electronic copy)for all brokers or custodians used as a pricing source? Yes [ X ] No [ ]

31.3 If the answer to 31.2 is no, describe the reporting entity’s process for determining a reliable pricing source for purposes of disclosure of fairvalue for Schedule D:

32.1 Have all the filing requirements of the Purposes and Procedures Manual of the NAIC Investment Analysis Office been followed? Yes [ X ] No [ ]

32.2 If no, list exceptions:

29.1 Does the reporting entity have any diversified mutual funds reported in Schedule D - Part 2 (diversified according to the Securities andExchange Commission (SEC) in the Investment Company Act of 1940 [Section 5 (b) (1)])? Yes [ ] No [ X ]

29.2 If yes, complete the following schedule:

15.4



OTHER33.1 Amount of payments to trade associations, service organizations and statistical or rating bureaus, if any? $ 57,500

33.2 List the name of the organization and the amount paid if any such payment represented 25% or more of the total payments to tradeassociations, service organizations and statistical or rating bureaus during the period covered by this statement.

1Name

2Amount Paid

Demotech, Inc. $ 57,500

34.1 Amount of payments for legal expenses, if any? $ 1,258,495

34.2 List the name of the firm and the amount paid if any such payment represented 25% or more of the total payments for legal expenses duringthe period covered by this statement.

1Name

2Amount Paid

BUTLER WEIHMULLER KATZ CRAIG LLP $ 617,731

Rudd & Diamond P.A. $ 592,131

35.1 Amount of payments for expenditures in connection with matters before legislative bodies, officers or departments of government,

if any? $ 0

35.2 List the name of the firm and the amount paid if any such payment represented 25% or more of the total payment expenditures in connectionwith matters before legislative bodies, officers or departments of government during the period covered by this statement.

1Name

2Amount Paid

$

$

$

15.5


GENERAL INTERROGATORIESPART 2 - PROPERTY & CASUALTY INTERROGATORIES

1.1 Does the reporting entity have any direct Medicare Supplement Insurance in force? Yes [ ] No [ X ]

1.2 If yes, indicate premium earned on U. S. business only. $ 0

1.3 What portion of Item (1.2) is not reported on the Medicare Supplement Insurance Experience Exhibit? $

1.31 Reason for excluding

1.4 Indicate amount of earned premium attributable to Canadian and/or Other Alien not included in Item (1.2) above. $

1.5 Indicate total incurred claims on all Medicare Supplement insurance. $ 0

1.6 Individual policies:

Most current three years:

1.61 Total premium earned $ 0

1.62 Total incurred claims $ 0

1.63 Number of covered lives 0

All years prior to most current three years:




1.7 Group policies:

Most current three years:




All years prior to most current three years:




2. Health Test:

1Current Year

2Prior Year

2.1 Premium Numerator $ 0 $ 0

2.2 Premium Denominator $ 18,392,304 $ 21,194,860

2.3 Premium Ratio (2.1/2.2) 0.000 0.000

2.4 Reserve Numerator $ 0 $ 0

2.5 Reserve Denominator $ 21,265,421 $ 18,502,561

2.6 Reserve Ratio (2.4/2.5) 0.000 0.000

3.1 Does the reporting entity issue both participating and non-participating policies? Yes [ ] No [ X ]

3.2 If yes, state the amount of calendar year premiums written on:

3.21 Participating policies $

3.22 Non-participating policies $

4. For Mutual reporting entities and Reciprocal Exchanges only:

4.1 Does the reporting entity issue assessable policies? Yes [ ] No [ ]

4.2 Does the reporting entity issue non-assessable policies? Yes [ ] No [ ]

4.3 If assessable policies are issued, what is the extent of the contingent liability of the policyholders? %

4.4 Total amount of assessments paid or ordered to be paid during the year on deposit notes or contingent premiums. $

5. For Reciprocal Exchanges Only:

5.1 Does the exchange appoint local agents? Yes [ ] No [ ]

5.2 If yes, is the commission paid:

5.21 Out of Attorney's-in-fact compensation Yes [ ] No [ ] N/A [ ]

5.22 As a direct expense of the exchange Yes [ ] No [ ] N/A [ ]

5.3 What expenses of the Exchange are not paid out of the compensation of the Attorney-in-fact?

5.4 Has any Attorney-in-fact compensation, contingent on fulfillment of certain conditions, been deferred? Yes [ ] No [ ]


16



6.1 What provision has this reporting entity made to protect itself from an excessive loss in the event of a catastrophe under a workers’compensation contract issued without limit of loss:

N/A

6.2 Describe the method used to estimate this reporting entity’s probable maximum insurance loss, and identify the type of insured exposurescomprising that probable maximum loss, the locations of concentrations of those exposures and the external resources (such as consultingfirms or computer software models), if any, used in the estimation process:

The Company's PML modeling is generated using AIR Touchstone 3 for the 2016/2017 reinsurance contract year.

6.3 What provision has this reporting entity made (such as a catastrophic reinsurance program) to protect itself from an excessive loss arisingfrom the types and concentrations of insured exposures comprising its probable maximum property insurance loss?

Participation in the Florida Hurricane Catastrophe Fund as well as private reinsurance for risks not covered under theFHCF.

6.4 Does the reporting entity carry catastrophe reinsurance protection for at least one reinstatement, in an amount sufficient to cover itsestimated probable maximum loss attributable to a single loss event or occurrence? Yes [ X ] No [ ]

6.5 If no, describe any arrangements or mechanisms employed by the reporting entity to supplement its catastrophe reinsurance program or tohedge its exposure to unreinsured catastrophic loss

7.1 Has the reporting entity reinsured any risk with any other entity under a quota share reinsurance contract that includes a provision thatwould limit the reinsurer's losses below the stated quota share percentage (e.g., a deductible, a loss ratio corridor, a loss cap, anaggregate limit or any similar provisions)? Yes [ ] No [ X ]

7.2 If yes, indicate the number of reinsurance contracts containing such provisions.7.3 If yes, does the amount of reinsurance credit taken reflect the reduction in quota share coverage caused by any applicable limiting

provision(s)? Yes [ ] No [ ]8.1 Has this reporting entity reinsured any risk with any other entity and agreed to release such entity from liability, in whole or in part, from any

loss that may occur on this risk, or portion thereof, reinsured? Yes [ ] No [ X ]8.2 If yes, give full information

9.1 Has the reporting entity ceded any risk under any reinsurance contract (or under multiple contracts with the same reinsurer or its affiliates)for which during the period covered by the statement: (i) it recorded a positive or negative underwriting result greater than 5% of prior year-end surplus as regards policyholders or it reported calendar year written premium ceded or year-end loss and loss expense reservesceded greater than 5% of prior year-end surplus as regards policyholders; (ii) it accounted for that contract as reinsurance and not as adeposit; and (iii) the contract(s) contain one or more of the following features or other features that would have similar results:

(a) A contract term longer than two years and the contract is noncancellable by the reporting entity during the contract term;

(b) A limited or conditional cancellation provision under which cancellation triggers an obligation by the reporting entity, or an affiliate ofthe reporting entity, to enter into a new reinsurance contract with the reinsurer, or an affiliate of the reinsurer;

(c) Aggregate stop loss reinsurance coverage;

(d) A unilateral right by either party (or both parties) to commute the reinsurance contract, whether conditional or not, except for suchprovisions which are only triggered by a decline in the credit status of the other party;

(e) A provision permitting reporting of losses, or payment of losses, less frequently than on a quarterly basis (unless there is no activityduring the period); or

(f) Payment schedule, accumulating retentions from multiple years or any features inherently designed to delay timing of thereimbursement to the ceding entity. Yes [ ] No [ X ]

9.2 Has the reporting entity during the period covered by the statement ceded any risk under any reinsurance contract (or under multiplecontracts with the same reinsurer or its affiliates), for which, during the period covered by the statement, it recorded a positive or negativeunderwriting result greater than 5% of prior year-end surplus as regards policyholders or it reported calendar year written premium cededor year-end loss and loss expense reserves ceded greater than 5% of prior year-end surplus as regards policyholders; excluding cessionsto approved pooling arrangements or to captive insurance companies that are directly or indirectly controlling, controlled by, or undercommon control with (i) one or more unaffiliated policyholders of the reporting entity, or (ii) an association of which one or more unaffiliatedpolicyholders of the reporting entity is a member where:

(a) The written premium ceded to the reinsurer by the reporting entity or its affiliates represents fifty percent (50%) or more of the entiredirect and assumed premium written by the reinsurer based on its most recently available financial statement; or

(b) Twenty–five percent (25%) or more of the written premium ceded to the reinsurer has been retroceded back to the reporting entity orits affiliates in a separate reinsurance contract. Yes [ ] No [ X ]

9.3 If yes to 9.1 or 9.2, please provide the following information in the Reinsurance Summary Supplemental Filing for General Interrogatory 9:

(a) The aggregate financial statement impact gross of all such ceded reinsurance contracts on the balance sheet and statement ofincome;

(b) A summary of the reinsurance contract terms and indicate whether it applies to the contracts meeting the criteria in 9.1 or 9.2; and

(c) A brief discussion of management's principle objectives in entering into the reinsurance contract including the economic purpose tobe achieved.

9.4 Except for transactions meeting the requirements of paragraph 31 of SSAP No. 62R - Property and Casualty Reinsurance, has thereporting entity ceded any risk under any reinsurance contract (or multiple contracts with the same reinsurer or its affiliates) during theperiod covered by the financial statement, and either:

(a) Accounted for that contract as reinsurance (either prospective or retroactive) under statutory accounting principles (“SAP”) and as adeposit under generally accepted accounting principles (“GAAP”); or

(b) Accounted for that contract as reinsurance under GAAP and as a deposit under SAP? Yes [ ] No [ X ]9.5 If yes to 9.4, explain in the Reinsurance Summary Supplemental Filing for General Interrogatory 9 (Section D) why the contract(s) is

treated differently for GAAP and SAP.9.6 The reporting entity is exempt from the Reinsurance Attestation Supplement under one or more of the following criteria:

(a) The entity does not utilize reinsurance; or, Yes [ ] No [ X ](b) The entity only engages in a 100% quota share contract with an affiliate and the affiliated or lead company has filed an attestationsupplement; or Yes [ ] No [ X ](c) The entity has no external cessions and only participates in an intercompany pool and the affiliated or lead company has filed anattestation supplement. Yes [ ] No [ X ]

10. If the reporting entity has assumed risks from another entity, there should be charged on account of such reinsurances a reserve equal tothat which the original entity would have been required to charge had it retained the risks. Has this been done? Yes [ ] No [ ] N/A [X]

16.1



11.1 Has the reporting entity guaranteed policies issued by any other entity and now in force: Yes [ ] No [ X ]11.2 If yes, give full information

12.1 If the reporting entity recorded accrued retrospective premiums on insurance contracts on Line 15.3 of the asset schedule, Page 2, statethe amount of corresponding liabilities recorded for:

12.11 Unpaid losses $12.12 Unpaid underwriting expenses (including loss adjustment expenses) $

12.2 Of the amount on Line 15.3, Page 2, state the amount that is secured by letters of credit, collateral and other funds? $12.3 If the reporting entity underwrites commercial insurance risks, such as workers’ compensation, are premium notes or promissory notes

accepted from its insureds covering unpaid premiums and/or unpaid losses? Yes [ ] No [ ] N/A [X]12.4 If yes, provide the range of interest rates charged under such notes during the period covered by this statement:

12.41 From %12.42 To %

12.5 Are letters of credit or collateral and other funds received from insureds being utilized by the reporting entity to secure premium notes orpromissory notes taken by a reporting entity, or to secure any of the reporting entity’s reported direct unpaid loss reserves, including unpaidlosses under loss deductible features of commercial policies? Yes [ ] No [ X ]

12.6 If yes, state the amount thereof at December 31 of current year:12.61 Letters of Credit $12.62 Collateral and other funds $

13.1 Largest net aggregate amount insured in any one risk (excluding workers’ compensation): $ 1,000,00013.2 Does any reinsurance contract considered in the calculation of this amount include an aggregate limit of recovery without also including a

reinstatement provision? Yes [ X ] No [ ]13.3 State the number of reinsurance contracts (excluding individual facultative risk certificates, but including facultative programs, automatic

facilities or facultative obligatory contracts) considered in the calculation of the amount. 2

14.1Is the reporting entity a cedant in a multiple cedant reinsurance contract? Yes [ ] No [ X ]

14.2 If yes, please describe the method of allocating and recording reinsurance among the cedants:

14.3 If the answer to 14.1 is yes, are the methods described in item 14.2 entirely contained in the respective multiple cedant reinsurancecontracts? Yes [ ] No [ ]

14.4If the answer to 14.3 is no, are all the methods described in 14.2 entirely contained in written agreements? Yes [ ] No [ ]

14.5 If the answer to 14.4 is no, please explain:

15.1Has the reporting entity guaranteed any financed premium accounts? Yes [ ] No [ X ]


16.1 Does the reporting entity write any warranty business? Yes [ ] No [ X ]

If yes, disclose the following information for each of the following types of warranty coverage:

1Direct Losses

Incurred

2Direct Losses

Unpaid

3Direct Written

Premium

4Direct Premium

Unearned

5Direct Premium

Earned

16.11 Home $ $ $ $ $

16.12 Products $ $ $ $ $

16.13 Automobile $ $ $ $ $

16.14 Other* $ $ $ $ $

* Disclose type of coverage:

16.2



17.1 Does the reporting entity include amounts recoverable on unauthorized reinsurance in Schedule F – Part 3 that it excludes from Schedule F– Part 5. Yes [ ] No [ X ]

Incurred but not reported losses on contracts in force prior to July 1, 1984, and not subsequently renewed are exempt from inclusion inSchedule F – Part 5. Provide the following information for this exemption:

17.11Gross amount of unauthorized reinsurance in Schedule F – Part 3excluded from Schedule F – Part 5 $

17.12 Unfunded portion of Interrogatory 17.11 $

17.13 Paid losses and loss adjustment expenses portion of Interrogatory 17.11 $

17.14 Case reserves portion of Interrogatory 17.11 $

17.15 Incurred but not reported portion of Interrogatory 17.11 $

17.16 Unearned premium portion of Interrogatory 17.11 $

17.17 Contingent commission portion of Interrogatory 17.11 $

Provide the following information for all other amounts included in Schedule F – Part 3 and excluded from Schedule F – Part 5, not includedabove.

17.18Gross amount of unauthorized reinsurance in Schedule F – Part 3excluded from Schedule F – Part 5 $

17.19 Unfunded portion of Interrogatory 17.18 $

17.20 Paid losses and loss adjustment expenses portion of Interrogatory 17.18 $

17.21 Case reserves portion of Interrogatory 17.18 $

17.22 Incurred but not reported portion of Interrogatory 17.18 $

17.23 Unearned premium portion of Interrogatory 17.18 $

17.24 Contingent commission portion of Interrogatory 17.18 $

18.1 Do you act as a custodian for health savings accounts? Yes [ ] No [ X ]

18.2 If yes, please provide the amount of custodial funds held as of the reporting date. $

18.3 Do you act as an administrator for health savings accounts? Yes [ ] No [ X ]

18.4 If yes, please provide the balance of the funds administered as of the reporting date. $

16.3


FIVE-YEAR HISTORICAL DATAShow amounts in whole dollars only, no cents; show percentages to one decimal place, i.e., 17.6.

12016

22015

32014

42013

52012

Gross Premiums Written (Page 8, Part 1B, Cols. 1, 2 & 3)

1. Liability lines (Lines 11.1, 11.2, 16, 17.1, 17.2, 17.3,18.1, 18.2, 19.1, 19.2 & 19.3, 19.4) 0 0 0 0 0

2. Property lines (Lines 1, 2, 9, 12, 21 & 26) 0 0 0 0 03. Property and liability combined lines (Lines 3, 4, 5,

8, 22 & 27) 32,514,068 30,084,723 24,216,332 13,349,562 11,081,4154. All other lines (Lines 6, 10, 13, 14, 15, 23, 24, 28,

29, 30 & 34) 0 0 0 0 05. Nonproportional reinsurance lines (Lines 31, 32 &

33) 0 0 0 0 06. Total (Line 35) 32,514,068 30,084,723 24,216,332 13,349,562 11,081,415

Net Premiums Written (Page 8, Part 1B, Col. 6)


8. Property lines (Lines 1, 2, 9, 12, 21 & 26) 0 0 0 0 09. Property and liability combined lines

(Lines 3, 4, 5, 8, 22 & 27) 19,903,300 21,544,954 19,889,818 9,059,964 6,971,24310. All other lines

(Lines 6, 10, 13, 14, 15, 23, 24, 28, 29, 30 & 34) 0 0 0 0 011. Nonproportional reinsurance lines

(Lines 31, 32 & 33) 0 0 0 0 012. Total (Line 35) 19,903,300 21,544,954 19,889,818 9,059,964 6,971,243

Statement of Income (Page 4)

13. Net underwriting gain (loss) (Line 8) 315,552 4,370,132 2,334,581 1,301,503 (812,601)14. Net investment gain (loss) (Line 11) 636,271 511,554 288,876 1,560,727 711,42415. Total other income (Line 15) 32,445 23,370 13,728 9,819 6,03816. Dividends to policyholders (Line 17) 0 0 0 0 017. Federal and foreign income taxes incurred

(Line 19) 264,115 1,579,032 1,374,617 830,123 (107,024)18. Net income (Line 20) 720,153 3,326,024 1,262,568 2,041,926 11,885

Balance Sheet Lines (Pages 2 and 3)

19. Total admitted assets excluding protected cellbusiness (Page 2, Line 26, Col. 3) 49,605,350 44,160,761 35,547,446 21,418,784 18,811,711

20. Premiums and considerations (Page 2, Col. 3)

20.1 In course of collection (Line 15.1) 3,726,015 1,423,633 1,083,215 535,181 356,15520.2 Deferred and not yet due (Line 15.2) 0 0 0 0 020.3 Accrued retrospective premiums (Line 15.3) 0 0 0 0 0

21. Total liabilities excluding protected cellbusiness (Page 3, Line 26) 25,221,004 20,384,941 18,155,882 6,216,219 5,877,066

22. Losses (Page 3, Line 1) 5,425,849 4,457,754 2,384,704 1,253,438 1,829,82023. Loss adjustment expenses (Page 3, Line 3) 2,695,953 2,412,184 1,257,544 566,983 652,92624. Unearned premiums (Page 3, Line 9) 13,143,619 11,632,623 11,282,529 3,727,673 2,960,07925. Capital paid up (Page 3, Lines 30 & 31) 1,000 1,000 1,000 1,000 1,00026. Surplus as regards policyholders (Page 3, Line 37) 24,384,346 23,775,820 17,391,564 15,202,565 12,934,645

Cash Flow (Page 5)

27. Net cash from operations (Line 11) 2,264,585 6,091,707 11,019,373 836,092 (545,996)Risk-Based Capital Analysis

28. Total adjusted capital 24,384,346 23,775,820 17,391,564 15,202,565 12,934,64529. Authorized control level risk-based capital 3,933,653 4,017,227 2,139,201 1,603,541 1,501,787

Percentage Distribution of Cash, Cash Equivalents

and Invested Assets

(Page 2, Col. 3)(Item divided by Page 2, Line 12,Col. 3) x 100.0

30. Bonds (Line 1) 83.4 80.5 65.9 74.2 76.431. Stocks (Lines 2.1 & 2.2) 6.5 4.9 5.3 5.7 5.232. Mortgage loans on real estate (Lines 3.1 and 3.2) 0.0 0.0 0.0 0.0 0.033. Real estate (Lines 4.1, 4.2 & 4.3) 0.0 0.0 0.0 0.0 0.034. Cash, cash equivalents and short-term investments

(Line 5) 10.1 14.7 28.9 20.0 18.535. Contract loans (Line 6) 0.0 0.0 0.0 0.0 0.036. Derivatives (Line 7) 0.0 0.0 0.0 0.0 0.037. Other invested assets (Line 8) 0.0 0.0 0.0 0.0 0.038. Receivables for securities (Line 9) 0.0 0.0 0.0 0.0 0.039. Securities lending reinvested collateral assets (Line

10) 0.0 0.0 0.0 0.0 0.040. Aggregate write-ins for invested assets (Line 11) 0.0 0.0 0.0 0.0 0.041. Cash, cash equivalents and invested assets (Line

12) 100.0 100.0 100.0 100.0 100.0

Investments in Parent, Subsidiaries and Affiliates

42. Affiliated bonds, (Sch. D, Summary, Line 12, Col. 1) 0 0 0 0 043. Affiliated preferred stocks

(Sch. D, Summary, Line 18, Col. 1) 0 0 0 0 044. Affiliated common stocks

(Sch. D, Summary, Line 24, Col. 1) 0 0 0 0 045. Affiliated short-term investments (subtotals included

in Schedule DA Verification, Col. 5, Line 10) 0 0 0 0 046. Affiliated mortgage loans on real estate 0 0 0 047. All other affiliated 0 0 0 0 048. Total of above Lines 42 to 47 0 0 0 0 049. Total Investment in parent included in Lines 42 to 47

above 0 0 0 050. Percentage of investments in parent, subsidiaries

and affiliates to surplus as regards policyholders(Line 48 above divided by Page 3, Col. 1, Line 37 x100.0) 0.0 0.0 0.0 0.0 0.0

17


FIVE-YEAR HISTORICAL DATA(Continued)

12016

22015

32014

42013

52012

Capital and Surplus Accounts (Page 4)

51. Net unrealized capital gains (losses) (Line 24) 210,895 (140,946) 230,948 249,994 90,315

52. Dividends to stockholders (Line 35) 0 0 0 0 (500,000)

53. Change in surplus as regards policyholders for theyear (Line 38) 608,638 6,384,256 2,188,999 2,267,920 (554,584)

Gross Losses Paid (Page 9, Part 2, Cols. 1 & 2)


55. Property lines (Lines 1, 2, 9, 12, 21 & 26) 0 0 0 0 0

56. Property and liability combined lines(Lines 3, 4, 5, 8, 22 & 27) 5,070,183 2,869,749 2,351,657 2,249,820 1,730,510

57. All other lines(Lines 6, 10, 13, 14, 15, 23, 24, 28, 29, 30 & 34) 0 0 0 0 0

58. Nonproportional reinsurance lines(Lines 31, 32 & 33) 0 0 0 0 0

59. Total (Line 35) 5,070,183 2,869,749 2,351,657 2,249,820 1,730,510

Net Losses Paid (Page 9, Part 2, Col. 4)


61. Property lines (Lines 1, 2, 9, 12, 21 & 26) 0 0 0 0 0

62. Property and liability combined lines(Lines 3, 4, 5, 8, 22 & 27) 4,781,421 2,713,920 1,486,973 2,249,820 1,730,510

63. All other lines(Lines 6, 10, 13, 14, 15, 23, 24, 28, 29, 30 & 34) 0 0 0 0 0

64. Nonproportional reinsurance lines(Lines 31, 32 & 33) 0 0 0 0 0

65. Total (Line 35) 4,781,421 2,713,920 1,486,973 2,249,820 1,730,510

Operating Percentages (Page 4)(Item divided by Page 4, Line 1) x 100.0

66. Premiums earned (Line 1) 100.0 100.0 100.0 100.0 100.0

67. Losses incurred (Line 2) 31.3 22.6 21.2 20.2 24.0

68. Loss expenses incurred (Line 3) 13.2 12.3 10.8 13.5 34.6

69. Other underwriting expenses incurred (Line 4) 53.0 43.8 48.2 49.9 51.9

70. Net underwriting gain (loss) (Line 8) 1.7 20.6 18.9 15.7 (11.4)

Other Percentages

71. Other underwriting expenses to net premiumswritten (Page 4, Lines 4 + 5 - 15 divided byPage 8, Part 1B, Col. 6, Line 35 x 100.0) 49.6 43.7 30.3 46.2 54.0

72. Losses and loss expenses incurred to premiumsearned (Page 4, Lines 2 + 3 divided byPage 4, Line 1 x 100.0) 44.4 34.9 32.1 33.7 58.6

73. Net premiums written to policyholders' surplus(Page 8, Part 1B, Col. 6, Line 35 divided by Page 3,Line 37, Col. 1 x 100.0) 81.6 90.6 114.4 59.6 53.9

One Year Loss Development (000 omitted)

74. Development in estimated losses and lossexpenses incurred prior to current year(Schedule P, Part 2-Summary, Line 12, Col. 11) 720 (50) 335 (137) 1,494

75. Percent of development of losses and lossexpenses incurred to policyholders' surplus of prioryear end (Line 74 above divided by Page 4,Line 21, Col. 1 x 100.0) 3.0 (0.3) 2.2 (1.1) 11.1

Two Year Loss Development (000 omitted)

76. Development in estimated losses and loss expensesincurred 2 years before the current year and prioryear (Schedule P, Part 2 - Summary, Line 12, Col.12) 543 285 (137) 1,252 2,746

77. Percent of development of losses and lossexpenses incurred to reported policyholders' surplusof second prior year end (Line 76 above divided byPage 4, Line 21, Col. 2 x 100.0) 3.1 1.9 (1.1) 9.3 20.9

NOTE: If a party to a merger, have the two most recent years of this exhibit been restated due to a merger in compliance with the disclosure requirementsof SSAP No. 3 - Accounting Changes and Correction of Errors? Yes [ ] No [ ]

If no, please explain

18

*13139201643010100*ANNUAL STATEMENT FOR THE YEAR 2016 OF THE Avatar Property & Casualty Insurance Company

EXHIBIT OF PREMIUMS AND LOSSES (Statutory Page 14)NAIC Group Code BUSINESS IN THE STATE OF Florida DURING THE YEAR 2016 NAIC Company Code 13139

Gross Premiums, Including Policy andMembership Fees, Less Return Premiums

and Premiums on Policies not Taken

3

Dividends Paid

4

Direct

5

Direct Losses

6 7 8Direct Defense and

Cost

9Direct Defense and

Cost

10Direct Defense and

Cost

11 12

Line of Business

1Direct Premiums

Written

2Direct Premiums

Earned

or Credited toPolicyholders onDirect Business

Unearned PremiumReserves

Paid(deducting salvage)

Direct LossesIncurred Direct Losses Unpaid

ContainmentExpense

Paid

ContainmentExpenseIncurred

ContainmentExpenseUnpaid

Commissionsand Brokerage

ExpensesTaxes,

Licenses and Fees

1. Fire 2.1 Allied lines 2.2 Multiple peril crop 2.3 Federal flood 2.4 Private crop 2.5 Private flood 3. Farmowners multiple peril 4. Homeowners multiple peril 26,522,535 26,776,472 4,910,810 5,169,496 5,225,849 1,346,570 1,471,829 2,266,727 2,371,669 483,4165.1 Commercial multiple peril (non-liability portion) 5,991,533 3,804,451 159,373 359,373 200,000 0 136,390 136,390 631,194 75,7005.2 Commercial multiple peril (liability portion) 6. Mortgage guaranty 8. Ocean marine 9. Inland marine

10. Financial guaranty 11. Medical professional liability 12. Earthquake 13. Group accident and health (b)14. Credit A & H (group and individual) 15.1 Collectively renewable A & H (b)15.2 Non-cancelable A & H (b)15.3 Guaranteed renewable A & H (b)15.4 Non-renewable for stated reasons only (b)15.5 Other accident only 15.6 Medicare Title XVIII exempt from state taxes or fees15.7 All other A & H (b)15.8 Federal Employees Health Benefits Plan premium (b)16. Workers' compensation 17.1 Other liability-Occurrence17.2 Other Liability-Claims-Made17.3 Excess workers’ compensation18. Products liability 19.1 Private passenger auto no-fault (personal injury protection) 19.2 Other private passenger auto liability 19.3 Commercial auto no-fault (personal injury protection) 19.4 Other commercial auto liability 21.1 Private passenger auto physical damage 21.2 Commercial auto physical damage 22. Aircraft (all perils) 23. Fidelity 24. Surety 26. Burglary and theft 27. Boiler and machinery 28. Credit 30. Warranty 34. Aggregate write-ins for other lines of business 0 0 0 0 0 0 0 0 0 0 0 035. TOTAL (a) 32,514,068 30,580,923 0 0 5,070,183 5,528,869 5,425,849 1,346,570 1,608,219 2,403,117 3,002,863 559,116


3401.3402.3403.3498. Summary of remaining write-ins for Line 34 from overflow page 0 0 0 0 0 0 0 0 0 0 0 03499. Totals (Lines 3401 through 3403 Plus 3498) (Line 34 above) 0 0 0 0 0 0 0 0 0 0 0 0

(a) Finance and service charges not included in Lines 1 to 35 $ 32,445 (b) For health business on indicated lines report: Number of persons insured under PPO managed care products 0 and number of persons insured under indemnity only products 0

19

.FL


EXHIBIT OF PREMIUMS AND LOSSES (Statutory Page 14)NAIC Group Code BUSINESS IN THE STATE OF Consolidated DURING THE YEAR 2016 NAIC Company Code 13139

Gross Premiums, Including Policy andMembership Fees, Less Return Premiums

and Premiums on Policies not Taken

3

Dividends Paid

4

Direct

5

Direct Losses

6 7 8Direct Defense and

Cost

9Direct Defense and

Cost

10Direct Defense and

Cost

11 12

Line of Business

1Direct Premiums

Written

2Direct Premiums

Earned

or Credited toPolicyholders onDirect Business

Unearned PremiumReserves

Paid(deducting salvage)

Direct LossesIncurred Direct Losses Unpaid

ContainmentExpense

Paid

ContainmentExpenseIncurred

ContainmentExpenseUnpaid

Commissionsand Brokerage

ExpensesTaxes,

Licenses and Fees

1. Fire 0 0 0 0 0 0 0 0 0 0 0 02.1 Allied lines 0 0 0 0 0 0 0 0 0 0 0 02.2 Multiple peril crop 0 0 0 0 0 0 0 0 0 0 0 02.3 Federal flood 0 0 0 0 0 0 0 0 0 0 0 02.4 Private crop 0 0 0 0 0 0 0 0 0 0 0 02.5 Private flood 0 0 0 0 0 0 0 0 0 0 0 03. Farmowners multiple peril 0 0 0 0 0 0 0 0 0 0 0 04. Homeowners multiple peril 26,522,535 26,776,472 0 0 4,910,810 5,169,496 5,225,849 1,346,570 1,471,829 2,266,727 2,371,669 483,4165.1 Commercial multiple peril (non-liability portion) 5,991,533 3,804,451 0 0 159,373 359,373 200,000 0 136,390 136,390 631,194 75,7005.2 Commercial multiple peril (liability portion) 0 0 0 0 0 0 0 0 0 0 0 06. Mortgage guaranty 0 0 0 0 0 0 0 0 0 0 0 08. Ocean marine 0 0 0 0 0 0 0 0 0 0 0 09. Inland marine 0 0 0 0 0 0 0 0 0 0 0 0

10. Financial guaranty 0 0 0 0 0 0 0 0 0 0 0 011. Medical professional liability 0 0 0 0 0 0 0 0 0 0 0 012. Earthquake 0 0 0 0 0 0 0 0 0 0 0 013. Group accident and health (b) 0 0 0 0 0 0 0 0 0 0 0 014. Credit A & H (group and individual) 0 0 0 0 0 0 0 0 0 0 0 015.1 Collectively renewable A & H (b) 0 0 0 0 0 0 0 0 0 0 0 015.2 Non-cancelable A & H (b) 0 0 0 0 0 0 0 0 0 0 0 015.3 Guaranteed renewable A & H (b) 0 0 0 0 0 0 0 0 0 0 0 015.4 Non-renewable for stated reasons only (b) 0 0 0 0 0 0 0 0 0 0 0 015.5 Other accident only 0 0 0 0 0 0 0 0 0 0 0 015.6 Medicare Title XVIII exempt from state taxes or fees 0 0 0 0 0 0 0 0 0 0 0 015.7 All other A & H (b) 0 0 0 0 0 0 0 0 0 0 0 015.8 Federal Employees Health Benefits Plan premium (b) 0 0 0 0 0 0 0 0 0 0 0 016. Workers' compensation 0 0 0 0 0 0 0 0 0 0 0 017.1 Other liability-Occurrence 0 0 0 0 0 0 0 0 0 0 0 017.2 Other Liability-Claims-Made 0 0 0 0 0 0 0 0 0 0 0 017.3 Excess workers’ compensation 0 0 0 0 0 0 0 0 0 0 0 018. Products liability 0 0 0 0 0 0 0 0 0 0 0 019.1 Private passenger auto no-fault (personal injury protection) 0 0 0 0 0 0 0 0 0 0 0 019.2 Other private passenger auto liability 0 0 0 0 0 0 0 0 0 0 0 019.3 Commercial auto no-fault (personal injury protection) 0 0 0 0 0 0 0 0 0 0 0 019.4 Other commercial auto liability 0 0 0 0 0 0 0 0 0 0 0 021.1 Private passenger auto physical damage 0 0 0 0 0 0 0 0 0 0 0 021.2 Commercial auto physical damage 0 0 0 0 0 0 0 0 0 0 0 022. Aircraft (all perils) 0 0 0 0 0 0 0 0 0 0 0 023. Fidelity 0 0 0 0 0 0 0 0 0 0 0 024. Surety 0 0 0 0 0 0 0 0 0 0 0 026. Burglary and theft 0 0 0 0 0 0 0 0 0 0 0 027. Boiler and machinery 0 0 0 0 0 0 0 0 0 0 0 028. Credit 0 0 0 0 0 0 0 0 0 0 0 030. Warranty 0 0 0 0 0 0 0 0 0 0 0 034. Aggregate write-ins for other lines of business 0 0 0 0 0 0 0 0 0 0 0 035. TOTAL (a) 32,514,068 30,580,923 0 0 5,070,183 5,528,869 5,425,849 1,346,570 1,608,219 2,403,117 3,002,863 559,116


3401.3402.3403.3498. Summary of remaining write-ins for Line 34 from overflow page 0 0 0 0 0 0 0 0 0 0 0 03499. Totals (Lines 3401 through 3403 Plus 3498) (Line 34 above) 0 0 0 0 0 0 0 0 0 0 0 0

(a) Finance and service charges not included in Lines 1 to 35 $ 32,445 (b) For health business on indicated lines report: Number of persons insured under PPO managed care products 0 and number of persons insured under indemnity only products 0

19

.GT


Schedule F - Part 1

NONE

Schedule F - Part 2

NONE

20, 21


SCHEDULE F - PART 3Ceded Reinsurance as of December 31, Current Year (000 Omitted)

1 2 3 4 5 6 Reinsurance Recoverable On Reinsurance Payable 18 19

IDNumber

NAICCompany

Code Name of ReinsurerDomiciliaryJurisdiction

SpecialCode

ReinsurancePremiums

Ceded

7

PaidLosses

8

PaidLAE

9

Known CaseLoss

Reserves

10

Known CaseLAE

Reserves

11

IBNR LossReserves

12

IBNR LAEReserves

13

UnearnedPremiums

14

ContingentCommis-

sions

15

Cols.7 through 14

Totals

16

CededBalancesPayable

17

OtherAmountsDue to

Reinsurers

Net AmountRecoverable

FromReinsurersCols. 15 -[16 + 17]

Funds HeldBy Company

UnderReinsurance

TreatiesAuthorized - Affiliates - U.S. Intercompany PoolingAuthorized - Affiliates - U.S. Non-Pool - CaptiveAuthorized - Affiliates - U.S. Non-Pool - OtherAuthorized - Affiliates - Other (Non-U.S.) - CaptiveAuthorized - Affiliates - Other (Non-U.S.) - OtherAuthorized - Other U.S. Unaffiliated Insurers13-2673100 22039 GENERAL REINS CORP DE 1 0 1 (1)06-1182357 22730 ALLIED WORLD INS CO NH 300 0 45 (45)39-1835307 10386 AMERICAN FAMILY INS CO WI 80 0 12 (12)22-2005057 26921 EVEREST REINS CO DE 757 0 109 (109)47-0698507 23680 ODYSSEY REINS CO CT 549 0 86 (86)06-1430254 10348 ARCH REINS CO DE 63 5 5 1 40999999 - Total Authorized - Other U.S. Unaffiliated Insurers 1,750 0 0 0 0 0 0 5 0 5 254 0 (249) 0

Authorized - Pools - Mandatory PoolsAuthorized - Pools - Voluntary PoolsAA-9991310 00000 FLORIDA HURRICANE CATASTROPHE FUND FL 4,777 1,990 1,990 1,9901199999 - Total Authorized - Pools - Voluntary Pools 4,777 0 0 0 0 0 0 1,990 0 1,990 0 0 1,990 0

Authorized - Other Non-U.S. InsurersAA-3191203 00000 Blue Water Re Ltd BMU 244 0 46 (46)AA-1120071 00000 Lloyd's Syndicate Number 2007 GBR 60 0 9 (9)AA-1126727 00000 LLOYD'S SYNDICATE NUMBER 727 GBR 140 0 22 (22)AA-1128791 00000 LLOYD'S SYNDICATE NUMBER 2791 GBR 468 0 72 (72)AA-1120157 00000 LLOYD'S SYNDICATE NUMBER 1729 GBR 95 0 15 (15)AA-1128001 00000 LLOYD'S SYNDICATE NUMBER 2001 GBR 39 0 6 (6)AA-1120163 00000 LLOYD'S SYNDICATE NUMBER 5678 GBR 147 0 23 (23)AA-1120158 00000 LLOYD'S SYNDICATE NUMBER 2014 GBR 218 0 33 (33)AA-1127414 00000 Lloyd's Syndicate Number 1414 GBR 197 0 30 (30)1299999 - Total Authorized - Other Non-U.S. Insurers 1,608 0 0 0 0 0 0 0 0 0 256 0 (256) 01399999 - Total Authorized - Total Authorized 8,135 0 0 0 0 0 0 1,995 0 1,995 510 0 1,485 0

Unauthorized - Affiliates - U.S. Intercompany PoolingUnauthorized - Affiliates - U.S. Non-Pool - Captive45-3721660 00000 Avatar Re, LLC DE 648 142 142 1421599999 - Total Unauthorized - Affiliates - U.S. Non-Pool - Captive 648 0 0 0 0 0 0 142 0 142 0 0 142 0

Unauthorized - Affiliates - U.S. Non--Pool - Other1799999 - Total Unauthorized - Affiliates - U.S. Non-Pool - Total 648 0 0 0 0 0 0 142 0 142 0 0 142 0

Unauthorized - Affiliates - Other (Non-U.S.) - CaptiveUnauthorized - Affiliates - Other (Non-U.S.) - Other2199999 - Total Unauthorized - Affiliates - Total Unauthorized - Affiliates 648 0 0 0 0 0 0 142 0 142 0 0 142 0

Unauthorized - Other U.S. Unaffiliated InsurersUnauthorized - Pools - Mandatory PoolsUnauthorized - Pools - Voluntary PoolsUnauthorized - Other non-U.S. InsurersAA-5340660 00000 NEW INDIA ASSUR CO LTD IND 68 0 2 (2)AA-5340310 00000 GEN INS CORP OF INDIA IND 1,283 0 186 (186)AA-1440060 00000 LANSFORSAKRINGSBOLAGENS AB SWE 59 0 9 (9)98-1150254 00000 Oxbridge Re, Ltd CYM 205 0 39 (39)2599999 - Total Unauthorized - Other Non-U.S. Insurers 1,615 0 0 0 0 0 0 0 0 0 236 0 (236) 02699999 - Total Unauthorized - Total Unauthorized 2,263 0 0 0 0 0 0 142 0 142 236 0 (94) 0

Certified - Affiliates - U.S. Intercompany PoolingCertified - Affiliates - U.S. Non-Pool - CaptiveCertified - Affiliates - U.S. Non-Pool - OtherCertified - Affiliates - Other (Non-U.S) - CaptiveCertified - Affiliates - Other (Non-U.S.) - OtherCertified - Other U.S. Unaffiliated InsurersCR-3194130 00000 Endurance Specialty Ins Ltd BMU 1,638 0 251 (251)

22


SCHEDULE F - PART 3Ceded Reinsurance as of December 31, Current Year (000 Omitted)

1 2 3 4 5 6 Reinsurance Recoverable On Reinsurance Payable 18 19

IDNumber

NAICCompany

Code Name of ReinsurerDomiciliaryJurisdiction

SpecialCode

ReinsurancePremiums

Ceded

7

PaidLosses

8

PaidLAE

9

Known CaseLoss

Reserves

10

Known CaseLAE

Reserves

11

IBNR LossReserves

12

IBNR LAEReserves

13

UnearnedPremiums

14

ContingentCommis-

sions

15

Cols.7 through 14

Totals

16


17

OtherAmountsDue to

Reinsurers


FromReinsurersCols. 15 -[16 + 17]


UnderReinsurance

TreatiesCR-3190339 00000 RENAISSANCE REINS LTD BMU 101 0 15 (15)CR-3194122 00000 DaVinci Reins Ltd BMU 67 0 10 (10)CR-3190686 00000 Partner Reins Co Ltd BMU 82 0 13 (13)CR-3190770 00000 Chubb Tempest Reins Ltd BMU 173 0 27 (27)CR-3190829 00000 Markel Bermuda Ltd BMU 152 0 25 (25)3599999 - Total Certified - Other U.S. Unaffiliated Insurers 2,213 0 0 0 0 0 0 0 0 0 341 0 (341) 0

Certified - Pools - Mandatory PoolsCertified - Pools - Voluntary PoolsCertified - Other Non-U.S. Insurers3999999 - Total Certified - Total Certified 2,213 0 0 0 0 0 0 0 0 0 341 0 (341) 04099999 - Total Authorized, Unauthorized and Certified 12,611 0 0 0 0 0 0 2,137 0 2,137 1,087 0 1,050 0

9999999 Totals 12,611 0 0 0 0 0 0 2,137 0 2,137 1,087 0 1,050 0

NOTE: A. Report the five largest provisional commission rates included in the cedant’s reinsurance treaties. The commission rate to be reported is by contract with ceded premium in excess of $50,000:1

Name of Reinsurer2

Commission Rate3

Ceded Premium1.2.3.4.5.

B. Report the five largest reinsurance recoverables reported in Column 15, due from any one reinsurer (based on-the total recoverables, Line 9999999, Column 15, the amount of ceded premium, and indicate whether the recoverables are due from an affiliated insurer.1

Name of Reinsurer2

Total Recoverables3

Ceded Premiums4

Affiliated1. FLORIDA HURRICANE CATASTROPHE FUND 1,990 4,777 Yes [ ] No [ X ]2. Avatar Re, LLC 142 648 Yes [ X ] No [ ]3. ARCH REINS CO 5 63 Yes [ ] No [ X ]4. Yes [ ] No [ ]5. Yes [ ] No [ ]

22

.1


SCHEDULE F - PART 4 Aging of Ceded Reinsurance as of December 31, Current Year (000 Omitted)

1 2 3 4 Reinsurance Recoverable on Paid Losses and Paid Loss Adjustment Expenses 12 13

5 Overdue 11

IDNumber

NAICCompany

Code Name of ReinsurerDomiciliaryJurisdiction Current

6

1 to 29 Days

7

30 - 90 Days

8

91 - 120 Days

9

Over 120 Days

10

Total OverdueCols. 6 + 7 + 8 + 9

Total DueCols. 5 + 10

PercentageOverdue

Col. 10/Col. 11

Percentage MoreThan 120 DaysOverdue Col. 9 /

Col. 11

9999999 Totals 0 0 0 0 0 0 0 0.0 0.0

23


SCHEDULE F - PART 5 Provision for Unauthorized Reinsurance as of December 31, Current Year (000 OMITTED)

1

IDNumber

2

NAICCompany

Code

3

Nameof

Reinsurer

4

DomiciliaryJurisdiction

5

SpecialCode

6

ReinsuranceRecoverable

All ItemsSchedule F

Part 3,Col. 15

7


UnderReinsurance

Treaties

8

Lettersof

Credit

9

Issuing orConfirming

BankReferenceNumber (a)

10


11

MiscellaneousBalancesPayable

12

Trust Fundsand OtherAllowedOffsetItems

13

TotalCollateral

and OffsetsAllowed (Cols.7+8+10+11+12

but not inExcess

of Col. 6)

14

Provision forUnauthorizedReinsurance

(Col. 6Minus

Col. 13)

15

RecoverablePaid Losses

& LAEExpenses Over90 Days past

Due not inDispute

16

20% ofAmount

in Col. 15

17

20% ofAmount

InDisputeIncluded

inColumn 6

18

Provision forOverdue

Reinsurance(Col. 16 plus

Col. 17)

19Total Provisionfor Reinsurance

Ceded toUnauthorizedReinsurers

(Col. 14 plusCol. 18 but not

in Excessof Col. 6)

Affiliates - U.S. Intercompany PoolingAffiliates - U.S. Non-Pool - CaptiveAffiliates - U.S. Non-Pool - OtherAffiliates - Other (Non-U.S.) - Captive

45-3721660 00000 Avatar Re, LLC DE 142 1,424 142 0 0 0 0 00599999 - Total Affiliates - Other (Non-U.S.) - Captive 142 0 0 XXX 0 0 1,424 142 0 0 0 0 0 0

Affiliates - Other (Non-U.S.) - Other0799999 - Total Affiliates - Other (Non-U.S.) - Total 142 0 0 XXX 0 0 1,424 142 0 0 0 0 0 00899999 - Total Affiliates - Total Affiliates 142 0 0 XXX 0 0 1,424 142 0 0 0 0 0 0

Other U.S. Unaffiliated InsurersPools and Associations - MandatoryPools and Associations - VoluntaryOther Non-U.S. Insurers

AA-5340660 00000 NEW INDIA ASSUR CO LTD IND 0 2 0 0 0 0 0 0

AA-5340310 00000 GEN INS CORP OF INDIA IND 0 186 0 0 0 0 0 0

AA-1440060 00000 LANSFORSAKRINGSBOLAGENS AB SWE 0 9 0 0 0 0 0 0

98-1150254 00000 Oxbridge Re, Ltd CYM 0 39 970 0 0 0 0 0 01299999 - Total Other Non-U.S. Insurers 0 0 0 XXX 236 0 970 0 0 0 0 0 0 01399999 - Total Affiliates and Others 142 0 0 XXX 236 0 2,394 142 0 0 0 0 0 0

9999999 Totals 142 0 0 XXX 236 0 2,394 142 0 0 0 0 0 01. Amounts in dispute totaling $ are included in Column 6.2. Amounts in dispute totaling $ are excluded from Column 15.

24


(a)


BankReferenceNumber

Letters ofCreditCode

American BankersAssociation (ABA)Routing Number Issuing or Confirming Bank Name

Letters of CreditAmount

24

.1


SCHEDULE F - PART 6 - SECTION 1Provision for Reinsurance Ceded to Certified Reinsurers as of December 31, Current Year (000 Omitted)

1 2 3 4 5 6 7 8 9 10 11 Collateral Provided 18 19 20 21

IDNumber

NAICCompany

CodeName of

ReinsurerDomiciliaryJurisdiction

CertifiedReinsurerRating (1through 6)

EffectiveDate ofCertified

ReinsurerRating

PercentCollateralRequiredfor Full

Credit (0% -100%)


fromReinsurers

(Sch. F Part 3Col. 18)

CatastropheRecoverables

Qualifyingfor Collateral

Deferral

NetRecoverables

Subject toCollateral

Requirementsfor Full Credit

(Col. 8 –Col .9)

Dollar Amount ofCollateral

Required (Col.10 x Col. 7)

12

MultipleBeneficiary

Trust

13

Funds Heldby Company

UnderReinsurance

Treaties

14

Letters ofCredit

15


BankReferenceNumber (a)

16

OtherAllowableCollateral

17

TotalCollateralProvided

(Col. 12 + 13 +14 + 16)

Percent ofCollateral

Provided forNet

RecoverablesSubject toCollateral

Requirements(Col. 17 /Col. 10)

PercentCredit

Allowed onNet

RecoverablesSubject toCollateral

Requirements(Col. 18 /

Col. 7, not toExceed100%)

Amount ofCredit

Allowed forNet

Recoverables(Col. 9 +(Col. 10 x Col. 19))

Provision forReinsurance

WithCertified

ReinsurersDue to

CollateralDeficiency(Col. 8 –Col. 20)

Affiliates - U.S. Intercompany PoolingAffiliates - U.S. Non-Pool - CaptiveAffiliates - U.S. Non-Pool - OtherAffiliates - Other (Non-U.S.) - CaptiveAffiliates - Other (Non-U.S.) - OtherOther U.S. Unaffiliated Insurers

CR-3194130 00000Endurance Specialty InsLtd BMU 3 06/01/2012 (251) (251) 0 0 0.0 0.0 0 0

CR-3190339 00000 RENAISSANCE REINS LTD BMU 3 12/30/2010 (15) (15) 0 0 0.0 0.0 0 0CR-3194122 00000 DaVinci Reins Ltd BMU 4 06/15/2011 (10) (10) 0 0 0.0 0.0 0 0CR-3190686 00000 Partner Reins Co Ltd BMU 3 11/08/2010 (13) (13) 0 0 0.0 0.0 0 0CR-3190770 00000 Chubb Tempest Reins Ltd BMU 2 11/08/2010 (27) (27) 0 0 0.0 0.0 0 0CR-3190829 00000 Markel Bermuda Ltd BMU 3 03/28/2011 (25) (25) 0 0 0.0 0.0 0 0

0999999 - Total Other U.S. Unaffiliated Insurers (341) 0 (341) 0 0 0 0 XXX 0 0 XXX XXX 0 0

Pools and Associations - MandatoryPools and Associations - VoluntaryOther Non-U.S. Insurers

1399999 - Total Affiliates and Others (341) 0 (341) 0 0 0 0 XXX 0 0 XXX XXX 0 0

9999999 Totals (341) 0 (341) 0 0 0 0 XXX 0 0 XXX XXX 0 0

(a)


BankReferenceNumber

Letters ofCreditCode

American BankersAssociation (ABA)Routing Number Issuing or Confirming Bank Name

Letters of CreditAmount

25


Schedule F - Part 6 - Section 2

NONE

Schedule F - Part 7

NONE

Schedule F - Part 8

NONE

26, 27, 28


SCHEDULE F - PART 9Restatement of Balance Sheet to Identify Net Credit for Reinsurance

1As Reported

(Net of Ceded)

2RestatementAdjustments

3Restated

(Gross of Ceded)

ASSETS (Page 2, Col. 3)

1. Cash and invested assets (Line 12) 44,100,620 44,100,620

2. Premiums and considerations (Line 15) 3,726,015 3,726,015

3. Reinsurance recoverable on loss and loss adjustment expense payments (Line 16.1) 0 0

4 Funds held by or deposited with reinsured companies (Line 16.2) 0 0

5. Other assets 1,778,715 1,778,715

6. Net amount recoverable from reinsurers 0

7. Protected cell assets (Line 27) 0 0

8. Totals (Line 28) 49,605,350 0 49,605,350

LIABILITIES (Page 3)

9. Losses and loss adjustment expenses (Lines 1 through 3) 8,121,802 8,121,802

10. Taxes, expenses, and other obligations (Lines 4 through 8) 231,151 231,151

11. Unearned premiums (Line 9) 13,143,619 13,143,619

12. Advance premiums (Line 10) 482,536 482,536

13. Dividends declared and unpaid (Line 11.1 and 11.2) 0 0

14. Ceded reinsurance premiums payable (net of ceding commissions) (Line 12) 1,087,568 1,087,568

15. Funds held by company under reinsurance treaties (Line 13) 0 0

16. Amounts withheld or retained by company for account of others (Line 14) 0 0

17. Provision for reinsurance (Line 16) 0 0

18. Other liabilities 2,154,328 2,154,328

19. Total liabilities excluding protected cell business (Line 26) 25,221,004 0 25,221,004

20. Protected cell liabilities (Line 27) 0 0

21. Surplus as regards policyholders (Line 37) 24,384,346 X X X 24,384,346

22. Totals (Line 38) 49,605,350 0 49,605,350

NOTE: Is the restatement of this exhibit the result of grossing up balances ceded to affiliates under 100 percent reinsurance or pooling arrangements? Yes [ ] No [ X ]

If yes, give full explanation:

29


Schedule H - Part 1

NONE

Schedule H - Part 2

NONE

Schedule H - Part 3

NONE

Schedule H - Part 4

NONE

Schedule H - Part 5 - Health Claims

NONE

30, 31, 32


SCHEDULE P - ANALYSIS OF LOSSES AND LOSS EXPENSESSCHEDULE P - PART 1 - SUMMARY

($000 Omitted)

Premiums Earned Loss and Loss Expense Payments 12Years inWhich

1 2 3Loss Payments

Defense and CostContainment Payments

Adjusting and OtherPayments

10 11Number of

PremiumsWere Earnedand Losses

Were IncurredDirect andAssumed Ceded

Net(Cols. 1 - 2)

4

Direct andAssumed

5

Ceded

6

Direct andAssumed

7

Ceded

8

Direct andAssumed

9

Ceded

Salvageand

SubrogationReceived

Total NetPaid (Cols.4 - 5 + 6 -7 + 8 - 9)

ClaimsReportedDirect andAssumed

1. Prior XXX XXX XXX 0 0 0 0 0 0 0 0 XXX

2. 2007 0 0 0 0 0 0 0 0 0 0 0 XXX

3. 2008 4,024 719 3,305 777 9 228 88 62 11 0 959 XXX

4. 2009 12,039 4,053 7,986 3,360 172 1,395 475 662 96 0 4,674 XXX

5. 2010 12,732 7,320 5,412 2,832 903 1,366 533 532 348 0 2,946 XXX

6. 2011 11,776 5,319 6,457 1,435 184 565 317 301 104 0 1,696 XXX

7. 2012 11,270 4,130 7,140 1,097 41 162 90 1,538 30 0 2,636 XXX

8. 2013 12,509 4,217 8,292 1,262 0 741 0 423 0 0 2,426 XXX

9. 2014 17,482 5,147 12,335 1,662 0 830 0 496 0 0 2,988 XXX

10. 2015 28,985 7,791 21,194 3,462 0 802 0 472 0 0 4,736 XXX

11. 2016 30,581 12,189 18,392 2,781 0 158 0 711 0 0 3,650 XXX

12. Totals XXX XXX XXX 18,668 1,309 6,247 1,503 5,197 589 0 26,711 XXX

Losses Unpaid Defense and Cost Containment UnpaidAdjusting and Other

Unpaid23 24 25

Case Basis Bulk + IBNR Case Basis Bulk + IBNR 21 22 Total Number of13

Direct andAssumed

14

Ceded

15

Direct andAssumed

16

Ceded

17

Direct andAssumed

18

Ceded

19

Direct andAssumed

20

CededDirect andAssumed Ceded

Salvageand

Subrog-ation

Anticipated

NetLosses

andExpenses

Unpaid

ClaimsOutstand-ing Direct

andAssumed

1. 0 0 0 0 0 0 0 0 0 0 0 0 XXX

2. 0 0 0 0 0 0 0 0 0 0 0 0 XXX

3. 20 0 0 0 0 0 33 0 1 0 0 54 XXX

4. 20 0 0 0 0 0 46 0 3 0 0 69 XXX

5. 20 0 0 0 0 0 49 0 1 0 0 70 XXX

6. 20 0 0 0 0 0 46 0 1 0 0 67 XXX

7. 32 0 0 0 0 0 62 0 3 0 0 97 XXX

8. 272 0 111 0 0 0 61 0 4 0 0 448 XXX

9. 523 0 99 0 0 0 180 0 28 0 0 830 XXX

10. 946 0 806 0 0 0 922 0 70 0 0 2,744 XXX

11. 1,599 0 958 0 0 0 1,004 0 182 0 0 3,743 XXX

12. 3,452 0 1,974 0 0 0 2,403 0 293 0 0 8,122 XXX

TotalLosses and Loss Expenses Incurred

Loss and Loss Expense Percentage(Incurred/Premiums Earned) Nontabular Discount

34Inter-

Net Balance SheetReserves After Discount

26

Direct andAssumed

27

Ceded

28

Net

29

Direct andAssumed

30

Ceded

31

Net

32

Loss

33

LossExpense

CompanyPooling

ParticipationPercentage

35

LossesUnpaid

36Loss

ExpensesUnpaid

1. XXX XXX XXX XXX XXX XXX 0 0 XXX 0 0

2. 0 0 0 0.0 0.0 0.0 0 0 0 0

3. 1,121 108 1,013 27.8 15.0 30.6 0 0 20 34

4. 5,486 743 4,743 45.6 18.3 59.4 0 0 20 49

5. 4,800 1,784 3,016 37.7 24.4 55.7 0 0 20 50

6. 2,368 605 1,763 20.1 11.4 27.3 0 0 20 47

7. 2,894 161 2,733 25.7 3.9 38.3 0 0 32 65

8. 2,874 0 2,874 23.0 0.0 34.7 0 0 383 65

9. 3,818 0 3,818 21.8 0.0 31.0 0 0 622 208

10. 7,480 0 7,480 25.8 0.0 35.3 0 0 1,752 992

11. 7,393 0 7,393 24.2 0.0 40.2 0 0 2,557 1,186

12. XXX XXX XXX XXX XXX XXX 0 0 XXX 5,426 2,696

Note: Parts 2 and 4 are gross of all discounting, including tabular discounting. Part 1 is gross of only nontabular discounting, which is reported in Columns 32 and 33 of Part 1.The tabular discount, if any, is reported in the Notes to Financial Statements, which will reconcile Part 1 with Parts 2 and 4.

33


SCHEDULE P - PART 2 - SUMMARYINCURRED NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END

($000 OMITTED) DEVELOPMENT

Years in WhichLosses Were

Incurred

1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

11

One Year

12

Two Year

1. Prior 0 0 0 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0 0 0 0

3. 2008 XXX 1,074 840 827 882 896 908 908 908 961 53 53

4. 2009 XXX XXX 2,900 2,789 3,625 4,087 4,108 4,108 4,108 4,174 66 66

5. 2010 XXX XXX XXX 1,553 1,882 2,932 2,762 2,762 2,762 2,831 69 69

6. 2011 XXX XXX XXX XXX 1,391 1,359 1,254 1,254 1,254 1,565 311 311

7. 2012 XXX XXX XXX XXX XXX 873 978 978 978 1,222 244 244

8. 2013 XXX XXX XXX XXX XXX XXX 2,362 2,697 2,647 2,447 (200) (250)

9. 2014 XXX XXX XXX XXX XXX XXX XXX 3,244 3,244 3,294 50 50

10. 2015 XXX XXX XXX XXX XXX XXX XXX XXX 6,811 6,938 127 XXX

11. 2016 XXX XXX XXX XXX XXX XXX XXX XXX XXX 6,500 XXX XXX

12. Totals 720 543

SCHEDULE P - PART 3 - SUMMARYCUMULATIVE PAID NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000

OMITTED)11 12

Number of


Incurred

1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

Number ofClaims

Closed WithLoss

Payment

ClaimsClosedWithout

LossPayment

1. Prior 000 0 0 0 0 0 0 0 0 0 XXX XXX

2. 2007 0 0 0 0 0 0 0 0 0 0 XXX XXX

3. 2008 XXX 455 790 827 832 869 908 908 908 908 XXX XXX

4. 2009 XXX XXX 2,139 2,561 2,996 3,623 4,108 4,108 4,108 4,108 XXX XXX

5. 2010 XXX XXX XXX 452 1,025 1,939 2,762 2,762 2,762 2,762 XXX XXX

6. 2011 XXX XXX XXX XXX 688 1,099 1,254 1,254 1,254 1,499 XXX XXX

7. 2012 XXX XXX XXX XXX XXX 597 978 978 978 1,128 XXX XXX

8. 2013 XXX XXX XXX XXX XXX XXX 735 1,326 1,794 2,003 XXX XXX

9. 2014 XXX XXX XXX XXX XXX XXX XXX 1,170 2,028 2,492 XXX XXX

10. 2015 XXX XXX XXX XXX XXX XXX XXX XXX 2,281 4,264 XXX XXX


SCHEDULE P - PART 4 - SUMMARYYears in Which BULK AND IBNR RESERVES ON NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED)

Losses WereIncurred

12007

22008

32009

42010

52011

62012

72013

82014

92015

102016

1. Prior 0 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0 0

3. 2008 XXX 343 0 0 8 7 0 0 0 33

4. 2009 XXX XXX 278 140 210 310 0 0 0 46

5. 2010 XXX XXX XXX 590 350 405 0 0 0 49

6. 2011 XXX XXX XXX XXX 482 90 0 0 0 46

7. 2012 XXX XXX XXX XXX XXX 105 0 0 0 62

8. 2013 XXX XXX XXX XXX XXX XXX 1,105 1,287 753 172

9. 2014 XXX XXX XXX XXX XXX XXX XXX 1,715 761 279

10. 2015 XXX XXX XXX XXX XXX XXX XXX XXX 3,606 1,728

11. 2016 XXX XXX XXX XXX XXX XXX XXX XXX XXX 1,962

34


SCHEDULE P - PART 1A - HOMEOWNERS/FARMOWNERS($000 OMITTED)

Years in Premiums Earned Loss and Loss Expense Payments 12Which

Premiums1 2 3

Loss PaymentsDefense and Cost

Containment PaymentsAdjusting and Other

Payments10 11

WereEarned

and LossesWere

IncurredDirect andAssumed Ceded

Net(Cols. 1 - 2)

4

Direct andAssumed

5

Ceded

6

Direct andAssumed

7

Ceded

8

Direct andAssumed

9

Ceded

Salvageand

SubrogationReceived

TotalNet Paid

(Cols. 4 - 5+ 6 - 7+ 8 - 9)

Number ofClaims

ReportedDirect andAssumed


2. 2007 0 0 0 0 0 0 0 0 0 0 0 0

3. 2008 4,024 719 3,305 777 9 228 88 62 11 0 959 137

4. 2009 12,039 4,053 7,986 3,360 172 1,395 475 662 96 0 4,674 590

5. 2010 12,732 7,320 5,412 2,832 903 1,366 533 532 348 0 2,946 532

6. 2011 11,776 5,319 6,457 1,435 184 565 317 301 104 0 1,696 297

7. 2012 11,270 4,130 7,140 1,097 41 162 90 1,538 30 0 2,636 276

8. 2013 12,509 4,217 8,292 1,262 0 741 0 423 0 0 2,426 274

9. 2014 17,482 5,147 12,335 1,662 0 830 0 496 0 0 2,988 458

10. 2015 28,985 7,791 21,194 3,462 0 802 0 472 0 0 4,736 814

11. 2016 26,777 9,723 17,054 2,622 0 158 0 710 0 0 3,490 878

12. Totals XXX XXX XXX 18,509 1,309 6,247 1,503 5,196 589 0 26,551 XXX


Unpaid23 24 25

Case Basis Bulk + IBNR Case Basis Bulk + IBNR 21 2213

Direct andAssumed

14

Ceded

15

Direct andAssumed

16

Ceded

17

Direct andAssumed

18

Ceded

19

Direct andAssumed

20


Salvageand

SubrogationAnticipated

TotalNet Losses

andExpenses

Unpaid

Number ofClaims

OutstandingDirect andAssumed

1. 0 0 0 0 0 0 0 0 0 0 0 0 0

2. 0 0 0 0 0 0 0 0 0 0 0 0 0

3. 20 0 0 0 0 0 33 0 1 0 0 54 1

4. 20 0 0 0 0 0 46 0 3 0 0 69 3

5. 20 0 0 0 0 0 49 0 1 0 0 70 1

6. 20 0 0 0 0 0 46 0 1 0 0 67 1

7. 32 0 0 0 0 0 62 0 3 0 0 97 3

8. 272 0 111 0 0 0 61 0 4 0 0 448 4

9. 523 0 99 0 0 0 180 0 28 0 0 830 27

10. 946 0 806 0 0 0 922 0 70 0 0 2,744 68

11. 1,589 0 768 0 0 0 868 0 166 0 0 3,391 173

12. 3,442 0 1,784 0 0 0 2,267 0 277 0 0 7,770 281



34Inter-


26

Direct andAssumed

27

Ceded

28

Net

29

Direct andAssumed

30

Ceded

31

Net

32

Loss

33

LossExpense

CompanyPooling


35

LossesUnpaid

36Loss

ExpensesUnpaid


2. 0 0 0 0.0 0.0 0.0 0 0 0.0 0 0

3. 1,121 108 1,013 27.8 15.0 30.6 0 0 0.0 20 34

4. 5,486 743 4,743 45.6 18.3 59.4 0 0 0.0 20 49

5. 4,800 1,784 3,016 37.7 24.4 55.7 0 0 0.0 20 50

6. 2,368 605 1,763 20.1 11.4 27.3 0 0 0.0 20 47

7. 2,894 161 2,733 25.7 3.9 38.3 0 0 0.0 32 65

8. 2,874 0 2,874 23.0 0.0 34.7 0 0 0.0 383 65

9. 3,818 0 3,818 21.8 0.0 31.0 0 0 0.0 622 208

10. 7,480 0 7,480 25.8 0.0 35.3 0 0 0.0 1,752 992

11. 6,881 0 6,881 25.7 0.0 40.3 0 0 0.0 2,357 1,034

12. XXX XXX XXX XXX XXX XXX 0 0 XXX 5,226 2,544

35


Schedule P - Part 1B - Private Passenger

NONE

Schedule P - Part 1C - Comm Auto/Truck

NONE

Schedule P - Part 1D - Workers' Comp

NONE

36, 37, 38


SCHEDULE P - PART 1E - COMMERCIAL MULTIPLE PERIL($000 OMITTED)

Years in Premiums Earned Loss and Loss Expense Payments 12Which

Premiums1 2 3

Loss PaymentsDefense and Cost

Containment PaymentsAdjusting and Other

Payments10 11

WereEarned

and LossesWere

IncurredDirect andAssumed Ceded

Net(Cols. 1 - 2)

4

Direct andAssumed

5

Ceded

6

Direct andAssumed

7

Ceded

8

Direct andAssumed

9

Ceded

Salvageand

SubrogationReceived

TotalNet Paid

(Cols. 4 - 5+ 6 - 7+ 8 - 9)

Number ofClaims

ReportedDirect andAssumed


2. 2007 0 0 0 0 0 0 0 0 0 0 0 0

3. 2008 0 0 0 0 0 0 0 0 0 0 0 0

4. 2009 0 0 0 0 0 0 0 0 0 0 0 0

5. 2010 0 0 0 0 0 0 0 0 0 0 0 0

6. 2011 0 0 0 0 0 0 0 0 0 0 0 0

7. 2012 0 0 0 0 0 0 0 0 0 0 0 0

8. 2013 0 0 0 0 0 0 0 0 0 0 0 0

9. 2014 0 0 0 0 0 0 0 0 0 0 0 0

10. 2015 0 0 0 0 0 0 0 0 0 0 0 0

11. 2016 3,804 2,466 1,338 159 0 0 0 1 0 0 160 10

12. Totals XXX XXX XXX 159 0 0 0 1 0 0 160 XXX


Unpaid23 24 25

Case Basis Bulk + IBNR Case Basis Bulk + IBNR 21 2213

Direct andAssumed

14

Ceded

15

Direct andAssumed

16

Ceded

17

Direct andAssumed

18

Ceded

19

Direct andAssumed

20


Salvageand

SubrogationAnticipated

TotalNet Losses

andExpenses

Unpaid

Number ofClaims

OutstandingDirect andAssumed

1. 0 0 0 0 0 0 0 0 0 0 0 0 0

2. 0 0 0 0 0 0 0 0 0 0 0 0 0

3. 0 0 0 0 0 0 0 0 0 0 0 0 0

4. 0 0 0 0 0 0 0 0 0 0 0 0 0

5. 0 0 0 0 0 0 0 0 0 0 0 0 0

6. 0 0 0 0 0 0 0 0 0 0 0 0 0

7. 0 0 0 0 0 0 0 0 0 0 0 0 0

8. 0 0 0 0 0 0 0 0 0 0 0 0 0

9. 0 0 0 0 0 0 0 0 0 0 0 0 0

10. 0 0 0 0 0 0 0 0 0 0 0 0 0

11. 10 0 190 0 0 0 136 0 16 0 0 352 4

12. 10 0 190 0 0 0 136 0 16 0 0 352 4



34Inter-


26

Direct andAssumed

27

Ceded

28

Net

29

Direct andAssumed

30

Ceded

31

Net

32

Loss

33

LossExpense

CompanyPooling


35

LossesUnpaid

36Loss

ExpensesUnpaid


2. 0 0 0 0.0 0.0 0.0 0 0 0.0 0 0

3. 0 0 0 0.0 0.0 0.0 0 0 0.0 0 0

4. 0 0 0 0.0 0.0 0.0 0 0 0.0 0 0

5. 0 0 0 0.0 0.0 0.0 0 0 0.0 0 0

6. 0 0 0 0.0 0.0 0.0 0 0 0.0 0 0

7. 0 0 0 0.0 0.0 0.0 0 0 0.0 0 0

8. 0 0 0 0.0 0.0 0.0 0 0 0.0 0 0

9. 0 0 0 0.0 0.0 0.0 0 0 0.0 0 0

10. 0 0 0 0.0 0.0 0.0 0 0 0.0 0 0

11. 512 0 512 13.5 0.0 38.3 0 0 0.0 200 152


39


Schedule P - Part 1F - Med Pro Liab Occ

NONE

Schedule P - Part 1F - Med Pro Liab Clm

NONE

Schedule P - Part 1G - Special Liability

NONE

Schedule P - Part 1H - Other Liab Occur

NONE

Schedule P - Part 1H - Other Liab Claims

NONE

Schedule P - Part 1I - Special Property

NONE

Schedule P - Part 1J - Auto Physical

NONE

Schedule P - Part 1K - Fidelity/Surety

NONE

Schedule P - Part 1L - Other

NONE

Schedule P - Part 1M - International

NONE

Schedule P - Part 1N - Reinsurance

NONE

Schedule P - Part 1O - Reinsurance

NONE

Schedule P - Part 1P - Reinsurance

NONE

Schedule P - Part 1R - Prod Liab Occur

NONE

Schedule P - Part 1R - Prod Liab Claims

NONE

Schedule P - Part 1S-Fin./Mtg. Guaranty

NONE

Schedule P - Part 1T - Warranty

NONE

40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56


SCHEDULE P - PART 2A - HOMEOWNERS/FARMOWNERSINCURRED NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED) DEVELOPMENT


Incurred

1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

11

One Year

12

Two Year

1. Prior 0 0 0 0 0 0 0 0 0 0 0 02. 2007 0 0 0 0 0 0 0 0 0 0 0 03. 2008 XXX 1,074 840 827 882 896 908 908 908 961 53 534. 2009 XXX XXX 2,900 2,789 3,625 4,087 4,108 4,108 4,108 4,174 66 665. 2010 XXX XXX XXX 1,553 1,882 2,932 2,762 2,762 2,762 2,831 69 696. 2011 XXX XXX XXX XXX 1,391 1,359 1,254 1,254 1,254 1,565 311 3117. 2012 XXX XXX XXX XXX XXX 873 978 978 978 1,222 244 2448. 2013 XXX XXX XXX XXX XXX XXX 2,362 2,697 2,647 2,447 (200) (250)9. 2014 XXX XXX XXX XXX XXX XXX XXX 3,244 3,244 3,294 50 50

10. 2015 XXX XXX XXX XXX XXX XXX XXX XXX 6,811 6,938 127 XXX


12. Totals 720 543

SCHEDULE P - PART 2B - PRIVATE PASSENGER AUTO LIABILITY/MEDICAL1. Prior 0 0 0 0 0 0 0 0 0 0 0 02. 2007 0 0 0 0 0 0 0 0 0 0 0 03. 2008 XXX 0 0 0 0 0 0 0 0 0 0 04. 2009 XXX XXX 0 0 0 0 0 0 0 0 0 05. 2010 XXX XXX XXX 0 0 0 0 0 0 0 0 06. 2011 XXX XXX XXX XXX 0 0 0 0 0 0 0 07. 2012 XXX XXX XXX XXX XXX 0 0 0 0 0 0 08. 2013 XXX XXX XXX XXX XXX XXX 0 0 0 0 0 09. 2014 XXX XXX XXX XXX XXX XXX XXX 0 0 0 0 0

10. 2015 XXX XXX XXX XXX XXX XXX XXX XXX 0 0 0 XXX

11. 2016 XXX XXX XXX XXX XXX XXX XXX XXX XXX 0 XXX XXX

12. Totals 0 0

SCHEDULE P - PART 2C - COMMERCIAL AUTO/TRUCK LIABILITY/MEDICAL1. Prior 0 0 0 0 0 0 0 0 0 0 0 02. 2007 0 0 0 0 0 0 0 0 0 0 0 03. 2008 XXX 0 0 0 0 0 0 0 0 0 0 04. 2009 XXX XXX 0 0 0 0 0 0 0 0 0 05. 2010 XXX XXX XXX 0 0 0 0 0 0 0 0 06. 2011 XXX XXX XXX XXX 0 0 0 0 0 0 0 07. 2012 XXX XXX XXX XXX XXX 0 0 0 0 0 0 08. 2013 XXX XXX XXX XXX XXX XXX 0 0 0 0 0 09. 2014 XXX XXX XXX XXX XXX XXX XXX 0 0 0 0 0



12. Totals 0 0

SCHEDULE P - PART 2D- WORKERS’ COMPENSATION(EXCLUDING EXCESS WORKERS’ COMPENSATION)

1. Prior 0 0 0 0 0 0 0 0 0 0 0 02. 2007 0 0 0 0 0 0 0 0 0 0 0 03. 2008 XXX 0 0 0 0 0 0 0 0 0 0 04. 2009 XXX XXX 0 0 0 0 0 0 0 0 0 05. 2010 XXX XXX XXX 0 0 0 0 0 0 0 0 06. 2011 XXX XXX XXX XXX 0 0 0 0 0 0 0 07. 2012 XXX XXX XXX XXX XXX 0 0 0 0 0 0 08. 2013 XXX XXX XXX XXX XXX XXX 0 0 0 0 0 09. 2014 XXX XXX XXX XXX XXX XXX XXX 0 0 0 0 0



12. Totals 0 0

SCHEDULE P - PART 2E- COMMERCIAL MULTIPLE PERIL1. Prior 0 0 0 0 0 0 0 0 0 0 0 02. 2007 0 0 0 0 0 0 0 0 0 0 0 03. 2008 XXX 0 0 0 0 0 0 0 0 0 0 04. 2009 XXX XXX 0 0 0 0 0 0 0 0 0 05. 2010 XXX XXX XXX 0 0 0 0 0 0 0 0 06. 2011 XXX XXX XXX XXX 0 0 0 0 0 0 0 07. 2012 XXX XXX XXX XXX XXX 0 0 0 0 0 0 08. 2013 XXX XXX XXX XXX XXX XXX 0 0 0 0 0 09. 2014 XXX XXX XXX XXX XXX XXX XXX 0 0 0 0 0



12. Totals 0 0

57


Schedule P - Part 2F - Section 1

NONE


NONE

Schedule P - Part 2G

NONE


NONE

Schedule P - Part 2H - Other Liab Claim

NONE

Schedule P - Part 2I

NONE

Schedule P - Part 2J

NONE

Schedule P - Part 2K

NONE

Schedule P - Part 2L

NONE

Schedule P - Part 2M

NONE

Schedule P - Part 2N

NONE

Schedule P - Part 2O

NONE

Schedule P - Part 2P

NONE


NONE


NONE

Schedule P - Part 2S

NONE

Schedule P - Part 2T

NONE

58, 59, 60, 61


SCHEDULE P - PART 3A - HOMEOWNERS/FARMOWNERSCUMULATIVE PAID NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END

($000 OMITTED)11 12

Number of


Incurred

1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

Number ofClaims

Closed WithLoss

Payment

ClaimsClosedWithout

LossPayment

1. Prior 000 0 0 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0 0 0 0

3. 2008 XXX 455 790 827 832 869 908 908 908 908 102 34

4. 2009 XXX XXX 2,139 2,561 2,996 3,623 4,108 4,108 4,108 4,108 301 286

5. 2010 XXX XXX XXX 452 1,025 1,939 2,762 2,762 2,762 2,762 193 338

6. 2011 XXX XXX XXX XXX 688 1,099 1,254 1,254 1,254 1,499 142 154

7. 2012 XXX XXX XXX XXX XXX 597 978 978 978 1,128 145 128

8. 2013 XXX XXX XXX XXX XXX XXX 735 1,326 1,794 2,003 114 156

9. 2014 XXX XXX XXX XXX XXX XXX XXX 1,170 2,028 2,492 193 238

10. 2015 XXX XXX XXX XXX XXX XXX XXX XXX 2,281 4,264 365 381

11. 2016 XXX XXX XXX XXX XXX XXX XXX XXX XXX 2,780 385 320

SCHEDULE P - PART 3B - PRIVATE PASSENGER AUTO LIABILITY/MEDICAL1. Prior 000 0 0 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0 0 0 0

7. 2012 XXX XXX XXX XXX XXX 0 0 0 0 0 0 0

8. 2013 XXX XXX XXX XXX XXX XXX 0 0 0 0 0 0

9. 2014 XXX XXX XXX XXX XXX XXX XXX 0 0 0 0 0

10. 2015 XXX XXX XXX XXX XXX XXX XXX XXX 0 0 0 0

11. 2016 XXX XXX XXX XXX XXX XXX XXX XXX XXX 0 0 0

SCHEDULE P - PART 3C - COMMERCIAL AUTO/TRUCK LIABILITY/MEDICAL1. Prior 000 0 0 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0 0 0 0






SCHEDULE P - PART 3D - WORKERS’ COMPENSATION(EXCLUDING EXCESS WORKERS’ COMPENSATION)

1. Prior 000 0 0 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0 0 0 0






SCHEDULE P - PART 3E - COMMERCIAL MULTIPLE PERIL1. Prior 000 0 0 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0 0 0 0






62



NONE


NONE


NONE


NONE


NONE


NONE


NONE


NONE


NONE


NONE


NONE


NONE


NONE


NONE


NONE


NONE

Schedule P - Part 3T

NONE

63, 64, 65, 66


SCHEDULE P - PART 4A - HOMEOWNERS/FARMOWNERSBULK AND IBNR RESERVES ON NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED)


Incurred

1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

1. Prior 0 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0 0

3. 2008 XXX 343 0 0 8 7 0 0 0 33

4. 2009 XXX XXX 278 140 210 310 0 0 0 46

5. 2010 XXX XXX XXX 590 350 405 0 0 0 49

6. 2011 XXX XXX XXX XXX 482 90 0 0 0 46


8. 2013 XXX XXX XXX XXX XXX XXX 1,105 1,287 753 172

9. 2014 XXX XXX XXX XXX XXX XXX XXX 1,715 761 279

10. 2015 XXX XXX XXX XXX XXX XXX XXX XXX 3,606 1,728

11. 2016 XXX XXX XXX XXX XXX XXX XXX XXX XXX 1,636

SCHEDULE P - PART 4B - PRIVATE PASSENGER AUTO LIABILITY/MEDICAL1. Prior 0 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0 0


8. 2013 XXX XXX XXX XXX XXX XXX 0 0 0 0

9. 2014 XXX XXX XXX XXX XXX XXX XXX 0 0 0

10. 2015 XXX XXX XXX XXX XXX XXX XXX XXX 0 0

11. 2016 XXX XXX XXX XXX XXX XXX XXX XXX XXX 0

SCHEDULE P - PART 4C - COMMERCIAL AUTO/TRUCK LIABILITY/MEDICAL1. Prior 0 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0 0






SCHEDULE P - PART 4D - WORKERS’ COMPENSATION(EXCLUDING EXCESS WORKERS’ COMPENSATION)

1. Prior 0 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0 0






SCHEDULE P - PART 4E - COMMERCIAL MULTIPLE PERIL1. Prior 0 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0 0






67



NONE


NONE


NONE


NONE


NONE


NONE


NONE


NONE


NONE


NONE


NONE


NONE


NONE


NONE


NONE


NONE

Schedule P - Part 4T - Warranty

NONE

68, 69, 70, 71


SCHEDULE P - PART 5A - HOMEOWNERS/FARMOWNERSSECTION 1

CUMULATIVE NUMBER OF CLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END

Years inWhich


Were Incurred

1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

1. Prior 0 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0 0

3. 2008 XXX 64 97 97 97 100 101 102 102 102

4. 2009 XXX XXX 214 220 229 261 285 296 301 301

5. 2010 XXX XXX XXX 68 96 137 163 182 187 193

6. 2011 XXX XXX XXX XXX 83 124 132 134 136 142






SECTION 2NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END

Years inWhich


Were Incurred

1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

1. Prior 0 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0 0

3. 2008 XXX 25 1 1 6 3 2 1 1 1

4. 2009 XXX XXX 40 66 74 36 19 8 3 3

5. 2010 XXX XXX XXX 74 78 40 32 10 7 1

6. 2011 XXX XXX XXX XXX 46 17 10 10 7 1






SECTION 3CUMULATIVE NUMBER OF CLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END

Years inWhich


Were Incurred

1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

1. Prior 0 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0 0

3. 2008 XXX 115 130 130 135 137 137 137 137 137

4. 2009 XXX XXX 467 551 583 582 589 590 590 590

5. 2010 XXX XXX XXX 420 500 510 528 528 531 532

6. 2011 XXX XXX XXX XXX 254 286 291 295 296 297






72


Schedule P - Part 5B- SN1

NONE


NONE


NONE

Schedule P - Part 5C- SN1

NONE


NONE


NONE

Schedule P - Part 5D- SN1

NONE


NONE


NONE

73, 74, 75


SCHEDULE P - PART 5E - COMMERCIAL MULTIPLE PERILSECTION 1

CUMULATIVE NUMBER OF CLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END

Years inWhich


Were Incurred

1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

1. Prior 0 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0 0






SECTION 2NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END

Years inWhich


Were Incurred

1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

1. Prior 0 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0 0






SECTION 3CUMULATIVE NUMBER OF CLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END

Years inWhich


Were Incurred

1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

1. Prior 0 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0 0






76


Schedule P - Part 5F- SN1A

NONE


NONE


NONE

Schedule P - Part 5F- SN1B

NONE


NONE


NONE

Schedule P - Part 5H- SN1A

NONE


NONE


NONE

Schedule P - Part 5H- SN1B

NONE


NONE


NONE

Schedule P - Part 5R- SN1A

NONE


NONE


NONE

Schedule P - Part 5R- SN1B

NONE


NONE


NONE

Schedule P - Part 5T- SN1

NONE


NONE


NONE

77, 78, 79, 80, 81, 82, 83


Schedule P - Part 6C - SN1

NONE

Schedule P - Part 6C - SN2

NONE

Schedule P - Part 6D - SN1

NONE

Schedule P - Part 6D - SN2

NONE

84


SCHEDULE P - PART 6E - COMMERCIAL MULTIPLE PERILSECTION 1

CUMULATIVE PREMIUMS EARNED DIRECT AND ASSUMED AT YEAR END ($000 OMITTED) 11Years in WhichPremiums Were

Earned and LossesWere Incurred

1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

CurrentYear

PremiumsEarned

1. Prior 0 0 0 0 0 0 0 0 0 0 02. 2007 0 0 0 0 0 0 0 0 0 0 03. 2008 XXX 0 0 0 0 0 0 0 0 0 04. 2009 XXX XXX 0 0 0 0 0 0 0 0 05. 2010 XXX XXX XXX 0 0 0 0 0 0 0 06. 2011 XXX XXX XXX XXX 0 0 0 0 0 0 07. 2012 XXX XXX XXX XXX XXX 0 0 0 0 0 08. 2013 XXX XXX XXX XXX XXX XXX 0 0 0 0 09. 2014 XXX XXX XXX XXX XXX XXX XXX 0 0 0 0

10. 2015 XXX XXX XXX XXX XXX XXX XXX XXX 0 0 011. 2016 XXX XXX XXX XXX XXX XXX XXX XXX XXX 3,804 3,80412. Total XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX 3,80413. Earned

Premiums(Sc P-Pt 1) 0 0 0 0 0 0 0 0 0 3,804 XXX

SECTION 2CUMULATIVE PREMIUMS EARNED CEDED AT YEAR END ($000 OMITTED) 11

Years in WhichPremiums Were


1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

CurrentYear

PremiumsEarned


10. 2015 XXX XXX XXX XXX XXX XXX XXX XXX 0 0 011. 2016 XXX XXX XXX XXX XXX XXX XXX XXX XXX 2,465 2,46512. Total XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX 2,46513. Earned

Premiums(Sc P-Pt 1) 0 0 0 0 0 0 0 0 0 2,466 XXX

SCHEDULE P - PART 6H - OTHER LIABILITY - OCCURRENCESECTION 1A

CUMULATIVE PREMIUMS EARNED DIRECT AND ASSUMED AT YEAR END ($000 OMITTED) 11Years in WhichPremiums Were


1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

CurrentYear

PremiumsEarned


10. 2015 XXX XXX XXX XXX XXX XXX XXX XXX 0 0 011. 2016 XXX XXX XXX XXX XXX XXX XXX XXX XXX 0 012. Total XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX 013. Earned

Premiums(Sc P-Pt 1) 0 0 0 0 0 0 0 0 0 0 XXX

SECTION 2ACUMULATIVE PREMIUMS EARNED CEDED AT YEAR END ($000 OMITTED) 11

Years in WhichPremiums Were


1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

CurrentYear

PremiumsEarned


10. 2015 XXX XXX XXX XXX XXX XXX XXX XXX 0 0 011. 2016 XXX XXX XXX XXX XXX XXX XXX XXX XXX 0 012. Total XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX 013. Earned

Premiums(Sc P–Pt 1) 0 0 0 0 0 0 0 0 0 0 XXX

85


Schedule P - Part 6H - SN1B

NONE

Schedule P - Part 6H - SN2B

NONE

Schedule P - Part 6M - SN1

NONE

Schedule P - Part 6M - SN2

NONE

Schedule P - Part 6N - SN1

NONE

Schedule P - Part 6N - SN2

NONE

Schedule P - Part 6O - SN1

NONE

Schedule P - Part 6O - SN2

NONE

Schedule P - Part 6R - SN1A

NONE

Schedule P - Part 6R - SN2A

NONE

Schedule P - Part 6R - SN1B

NONE

Schedule P - Part 6R - SN2B

NONE

86, 87, 88


SCHEDULE P - PART 7A - PRIMARY LOSS SENSITIVE CONTRACTS($000 OMITTED)

SECTION 1

Schedule P - Part 1

1

Total Net Lossesand Expenses

Unpaid

2Net Losses and

Expenses Unpaidon Loss Sensitive

Contracts

3

Loss Sensitiveas Percentage of

Total

4

Total NetPremiums

Written

5

Net PremiumsWritten on Loss

Sensitive Contacts

6


Total

1. Homeowners/Farmowners 7,770 0.0 16,454 0.0

2. Private Passenger Auto Liability/Medical 0 0.0 0 0.0

3. Commercial Auto/Truck Liability/Medical 0 0.0 0 0.0

4. Workers’ Compensation 0 0.0 0 0.0

5. Commercial Multiple Peril 352 0.0 3,449 0.0

6. Medical Professional Liability-Occurrence 0 0.0 0 0.0

7. Medical Professional Liability -Claims-Made 0 0.0 0 0.0

8. Special Liability 0 0.0 0 0.0

9. Other Liability-Occurrence 0 0.0 0 0.0

10. Other Liability-Claims-Made 0 0.0 0 0.0

11. Special Property 0 0.0 0 0.0

12. Auto Physical Damage 0 0.0 0 0.0

13. Fidelity/Surety 0 0.0 0 0.0

14. Other 0 0.0 0 0.0

15. International 0 0.0 0 0.0

16. Reinsurance-Nonproportional AssumedProperty XXX XXX XXX XXX XXX XXX

17. Reinsurance-Nonproportional AssumedLiability XXX XXX XXX XXX XXX XXX

18. Reinsurance-Nonproportional AssumedFinancial Lines XXX XXX XXX XXX XXX XXX

19. Products Liability-Occurrence 0 0.0 0 0.0

20. Products Liability-Claims-Made 0 0.0 0 0.0

21. Financial Guaranty/Mortgage Guaranty 0 0.0 0 0.0

22. Warranty 0 0.0 0 0.0

23. Totals 8,122 0 0.0 19,903 0 0.0

SECTION 2INCURRED LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED)

Years inWhich

PoliciesWere Issued

1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

1. Prior 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0

7. 2012 XXX XXX XXX XXX XXX 0 0 0 0

8. 2013 XXX XXX XXX XXX XXX XXX 0 0 0

9. 2014 XXX XXX XXX XXX XXX XXX XXX 0 0

10. 2015 XXX XXX XXX XXX XXX XXX XXX XXX 0

11. 2016 XXX XXX XXX XXX XXX XXX XXX XXX XXX

SECTION 3BULK AND INCURRED BUT NOT REPORTED RESERVES FOR LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES AT YEAR END ($000

OMITTED)

Years inWhich

PoliciesWere Issued

1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

1. Prior 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0






89


SCHEDULE P - PART 7A - PRIMARY LOSS SENSITIVE CONTRACTS(continued)

SECTION 4NET EARNED PREMIUMS REPORTED AT YEAR END ($000 OMITTED)

Years inWhich PoliciesWere Issued

1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

1. Prior 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0






SECTION 5NET RESERVE FOR PREMIUM ADJUSTMENTS AND ACCRUED RETROSPECTIVE PREMIUMS AT YEAR END ($000 OMITTED)


1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

1. Prior 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0






90


SCHEDULE P - PART 7B - REINSURANCE LOSS SENSITIVE CONTRACTS($000 OMITTED)

SECTION 1

Schedule P - Part 1

1

Total Net Lossesand Expenses

Unpaid

2Net Losses and

Expenses Unpaidon Loss Sensitive

Contracts

3


Total

4

Total NetPremiums

Written

5

Net PremiumsWritten on Loss

Sensitive Contacts

6


Total

1. Homeowners/Farmowners 7,770 0.0 16,454 0.0

2. Private Passenger Auto Liability/Medical 0 0.0 0 0.0

3. Commercial Auto/Truck Liability/Medical 0 0.0 0 0.0

4. Workers’ Compensation 0 0.0 0 0.0

5. Commercial Multiple Peril 352 0.0 3,449 0.0

6. Medical Professional Liability-Occurrence 0 0.0 0 0.0

7. Medical Professional Liability -Claims-Made 0 0.0 0 0.0

8. Special Liability 0 0.0 0 0.0

9. Other Liability-Occurrence 0 0.0 0 0.0

10. Other Liability-Claims-made 0 0.0 0 0.0

11. Special Property 0 0.0 0 0.0

12. Auto Physical Damage 0 0.0 0 0.0

13. Fidelity/Surety 0 0.0 0 0.0

14. Other 0 0.0 0 0.0

15. International 0 0.0 0 0.0

16. Reinsurance-Nonproportional AssumedProperty 0 0.0 0 0.0

17. Reinsurance-Nonproportional AssumedLiability 0 0.0 0 0.0

18. Reinsurance-Nonproportional AssumedFinancial Lines 0 0.0 0 0.0

19. Products Liability-Occurrence 0 0.0 0 0.0

20. Products Liability-Claims-Made 0 0.0 0 0.0

21. Financial Guaranty/Mortgage Guaranty 0 0.0 0 0.0

22. Warranty 0 0.0 0 0.0

23. Totals 8,122 0 0.0 19,903 0 0.0

SECTION 2INCURRED LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED)


1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

1. Prior 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0






SECTION 3BULK AND INCURRED BUT NOT REPORTED RESERVES FOR LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES AT YEAR END ($000

OMITTED)


1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

1. Prior 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0






91


SCHEDULE P - PART 7B - REINSURANCE LOSS SENSITIVE CONTRACTS(continued)

SECTION 4NET EARNED PREMIUMS REPORTED AT YEAR END ($000 OMITTED)


1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

1. Prior 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0






SECTION 5NET RESERVE FOR PREMIUM ADJUSTMENTS AND ACCRUED RETROSPECTIVE PREMIUMS AT YEAR END ($000 OMITTED)


1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

1. Prior 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0






SECTION 6INCURRED ADJUSTABLE COMMISSIONS REPORTED AT YEAR END ($000 OMITTED)


1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

1. Prior 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0






SECTION 7RESERVES FOR COMMISSION ADJUSTMENTS AT YEAR END ($000 OMITTED)


1

2007

2

2008

3

2009

4

2010

5

2011

6

2012

7

2013

8

2014

9

2015

10

2016

1. Prior 0 0 0 0 0 0 0 0 0

2. 2007 0 0 0 0 0 0 0 0 0

3. 2008 XXX 0 0 0 0 0 0 0 0

4. 2009 XXX XXX 0 0 0 0 0 0 0

5. 2010 XXX XXX XXX 0 0 0 0 0 0

6. 2011 XXX XXX XXX XXX 0 0 0 0 0






92


SCHEDULE P INTERROGATORIES1. The following questions relate to yet-to-be-issued Extended Reporting Endorsements (EREs) arising from Death, Disability, or Retirement (DDR) provisions in Medical

Professional Liability Claims Made insurance policies. EREs provided for reasons other than DDR are not to be included.

1.1 Does the company issue Medical Professional Liability Claims Made insurance policies that provide tail (also known as an extendedreporting endorsement, or “ERE”) benefits in the event of Death, Disability, or Retirement (DDR) at a reduced charge or at no additionalcost? Yes [ ] No [ X ]If the answer to question 1.1 is “no”, leave the following questions blank. If the answer to question 1.1 is “yes”, please answer the followingquestions:

1.2 What is the total amount of the reserve for that provision (DDR Reserve), as reported, explicitly or not, elsewhere in this statement (indollars)? $

1.3 Does the company report any DDR reserve as Unearned Premium Reserve per SSAP #65? Yes [ ] No [ ]

1.4 Does the company report any DDR reserve as loss or loss adjustment expense reserve? Yes [ ] No [ ]

1.5 If the company reports DDR reserve as Unearned Premium Reserve, does that amount match the figure on the Underwriting andInvestment Exhibit, Part 1A – Recapitulation of all Premiums (Page 7) Column 2, Lines 11.1 plus 11.2? Yes [ ] No [ ] N/A [ ]

1.6 If the company reports DDR reserve as loss or loss adjustment expense reserve, please complete the following table corresponding towhere these reserves are reported in Schedule P:

DDR Reserve Included inSchedule P, Part 1F, Medical Professional Liability

Column 24: Total Net Losses and Expenses Unpaid

Years in Which Premiums Were Earned andLosses Were Incurred

1Section 1: Occurrence

2Section 2: Claims-Made

1.601 Prior

1.602 2007

1.603 2008

1.604 2009

1.605 2010

1.606 2011

1.607 2012

1.608 2013

1.609 2014

1.610 2015

1.611 2016

1.612 Totals 0 0

2. The definition of allocated loss adjustment expenses (ALAE) and, therefore, unallocated loss adjustment expenses (ULAE) was changedeffective January 1, 1998. This change in definition applies to both paid and unpaid expenses. Are these expenses (now reported as“Defense and Cost Containment” and “Adjusting and Other”) reported in compliance with these definitions in this statement? Yes [ X ] No [ ]

3. The Adjusting and Other expense payments and reserves should be allocated to the years in which the losses were incurred based onthe number of claims reported, closed and outstanding in those years. When allocating Adjusting and Other expense betweencompanies in a group or a pool, the Adjusting and Other expense should be allocated in the same percentage used for the loss amountsand the claim counts. For reinsurers, Adjusting and Other expense assumed should be reported according to the reinsurance contract.For Adjusting and Other expense incurred by reinsurers, or in those situations where suitable claim count information is not available,Adjusting and Other expense should be allocated by a reasonable method determined by the company and described in Interrogatory 7,below. Are they so reported in this Statement?: Yes [ X ] No [ ]

4. Do any lines in Schedule P include reserves that are reported gross of any discount to present value of future payments, and that arereported net of such discounts on Page 10? Yes [ ] No [ X ]

If yes, proper disclosure must be made in the Notes to Financial Statements, as specified in the Instructions. Also, the discounts mustbe reported in Schedule P - Part 1, Columns 32 and 33.

Schedule P must be completed gross of non-tabular discounting. Work papers relating to discount calculations must be available forexamination upon request.

Discounting is allowed only if expressly permitted by the state insurance department to which this Annual Statement is being filed.

5. What were the net premiums in force at the end of the year for:(in thousands of dollars)

5.1 Fidelity $

5.2 Surety $

6. Claim count information is reported per claim or per claimant. (indicate which) CLAIMIf not the same in all years, explain in Interrogatory 7.

7.1 The information provided in Schedule P will be used by many persons to estimate the adequacy of the current loss and expensereserves, among other things. Are there any especially significant events, coverage, retention or accounting changes that haveoccurred that must be considered when making such analyses? Yes [ X ] No [ ]

7.2 An extended statement may be attached.

93


SCHEDULE T - EXHIBIT OF PREMIUMS WRITTENAllocated By States And Territories

1 Gross Premiums, IncludingPolicy and Membership FeesLess Return Premiums andPremiums on Policies Not

Taken

4

DividendsPaid

5 6 7 8

Finance and

9Direct

PremiumWritten for

Federal

States, etc.Active Status

2Direct

PremiumsWritten

3Direct

PremiumsEarned

or Credited toPolicyholders

on DirectBusiness

Direct LossesPaid

(DeductingSalvage)

Direct LossesIncurred

Direct LossesUnpaid

ServiceCharges NotIncluded inPremiums

PurchasingGroups

(Included inCol. 2)

1. Alabama AL N 0 0 0 0 0 0 02. Alaska AK N 0 0 0 0 0 0 03. Arizona AZ N 0 0 0 0 0 0 04. Arkansas AR N 0 0 0 0 0 0 05. California CA N 0 0 0 0 0 0 06. Colorado CO N 0 0 0 0 0 0 07. Connecticut CT N 0 0 0 0 0 0 08. Delaware DE N 0 0 0 0 0 0 09. Dist. Columbia DC N 0 0 0 0 0 0 0

10. Florida FL L 32,514,068 30,580,923 0 5,070,183 5,528,869 5,425,849 32,44511. Georgia GA N 0 0 0 0 0 0 012. Hawaii HI N 0 0 0 0 0 0 013. Idaho ID N 0 0 0 0 0 0 014. Illinois IL N 0 0 0 0 0 0 015. Indiana IN N 0 0 0 0 0 0 016. Iowa IA N 0 0 0 0 0 0 017. Kansas KS N 0 0 0 0 0 0 018. Kentucky KY N 0 0 0 0 0 0 019. Louisiana LA N 0 0 0 0 0 0 020. Maine ME N 0 0 0 0 0 0 021. Maryland MD N 0 0 0 0 0 0 022. Massachusetts MA N 0 0 0 0 0 0 023. Michigan MI N 0 0 0 0 0 0 024. Minnesota MN N 0 0 0 0 0 0 025. Mississippi MS N 0 0 0 0 0 0 026. Missouri MO N 0 0 0 0 0 0 027. Montana MT N 0 0 0 0 0 0 028. Nebraska NE N 0 0 0 0 0 0 029. Nevada NV N 0 0 0 0 0 0 030. New Hampshire NH N 0 0 0 0 0 0 031. New Jersey NJ N 0 0 0 0 0 0 032. New Mexico NM N 0 0 0 0 0 0 033. New York NY N 0 0 0 0 0 0 034. No.Carolina NC N 0 0 0 0 0 0 035. No.Dakota ND N 0 0 0 0 0 0 036. Ohio OH N 0 0 0 0 0 0 037. Oklahoma OK N 0 0 0 0 0 0 038. Oregon OR N 0 0 0 0 0 0 039. Pennsylvania PA N 0 0 0 0 0 0 040. Rhode Island RI N 0 0 0 0 0 0 041. So. Carolina SC N 0 0 0 0 0 0 042. So. Dakota SD N 0 0 0 0 0 0 043. Tennessee TN N 0 0 0 0 0 0 044. Texas TX N 0 0 0 0 0 0 045. Utah UT N 0 0 0 0 0 0 046. Vermont VT N 0 0 0 0 0 0 047. Virginia VA N 0 0 0 0 0 0 048. Washington WA N 0 0 0 0 0 0 049. West Virginia WV N 0 0 0 0 0 0 050. Wisconsin WI N 0 0 0 0 0 0 051. Wyoming WY N 0 0 0 0 0 0 052. American Samoa AS N 0 0 0 0 0 0 053. Guam GU N 0 0 0 0 0 0 054. Puerto Rico PR N 0 0 0 0 0 0 055. U.S. Virgin Islands

VI N 0 0 0 0 0 0 056. Northern Mariana

Islands MP N 0 0 0 0 0 0 057. Canada CAN N 0 0 0 0 0 0 058. Aggregate other

alien OT XXX 0 0 0 0 0 0 0 059. Totals (a) 1 32,514,068 30,580,923 0 5,070,183 5,528,869 5,425,849 32,445 0

DETAILS OF WRITE-INS58001. XXX58002. XXX58003. XXX58998. Sum. of remaining

write-ins for Line 58from overflow page XXX 0 0 0 0 0 0 0 0

58999. Totals (Lines 58001through 58003 + 58998)(Line 58 above) XXX 0 0 0 0 0 0 0 0

(L) Licensed or Chartered - Licensed Insurance Carrier or Domiciled RRG; (R) Registered - Non-domiciled RRGs; (Q) Qualified - Qualified or Accredited Reinsurer; (E) Eligible -Reporting Entities eligible or approved to write Surplus Lines in the state; (N) None of the above - Not allowed to write business in the state.

Explanation of basis of allocation of premiums by states, etc.

single state carrier

(a) Insert the number of L responses except for Canada and Other Alien

94


SCHEDULE T – PART 2INTERSTATE COMPACT – EXHIBIT OF PREMIUMS WRITTEN

Allocated By States and Territories

Direct Business Only

States, Etc.

1

Life(Group andIndividual)

2

Annuities (Groupand Individual)

3DisabilityIncome

(Group andIndividual)

4

Long-Term Care(Group andIndividual)

5

Deposit-TypeContracts

6

Totals

1. Alabama AL 02. Alaska AK 03. Arizona AZ 04. Arkansas AR 05. California CA 06. Colorado CO 07. Connecticut CT 08. Delaware DE 09. District of Columbia DC 0

10. Florida FL 011. Georgia GA 012. Hawaii HI 013. Idaho ID 014. Illinois IL 015. Indiana IN 016. Iowa IA 017. Kansas KS 018. Kentucky KY 019. Louisiana LA 020. Maine ME 021. Maryland MD 022. Massachusetts MA 023. Michigan MI 024. Minnesota MN 025. Mississippi MS 026. Missouri MO 027. Montana MT 028. Nebraska NE 029. Nevada NV 030. New Hampshire NH 031. New Jersey NJ 032. New Mexico NM 033. New York NY 034. North Carolina NC 035. North Dakota ND 036. Ohio OH 037. Oklahoma OK 038. Oregon OR 039. Pennsylvania PA 040. Rhode Island RI 041. South Carolina SC 042. South Dakota SD 043. Tennessee TN 044. Texas TX 045. Utah UT 046. Vermont VT 047. Virginia VA 048. Washington WA 049. West Virginia WV 050. Wisconsin WI 051. Wyoming WY 052. American Samoa AS 053. Guam GU 054. Puerto Rico PR 055. US Virgin Islands VI 056. Northern Mariana Islands MP 057. Canada CAN 058. Aggregate Other Alien OT 059. Totals 0 0 0 0 0 0

95


SCHEDULE Y - INFORMATION CONCERNING ACTIVITIES OF INSURER MEMBERS OF A HOLDING COMPANY GROUP

PART 1 - ORGANIZATIONAL CHART

96


SCHEDULE YPART 1A – DETAIL OF INSURANCE HOLDING COMPANY SYSTEM

1

GroupCode

2

Group Name

3

NAICCompany

Code

4

IDNumber

5

FederalRSSD

6

CIK

7Name of

SecuritiesExchange if

PubliclyTraded (U.S. orInternational)

8

Names ofParent, Subsidiaries

or Affiliates

9

DomiciliaryLocation

10

Relationshipto

ReportingEntity

11

Directly Controlled by(Name of Entity/Person)

12Type of Control

(Ownership,Board,

Management,Attorney-in-Fact,Influence, Other)

13

If Control isOwnership

ProvidePercentage

14

Ultimate ControllingEntity(ies)/Person(s)

15

Is an SCAFiling

Required?(Y/N)

16

*00000 00000 00000 26-1094216 Avatar Partners, LP DE UDP Hitesh P Adhia O, B, M 22.2 Hitesh P Adhia N 0

00000 00000 13139 26-0718939Avatar Property & CasualtyInsurance Company FL Avatar Partners, LP O 100.0 Hitesh P Adhia N 0

00000 00000 00000 20-8498458 Avatar Management, LLC FL NIA Avatar Partners, LP O 100.0 Hitesh P Adhia N 000000 00000 00000 45-3721660 Avatar Re, LLC DE IA Avatar Partners, LP O 100.0 Hitesh P Adhia N 0

Asterisk Explanation

97


SCHEDULE Y

PART 2 - SUMMARY OF INSURER’S TRANSACTIONS WITH ANY AFFILIATES

1

NAICCompany

Code

2

IDNumber

3

Names of Insurers and Parent, Subsidiaries or Affiliates

4

ShareholderDividends

5

CapitalContributions

6

Purchases, Sales orExchanges of

Loans, Securities,Real

Estate, MortgageLoans or Other

Investments

7Income/

(Disbursements)Incurred in

Connection withGuarantees or

Undertakings for theBenefit of any

Affiliate(s)

8

ManagementAgreements andService Contracts

9

Income/ (Disbursements)Incurred UnderReinsuranceAgreements

10

*

11

Any Other MaterialActivity Not in the

Ordinary Course ofthe Insurer’s

Business

12

Totals

13

ReinsuranceRecoverable/(Payable) on

Losses and/orReserveCredit

Taken/(Liability)

13139 26-0718939 Avatar Property & Casualty Insurance Com (255,699) (4,643,691) 318,460 (4,580,930) 141,73526-1094216 Avatar Partners, LP 020-8498458 Avatar Management, LLC 255,699 4,517,220 4,772,91959-3462608 Adhia Investment Advisors, Inc. 126,471 126,47145-3721660 Avatar Re LLC (318,460) (318,460) (141,735)

9999999 Control Totals 0 0 0 0 0 0 XXX 0 0 0

98


SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIESThe following supplemental reports are required to be filed as part of your statement filing unless specifically waived by the domiciliary state.However, in the event that your domiciliary state waives the filing requirement, your response of WAIVED to the specific interrogatory will beaccepted in lieu of filing a "NONE" report and a bar code will be printed below. If the supplement is required of your company but is not beingfiled for whatever reason enter SEE EXPLANATION and provide an explanation following the interrogatory questions.

MARCH FILING RESPONSES

1. Will an actuarial opinion be filed by March 1? YES

2. Will the Supplemental Compensation Exhibit be filed with the state of domicile by March 1? YES

3. Will the confidential Risk-based Capital Report be filed with the NAIC by March 1? YES

4. Will the confidential Risk-based Capital Report be filed with the state of domicile, if required, by March 1? YES

APRIL FILING

5. Will the Insurance Expense Exhibit be filed with the state of domicile and the NAIC by April 1? YES

6. Will Management’s Discussion and Analysis be filed by April 1? YES

7. Will the Supplemental Investment Risks Interrogatories be filed by April 1? YES

MAY FILING

8. Will this company be included in a combined annual statement that is filed with the NAIC by May 1? SEE EXPLANATION

JUNE FILING

9. Will an audited financial report be filed by June 1? YES

10. Will Accountants Letter of Qualifications be filed with the state of domicile and electronically with the NAIC by June 1? YES

AUGUST FILING

11. Will the regulator-only (non-public) Communication of Internal Control Related Matters Noted in Audit be filed with the state of domicile andelectronically with the NAIC (as a regulator-only non-public document) by August 1?

YES

The following supplemental reports are required to be filed as part of your statement filing. However, in the event that your company doesnot transact the type of business for which the special report must be filed, your response of NO to the specific interrogatory will be acceptedin lieu of filing a "NONE" report and a bar code will be printed below. If the supplement is required of your company but is not being filed forwhatever reason enter SEE EXPLANATION and provide an explanation following the interrogatory questions.

MARCH FILING

12. Will Schedule SIS (Stockholder Information Supplement) be filed with the state of domicile by March 1? NO

13. Will the Financial Guaranty Insurance Exhibit be filed by March 1? NO

14. Will the Medicare Supplement Insurance Experience Exhibit be filed with the state of domicile and the NAIC by March 1? NO

15. Will Supplement A to Schedule T (Medical Professional Liability Supplement) be filed by March 1? NO

16. Will the Trusteed Surplus Statement be filed with the state of domicile and the NAIC by March 1? NO

17. Will the Premiums Attributed to Protected Cells Exhibit be filed by March 1? NO

18. Will the Reinsurance Summary Supplemental Filing for General Interrogatory 9 be filed with the state of domicile and the NAIC by March 1? YES

19. Will the Medicare Part D Coverage Supplement be filed with the state of domicile and the NAIC by March 1? NO

20. Will the confidential Actuarial Opinion Summary be filed with the state of domicile, if required, by March 15 (or the date otherwise specified)? YES

21. Will the Reinsurance Attestation Supplement be filed with the state of domicile and the NAIC by March 1? YES

22. Will the Exceptions to the Reinsurance Attestation Supplement be filed with the state of domicile by March 1? YES

23. Will the Bail Bond Supplement be filed with the state of domicile and the NAIC by March 1? NO

24. Will the Director and Officer Insurance Coverage Supplement be filed with the state of domicile and the NAIC by March 1? NO

25. Will an approval from the reporting entity’s state of domicile for relief related to the five-year rotation requirement for lead audit partner befiled electronically with the NAIC by March 1? SEE EXPLANATION

26. Will an approval from the reporting entity’s state of domicile for relief related to the one-year cooling off period for independent CPA be filedelectronically with the NAIC by March 1? SEE EXPLANATION

27. Will an approval from the reporting entity’s state of domicile for relief related to the Requirements for Audit Committees be filed electronicallywith the NAIC by March 1? SEE EXPLANATION

99


SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIES

28. Will the Supplemental Schedule for Reinsurance Counterparty Reporting Exception – Asbestos and Pollution Contracts be filed with the stateof domicile and the NAIC by March 1? NO

29.

APRIL FILING

Will the Credit Insurance Experience Exhibit be filed with the state of domicile and the NAIC by April 1? NO

30. Will the Long-term Care Experience Reporting Forms be filed with the state of domicile and the NAIC by April 1? NO

31. Will the Accident and Health Policy Experience Exhibit be filed by April 1? NO

32. Will the Supplemental Health Care Exhibit (Parts 1, 2 and 3) be filed with the state of domicile and the NAIC by April 1? NO

33. Will the regulator only (non-public) Supplemental Health Care Exhibit’s Allocation Report be filed with the state of domicile and the NAIC byApril 1? NO

34. Will the Cybersecurity and Identity Theft Insurance Coverage Supplement be filed with the state of domicile and the NAIC by April 1? NO

AUGUST FILING

35. Will Management’s Report of Internal Control Over Financial Reporting be filed with the state of domicile by August 1? SEE EXPLANATION

Explanation:

8. Not applicable.

12.

13.

14.

15.

16.

17.

19.

23.

24.

25. N/A

26. N/A

27. N/A

28.

29.

30.

31.

32.

33.

34.

35. Avatar is exempt from the requirement.

Bar Code:

12.*13139201642000000*

99.1


SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIES

13.*13139201624000000*

14.*13139201636059000*

15.*13139201645500000*

16.*13139201649000000*

17.*13139201638500000*

19.*13139201636500000*

23.*13139201650000000*

24.*13139201650500000*

28.*13139201655500000*

29.*13139201623059000*

30.*13139201630600000*

31.*13139201621000000*

32.*13139201621659000*

33.*13139201621700000*

34.*13139201655000000*

99.2


OVERFLOW PAGE FOR WRITE-INS

P002 Additional Aggregate Lines for Page 2 Line 25.*ASSETS - Assets

1

Assets

2

NonadmittedAssets

3

Net AdmittedAssets

(Cols. 1 – 2)

4

Net AdmittedAssets

2504. other receivable 70,678 70,678 02505. state income tax deposit 134,581 134,581 134,9762597. Summary of remaining write-ins for Line 25 from page 2 205,259 0 205,259 134,976

P011 Additional Aggregate Lines for Page 11 Line 24.*EXEXP - Underwriting and Investment - Part 3 - Expenses

1Loss Adjustment

Expenses

2Other Underwriting

Expenses

3

Investment Expenses

4

Total

2404. Investment Advisors Fee 126,471 126,4712405. Management fee expense 4,517,220 4,517,2202406. Claims mitigation 319,441 319,4412407. Custody fees 10,499 10,4992408. Professional Fees 02409. Training 4,265 4,2652410. Hurricane Preparedness 273,595 273,5952497. Summary of remaining write-ins for Line 24 from page 11 319,441 4,795,080 136,970 5,251,491

100


SUMMARY INVESTMENT SCHEDULEGross Investment

HoldingsAdmitted Assets as Reported

in the Annual Statement

Investment Categories

1

Amount

2

Percentage

3

Amount

4

SecuritiesLending

ReinvestedCollateralAmount

5

Total(Col. 3+4)Amount

6

Percentage

1. Bonds:

1.1 U.S. treasury securities 0.000 0 0.000

1.2 U.S. government agency obligations (excluding mortgage-backed securities):

1.21 Issued by U.S. government agencies 0.000 0 0.000

1.22 Issued by U.S. government sponsored agencies 0.000 0 0.000

1.3 Non-U.S. government (including Canada, excluding mortgage-backed securities) 0.000 0 0.000

1.4 Securities issued by states, territories, and possessions andpolitical subdivisions in the U.S.:

1.41 States, territories and possessions general obligations 22,482,897 50.981 22,482,897 22,482,897 50.981

1.42 Political subdivisions of states, territories and possessionsand political subdivisions general obligations 0.000 0 0.000

1.43 Revenue and assessment obligations 0.000 0 0.000

1.44 Industrial development and similar obligations 0.000 0 0.000

1.5 Mortgage-backed securities (includes residential andcommercial MBS):

1.51 Pass-through securities:

1.511 Issued or guaranteed by GNMA 102,115 0.232 102,115 102,115 0.232

1.512 Issued or guaranteed by FNMA and FHLMC 601,526 1.364 601,526 601,526 1.364

1.513 All other 0.000 0 0.000

1.52 CMOs and REMICs:

1.521 Issued or guaranteed by GNMA, FNMA, FHLMC or

VA 7,603,396 17.241 7,603,396 7,603,396 17.241

1.522 Issued by non-U.S. Government issuers andcollateralized by mortgage-backed securities issued orguaranteed by agencies shown in Line 1.521 5,906,018 13.392 5,906,018 5,906,018 13.392

1.523 All other 87,691 0.199 87,691 87,691 0.199

2. Other debt and other fixed income securities (excluding shortterm):

2.1 Unaffiliated domestic securities (includes credit tenant loansand hybrid securities) 0.000 0 0.000

2.2 Unaffiliated non-U.S. securities (including Canada) 0.000 0 0.000

2.3 Affiliated securities 0.000 0 0.000

3. Equity interests:

3.1 Investments in mutual funds 0.000 0 0.000

3.2 Preferred stocks:

3.21 Affiliated 0.000 0 0.000

3.22 Unaffiliated 0.000 0 0.000

3.3 Publicly traded equity securities (excluding preferred stocks):

3.31 Affiliated 0.000 0 0.000

3.32 Unaffiliated 2,881,154 6.533 2,881,154 2,881,154 6.533

3.4 Other equity securities:

3.41 Affiliated 0.000 0 0.000

3.42 Unaffiliated 0.000 0 0.000

3.5 Other equity interests including tangible personal propertyunder lease:

3.51 Affiliated 0.000 0 0.000

3.52 Unaffiliated 0.000 0 0.000

4. Mortgage loans:

4.1 Construction and land development 0.000 0 0.000

4.2 Agricultural 0.000 0 0.000

4.3 Single family residential properties 0.000 0 0.000

4.4 Multifamily residential properties 0.000 0 0.000

4.5 Commercial loans 0.000 0 0.000

4.6 Mezzanine real estate loans 0.000 0 0.000

5. Real estate investments:

5.1 Property occupied by company 0.000 0 0 0.000

5.2 Property held for production of income (including

$ of property acquired in satisfaction

of debt) 0.000 0 0 0.000

5.3 Property held for sale (including $

property acquired in satisfaction of debt) 0.000 0 0 0.000

6. Contract loans 0.000 0 0 0.000

7. Derivatives 0.000 0 0 0.000

8. Receivables for securities 0.000 0 0 0.000

9. Securities Lending (Line 10, Asset Page reinvested collateral) 0.000 0 XXX XXX XXX

10. Cash, cash equivalents and short-term investments 4,435,935 10.059 4,435,823 4,435,823 10.058

11. Other invested assets 0.000 0 0.000

12. Total invested assets 44,100,732 100.000 44,100,620 0 44,100,620 100.000

SI01


SCHEDULE A – VERIFICATION BETWEEN YEARSReal Estate

1. Book/adjusted carrying value, December 31 of prior year 02. Cost of acquired:

2.1 Actual cost at time of acquisition (Part 2, Column 6) 02.2 Additional investment made after acquisition (Part 2, Column 9) 0 0

3. Current year change in encumbrances:3.1 Totals, Part 1, Column 13 03.2 Totals, Part 3, Column 11 0 0

4. Total gain (loss) on disposals, Part 3, Column 18 05. Deduct amounts received on disposals, Part 3, Column 15 06. Total foreign exchange change in book/adjusted carrying value:

6.1 Totals, Part 1, Column 15 06.2 Totals, Part 3, Column 13 0 0

7. Deduct current year’s other-than-temporary impairment recognized:7.1 Totals, Part 1, Column 12 07.2 Totals, Part 3, Column 10 0 0

8. Deduct current year’s depreciation:8.1 Totals, Part 1, Column 11 08.2 Totals, Part 3, Column 9 0 0

9. Book/adjusted carrying value at the end of current period (Lines 1+2+3+4-5+6-7-8) 010. Deduct total nonadmitted amounts 11. Statement value at end of current period (Line 9 minus Line 10) 0

SCHEDULE B – VERIFICATION BETWEEN YEARSMortgage Loans

1. Book value/recorded investment excluding accrued interest, December 31 of prior year 02. Cost of acquired:


3. Capitalized deferred interest and other:3.1 Totals, Part 1, Column 12 03.2 Totals, Part 3, Column 11 0 0

4. Accrual of discount5. Unrealized valuation increase (decrease):


6. Total gain (loss) on disposals, Part 3, Column 18 07. Deduct amounts received on disposals, Part 3, Column 15 08. Deduct amortization of premium and mortgage interest points and commitment fees9. Total foreign exchange change in book value/recorded investment excluding accrued interest:



11. Book value/recorded investment excluding accrued interest at end of current period (Lines 1+2+3+4+5+6-7-8+9-10) 012. Total valuation allowance13. Subtotal (Line 11 plus Line 12) 014. Deduct total nonadmitted amounts15. Statement value of mortgages owned at end of current period (Line 13 minus Line 14) 0

SI02


SCHEDULE BA – VERIFICATION BETWEEN YEARSOther Long-Term Invested Assets

1. Book/adjusted carrying value, December 31 of prior year 02. Cost of acquired:


3. Capitalized deferred interest and other:3.1 Totals, Part 1, Column 16 03.2 Totals, Part 3, Column 12 0 0

4. Accrual of discount5. Unrealized valuation increase (decrease):


6. Total gain (loss) on disposals, Part 3, Column 19 07. Deduct amounts received on disposals, Part 3, Column 16 08. Deduct amortization of premium and depreciation9. Total foreign exchange change in book/adjusted carrying value:



11. Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5+6-7-8+9-10) 012. Deduct total nonadmitted amounts13. Statement value at end of current period (Line 11 minus Line 12) 0

SCHEDULE D – VERIFICATION BETWEEN YEARSBonds and Stocks

1. Book/adjusted carrying value, December 31 of prior year 34,571,1782. Cost of bonds and stocks acquired, Part 3, Column 7 10,901,0553. Accrual of discount 160,9674. Unrealized valuation increase (decrease):

4.1 Part 1, Column 12 04.2 Part 2, Section 1, Column 15 04.3 Part 2, Section 2, Column 13 210,8954.4 Part 4, Column 11 0 210,895

5. Total gain (loss) on disposals, Part 4, Column 19 83,7086. Deduction consideration for bonds and stocks disposed of, Part 4, Column 7 5,766,4677. Deduct amortization of premium 496,5428. Total foreign exchange change in book/adjusted carrying value:

8.1 Part 1, Column 15 08.2 Part 2, Section 1, Column 19 08.3 Part 2, Section 2, Column 16 08.4 Part 4, Column 15 0 0

9. Deduct current year’s other-than-temporary impairment recognized:9.1 Part 1, Column 14 09.2 Part 2, Section 1, Column 17 09.3 Part 2, Section 2, Column 14 09.4 Part 4, Column 13 0 0

10. Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5-6-7+8-9) 39,664,79411. Deduct total nonadmitted amounts12. Statement value at end of current period (Line 10 minus Line 11) 39,664,794

SI03


SCHEDULE D - SUMMARY BY COUNTRYLong-Term Bonds and Stocks OWNED December 31 of Current Year

Description

1Book/AdjustedCarrying Value

2

Fair Value

3

Actual Cost

4

Par Value of Bonds

BONDS 1. United States 0 0 0 0Governments 2. Canada

(Including all obligations guaranteed 3. Other Countries

by governments) 4. Totals 0 0 0 0

U.S. States, Territories and Possessions

(Direct and guaranteed) 5. Totals 22,482,897 22,466,184 22,482,897 21,380,000

U.S. Political Subdivisions of States, Territories

and Possessions (Direct and guaranteed) 6. Totals 0 0 0 0

U.S. Special revenue and special assessment

obligations and all non-guaranteed

obligations of agencies and authorities of

governments and their political subdivisions 7. Totals 8,307,037 8,382,738 8,307,037 8,372,277

8. United States 5,993,709 6,131,766 5,993,709 8,364,254Industrial and Miscellaneous, SVO Identified 9. Canada

Funds and Hybrid Securities (unaffiliated) 10. Other Countries

11. Totals 5,993,709 6,131,766 5,993,709 8,364,254

Parent, Subsidiaries and Affiliates 12. Totals 0 0 0 0

13. Total Bonds 36,783,643 36,980,688 36,783,643 38,116,531

PREFERRED STOCKS 14. United States

Industrial and Miscellaneous (unaffiliated) 15. Canada

16. Other Countries

17. Totals 0 0 0

Parent, Subsidiaries and Affiliates 18. Totals 0 0 0

19. Total Preferred Stocks 0 0 0

COMMON STOCKS 20. United States 2,881,154 2,881,154 2,147,773Industrial and Miscellaneous (unaffiliated) 21. Canada

22. Other Countries

23. Totals 2,881,154 2,881,154 2,147,773

Parent, Subsidiaries and Affiliates 24. Totals 0 0 0

25. Total Common Stocks 2,881,154 2,881,154 2,147,773

26. Total Stocks 2,881,154 2,881,154 2,147,773

27. Total Bonds and Stocks 39,664,797 39,861,842 38,931,416

SI04


SCHEDULE D - PART 1A - SECTION 1Quality and Maturity Distribution of All Bonds Owned December 31, at Book/Adjusted Carrying Values by Major Types of Issues and NAIC Designations

NAIC Designation

1

1 Year or Less

2Over 1 Year Through

5 Years

3Over 5 Years

Through 10 Years

4Over 10 Years

Through 20 Years

5

Over 20 Years

6No Maturity

Date

7Total

Current Year

8Col. 7 as a

% of Line 10.7

9Total from Col. 6

Prior Year

10% From Col. 7

Prior Year

11Total Publicly

Traded

12Total Privately

Placed (a)

1. U.S. Governments

1.1 NAIC 1 556,174 XXX 556,174 1.5 121,036 0.4 556,1741.2 NAIC 2 XXX 0 0.0 0 0.01.3 NAIC 3 XXX 0 0.0 0 0.01.4 NAIC 4 XXX 0 0.0 0 0.01.5 NAIC 5 XXX 0 0.0 0 0.01.6 NAIC 6 XXX 0 0.0 0 0.01.7 Totals 556,174 0 0 0 0 XXX 556,174 1.5 121,036 0.4 556,174 0

2. All Other Governments

2.1 NAIC 1 XXX 0 0.0 0 0.02.2 NAIC 2 XXX 0 0.0 0 0.02.3 NAIC 3 XXX 0 0.0 0 0.02.4 NAIC 4 XXX 0 0.0 0 0.02.5 NAIC 5 XXX 0 0.0 0 0.02.6 NAIC 6 XXX 0 0.0 0 0.02.7 Totals 0 0 0 0 0 XXX 0 0.0 0 0.0 0 0

3. U.S. States, Territories and Possessions, etc., Guaranteed

3.1 NAIC 1 1,292,563 2,796,459 4,610,283 11,747,260 2,511,712 XXX 22,958,277 60.7 22,973,483 70.0 22,958,2773.2 NAIC 2 XXX 0 0.0 0 0.03.3 NAIC 3 XXX 0 0.0 0 0.03.4 NAIC 4 XXX 0 0.0 0 0.03.5 NAIC 5 XXX 0 0.0 0 0.03.6 NAIC 6 XXX 0 0.0 0 0.03.7 Totals 1,292,563 2,796,459 4,610,283 11,747,260 2,511,712 XXX 22,958,277 60.7 22,973,483 70.0 22,958,277 0

4. U.S. Political Subdivisions of States, Territories and Possessions, Guaranteed

4.1 NAIC 1 XXX 0 0.0 0 0.04.2 NAIC 2 XXX 0 0.0 0 0.04.3 NAIC 3 XXX 0 0.0 0 0.04.4 NAIC 4 XXX 0 0.0 0 0.04.5 NAIC 5 XXX 0 0.0 0 0.04.6 NAIC 6 XXX 0 0.0 0 0.04.7 Totals 0 0 0 0 0 XXX 0 0.0 0 0.0 0 0

5. U.S. Special Revenue & Special Assessment Obligations, etc., Non-Guaranteed

5.1 NAIC 1 561 33,454 67,484 2,997,028 5,208,509 XXX 8,307,036 22.0 5,896,708 18.0 8,307,0365.2 NAIC 2 XXX 0 0.0 0 0.05.3 NAIC 3 XXX 0 0.0 0 0.05.4 NAIC 4 XXX 0 0.0 0 0.05.5 NAIC 5 XXX 0 0.0 0 0.05.6 NAIC 6 XXX 0 0.0 0 0.05.7 Totals 561 33,454 67,484 2,997,028 5,208,509 XXX 8,307,036 22.0 5,896,708 18.0 8,307,036 0

SI0

5


SCHEDULE D - PART 1A - SECTION 1 (Continued)Quality and Maturity Distribution of All Bonds Owned December 31, at Book/Adjusted Carrying Values by Major Types of Issues and NAIC Designations

NAIC Designation

1

1 Year or Less


5 Years

3Over 5 Years

Through 10 Years

4Over 10 Years

Through 20 Years

5

Over 20 Years

6No Maturity

Date

7Total

Current Year

8Col. 7 as a

% of Line 10.7

9Total from Col. 6

Prior Year

10% From Col.7

Prior Year

11Total Publicly

Traded

12Total Privately

Placed (a)

6. Industrial and Miscellaneous (unaffiliated)6.1 NAIC 1 5,967,652 12,863 XXX 5,980,515 15.8 3,832,621 11.7 5,980,5156.2 NAIC 2 13,195 XXX 13,195 0.0 0 0.0 13,1956.3 NAIC 3 XXX 0 0.0 0 0.06.4 NAIC 4 XXX 0 0.0 0 0.06.5 NAIC 5 XXX 0 0.0 0 0.06.6 NAIC 6 XXX 0 0.0 0 0.06.7 Totals 0 13,195 0 5,967,652 12,863 XXX 5,993,710 15.9 3,832,621 11.7 5,993,710 0

7. Hybrid Securities7.1 NAIC 1 XXX 0 0.0 0 0.07.2 NAIC 2 XXX 0 0.0 0 0.07.3 NAIC 3 XXX 0 0.0 0 0.07.4 NAIC 4 XXX 0 0.0 0 0.07.5 NAIC 5 XXX 0 0.0 0 0.07.6 NAIC 6 XXX 0 0.0 0 0.07.7 Totals 0 0 0 0 0 XXX 0 0.0 0 0.0 0 0

8. Parent, Subsidiaries and Affiliates8.1 NAIC 1 XXX 0 0.0 0 0.08.2 NAIC 2 XXX 0 0.0 0 0.08.3 NAIC 3 XXX 0 0.0 0 0.08.4 NAIC 4 XXX 0 0.0 0 0.08.5 NAIC 5 XXX 0 0.0 0 0.08.6 NAIC 6 XXX 0 0.0 0 0.08.7 Totals 0 0 0 0 0 XXX 0 0.0 0 0.0 0 0

9. SVO-Designated Securities9.1 NAIC 1 XXX XXX XXX XXX XXX 0 0.0 XXX XXX9.2 NAIC 2 XXX XXX XXX XXX XXX 0 0.0 XXX XXX9.3 NAIC 3 XXX XXX XXX XXX XXX 0 0.0 XXX XXX9.4 NAIC 4 XXX XXX XXX XXX XXX 0 0.0 XXX XXX9.5 NAIC 5 XXX XXX XXX XXX XXX 0 0.0 XXX XXX9.6 NAIC 6 XXX XXX XXX XXX XXX 0 0.0 XXX XXX9.7 Totals XXX XXX XXX XXX XXX 0 0 0.0 XXX XXX 0 0

SI0

6


SCHEDULE D - PART 1A - SECTION 1 (Continued)Quality and Maturity Distribution of All Bonds Owned December 31, at Book/Adjusted Carrying Values by Major Types of Issues and NAIC Designations

NAIC Designation

1

1 Year or Less


5 Years

3Over 5 Years

Through 10 Years

4Over 10 Years

Through 20 Years

5

Over 20 Years

6No Maturity

Date

7Total

Current Year

8Col. 7 as a

% of Line 10.7

9Total from Col. 6

Prior Year

10% From Col. 7

Prior Year

11Total Publicly

Traded

12Total Privately

Placed (a)

10. Total Bonds Current Year10.1 NAIC 1 (d) 1,849,298 2,829,913 4,677,767 20,711,940 7,733,084 37,802,002 100.0 XXX XXX 37,802,002 010.2 NAIC 2 (d) 0 13,195 0 0 0 13,195 0.0 XXX XXX 13,195 010.3 NAIC 3 (d) 0 0 0 0 0 0 0.0 XXX XXX 0 010.4 NAIC 4 (d) 0 0 0 0 0 0 0.0 XXX XXX 0 010.5 NAIC 5 (d) 0 0 0 0 0 (c) 0 0.0 XXX XXX 0 010.6 NAIC 6 (d) 0 0 0 0 0 (c) 0 0.0 XXX XXX 0 010.7 Totals 1,849,298 2,843,108 4,677,767 20,711,940 7,733,084 0 (b) 37,815,197 100.0 XXX XXX 37,815,197 010.8 Line 10.7 as a % of Col. 7 4.9 7.5 12.4 54.8 20.4 0.0 100.0 XXX XXX XXX 100.0 0.0

11. Total Bonds Prior Year

11.1 NAIC 1 772,987 1,947,102 6,012,715 16,574,485 7,516,559 XXX XXX XXX 32,823,848 100.0 32,823,848 011.2 NAIC 2 0 0 0 0 0 XXX XXX XXX 0 0.0 0 011.3 NAIC 3 0 0 0 0 0 XXX XXX XXX 0 0.0 0 011.4 NAIC 4 0 0 0 0 0 XXX XXX XXX 0 0.0 0 011.5 NAIC 5 0 0 0 0 0 XXX XXX XXX (c) 0 0.0 0 011.6 NAIC 6 0 0 0 0 0 XXX XXX XXX (c) 0 0.0 0 011.7 Totals 772,987 1,947,102 6,012,715 16,574,485 7,516,559 XXX XXX XXX (b) 32,823,848 100.0 32,823,848 011.8 Line 11.7 as a % of Col. 9 2.4 5.9 18.3 50.5 22.9 XXX XXX XXX 100.0 XXX 100.0 0.0

12. Total Publicly Traded Bonds

12.1 NAIC 1 1,849,298 2,829,913 4,677,767 20,711,940 7,733,084 37,802,002 100.0 32,823,848 100.0 37,802,002 XXX12.2 NAIC 2 13,195 13,195 0.0 0 0.0 13,195 XXX12.3 NAIC 3 0 0.0 0 0.0 0 XXX12.4 NAIC 4 0 0.0 0 0.0 0 XXX12.5 NAIC 5 0 0.0 0 0.0 0 XXX12.6 NAIC 6 0 0.0 0 0.0 0 XXX12.7 Totals 1,849,298 2,843,108 4,677,767 20,711,940 7,733,084 0 37,815,197 100.0 32,823,848 100.0 37,815,197 XXX12.8 Line 12.7 as a % of Col. 7 4.9 7.5 12.4 54.8 20.4 0.0 100.0 XXX XXX XXX 100.0 XXX12.9 Line 12.7 as a % of Line

10.7, Col. 7, Section 10 4.9 7.5 12.4 54.8 20.4 0.0 100.0 XXX XXX XXX 100.0 XXX 13. Total Privately Placed

Bonds

13.1 NAIC 1 0 0.0 0 0.0 XXX 013.2 NAIC 2 0 0.0 0 0.0 XXX 013.3 NAIC 3 0 0.0 0 0.0 XXX 013.4 NAIC 4 0 0.0 0 0.0 XXX 013.5 NAIC 5 0 0.0 0 0.0 XXX 013.6 NAIC 6 0 0.0 0 0.0 XXX 013.7 Totals 0 0 0 0 0 0 0 0.0 0 0.0 XXX 013.8 Line 13.7 as a % Col. 7 0.0 0.0 0.0 0.0 0.0 0.0 0.0 XXX XXX XXX XXX 0.013.9 Line 13.7 as a % of Line

10.7, Col. 7, Section 10 0.0 0.0 0.0 0.0 0.0 0.0 0.0 XXX XXX XXX XXX 0.0 (a) Includes $ freely tradable under SEC Rule 144 or qualified for resale under SEC Rule 144A. (b) Includes $ current year, $ prior year of bonds with Z designations and $ current year, $ prior year of bonds with Z* designations. The letter “Z” means the NAIC designation was not assigned By the Securities Valuation Office (SVO) at the date of the statement. “Z*” means the SVO could not evaluate the obligation because valuation procedures for the security class is under regulatory review. (c) Includes $ current year, $ prior year of bonds with 5* designations and $ current year, $ prior year of bonds with 6* designations. “5*” means the NAIC designation was assigned by the SVO in reliance on the insurer’s certification that the issuer is current in all principal and interest payments. “6*” means the NAIC designation was assigned by the SVO due to inadequate certification of principal and interest payments.(d) Includes the following amount of short-term and cash equivalent bonds by NAIC designation: NAIC 1$ 1,031,554 ; NAIC 2 $ ; NAIC 3 $ ; NAIC 4 $ ; NAIC 5 $ ; NAIC 6 $ .

SI0

7


SCHEDULE D - PART 1A - SECTION 2Maturity Distribution of All Bonds Owned December 31, At Book/Adjusted Carrying Values by Major Type and Subtype of Issues

Distribution by Type 1

1 Year or Less

2Over 1 Year

Through 5 Years

3Over 5 Years

Through 10 Years

4Over 10 Years

Through 20 Years

5

Over 20 Years

6No Maturity

Date

7Total

Current Year

8Col. 7 as a

% of Line 10.6

9Total from Col. 6

Prior Year

10% From Col. 7

Prior Year

11Total Publicly

Traded

12Total Privately

Placed (a)1. U.S. Governments

1.1 Issuer Obligations 556,174 XXX 556,174 1.5 121,036 0.4 556,1741.2 Residential Mortgage-Backed Securities XXX 0 0.0 0 0.01.3 Commercial Mortgage-Backed Securities XXX 0 0.0 0 0.01.4 Other Loan-Backed and Structured Securities XXX 0 0.0 0 0.01.5 Totals 556,174 0 0 0 0 XXX 556,174 1.5 121,036 0.4 556,174 0

2. All Other Governments2.1 Issuer Obligations XXX 0 0.0 0 0.02.2 Residential Mortgage-Backed Securities XXX 0 0.0 0 0.02.3 Commercial Mortgage-Backed Securities XXX 0 0.0 0 0.02.4 Other Loan-Backed and Structured Securities XXX 0 0.0 0 0.02.5 Totals 0 0 0 0 0 XXX 0 0.0 0 0.0 0 0

3. U.S. States, Territories and Possessions, Guaranteed3.1 Issuer Obligations XXX 0 0.0 0 0.03.2 Residential Mortgage-Backed Securities 1,292,563 2,796,459 4,610,283 11,747,260 2,511,712 XXX 22,958,277 60.7 22,973,483 70.0 22,958,2773.3 Commercial Mortgage-Backed Securities XXX 0 0.0 0 0.03.4 Other Loan-Backed and Structured Securities XXX 0 0.0 0 0.03.5 Totals 1,292,563 2,796,459 4,610,283 11,747,260 2,511,712 XXX 22,958,277 60.7 22,973,483 70.0 22,958,277 0

4. U.S. Political Subdivisions of States, Territories and Possessions, Guaranteed

4.1 Issuer Obligations XXX 0 0.0 0 0.04.2 Residential Mortgage-Backed Securities XXX 0 0.0 0 0.04.3 Commercial Mortgage-Backed Securities XXX 0 0.0 0 0.04.4 Other Loan-Backed and Structured Securities XXX 0 0.0 0 0.04.5 Totals 0 0 0 0 0 XXX 0 0.0 0 0.0 0 0

5. U.S. Special Revenue & Special Assessment Obligations, etc., Non-Guaranteed

5.1 Issuer Obligations XXX 0 0.0 0 0.05.2 Residential Mortgage-Backed Securities 561 33,454 67,484 2,997,028 5,208,509 XXX 8,307,036 22.0 5,896,708 18.0 8,307,0365.3 Commercial Mortgage-Backed Securities XXX 0 0.0 0 0.05.4 Other Loan-Backed and Structured Securities XXX 0 0.0 0 0.05.5 Totals 561 33,454 67,484 2,997,028 5,208,509 XXX 8,307,036 22.0 5,896,708 18.0 8,307,036 0

6. Industrial and Miscellaneous6.1 Issuer Obligations XXX 0 0.0 0 0.06.2 Residential Mortgage-Backed Securities 13,195 5,967,652 12,863 XXX 5,993,710 15.9 3,832,621 11.7 5,993,7106.3 Commercial Mortgage-Backed Securities XXX 0 0.0 0 0.06.4 Other Loan-Backed and Structured Securities XXX 0 0.0 0 0.06.5 Totals 0 13,195 0 5,967,652 12,863 XXX 5,993,710 15.9 3,832,621 11.7 5,993,710 0

7. Hybrid Securities7.1 Issuer Obligations XXX 0 0.0 0 0.07.2 Residential Mortgage-Backed Securities XXX 0 0.0 0 0.07.3 Commercial Mortgage-Backed Securities XXX 0 0.0 0 0.07.4 Other Loan-Backed and Structured Securities XXX 0 0.0 0 0.07.5 Totals 0 0 0 0 0 XXX 0 0.0 0 0.0 0 0

8. Parent, Subsidiaries and Affiliates8.1 Issuer Obligations XXX 0 0.0 0 0.08.2 Residential Mortgage-Backed Securities XXX 0 0.0 0 0.08.3 Commercial Mortgage-Backed Securities XXX 0 0.0 0 0.08.4 Other Loan-Backed and Structured Securities XXX 0 0.0 0 0.08.5 Totals 0 0 0 0 0 XXX 0 0.0 0 0.0 0 0

SI0

8


SCHEDULE D - PART 1A - SECTION 2 (Continued)Maturity Distribution of All Bonds Owned December 31, at Book/Adjusted Carrying Values by Major Type and Subtype of Issues

Distribution by Type

1

1 Year or Less

2

Over 1 YearThrough 5 Years

3

Over 5 YearsThrough 10 Years

4

Over 10 YearsThrough 20 Years

5

Over 20 Years

6

No Maturity

Date

7

Total

Current Year

8

Col. 7 as a

% of Line 10.6

9

Total from Col. 6

Prior Year

10

% From Col. 7

Prior Year

11

Total Publicly

Traded

12

Total PrivatelyPlaced (a)

9. SVO Identified Funds

9.1 Exchange Traded Funds Identified by the SVO XXX XXX XXX XXX XXX 0 0.0 XXX XXX9.2 Bond Mutual Funds Identified by the SVO XXX XXX XXX XXX XXX 0 0.0 XXX XXX9.3 Totals XXX XXX XXX XXX XXX 0 0 0.0 XXX XXX 0 0

10. Total Bonds Current Year

10.1 Issuer Obligations 556,174 0 0 0 0 XXX 556,174 1.5 XXX XXX 556,174 010.2 Residential Mortgage-Backed Securities 1,293,124 2,843,108 4,677,767 20,711,940 7,733,084 XXX 37,259,023 98.5 XXX XXX 37,259,023 010.3 Commercial Mortgage-Backed Securities 0 0 0 0 0 XXX 0 0.0 XXX XXX 0 010.4 Other Loan-Backed and Structured Securities 0 0 0 0 0 XXX 0 0.0 XXX XXX 0 010.5 SVO Identified Funds XXX XXX XXX XXX XXX 0 0 0.0 XXX XXX 0 010.6 Totals 1,849,298 2,843,108 4,677,767 20,711,940 7,733,084 0 37,815,197 100.0 XXX XXX 37,815,197 010.7 Lines 10.6 as a % Col. 7 4.9 7.5 12.4 54.8 20.4 0.0 100.0 XXX XXX XXX 100.0 0.0

11. Total Bonds Prior Year

11.1 Issuer Obligations 121,036 0 0 0 0 XXX XXX XXX 121,036 0.4 121,036 011.2 Residential Mortgage-Backed Securities 651,951 1,947,102 6,012,715 16,574,485 7,516,559 XXX XXX XXX 32,702,812 99.6 32,702,812 011.3 Commercial Mortgage-Backed Securities 0 0 0 0 0 XXX XXX XXX 0 0.0 0 011.4 Other Loan-Backed and Structured Securities 0 0 0 0 0 XXX XXX XXX 0 0.0 0 011.5 SVO Identified Funds XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX11.6 Totals 772,987 1,947,102 6,012,715 16,574,485 7,516,559 XXX XXX XXX 32,823,848 100.0 32,823,848 011.7 Line 11.6 as a % of Col. 9 2.4 5.9 18.3 50.5 22.9 XXX XXX XXX 100.0 XXX 100.0 0.0

12. Total Publicly Traded Bonds

12.1 Issuer Obligations 556,174 XXX 556,174 1.5 121,036 0.4 556,174 XXX12.2 Residential Mortgage-Backed Securities 1,293,124 2,843,108 4,677,767 20,711,940 7,733,084 XXX 37,259,023 98.5 32,702,812 99.6 37,259,023 XXX12.3 Commercial Mortgage-Backed Securities XXX 0 0.0 0 0.0 0 XXX12.4 Other Loan-Backed and Structured Securities XXX 0 0.0 0 0.0 0 XXX12.5 SVO Identified Funds XXX XXX XXX XXX XXX 0 0 0.0 XXX XXX 0 XXX12.6 Totals 1,849,298 2,843,108 4,677,767 20,711,940 7,733,084 0 37,815,197 100.0 32,823,848 100.0 37,815,197 XXX12.7 Line 11.6 as a % of Col. 7 4.9 7.5 12.4 54.8 20.4 0.0 100.0 XXX XXX XXX 100.0 XXX12.8 Line 11.6 as a % of Line 10.6, Col. 7, Section 10 4.9 7.5 12.4 54.8 20.4 0.0 100.0 XXX XXX XXX 100.0 XXX

13. Total Privately Placed Bonds

13.1 Issuer Obligations XXX 0 0.0 0 0.0 XXX 013.2 Residential Mortgage-Backed Securities XXX 0 0.0 0 0.0 XXX 013.3 Commercial Mortgage-Backed Securities XXX 0 0.0 0 0.0 XXX 013.4 Other Loan-Backed and Structured Securities XXX 0 0.0 0 0.0 XXX 013.5 SVO Identified Funds XXX XXX XXX XXX XXX 0 0 0.0 XXX XXX XXX 013.6 Totals 0 0 0 0 0 0 0 0.0 0 0.0 XXX 013.7 Line 13.6 as a % of Col. 7 0.0 0.0 0.0 0.0 0.0 0.0 0.0 XXX XXX XXX XXX 0.013.8 Line 13.6 as a % of Line 10.6, Col. 7, Section 10 0.0 0.0 0.0 0.0 0.0 0.0 0.0 XXX XXX XXX XXX 0.0

SI0

9


SCHEDULE DA - VERIFICATION BETWEEN YEARS

Short-Term Investments

1

Total

2

Bonds

3

Mortgage Loans

4

Other Short-termInvestment Assets(a)

5

Investments in Parent,Subsidiaries and Affiliates

1. Book/adjusted carrying value, December 31 of prior year 221,036 100,000 0 121,036 0

2. Cost of short-term investments acquired 1,164,370 729,232 435,138

3. Accrual of discount 0

4. Unrealized valuation increase (decrease) 0

5. Total gain (loss) on disposals 0

6. Deduct consideration received on disposals 350,000 350,000

7. Deduct amortization of premium 3,852 3,852

8. Total foreign exchange change in book/adjusted carrying value 0

9. Deduct current year’s other-than-temporary impairment recognized 0

10. Book adjusted carrying value at end of current period (Lines 1+2+3+4+5-6-7+8-9) 1,031,554 475,380 0 556,174 0

11. Deduct total nonadmitted amounts 0

12. Statement value at end of current period (Line 10 minus Line 11) 1,031,554 475,380 0 556,174 0

(a) Indicate the category of such assets, for example, joint ventures, transportation equipment: Exempt Money Market Mutal Funds

SI1

0


Schedule DB - Part A - Verification

NONE

Schedule DB - Part B - Verification

NONE

Schedule DB - Part C - Section 1

NONE

Schedule DB - Part C - Section 2

NONE

Schedule DB - Verification

NONE

SI11, SI12, SI13, SI14


SCHEDULE E - VERIFICATION BETWEEN YEARS

(Cash Equivalents)

1

Total

2

Bonds

3

Other(a)

1. Book/adjusted carrying value, December 31 of prior year 350,377 0 350,377

2. Cost of cash equivalents acquired 5,485 5,485

3. Accrual of discount 0

4. Unrealized valuation increase (decrease) 0

5. Total gain (loss) on disposals 0

6. Deduct consideration received on disposals 0

7. Deduct amortization of premium 0

8. Total foreign exchange change in book/adjusted carrying value 0

9. Deduct current year’s other-than-temporary impairment recognized 0

10. Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5-6-7+8-9) 355,862 0 355,862

11. Deduct total nonadmitted amounts 0

12. Statement value at end of current period (Line 10 minus Line 11) 355,862 0 355,862

(a) Indicate the category of such investments, for example, joint ventures, transportation equipment Collateral

SI15


Schedule A - Part 1

NONE

Schedule A - Part 2

NONE

Schedule A - Part 3

NONE

Schedule B - Part 1

NONE

Schedule B - Part 2

NONE

Schedule B - Part 3

NONE

Schedule BA - Part 1

NONE


NONE


NONE

E01, E02, E03, E04, E05, E06, E07, E08, E09


SCHEDULE D - PART 1Showing All Long-Term BONDS Owned December 31 of Current Year

1 2 Codes 6 7 Fair Value 10 11 Change in Book / Adjusted Carrying Value Interest Dates

3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22

CUSIPIdentification Description Code

Foreign

BondCHAR

NAICDesignation

ActualCost

Rate Usedto Obtain

FairValue

FairValue

ParValue

Book/AdjustedCarrying

Value

UnrealizedValuationIncrease/

(Decrease)

Current Year’s(Amortization)/

Accretion

CurrentYear’sOtherThan

TemporaryImpairmentRecognized

TotalForeign

ExchangeChange

InB./A.C.V.

Rateof

EffectiveRate

ofWhenPaid

AdmittedAmountDue &

Accrued

AmountRec.

DuringYear Acquired

StatedContractual

MaturityDate

Bonds - U.S. Governments - Issuer ObligationsBonds - U.S. Governments - Residential Mortgage-Backed SecuritiesBonds - U.S. Governments - Commercial Mortgage-Backed SecuritiesBonds - U.S. Governments - Other Loan-Backed and Structured SecuritiesBonds - All Other Governments - Issuer ObligationsBonds - All Other Governments - Residential Mortgage-Backed SecuritiesBonds - All Other Governments - Commercial Mortgage-Backed SecuritiesBonds - All Other Governments - Other Loan-Backed and Structured SecuritiesBonds - U.S. States, Territories and Possessions (Direct and Guaranteed) - Issuer ObligationsBonds - U.S. States, Territories and Possessions (Direct and Guaranteed) - Residential Mortgage-Backed Securities088632-BK-9 BISDEV 5 10/01/28 1FE 159,118 105.9470 158,921 150,000 159,118 (5,166) AO 1,875 7,500 11/03/2014 10/01/202811506K-CW-9 BROTRN 5 09/01/17 1FE 641,735 102.5920 641,200 625,000 641,735 (16,640) MS 10,417 15,625 05/02/2016 09/01/2017145231-3M-6 CRLSCD 6 7/8 02/15/29 1FE 260,863 109.4800 262,752 240,000 260,863 (9,545) FA 6,188 16,500 04/17/2015 02/15/2029155665-EL-2 CCASCD 5 5/8 08/01/33 1FE 324,366 110.5560 331,668 300,000 324,366 (9,151) FA 7,031 16,875 06/30/2014 08/01/2033167485-NF-4 CHI 4 1/4 01/01/19 1FE 50,000 100.2070 50,104 50,000 50,000 0 JJ 1,063 2,125 12/21/2012 01/01/2019172252-H7-6 CINSCD 5 06/01/31 1FE 398,697 109.3780 404,699 370,000 398,697 (8,038) JD 1,542 18,500 08/28/2014 06/01/2031180374-AK-6 CLAFAC 4 3/4 09/01/27 1FE 132,516 102.4500 133,185 130,000 132,516 (3,832) MS 2,058 6,175 12/11/2014 09/01/2027181059-FY-7 CLASD 3 1/2 06/15/23 1FE 100,450 101.1320 101,132 100,000 100,450 (1,024) JD 146 3,500 07/09/2014 06/15/2023181059-MU-7 CLASCD 5 06/15/26 1FE 257,841 103.7110 259,278 250,000 257,841 (8,281) JD 521 12,500 07/16/2014 06/15/2026181059-MV-5 CLASCD 5 06/15/27 1FE 414,671 103.7110 414,844 400,000 414,671 (15,410) JD 833 20,000 10/27/2015 06/15/2027185328-JQ-5 CLEWTR 4 12/01/25 1FE 729,222 107.2090 723,661 675,000 729,222 (10,421) JD 2,250 27,000 02/19/2015 12/01/202519645R-QG-9 COSEDU 5 09/01/27 1FE 84,426 111.3190 83,489 75,000 84,426 (1,538) MS 1,250 3,750 10/23/2015 09/01/2027234685-JZ-9 DALHGR 5 02/15/24 1FE 47,754 107.5100 48,380 45,000 47,754 (1,284) FA 844 2,250 07/02/2012 02/15/2024235036-F8-8 DALAPT 5 11/01/43 1FE 291,496 106.4970 292,867 275,000 291,496 (4,025) MN 2,292 13,750 12/09/2015 11/01/2043235036-RN-2 DALAPT 5 11/01/22 1FE 188,655 111.3550 189,304 170,000 188,655 (4,687) MN 1,417 8,500 07/31/2014 11/01/2022235036-RT-9 DALAPT 5 11/01/27 1FE 606,170 110.8860 609,873 550,000 606,170 (14,029) MN 4,583 27,500 07/06/2015 11/01/202725476F-DH-8 DIS 5 06/01/22 1FE 50,374 101.5640 50,782 50,000 50,374 (1,050) JD 208 2,500 09/16/2011 06/01/202229087L-CN-6 EMCUTL 4 1/4 01/01/29 1FE 200,001 100.0000 200,000 200,000 200,001 (5,045) JJ 4,250 8,500 09/29/2015 01/01/202934074M-LX-7 FLSHSG 3 1/2 07/01/35 1FE 407,049 97.2080 403,413 415,000 407,049 910 JJ 7,263 14,525 05/14/2015 07/01/2035341080-CT-4 FLSTRN 5 1/8 06/01/27 1FE 348,842 110.6200 331,860 300,000 348,842 (4,381) JD 1,281 7,688 07/01/2016 06/01/2027343136-T4-9 FLSTRN 5 07/01/40 1FE 589,055 110.3510 590,378 535,000 589,055 (11,294) JJ 13,375 26,750 05/19/2015 07/01/2040346843-DK-8 FORSCD 5 02/15/34 1FE 379,223 108.3540 373,821 345,000 379,223 (6,638) FA 6,469 8,625 06/24/2016 02/15/2034347658-TL-0 FORUTL 5 03/01/27 1FE 285,783 113.5110 289,453 255,000 285,783 (6,264) MS 4,250 12,750 08/12/2014 03/01/202743232V-PL-9 HILEDU 4 07/01/21 1FE 76,099 101.2030 75,902 75,000 76,099 (2,234) JJ 1,500 3,000 09/16/2014 07/01/202144420P-AA-2 HUYGEN 4 1/2 02/15/47 1FE 195,517 100.0730 195,142 195,000 195,517 (4,570) FA 3,291 8,775 10/05/2015 02/15/204744420P-AB-0 HUYGEN 5 02/15/47 1FE 30,092 100.3320 30,100 30,000 30,092 (812) FA 563 1,500 10/05/2015 02/15/204744420P-AC-8 HUYGEN 5 02/15/47 1FE 60,197 100.3320 60,199 60,000 60,197 (1,733) FA 1,125 3,000 10/05/2015 02/15/204745201Y-J8-1 ILSHSG 1.5 02/01/19 1FE 100,000 98.8490 98,849 100,000 100,000 0 FA 625 0 09/22/2016 02/01/201946257T-AS-8 IASGEN 5 06/01/27 1FE 214,673 108.2620 216,524 200,000 214,673 (5,966) JD 833 10,000 07/17/2014 06/01/202746613C-F5-9 JACPWR 5 10/01/27 1FE 112,240 109.0810 109,081 100,000 112,240 (1,563) AO 1,250 2,500 07/29/2016 10/01/202748451R-AU-7 KANEDU 6.39 07/15/29 1FE 555,197 110.4240 552,120 500,000 555,197 (17,435) JJ 14,644 31,950 11/09/2015 07/15/2029

49151F-PC-8KYSFAC 5 1/2 11/01/28REFUNDED 1FE 315,772 107.5000 317,125 295,000 315,772 (10,521) MN 2,704 16,225 05/27/2015 11/01/2028

49151F-QE-3KYSFAC 5 1/2 11/01/28UNREFUNDED 1FE 112,393 107.1050 112,460 105,000 112,393 (3,745) MN 963 5,775 05/27/2015 11/01/2028

56052E-8M-3 MESHSG 1.9 11/15/19 1FE 35,000 99.3640 34,777 35,000 35,000 0 MN 83 665 02/17/2015 11/15/201956052E-8N-1 MESHSG 2.2 11/15/20 1FE 45,000 99.1740 44,628 45,000 45,000 0 MN 124 990 02/17/2015 11/15/202057419P-UW-7 MDSDEV 4 1/8 09/01/24 1FE 55,440 103.0360 56,670 55,000 55,440 (273) MS 756 2,269 04/30/2012 09/01/2024574218-WW-9 MDSMED 5 07/01/32 1FE 110,385 114.5680 114,568 100,000 110,385 (1,042) JJ 2,500 5,000 05/21/2015 07/01/203257586N-F4-8 MASHSG 3 3/4 12/01/30 1FE 100,000 100.9870 100,987 100,000 100,000 0 JD 313 3,750 09/17/2015 12/01/203057586N-F7-1 MASHSG 4.2 12/01/45 1FE 100,000 100.1640 100,164 100,000 100,000 0 JD 350 4,200 09/17/2015 12/01/204557586N-WC-1 MASHSG 2.9 06/01/22 1FE 200,000 100.4670 200,934 200,000 200,000 0 JD 483 5,800 12/11/2014 06/01/202257586N-WT-4 MASHSG 3 12/01/22 1FE 200,000 100.9710 201,942 200,000 200,000 0 JD 500 6,000 12/11/2014 12/01/202257586P-3M-6 MASHSG 3.15 12/01/32 1FE 770,890 92.3370 720,229 780,000 770,890 1,524 JD 2,048 24,570 04/10/2015 12/01/203257587A-GW-2 MASHSG 3.65 12/01/30 1FE 100,000 100.8530 100,853 100,000 100,000 0 JD 304 3,650 03/26/2015 12/01/203057587A-HY-7 MASHSG 4 06/01/39 1FE 100,898 103.3760 98,207 95,000 100,898 (778) JD 317 3,800 03/26/2015 06/01/203957587A-HZ-4 MASHSG 3.85 06/01/28 1FE 100,000 101.7390 101,739 100,000 100,000 0 JD 321 3,850 03/26/2015 06/01/2028

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57587A-JU-3 MASHSG 1 1/2 12/01/18 1FE 100,000 99.8500 99,850 100,000 100,000 0 JD 125 1,433 12/17/2015 12/01/201857587A-KB-3 MASHSG 2.6 06/01/22 1FE 100,000 98.7640 98,764 100,000 100,000 0 JD 217 2,484 12/17/2015 06/01/202257587A-PZ-5 MASS ST HSG 3.05 06/01/26 1FE 30,000 97.3580 29,207 30,000 30,000 0 JD 76 628 03/24/2016 06/01/202657587A-QA-9 MASS ST HSG 3.125 12/01/26 1FE 50,000 97.8050 48,903 50,000 50,000 0 JD 130 1,072 03/24/2016 12/01/2026581646-L5-3 MKY 4 3/4 08/15/29 1FE 105,826 106.5550 106,555 100,000 105,826 (2,696) FA 1,781 4,750 11/19/2014 08/15/2029586111-KW-5 MEMAPT 5 3/4 07/01/24 1FE 219,914 109.6180 219,236 200,000 219,914 (5,433) JJ 5,750 11,500 08/20/2014 07/01/202459259Y-3P-2 MTATRN 5 11/15/40 1FE 111,001 110.1020 110,102 100,000 111,001 (1,128) MN 625 5,000 10/05/2015 11/15/204059333M-A4-7 MIAEDU 5 05/01/21 1FE 40,598 101.3280 40,531 40,000 40,598 (1,471) MN 333 2,000 08/01/2014 05/01/202159333P-WS-3 MIATRN 5 10/01/27 1FE 108,669 109.4680 109,468 100,000 108,669 (3,075) AO 1,250 5,000 10/09/2015 10/01/202759334D-CE-2 MIAUTL 5 10/01/23 1FE 76,895 102.9280 77,196 75,000 76,895 (2,564) AO 938 3,750 02/28/2014 10/01/202359334D-CR-3 MIAUTL 5 10/01/26 1FE 205,041 102.9280 205,856 200,000 205,041 (6,848) AO 2,500 10,000 04/11/2013 10/01/202659334D-GU-2 MIAUTL 5 10/01/34 1FE 315,629 109.7300 312,731 285,000 315,629 (7,871) AO 3,563 14,250 01/23/2015 10/01/2034594695-R2-6 MISTRN 5 11/01/21 1FE 268,860 109.2560 273,140 250,000 268,860 (6,468) MN 2,083 12,500 02/19/2014 11/01/2021606377-AM-1 MOSHGR 5 04/01/21 1FE 302,975 100.9670 302,901 300,000 302,975 (12,232) AO 3,750 15,000 08/26/2014 04/01/2021613349-2A-6 MONSFH 3 01/01/22 1FE 89,029 100.0920 90,083 90,000 89,029 (325) JJ 1,350 2,700 06/11/2013 01/01/202263165T-HP-3 NAS 4 04/01/17 1FE 50,357 100.6580 50,329 50,000 50,357 (1,494) AO 500 2,000 09/26/2014 04/01/2017645790-EG-7 NJSMED 5 07/01/19 1FE 109,563 107.5260 107,526 100,000 109,563 (890) JJ 1,181 0 10/06/2016 07/01/201964966G-FU-1 NYC 4 1/4 01/01/28 1FE 200,000 100.1880 200,376 200,000 200,000 (5,405) JJ 4,250 8,500 10/23/2014 01/01/202864966H-YX-2 NYC 6.246 06/01/35 1FE 332,316 112.4120 337,236 300,000 332,316 (8,981) JD 1,562 18,738 08/27/2015 06/01/203564966L-WR-8 NYC 5 02/01/22 PREREFUNDED 1FE 30,045 100.2980 30,089 30,000 30,045 (669) FA 625 1,500 10/14/2014 02/01/202264966L-WX-5 NYC 5 02/01/22 UNREFUNDED 1FE 35,053 100.2780 35,097 35,000 35,053 (780) FA 729 1,750 10/14/2014 02/01/202264966M-CL-1 NYC 5 1/4 04/01/32 REFUNDED 1FE 10,667 108.5240 10,852 10,000 10,667 (276) AO 131 525 05/07/2014 04/01/203264966M-CV-9 NYC 5 1/4 04/01/32 UNREFUNDED 1FE 256,007 107.7640 258,634 240,000 256,007 (6,612) AO 3,150 12,600 05/07/2014 04/01/203264971M-7K-2 NYCGEN 5 11/01/33 1FE 209,922 110.9060 210,721 190,000 209,922 (4,987) MN 1,583 9,500 10/05/2015 11/01/203364972F-3C-8 NYCUTL 5 06/15/43 1FE 27,171 109.7900 27,448 25,000 27,171 (456) JD 52 1,250 10/05/2015 06/15/204364972F-4U-7 NYCUTL 5 06/15/44 1FE 48,600 109.7020 49,366 45,000 48,600 (752) JD 94 2,250 10/05/2015 06/15/204464972H-LX-8 NYCFAC 5 1/4 01/15/39 1FE 32,193 106.6530 31,996 30,000 32,193 (1,059) JJ 722 1,575 10/05/2015 01/15/203964972H-PX-4 NYCFAC 5 1/4 01/15/39 1FE 118,159 106.6530 117,318 110,000 118,159 (3,942) JJ 2,647 5,775 10/05/2015 01/15/203964983M-3X-4 NYSHGR 5 07/01/27 1FE 526,264 105.6370 528,185 500,000 526,264 (17,382) JJ 12,500 25,000 05/18/2015 07/01/2027649883-D9-3 NYSHSG 3.45 10/01/30 1FE 100,000 100.5380 100,538 100,000 100,000 0 AO 863 3,450 02/26/2015 10/01/2030649883-G2-5 NYSHSG 2 10/01/20 1FE 200,000 98.3430 196,686 200,000 200,000 0 AO 1,000 4,000 02/26/2015 10/01/202064990E-QZ-3 NYSHGR 5 03/15/38 1FE 60,899 112.2320 61,728 55,000 60,899 (722) MS 802 2,750 10/05/2015 03/15/2038650035-LY-2 NYSDEV 5 01/01/28 1FE 263,132 105.2100 263,025 250,000 263,132 (8,691) JJ 6,250 12,500 05/18/2015 01/01/2028650035-X6-0 NYSDEV 5 12/15/21 REFUNDED 1FE 179,585 103.7400 181,545 175,000 179,585 (4,620) JD 365 8,750 10/06/2011 12/15/2021650035-Z2-7 NYSDEV 5 12/15/21 UNREFUNDED 1FE 76,965 103.7020 77,777 75,000 76,965 (1,980) JD 156 3,750 10/06/2011 12/15/2021658909-HC-3 NDSHSG 0.9 01/01/17 1FE 100,000 100.0000 100,000 100,000 100,000 0 JJ 450 920 06/23/2015 01/01/2017677561-GM-8 OHSMED 5 01/01/26 1FE 53,126 106.4470 53,224 50,000 53,126 (1,544) JJ 1,250 2,500 08/21/2014 01/01/2026677561-HU-9 OHSMED 5 01/01/32 1FE 399,137 109.7140 400,456 365,000 399,137 (8,107) JJ 9,125 18,250 08/20/2015 01/01/203267756A-E9-9 OHSHGR 5 1/4 01/01/23 1FE 78,164 103.7270 77,795 75,000 78,164 (2,264) JJ 1,969 1,969 04/11/2016 01/01/202367756A-T6-9 OHSHGR 5 1/4 01/15/22 1FE 278,072 109.1620 272,905 250,000 278,072 (8,243) JJ 6,016 6,563 02/02/2016 01/15/202267760H-JL-6 OHSTRN 5 02/15/19 1FE 376,521 107.4400 376,040 350,000 376,521 (12,368) FA 6,563 17,500 03/09/2015 02/15/2019688028-KT-5 OSCEDU 4 3/8 06/01/24 1FE 73,248 106.6120 74,628 70,000 73,248 (906) JD 255 3,063 07/02/2014 06/01/202468825E-X9-5 OSH 3 1/4 12/01/21 1FE 76,698 102.7600 77,070 75,000 76,698 (873) JD 203 2,438 04/17/2014 12/01/2021696550-UA-8 PALEDU 4 1/2 08/01/22 1FE 76,262 101.8460 76,385 75,000 76,262 (2,178) FA 1,406 3,375 04/11/2014 08/01/2022696560-KP-5 PALPOL 5 10/01/31 REFUNDED 1FE 5,527 113.8360 5,692 5,000 5,527 (101) AO 63 250 05/15/2015 10/01/2031696560-KZ-3 PALPOL 5 10/01/31 UNREFUNDED 1FE 491,867 111.3870 495,672 445,000 491,867 (9,030) AO 5,563 22,250 05/15/2015 10/01/2031708796-N4-5 PASSFM 2.8 10/01/22 1FE 100,000 100.3040 100,304 100,000 100,000 0 AO 700 2,800 03/26/2015 10/01/2024708796-N6-0 PASSFM 3.2 10/01/24 1FE 100,000 100.7830 100,783 100,000 100,000 0 AO 800 3,200 03/26/2015 10/01/2024708796-R8-2 PASSFM 1.95 10/01/19 1FE 100,000 99.8930 99,893 100,000 100,000 0 AO 488 1,999 09/22/2015 10/01/2019708796-S2-4 PASSFM 2.3 10/01/20 1FE 125,000 100.1590 125,199 125,000 125,000 0 AO 719 2,947 09/22/2015 10/01/2020708796-S5-7 PASSFM 2.85 04/01/22 1FE 50,000 100.4630 50,232 50,000 50,000 0 AO 356 1,461 09/22/2015 04/01/2022708796-S7-3 PASSFM 3 04/01/23 1FE 55,000 100.3650 55,201 55,000 55,000 0 AO 413 1,691 09/22/2015 04/01/2023708796-T4-9 PASSFM 3.45 10/01/25 1FE 100,000 101.7330 101,733 100,000 100,000 0 AO 863 3,536 09/22/2015 10/01/2025708796-T7-2 PASSFM 3.95 10/01/30 1FE 50,000 101.6980 50,849 50,000 50,000 0 AO 494 2,024 09/22/2015 10/01/2030708796-T9-8 PASSFM 4.1 10/01/33 1FE 100,000 100.7880 100,788 100,000 100,000 0 AO 1,025 4,203 09/22/2015 10/01/203376221R-VX-8 RISHSG 1 1/2 10/01/19 1FE 433,596 98.2660 427,457 435,000 433,596 310 AO 1,631 2,447 05/16/2016 10/01/2019793323-LH-7 STPUTL 5 1/4 10/01/39 1FE 546,694 109.9950 549,975 500,000 546,694 (16,560) AO 6,563 26,250 06/03/2015 10/01/203980330Q-CH-6 SAREDU 5 07/01/24 1FE 220,672 111.2760 222,552 200,000 220,672 (5,719) JJ 5,000 10,000 12/09/2014 07/01/2024

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AdmittedAmountDue &

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DuringYear Acquired

StatedContractual

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83712D-ST-4 SCSHSG 3.8 07/01/34 1FE 124,682 100.7140 125,893 125,000 124,682 36 JJ 2,375 4,750 05/18/2015 07/01/203483712D-VK-9 SCSHSG 0 3/4 01/01/18 1FE 100,000 99.3200 99,320 100,000 100,000 0 JJ 375 0 08/02/2016 01/01/201883756C-JP-1 SDSMFH 3.4 05/01/31 1FE 189,886 98.6000 187,340 190,000 189,886 (114) MN 1,077 6,460 04/30/2015 05/01/2031857535-X2-9 SUVHGR 3.8 07/01/22 1FE 47,274 106.5430 47,944 45,000 47,274 (625) JJ 855 1,710 06/20/2014 07/01/2022870487-CG-8 SWEPOL 5 1/4 07/15/26 1FE 76,562 108.5720 76,000 70,000 76,562 (2,434) JJ 1,684 3,675 10/23/2015 07/15/202688045R-A4-4 TNSDEV 2 1/4 01/01/22 1FE 74,631 100.0470 75,035 75,000 74,631 (347) JJ 844 1,842 05/28/2015 01/01/202288045R-A9-3 TNSDEV 2 3/4 07/01/24 1FE 94,860 100.5400 95,513 95,000 94,860 (140) JJ 1,306 2,852 05/28/2015 07/01/202488045R-B6-8 TNSDEV 3.85 01/01/35 1FE 23,390 100.3070 25,077 25,000 23,390 (774) JJ 481 1,051 05/28/2015 01/01/203588045R-C4-2 TNSDEV 3.4 01/01/29 1FE 74,613 100.8020 75,602 75,000 74,613 (343) JJ 1,275 2,784 05/28/2015 01/01/2029880461-LC-0 TNSHSG 3.1 07/01/36 1FE 100,000 92.0470 92,047 100,000 100,000 0 JJ 629 0 10/18/2016 07/01/2036880558-EF-4 TNSHGR 5 11/01/30 1FE 111,708 114.3970 114,397 100,000 111,708 (1,815) MN 833 5,000 08/01/2014 11/01/2030882721-XP-3 TXS 5 08/01/31 1FE 203,712 101.7030 203,406 200,000 203,712 (6,448) FA 4,167 10,000 08/27/2014 08/01/2031889379-QU-0 TOLUTL 5 11/15/23 1FE 149,124 116.6660 157,499 135,000 149,124 (1,831) MN 844 6,750 10/23/2013 11/15/202389602N-KX-1 TRBTRN 5 11/15/32 1FE 67,249 103.4290 67,229 65,000 67,249 (2,585) MN 406 3,250 10/05/2015 11/15/2032914476-LG-9 UMSHGR 3 1/2 10/01/17 1FE 25,090 101.6600 25,415 25,000 25,090 (133) AO 219 875 03/23/2011 10/01/2017914745-AS-3 UALHGR 3 10/01/30 1FE 202,464 98.4450 206,735 210,000 202,464 1,177 AO 1,575 6,300 04/26/2013 10/01/203092812U-K4-9 VASHSG 3 7/8 01/01/38 1FE 99,740 100.0720 100,072 100,000 99,740 40 JJ 1,938 3,875 04/29/2013 01/01/203892812V-EV-4 VASHSG 2.9 11/01/27 1FE 100,000 99.4910 99,491 100,000 100,000 0 MN 483 2,828 11/10/2015 11/01/202792812V-EX-0 VASHSG 3.1 11/01/29 1FE 100,000 99.0040 99,004 100,000 100,000 0 MN 517 3,023 11/10/2015 11/01/202993974C-EM-8 WAS 5 02/01/34 1FE 481,318 107.4330 483,449 450,000 481,318 (14,799) FA 9,375 22,500 08/27/2015 02/01/203493978E-V9-0 WASMED 5 1/4 08/01/23 1FE 143,191 106.0940 148,532 140,000 143,191 (2,015) FA 3,063 7,350 11/09/2011 08/01/2023940858-K5-1 WASSCD 4 3/4 06/01/25 1FE 121,738 107.7970 123,967 115,000 121,738 (2,720) JD 455 5,463 07/08/2014 06/01/2025969080-DQ-0 WILHGR 5 3/4 06/01/23 1FE 52,648 105.8010 52,901 50,000 52,648 (1,861) JD 240 2,875 05/20/2014 06/01/2023986093-BT-8 YONDEV 5 10/01/37 1FE 100,000 100.2300 100,230 100,000 100,000 (2,858) AO 1,250 5,000 10/05/2015 10/01/20371299999 - Bonds - U.S. States, Territories and Possessions (Direct and

Guaranteed) - Residential Mortgage-Backed Securities 22,482,897 XXX 22,466,184 21,380,000 22,482,897 0 (423,964) 0 0 XXX XXX XXX 268,807 900,732 XXX XXXBonds - U.S. States, Territories and Possessions (Direct and Guaranteed) - Commercial Mortgage-Backed SecuritiesBonds - U.S. States, Territories and Possessions (Direct and Guaranteed) - Other Loan-Backed and Structured Securities1799999 - Bonds - U.S. States, Territories and Possessions (Direct and

Guaranteed) - Subtotals - U.S. States, Territories andPossessions (Direct and Guaranteed) 22,482,897 XXX 22,466,184 21,380,000 22,482,897 0 (423,964) 0 0 XXX XXX XXX 268,807 900,732 XXX XXX

Bonds - U.S. Political Subdivisions of States, Territories and Possessions (Direct and Guaranteed) - Issuer ObligationsBonds - U.S. Political Subdivisions of States, Territories and Possessions (Direct and Guaranteed) - Residential Mortgage-Backed SecuritiesBonds - U.S. Political Subdivisions of States, Territories and Possessions (Direct and Guaranteed) - Commercial Mortgage-Backed SecuritiesBonds - U.S. Political Subdivisions of States, Territories and Possessions (Direct and Guaranteed) - Other Loan-Backed and Structured SecuritiesBonds - U.S. Special Revenue and Special Assessment Obligations and all Non-Guaranteed Obligations of Agencies and Authorities of Governments and Their Political Subdivisions - Issuer ObligationsBonds - U.S. Special Revenue and Special Assessment Obligations and all Non-Guaranteed Obligations of Agencies and Authorities of Governments and Their Political Subdivisions - Residential Mortgage-Backed Securities30250W-AC-7 SSGN 2010-S2 3A 1FE 1,254,578 100.1800 1,245,927 1,243,695 1,254,578 0 MON 1,501 12,522 05/07/2013 12/29/20453128QS-P8-3 FH 1G2247 1FE 1,878 105.7500 1,985 1,877 1,878 0 MON 10 41 11/17/2008 10/01/203731336C-MM-2 FH POOL 972164 1FE 54,115 105.8100 57,166 54,025 54,115 0 MON 250 1,297 09/24/2008 01/01/203531348S-6X-7 FH POOL 786286 1FE 109,408 102.0300 111,450 109,231 109,408 0 MON 504 2,688 09/24/2008 04/01/202831369X-HL-4 FN 223535 1FE 124 106.0900 138 130 124 0 MON 1 6 12/22/2008 12/01/203031378T-GE-9 FN 407997 1FE 41,306 99.8300 44,575 44,650 41,306 0 MON 85 981 12/22/2008 07/01/20273137GA-YQ-4 FHR 3738 FD 1FE 1,313,853 99.3800 1,311,839 1,320,040 1,313,853 0 MON 630 4,261 07/18/2016 08/15/204031385Y-C5-2 FN 556392 1FE 97,045 102.2100 107,217 104,901 97,045 0 MON 170 1,854 12/22/2008 02/01/203031385Y-CH-6 FN 556372 1FE 43,851 101.4200 48,065 47,393 43,851 0 MON 77 835 12/22/2008 02/01/203031385Y-CJ-2 FN 556373 1FE 75,495 100.9400 82,372 81,608 75,495 0 MON 132 1,437 12/22/2008 07/01/203831385Y-CL-7 FN 556375 1FE 104,672 102.2500 115,695 113,145 104,672 0 MON 183 1,998 12/22/2008 06/01/203031385Y-CR-4 FN 556380 1FE 39,926 100.5200 43,383 43,158 39,926 0 MON 70 759 12/22/2008 09/01/202931385Y-CX-1 FN 556386 1FE 21,685 100.4800 23,542 23,429 21,685 0 MON 38 413 12/22/2008 04/01/202931386C-4C-3 FN 559819 1FE 49,845 99.6900 53,708 53,876 49,845 0 MON 87 919 12/22/2008 10/01/203031386Q-DZ-1 FN 569920 1FE 20,920 99.8600 22,574 22,605 20,920 0 MON 37 390 12/22/2008 01/01/203131386Q-EA-5 FN 569929 1FE 21,652 99.8600 23,369 23,403 21,652 0 MON 38 414 12/22/2008 01/01/203131389E-ZQ-1 FN 623651 1FE 41,834 103.3100 45,727 44,263 41,834 0 MON 101 1,027 11/03/2008 04/01/203231391F-FZ-6 FN 665384 1FE 21,930 104.9100 24,089 22,961 21,930 0 MON 50 470 11/03/2008 10/01/203231393X-GQ-4 FNW 2004-W2 2A2 1FE 16,556 115.5200 19,163 16,589 16,556 0 MON 97 1,042 11/18/2008 02/25/204431394A-5A-0 FNR 2004-70 EB 1FE 14,943 106.4900 15,606 14,655 14,943 0 MON 61 656 07/22/2009 10/25/2024

E1

0.2




3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22


Foreign

BondCHAR

NAICDesignation

ActualCost

Rate Usedto Obtain

FairValue

FairValue

ParValue


Value


(Decrease)


Accretion



TotalForeign

ExchangeChange

InB./A.C.V.

Rateof

EffectiveRate

ofWhenPaid

AdmittedAmountDue &

Accrued

AmountRec.

DuringYear Acquired

StatedContractual

MaturityDate

31394D-R2-8 FNR 2005-45 XA 1FE 1,278,424 99.7300 1,283,371 1,286,869 1,278,424 0 MON 338 5,325 06/30/2016 06/25/203531394T-ZV-0 FHR 2770 LO 1FE 27,991 88.1600 28,779 32,643 27,991 0 MON 0 0 07/10/2014 03/15/203431395C-TG-6 FHR 2828 JE 1FE 7,726 103.2700 7,936 7,685 7,726 0 MON 29 273 07/31/2009 07/15/201931395H-J4-3 FHR 2877 AL 1FE 13,506 107.0100 14,174 13,245 13,506 0 MON 55 585 07/22/2009 10/15/202431395W-T9-8 FHR 3006 YF 1FE 964,268 98.8900 962,908 973,701 964,268 0 MON 451 2,505 09/02/2016 07/15/203531396X-ZA-5 FNR 2007-91 JF 1FE 1,053,378 101.2700 1,068,768 1,055,357 1,053,378 0 MON 325 11,355 06/10/2014 10/25/203731397E-WG-6 FHR 3281 AF 1FE 895,956 99.6200 891,983 895,396 895,956 0 MON 437 6,467 03/11/2013 02/15/203731398L-SY-5 FHR 3628 BA 1FE 1,669 103.6000 1,680 1,622 1,669 0 MON 6 73 08/16/2011 01/15/204031407X-3Y-5 FN 844215 1FE 62 103.7300 67 65 62 0 MON 0 1 12/22/2008 11/01/203531409B-AN-7 FN 865913 1FE 21,179 104.3100 23,875 22,888 21,179 0 MON 50 506 12/22/2008 03/01/203636202K-BR-5 G2 POOL 8148 1FE 39,035 102.7700 40,174 39,091 39,035 0 MON 65 681 09/26/2008 02/20/202336202K-ED-3 G2 POOL 8232 1FE 561 100.0400 568 568 561 0 MON 1 6 09/26/2008 06/20/201736202K-YS-8 G2 POOL 8821 1FE 25,728 102.3100 26,360 25,765 25,728 0 MON 46 430 09/26/2008 08/20/202136225C-K9-6 G2 POOL 80319 1FE 4,752 103.9200 5,042 4,852 4,752 0 MON 9 86 09/26/2008 09/20/202936225C-PN-0 G2 POOL 80428 1FE 11,584 103.9200 12,173 11,714 11,584 0 MON 21 226 09/26/2008 07/20/203036225D-MF-8 G2 POOL 81257 1FE 20,454 103.8500 21,485 20,689 20,454 0 MON 34 370 09/26/2008 02/20/203538375L-U7-3 GNR 2007-72 HF 11/20/2037 1FE 595,147 100.2200 595,805 594,494 595,147 0 MON 249 4,889 07/16/2010 11/20/20372699999 - Bonds - U.S. Special Revenue and Special Assessment Obligations

and all Non-Guaranteed Obligations of Agencies andAuthorities of Governments and Their Political Subdivisions -Residential Mortgage-Backed Securities 8,307,037 XXX 8,382,738 8,372,277 8,307,037 0 0 0 0 XXX XXX XXX 6,236 67,789 XXX XXX

Bonds - U.S. Special Revenue and Special Assessment Obligations and all Non-Guaranteed Obligations of Agencies and Authorities of Governments and Their Political Subdivisions - Commercial Mortgage-Backed SecuritiesBonds - U.S. Special Revenue and Special Assessment Obligations and all Non-Guaranteed Obligations of Agencies and Authorities of Governments and Their Political Subdivisions - Other Loan-Backed and Structured Securities3199999 - Bonds - U.S. Special Revenue and Special Assessment Obligations

and all Non-Guaranteed Obligations of Agencies andAuthorities of Governments and Their Political Subdivisions -Subtotals - U.S. Special Revenue and Special AssessmentObligations and all Non-Guaranteed Obligations of Agencies ofGovernments and Their Political Subdivisions 8,307,037 XXX 8,382,738 8,372,277 8,307,037 0 0 0 0 XXX XXX XXX 6,236 67,789 XXX XXX

Bonds - Industrial and Miscellaneous (Unaffiliated) - Issuer ObligationsBonds - Industrial and Miscellaneous (Unaffiliated) - Residential Mortgage-Backed Securities02660T-EQ-2 AHM 2005-2 4A1 1Z* 8,498 98.7400 10,557 10,692 8,498 0 MON 25 253 09/17/2012 09/25/204507384Y-KF-2 BSABS 2003-AC4 A 5 1/2% 1Z* 251,150 100.8800 251,171 248,972 251,150 0 MON 1,141 12,566 11/25/2015 09/25/203312668A-ZS-7 CWALT 2005-64CB 1A7 1Z* 14,686 99.2600 19,177 19,320 14,686 0 MON 89 969 09/10/2008 12/25/2035161630-AW-8 CHASE 2007-A1 8A1 1Z* 4,365 101.0300 6,188 6,125 4,365 0 MON 17 163 07/21/2009 02/25/203717307G-CK-2 CMLTI 2003-1 WA2 6 1/2% 1Z* 42,571 102.2000 43,507 42,571 42,571 0 MON 231 2,300 11/30/2015 06/25/203117307G-EC-8 CMLTI 2004-HYB2 2A 1Z* 4,496 98.9600 5,035 5,088 4,496 0 MON 12 133 09/17/2012 03/25/203417307G-H4-3 CMLTI 2005-8 3PO 1Z* 128,967 68.6700 124,073 180,689 128,967 0 MON 0 0 02/10/2012 09/25/2035251563-FA-5 DMSI 2004-4 4AR1 1Z* 104,390 90.6100 102,817 113,467 104,390 0 MON 17 1,015 07/08/2014 06/25/2034251563-FA-5 DMSI 2004-4 4AR1 1Z* 5,526 90.6100 5,443 6,007 5,526 0 MON 307 2,268 07/15/2014 06/25/203432051G-TZ-8 FHASI 2005-AR4 3A1 1Z* 32,464 97.2300 39,582 40,710 32,464 0 MON 104 814 08/10/2012 10/25/203555265K-Z4-4 MASTR 2003-11 6A7 1Z* 126,710 84.1100 186,970 222,298 126,710 0 MON 0 0 08/04/2012 12/25/2033576433-QU-3 MARM 2004-8 5A1 2.6335% 1Z* 291,234 98.9300 296,276 299,469 291,234 0 MON 764 7,139 11/25/2015 08/25/2034589929-5Z-7 MLCC 2003-G XA2 4 1Z* 18,835 3.0400 16,662 547,572 18,835 (4,899) MON 462 6,037 08/19/2009 01/25/202976111X-C8-4 RFMSI 2005-S8 AP% 1Z* 132,834 74.5400 136,328 182,896 132,834 0 MON 0 0 06/18/2014 11/25/203581743P-BH-8 SEMT 2003-4 1A1 1Z* 1,181,116 93.6900 1,205,276 1,286,443 1,181,116 0 MON 586 13,394 12/14/2015 07/20/203381744F-AA-5 SEMT 2004-1 A 1.0557% 1Z* 19,141 94.0200 20,805 22,129 19,141 0 MON 10 291 11/05/2015 02/20/203481744F-CK-1 SEMT 2004-6 XA 4 1Z* 49,805 2.5600 31,343 1,225,563 49,805 (4,567) MON 894 10,510 08/19/2009 07/20/203481744F-EW-3 SEMT 2004-10 A3A 1Z* 38,579 95.2900 40,285 42,279 38,579 0 MON 22 542 11/19/2015 11/20/203481744F-EX-1 SEMT 2004-10 A3B 1Z* 212,187 91.5100 212,796 232,533 212,187 0 MON 129 3,223 11/19/2015 11/20/203481744F-FJ-1 SEMT 2004-11 A 1Z* 49,814 97.6700 53,317 54,591 49,814 0 MON 25 528 12/08/2015 12/20/203481744F-HK-6 SEMT 2005-3 A1 1Z* 751,451 91.3700 769,315 841,962 751,451 0 MON 610 3,821 05/17/2016 05/20/203586358H-NX-3 SAMI 2002-AR3 A1 1Z* 27,891 97.0600 29,750 30,650 27,891 0 MON 32 322 09/17/2012 09/19/203286358R-5J-2 SASC 2002-18A 3A 2.231% 1Z* 301,514 97.5700 303,300 310,839 301,514 0 MON 760 7,918 07/08/2014 09/25/2032929227-C5-3 WAMU 2002-S8 2A7 2Z* 13,195 100.4600 13,060 12,999 13,195 0 MON 57 503 07/16/2012 01/25/2018126671-YB-6 CWL 2003-BC2 2A1 1Z* 272,952 88.0057 278,912 316,925 272,952 0 MON 371 2,107 06/08/2016 06/25/2033

E1

0.3




3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22


Foreign

BondCHAR

NAICDesignation

ActualCost

Rate Usedto Obtain

FairValue

FairValue

ParValue


Value


(Decrease)


Accretion



TotalForeign

ExchangeChange

InB./A.C.V.

Rateof

EffectiveRate

ofWhenPaid

AdmittedAmountDue &

Accrued

AmountRec.

DuringYear Acquired

StatedContractual

MaturityDate

81744F-GZ-4 SEMT 2005-2 A2 1Z* 314,411 89.7070 316,464 352,775 314,411 0 MON 65 3,729 03/29/2016 03/20/203581743P-BJ-4 SEMT 2003-4 1A2 1Z* 950,234 92.7947 955,845 1,030,064 950,234 0 MON 431 11,595 03/21/2016 07/20/2033007036-ER-3 ARMT 2004-5 4A1 1Z* 644,692 96.8892 657,513 678,624 644,692 0 MON 1,689 16,522 02/09/2016 04/25/20353399999 - Bonds - Industrial and Miscellaneous (Unaffiliated) -

Residential Mortgage-Backed Securities 5,993,709 XXX 6,131,766 8,364,254 5,993,709 0 (9,466) 0 0 XXX XXX XXX 8,850 108,662 XXX XXXBonds - Industrial and Miscellaneous (Unaffiliated) - Commercial Mortgage-Backed SecuritiesBonds - Industrial and Miscellaneous (Unaffiliated) - Other Loan-Backed and Structured Securities3899999 - Bonds - Industrial and Miscellaneous (Unaffiliated) - Subtotals

- Industrial and Miscellaneous (Unaffiliated) 5,993,709 XXX 6,131,766 8,364,254 5,993,709 0 (9,466) 0 0 XXX XXX XXX 8,850 108,662 XXX XXXBonds - Hybrid Securities - Issuer ObligationsBonds - Hybrid Securities - Residential Mortgage-Backed SecuritiesBonds - Hybrid Securities - Commercial Mortgage-Backed SecuritiesBonds - Hybrid Securities - Other Loan-Backed and Structured SecuritiesBonds - Parent, Subsidiaries and Affiliates - Issuer ObligationsBonds - Parent, Subsidiaries and Affiliates - Residential Mortgage-Backed Securities

Bonds - Parent, Subsidiaries and Affiliates - Other Loan-Backed and Structured SecuritiesBonds: SVO Identified Funds - Exchange Traded Funds – as Identified by the SVOBonds - SVO Identified Funds - Bond Mutual Funds – as Identified by the SVO7899999 - Bonds - Total Bonds - Subtotals - Residential Mortgage-Backed

Securities 36,783,643 XXX 36,980,688 38,116,531 36,783,643 0 (433,430) 0 0 XXX XXX XXX 283,893 1,077,183 XXX XXX

8399999 Subtotals - Total Bonds 36,783,643 XXX 36,980,688 38,116,531 36,783,643 0 (433,430) 0 0 XXX XXX XXX 283,893 1,077,183 XXX XXX

E1

0.4


SCHEDULE D - PART 2 - SECTION 1Showing All PREFERRED STOCKS Owned December 31 of Current Year

1 2 Codes 5 6 7 8 Fair Value 11 Dividends Change in Book/Adjusted Carrying Value 20 21

CUSIPIdentification Description

3

Code

4

Foreign

NumberOf

Shares

ParValuePer

Share

RatePer

Share


Value

9Rate Per

ShareUsed toObtain

FairValue

10

FairValue

ActualCost

12

Declaredbut

Unpaid

13

AmountReceived

DuringYear

14

NonadmittedDeclared

ButUnpaid

15


(Decrease)

16

CurrentYear’s

(Amortization)Accretion

17

Current Year’sOther-Than-TemporaryImpairmentRecognized

18

TotalChange

InB./A.C.V.

(15+16-17)

19Total

ForeignExchangeChange

InB./A.C.V.

NAICDesig-nation

DateAcquired

8999999 Total Preferred Stocks 0 XXX 0 0 0 0 0 0 0 0 0 0 XXX XXX

E11


SCHEDULE D - PART 2 - SECTION 2Showing all COMMON STOCKS Owned December 31 of Current Year

1 2 Codes 5 6 Fair Value 9 Dividends Change in Book/Adjusted Carrying Value 17 18


3

Code

4

ForeignNumber of

Shares

Book / AdjustedCarrying

Value

7Rate per

Share UsedTo Obtain

FairValue

8

FairValue

ActualCost

10

Declaredbut Unpaid

11

AmountReceived

During Year

12

NonadmittedDeclared

But Unpaid

13


(Decrease)

14Current Year’sOther-Than-TemporaryImpairmentRecognized

15

TotalChange inB./A.C.V.(13-14)

16

Total ForeignExchangeChange inB./A.C.V.

NAICMarket

Indicator(a)

DateAcquired

Industrial and Miscellaneous (Unaffiliated)002824-10-0 ABBOTT LABORATORIES 2,000.000 76,820 38.410 76,820 45,465 2,080 (13,000) (13,000) L 02/10/201100287Y-10-9 ABBVIE INC 2,000.000 125,240 62.620 125,240 45,465 4,560 6,760 6,760 L 01/07/2013G0129K-10-4 AIRCASTLE LIMITED 5,000.000 104,250 20.850 104,250 105,022 4,900 (200) (200) L 11/03/201502079K-10-7 ALPHABET INC 500.000 385,910 771.820 385,910 368,396 0 17,514 17,514 L 01/04/2016049164-20-5 ATLAS AIR WORLDWIDE HOLDINGS 1,000.000 52,150 52.150 52,150 47,461 0 10,810 10,810 L 07/30/201508160H-10-1 BENCHMARK ELECTRONICS INC 2,000.000 61,000 30.500 61,000 40,910 0 19,660 19,660 L 11/03/2014143658-30-0 CARNIVAL CORP 2,000.000 104,120 52.060 104,120 90,210 2,700 (4,840) (4,840) L 08/24/2015172967-10-1 CITIGROUP INC 1,000.000 59,430 59.430 59,430 47,950 420 7,680 7,680 L 04/19/2010126408-10-3 CSX Corporation Common Stock 5,000.000 179,650 35.930 179,650 100,875 3,600 49,900 49,900 L 09/08/201123334L-10-2 DSW INC 3,000.000 67,950 22.650 67,950 71,889 2,400 (3,630) (3,630) L 11/02/2015427825-50-0 HERSHA HOSPITALITY TRUST NEW 5,000.000 107,500 21.500 107,500 103,775 4,200 3,725 3,725 L 01/05/2016427825-50-0 HERSHA HOSPITALITY TRUST NEW 4,000.000 86,000 21.500 86,000 67,620 3,360 18,380 18,380 L 02/01/2016438128-30-8 HONDA MOTOR CO LTD 2,000.000 58,380 29.190 58,380 64,010 1,352 (5,480) (5,480) L 10/10/2014438128-30-8 HONDA MOTOR CO LTD 2,600.000 75,894 29.190 75,894 79,963 1,757 (7,124) (7,124) L 01/20/201545667G-10-3 INFINERA CORPORATION 10,000.000 84,900 8.490 84,900 87,050 0 (2,150) (2,150) L 10/26/201645667G-10-3 INFINERA CORPORATION 10,000.000 84,900 8.490 84,900 75,050 0 9,850 9,850 L 11/02/2016458140-10-0 INTEL CORP 4,000.000 145,080 36.270 145,080 89,020 4,160 7,280 7,280 L 05/05/2010458140-10-0 INTEL CORP 1,500.000 54,405 36.270 54,405 23,368 1,560 2,730 2,730 L 11/30/2012464287-23-4 iShares MSCI Emerging Index Fun 500.000 17,505 35.010 17,505 19,503 331 1,410 1,410 L 09/12/2011464286-77-2 iShares MSCI South Korea Index 500.000 26,610 53.220 26,610 25,423 323 1,775 1,775 L 08/22/201146434G-77-2 iShares MSCI Taiwan Index Fund 1,000.000 29,370 29.370 29,370 25,630 701 3,830 3,830 L 08/22/2011464287-65-5 iShares Russell 2000 500.000 67,425 134.850 67,425 33,103 927 11,115 11,115 L 08/15/201157636Q-10-4 MASTERCARD INCORPORATED 1,000.000 103,250 103.250 103,250 97,776 760 5,890 5,890 L 08/06/2015591520-20-0 METHODE ELECTRONICS INC 5,000.000 206,750 41.350 206,750 184,241 1,800 47,600 47,600 L 01/27/2015G60754-10-1 MICHAEL KORS HOLDINGS LTD 1,000.000 42,980 42.980 42,980 43,905 0 2,920 2,920 L 08/06/2015844741-10-8 SOUTHWEST AIRLINES CO 1,000.000 49,840 49.840 49,840 38,205 350 6,780 6,780 L 08/06/201578462F-10-3 SPDR S&P 500 500.000 111,765 223.530 111,765 57,412 2,211 9,830 9,830 L 08/15/201192826C-83-9 VISA 4,000.000 312,080 78.020 312,080 69,078 2,340 1,880 1,880 L 07/25/2008

9099999 - Industrial and Miscellaneous (Unaffiliated) 2,881,154 XXX 2,881,154 2,147,773 0 46,792 0 210,895 0 210,895 0 XXX XXXParent, Subsidiaries, and AffiliatesMutual FundsMoney Market Mutual Funds

9799999 Total Common Stocks 2,881,154 XXX 2,881,154 2,147,773 0 46,792 0 210,895 0 210,895 0 XXX XXX

9899999 Total Preferred and Common Stocks 2,881,154 XXX 2,881,154 2,147,773 0 46,792 0 210,895 0 210,895 0 XXX XXX

(a) For all common stocks bearing the NAIC market indicator “U” provide: the number of such issues , the total $ value (included in Column 8) of all such issues $

E1

2


SCHEDULE D - PART 3Showing All Long-Term Bonds and Stocks ACQUIRED During Current Year

1 2 3 4 5 6 7 8 9

CUSIPIdentification Description Foreign Date Acquired Name of Vendor

Number ofShares of Stock

ActualCost Par Value

Paid for AccruedInterest and Dividends

Bonds - U.S. GovernmentsBonds - All Other GovernmentsBonds - U.S. States, Territories and Possessions (Direct and Guaranteed)

11506K-CW-9 BROTRN 5 09/01/17 05/02/2016 VINING SPARKS XXX 658,375 625,000 5,295341080-CT-4 FLSTRN 5 1/8 06/01/27 07/01/2016 VINING SPARKS XXX 353,223 300,000 1,281346843-DK-8 FORSCD 5 02/15/34 06/24/2016 VINING SPARKS XXX 385,862 345,000 6,18145201Y-J8-1 ILSHSG 1.5 02/01/19 09/22/2016 JP MORGAN SECURITIES XXX 100,000 100,00046613C-F5-9 JACPWR 5 10/01/27 07/29/2016 VINING SPARKS XXX 113,803 100,000 1,63957587A-PZ-5 MASS ST HSG 3.05 06/01/26 03/24/2016 JP MORGAN SECURITIES XXX 30,000 30,00057587A-QA-9 MASS ST HSG 3.125 12/01/26 03/24/2016 JP MORGAN SECURITIES XXX 50,000 50,000645790-EG-7 NJSMED 5 07/01/19 10/06/2016 BLAYLOCK ROBERT VAN XXX 110,453 100,00067756A-E9-9 OHSHGR 5 1/4 01/01/23 04/11/2016 VINING SPARKS XXX 80,428 75,000 1,09467756A-T6-9 OHSHGR 5 1/4 01/15/22 02/02/2016 VINING SPARKS XXX 286,315 250,000 62076221R-VX-8 RISHSG 1 1/2 10/01/19 05/16/2016 FIFTH THIRD SECURITIES XXX 433,286 435,00083712D-VK-9 SCSHSG 0 3/4 01/01/18 08/02/2016 BLAYLOCK ROBERT VAN XXX 100,000 100,000880461-LC-0 TNSHSG 3.1 07/01/36 10/18/2016 FTN FINANCIAL XXX 100,000 100,000

1799999 - Bonds - U.S. States, Territories and Possessions (Direct and Guaranteed) 2,801,745 2,610,000 16,110Bonds - U.S. Political Subdivisions of States, Territories and Possessions (Direct and Guaranteed)Bonds - U.S. Special Revenue and Special Assessment and all Non-Guaranteed Obligations of Agencies and Authorities of Governments and Their Political Subdivisions

3137GA-YQ-4 FHR 3738 FD 07/13/2016 FTN FINANCIAL XXX 1,506,420 1,513,514 9931394D-R2-8 FNR 2005-45 XA 06/28/2016 FTN FINANCIAL XXX 1,384,019 1,393,162 15331395W-T9-8 FHR 3006 YF 09/02/2016 FTN FINANCIAL XXX 1,024,779 1,034,804 375

3199999 - Bonds - U.S. Special Revenue and Special Assessment and all Non-Guaranteed Obligations of Agencies and Authorities of Governments and Their Political Subdivisions 3,915,218 3,941,480 627Bonds - Industrial and Miscellaneous (Unaffiliated)

007036-ER-3 ARMT 2004-5 4A1 02/09/2016 PERFORMANCE TRUST XXX 664,387 699,354 463126671-YB-6 CWL 2003-BC2 2A1 06/06/2016 PERFORMANCE TRUST XXX 272,952 316,925 12981743P-BJ-4 SEMT 2003-4 1A2 03/16/2016 PERFORMANCE TRUST XXX 1,086,067 1,177,309 4981744F-GZ-4 SEMT 2005-2 A2 03/24/2016 PERFORMANCE TRUST XXX 362,983 407,274 11481744F-HK-6 SEMT 2005-3 A1 05/12/2016 LOOP CAPITAL MARKETS XXX 841,608 942,978 452

3899999 - Bonds - Industrial and Miscellaneous (Unaffiliated) 3,227,996 3,543,840 1,207Bonds - Hybrid SecuritiesBonds - Parent, Subsidiaries, and AffiliatesBonds - SVO Identified Funds8399997 - Bonds - Subtotals - Bonds - Part 3 9,944,959 10,095,320 17,9448399999 - Bonds - Subtotals - Bonds 9,944,959 10,095,320 17,944

Preferred Stocks - Industrial and Miscellaneous (Unaffiliated)Preferred Stocks - Parent, Subsidiaries, and AffiliatesCommon Stocks - Industrial and Miscellaneous (Unaffiliated)

02079K-10-7 ALPHABET INC 01/04/2016 INTERACTIVE BROKERS 500.000 368,396 XXX427825-50-0 HERSHA HOSPITALITY TRUST NEW 01/05/2016 INTERACTIVE BROKERS 5,000.000 103,775 XXX427825-50-0 HERSHA HOSPITALITY TRUST NEW 02/01/2016 INTERACTIVE BROKERS 4,000.000 67,620 XXX45667G-10-3 INFINERA CORPORATION 10/26/2016 INTERACTIVE BROKERS 10,000.000 87,050 XXX45667G-10-3 INFINERA CORPORATION 11/02/2016 INTERACTIVE BROKERS 10,000.000 75,050 XXX

9099999 - Common Stocks - Industrial and Miscellaneous (Unaffiliated) 701,891 XXX 0Common Stocks - Parent, Subsidiaries, and AffiliatesCommon Stocks - Mutual FundsCommon Stocks - Money Market Mutual Funds9799997 - Common Stocks - Subtotals - Common Stocks - Part 3 701,891 XXX 09799998 - Common Stocks - Summary item from Part 5 for Common Stocks 254,205 XXX 09799999 - Common Stocks - Subtotals - Common Stocks 956,096 XXX 09899999 - Common Stocks - Subtotals - Preferred and Common Stocks 956,096 XXX 0

9999999 Totals 10,901,055 XXX 17,944

E1

3


SCHEDULE D - PART 4Showing all Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year

1 2 3 4 5 6 7 8 9 10 Change in Book/Adjusted Carrying Value 16 17 18 19 20 21

CUSIPIdenti-fication Description

Foreign

DisposalDate Name of Purchaser

Number ofShares of

Stock Consideration Par Value Actual Cost

Prior YearBook/Adjusted

CarryingValue

11


(Decrease)

12

Current Year(Amortization)/

Accretion

13


14

Total Change inB/A. C.V.

(11+12-13)

15

Total ForeignExchangeChange inB/A. C.V.

Book/Adjusted

Carrying Valueat

Disposal Date

ForeignExchange Gain

(Loss) onDisposal

Realized Gain(Loss) onDisposal

Total Gain(Loss) onDisposal

BondInterest/Stock

DividendsReceived

During Year

StatedContractual

MaturityDate

Bonds - U.S. GovernmentsBonds - All Other GovernmentsBonds - U.S. States, Territories and Possessions (Direct and Guaranteed)63165N-2B-3 NAS 4 01/01/16 01/04/2016 MATURED 250,000 250,000 250,000 250,000 0 250,000 0 5,000 01/01/201688045R-B6-8 TNSDEV 3.85 01/01/35 01/04/2016 CALLED 15,000 15,000 15,000 15,000 0 15,000 0 342 01/01/203588045R-C4-2 TNSDEV 3.4 01/01/29 01/04/2016 CALLED 5,000 5,000 5,000 5,000 0 5,000 0 101 01/01/202988045R-A4-4 TNSDEV 2 1/4 01/01/22 01/04/2016 CALLED 5,000 5,000 5,000 5,000 0 5,000 0 67 01/01/202288045R-A9-3 TNSDEV 2 3/4 07/01/24 01/04/2016 CALLED 5,000 5,000 5,000 5,000 0 5,000 0 81 07/01/202457587A-HY-7 MASHSG 4 06/01/39 04/25/2016 CALLED 5,000 5,000 5,008 5,008 (8) (8) 5,000 0 80 06/01/2039355046-JA-2 FRS 4 01/15/20 01/15/2016 CALLED 50,000 50,000 50,066 50,066 (66) (66) 50,000 0 1,000 01/15/202073358T-RV-5 PORTRN 5 07/15/30 01/15/2016 CALLED 25,000 25,000 25,027 25,027 (27) (27) 25,000 0 625 07/15/193088045R-A4-4 TNSDEV 2 1/4 01/01/22 03/01/2016 CALLED 5,000 5,000 5,001 5,001 (1) (1) 5,000 0 85 01/01/202288045R-B6-8 TNSDEV 3.85 01/01/35 03/01/2016 CALLED 5,000 5,000 5,006 5,006 (6) (6) 5,000 0 146 01/01/203588045R-B6-8 TNSDEV 3.85 01/01/35 04/01/2016 CALLED 5,000 5,000 5,010 5,010 (10) (10) 5,000 0 162 01/01/203564966L-HL-8 NYC 5 08/01/21 04/11/2016 CALLED 50,000 50,000 50,070 50,070 (70) (70) 50,000 0 1,736 08/01/2021040484-KZ-9 AZSHGR 5 06/01/19 REFUNDED 06/01/2016 CALLED 10,000 10,000 10,181 10,181 (181) (181) 10,000 0 250 06/01/2019040484-LC-9 AZSHGR 5 06/01/19 UNREFUNDED 06/01/2016 CALLED 65,000 65,000 66,173 66,173 (1,173) (1,173) 65,000 0 1,625 06/01/2019373539-RL-1 GASHSG 4.55 12/01/16 06/20/2016 CALLED 100,000 100,000 101,460 101,460 (1,460) (1,460) 100,000 0 2,515 12/01/201688045R-A4-4 TNSDEV 2 1/4 01/01/22 06/01/2016 CALLED 5,000 5,000 5,005 5,005 (5) (5) 5,000 0 113 01/01/202288045R-B6-8 TNSDEV 3.85 01/01/35 06/01/2016 CALLED 5,000 5,000 5,023 5,023 (23) (23) 5,000 0 194 01/01/203588045R-C4-2 TNSDEV 3.4 01/01/29 06/01/2016 CALLED 5,000 5,000 5,004 5,004 (4) (4) 5,000 0 171 01/01/2029096866-CA-4 BOCGEN 4 07/01/16 07/01/2016 MATURED 100,000 100,000 100,492 100,492 (492) (492) 100,000 0 4,000 07/01/201629270C-C4-5 ENEPWR 5 07/01/24 REFUNDED 07/01/2016 CALLED 80,000 80,000 81,358 81,358 (1,358) (1,358) 80,000 0 4,000 07/01/202429270C-C9-4 ENEPWR 5 07/01/24 UNREFUNDED 07/01/2016 CALLED 120,000 120,000 122,037 122,037 (2,037) (2,037) 120,000 0 6,000 07/01/2024658909-HB-5 NDSHSG 0.5 07/01/16 07/01/2016 MATURED 100,000 100,000 100,000 100,000 0 100,000 0 511 07/01/201688045R-A4-4 TNSDEV 2 1/4 01/01/22 07/01/2016 CALLED 5,000 5,000 5,006 5,006 (6) (6) 5,000 0 123 01/01/202288045R-B6-8 TNSDEV 3.85 01/01/35 07/01/2016 CALLED 15,000 15,000 15,089 15,089 (89) (89) 15,000 0 630 01/01/2035696550-RU-8 PALEDU 4.65 08/01/26 08/01/2016 CALLED 100,000 100,000 101,682 101,682 (1,682) (1,682) 100,000 0 4,650 08/01/202688045R-B6-8 TNSDEV 3.85 01/01/35 08/01/2016 CALLED 5,000 5,000 5,051 5,051 (51) (51) 5,000 0 226 01/01/203567884N-CU-1 OKSTRN 5 09/01/19 09/01/2016 CALLED 100,000 100,000 102,834 102,834 (2,834) (2,834) 100,000 0 5,000 09/01/201983756C-JP-1 SDSMFH 3.4 05/01/31 09/22/2016 CALLED 10,000 10,000 10,000 10,000 0 10,000 0 303 05/01/203188045R-A4-4 TNSDEV 2 1/4 01/01/22 09/01/2016 CALLED 5,000 5,000 5,011 5,011 (11) (11) 5,000 0 142 01/01/202288045R-B6-8 TNSDEV 3.85 01/01/35 09/01/2016 CALLED 10,000 10,000 10,146 10,146 (146) (146) 10,000 0 484 01/01/203588045R-C4-2 TNSDEV 3.4 01/01/29 09/01/2016 CALLED 5,000 5,000 5,009 5,009 (9) (9) 5,000 0 214 01/01/2029011903-FB-2 AKSDEV 5 10/01/25 REFUNDED 10/03/2016 CALLED 15,000 15,000 15,465 15,465 (465) (465) 15,000 0 750 10/01/2025686507-BA-1 ORLUTL 4 3/4 10/01/21 10/03/2016 CALLED 175,000 175,000 180,163 180,163 (5,163) (5,163) 175,000 0 8,313 10/01/2021708796-UZ-8 PASSFM 4 1/2 10/01/24 10/20/2016 CALLED 100,000 100,000 103,967 103,967 (3,967) (3,967) 100,000 0 4,738 10/01/202479207Q-CE-5 SUCSCD 4 3/8 10/01/23 10/03/2016 CALLED 75,000 75,000 76,876 76,876 (1,876) (1,876) 75,000 0 3,281 10/01/202388045R-B6-8 TNSDEV 3.85 01/01/35 10/03/2016 CALLED 5,000 5,000 5,120 5,120 (120) (120) 5,000 0 258 01/01/203588045R-C4-2 TNSDEV 3.4 01/01/29 10/03/2016 CALLED 5,000 5,000 5,012 5,012 (12) (12) 5,000 0 228 01/01/2029180848-RA-3 CLA 5 11/01/23 REFUNDED 11/01/2016 CALLED 50,000 50,000 51,399 51,399 (1,741) (1,741) 50,000 0 2,500 11/01/2023180848-RK-1 CLA 5 11/01/23 UNREFUNDED 11/01/2016 CALLED 50,000 50,000 51,399 51,399 (1,741) (1,741) 50,000 0 2,500 11/01/202388045R-B6-8 TNSDEV 3.85 01/01/35 11/01/2016 CALLED 5,000 5,000 5,159 5,159 (159) (159) 5,000 0 274 01/01/2035011903-FJ-5 AKSDEV 5 10/01/25 UNREFUNDED 12/29/2016 CALLED 335,000 335,000 345,391 345,391 (10,391) (10,391) 335,000 0 20,844 10/01/2025239019-WZ-1 DAVSCD 4 1/4 06/01/17 12/01/2016 CALLED 100,000 100,000 103,325 103,325 (3,325) (3,325) 100,000 0 4,250 06/01/2017481718-WA-8 JUN 4 1/8 09/01/20 12/05/2016 CALLED 75,000 75,000 76,513 76,513 (1,513) (1,513) 75,000 0 3,902 09/01/2020640345-MD-3 NELEDU 3.8 12/01/19 12/01/2016 CALLED 165,000 165,000 169,025 169,025 (4,025) (4,025) 165,000 0 6,270 12/01/201964990E-ZG-5 NYSHGR 5 12/15/21 REFUNDED 12/15/2016 CALLED 75,000 75,000 78,012 78,012 (3,012) (3,012) 75,000 0 3,750 12/15/202164990E-ZM-2 NYSHGR 5 12/15/21 UNREFUNDED 12/15/2016 CALLED 25,000 25,000 26,004 26,004 (1,004) (1,004) 25,000 0 1,250 12/15/202188045R-B6-8 TNSDEV 3.85 01/01/35 12/01/2016 CALLED 5,000 5,000 5,232 5,232 (232) (232) 5,000 0 290 01/01/203588045R-C4-2 TNSDEV 3.4 01/01/29 12/01/2016 CALLED 5,000 5,000 5,019 5,019 (19) (19) 5,000 0 256 01/01/202973358T-XK-2 PORTRN 4 1/4 12/01/32 12/16/2016 CALLED 80,000 80,000 80,522 80,522 (522) (522) 80,000 0 3,542 12/01/2032343136-ZY-6 FLSTRN 5 07/01/20 07/01/2016 CALLED 101,000 100,000 102,332 102,332 (2,332) (2,332) 100,000 1,000 1,000 5,000 07/01/2020

1799999 - Bonds - U.S. States, Territories and Possessions (Direct and Guaranteed) 2,716,000 2,715,000 2,767,685 2,767,685 0 (53,368) 0 (53,368) 0 2,715,000 0 1,000 1,000 112,774 XXXBonds - U.S. Political Subdivisions of States, Territories and Possessions (Direct and Guaranteed)Bonds - U.S. Special Revenue and Special Assessment and all Non-Guaranteed Obligations of Agencies and Authorities of Governments and Their Political Subdivisions30250W-AC-7 SSGN 2010-S2 3A 12/31/2016 Principal Paydown 529,816 529,816 534,452 534,452 (4,636) (4,636) 529,816 0 5,334 12/29/20453128QS-P8-3 FH 1G2247 12/31/2016 Principal Paydown 989 989 989 989 0 0 989 0 22 10/01/203731336C-MM-2 FH POOL 972164 12/31/2016 Principal Paydown 7,050 7,050 7,062 7,062 (12) (12) 7,050 0 169 01/01/203531348S-6X-7 FH POOL 786286 12/31/2016 Principal Paydown 15,039 15,039 15,064 15,064 (24) (24) 15,039 0 370 04/01/202831369X-HL-4 FN 223535 12/31/2016 Principal Paydown 47 47 45 45 2 2 47 0 2 12/01/20303136AD-KT-5 FNR 2013-29 YF 12/31/2016 Principal Paydown 155,747 155,747 155,552 155,552 195 195 155,747 0 389 10/25/204131378T-GE-9 FN 407997 12/31/2016 Principal Paydown 3,666 3,666 3,392 3,392 274 274 3,666 0 81 07/01/202731385Y-C5-2 FN 556392 12/31/2016 Principal Paydown 6,172 6,172 5,710 5,710 462 462 6,172 0 109 02/01/203031385Y-CH-6 FN 556372 12/31/2016 Principal Paydown 3,071 3,071 2,841 2,841 229 229 3,071 0 54 02/01/203031385Y-CJ-2 FN 556373 12/31/2016 Principal Paydown 5,298 5,298 4,902 4,902 397 397 5,298 0 93 07/01/203831385Y-CL-7 FN 556375 12/31/2016 Principal Paydown 6,712 6,712 6,209 6,209 503 503 6,712 0 119 06/01/2030

E1

4





Foreign


Number ofShares of



CarryingValue

11


(Decrease)

12


Accretion

13


14


(11+12-13)

15


Book/Adjusted

Carrying Valueat

Disposal Date


(Loss) onDisposal



BondInterest/Stock

DividendsReceived

During Year

StatedContractual

MaturityDate

31385Y-CR-4 FN 556380 12/31/2016 Principal Paydown 2,993 2,993 2,769 2,769 224 224 2,993 0 53 09/01/202931385Y-CX-1 FN 556386 12/31/2016 Principal Paydown 1,487 1,487 1,377 1,377 111 111 1,487 0 26 04/01/202931386C-4C-3 FN 559819 12/31/2016 Principal Paydown 7,722 7,722 7,144 7,144 578 578 7,722 0 132 10/01/203031386Q-DZ-1 FN 569920 12/31/2016 Principal Paydown 2,510 2,510 2,323 2,323 187 187 2,510 0 43 01/01/203131386Q-EA-5 FN 569929 12/31/2016 Principal Paydown 1,273 1,273 1,178 1,178 95 95 1,273 0 23 01/01/203131389E-ZQ-1 FN 623651 12/31/2016 Principal Paydown 12,516 12,516 11,830 11,830 687 687 12,516 0 290 04/01/203231391F-FZ-6 FN 665384 12/31/2016 Principal Paydown 15,102 15,102 14,425 14,425 678 678 15,102 0 309 10/01/203231393X-GQ-4 FNW 2004-W2 2A2 12/31/2016 Principal Paydown 3,765 3,765 3,758 3,758 7 7 3,765 0 237 02/25/204431394A-5A-0 FNR 2004-70 EB 12/31/2016 Principal Paydown 4,518 4,518 4,607 4,607 (89) (89) 4,518 0 202 10/25/202431394T-ZV-0 FHR 2770 LO 12/31/2016 Principal Paydown 9,516 9,516 8,160 8,160 1,356 1,356 9,516 0 03/15/203431395C-TG-6 FHR 2828 JE 12/31/2016 Principal Paydown 6,217 6,217 6,251 6,251 (34) (34) 6,217 0 221 07/15/201931395H-J4-3 FHR 2877 AL 12/31/2016 Principal Paydown 4,314 4,314 4,398 4,398 (85) (85) 4,314 0 191 10/15/202431397E-WG-6 FHR 3281 AF 12/31/2016 Principal Paydown 162,852 162,852 162,954 162,954 (102) (102) 162,852 0 1,176 02/15/203731407X-3Y-5 FN 844215 12/31/2016 Principal Paydown 10 10 10 10 0 0 10 0 0 11/01/203531409B-AN-7 FN 865913 12/31/2016 Principal Paydown 3,979 3,979 3,682 3,682 297 297 3,979 0 88 03/01/203636202K-BR-5 G2 POOL 8148 12/31/2016 Principal Paydown 8,635 8,635 8,622 8,622 12 12 8,635 0 150 02/20/202336202K-ED-3 G2 POOL 8232 12/31/2016 Principal Paydown 2,239 2,239 2,214 2,214 24 24 2,239 0 23 06/20/201736202K-YS-8 G2 POOL 8821 12/31/2016 Principal Paydown 9,055 9,055 9,042 9,042 13 13 9,055 0 151 08/20/202136225C-K9-6 G2 POOL 80319 12/31/2016 Principal Paydown 820 820 803 803 17 17 820 0 15 09/20/202936225C-PN-0 G2 POOL 80428 12/31/2016 Principal Paydown 1,199 1,199 1,186 1,186 13 13 1,199 0 23 07/20/203036225D-MF-8 G2 POOL 81257 12/31/2016 Principal Paydown 3,652 3,652 3,611 3,611 41 41 3,652 0 65 02/20/203538375L-U7-3 GNR 2007-72 HF 11/20/2037 12/31/2016 Principal Paydown 149,492 149,492 149,656 149,656 (164) (164) 149,492 0 1,229 11/20/20373137GA-YQ-4 FHR 3738 FD 12/31/2016 Principal Paydown 193,474 193,474 192,567 907 907 193,474 0 628 08/15/204031394D-R2-8 FNR 2005-45 XA 12/31/2016 Principal Paydown 106,292 106,292 105,595 698 698 106,292 0 443 06/25/203531395W-T9-8 FHR 3006 YF 12/31/2016 Principal Paydown 61,103 61,103 60,512 592 592 61,103 0 159 07/15/2035

3199999 - Bonds - U.S. Special Revenue and Special Assessment and all Non-Guaranteed Obligations ofAgencies and Authorities of Governments and Their Political Subdivisions 1,508,343 1,508,343 1,504,890 1,146,216 0 3,453 0 3,453 0 1,508,343 0 0 0 12,620 XXX

Bonds - Industrial and Miscellaneous (Unaffiliated)02660T-EQ-2 AHM 2005-2 4A1 12/31/2016 Principal Paydown 4,111 4,111 3,346 3,346 766 766 4,111 0 97 09/25/204512668A-ZS-7 CWALT 2005-64CB 1A7 12/31/2016 Principal Paydown 4,369 4,369 3,321 3,321 1,048 1,048 4,369 0 219 12/25/2035161630-AW-8 CHASE 2007-A1 8A1 12/31/2016 Principal Paydown 1,684 1,684 1,201 1,201 484 484 1,684 0 45 02/25/203717307G-CK-2 CMLTI 2003-1 WA2 6 1/2% 12/31/2016 Principal Paydown 27,345 27,345 27,345 27,345 0 27,345 0 1,478 02/25/203717307G-EC-8 CMLTI 2004-HYB2 2A 12/31/2016 Principal Paydown 1,535 1,535 1,357 1,357 178 178 1,535 0 40 03/25/203417307G-H4-3 CMLTI 2005-8 3PO 12/31/2016 Principal Paydown 63,564 63,564 45,369 45,369 18,195 18,195 63,564 0 09/25/2035251563-FA-5 DMSI 2004-4 4AR1 12/31/2016 Principal Paydown 5,535 5,535 5,092 5,092 443 443 5,535 0 152 06/25/203432051G-TZ-8 FHASI 2005-AR4 3A1 12/31/2016 Principal Paydown 36,421 36,421 29,044 29,044 7,377 7,377 36,421 0 728 10/25/203555265K-Z4-4 MASTR 2003-11 6A7 12/31/2016 Principal Paydown 80,932 80,932 46,131 46,131 34,801 34,801 80,932 0 12/25/2033576433-QU-3 MARM 2004-8 5A1 2.6335% 12/31/2016 Principal Paydown 156,123 156,123 151,830 151,830 4,293 4,293 156,123 0 3,722 08/25/203476111X-C8-4 RFMSI 2005-S8 AP% 12/31/2016 Principal Paydown 79,967 79,967 58,076 58,076 21,891 21,891 79,967 0 11/25/203576111X-C8-4 RFMSI 2005-S8 AP% 02/25/2016 Loss Reported 1,674 1,211 1,211 0 1,211 (1,211) (1,211) 11/25/203576111X-C8-4 RFMSI 2005-S8 AP% 09/26/2016 Loss Reported 766 556 556 0 556 (556) (556) 11/25/203581743P-BH-8 SEMT 2003-4 1A1 12/31/2016 Principal Paydown 151,615 151,615 139,202 139,202 12,413 12,413 151,615 0 1,579 07/20/203381744F-AA-5 SEMT 2004-1 A 1.0557% 12/31/2016 Principal Paydown 6,437 6,437 5,568 5,568 869 869 6,437 0 85 02/20/203481744F-EW-3 SEMT 2004-10 A3A 12/31/2016 Principal Paydown 12,831 12,831 11,708 11,708 1,123 1,123 12,831 0 164 11/20/203481744F-EX-1 SEMT 2004-10 A3B 12/31/2016 Principal Paydown 70,569 70,569 64,394 64,394 6,175 6,175 70,569 0 978 11/20/203481744F-FJ-1 SEMT 2004-11 A 12/31/2016 Principal Paydown 14,110 14,110 12,876 12,876 1,235 1,235 14,110 0 136 12/20/203481744F-HK-6 SEMT 2005-3 A1 12/31/2016 Principal Paydown 175,649 175,649 158,259 158,259 17,390 17,390 175,649 0 798 05/20/203586358H-NX-3 SAMI 2002-AR3 A1 12/31/2016 Principal Paydown 5,115 5,115 4,551 4,551 564 564 5,115 0 54 09/19/203286358R-5J-2 SASC 2002-18A 3A 2.231% 12/31/2016 Principal Paydown 25,133 25,133 24,379 24,379 754 754 25,133 0 640 09/25/2032929227-C5-3 WAMU 2002-S8 2A7 12/31/2016 Principal Paydown 15,508 15,508 15,741 15,741 (233) (233) 15,508 0 600 01/25/201881744F-GZ-4 SEMT 2005-2 A2 12/31/2016 Principal Paydown 54,498 54,498 48,572 5,927 5,927 54,498 0 659 03/20/203581743P-BJ-4 SEMT 2003-4 1A2 12/31/2016 Principal Paydown 147,245 147,245 135,833 11,411 11,411 147,245 0 1,819 07/20/2033007036-ER-3 ARMT 2004-5 4A1 12/31/2016 Principal Paydown 20,731 20,731 19,694 1,037 1,037 20,731 0 532 04/25/203507384Y-KF-2 BSABS 2003-AC4 A 5 1/2% 12/31/2016 Principal Paydown 42,415 42,415 42,787 42,787 (371) (371) 42,415 0 2,141 09/25/2033

3899999 - Bonds - Industrial and Miscellaneous (Unaffiliated) 1,203,444 1,205,884 1,057,443 853,344 0 147,768 0 147,768 0 1,205,211 0 (1,767) (1,767) 16,665 XXXBonds - Hybrid SecuritiesBonds - Parent, Subsidiaries, and AffiliatesBonds - SVO Identified Funds

8399997 - Bonds - Subtotals - Bonds - Part 4 5,427,787 5,429,227 5,330,018 4,767,245 0 97,853 0 97,853 0 5,428,554 0 (767) (767) 142,059 XXX8399999 - Bonds - Subtotals - Bonds 5,427,787 5,429,227 5,330,018 4,767,245 0 97,853 0 97,853 0 5,428,554 0 (767) (767) 142,059 XXX

Preferred Stocks - Industrial and Miscellaneous (Unaffiliated)Preferred Stocks - Parent, Subsidiaries, and AffiliatesCommon Stocks - Industrial and Miscellaneous (Unaffiliated)Common Stocks - Parent, Subsidiaries, and AffiliatesCommon Stocks - Mutual Funds

E1

4.1





Foreign


Number ofShares of



CarryingValue

11


(Decrease)

12


Accretion

13


14


(11+12-13)

15


Book/Adjusted

Carrying Valueat

Disposal Date


(Loss) onDisposal



BondInterest/Stock

DividendsReceived

During Year

StatedContractual

MaturityDate

Common Stocks - Money Market Mutual Funds9799998 - Common Stocks - Summary item from Part 5 for Common Stocks 338,680 XXX 254,205 0 0 0 0 0 254,205 0 84,475 84,475 13,540 XXX9799999 - Common Stocks - Subtotals - Common Stocks 338,680 XXX 254,205 0 0 0 0 0 0 254,205 0 84,475 84,475 13,540 XXX9899999 - Common Stocks - Subtotals - Preferred and Common Stocks 338,680 XXX 254,205 0 0 0 0 0 0 254,205 0 84,475 84,475 13,540 XXX

9999999 Totals 5,766,467 XXX 5,584,223 4,767,245 0 97,853 0 97,853 0 5,682,759 0 83,708 83,708 155,599 XXX

E1

4.2


SCHEDULE D - PART 5Showing all Long-Term Bonds and Stocks ACQUIRED During Year and Fully DISPOSED OF During Current Year

1 2 3 4 5 6 7 8 9 10 11 Change in Book/Adjusted Carrying Value 17 18 19 20 21

12 13 14 15 16


Foreign

DateAcquired Name of Vendor


Par Value(Bonds) orNumber of

Shares(Stocks) Actual Cost Consideration

Book/AdjustedCarryingValue atDisposal


(Decrease)


Accretion

Current Year’sOther ThanTemporaryImpairmentRecognized

Total ChangeIn

B./A. C.V.(12 + 13 - 14)

Total ForeignExchangeChange inB./A. C.V.

ForeignExchange

Gain (Loss) onDisposal


TotalGain (Loss)on Disposal

Interest andDividendsReceived

During Year

Paid forAccruedInterest

andDividends

Bonds - U.S. Governments

Bonds - All Other Governments

Bonds - U.S. States, Territories and Possessions (Direct and Guaranteed)

Bonds - U.S. Political Subdivisions of States, Territories and Possessions (Direct and Guaranteed)

Bonds - U.S. Special Revenue and Special Assessment and all Non-Guaranteed Obligations of Agencies and Authorities of Governments and Their Political Subdivisions

Bonds - Industrial and Miscellaneous (Unaffiliated)

Bonds - Hybrid Securities

Bonds - Parent, Subsidiaries, and Affiliates

Bonds - SVO Identified Funds

Preferred Stocks - Industrial and Miscellaneous (Unaffiliated)

Preferred Stocks - Parent, Subsidiaries, and Affiliates (Unaffiliated)

Common Stocks - Industrial and Miscellaneous (Unaffiliated)44106M-10-2 HOSPITALITY PROPERTIES TRUST 01/07/2016 Interactive Brokers 07/25/2016 Interactive Brokers 5,000.000 128,275 159,022 128,275 0 30,747 30,747 6,35044106M-10-2 HOSPITALITY PROPERTIES TRUST 02/11/2016 Interactive Brokers 07/25/2016 Interactive Brokers 5,000.000 109,025 159,022 109,025 0 49,997 49,997 6,350427825-50-0 HERSHA HOSPITALITY TRUST NEW 02/01/2016 Interactive Brokers 12/02/2016 Interactive Brokers 1,000.000 16,905 20,636 16,905 0 3,731 3,731 840

9099999 - Common Stocks - Industrial and Miscellaneous (Unaffiliated) 254,205 338,680 254,205 0 0 0 0 0 0 84,475 84,475 13,540 0

Common Stocks - Parent, Subsidiaries, and Affiliates

Common Stocks - Mutual Funds

Common Stocks - Money Market Mutual Funds

9799998 - Common Stocks - Subtotals - Common Stocks 254,205 338,680 254,205 0 0 0 0 0 0 84,475 84,475 13,540 0

9899999 - Common Stocks - Subtotals - Preferred and Common Stocks 254,205 338,680 254,205 0 0 0 0 0 0 84,475 84,475 13,540 0

9999999 Totals 254,205 338,680 254,205 0 0 0 0 0 0 84,475 84,475 13,540 0

E1

5


SCHEDULE D - PART 6 - SECTION 1Valuation of Shares of Subsidiary, Controlled or Affiliated Companies

1 2 3 4 5 6NAIC

Valuation

7Do

Insurer’s

8 9 10 Stock of SuchCompany Owned by

Insurer on Statement Date

CUSIPIdentification

DescriptionName of Subsidiary,

Controlled or AffiliatedCompany Foreign

NAICCompany

Code ID Number

Method(See

PurposesAnd

ProceduresManual ofthe NAIC

InvestmentAnalysisOffice)

AssetsInclude

IntangibleAssets

Connectedwith

Holding ofSuch

Company’sStock?

Total Amountof Such

IntangibleAssets

Book /AdjustedCarrying

ValueNonadmitted

Amount

11

Numberof

Shares

12

% ofOutstanding

1999999 Totals - Preferred and Common Stocks 0 0 0 XXX XXX

1. Amount of insurer's capital and surplus from the prior period’s statutory statement reduced by any admitted EDP, goodwill and net deferred taxassets included therein: $

2. Total amount of intangible assets nonadmitted $

SCHEDULE D - PART 6 - SECTION 21 2 3 4

Total Amount ofIntangible Assets

Stock in Lower-Tier CompanyOwned Indirectly by Insurer on

Statement Date

CUSIPIdentification Name of Lower-Tier Company

Name of Company Listed in Section 1 WhichControls Lower-Tier Company

Included in AmountShown in Column 8,

Section 1

5

Number of Shares

6% of

Outstanding

0399999 Totals - Preferred and Common XXX XXX

E16


SCHEDULE DA - PART 1Showing all SHORT-TERM INVESTMENTS Owned December 31 of Current Year

1 2 Codes 5 6 7 8 Change In Book/Adjusted Carrying Value 13 14 Interest 21


3

Code

4

Foreign

DateAcquired Name of Vendor

MaturityDate


Value

9


(Decrease)

10

CurrentYear’s

(Amortization)/

Accretion

11

CurrentYear’s

Other-Than-TemporaryImpairmentRecognized

12

TotalForeign

ExchangeChange inB./A.C.V. Par Value Actual Cost

15

Amount DueAnd Accrued

Dec. 31 ofCurrent YearOn Bond Not

In Default

16

Non-AdmittedDue andAccrued

17

Rate of

18

EffectiveRate of

19

When Paid

20

Amount ReceivedDuring Year

Paid forAccruedInterest

Bonds - U.S. Governments Issuer ObligationsBonds - U.S. Governments - Residential Mortgage-Backed SecuritiesBonds - U.S. Governments - Commercial Mortgage-Backed SecuritiesBonds - U.S Governments - Other Loan-Backed and Structured SecuritiesBonds - All Other Governments - Issuer ObligationsBonds - All Other Governments - Residential Mortgage-Backed SecuritiesBonds - All Other Governments - Single Class Mortgage-Backed/Asset-Backed SecuritiesBonds - All Other Governments - Other Loan-Backed and Structured SecuritiesBonds - U.S. States, Territories and Possessions (Direct and Guaranteed) - Issuer ObligationsBonds - U.S. States, Territories and Possessions (Direct and Guaranteed) - Residential Mortgage-Backed Securities

LOS 3 06/30/17 07/01/2016 BLAYLOCK ROBERT VAN 06/30/2017 405,380 (3,852) 400,000 405,380 6,000 3.000 JJ 0 0SCSHSG 0.65 07/01/17 08/02/2016 BLAYLOCK ROBERT VAN 07/01/2017 70,000 0 70,000 70,000 228 0.650 JJ 0 0

1299999 - Bonds - U.S. States, Territories and Possessions (Direct and Guaranteed) - Residential Mortgage-BackedSecurities 475,380 0 (3,852) 0 0 470,000 475,380 6,228 0 XXX XXX XXX 0 0

Bonds - U.S. States, Territories and Possessions (Direct and Guaranteed) - Commercial Mortgage-Backed SecuritiesBonds - U.S. States, Territories and Possessions (Direct and Guaranteed) - Other Loan-Backed and Structured Securities

1799999 - Bonds - Subtotals - U.S. States, Territories and Possessions (Direct and Guaranteed) 475,380 0 (3,852) 0 0 470,000 475,380 6,228 0 XXX XXX XXX 0 0Bonds - U.S. Political Subdivisions of States, Territories and Possessions (Direct and Guaranteed) - Issuer ObligationsBonds - U.S. Political Subdivisions of States, Territories and Possessions (Direct and Guaranteed) - Residential Mortgage-Backed SecuritiesBonds - U.S. Political Subdivisions of States, Territories and Possessions (Direct and Guaranteed) - Commercial Mortgage-Backed SecuritiesBonds - U.S. Political Subdivisions of States, Territories and Possessions (Direct and Guaranteed) - Other Loan-Backed and Structured SecuritiesBonds - U.S. Special Revenue and Special Assessment Obligations and all Non-Guaranteed Obligations of Agencies and Authorities of Governments and their Political Subdivisions - Issuer ObligationsBonds - U.S. Special Revenue and Special Assessment Obligations and all Non-Guaranteed Obligations of Agencies and Authorities of Governments and their Political Subdivisions - Residential Mortgage-Backed SecuritiesBonds - U.S. Special Revenue and Special Assessment Obligations and all Non-Guaranteed Obligations of Agencies and Authorities of Governments and their Political Subdivisions - Commercial Mortgage-Backed SecuritiesBonds - U.S. Special Revenue and Special Assessment Obligations and all Non-Guaranteed Obligations of Agencies and Authorities of Governments and their Political Subdivisions - Other Loan-Backed and Structured SecuritiesBonds - Industrial and Miscellaneous (Unaffiliated) - Issuer ObligationsBonds - Industrial and Miscellaneous (Unaffiliated) - Residential Mortgage-Backed SecuritiesBonds - Industrial and Miscellaneous (Unaffiliated) - Commercial Mortgage-Backed SecuritiesBonds - Industrial and Miscellaneous (Unaffiliated) - Other Loan-Backed and Structured SecuritiesBonds - Hybrid Securities - Issuer ObligationsBonds - Hybrid Securities - Residential Mortgage-Backed SecuritiesBonds - Hybrid Securities - Commercial Mortgage-Backed SecuritiesBonds - Hybrid Securities - Other Loan-Backed and Structured SecuritiesBonds - Parent, Subsidiaries and Affiliates Bonds - Issuer ObligationsBonds - Parent, Subsidiaries and Affiliates Bonds - Residential Mortgage-Backed SecuritiesBonds - Parent, Subsidiaries and Affiliates Bonds - Commercial Mortgage-Backed SecuritiesBonds - Parent, Subsidiaries and Affiliates Bonds - Other Loan-Backed and Structured Securities

Bonds - SVO Identified Funds - Bond Mutual Funds - as Identified by the SVO7899999 - Bonds - Total Bonds - Subtotals - Residential Mortgage-Backed Securities 475,380 0 (3,852) 0 0 470,000 475,380 6,228 0 XXX XXX XXX 0 08399999 - Bonds - Total Bonds - Subtotals - Bonds 475,380 0 (3,852) 0 0 470,000 475,380 6,228 0 XXX XXX XXX 0 0

Parent, Subsidiaries and Affiliates - Mortgage LoansParent, Subsidiaries and Affiliates - Other Short-Term Invested AssetsMortgage LoansExempt Money Market Mutual Funds - as Identified by the SVO

262006-86-9Dreyfus Gov't Cash Mgmt Agency6197 10/06/2010 Bank of NY Mellon 556,174 556,174 556,174 0.010 0.010 MON 857

8899999 - Bonds - Exempt Money Market Mutual Funds - as Identified by the SVO 556,174 0 0 0 0 XXX 556,174 0 0 XXX XXX XXX 857 0All Other Money Market Mutual FundsOther Short-Term Invested Assets

9199999 Totals 1,031,554 0 (3,852) 0 0 XXX 1,031,554 6,228 0 XXX XXX XXX 857 0

E1

7


Schedule DB - Part A - Section 1

NONE

Schedule DB - Part A - Section 2

NONE

Schedule DB - Part B - Section 1

NONE

Schedule DB - Part B - Section 2

NONE

Schedule DB - Part D - Section 1

NONE

Schedule DB - Part D - Section 2

NONE

Schedule DL - Part 1

NONE

Schedule DL - Part 2

NONE

E18, E19, E20, E21, E22, E23, E24, E25


SCHEDULE E - PART 1 - CASH1

Depository

2

Code

3

Rate ofInterest

4

Amount of InterestReceived

DuringYear

5

Amount of InterestAccrued

December 31 ofCurrent Year

6

Balance

7

* OPEN DEPOSITORIESBank of America 100 Century Park Dr., Tampa, FL 33607 1,591,253 XXX

Fifth Third Bank201 E. Kennedy Blvd., #1800, Tampa, FL33602 89,561 XXX

BB&T Bank400 North Tampa Street,Suite 2500,Tampa, FL 33602 45,947 XXX

Central Bank20701 Bruce B Downs Blvd, Tampa, FL33647 0.450 912 202,506 XXX

Synovus Bank4488 W. Boy Scout Blvd, Tampa, FL33607 0.100 6,971 115,919 XXX

Iberia Bank201 N Franklin St Ste 100, Tampa, FL33602 0.400 3,221 1,003,221 XXX

0199998 Deposits in depositories that do not exceed theallowable limit in any one depository - Open Depositories XXX XXX XXX

0199999 Totals - Open Depositories XXX XXX 11,104 0 3,048,407 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

0399999 Total Cash on Deposit XXX XXX 11,104 0 3,048,407 XXX

0499999 Cash in Company’s Office XXX XXX XXX XXX XXX

0599999 Total Cash XXX XXX 11,104 0 3,048,407 XXX

TOTALS OF DEPOSITORY BALANCES ON THE LAST DAY OF EACH MONTH DURING THE CURRENT YEAR

1. January 3,647,919 4. April 6,634,784 7. July 4,097,072 10. October 3,065,352

2. February 5,057,625 5. May 8,821,440 8. August 4,530,127 11. November 4,472,238

3. March 4,825,523 6. June 6,642,204 9. September 2,958,671 12. December 3,048,407

E26


SCHEDULE E - PART 2 - CASH EQUIVALENTSShow Investments Owned December 31 of Current Year

1

Description

2

Code

3Date

Acquired

4Rate ofInterest

5Maturity

Date


7Amount of Interest

Due & Accrued

8Amount Received

During YearBonds - U.S. Governments - Issuer ObligationsBonds - U.S. Governments - Residential Mortgage-Backed SecuritiesBonds - U.S. Governments - Commercial Mortgage-Backed SecuritiesBonds - U.S. Governments - Other Loan-Backed and Structured SecuritiesBonds - All Other Governments - Issuer ObligationsBonds - All Other Governments - Residential Mortgage-Backed Securities

Bonds - All Other Governments - Commercial Mortgage-Backed SecuritiesBonds - All Other Governments - Other Loan-Backed and Structured SecuritiesBonds - U.S. States, Territories and Possessions (Direct and Guaranteed) - Issuer ObligationsBonds - U.S. States, Territories and Possessions (Direct and Guaranteed) - Residential Mortgage-Backed SecuritiesBonds - .S. States, Territories and Possessions (Direct and Guaranteed) - Commercial Mortgage-Backed SecuritiesBonds - U.S. States, Territories and Possessions (Direct and Guaranteed) - Other Loan-Backed and Structured SecuritiesBonds - U.S. Political Subdivisions of States, Territories and Possessions (Direct and Guaranteed) - Issuer ObligationsBonds - U.S. Political Subdivisions of States, Territories and Possessions (Direct and Guaranteed) - Residential Mortgage-Backed SecuritiesBonds - U.S. Political Subdivisions of States, Territories and Possessions (Direct and Guaranteed) - Commercial Mortgage-Backed SecuritiesBonds - U.S. Political Subdivisions of States, Territories and Possessions (Direct and Guaranteed) - Other Loan-Backed and Structured SecuritiesBonds - U.S. Special Revenue and Special Assessment Obligations and all Non-Guaranteed Obligations of Agencies and Authorities of Governments and Their Political Subdivisions - Issuer ObligationsBonds - U.S. Special Revenue and Special Assessment Obligations and all Non-Guaranteed Obligations of Agencies and Authorities of Governments and Their Political Subdivisions - Residential Mortgage-Backed SecuritiesU.S. Special Revenue and Special Assessment Obligations and all Non-Guaranteed Obligations of Agencies and Authorities of Governments and Their Political Subdivisions - Commercial Mortgage-Backed SecuritiesBonds - U.S. Special Revenue and Special Assessment Obligations and all Non-Guaranteed Obligations of Agencies and Authorities of Governments and Their Political Subdivisions - Other Loan-Backed and Structured SecuritiesBonds - Industrial and Miscellaneous - Issuer ObligationsBonds - Industrial and Miscellaneous (Unaffiliated) - Residential Mortgage-Backed SecuritiesBonds - Industrial and Miscellaneous (Unaffiliated) - Commercial Mortgage-Backed SecuritiesBonds - Industrial and Miscellaneous (Unaffiliated) - Other Loan-Backed and Structured SecuritiesBonds - Hybrid Securities - Issuer ObligationsBonds - Hybrid Securities - Residential Mortgage-Backed SecuritiesBonds - Hybrid Securities - Commercial Mortgage-Backed SecuritiesBonds - Hybrid Securities - Other Loan-Backed and Structured SecuritiesBonds - Parent, Subsidiaries and Affiliates Bonds - Issuer ObligationsBonds - Parent, Subsidiaries and Affiliates Bonds - Residential Mortgage-Backed SecuritiesBonds - Parent, Subsidiaries and Affiliates Bonds - Commercial Mortgage-Backed SecuritiesBonds - Parent, Subsidiaries and Affiliates Bonds - Other Loan-Backed and Structured Securities

Bonds - SVO Identified Funds - Bond Mutual Funds - as Identified by the SVOSweep AccountsOther Cash EquivalentsFLOIR Collateral 1.208 355,862 1,096 5,4858599999 - Other Cash Equivalents 355,862 1,096 5,485

8699999 Total Cash Equivalents 355,862 1,096 5,485

E2

7


SCHEDULE E - PART 3 - SPECIAL DEPOSITS

1 2Deposits For

the Benefit of All Policyholders All Other Special Deposits

States, etc.Type of

DepositsPurpose ofDeposits


4Fair

Value


6Fair

Value

1. Alabama AL2. Alaska AK3. Arizona AZ4. Arkansas AR5. California CA6. Colorado CO7. Connecticut CT8. Delaware DE9. District of Columbia DC

10. Florida FL11. Georgia GA12. Hawaii HI13. Idaho ID14. Illinois IL15. Indiana IN16. Iowa IA17. Kansas KS18. Kentucky KY19. Louisiana LA20. Maine ME21. Maryland MD22. Massachusetts MA23. Michigan MI24. Minnesota MN25. Mississippi MS26. Missouri MO27. Montana MT28. Nebraska NE29. Nevada NV30. New Hampshire NH31. New Jersey NJ32. New Mexico NM33. New York NY34. North Carolina NC35. North Dakota ND36. Ohio OH37. Oklahoma OK38. Oregon OR39. Pennsylvania PA40. Rhode Island RI41. South Carolina SC42. South Dakota SD43. Tennessee TN44. Texas TX45. Utah UT46. Vermont VT47. Virginia VA48. Washington WA49. West Virginia WV50. Wisconsin WI51. Wyoming WY52. American Samoa AS53. Guam GU54. Puerto Rico PR55. US Virgin Islands VI56. Northern Mariana Islands MP57. Canada CAN58. Aggregate Other Alien OT XXX XXX 0 0 0 059. Total XXX XXX 0 0 0 0

DETAILS OF WRITE-INS5801.

5802.

5803.

5898. Sum of remaining write-ins for Line58 from overflow page XXX XXX 0 0 0 0

5899. Totals (Lines 5801 - 5803 + 5898)(Line 58 above) XXX XXX 0 0 0 0

E28

ALPHABETICAL INDEX

ANNUAL STATEMENT BLANK

Assets 2

Cash Flow 5

Exhibit of Capital Gains (Losses) 12

Exhibit of Net Investment Income 12

Exhibit of Nonadmitted Assets 13

Exhibit of Premiums and Losses (State Page) 19

Five-Year Historical Data 17

General Interrogatories 15

Jurat Page 1

Liabilities, Surplus and Other Funds 3

Notes To Financial Statements 14

Overflow Page For Write-Ins 100

Schedule A – Part 1 E01



Schedule A – Verification Between Years SI02

Schedule B – Part 1 E04



Schedule B – Verification Between Years SI02

Schedule BA – Part 1 E07



Schedule BA – Verification Between Years SI03

Schedule D – Part 1 E10

Schedule D – Part 1A – Section 1 SI05

Schedule D – Part 1A – Section 2 SI08

Schedule D – Part 2 – Section 1 E11







Schedule D – Summary By Country SI04

Schedule D – Verification Between Years SI03

Schedule DA – Part 1 E17

INDEX1

ALPHABETICAL INDEX

ANNUAL STATEMENT BLANK (Continued)

Schedule DA – Verification Between Years SI10

Schedule DB – Part A – Section 1 E18

Schedule DB – Part A – Section 2 E19

Schedule DB – Part A – Verification Between Years SI11

Schedule DB – Part B – Section 1 E20

Schedule DB – Part B – Section 2 E21

Schedule DB – Part B – Verification Between Years SI11

Schedule DB – Part C – Section 1 SI12

Schedule DB – Part C – Section 2 SI13

Schedule DB – Part D – Section 1 E22

Schedule DB – Part D – Section 2 E23

Schedule DB – Verification SI14

Schedule DL – Part 1 E24

Schedule DL – Part 2 E25

Schedule E – Part 1 – Cash E26

Schedule E – Part 2 – Cash Equivalents E27

Schedule E – Part 3 – Special Deposits E28

Schedule E – Verification Between Years SI15

Schedule F – Part 1 20





Schedule F – Part 6 – Section 1 25

Schedule F – Part 6 – Section 2 26




Schedule H – Accident and Health Exhibit – Part 1 30

Schedule H – Part 2, Part 3, and Part 4 31

Schedule H – Part 5 – Health Claims 32

Schedule P – Part 1 – Summary 33

Schedule P – Part 1A – Homeowners/Farmowners 35

Schedule P – Part 1B – Private Passenger Auto Liability/Medical 36

Schedule P – Part 1C – Commercial Auto/Truck Liability/Medical 37

Schedule P – Part 1D – Workers’ Compensation (Excluding Excess Workers’ Compensation) 38

INDEX2

ALPHABETICAL INDEX


Schedule P – Part 1E – Commercial Multiple Peril 39

Schedule P – Part 1F – Section 1 – Medical Professional Liability – Occurrence 40

Schedule P – Part 1F – Section 2 – Medical Professional Liability – Claims-Made 41

Schedule P – Part 1G – Special Liability (Ocean, Marine, Aircraft (All Perils), Boiler andMachinery) 42

Schedule P – Part 1H – Section 1 – Other Liability–Occurrence 43

Schedule P – Part 1H – Section 2 – Other Liability – Claims-Made 44

Schedule P – Part 1I – Special Property (Fire, Allied Lines, Inland Marine, Earthquake, Burglary& Theft) 45

Schedule P – Part 1J – Auto Physical Damage 46

Schedule P – Part 1K – Fidelity/Surety 47

Schedule P – Part 1L – Other (Including Credit, Accident and Health) 48

Schedule P – Part 1M – International 49

Schedule P – Part 1N – Reinsurance – Nonproportional Assumed Property 50

Schedule P – Part 1O – Reinsurance – Nonproportional Assumed Liability 51

Schedule P – Part 1P – Reinsurance – Nonproportional Assumed Financial Lines 52

Schedule P – Part 1R – Section 1 – Products Liability – Occurrence 53

Schedule P – Part 1R – Section 2 – Products Liability – Claims – Made 54

Schedule P – Part 1S – Financial Guaranty/Mortgage Guaranty 55

Schedule P – Part 1T – Warranty 56

Schedule P – Part 2, Part 3 and Part 4 – Summary 34







Schedule P – Part 2F – Section 2 – Medical Professional Liability – Claims – Made 58

Schedule P – Part 2G – Special Liability (Ocean Marine, Aircraft (All Perils), Boiler andMachinery) 58

Schedule P – Part 2H – Section 1 – Other Liability – Occurrence 58

Schedule P – Part 2H – Section 2 – Other Liability – Claims – Made 58

Schedule P – Part 2I – Special Property (Fire, Allied Lines, Inland Marine, Earthquake, Burglary,and Theft) 59


Schedule P – Part 2K – Fidelity, Surety 59







Schedule P – Part 2R – Section 2 – Products Liability – Claims-Made 61




INDEX3

ALPHABETICAL INDEX











Schedule P – Part 3I – Special Property (Fire, Allied Lines, Inland Marine, Earthquake, Burglary,and Theft) 64






















Schedule P – Part 4I – Special Property (Fire, Allied Lines, Inland Marine, Earthquake, Burglaryand Theft) 69










INDEX4

ALPHABETICAL INDEX









Schedule P – Part 5F – Medical Professional Liability – Claims-Made 78

Schedule P – Part 5F – Medical Professional Liability – Occurrence 77

Schedule P – Part 5H – Other Liability – Claims-Made 80

Schedule P – Part 5H – Other Liability – Occurrence 79

Schedule P – Part 5R – Products Liability – Claims-Made 82

Schedule P – Part 5R – Products Liability – Occurrence 81





Schedule P – Part 6H – Other Liability – Claims-Made 86

Schedule P – Part 6H – Other Liability – Occurrence 85




Schedule P – Part 6R – Products Liability – Claims-Made 88

Schedule P – Part 6R – Products Liability – Occurrence 88

Schedule P – Part 7A – Primary Loss Sensitive Contracts 89

Schedule P – Part 7B – Reinsurance Loss Sensitive Contracts 91

Schedule P Interrogatories 93

Schedule T – Exhibit of Premiums Written 94

Schedule T – Part 2 – Interstate Compact 95

Schedule Y – Information Concerning Activities of Insurer Members of a Holding Company Group 96

Schedule Y – Part 1A – Detail of Insurance Holding Company System 97

Schedule Y – Part 2 – Summary of Insurer’s Transactions With Any Affiliates 98

Statement of Income 4

Summary Investment Schedule SI01

Supplemental Exhibits and Schedules Interrogatories 99

Underwriting and Investment Exhibit Part 1 6

Underwriting and Investment Exhibit Part 1A 7

Underwriting and Investment Exhibit Part 1B 8


Underwriting and Investment Exhibit Part 2A 10


INDEX5

INDEX6


Relief from the five-year rotation requirement for lead audit partner

224


Relief from the one-year cooling off period for independent CPA

225


Relief from the Requirements for Audit Committees

226

*13139201624000100*

FINANCIAL GUARANTY INSURANCE EXHIBIT

For the Year Ended December 31, 2016

(To Be Filed by March 1)

Of The Avatar Property & Casualty Insurance Company Insurance Company

NAIC Group Code NAIC Company Code 13139 Employer’s ID Number 26-0718939

240-1


FGIE - Part 1

NONE

FGIE - Part 2

NONE

FGIE - Part 3A

NONE

FGIE - Part 3B

NONE

FGIE - Part 3C

NONE

FGIE - Part 3D

NONE

FGIE - Part 3E

NONE

FGIE - Part 3F

NONE

FGIE - Part 4A

NONE

FGIE - Part 4B

NONE

FGIE - Part 4C

NONE

FGIE - Part 4D

NONE

FGIE - Part 4E

NONE

FGIE - Part 4F

NONE

FGIE - Part 4G

NONE

FGIE - Part 4H

NONE

FGIE - Part 4I

NONE

FGIE - Part 5A

NONE

FGIE - Part 5B

NONE

FGIE - Part 5C

NONE

FGIE - Part 6A

NONE

240-2, 240-3, 240-4, 240-5, 240-6, 240-7, 240-8, 240-9, 240-10, 240-11, 240-12, 240-13, 240-14


FGIE - Part 6B

NONE

FGIE - Part 6C

NONE

FGIE - Part 7

NONE

Medicare Part D Coverage Supplement

NONE

Premiums Attributed to Protected Cells

NONE

240-14, 240-15, 365, 385

*13139201639900100*

SUPPLEMENT FOR THE YEAR 2016 OF THE Avatar Property & Casualty Insurance Company

REINSURANCE ATTESTATION SUPPLEMENTATTESTATION OF CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER REGARDING

REINSURANCE AGREEMENTS

The Chief Executive Officer and Chief Financial Officer shall attest, under penalties of perjury, with respect to all reinsurance contracts for which thereporting entity is taking credit on its current financial statement, that to the best of their knowledge and belief after diligent inquiry:

(I) Consistent with SSAP No. 62R—Property and Casualty Reinsurance, there are no separate written or oral agreements between thereporting entity (or its affiliates or companies it controls) and the assuming reinsurer that would under any circumstances, reduce,limit, mitigate or otherwise affect any actual or potential loss to the parties under the reinsurance contract, other than inuring contractsthat are explicitly defined in the reinsurance contract except as disclosed herein;

(II) For each such reinsurance contract entered into, renewed, or amended on or after January 1, 1994, for which risk transfer is notreasonably considered to be self-evident, documentation concerning the economic intent of the transaction and the risk transferanalysis evidencing the proper accounting treatment, as required by SSAP No. 62R—Property and Casualty Reinsurance, isavailable for review;

(III) The reporting entity complies with all the requirements set forth in SSAP No. 62R—Property and Casualty Reinsurance; and

(IV) The reporting entity has appropriate controls in place to monitor the use of reinsurance and adhere to the provisions of SSAP No.62R—Property and Casualty Reinsurance.

ExceptionsNone

For reporting period ended December 31, 2016

Signed:

Hitesh P. Adhia Mark C. Shealy

Chief Executive Officer Date Chief Financial Officer Date

399

*13139201640100100*


REINSURANCE SUMMARY SUPPLEMENTAL FILING FOR GENERALINTERROGATORY 9 (Part 2)

For the Year Ended December 31, 2016

NAIC Group Code To be Filed by March 1 NAIC Company Code 13139

(A) Financial Impact

1

As Reported

2

Interrogatory 9Reinsurance Effect

3Restated Without

Interrogatory 9Reinsurance

A01. Assets 49,605,350 49,605,350

A02. Liabilities 25,221,004 25,221,004

A03. Surplus as regards to policyholders 24,384,346 24,384,346

A04. Income before taxes 984,268 984,268

(B) Summary of Reinsurance Contract Terms (C) Management’s Objectives

Catastrophic coverage through participation in the Florida Hurricane Catastrophe Fund aswell as private reinsurance, coverage year round with policies running from June 1 to May 31of the following year.

coverage up to the 1 in 100 projected PML for catastrophic reinsurance

D. If the response to General Interrogatory 9.4 (Part 2 Property & Casualty Interrogatories) is yes, explain below why the contracts are treated differently for GAAP andSAP

401

*13139201642000100*


NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERSSCHEDULE SIS

STOCKHOLDER INFORMATION SUPPLEMENT

For The Year Ended December 31, 2016(To Be Filed by March 1)

REQUIRED BY THE APPLICABLE QUESTION ON THE SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIESFOR THE PROPERTY/CASUALTY, LIFE ACCIDENT AND HEALTH,

TITLE, AND HEALTH INSURANCE BLANKS

TO ANNUAL STATEMENT OF THE

Avatar Property & Casualty Insurance CompanyCOMPANY

420-1


FINANCIAL REPORTING TO STOCKHOLDERS

1. Did the company distribute to its stockholders prior to the Annual Meeting during the year an Annual Report for the previous year?

Answer Yes [ ] No [ X ]

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 Annual Meeting during the following year an Annual Report for the current year?


If answer is “Yes” a copy of the report shall be forwarded to the Insurance Commissioner of the company’s domiciliary state at the sametime as it is distributed 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 previous year; (1) was such distribution prior to or contemporaneous with thesolicitation of proxies in respect to the Annual Meeting?


If the answer is “No” explain in detail below. Attach separate sheet if necessary.

We did not issue an annual report.

(2) Did it contain the following financial statements (indicate answer in Column A) and were such financial statements preparedsubstantially on the basis (individual or consolidated) as required to be present in the Company’s Annual Statement (indicate answer inColumn B)?

Column A Column B

To be answered by Life and A & H Companies: Yes No Yes No

a. Statement of Assets, Liabilities, Surplus and Other Funds

b. Summary of Operations

c. Surplus Account

To be answered by Property and Casualty Companies:


b. Statement of Income

c. Capital and Surplus Account

To be answered by Title Insurance Companies:


b. Statement of Income - Operations and Investment Exhibit


To be answered by Health Insurance Companies:

a. Statement of Assets, Liabilities, Capital and Surplus

b. Statement of Revenue and Expenses


420-2


INFORMATION REGARDING MANAGEMENT AND DIRECTORS1. Furnish the following information for each director, and for each of the three highest paid officers, whose aggregate direct remuneration exceeded $100,000 during the

year, naming each such person.

1 2 3 4 Benefits Accrued or SetAside During Year

Est. Annual BenefitsUpon Retirement

Name and TitlePrincipal Occupation

or EmploymentServed as

Director FromAggregate Direct

Remuneration

5

Retirement Plan

6Other Emp.

Benefits

7Retirement

Plan

8Other Emp.

Benefits

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):

A. Information as to any material interest, direct or indirect, on the part of such individual during the year in any material transaction or any material proposed transaction asto which the Company, or any of its subsidiaries, was or is to be a party.

B. Information as to all options to purchase securities of the Company granted to or exercised by each such individual during the year.

2. Answer “yes” or “no” in each column as to whether or not the information in Item 1 above has been, or will be, furnished to stockholders in any proxy statement relating to(i) the election of directors, (ii) any bonus, profit sharing or other remuneration plan, contract or arrangement in which any director, nominee for election as a director, orofficer of the Company will participate, (iii) any pension or retirement plan in which any such person will participate, or (iv) the granting or extension to any such person ofany options, warrants, or rights to purchase any securities, other than warrants or rights issued to security holders, as such, on a pro rata basis. If any answer is “no”explain in detail on a separate sheet.

Yes [ ] No [ X ] Yes [ ] No [ X ] Yes [ ] No [ X ] Yes [ ] No [ X ] Yes [ ] No [ X ] Yes [ ] No [ X ] Yes [ ] No [ X ] Yes [ ] No [ X ]

3. Furnish the information specified in Item 1 for all directors and all officers of the Company, as a group, without naming them.

180,054 17,458

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 stockholder’s meeting?

Answer Yes [ X ] No [ ]If answer is “no” explain on separate sheet.

5. Will the Company solicit proxies from its stockholders during the following year and will such solicitation(s) precede any shareholders’ meeting or meetings by at least 10days?

Answer Yes [ ] No [ X ]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 besubmitted to the Insurance Commissioner of the Company’s domiciliary state at least 10 days prior to the date such 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.

Avatar is 100% owned by its parent, Avatar Partners, LP.

420-3


STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

1 2 3 Number of Shares

4 5 Disposed of During Current Year 8 9

Name and title of (a) Each Director and EachOfficer with any ownership and (b) any other

Owner of more than 10%Title

of SecurityNature of

Ownership

Owned atEnd of

Prior Year

AcquiredDuring

Current Year

6

Held LessThan 6Months

7

Held 6Months or

More

Owned atEnd of

Current Year

Percentage of VotingStock Directly andIndirectly Owned or

Controlled at the Endof the Current Year

Avatar Partners, LP parent company 1,000 1,000 100.0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

Note: Answer "yes" or "no" as to whether the information concerning the number of shares owned at the end of the year (as shown in Column 8) by each Director and the three highest paid Officers whose aggregate direct remunerationexceeded $100,000 during the year, has been or will be furnished to stockholders in a proxy statement or otherwise.

Answer Yes [ ] No [ X ]If answer is "no" explain in detail on separate sheet.

State the number of stockholders of record of the company at the end of the year. Answer: 1

Has the state of domicile granted an exemption or disclaimer of control? Answer Yes [ ] No [ X ]

If answer is “yes” explain:

42

0-4


Statement of Actuarial Opinion

440


Supp "A" to Schedule T - Physicians

NONE

Supp "A" to Schedule T - Hospitals

NONE

Supp "A" to Schedule T - Other HC Prof.

NONE

Supp "A" to Schedule T - Other HC Facil.

NONE

455-1, 455-2, 455-3, 455-4

*13139201646000100* SUPPLEMENT FOR THE YEAR 2016 OF THE Avatar Property & Casualty Insurance Company

SUPPLEMENTAL COMPENSATION EXHIBITFor the Year Ended December 31, 2016

(To Be Filed by March 1)PART 1 - INTERROGATORIES

1. Is the reporting insurer a member of a group of insurers or other holding company system? Yes [ X ] No [ ]If yes, do the amounts below represent 1) total gross compensation paid to each individual by or on behalf of all companies that are part of the group: Yes [ X ];or 2) allocation to each insurer: Yes [ ].

2. Did any person while an officer, director, or trustee of the reporting entity, receive directly or indirectly, during the period covered by this statementany commission on the business transactions of the reporting entity? Yes [ ] No [ X ]

3. Except for retirement plans generally applicable to its staff employees, has the reporting entity any agreement with any person, other than contractswith its agents for the payment of commissions whereby it agrees that for any service rendered or to be rendered, that he/she shall receive directly orindirectly, any salary, compensation or emolument that will extend beyond a period of 12 months from the date of the agreement?. Yes [ ] No [ X ]

PART 2 - OFFICERS AND EMPLOYEES COMPENSATION

1 2 3 4 5 6 7 8 9 10

Name and Principal Position Year Salary BonusStock

AwardsOptionAwards

Sign-onPayments

SeverancePayments

All OtherCompensation Totals

Current: 1. Hitesh P. Adhia, Principal

Executive Officer 2016 0 0, 2015 0 0, 2014 0 0

Current: 2. Mark C. Shealy, Principal

Financial/Operating Officer 2016 63,669 63,669, 2015 0, 2014 0

3. Carol K. McAllister, PrincipalFinancial Officer 2016 57,235 12,000 8,585 77,820, 2015 146,800 27,951 174,751, 2014 143,915 27,778 171,693

4. , 2016 0, 2015 0, 2014 0

5. , 2016 0, 2015 0, 2014 0

6. , 2016 0, 2015 0, 2014 0

7. , 2016 0, 2015 0, 2014 0

8. , 2016 0, 2015 0, 2014 0

9. , 2016 0, 2015 0, 2014 0

10. , 2016 0, 2015 0, 2014 0

PART 3 - DIRECTOR COMPENSATION

1 Paid or Deferred for Services as Director 6 7

Name and Principal Position or Occupation and Company(if Outside Director)

2Direct

Compensation

3Stock

Awards

4OptionAwards

5

Other

All OtherCompensation

Paid or Deferred Totals

Mark C. Shealy, Director 3,000 3,000Stuart T. Wheeler, Director 5,000 5,000Kiran C. Patel, Director 4,000 4,000Manubhai C. Karia, Director 5,000 5,000Michael Rudd, Director 5,000 5,000

PART 4 – NARRATIVE DESCRIPTION OF MATERIAL FACTORS

Provide a narrative description of any material factors necessary to gain an understanding of the information disclosed in the tables.

460


Trusteed Surplus Statememt - Cover

NONE

Trusteed Surplus - Assets

NONE

490-1, 490-2

SUPPLEMENT FOR THE YEAR 2016 OF THE U.S. BRANCH OF THE Avatar Property & Casualty Insurance Company

TRUSTEED SURPLUS STATEMENT

LIABILITIES AND TRUSTED SURPLUS

1Current Year

1. Total liabilities 25,221,004

ADDITIONS TO LIABILITIES:

2. Ceded reinsurance balances payable

3. Agents' credit balances

4. Aggregate write-ins for other additions to liabilities 0

5. Total additions (Lines 2 + 3 + 4) 0

6. Total (Lines 1 + 5) 25,221,004

DEDUCTIONS FROM LIABILITIES:

7. Reinsurance recoverable on paid losses and loss adjustment expenses:

7.1 Authorized companies

7.2 Unauthorized companies

7.3 Certified companies

8. Special state deposits, not exceeding net liabilities carried in this statement on business in each respective state:

8.1 Special state deposits (submit schedule)

8.2 Accrued interest on special state deposits

9. Agents' balances or uncollected premiums not more than ninety days past due, not exceeding unearned premiumreserves carried thereon

10. Unpaid reinsurance premiums receivable, not exceeding losses and loss adjustment expenses due to reinsured:

10.1 Authorized companies

10.2 Unauthorized companies

11. Aggregate write-ins for other deductions from liabilities 0

12. Total deductions (Lines 7 thru 11) 0

13. Total adjusted liabilities (Line 6 minus Line 12) 25,221,004

14. Trusteed surplus (25,221,004)

15. Total


0401.

0402.

0403.

0498. Summary of remaining write-ins for Line 04 from overflow page 0

0499. Totals (Lines 0401 thru 0403 plus 0498) (Line 4 above) 0

1101.

1102.

1103.

1198. Summary of remaining write-ins for Line 11 from overflow page 0

1199. Totals (Lines 1101 thru 1103 plus 1198) (Line 11 above) 0

490-3

SUPPLEMENT FOR THE YEAR 2016 OF THE U.S. BRANCH OF THE Avatar Property & Casualty Insurance Company

OVERFLOW PAGE FOR WRITE-INS

490-4


Bail Bond Supplement

NONE

Director and Officer Insurance Coverage

NONE

Supp Sch. Reins Counterparty

NONE

500, 505, 555

ANNUAL STATEMENT - Avatar Ins March Filing.pdf · 2017-03-02 · ANNUAL STATEMENT FOR THE YEAR 2016...

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Transcript of ANNUAL STATEMENT - Avatar Ins March Filing.pdf · 2017-03-02 · ANNUAL STATEMENT FOR THE YEAR 2016...