x
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ANNUAL
REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES EXCHANGE ACT
OF
1934
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o
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TRANSITION
REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES EXCHANGE ACT
OF
1934
|
A.
|
Full
title of the plan and the address of the plan, if different from
that of
the issuer named below:
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B.
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Name
of issuer of the securities held pursuant to the plan and the address
of
its principal executive office:
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1
|
||||
Financial
Statements:
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||||
2
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||||
3
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||||
4
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||||
Supplemental
Schedule as of December 31, 2004*:
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||||
11
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||||
12
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Consent
of Independent Registered Public Accounting
Firm
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* |
All
other schedules required by Section 2520.103-10 of the Department
of
Labor’s Rules and Regulations for Reporting and Disclosure under the
Employee Retirement Income Security Act of 1974 have been omitted
because
they are not applicable.
|
As
of December 31,
|
|||||||
2004
|
2003
|
||||||
Assets:
|
|||||||
Investments,
at fair value:
|
|||||||
Money
market fund
|
$ |
4,624,748
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$ |
5,263,290
|
|||
21st
Century Insurance Group Common Stock
|
4,220,923
|
3,873,031
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|||||
Mutual
funds
|
81,103,382
|
64,948,136
|
|||||
Participant
loans
|
6,068,763
|
6,147,293
|
|||||
Total
investments, at fair value
|
96,017,816
|
80,231,750
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|||||
Investment
contract with insurance company, at contract value
|
39,193,498
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38,258,415
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|||||
Total
investments
|
135,211,314
|
118,490,165
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|||||
Interest-bearing
cash
|
93,384
|
75,706 | |||||
Receivables:
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|||||||
Accrued
interest income
|
147
|
39,232
|
|||||
Net
assets available for benefits
|
$
|
135,304,845
|
$
|
118,605,103
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Year
ended
December
31,
2004
|
||||
Additions
to net assets:
|
||||
Investment
income:
|
||||
Net
appreciation in fair value of investments
|
$
|
6,042,207
|
||
Interest
and dividends
|
3,074,603
|
|||
Participant
loans interest income
|
409,358
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|||
Total
investment income
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9,526,168
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|||
Contributions:
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||||
Employer
|
4,730,834
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|||
Participants
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10,316,662
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|||
Total
contributions
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15,047,496
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|||
Total
additions
|
24,573,664
|
|||
Deductions
from net assets:
|
||||
Benefits
paid to participants and other distributions to
participants
|
7,684,193
|
|||
Administrative
expenses
|
189,729
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|||
Total
deductions
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7,873,922
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|||
Net
increase in net assets
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16,699,742
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|||
Net
assets available for benefits:
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||||
Beginning
of year
|
118,605,103
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|||
End
of year
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$
|
135,304,845
|
2004
|
2003
|
||||||
Investment
contract with insurance company, at contract value (Note
3)
|
$
|
39,193,498
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$
|
38,258,415
|
|||
Investments
at fair value:
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|||||||
Mutual
Funds:
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|||||||
Fidelity
Magellan Fund
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25,613,543
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24,193,829
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|||||
Fidelity
Equity-Income Fund
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15,195,993
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13,425,487
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|||||
Fidelity
Contrafund
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11,229,551
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7,896,322
|
|||||
Spartan
U.S. Equity Index Fund
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7,646,831
|
6,293,730
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|||||
Participant
Loans
|
-
*
|
6,147,293
|
Year
ended
December
31,
2004
|
||||
Mutual
funds
|
$
|
6,054,359
|
||
21st
Century Insurance Group common stock
|
(12,152
|
)
|
||
Net
appreciation in fair value of investments
|
$
|
6,042,207
|
As
of December 31,
|
|||||||
2004
|
2003
|
||||||
Net
assets available for benefits per the financial statements
|
$
|
135,304,845
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$
|
118,605,103
|
|||
Amounts
allocated to withdrawing participants
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-
|
(34,535
|
)
|
||||
Net
assets available for benefits per Form 5500
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$
|
135,304,845
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$
|
118,570,568
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Year
ended
December
31,
|
||||
2004
|
||||
Benefits
paid to participants per the financial statements
|
$
|
7,684,193
|
||
Amounts
allocated to withdrawing participants
|
(34,535
|
)
|
||
Benefits
paid to participants per Form 5500
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$
|
7,649,658
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(a)
|
(b)
Identity of Issue,
Borrower,
Lessor
or
Similar Party
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(c)
Description of Investment,
Including
Maturity Date,
Rate
of Interest, Par or
Maturity
Value
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(e)
Current
Value
|
|||||||
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Pacific
Life Insurance Company (1)
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39,193,498
Guaranteed Investment Contract Shares
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$
|
39,193,498
|
||||||
*
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Fidelity
Magellan Fund
|
246,782
Mutual Fund Shares
|
25,613,543
|
|||||||
*
|
Fidelity
Equity-Income Fund
|
287,912
Mutual Fund Shares
|
15,195,993
|
|||||||
*
|
Fidelity
Contrafund
|
197,912
Mutual Fund Shares
|
11,229,551
|
|||||||
*
|
Spartan
U.S. Equity Index Fund
|
178,414
Mutual Fund Shares
|
7,646,831
|
|||||||
*
|
Fidelity
Retirement Government Money Market Fund
|
4,624,748
Money Market Fund Shares
|
4,624,748
|
|||||||
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AIM
Small Company Growth Fund
|
475,813
Mutual Fund Shares
|
5,980,970
|
|||||||
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Templeton
Foreign Fund I
|
264,159
Mutual Fund Shares
|
3,249,160
|
|||||||
*
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Fidelity
Freedom 2010 Fund
|
132,574
Mutual Fund Shares
|
1,805,657
|
|||||||
*
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Fidelity
Freedom 2030 Fund
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166,220
Mutual Fund Shares
|
2,340,382
|
|||||||
*
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Fidelity
Freedom 2020 Fund
|
180,441
Mutual Fund Shares
|
2,518,955
|
|||||||
*
|
Fidelity
Freedom Income Fund
|
54,109
Mutual Fund Shares
|
609,808
|
|||||||
|
Ariel
Appreciation
|
66,697
Mutual Fund Shares
|
3,179,434
|
|||||||
*
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Fidelity
Freedom 2000 Fund
|
28,773
Mutual Fund Shares
|
347,582
|
|||||||
*
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Interest-bearing
cash
|
Interest-bearing
cash
|
93,384
|
|||||||
*
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Fidelity
Freedom 2040 Fund
|
167,535
Mutual Fund Shares
|
1,385,516
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|||||||
*
|
21st
Century Insurance Group Common Stock
|
310,362
Common Stock Shares
|
4,220,923
|
|||||||
*
|
Participant
Loans (2)
|
|
Interest
rates between 4.0% and 11.5%
|
|
6,068,763
|
|||||
$
|
135,304,698
|
21st Century Insurance Company Savings and Security Plan | ||
Date: June
27, 2005
|
|
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By:
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/s/ Richard A. Andre | |
Richard A. Andre, Senior Vice President |
||
21st
Century Insurance Company
Chairman Benefits
Committee
|