<PAGE>
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K
AMENDMENT
(Mark One)
X Annual report pursuant to Section 13 or 15(d) of the Securities Exchange
- ----- Act of 1934 [fee required]
For the fiscal year ended December 31, 1994
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Transition report pursuant to Section 13 or 15(d) of the Securities
- ----- Exchange Act of 1934 [no fee required]
For the transition period from to .
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Commission file number 2-79192.
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HAMPSHIRE FUNDING, INC.
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(Exact name of registrant as specified in its charter)
NEW HAMPSHIRE 02-0277842
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(State or other jurisdiction of (I.R.S. Employer
incorporation or organization) Identification No.)
ONE GRANITE PLACE, CONCORD, NEW HAMPSHIRE 03301
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(Address of principal executive offices) (Zip Code)
Registrant's telephone number, including area code (603) 226-5000
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Securities registered pursuant to Section 12(b) of the Act: NONE
Securities registered pursuant to Section 12(g) of the Act:
Programs for coordinating the acquisition of mutual fund shares and insurance
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Indicate by check mark whether the registrant has filed all reports required to
be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the preceding 12 months (or for such shorter period that the registrant was
required to file such reports), and has been subject to such filing requirements
for the past 90 days. YES X NO
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State the aggregate market value of the voting stock held by non-affiliates of
the registrant. The aggregate market value shall be computed by reference to
the price at which the stock was sold, or the average bid and asked prices of
such stock, as of a specified date within 60 days prior to the date of filing.
NONE
Indicate the number of shares outstanding of each of the registrant's classes of
common stock as of March 15, 1995: 50,000 shares, all of which are owned by
Chubb Life Insurance Company of America.
DOCUMENTS INCORPORATED BY REFERENCE
NONE
The total number of pages, including exhibits, is 43 , and the exhibit
index appears on pages 24 through 27.
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This amendment to Hampshire Funding, Inc. filing on Form 10-K is being made
to add the Financial Data Schedule to the Exhibits as required by Regulation S-
K, Item 601(a)(27) and pursuant to Regulation S-K, Item 601(c). The Financial
Data Schedule is incorporated to the Hampshire Funding, Inc. Form 10-K for the
year ended December 31, 1994 under Item 27 of the Exhibits on pages 42-43.
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PART IV
Item 14 -- Exhibits, Financial Statement Schedules, and Reports on Form 8K
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(a) Documents filed as a part of this Report.
1. The following consolidated financial statements of Hampshire Funding,
Inc. and Subsidiary are included in Item 8:
(i) Report of Independent Auditors
(ii) Consolidated Balance Sheets as of December 31, 1994 and 1993
(iii) Consolidated Statements of Operations and Retained Earnings for
each of the three years in the period ended December 31, 1994.
(iv) Consolidated Statements of Cash Flows for each of the three
years in the period ended December 31, 1994.
(v) Notes to Consolidated Financial Statements
2. Financial Statement Schedules
All Schedules have been omitted since the required information is not
present or is not present in amounts sufficient to require submission
of the schedule, or because the information required is included in
the financial statements and the notes thereto.
3. Exhibits
(i) Pursuant to Rule 12b-23 and General Instruction G, the following
exhibits required to be filed with this Report pursuant to the
Instructions for Item 14 above are incorporated by reference
from the reference source cited in the table below.
Item 601
Exhibit
Table No. Document Reference Source
--------- -------- ----------------
(1) Distribution Agreement Form 10-K, filed
between the Company and March 15, 1990, for the
Chubb Securities Corporation year ended December 31,
dated March 1, 1990 1989, pp. 23-24
(3) (i) Articles of Incorporation Form 10-K, filed
of Company March 15, 1990, for the
year ended December 31,
1989, pp. 25-27
3 of 7
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Exhibit
Table No. Document Reference Source
--------- -------- ----------------
(ii) By-Laws of Company Form 10-K, filed
March 15, 1990, for the
year ended December 31,
1989, pp. 28-46
(10) (i)(a) Loan Agreement between Form 10-K, filed
the Company and The March 15, 1990, for the
Colonial Life Insurance year ended December 31,
Company of America, dated 1989, pp. 54
(b) Amendment to Loan Form 10-K, filed
Agreement between the March 15, 1990, for the
Company and The Colonial year ended December 31,
Life Insurance Company of 1989, pp. 55-56
(c) Second Amendment to Loan Form 10-K, filed
Agreement between the March 29, 1993, for the
Company and The Colonial year ended December 31,
Life Insurance Company of 1992, pp. 23-24
(d) Third Amendment to Loan Form 10-K, filed
Agreement between the March 29, 1993, for the
Company and The Colonial year ended December 31,
Life Insurance Company of 1992, pp. 25-26
(e) Fourth Amendment to Loan Form 10-K filed
Agreement between the March 9, 1994 for the
Company and The year ended December 31,
Colonial Life Insurance 1993, pp. 33-34
Company of America, dated
June 17, 1993
(ii)(a) Company-Lender Agreement Form 10-K, filed
between the Company and March 15, 1990, for the
The Colonial Life year ended December 31,
Insurance Company of 1989, pp. 57-60
America, dated July 7,
1989
(b) Amendment to Acceptance Form 10-K, filed
of Company-Lender March 15, 1990, for the
Agreement between the year ended December 31,
Company and The Colonial 1989, pp. 61
Life Insurance Company of
America, dated March 8,
1990
4 of 7
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Exhibit
Table No. Document Reference Source
--------- -------- ----------------
(c) Second Amendment to Form 10-K, filed
Acceptance of March 29, 1993, for the
Company-Lender Agreement year ended December 31,
between the Company and 1992, pp. 27-28
The Colonial Life Insurance
Company of America,
dated December 15, 1992
(d) Third Amendment to Form 10-K, filed
Acceptance of March 29, 1993, for the
Company-Lender Agreement year ended December 31,
between the Company and 1992, pp. 29-30
The Colonial Life Insurance
Company of America,
dated March 8, 1993
(e) Fourth Amendment to Form 10-K filed
Acceptance of March 9, 1994 for the
Company-Lender year ended December 31,
Agreement between the 1993, pp. 35-36
Company and The
Colonial Life Insurance
Company of America, dated
June 17, 1993
(iii) Franchise Fee Agreement Form 10-K, filed
between the Company and March 15, 1990, for the
Chubb Life Insurance year ended December 31,
Company of America, dated 1989, pp. 62-63
March 9, 1990
(iv) Franchise Fee Agreement Form 10-K, filed
between the Company and March 15, 1990, for the
The Volunteer State Life year ended December 31,
Insurance Company, dated 1989, pp. 64-65
March 9, 1990
(v)(a) Loan Agreement between Form 10-K filed
the Company and Chubb March 9, 1994 for the
Life Insurance Company year ended December 31,
of America, dated 1993, pp. 37-38
September 29, 1993
(b) Company-Lender Agreement Form 10-K filed
between the Company and March 9, 1994 for the
Chubb Life Insurance year ended December 31,
Company of America, dated 1993, pp. 39-40
September 29, 1993
5 of 7
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Exhibit
Table No. Document Reference Source
--------- -------- ----------------
(c) Acceptance of Company Form 10-K filed
-Lender Agreement between March 9, 1994 for the
the Company and The Chubb year ended December 31,
Life Insurance Company of 1993, pp. 41-42
America, dated
September 29, 1993
(22) Subsidiaries of the Registrant Form 10-K, filed
March 15, 1990, for the
year ended December 31,
1989, pp. 66
(ii) Filed by enclosure.
Reg S-K
Item 601
(4) (i) Agency Agreement and 29-31
Limited Power of Attorney
(ii) Change in Participant in 32-33
Program
(iii) Disclosure Statement and 34-35
Agreement to Modify a
Program
(a) Loan Agreement between the 36-37
Company and Chubb Life
Insurance of America, dated
September 29, 1994
(b) Company-Lender Agreement 38-39
between the Company and
Chubb Life Insurance
Company of America, dated
September 29, 1994
(c) Acceptance of Company 40-41
-Lender Agreement between
the Company and The Chubb
Life Insurance Company of
America, dated
September 29, 1994
(27) Financial Data Schedule 42-43
(b) Reports on Form 8-K
No Reports on Form 8-K were filed by the Company during the quarter
ended December 31, 1994.
6 of 7
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SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange
Act of 1934, the registrant has duly caused this report to be signed on its
behalf by the undersigned thereunto duly authorized.
DATE: April 27 , 1995 HAMPSHIRE FUNDING, INC.
By: /s/ BRUCE R. STEFANY
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Bruce R. Stefany, President
Pursuant to the requirements of the Securities Exchange Act of 1934, this report
has been signed below by the following persons on behalf of the registrant and
in the capacities and on the dates indicated.
Name Title Date
---- ----- ----
/s/ BRUCE R. STEFANY President and Director April 27 , 1995
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Bruce R. Stefany
Director
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James R. Wagner, Jr.
/s/ FREDERICK H. CONDON Director April 27 , 1995
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Frederick H. Condon
/s/ ERNEST J. TSOUROS Director April 27 , 1995
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Ernest J. Tsouros
/s/ RANDELL G. CRAIG Director April 27 , 1995
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Randell G. Craig
/s/ Joseph A. Morein Director April 28 , 1995
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Joseph A. Morein
/s/ JOHN A. WESTON Treasurer, Principal April 27 , 1995
- --------------------------- Financial and
John A. Weston Accounting Officer
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<TABLE> <S> <C>
<PAGE>
<ARTICLE> 5
<S> <C>
<PERIOD-TYPE> 12-MOS
<FISCAL-YEAR-END> DEC-31-1994
<PERIOD-START> JAN-01-1994
<PERIOD-END> DEC-31-1994
<CASH> 1,311,399
<SECURITIES> 0
<RECEIVABLES> 40,930,417<F1>
<ALLOWANCES> 0
<INVENTORY> 0
<CURRENT-ASSETS> 1,436,657
<PP&E> 0
<DEPRECIATION> 0
<TOTAL-ASSETS> 42,241,816
<CURRENT-LIABILITIES> 1,504,525
<BONDS> 38,889,535<F2>
<COMMON> 50,000
0
0
<OTHER-SE> 1,797,756
<TOTAL-LIABILITY-AND-EQUITY> 42,241,816
<SALES> 0
<TOTAL-REVENUES> 3,590,273
<CGS> 0
<TOTAL-COSTS> 0
<OTHER-EXPENSES> 2,885,205<F3>
<LOSS-PROVISION> 0
<INTEREST-EXPENSE> 0
<INCOME-PRETAX> 705,068
<INCOME-TAX> 246,774
<INCOME-CONTINUING> 458,294
<DISCONTINUED> 0
<EXTRAORDINARY> 0
<CHANGES> 0<F4>
<NET-INCOME> 458,294
<EPS-PRIMARY> 9.17
<EPS-DILUTED> 0
<FN>
<F1>Consists of A.R. 47,215 Tax Recoverable $78,043 and long-term collateral
notes receivable $40,805,159.
<F2>Includes loans payable to affiliates of $38,889,535.
<F3>Comprised of: Interest on loan agreements $1,516,229; general and
administrative $1,308,976; realized investment losses $60,000.
<F4>Adoption of SFAS No. 112, "Employer's Accounting for Post-employment Benefits."
The cumulative effect of this change was immaterial.
</FN>
</TABLE>
