As in effect 3/1/61 FORM 10K/A -------------------- SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D. C. 20549 -------------------- AMENDMENT TO APPLICATION OR REPORT Filed Pursuant to Sections 12, 13, or 15 (d) of THE SECURITIES EXCHANGE ACT OF 1934 OLD REPUBLIC INTERNATIONAL CORPORATION - -------------------------------------------------------------------------------- (Exact name of registrant as specified in charter) AMENDMENT NO. 5 --- The undersigned registrant hereby amends the following items, financial statements, exhibits or other portions of its ANNUAL REPORT FOR 2001 ------------------------- on Form 10-K as set forth in the pages attached hereto: (List all such --------- items, financial statements, exhibits or other portions amended) FORM 11-K Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this amendment to be signed on its behalf by the undersigned, thereunto duly authorized. OLD REPUBLIC INTERNATIONAL CORPORATION -------------------------------------- (Registrant) Date: April 26, 2002 By: /s/ John S. Adams -------------- ----------------------------------- (Signature) John S. Adams Senior Vice President and Chief Financial Officer Total Pages: 15 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ------------- FORM 11-K ------------- ANNUAL REPORT Pursuant to Section 15(d) of the Securities Exchange Act of 1934 For The Fiscal Year Ended December 31, 2001 ------------- REPUBLIC MORTGAGE INSURANCE COMPANY AND AFFILIATED COMPANIES PROFIT SHARING PLAN ------------- OLD REPUBLIC INTERNATIONAL CORPORATION 307 NORTH MICHIGAN AVENUE CHICAGO, ILLINOIS 60601 SIGNATURE --------- Pursuant to the requirements of the Securities Exchange Act of 1934, the Administration Committee has duly caused this Annual Report to be signed on behalf of the undersigned, thereunto duly authorized. THE REPUBLIC MORTGAGE INSURANCE COMPANY AND AFFILIATED COMPANIES PROFIT SHARING PLAN (Registrant) By: /s/ John Gerke -------------------------------------------------- John Gerke, Member of the Administration Committee By: /s/ Donna Ball -------------------------------------------------- Donna Ball, Member of the Administration Committee May 1, 2002 The Republic Mortgage Insurance Company and Affiliated Companies Profit Sharing Plan Financial Statements and Supplemental Schedules December 31, 2001 Tax Identification Number: 56-1031043 The Republic Mortgage Insurance Company and Affiliated Companies Profit Sharing Plan Financial Statements and Supplemental Schedules December 31, 2001 - -------------------------------------------------------------------------------- Pages Report of Independent Accountants 1 Financial Statements: Statements of Net Assets Available for Benefits at December 31, 2001 and 2000 2 Statement of Changes in Net Assets Available for Benefits for the Year Ended December 31, 2001 3 Notes to Financial Statements 4 - 7 Supplemental Schedule: Schedule of Assets Held for Investment Purposes at End of Year 8 Report of Independent Accountants To the Participants and Administrator of The Republic Mortgage Insurance Company and Affiliated Companies Profit Sharing Plan We were engaged to audit the financial statements and supplemental schedule of The Republic Mortgage Insurance Company and Affiliated Companies Profit Sharing Plan (the "Plan") at December 31, 2001 and 2000 and for the year ended December 31, 2001, as listed in the accompanying index. These financial statements and schedule are the responsibility of the Plan's management. As permitted by 29 CFR 2520.103-8 of the Department of Labor's Rules and Regulations for Reporting and Disclosure under the Employee Retirement Income Security Act of 1974, the plan administrator instructed us not to perform, and we did not perform, any auditing procedures with respect to the information summarized in Note 3, which was certified by Massachusetts Mutual Life Insurance Company, the trustee of the Plan, except for comparing such information with the related information included in the financial statements and supplemental schedules. We have been informed by the plan administrator that the trustee holds the Plan's investment assets and executes investment transactions. The plan administrator has obtained a certification from the trustee as of December 31, 2001 and 2000 and for the year ended December 31, 2001, that the information provided to the plan administrator by the trustee is complete and accurate. Because of the significance of the information that we did not audit, we are unable to, and do not, express an opinion on the accompanying financial statements and schedule taken as a whole. The form and content of the information included in the financial statements and schedule, other than that derived from the information certified by the trustee, have been audited by us in accordance with auditing standards generally accepted in the United States of America and, in our opinion, are presented in compliance with the Department of Labor's Rules and Regulations for Reporting and Disclosure under the Employee Retirement Income Security Act of 1974. /s/ PricewaterhouseCoopers LLP April 26, 2002 1 The Republic Mortgage Insurance Company and Affiliated Companies Profit Sharing Plan Statements of Net Assets Available for Benefits December 31, 2001 and 2000 - -------------------------------------------------------------------------------- 2001 2000 ---- ---- <s> <c> <c> Assets Investments, at fair value: Insurance separate accounts: Domestic equity $ 6,348,640 $ 5,791,800 Asset allocation 1,891,330 2,543,985 Fixed income 1,012,654 701,359 International equity 477,044 644,719 Flexible equity 191,905 137,799 ------------- ------------- 9,921,573 9,819,662 ORI common stock pooled account 4,722,627 3,571,017 Insurance company guaranteed interest fund, at contract value 14,194,942 13,429,161 Participant loans 490,166 563,247 ------------- ------------- Total investments 29,329,308 27,383,087 Employer contibutions receivable 3,330,842 2,735,720 ------------- ------------- Total assets 32,660,150 30,118,807 Liabilities Refund of participant contributions 132,589 59,303 ------------- ------------- Net assets available for benefits $ 32,527,561 $ 30,059,504 ============= ============= The accompanying notes are an integral part of these financial statements. 2 The Republic Mortgage Insurance Company and Affiliated Companies Profit Sharing Plan Statement of Changes in Net Assets Available for Benefits Year Ended December 31, 2001 - -------------------------------------------------------------------------------- <s> <c> Additions to net assets attributed to: Investment income: Net depreciation in fair value of investments $ (863,911) Interest - guaranteed interest account 908,299 Interest - participant loans 42,392 ------------- Investment income 86,780 ------------- Contributions: Employer 3,330,842 Participants 563,317 ------------- 3,894,159 ------------- Total additions 3,980,939 ------------- Deductions from net assets attributed to: Benefits paid 1,508,579 Administrative expenses 4,303 ------------- Total deductions 1,512,882 ------------- Net increase 2,468,057 Net assets available for benefits: Beginning of year 30,059,504 ------------- End of year $ 32,527,561 ============= The accompanying notes are an integral part of these financial statements. 3 The Republic Mortgage Insurance Company and Affiliated Companies Profit Sharing Plan Notes to Financial Statements December 31, 2001 - -------------------------------------------------------------------------------- 1. Description of Plan The following description of The Republic Mortgage Insurance Company and Affiliated Companies Profit Sharing Plan (the "Plan") is a defined contribution plan covering all employees of Republic Mortgage Insurance Company, RMIC Corporation, and Republic Mortgage Insurance Company of North Carolina (the "Company"). Employees are eligible for coverage at the start of their employment and must elect to enroll in the plan. The Plan is subject to the provisions of the Employee Retirement Income Security Act of 1974 (ERISA). See the Summary Plan Description for additional information regarding the Plan. Contributions The Company makes contributions to the Plan at the discretion of the Company's Board of Directors at a sum determined by the Board without regard to current and accumulated profits for the taxable year, for years ending with or within such Plan year. Participants may contribute up to 10% of their compensation for any Plan year. Contributions are subject to certain limitations as prescribed by ERISA. Refunds resulting from qualification testing totaled $132,589 and $59,303 for the years ended December 31, 2001 and 2000, respectively. Vesting Participant's account balances provided by Company contributions and related allocated earnings become 40% vested after one year of service. Vesting percentages increase by 10% for each additional year, with full vesting after seven years of service. Account balances provided by participant contributions and allocated Plan earnings are always fully vested. Participant Accounts A separate account balance is maintained for each participant and is credited with participant contributions and allocations of Company contributions, Plan earnings, and forfeitures of terminated participants' nonvested accounts. Allocations of Plan earnings are based on participants' daily account balances. Company contributions and forfeitures are allocated based on annual compensation of participants. Unallocated forfeitures totalled $378,477 at December 31, 2001. Payment of Benefits In the event of retirement, disability, or death, accumulated benefits become vested and are distributed to participants or designated beneficiaries by lump-sum payment, or through various annuity options. In the event of termination of employment, participants have the option of receiving vested accumulated benefits through lump-sum distributions, leaving the vested value of their accounts in the Plan until retirement, or transferring amounts into an individual retirement account. Participants may withdraw their voluntary contributions at anytime. Participants may elect to take early withdrawals of employer contributions if they have participated in the Plan for at least five years. Such early withdrawals will not result in suspension of allocations of Company contributions. 4 The Republic Mortgage Insurance Company and Affiliated Companies Profit Sharing Plan Notes to Financial Statements December 31, 2001 - -------------------------------------------------------------------------------- Participant Loans Participants may borrow a minimum of $1,000 from their accounts up to a maximum equal to the lesser of $50,000 or 50% of their account balance. Participants may have no more than two loans outstanding at one time. Loans plus interest must be repaid within five years through payroll deductions. These loans bear interest at the prevailing prime rate at the loan inception date. The loans are secured by the vested balance in the participant's account. 2. Summary of Significant Accounting Policies General The Plan prepares its financial statements under accounting principles generally accepted in the United States of America. Investment Valuation and Income Recognition The Plan's guaranteed interest account is valued at contract value. Insurance separate accounts are reported by Massachusetts Mutual Life Insurance Company (the "Trustee") at the fair value of the underlying investments. The pooled account invests solely in the common stock of Old Republic International ("ORI"), the ultimate parent of the company. The common stock is reported at quoted market value. Participant loans are valued at principal balance, which approximates fair value. Net appreciation (depreciation) in fair value of investments includes unrealized and realized gains and losses. Interest income is recorded on the accrual basis. Payment of Benefits Benefits are recorded when paid. At December 31, 2001 and 2000, there were no significant amounts owed to participants. Income Taxes The Plan obtained its latest determination letter on April 3, 1995, in which the Internal Revenue Service stated that the Plan, as then designed, was in compliance with the applicable requirements of the Internal Revenue Code. The Plan has been amended since receiving the determination letter. However, the plan administrator believes that the Plan is currently designed and being operated in compliance with the applicable requirements of the Internal Revenue Code. Use of Estimates The presentation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, and changes therein, and disclosure of contingent assets and liabilities. Actual results could differ from those estimates. Certification of Trustee All amounts in Note 3 were obtained from data that has been prepared and certified as complete and accurate by the Plan's Trustee. 5 The Republic Mortgage Insurance Company and Affiliated Companies Profit Sharing Plan Notes to Financial Statements December 31, 2001 - -------------------------------------------------------------------------------- 3. Investments The Plan is invested in a group annuity contract with the Trustee. The contract allows for a participant-directed investment program in commingled subaccounts sponsored by the Trustee. Investment options include fixed income, asset allocation, domestic equity, flexible equity, international equity subaccount option and a guaranteed interest account. In addition to the investment options offered through the Trustee, participants may also invest in a pooled account that invests solely in common stock of the Company's parent, Old Republic International. 2001 2000 ---- ---- <s> <c> <c> Investments at fair value: Insurance separate accounts: Domestic equity subaccounts: Core equity $ - $ 2,143,575* Small cap equity 2,005,208* 1,677,643* Indexed equity 1,628,715* 1,616,761* Large cap value 2,167,184* 269,465 Small cap growth 547,533 84,356 ------------ ------------ 6,348,640 5,791,800 ------------ ------------ Asset allocation subaccounts: Balanced - 1,486,532 Destiny moderate 1,400,325 411,764 Destiny aggressive 491,005 645,689 ------------ ------------ 1,891,330 2,543,985 Fixed income subaccounts: Core bond 1,012,654 701,359 Flexible equity subaccounts: Emerging growth 191,905 137,799 International equity subaccounts 477,044 644,719 ORI common stock pooled account 4,722,627* 3,571,017* Participant loans 490,166 563,247 ------------ ------------ $ 15,134,366 $ 13,953,926 ============ ============ Investment at contract value: Guranteed interest $ 14,194,942* $ 13,429,161* ============ ============ *Exceeds 5% of Plan assets at December 31, 2001 and 2000. 6 The Republic Mortgage Insurance Company and Affiliated Companies Profit Sharing Plan Notes to Financial Statements December 31, 2001 - -------------------------------------------------------------------------------- The net depreciation in fair value of the Plan's investments for the year ended December 31, 2001, was $863,911. 4. Guaranteed Interest Account In 2001, the Plan entered into an investment contract with Massachusetts Mutual Life Insurance Company. Massachusetts Mutual Life Insurance Company maintains the contributions in a pooled account. The account is credited with earnings on the underlying investments and charges for Plan withdrawals and administrative expenses charges by Massachusetts Mutual Life Insurance Company. The contract is included in the financial statements at contract value, (which represents contributions made under the contract, plus earnings, less withdrawals and administrative expenses) because it is considered fully benefit-responsive. For example, participants may ordinarily direct the withdrawal or transfer of all or a portion of their investment at contract value. There are no reserves against contract value for credit risk of the contract issuer or otherwise. The contract value of the investment contract at December 31, 2001 and 2000 was $14,194,942 and $13,429,161, respectively. The average yield and crediting interest rates ranged from 6.75% to 7.15% for 2001 and 2000. The crediting interest rate is based on an agreed-upon formula with the issuer, but cannot be less than five percent. 5. Related Party Transactions Certain Plan investments are insurance separate accounts sponsored by Massachusetts Mutual Life Insurance Company. Massachusetts Mutual Life Insurance Company is the Trustee as defined by the Plan and, therefore, these transactions qualify as party-in-interest transactions. Fees paid by the Company on behalf of the Plan for the investment management services amounted to $68,556 for the year ended December 31, 2001. Expenses incurred in the administration of the Plan are also paid by the Company. 6. Plan Termination Although it has not expressed any intent to do so, the Company has the right under the Plan to discontinue its contributions at any time and to terminate the Plan subject to the provisions of ERISA. In the event of Plan termination, participants would become 100% vested in their employer contributions. 7. Reconciliation to Form 5500 There are no reconciling items from these financial statements to the Plan's Form 5500 for the year ended December 31, 2001. 7 Supplemental Schedule The Republic Mortgage Insurance Company and Affiliated Companies Profit Sharing Plan Schedule of Assets Held for Investment Purposes at End of Year December 31, 2001 - -------------------------------------------------------------------------------- Number of units Value -------- ----- <s> <c> <c> Insurance separate accounts: Domestic equity subaccounts: Small cap equity 2,739 $ 2,005,208 Indexed equity 5,687 1,628,715 Large cap value 16,735 2,167,184 Small cap growth 4,430 547,533 ------------ 6,348,640 ------------ Asset allocation subaccounts: Destiny moderate 8,031 1,400,325 Destiny aggressive 2,882 491,005 ------------ 1,891,330 Fixed income subaccounts: Core bond 887 1,012,654 Flexible equity subaccounts: Emerging growth 2,084 191,905 International equity subaccounts 1,850 477,044 Guaranteed interest account 162,847 14,194,942 ORI common stock pooled account 224,148 4,722,627 Participant loans 490,166 ------------ $ 29,329,308 ============ 8