SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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OMB Number: 3235-0362
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
Form 3 Holdings Reported.
  
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
SCHRAM HENRY B

(Last) (First) (Middle)
15 MOUNTAIN VIEW ROAD
P.O. BOX 1615

(Street)
WARREN NJ 070611615

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CHUBB CORP [ CB ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Senior Vice President
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
COMMON 35,366 D
COMMON 3,619.29 I By 401(k) Trustee
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
STOCK OPTION(1) $79.16 06/08/2004 H 393 09/12/2002 06/08/2004 COMMON 393 $79.16 0.00 D
PERFORMANCE SHARE(2) $0.00(2) (2) (2) COMMON 7,612 7,612 D
PERFORMANCE SHARES $0.00 08/08/1988 03/31/2005 COMMON 3,052.5 3,052.5 D
RESTRICTED STOCK UNIT(3) $0.00(3) (3) (3) COMMON 1,268 1,268 D
STOCK OPTION(1) $41.03 06/09/1997 06/08/2005 COMMON 2,436 2,436 D
STOCK OPTION(1) $79.16 09/12/2002 06/08/2005 COMMON 1,018 1,018 D
STOCK OPTION(1) $48.75 03/01/1998 02/27/2006 COMMON 5,200 5,200 D
STOCK OPTION(1) $48.75 08/06/1998 08/05/2006 COMMON 2,660 2,660 D
STOCK OPTION(1) $60.75 03/06/1999 03/05/2007 COMMON 8,000 8,000 D
STOCK OPTION(1) $78.97 03/05/2000 03/04/2008 COMMON 5,700 5,700 D
STOCK OPTION(1) $59.78 03/11/2001 03/10/2009 COMMON 7,641 7,641 D
STOCK OPTION(1) $47.97 03/02/2002 03/02/2010 COMMON 8,703 8,703 D
STOCK OPTION(1) $70.85 03/01/2003 03/01/2011 COMMON 4,730 4,730 D
STOCK OPTION(1) $73.68 03/07/2003 03/07/2012 COMMON 2,203 2,203 D
STOCK OPTION(1) $73.68 03/07/2004 03/07/2012 COMMON 2,202 2,202 D
STOCK OPTION(1) $46.05 03/06/2004 03/06/2013 COMMON 3,103 3,103 D
STOCK OPTION(1) $46.05 03/06/2005 03/06/2013 COMMON 3,103 3,103 D
Explanation of Responses:
1. All Stock Options are granted in tandem with tax withholding rights.
2. Represents 200% of the target performance share award, which is the maximum number of shares issuable under this award for the performance cycle ending December 31, 2006.
3. Restricted Stock Units generally cliff vest on the third anniversary of the grant date.
Remarks:
By: Patricia S. Tomczyk, POA 01/24/2005
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.