Incorporated/Organized 10/14/1981 Commenced Business 09/15/1982. (Street and Number) Cedar Rapids, IA 52401,

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1 PROPERTY AND CASUALTY COMPANIES - ASSOCIATION EDITION QUARTERLY STATEMENT AS OF MARCH, 0 OF THE CONDITION AND AFFAIRS OF THE Mercer Insurance Company of New Jersey, Inc. NAIC Group Code NAIC Company Code 4540 Employer's ID Number (Current) (Prior) Organized under the Laws of New Jersey, State of Domicile or Port of Entry NJ Country of Domicile United States of America Incorporated/Organized 0/4/98 Commenced Business 09/5/98 Statutory Home Office 0 Route N, Pennington, NJ 0854 (Street and Number) (City or Town, State and Zip Code) Main Administrative Office 8 Second Avenue SE (Street and Number) Cedar Rapids, IA 540, (City or Town, State and Zip Code) (Area Code) (Telephone Number) Mail Address P.O. Box 7909, Cedar Rapids, IA (Street and Number or P.O. Box) (City or Town, State and Zip Code) Primary Location of Books and Records 0 Route N (Street and Number) Pennington, NJ 0854, (City or Town, State and Zip Code) (Area Code) (Telephone Number) Internet Web Site Address Statutory Statement Contact Jeffery Joseph Muller, (Name) (Area Code) (Telephone Number) jmuller@mercerins.com, ( Address) (FAX Number) OFFICERS President/CEO Randy A. Ramlo Secretary Richard J. Chichester Senior VP/CFO Dianne M. Lyons OTHER Gordon A. Coleman Treasurer Lawrence J. Crawford Vice President Raymond E. Dudonis VP/Asst Secretary Michael T. Wilkins Executive VP DIRECTORS OR TRUSTEES Jack B. Evans Randy A. Ramlo Michael T. Wilkins Dianne M. Lyons Lawrence J. Crawford Richard J. Chichester Raymond E. Dudonis State of County of New Jersey Mercer SS: 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 stated above, 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, and that 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 and liabilities 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: () state law may differ; or, () 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 various regulators in lieu of or in addition to the enclosed statement. Randy A. Ramlo Dianne M. Lyons Richard J. Chichester President/CEO Senior VP/CFO VP/Secretary a. Is this an original filing? Yes [ ] No [ ] Subscribed and sworn to before me this b. If no, day of. State the amendment number. Date filed. Number of pages attached

2 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. ASSETS Assets Current Statement Date 4 December Net Admitted Assets Prior Year Net Nonadmitted Assets (Cols. - ) Admitted Assets. Bonds. Stocks:. Preferred stocks. Common stocks. Mortgage loans on real estate:. First liens. Other than first liens 4. Real estate: 4. Properties occupied by the company (less $ encumbrances) 4. Properties held for the production of income (less $ encumbrances) 4. Properties held for sale (less $ encumbrances) 5. Cash ($ ), cash equivalents ($ ) and short-term investments ($ ) 6. Contract loans (including $ premium notes) 7. Derivatives 8. Other invested assets 9. Receivables for securities 0. Securities lending reinvested collateral assets. Aggregate write-ins for invested assets. Subtotals, cash and invested assets (Lines to ). Title plants less $ charged off (for Title insurers only) 4. Investment income due and accrued 5. Premiums and considerations: 5. Uncollected premiums and agents' balances in the course of collection 5. Deferred premiums, agents' balances and installments booked but deferred and not yet due (including $ earned but unbilled premiums) 5. Accrued retrospective premiums 6. Reinsurance: 6. Amounts recoverable from reinsurers 6. Funds held by or deposited with reinsured companies 6. Other amounts receivable under reinsurance contracts 7. Amounts receivable relating to uninsured plans 8. Current federal and foreign income tax recoverable and interest thereon 8. Net deferred tax asset 9. Guaranty funds receivable or on deposit 0. Electronic data processing equipment and software. Furniture and equipment, including health care delivery assets ($ ). Net adjustment in assets and liabilities due to foreign exchange rates. Receivables from parent, subsidiaries and affiliates 4. Health care ($ ) and other amounts receivable 5. Aggregate write-ins for other than invested assets 6. Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts (Lines to 5) 7. From Separate Accounts, Segregated Accounts and Protected Cell Accounts 8. Total (Lines 6 and 7) DETAILS OF WRITE-INS Summary of remaining write-ins for Line from overflow page 99. Totals (Lines 0 through 0 plus 98)(Line above) Summary of remaining write-ins for Line 5 from overflow page 599. Totals (Lines 50 through 50 plus 598)(Line 5 above)

3 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. LIABILITIES, SURPLUS AND OTHER FUNDS Current Statement Date December, Prior Year. Losses (current accident year $ ). Reinsurance payable on paid losses and loss adjustment expenses. Loss adjustment expenses 4. Commissions payable, contingent commissions and other similar charges 5. Other expenses (excluding taxes, licenses and fees) 6. Taxes, licenses and fees (excluding federal and foreign income taxes) 7. Current federal and foreign income taxes (including $ on realized capital gains (losses)) 7. Net deferred tax liability 8. Borrowed money $ and interest thereon $ 9. Unearned premiums (after deducting unearned premiums for ceded reinsurance of $ 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) 0. Advance premium. Dividends declared and unpaid:. Stockholders. Policyholders. Ceded reinsurance premiums payable (net of ceding commissions). Funds held by company under reinsurance treaties 4. Amounts withheld or retained by company for account of others 5. Remittances and items not allocated 6. Provision for reinsurance 7. Net adjustments in assets and liabilities due to foreign exchange rates 8. Drafts outstanding 9. Payable to parent, subsidiaries and affiliates 0. Derivatives. Payable for securities. Payable for securities lending. Liability for amounts held under uninsured plans 4. Capital notes $ and interest thereon $ 5. Aggregate write-ins for liabilities 6. Total liabilities excluding protected cell liabilities (Lines through 5) 7. Protected cell liabilities 8. Total liabilities (Lines 6 and 7) 9. Aggregate write-ins for special surplus funds 0. Common capital stock. Preferred capital stock. Aggregate write-ins for other than special surplus funds. Surplus notes 4. Gross paid in and contributed surplus 5. Unassigned funds (surplus) 6. Less treasury stock, at cost: 6. shares common (value included in Line 0 $ ) 6. shares preferred (value included in Line $ ) 7. Surplus as regards policyholders (Lines 9 to 5, less 6) 8. Totals (Page, Line 8, Col. ) DETAILS OF WRITE-INS Summary of remaining write-ins for Line 5 from overflow page 599. Totals (Lines 50 through 50 plus 598)(Line 5 above) Summary of remaining write-ins for Line 9 from overflow page 999. Totals (Lines 90 through 90 plus 998)(Line 9 above) Summary of remaining write-ins for Line from overflow page 99. Totals (Lines 0 through 0 plus 98)(Line above)

4 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. STATEMENT OF INCOME Current Year to Date Prior Year to Date Prior Year Ended December UNDERWRITING INCOME. Premiums earned:. Direct (written $ ). Assumed (written $ ). Ceded (written $ ).4 Net (written $ ) DEDUCTIONS:. Losses incurred (current accident year $ ):. Direct. Assumed. Ceded.4 Net. Loss adjustment expenses incurred 4. Other underwriting expenses incurred 5. Aggregate write-ins for underwriting deductions 6. Total underwriting deductions (Lines through 5) 7. Net income of protected cells 8. Net underwriting gain or (loss) (Line minus Line 6 + Line 7) INVESTMENT INCOME 9. Net investment income earned 0. Net realized capital gains (losses) less capital gains tax of $. Net investment gain (loss) (Lines 9 + 0) OTHER INCOME. Net gain or (loss) from agents or premium balances charged off (amount recovered $ amount charged off $ ). Finance and service charges not included in premiums 4. Aggregate write-ins for miscellaneous income 5. Total other income (Lines through 4) 6. Net income before dividends to policyholders, after capital gains tax and before all other federal and foreign income taxes (Lines ) 7. Dividends to policyholders 8. Net income, after dividends to policyholders, after capital gains tax and before all other federal and foreign income taxes (Line 6 minus Line 7) 9. Federal and foreign income taxes incurred 0. Net income (Line 8 minus Line 9)(to Line ) CAPITAL AND SURPLUS ACCOUNT. Surplus as regards policyholders, December prior year. Net income (from Line 0). Net transfers (to) from Protected Cell accounts 4. Change in net unrealized capital gains (losses) less capital gains tax of $ 5. Change in net unrealized foreign exchange capital gain (loss) 6. Change in net deferred income tax 7. Change in nonadmitted assets 8. Change in provision for reinsurance 9. Change in surplus notes 0. Surplus (contributed to) withdrawn from protected cells. Cumulative effect of changes in accounting principles. Capital changes:. Paid in. Transferred from surplus (Stock Dividend). Transferred to surplus. Surplus adjustments:. Paid in. Transferred to capital (Stock Dividend). Transferred from capital 4. Net remittances from or (to) Home Office 5. Dividends to stockholders 6. Change in treasury stock 7. Aggregate write-ins for gains and losses in surplus 8. Change in surplus as regards policyholders (Lines through 7) 9. Surplus as regards policyholders, as of statement date (Lines plus 8) DETAILS OF WRITE-INS Summary of remaining write-ins for Line 5 from overflow page Totals (Lines 050 through 050 plus 0598)(Line 5 above) Summary of remaining write-ins for Line 4 from overflow page 499. Totals (Lines 40 through 40 plus 498)(Line 4 above) Summary of remaining write-ins for Line 7 from overflow page 799. Totals (Lines 70 through 70 plus 798)(Line 7 above) 4

5 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. Cash from Operations CASH FLOW Current Year To Date Prior Year To Date Prior Year Ended December. Premiums collected net of reinsurance. Net investment income. Miscellaneous income 4. Total (Lines to ) 5. Benefit and loss related payments 6. Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts 7. Commissions, expenses paid and aggregate write-ins for deductions 8. Dividends paid to policyholders 9. Federal and foreign income taxes paid (recovered) net of $ tax on capital gains (losses) 0. Total (Lines 5 through 9). Net cash from operations (Line 4 minus Line 0) Cash from Investments. Proceeds from investments sold, matured or repaid:. Bonds. Stocks. Mortgage loans.4 Real estate.5 Other invested assets.6 Net gains or (losses) on cash, cash equivalents and short-term investments.7 Miscellaneous proceeds.8 Total investment proceeds (Lines. to.7). Cost of investments acquired (long-term only):. Bonds. Stocks. Mortgage loans.4 Real estate.5 Other invested assets.6 Miscellaneous applications.7 Total investments acquired (Lines. to.6) 4. Net increase (or decrease) in contract loans and premium notes 5. Net cash from investments (Line.8 minus Line.7 and Line 4) 6. Cash provided (applied): Cash from Financing and Miscellaneous Sources 6. Surplus notes, capital notes 6. Capital and paid in surplus, less treasury stock 6. Borrowed funds 6.4 Net deposits on deposit-type contracts and other insurance liabilities 6.5 Dividends to stockholders 6.6 Other cash provided (applied) 7. Net cash from financing and miscellaneous sources (Line 6. through Line 6.4 minus Line 6.5 plus Line 6.6) RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS 8. Net change in cash, cash equivalents and short-term investments (Line, plus Lines 5 and 7) 9. Cash, cash equivalents and short-term investments: 9. Beginning of year 9. End of period (Line 8 plus Line 9.) Note: Supplemental disclosures of cash flow information for non-cash transactions: 5

6 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc.. Summary of Significant Accounting Policies. Accounting Changes and Corrections of Errors. Business Combinations and Goodwill 4. Discontinued Operations 5. Investments A. Mortgage Loans, including Mezzanine Real Estate Loans Not applicable. B. Debt Restructuring Not applicable. C. Reverse Mortgages Not applicable. D. Loan-Backed Securities. Prepayment assumptions for single class and multi-class mortgage-backed/asset-backed securities were derived from broker dealer information found on Bloomberg.. Securities within the scope of this statement with a recognized other-than-temporary impairment: None.. Not applicable MNJ had no OTTI on structured securities during the current period. 4. The amortized cost, market value and unrealized loss for loan-backed securities in a temporary unrealized loss position as of March, 0 are as follows: Less than Months Greater than Months Amortized Cost Market Value Unrealized Loss Amortized Cost Market Value Unrealized Loss Residential Mortgage-backed 6,67 605,088 8, Commercial mortgage-backed Total 6,67 605,088 8, There are a number of factors that are considered in determining if there is not an otherthan-temporary-impairment on an investment, including but not limited to: debt burden, credit ratings, sector, liquidity, financial flexibility, company management, expected earnings and cash flow stream, and economic prospects associated with the investment. All investments in an unrealized loss position are considered. As the magnitude of the loss increases, so does the degree of analysis in determining if an other-than-temporaryloss exists. E. Repurchase Agreements Not applicable. F. Real Estate Not applicable. G. Investments in Low-income Housing Tax Credits (LIHTC) Not applicable. 6. Joint Ventures Partnerships and Limited Liability Companies 6

7 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. 7. Investment Income 8. Derivative Instruments 9. Income Taxes 0. Information Concerning Parent, Subsidiaries and Affiliates See Note and Note 6. Debt. Retirement Plans, Deferred Compensation, Postemployment Benefits and Compensated Absences. Capital Surplus, Shareholders' Dividend Restrictions and Quasi-Reorganizations 4. Contingencies 5. Leases 6. Information About Financial Instruments with Off-Balance Sheet Risk and Financial Instruments with Concentrations of Credit Risk 7. Sale, Transfer and Servicing of Financial Assets and Extinguishments of Liabilities 8. Gain or Loss to the Reporting Entity from Uninsured A&H Plans and the Uninsured Portion of Partially Insured Plans 9. Direct Premiums Written by Managing General Agents / Third Party Administrators. Other Items A. Extraordinary items Not applicable B. Troubled debt restructuring for debtors Not applicable C. Other Disclosures - On March 8, 0, the Parent acquired Mercer Insurance Group, Inc.( Mercer ) in a transaction valued at approximately $9.0 million. 6.

8 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. On February, 0, a reorganization of our Parent (United Fire & Casualty Company) and all the subsidiary/affiliated companies was completed. Upon completion of this reorganization, United Fire Group Inc., an Iowa corporation, replaced United Fire & Casualty Company, an Iowa corporation, as the publicly held corporation, and the holders of United Fire & Casualty Company Common Stock now hold the same number of shares and same ownership percentage of United Fire Group Inc as they held of United Fire & Casualty Company immediately prior to the reorganization. Immediately prior to the merger, there were,000 shares of common stock issued and outstanding. Therefore, immediately after the merger there were,000 shares of United Fire Group Inc. common stock issued and outstanding with a par value of $. per share. On February, 0, shares of United Fire Group Inc Common Stock commenced trading on the NASDAQ Global Select Market under the symbol UFCS. The directors and executive officers of United Fire Group Inc. immediately following the reorganization are the same individuals who were directors and executive officers, respectively, of United Fire & Casualty Company immediately prior to the reorganization. D. Uncollectible premiums receivable Not applicable E. Business interruption insurance recoveries Not applicable F. State Transferable Tax Credits Not applicable G. Subprime Mortgage Related Exposure Not applicable. Events Subsequent No events meriting disclosure. Reinsurance 4. Retrospectively Rated Contracts 5. Change in Incurred Loss and Loss Adjustment Expenses The estimated cost of loss and loss adjustment expenses attributable to insured events of prior years was $95,000 on a post-pooled basis (see Note 5), representing 0.9% of unpaid losses and loss adjustment expenses of $. million as of December, Intercompany Pooling Arrangements A. F. The following subsidiaries of United Fire & Casualty Company ( United Fire ), along with United Fire are participants to an intercompany pooling arrangement, effective January, 0: Mercer Insurance Company 9%), Financial Pacific Insurance Company (8%), Lafayette Insurance Company (7%), Addison Insurance Company (4%), Mercer Insurance Company of New Jersey, Inc (%), United Fire & Indemnity Company (%), United Fire Lloyds (%), Franklin Insurance Company (%), and. Each of these subsidiary participants cedes their net premiums, losses, loss adjustment expenses and other underwriting expenses to United Fire. The business that is ceded to United Fire, plus the net business of United Fire is accumulated for pooling. Sixty-five percent of the pooled business is retained by United Fire. The remaining 5% is ceded by United Fire to the subsidiary participants (company percentages are listed above, parenthetically following the name of each subsidiary participant). Each of the subsidiary participants records their allocation from the pool as assumed business. Investment expenses and investment income are not pooled. United Fire settles the amounts payable to affiliates for this business 0 days following the end of each month. 7. Structured Settlements 8. Health Care Receivables 6.

9 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. 9. Participating Policies 0. Premium Deficiency Reserves. High Deductibles. Discounting of Liabilities for Unpaid Losses or Unpaid Loss Adjustment Expenses. Asbestos/Environmental Reserves 4. Subscriber Savings Accounts 5. Multiple Peril Crop Insurance 6. Financial Guaranty Insurance 6.

10 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. GENERAL INTERROGATORIES PART - COMMON INTERROGATORIES GENERAL. Did the reporting entity experience any material transactions requiring the filing of Disclosure of Material Transactions with the State of Domicile, as required by the Model Act?. If yes, has the report been filed with the domiciliary state?. Has any change been made during the year of this statement in the charter, by-laws, articles of incorporation, or deed of settlement of the reporting entity?. If yes, date of change:. Have there been any substantial changes in the organizational chart since the prior quarter end? If yes, complete the Schedule Y - Part - organizational chart. 4. Has the reporting entity been a party to a merger or consolidation during the period covered by this statement? 4. If yes, provide the name of the entity, NAIC Company Code, and state of domicile (use two letter state abbreviation) for any entity that has ceased to exist as a result of the merger or consolidation. Name of Entity NAIC Company Code State of Domicile 5. If the reporting entity is subject to a management agreement, including third-party administrator(s), managing general agent(s), attorneyin-fact, or similar agreement, have there been any significant changes regarding the terms of the agreement or principals involved? If yes, attach an explanation. 6. State as of what date the latest financial examination of the reporting entity was made or is being made. 6. State the as of date that the latest financial examination report became available from either the state of domicile or the reporting entity. This date should be the date of the examined balance sheet and not the date the report was completed or released. 6. State as of what date the latest financial examination report became available to other states or the public from either the state of domicile or the reporting entity. This is the release date or completion date of the examination report and not the date of the examination (balance sheet date). 6.4 By what department or departments? 6.5 Have all financial statement adjustments within the latest financial examination report been accounted for in a subsequent financial statement filed with Departments? 6.6 Have all of the recommendations within the latest financial examination report been complied with? 7. Has this reporting entity had any Certificates of Authority, licenses or registrations (including corporate registration, if applicable) suspended or revoked by any governmental entity during the reporting period? 7. If yes, give full information: 8. Is the company a subsidiary of a bank holding company regulated by the Federal Reserve Board? 8. If response to 8. is yes, please identify the name of the bank holding company. 8. Is the company affiliated with one or more banks, thrifts or securities firms? 8.4 If response to 8. is yes, please provide below the names and location (city and state of the main office) of any affiliates regulated by a federal regulatory services agency [i.e. the Federal Reserve Board (FRB), the Office of the Comptroller of the Currency (OCC), the Federal Deposit Insurance Corporation (FDIC) and the Securities Exchange Commission (SEC)] and identify the affiliate's primary federal regulator. Affiliate Name Location (City, State) FRB 4 OCC 5 FDIC 6 SEC 7

11 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. GENERAL INTERROGATORIES 9. Are the senior officers (principal executive officer, principal financial officer, principal accounting officer or controller, or persons performing similar functions) of the reporting entity subject to a code of ethics, which includes the following standards? (a) Honest and ethical conduct, including the ethical handling of actual or apparent conflicts of interest between personal and professional relationships; (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. 9. If the response to 9. is No, please explain: 9. Has the code of ethics for senior managers been amended? 9. If the response to 9. is Yes, provide information related to amendment(s). 9. Have any provisions of the code of ethics been waived for any of the specified officers? 9. If the response to 9. is Yes, provide the nature of any waiver(s). FINANCIAL 0. Does the reporting entity report any amounts due from parent, subsidiaries or affiliates on Page of this statement? 0. If yes, indicate any amounts receivable from parent included in the Page amount: $ INVESTMENT. Were any of the stocks, bonds, or other assets of the reporting entity loaned, placed under option agreement, or otherwise made available for use by another person? (Exclude securities under securities lending agreements.). If yes, give full and complete information relating thereto:. Amount of real estate and mortgages held in other invested assets in Schedule BA: $. Amount of real estate and mortgages held in short-term investments: $ 4. Does the reporting entity have any investments in parent, subsidiaries and affiliates? 4. If yes, please complete the following: Prior Year-End Book/Adjusted Carrying Value Current Quarter Book/Adjusted Carrying Value 4. Bonds $ $ 4. Preferred Stock $ $ 4. Common Stock $ $ 4.4 Short-Term Investments $ $ 4.5 Mortgage Loans on Real Estate $ $ 4.6 All Other $ $ 4.7 Total Investment in Parent, Subsidiaries and Affiliates (Subtotal Lines 4. to 4.6) $ $ 4.8 Total Investment in Parent included in Lines 4. to 4.6 above $ $ 5. Has the reporting entity entered into any hedging transactions reported on Schedule DB? 5. If yes, has a comprehensive description of the hedging program been made available to the domiciliary state? If no, attach a description with this statement. 7.

12 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. GENERAL INTERROGATORIES 6. Excluding items in Schedule E - Part - Special Deposits, real estate, mortgage loans and investments held physically in the reporting entity s offices, vaults or safety deposit boxes, were all stocks, bonds and other securities, owned throughout the current year held pursuant to a custodial agreement with a qualified bank or trust company in accordance with Section, III - General Examination Considerations, F. Outsourcing of Critical Functions, Custodial or Safekeeping Agreements of the NAIC Financial Condition Examiners Handbook? 6. For all agreements that comply with the requirements of the NAIC Financial Condition Examiners Handbook, complete the following: Name of Custodian(s) Custodian Address 6. 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: Name(s) Location(s) Complete Explanation(s) 6. Have there been any changes, including name changes, in the custodian(s) identified in 6. during the current quarter? 6.4 If yes, give full information relating thereto: Old Custodian New Custodian Date of Change 4 Reason 6.5 Identify all investment advisors, brokers/dealers or individuals acting on behalf of broker/dealers that have access to the investment accounts, handle securities and have authority to make investments on behalf of the reporting entity: Central Registration Depository!" Name(s) #$% &'%&( ) Address *+,+-$. */0 (. 7. Have all the filing requirements of the Purposes and Procedures Manual of the NAIC Securities Valuation Office been followed? 7. If no, list exceptions: 7.

13 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. GENERAL INTERROGATORIES PART - PROPERTY & CASUALTY INTERROGATORIES. If the reporting entity is a member of a pooling arrangement, did the agreement or the reporting entity s participation change? If yes, attach an explanation. As of 0/0/0, the company became part of the United Fire Group pooling agreement.. Has the reporting entity reinsured any risk with any other reporting entity and agreed to release such entity from liability, in whole or in part, from any loss that may occur on the risk, or portion thereof, reinsured? If yes, attach an explanation.. Have any of the reporting entity s primary reinsurance contracts been canceled?. If yes, give full and complete information thereto. 4. Are any of the liabilities for unpaid losses and loss adjustment expenses other than certain workers compensation tabular reserves (see Annual Statement Instructions pertaining to disclosure of discounting for definition of tabular reserves ) discounted at a rate of interest greater than zero? 4. If yes, complete the following schedule: Line of Business Maximum Interest Discount Rate TOTAL DISCOUNT 5 6 Unpaid LAE IBNR DISCOUNT TAKEN DURING PERIOD 0 4 Unpaid Losses 7 TOTAL 8 Unpaid Losses 9 Unpaid LAE IBNR TOTAL TOTAL 5. Operating Percentages: 5. A&H loss percent 5. A&H cost containment percent 5. A&H expense percent excluding cost containment expenses 6. Do you act as a custodian for health savings accounts? 6. If yes, please provide the amount of custodial funds held as of the reporting date $ 6. Do you act as an administrator for health savings accounts? 6.4 If yes, please provide the balance of the funds administered as of the reporting date $ 8

14 NAIC Company Code STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. SCHEDULE F - CEDED REINSURANCE Federal ID Number Showing All New Reinsurers - Current Year to Date Name of Reinsurer 4 Domiciliary Jurisdiction 5 Is Insurer Authorized? (Yes or No) 9

15 States, etc. STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. SCHEDULE T - EXHIBIT OF PREMIUMS WRITTEN Current Year to Date - Allocated by States and Territories Direct Premiums Written Direct Losses Paid (Deducting Salvage) Direct Losses Unpaid Current Year Prior Year Current Year Prior Year Current Year To Date To Date To Date To Date To Date Active Status 7 Prior Year To Date. Alabama AL. Alaska AK. Arizona AZ 4. Arkansas AR 5. California CA 6. Colorado CO 7. Connecticut CT 8. Delaware DE 9. District of Columbia DC 0. Florida FL. Georgia GA. Hawaii HI. Idaho ID 4. Illinois IL 5. Indiana IN 6. Iowa IA 7. Kansas KS 8. Kentucky KY 9. Louisiana LA 0. Maine ME. Maryland MD. Massachusetts MA. Michigan MI 4. Minnesota MN 5. Mississippi MS 6. Missouri MO 7. Montana MT 8. Nebraska NE 9. Nevada NV 0. New Hampshire NH. New Jersey NJ. New Mexico NM. New York NY 4. North Carolina NC 5. North Dakota ND 6. Ohio OH 7. Oklahoma OK 8. Oregon OR 9. Pennsylvania PA 40. Rhode Island RI 4. South Carolina SC 4. South Dakota SD 4. Tennessee TN 44. Texas TX 45. Utah UT 46. Vermont VT 47. Virginia VA 48. Washington WA 49. West Virginia WV 50. Wisconsin WI 5. Wyoming WY 5. American Samoa AS 5. Guam GU 54. Puerto Rico PR 55. U.S. Virgin Islands VI 56. Northern Mariana Islands MP 57. Canada CN 58. Aggregate Other Alien OT XXX 59. Totals (a) DETAILS OF WRITE-INS 580. XXX 580. XXX 580. XXX Summary of remaining write-ins for Line 58 from overflow page XXX Totals (Lines 580 through 580 plus 5898)(Line 58 above) XXX (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. (a) Insert the number of L responses except for Canada and Other Alien. 0

16 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. SCHEDULE Y INFORMATION CONCERNING ACTIVITIES OF INSURER MEMBERS OF A HOLDING COMPANY GROUP PART ORGANIZATION CHART Dee Ann McIntyre New Mexico Resident 0% Owner of United Fire Group, Inc United Fire Group, Inc FEIN: Iowa Holding Company Cusip: United Fire & Casualty Company FEIN: NAIC: 0 IA P&C Insurance 00% Owned by UFG United Fire Group Foundation FEIN: Iowa Affiliate of UFG United Fire Group 40K Plan FEIN: Iowa Affiliate of UFG United Fire Group Employee Stock Ownership Plan FEIN: 4-7 Iowa Affiliate of UFG United Pension Plan FEIN: Iowa Affiliate of UFG Addison Insurance Company FEIN: NAIC: 04 IA P&C Insurer 00% Owned by UFC American Indemnity Financial Corporation FEIN: Delaware Holding Co 00% Owned by UFC Lafayette Insurance Company FEIN: NAIC: 895 LA P&C Insurer 00% Owned by UFC Mercer Insurance Group, Inc. FEIN: Pennsylvania Holding Co 00% Owned by UFC United Fire & Indemnity Company FEIN: NAIC: 9496 TX P&C Insurer 00% Owned by UFC United Life Insurance Company FEIN: NAIC: 6997 IA Life Insurer 00% Owned by UFC Texas General Indemnity Company FEIN: NAIC: 956 CO P&C Insurer 00% Owned by AIFC Financial Pacific Insurance Group, Inc. Fed ID California Holding Co 00% Owned by MIG Mercer Insurance Company FEIN: NAIC: 4478 PA P&C Insurer 00% Owned by MIG United Fire Lloyds FEIN: NAIC: 4559 TX P&C Insurer Affiliated with UFI Financial Pacific Insurance Company FEIN: NAIC: 45 CA P&C Insurer 00% Owned by FPIG Financial Pacific Insurance Agency FEIN: California Co 00% Owned by FPIG Financial Pacific Trust FEIN: Delaware Trust 00% Owned by FPIG BICUS Services Corporation FEIN: Pennsylvania Corp 00% Owned by MIC Franklin Insurance Company FEIN: NAIC: 078 PA P&C Insurer 00% Owned by MIC Mercer Insurance Co of New Jersey, Inc. FEIN: NAIC: 4540 NJ P&C Insurer 00% Owned by MIC

17 NAIC Company Code 4 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. SCHEDULE Y PART A - DETAIL OF INSURANCE HOLDING COMPANY SYSTEM Name of Securities Exchange if Publicly Traded (U.S. or International) 8 Names of Parent, Subsidiaries Or Affiliates 9 Domiciliary Location 0 Relationship to Reporting Entity Type of Control (Ownership, Board, Management, Attorney-in-Fact, Influence, Other) Group Code Group Name Federal ID Number Federal RSSD CIK Directly Controlled by (Name of Entity/Person) Ultimate Controlling Entity(ies)/Person(s) *!" #$% & " '(!" #$% & )**+, - #$% & ",./ ",. #$% & ",. ",. #$% & ",. - #$% & ",.0 '( ",. #$% & ", - #$% &.!" #$% & -.$4 4 - #$% & -, ', - #$% & -,,!" #$% & 05" # #$% &!", #$% &! 06!" #$% & 7,"!" -/ (*#,!" -/!" #$% & *'8, ).' " 06!.!" #$% &,,"!" -/ If Control is Ownership Provide Percentage 4 5 Asterisk Explanation

18 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. PART - LOSS EXPERIENCE Direct Premiums Earned Current Year to Date 4 Prior Year to Date Direct Losses Direct Loss Direct Loss Incurred Percentage Percentage Line of Business. Fire. Allied Lines. Farmowners multiple peril 4. Homeowners multiple peril 5. Commercial multiple peril 6. Mortgage guaranty 8. Ocean marine 9. Inland marine 0. Financial guaranty. Medical professional liability - occurrence. Medical professional liability - claims-made. Earthquake. Group accident and health 4. Credit accident and health 5. Other accident and health 6. Workers compensation 7. Other liability - occurrence 7. Other liability - claims-made 7. Excess workers compensation 8. Products liability - occurrence 8. Products liability - claims-made 9.,9. Private passenger auto liability 9.,9.4 Commercial auto liability. Auto physical damage. Aircraft (all perils). Fidelity 4. Surety 6. Burglary and theft 7. Boiler and machinery 8. Credit 9. International 0. Warranty. Reinsurance - Nonproportional Assumed Property XXX XXX XXX XXX. Reinsurance - Nonproportional Assumed Liability XXX XXX XXX XXX. Reinsurance - Nonproportional Assumed Financial Lines XXX XXX XXX XXX 4. Aggregate write-ins for other lines of business 5. Totals DETAILS OF WRITE-INS Summary of remaining write-ins for Line 4 from overflow page 499. Totals (Lines 40 through 40 plus 498)(Line 4 above) PART - DIRECT PREMIUMS WRITTEN Current Year to Date Prior Year Year to Date Line of Business Current Quarter. Fire. Allied Lines. Farmowners multiple peril 4. Homeowners multiple peril 5. Commercial multiple peril 6. Mortgage guaranty 8. Ocean marine 9. Inland marine 0. Financial guaranty. Medical professional liability - occurrence. Medical professional liability - claims-made. Earthquake. Group accident and health 4. Credit accident and health 5. Other accident and health 6. Workers compensation 7. Other liability - occurrence 7. Other liability - claims-made 7. Excess workers compensation 8. Products liability - occurrence 8. Products liability - claims-made 9.,9. Private passenger auto liability 9.,9.4 Commercial auto liability. Auto physical damage. Aircraft (all perils). Fidelity 4. Surety 6. Burglary and theft 7. Boiler and machinery 8. Credit 9. International 0. Warranty. Reinsurance - Nonproportional Assumed Property XXX XXX XXX. Reinsurance - Nonproportional Assumed Liability XXX XXX XXX. Reinsurance - Nonproportional Assumed Financial Lines XXX XXX XXX 4. Aggregate write-ins for other lines of business 5. Totals DETAILS OF WRITE-INS Summary of remaining write-ins for Line 4 from overflow page 499. Totals (Lines 40 through 40 plus 498)(Line 4 above)

19 4 Years in Which Losses Occurred Prior Year-End Known Case Loss and LAE Reserves Prior Year- End IBNR Loss and LAE Reserves STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. PART (000 omitted) Total Prior Year-End Loss and LAE Reserves (Cols. +) LOSS AND LOSS ADJUSTMENT EXPENSE RESERVES SCHEDULE Loss and LAE Payments on Claims Reported as of Prior Year-End 0 Loss and LAE Payments on Claims Unreported as of Prior Year-End Total 0 Loss and LAE Payments (Cols. 4+5) Q.S. Date Known Case Loss and LAE Reserves on Claims Reported and Open as of Prior Year End Q.S. Date Known Case Loss and LAE Reserves on Claims Reported or Reopened Subsequent to Prior Year End 9 Q.S. Date IBNR Loss and LAE Reserves 0 Total Q.S. Loss and LAE Reserves (Cols.7+8+9) Prior Year-End Known Case Loss and LAE Reserves Developed (Savings)/ Deficiency (Cols.4+7 minus Col. ) Prior Year-End IBNR Loss and LAE Reserves Developed (Savings)/ Deficiency (Cols minus Col. ) Prior Year-End Total Loss and LAE Reserve Developed (Savings)/ Deficiency (Cols. +) Prior. 00. Subtotals 00 + Prior Subtotals 0 + Prior 6. 0 XXX XXX XXX XXX XXX XXX XXX XXX 7. Totals 8. Prior Year-End Surplus As Regards Policyholders Col., Line 7 As % of Col. Line 7 Col., Line 7 As % of Col. Line (66.). (8.9) Col., Line 7 As % of Col. Line 7 Col., Line 7 As a % of Col. Line 8 4. (8.)

20 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIES The following supplemental reports are required to be filed as part of your statement filing. However, in the event that your company does not transact the type of business for which the special report must be filed, your response of NO to the specific interrogatory will be accepted 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 being filed for whatever reason enter SEE EXPLANATION and provide an explanation following the interrogatory questions. Response. Will the Trusteed Surplus Statement be filed with the state of domicile and the NAIC with this statement?. Will Supplement A to Schedule T (Medical Professional Liability Supplement) be filed with this statement?. Will the Medicare Part D Coverage Supplement be filed with the state of domicile and the NAIC with this statement? 4. Will the Director and Officer Supplement be filed with the state of domicile and the NAIC with this statement?. Explanations:.. 4. Bar Codes:. Trusteed Surplus Statement [Document Identifier 490]. Supplement A to Schedule T [Document Identifier 455]. Medicare Part D Coverage Supplement [Document Identifier 65] 4. Director and Officer Supplement [Document Identifier 505] 5

21 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. OVERFLOW PAGE FOR WRITE-INS 6

22 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. SCHEDULE A - VERIFICATION Real Estate. Book/adjusted carrying value, December of prior year. Cost of acquired:. Actual cost at time of acquisition. Additional investment made after acquisition NONE. Current year change in encumbrances 4. Total gain (loss) on disposals 5. Deduct amounts received on disposals 6. Total foreign exchange change in book/adjusted carrying value 7. Deduct current year s other than temporary impairment recognized 8. Deduct current year s depreciation 9. Book/adjusted carrying value at the end of current period (Lines ) 0. Deduct total nonadmitted amounts. Statement value at end of current period (Line 9 minus Line 0) Year to Date Prior Year Ended December SCHEDULE B - VERIFICATION Mortgage Loans. Book value/recorded investment excluding accrued interest, December of prior year. Cost of acquired:. Actual cost at time of acquisition. Additional investment made after acquisition. Capitalized deferred interest and other 4. Accrual of discount NONE 5. Unrealized valuation increase (decrease) 6. Total gain (loss) on disposals 7. Deduct amounts received on disposals 8. Deduct amortization of premium and mortgage interest points and commitment fees 9. Total foreign exchange change in book value/recorded investment excluding accrued interest 0. Deduct current year s other than temporary impairment recognized. Book value/recorded investment excluding accrued interest at end of current period (Lines ). Total valuation allowance. Subtotal (Line plus Line ) 4. Deduct total nonadmitted amounts 5. Statement value at end of current period (Line minus Line 4) Year to Date Prior Year Ended December. Book/adjusted carrying value, December of prior year SCHEDULE BA - VERIFICATION Other Long-Term Invested Assets. Cost of acquired:. Actual cost at time of acquisition. Additional investment made after acquisition NONE. Capitalized deferred interest and other 4. Accrual of discount 5. Unrealized valuation increase (decrease) 6. Total gain (loss) on disposals 7. Deduct amounts received on disposals 8. Deduct amortization of premium and depreciation 9. Total foreign exchange change in book/adjusted carrying value 0. Deduct current year s other than temporary impairment recognized. Book/adjusted carrying value at end of current period (Lines ). Deduct total nonadmitted amounts. Statement value at end of current period (Line minus Line ) Year to Date Prior Year Ended December SCHEDULE D - VERIFICATION Bonds and Stocks Prior Year Ended Year to Date December. Book/adjusted carrying value of bonds and stocks, December of prior year. Cost of bonds and stocks acquired. Accrual of discount 4. Unrealized valuation increase (decrease) 5. Total gain (loss) on disposals 6. Deduct consideration for bonds and stocks disposed of 7. Deduct amortization of premium 8. Total foreign exchange change in book/adjusted carrying value 9. Deduct current year s other than temporary impairment recognized 0. Book/adjusted carrying value at end of current period (Lines ). Deduct total nonadmitted amounts. Statement value at end of current period (Line 0 minus Line ) SI0

23 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. SCHEDULE D - PART B Showing the Acquisitions, Dispositions and Non-Trading Activity During the Current Quarter for all Bonds and Preferred Stock by Rating Class Book/Adjusted Carrying Value Beginning of Current Quarter Acquisitions During Current Quarter Dispositions During Current Quarter 4 Non-Trading Activity During Current Quarter 5 Book/Adjusted Carrying Value End of First Quarter 6 Book/Adjusted Carrying Value End of Second Quarter 7 Book/Adjusted Carrying Value End of Third Quarter 8 Book/Adjusted Carrying Value December Prior Year BONDS. Class (a). Class (a). Class (a) 4. Class 4 (a) 5. Class 5 (a) 6. Class 6 (a) 7. Total Bonds SI0 PREFERRED STOCK 8. Class 9. Class 0. Class. Class 4. Class 5. Class 6 4. Total Preferred Stock 5. Total Bonds and Preferred Stock (a) Book/Adjusted Carrying Value column for the end of the current reporting period includes the following amount of non-rated short-term and cash equivalent bonds by NAIC designation: NAIC $ ; NAIC $ ; NAIC $ ; NAIC 4 $ ; NAIC 5 $ ; NAIC 6 $

24 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. SCHEDULE DA - PART Short-Term Investments Book/Adjusted Carrying Value Par Value Actual Cost 4 Interest Collected Year-to-Date 5 Paid for Accrued Interest Year-to-Date Totals XXX SCHEDULE DA - VERIFICATION Short-Term Investments Year To Date Prior Year Ended December. Book/adjusted carrying value, December of prior year. Cost of short-term investments acquired. Accrual of discount 4. Unrealized valuation increase (decrease) 5. Total gain (loss) on disposals 6. Deduct consideration received on disposals 7. Deduct amortization of premium 8. Total foreign exchange change in book/adjusted carrying value 9. Deduct current year s other than temporary impairment recognized 0. Book/adjusted carrying value at end of current period (Lines ). Deduct total nonadmitted amounts. Statement value at end of current period (Line 0 minus Line ) SI0

25 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. Schedule DB - Part A - Verification - Options, Caps, Floors, Collars, Swaps and Forwards Schedule DB - Part B - Verification - Futures Contracts Schedule DB - Part C - Section - Replication (Synthetic Asset) Transactions (RSATs) Open Schedule DB-Part C-Section -Reconciliation of Replication (Synthetic Asset) Transactions Open Schedule DB - Verification - Book/Adjusted Carrying Value, Fair Value and Potential Exposure of Derivatives SI04, SI05, SI06, SI07

26 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. SCHEDULE E - VERIFICATION (Cash Equivalents) Year To Date Prior Year Ended December. Book/adjusted carrying value, December of prior year. Cost of cash equivalents acquired. Accrual of discount 4. Unrealized valuation increase (decrease) 5. Total gain (loss) on disposals 6. Deduct consideration received on disposals 7. Deduct amortization of premium 8. Total foreign exchange change in book/adjusted carrying value 9. Deduct current year s other than temporary impairment recognized 0. Book/adjusted carrying value at end of current period (Lines ). Deduct total nonadmitted amounts. Statement value at end of current period (Line 0 minus Line ) SI08

27 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. Schedule A - Part - Real Estate Acquired and Additions Made Schedule A - Part - Real Estate Disposed Schedule B - Part - Mortgage Loans Acquired Schedule B - Part - Mortgage Loans Disposed, Transferred or Repaid Schedule BA - Part - Other Long-Term Invested Assets Acquired Schedule BA - Part - Other Long-Term Invested Assets Disposed, Transferred or Repaid E0, E0, E0

28 E04 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. SCHEDULE D - PART Show All Long-Term Bonds and Stock Acquired During the Current Quarter Number of Shares of Stock Paid for Accrued Interest and Dividends CUSIP Identification Description Foreign Date Acquired Name of Vendor Actual Cost Par Value!" #!! Subtotal - Bonds - U.S. Governments!" #!! XXX "## " $% $& ' (&)$ *)$ + "!"!,+ "#-*. / (&)$ *)$ +!"!!, Subtotal - Bonds - U.S. Political Subdivisions of States, Territories and Possessions "!!! XXX ( 0 -, & (&)$ *)$ +!#!,+ ',, 4, + *& "!! *',5 ($ /$ "#!! (,55,( #" 6 #!#! # "+. - 7& (&)$ *)$ + #!!!,+ " ( 8$9 * :7 *;')$$ < 4== ; $ "!!,+ "> 75 8$ 4' <$9 (&)$ *)$ +!!!, Subtotal - Bonds - U.S. Special Revenues!!!!! XXX "4* </ *! ; /) 8!!,+ # * + $$$ $9,!!!",+ # $$ /= $0,&5 8 *! ; /) 8!"#!, Subtotal - Bonds - Industrial and Miscellaneous (Unaffiliated)!!#!!!"# XXX Total - Bonds - Part!#!!"! "! XXX Total - Bonds - Part 5 XXX XXX XXX XXX Total - Bonds!#!!"! "! XXX Total - Preferred Stocks - Part XXX XXX Total - Preferred Stocks - Part 5 XXX XXX XXX XXX Total - Preferred Stocks XXX XXX Total - Common Stocks - Part XXX XXX Total - Common Stocks - Part 5 XXX XXX XXX XXX Total - Common Stocks XXX XXX Total - Preferred and Common Stocks XXX XXX Totals!#! XXX! XXX (a) For all common stock bearing the NAIC market indicator "U" provide: the number of such issues 0 NAIC Designation or Market Indicator (a)

29 E05 STATEMENT AS OF MARCH, 0 OF THE Mercer Insurance Company of New Jersey, Inc. SCHEDULE D - PART 4 Show All Long-Term Bonds and Stock Sold, Redeemed or Otherwise Disposed of During the Current Quarter Change In Book/Adjusted Carrying Value Current Year's Total Change in Book/ Total Foreign Exchange Book/ Bond NAIC Designation Prior Year Current Other Than Adjusted Change in Adjusted Foreign Interest/ Stated or CUSIP Identification Description Foreign Disposal Date Name of Purchaser Number of Shares of Stock Consideration Par Value Actual Cost Book/ Adjusted Carrying Value Unrealized Valuation Increase/ (Decrease) Year's (Amortization)/ Accretion Temporary Impairment Recognized Carrying Value ( + - ) Book /Adjusted Carrying Value Carrying Value at Disposal Date Exchange Gain (Loss) on Disposal Realized Gain (Loss) on Disposal Total Gain (Loss) on Disposal Stock Dividends Received DuringYear Contractual Maturity Date Market Indicator (a) Subtotal - Bonds - U.S. Governments XXX XXX!!!!" #"$ #"$!! % %&'!! "!!!! Subtotal - Bonds - U.S. States, Territories and Possessions!!!!" #"$ #"$!! XXX XXX "" &''!!!! #"$ #"$! "( &''!!!! #$ #$! " ") &''!!!! #$ #$! " ( &''!!!"!! "" &''!!!"!" #"$ #"$! &!"!"!"!"!" ) &!"!"!!" #!$ #!$!" &!!!! " "! &!!!!! " % &!!!!! % &!!!! #$ #$! )) &!!!! #$ #$! " ) &!"!"!"!!" & &!"!"!! #$ #$!" " &!"!"!"!" #$ #$!" % &!!!""!" #""$ #""$! " "" %&% *+!!!!!! %''!!!! #$ #$!! Subtotal - Bonds - U.S. Special Revenues "! "!!" "! #!$ #!$ "!! XXX XXX,-./0/-/,004!!!! #$ #$!! Subtotal - Bonds - Industrial and Miscellaneous (Unaffiliated)!!!! #$ #$!! XXX XXX Total - Bonds - Part 4!""!!""!!!"!""!" #!$ #!$!""!!" XXX XXX Total - Bonds - Part 5 XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX Total - Bonds!""!!""!!!"!""!" #!$ #!$!""!!" XXX XXX "5 *+ +! +!"!!!"!" Subtotal - Preferred Stocks - Industrial and Miscellaneous (Unaffiliated)! XXX!"!!!"!" XXX XXX Total - Preferred Stocks - Part 4! XXX!"!!!"!" XXX XXX Total - Preferred Stocks - Part 5 XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX Total - Preferred Stocks! XXX!"!!!"!" XXX XXX Total - Common Stocks - Part 4 XXX XXX XXX Total - Common Stocks - Part 5 XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX Total - Common Stocks XXX XXX XXX Total - Preferred and Common Stocks! XXX!"!!!"!" XXX XXX Totals!"! XXX!!!"! #!$ #!$!"!!"!"! XXX XXX (a) For all common stock bearing the NAIC market indicator "U" provide: the number of such issues