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. 3 ----- The undersigned registrant hereby amends the following items, financial statements, exhibits or other portions of its ANNUAL REPORT FOR 1996 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 28, 1997 By: /s/ Paul D. Adams -------------- ----------------------------------- (Signature) Paul Dennis Adams Senior Vice President, Chief Financial Officer and Treasurer Total Pages: 23 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, 1996 --------------- BITUMINOUS 401(k) SAVINGS PLAN (Formerly Known as BITCO Savings Plan) --------------- OLD REPUBLIC INTERNATIONAL CORPORATION 307 NORTH MICHIGAN AVE CHICAGO, ILLINOIS 60601 Item 1 - Changes in the Plan - ---------------------------- Incorporated by reference from Exhibit 5 and Exhibit 6 included herein. Item 2 - Changes in Investment Policy - ------------------------------------- Incorporated by reference from Exhibit 5 and Exhibit 6 included herein. (See also Item 8 below.) Item 3 - Contributions under the Plan - ------------------------------------- The Company's contributions are measured by reference to the employee's contributions and are not discretionary. Item 4 - Participating Employees - -------------------------------- There were approximately 376 participants who are currently making contributions in the plan as of December 31, 1996 out of approximately 510 eligible employees. Item 5 - Administration of the Plan - ----------------------------------- (a) The Bituminous 401(k) Savings Plan (the "Plan"), formerly known as the Bitco Savings Plan, provides that Bituminous Casualty Corporation, ("Bituminous"), an affiliate of Bitco Corporation ("Bitco"), shall appoint Committee Members (the "Committee") to administer the Plan. The committee formulates and carries out all rules necessary to operate the Plan, makes decisions regarding the interpretation or application of Plan provisions, and has the authority to act in its sole discretion when carrying out the provisions of the Plan. Any decision made by the committee in good faith is final and binding on all parties. The committee members presently are as follows: Greg Ator Bituminous Casualty Corporation 320 - 18th Street Rock Island, IL 61201 Janine Happ Bituminous Casualty Corporation 320 - 18th Street Rock Island, IL 61201 Robert Rainey Bituminous Casualty Corporation 320 - 18th Street Rock Island, IL 61201 (b) The committee receives no compensation in that capacity. Item 6 - Custodian of Investments - --------------------------------- (a) The Committee has retained CG Trust Company, a trust company organized under the laws of the State of Illinois, as Trustee. The Trustee acts under a Trust Agreement with Bituminous that implements and forms a part of the Plan. In accordance with the Trust Agreement the Committee may, in their discretion, appoint one or more "Investment Managers" to direct the -2- investments to be made by the Trustees with any part or all of the Plan assets. CG Trust Company entered into Group Annuity Contract Number GA-10911 with Connecticut General Life Insurance Company (CGLIC), a legal reserve life insurance company, to provide record keeping services. CGLIC also serves as the investment manager of the following funds: CIGNA Guaranteed Government Securities Account, CIGNA Guaranteed Long-Term Account, CIGNA Separate Account - Fidelity Advisor Income and Growth Fund, CIGNA Stock Market Index Account and the CIGNA Separate Account - Fidelity Advisor Growth Opportunities Fund. The custodian of the ORI Stock Account (an Outside Market - Valued Fund) is National Financial Services Corporation. Investment expense paid to CGLIC were $0 and $0 for the years ended December31, 1996 and 1995. (b) No bond was furnished by Connecticut General. Item 7 - Reports to Participating Employees - ------------------------------------------- Participants will receive a statement reflecting the condition of their respective accounts as of June 30 and December 31 of each year, following the June 30 and December 31 accounting dates, respectively. Participants may also receive additional information on a more frequent basis throughout the year on Answerline, a CGLIC automated voice response system. Annually, each participant will receive a copy of financial statements filed herewith. Item 8 - Investment of Funds - ---------------------------- The trust fund will be divided into separate investment funds, and a participant's accounts will be invested in one or more of the investment funds. The investment funds will consist of the following: CIGNA Guaranteed Government Securities Account. This fund will be invested primarily in short-term U.S. Treasury securities, obligations of governmental agencies and repurchase agreements collateralized by such Treasury or government agency obligations. CIGNA Guaranteed Long-Term Account. This fund will be invested primarily in commercial mortgages, private placements and publicly traded bonds and short-term money market instruments for cash flow management. CIGNA Separate Account - Fidelity Advisor Income and Growth Fund. This fund will be invested in the Fidelity Advisor Income and Growth Fund, which invests primarily in a combination of common and preferred stocks, convertible securities and bonds, but which may also invest in foreign securities. CIGNA Stock Market Index Account. This fund will be invested primarily in common stocks reflecting the composition of the Standard and Poor's 500 Composite Stock Index. CIGNA Separate Account - Fidelity Advisor Growth Opportunities Fund. This fund will be invested in the Fidelity Advisor Growth Opportunities Fund which invests primarily in common stocks and securities convertible into common stock, but which may also invest in all types of securities (including foreign securities). ORI Stock Account. This fund will be invested in common or preferred stock of Old Republic International Corporation. -3- On March 11, 1985, Bitco merged into a subsidiary of Old Republic International Corporation. The combination resulted in a tax-free exchange of 0.4 (4/10th) share of Old Republic International Corporation voting Series E Cumulative Convertible Preferred Stock for each share of Bitco common stock included in the Bitco Common Stock Fund. The Old Republic International Corporation Series E Preferred Stock is convertible at any time at the option of the holder into 1.25 shares of Old Republic International Corporation common stock. The Plan exchanged 34,880 shares of Bitco stock on March 11, 1985. In February 1987, all shares of the Series E Preferred Stock were converted to 29,994 shares of Old Republic International Corporation common stock. Since March 1987, the ORI Stock Account has invested solely in Old Republic International Corporation common stock. The committee does not anticipate purchasing any other type of Old Republic International Corporation stock other than common stock. Item 9 - Financial Statements and Exhibits - ------------------------------------------ Financial Statements Page No. Report of Independent Accountants for the years ended December 31, 1996 and 1995 F-1 Statements of Net Assets Available for Benefits at December 31, 1996 and 1995 F-2 Statements of Changes in Net Assets Available for Benefits for the years ended December 31, 1996 and 1995 F-3 Notes to Financial Statements F-4 to F-10 Supplemental Schedules Item 27A - Schedule of Assets Held for Investment Purposes Item 27D - Schedule of Reportable Transactions Exhibits Exhibit 1- Agreement and Plan of Merger, dated as of December 21, 1984, as amended and restated, by and between Bitco Corporation and ROI,Inc. Incorporated by reference from Old Republic International Corporation's Form S-14 Registration Statement dated February 12, 1985, Exhibit A. Exhibit 2- Supplemental Agreement dated as of December 21, 1984, as amended and restated, among Old Republic International Corporation, ROI, Inc. and Bitco Corporation. Incorporated by reference from Old Republic International Corporation's Form S-14 Registration Statement dated February 12, 1985, Exhibit B. -4- Exhibit 3- Second Amendment of Bitco Savings Plan and First Amendment of Bitco Savings Trust dated February 3, 1986. Exhibit 4- Third Amendment of Bitco Savings Plan and Second Amendment of Bitco Savings Trust dated June 22, 1989. Exhibit 5- Bituminous 401(k) Savings Plan, as amended and restated, effective January 1, 1994, formerly known as Bitco Savings Plan. Exhibit 6- Trust Agreement establishing the Bituminous 401(k) Savings Trust, by and between, Bituminous Casualty Corporation and CG Trust Company, effective January 1, 1994. Exhibit 7- First Amendment of Bituminous 401(k) Savings Plan, effective January 1, 1996. Exhibit 8- Revision to Exhibit A of Trust Agreement, effective April 1, 1996. -5- SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the Committee Members have duly caused this annual report to be signed on behalf of the undersigned, thereunto duly authorized. BITUMINOUS 401(K) SAVINGS PLAN, Registrant By: /s/ Greg Ator --------------------------------------- Greg Ator, Committee Member By: /s/ Janine Happ --------------------------------------- Janine Happ, Committee Member By: /s/ Robert Rainey --------------------------------------- Robert Rainey, Committee Member Dated: April 15, 1997 -6- REPORT OF INDEPENDENT ACCOUNTANTS Bituminous 401(k) Savings Plan Bituminous Casualty Corporation: We have audited the accompanying statements of net assets available for benefits of the Bituminous 401(k) Savings Plan (the "Plan") as of December 31, 1996 and 1995, and the related statements of changes in net assets available for benefits for the years ended December 31, 1996 and 1995. These financial statements are the responsibility of the Plan's management. Our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the net assets available for benefits of the Plan as of December 31, 1996 and 1995, and the changes in net assets available for benefits for the years ended December 31, 1996 and 1995, in conformity with generally accepted accounting principles. Our audits were performed for the purpose of forming an opinion on the basic financial statements taken as a whole. The supplemental schedules of the Plan are presented for the purpose of additional analysis and are not a required part of the basic financial statements but are supplementary information required by the Department of Labor's Rules and Regulations for Reporting and Disclosure under the Employee Retirement Income Security Act of 1974. The supplemental schedules have been subjected to the auditing procedures applied in the audits of the basic financial statements and, in our opinion, are fairly stated in all material respects in relation to the basic financial statements taken as a whole. /s/ Coopers & Lybrand, L.L.P. Chicago, Illinois April 15, 1997 BITUMINOUS 401(k) SAVINGS PLAN STATEMENTS OF NET ASSETS AVAILABLE FOR BENEFITS December 31, 1996 and 1995 ASSETS 1996 1995 ---- ---- Investments, at fair value: Old Republic International Corporation common stock $4,598,138 $4,078,186 (cost: 1996 - $1,879,311; 1995 - $1,641,784) Pooled separate accounts 2,551,433 1,548,265 Investment, at contract value: CGLIC general accounts 3,328,662 3,353,016 Participant loans 140,284 --- ----------- ----------- 10,618,517 8,979,467 Cash 646 24,332 Contributions receivable 31,755 19,522 ------------ ----------- Net assets available for benefits $10,650,918 $9,023,321 ============ =========== The accompanying notes are an integral part of the financial statements. F-2 BITUMINOUS 401(k) SAVINGS PLAN STATEMENTS OF CHANGES IN NET ASSETS AVAILABLE FOR BENEFITS For the years ended December 31, 1996 and 1995 1996 1995 ---- ---- Additions: Employer contributions $ 164,025 $ 150,039 Employee contributions 964,620 694,987 Investment income: Dividend from Old Republic International Corporation common stock 70,675 59,173 Net investment gain from pooled separate accounts 285,189 211,693 Income from CGLIC general accounts 176,176 199,809 Net appreciation of investments 521,841 1,657,826 Other interest from participant loans 8,297 --- ----------- ---------- 1,062,178 2,128,501 ----------- ---------- Total additions 2,190,823 2,973,527 ----------- ---------- Deductions: Benefits paid 563,226 1,123,304 ----------- ---------- Total deductions 563,226 1,123,304 ----------- ---------- Net additions 1,627,597 1,850,223 Net assets available for benefits: Beginning of year 9,023,321 7,173,098 ----------- ---------- End of year $10,650,918 $9,023,321 =========== ========== The accompanying notes are an integral part of the financial statements. F-3 BITUMINOUS 401(k) SAVINGS PLAN NOTES TO FINANCIAL STATEMENTS, CONTINUED 1. Summary of Significant Accounting Policies The following description of the Bituminous 401(k) Savings Plan (the "Plan") provides only general information. Participants should refer to the Plan document for a more complete description of the Plan's provisions. A. General The Plan is a defined contribution plan covering substantially all of the employees of Bituminous Casualty Corporation (the "Company") who have completed one year of service, attained age twenty-one (age twenty-five in 1984) and have completed 1,000 hours of service during the 12 month period commencing on their date of hire or during a plan year. Participation in the Plan is optional. The Plan is subject to the provisions of the Employee Retirement Income Security Act of 1974 (ERISA), as amended from time to time. B. Contributions Participants may contribute up to 6 percent of their annual compensation on a before-tax basis. Effective January 1, 1997, the maximum participant contribution was increased to 9 percent. The Company provides a matching contribution equal to 25 percent of the participant's contribution on the first 6 percent of earnings. Participants may elect to have their voluntary contributions invested in any one or more of the six separate investment funds (CIGNA Guaranteed Long-Term Account, CIGNA Separate Account - Fidelity Advisor Income & Growth Fund, CIGNA Separate Account - Fidelity Advisor Growth Opportunities Fund, CIGNA Guaranteed Government Securities Account, CIGNA Stock Market Index Account and ORI Stock Account). The Company's matching contributions commencing in 1985 are invested in the ORI Stock Account. C. Participant Accounts Each participant's account is credited with the participant's contribution, an allocation of the Company's contribution and Plan earnings. Interest will be credited to the Guaranteed Long-Term Account and Guaranteed Government Securities Account (the "General Accounts") daily. Interest will be credited to each dollar in the General Accounts from the valuation date on which it is allocated to the General Accounts until the valuation date as of which it is transferred, distributed or disbursed from the General Accounts. The Fidelity Advisor Income & Growth Fund, Fidelity Advisor Growth Opportunities Fund and Stock Market Index Account (the "Separate Accounts") are each divided into units of participation. When an amount is allocated or transferred to the Separate Accounts, the number of units is increased and when an amount is withdrawn from the Separate Accounts, the number of units is decreased. Such increase or decrease in the number of units is determined by dividing the amount allocated to or withdrawn from the Separate Accounts by the then current Separate Account unit value. Cash dividends received with respect to Old Republic International Corporation stock previously credited to participants shall be applied to purchase additional shares of Old Republic International Corporation stock in the ORI Stock Account. Such dividends and the additional shares (including fractional shares) subsequently purchased with the dividends shall be allocated and credited to the accounts of participants, pro rata, according to the shares (including fractional shares) credited to the accounts of participants on the applicable dividend record date. Any Old Republic International Corporation stock received as a stock split or stock dividend or as a result of a reorganization or recapitalization of Old Republic International Corporation shall be allocated and credited to the accounts of participants in proportion to the Old Republic International Corporation stock previously credited to their accounts. F-4 BITUMINOUS 401(k) SAVINGS PLAN NOTES TO FINANCIAL STATEMENTS, CONTINUED 1. Summary of Significant Accounting Policies (continued) Participant's units are calculated on a daily basis. Quarterly participant unit values for these investment funds are as follows: 1996 ------------------------------------------------------------------------------------ Guaranteed Fidelity Fidelity Guaranteed Stock ORI Long Income Growth Government Market Stock Term & Growth Opport. Securities Index Account First Quarter Allocating Units 58,121 46,494 18,473 13,870 6,153 112,744 Unit Value $55.08 $20.47 $41.51 $11.69 $31.15 $32.50 Second Quarter Allocating Units 56,177 46,388 20,242 14,166 7,854 171,874 Unit Value $55.83 $20.66 $43.27 $11.82 $32.47 $21.50 Third Quarter Allocating Units 54,098 47,190 22,473 14,204 9,160 169,387 Unit Value $56.59 $21.18 $44.36 $11.95 $33.40 $24.75 Fourth Quarter Allocating Units 54,981 47,391 23,420 14,453 9,818 171,893 Unit Value $57.36 $22.51 $48.25 $12.07 $36.09 $26.75 1995 ------------------------------------------------------------------------------------ Guaranteed Fidelity Fidelity Guaranteed Stock ORI Long Income Growth Government Market Stock Term & Growth Opport. Securities Index Account First Quarter Allocating Units 66,875 41,312 7,399 16,282 1,634 121,292 Unit Value $52.55 $18.83 $32.93 $11.17 $23.82 $24.00 Second Quarter Allocating Units 64,693 41,350 8,028 15,258 1,943 115,756 Unit Value $53.32 $19.64 $36.65 $11.30 $26.03 $26.13 Third Quarter Allocating Units 60,792 41,268 10,796 13,921 2,590 114,344 Unit Value $54.10 $20.17 $38.83 $11.43 $28.03 $28.88 Fourth Quarter Allocating Units 58,164 42,202 14,098 14,004 3,075 114,878 Unit Value $54.85 $20.80 $41.07 $11.56 $29.64 $35.50 The percentage of any resigning or dismissed participant's employer contribution account balance which is not vested at the settlement date will be applied against future employer contributions. D. Expenses It is the policy of Bituminous Casualty Corporation (a wholly-owned subsidiary of Bitco Corporation) to provide administrative support for the plan and to pay for administrative and trustee fees. F-5 NOTES TO FINANCIAL STATEMENTS, CONTINUED BITUMINOUS 401(k) SAVINGS PLAN 1. Summary of Significant Accounting Policies (continued) E. Vesting Participants are immediately vested in their voluntary contributions plus actual earnings thereon. Participants are immediately vested in the remainder of their accounts upon death, disability, attainment of normal retirement age or based on the participant's number of years of service using the following table: Years of Service Vested Percentage Fewer than 1 0% 1 10% 2 20% 3 30% 4 40% 5 60% 6 80% 7 or More 100% F. Participant Loans Effective January 1, 1996, participants may borrow from their accounts a maximum amount equal to the lesser of $50,000 or 50% of their vested account balance. Loan transactions are treated as a transfer to (from) the investment account from (to) the Participant Loans account. Loan terms shall not extend beyond five years. The loans are secured by the balance in the participant's account and bear interest at a rate which is based on the prevailing prime rate as published in The Wall Street Journal on the first business day of the month in which the loan is made plus one percentage point. Interest rates range from 9.25 percent to 9.50 percent. Principal and interest is paid ratably through bi-weekly payroll deductions. G. Benefits Paid On termination of service, retirement, or death, distribution of the net balance in the participant's accounts will be made for the benefit of the participant or his beneficiary, by one or more of the following methods: By payment in a lump sum. By purchase of a retirement annuity from an insurance company. H. Basis of Accounting The Plan presents in the statements of changes in net assets available for benefits the net appreciation in the fair value of the ORI Stock Account, which consists of the realized gains or losses and the unrealized appreciation (depreciation) of this investment. Net Assets reported in the Form 5500 do not agree to the Statement of Net Assets Available for Benefits as of December 31, 1996 and 1995 due to benefits payable to participants which are reflected only in the Form 5500. These payables, totaling $3,517 for 1996 and $37,450 for 1995, represent 4th quarter withdrawals not made until the next year. Similarly, benefits paid as reported in the Form 5500 differs from the Statement of Changes in Net Assets Available for Benefits by ($33,933) for 1996 and $28,124 for 1995. F-6 NOTES TO FINANCIAL STATEMENTS, CONTINUED BITUMINOUS 401(k) SAVINGS PLAN I. Use of Estimates The preparation of financial statements in conformity with generally accepted accounting principles requires management to make significant estimates and assumptions that affect the reported amounts of net assets available for benefits and disclosures of contingent assets and liabilities at the date of the financial statements and the changes in net assets available for benefits during the reporting period. Actual results could differ from those estimates. J. Risks and Uncertainties The Plan provides for various investment options in any combination of stocks, bonds, fixed income securities, mutual funds, and other investment securities. Investment securities are exposed to various risks, such as interest rate, market and credit. Due to the level of risk associated with certain investment securities and the level of uncertainty related to changes in the value of investment securities, it is at least reasonably possible that changes in risks in the near term would materially affect participants' account balances and the amounts reported in the statement of net assets available for plan benefits and the statement of changes in net assets available for plan benefits. 2. Investments Old Republic International Corporation stock is stated at the closing market value on the last business day of the year. The Plan entered into a group annuity contract with Connecticut General Life Insurance Company (CGLIC). CGLIC maintains contributions in a contract holder's account and such contributions are allocated to separate investment funds (see note 3) according to participant elections. The accounts are credited with earnings on the underlying investments and charged for Plan benefits paid and deductions for investment expenses, risk, profit and annual management fees charged by CGLIC. The General Accounts are included in the financial statements at contract value and the Separate Accounts are included in the financial statements at fair value at December 31, 1996 and 1995 as reported to the Plan by CGLIC. Realized investment gains and losses in the separate investment funds are recognized in the year of sale. F-7 BITUMINOUS 401(k) SAVINGS PLAN NOTES TO FINANCIAL STATEMENTS, CONTINUED 3. Allocation of Net Assets for Benefits and Changes in Net Assets Available for Benefits Six separate investment funds are maintained under the Plan for the benefit of participants. The allocation of net assets available for benefits to the separate investment funds is as follows: As of December 31, 1996 -------------------------------------------------------------------------------------------------- Guaranteed Fidelity Fidelity Guaranteed Stock ORI Long Income Growth Government Market Stock Participant Combined Term & Growth Opport. Securities Index Account Loans Old Republic Int'l Stock $ 4,598,138 --- --- --- --- --- $4,598,138 --- Pooled separate accounts 2,551,433 --- $1,066,675 $1,130,298 --- $354,460 --- --- CGLIC general account 3,328,662 $3,154,145 --- --- $174,517 --- --- --- Participant loans 140,284 --- --- --- --- --- --- $140,284 Employers' contributions 6,351 --- --- --- --- --- 6,351 --- Employees' contributions 25,404 --- --- --- --- --- 25,404 --- Cash 646 --- --- --- --- --- 646 --- ----------- ---------- ---------- ---------- -------- -------- ---------- -------- Net assets available for benefits $10,650,918 $3,154,145 $1,066,675 $1,130,298 $174,517 $354,460 $4,630,539 $140,284 =========== ========== ========== ========== ======== ======== ========== ======== As of December 31, 1995 ------------------------------------------------------------------------------------- Guaranteed Fidelity Fidelity Guaranteed Stock ORI Long Income Growth Government Market Stock Combined Term & Growth Opport. Securities Index Account Old Republic Int'l Stock $ 4,078,186 --- --- --- --- --- $4,078,186 Pooled separate accounts 1,548,265 --- $ 877,921 $ 579,156 --- $ 91,188 --- CGLIC general account 3,353,016 $3,191,034 --- --- $161,982 --- --- Participant loans --- --- --- --- --- --- --- Employers' contributions 3,905 --- --- --- --- --- 3,905 Employees' contributions 15,617 --- --- --- --- --- 15,617 Cash 24,332 --- --- --- --- --- 24,332 ----------- ---------- ---------- ---------- -------- -------- ---------- Net assets available for benefits $ 9,023,321 $3,191,034 $ 877,921 $ 579,156 $161,981 $ 91,188 $4,122,040 =========== ========== ========== ========== ======== ======== ========== F-8 BITUMINOUS 401(k) SAVINGS PLAN NOTES TO FINANCIAL STATEMENTS, CONTINUED 3. Allocation of Net Assets for Benefits and Changes in Net Assets Available for Benefits (continued) The allocation of changes in net assets available for benefits to the separate investment funds is as follows: For the year ended December 31, 1996 ---------------------------------------------------------------------------------------------------- Guaranteed Fidelity Fidelity Guaranteed Stock ORI Long Income Growth Government Market Stock Participant Combined Term & Growth Opport. Securities Index Account Loans Dividend from ORI Stock $70,675 --- --- --- --- --- $70,675 --- Net investment gain from pooled separate accounts 285,189 --- $83,074 $154,856 --- $47,259 --- --- Income from CGLIC general accounts 176,176 $168,976 --- --- $7,200 --- --- --- Net appreciation of investments 521,841 --- --- --- --- --- 521,841 --- Other interest from participant loans 8,297 4,371 959 1,094 281 435 1,157 --- Contributions: Employer 164,025 (772) --- --- --- --- 164,797 --- Employee 964,620 299,377 175,100 259,719 22,245 112,030 96,149 --- ---------- --------- ---------- ---------- -------- ---------- ---------- -------- Total additions 2,190,823 471,952 259,133 415,669 29,726 159,724 854,619 --- Benefits paid (563,226) (273,565) (26,099) (13,536) (4,739) (1,197) (244,090) --- Loans issued --- (138,411) (5,582) (7,251) (8,858) (2,908) (27,902) $190,912 Loan repayments --- 20,738 3,143 5,276 722 3,195 17,554 (50,628) Transfer between accounts --- (117,603) (41,841) 150,984 (4,316) 104,458 (91,682) --- ---------- --------- ---------- ---------- -------- ---------- ---------- -------- Net incr.(decr.)in net assets avail. for benefits 1,627,597 (36,889) 188,754 551,142 12,535 263,272 508,499 140,284 Net assets available for benefits: Beginning of year 9,023,321 3,191,034 877,921 579,156 161,982 91,188 4,122,040 --- ----------- ---------- ---------- ---------- -------- ---------- ---------- -------- End of year $10,650,918 $3,154,145 $1,066,675 $1,130,298 $174,517 $354,460 $4,630,539 $140,284 =========== ========== ========== ========== ======== ========== ========== ======== For the year ended December 31, 1995 ------------------------------------------------------------------------------------- Guaranteed Fidelity Fidelity Guaranteed Stock ORI Long Income Growth Government Market Stock Combined Term & Growth Opport. Securities Index Account Dividend from ORI Stock $59,173 --- --- --- --- --- $59,173 Net investment gain from pooled separate accounts 211,693 --- $105,025 $90,534 --- $16,134 --- Income from CGLIC general accounts 199,809 $192,190 --- --- $7,619 --- --- Net appreciation of investments 1,657,826 --- --- --- --- --- 1,657,826 Contributions: Employer 150,039 (587) --- --- --- --- 150,626 Employee 694,987 347,685 111,631 88,260 22,366 14,421 110,625 ---------- --------- ---------- ---------- -------- ---------- ---------- Total additions 2,973,527 539,288 216,656 178,794 29,985 30,555 1,978,250 Benefits paid (1,123,304) (578,508) (37,948) (3,014) (57,802) (315) (445,717) Transfer between accounts --- (187,479) (52,711) 228,536 (1,702) 27,752 (14,396) ---------- --------- ---------- ---------- -------- ---------- ---------- Net incr.(decr.)in net assets avail. for benefits 1,850,223 (226,699) 125,997 404,316 (29,519) 57,992 1,518,137 Net assets available for benefits: Beginning of year 7,173,098 3,417,733 751,924 174,840 191,501 33,196 2,603,903 ----------- ---------- ---------- ---------- -------- ---------- ---------- End of year $ 9,023,321 $3,191,034 $ 877,921 $ 579,156 $161,982 $ 91,188 $4,122,040 =========== ========== ========== ========== ======== ========== ========== F-9 BITUMINOUS 401(k) SAVINGS PLAN NOTES TO FINANCIAL STATEMENTS, CONTINUED 4. Tax Status The Internal Revenue Service issued a determination letter, received on October 19, 1983, stating that the Plan was qualified under the provisions of Section 401(a) and 401(k) of the Internal Revenue Code (IRC). An additional favorable determination letter dated October 26, 1994, was received on the endorsements to the Plan transferring Great West Casualty Participants from the Plan. The Plan's Committee Members believe that the Plan is designed and is currently being operated in compliance with the applicable requirements of the IRC. 5. Assets Greater Than 5% of Plan Assets Investments that represent 5% or more of the plan assets are as follows: December 31, 1996 1995 ---- ---- Guaranteed Long-Term Account $3,154,145 $3,191,034 ORI Stock Account 4,598,138 4,078,186 Fidelity Advisor Income and Growth Fund 1,066,675 877,921 Fidelity Advisor Growth Opportunities Fund 1,130,298 579,156 6. Contributions Participants may elect to contribute to any one or more of the five funds established with Connecticut General Life Insurance Company and the ORI Stock Account. The number of participants with account balances at December 31, 1996 and 1995 was as follows: December 31, 1996 1995 ---- ---- Number of participants with account balances 470 426 7. Plan Termination Although it has not expressed any intent to do so, the Company has the right under the Plan to discontinue its contribution at any time and to terminate the Plan subject to the provisions of ERISA. In the event of plan termination, participants shall become 100 percent vested in the accounts and are entitled to a distribution of their account balances. F-10 BITUMINOUS 401(k) SAVINGS PLAN SUPPLEMENTAL SCHEDULE ITEM 27A - SCHEDULE OF ASSETS HELD FOR INVESTMENT PURPOSES As of December 31, 1996 Contract/ Description of Investment Current Identify of Issue including interest rate Cost Value - ----------------------------- ---------------------------- ---------- ---------- CIGNA Long-term investment fund $3,154,145 $ 3,154,145 Guaranteed Long-Term Account CIGNA Separate Account Pooled separate account 925,417 1,066,675 Fidelity Advisor Income and Growth Fund CIGNA Separate Account Pooled separate account 892,587 1,130,298 Fidelity Advisor Growth Opportunities Fund CIGNA Short-term investment fund 174,517 174,517 Guaranteed Government Securities Account CIGNA Pooled separate account 292,473 354,460 Stock Market Index Account ORI Stock Account Common stock 1,879,311 4,598,138 Participant loans --- 140,284 ---------- ----------- Total $7,318,450 $10,618,517 ========== =========== BITUMINOUS 401(k) SAVINGS PLAN SUPPLEMENTAL SCHEDULE ITEM 27D - SCHEDULE OF REPORTABLE TRANSACTIONS for the year ended December 31, 1996 Number of Identity of Party Date of Transaction Cost of Gain on Transactions Involved Description of Asset Transaction Price Asset Sale ------------ ------------------ -------------------- ----------- ------------- ------- ------ 66 Connecticut General Life Deposit in Guaranteed Various $408,571 $408,571 N/A Insurance Company Long-Term Account 70 Connecticut General Life Sales of Guaranteed Various 614,436 614,436 --- Insurance Company Long-Term Account 49 Connecticut General Life ORI Stock Account Various 431,230 431,230 N/A Insurance Company Purchases 54 Connecticut General Life ORI Stock Account Sales Various 433,892 193,703 $240,189 Insurance Company 62 Connecticut General Life Deposits in Fidelity Various 442,040 442,040 N/A Insurance Company Advisor Growth Opportunities Fund 25 Connecticut General Life Sales of Fidelity Various 45,621 39,162 6,459 Insurance Company Advisor Growth Opportunities Fund