NSAR-B 1 0001.txt N-SAR (6.1) PAGE 1 000 B000000 05/31/2001 000 C000000 0000045288 000 D000000 N 000 E000000 NF 000 F000000 Y 000 G000000 N 000 H000000 N 000 I000000 6.1 000 J000000 U 001 A000000 JOHN HANCOCK SOVEREIGN BOND FUND 001 B000000 811-2402 001 C000000 6173751702 002 A000000 101 HUNTINGTON AVENUE 002 B000000 BOSTON 002 C000000 MA 002 D010000 02199 002 D020000 7603 003 000000 N 004 000000 N 005 000000 N 006 000000 N 007 A000000 Y 007 B000000 1 007 C010100 1 007 C020100 JOHN HANCOCK BOND FUND 007 C030100 N 007 C010200 2 007 C010300 3 007 C010400 4 007 C010500 5 007 C010600 6 007 C010700 7 007 C010800 8 007 C010900 9 007 C011000 10 008 A00AA01 JOHN HANCOCK ADVISERS, INC. 008 B00AA01 A 008 C00AA01 801-8124 008 D01AA01 BOSTON 008 D02AA01 MA 008 D03AA01 02199 008 D04AA01 7603 011 A00AA01 JOHN HANCOCK FUNDS, INC. 011 B00AA01 8-43582 011 C01AA01 BOSTON 011 C02AA01 MA 011 C03AA01 02199 011 C04AA01 7603 012 A00AA01 JOHN HANCOCK SIGNATURE SERVICES, INC. 012 B00AA01 84-1885 012 C01AA01 BOSTON PAGE 2 012 C02AA01 MA 012 C03AA01 02199 012 C04AA01 9114 012 A00AA02 THE CHARLES SCHWAB TRUST COMPANY 012 B00AA02 84- 012 C01AA02 SAN FRANISCO 012 C02AA02 CA 012 C03AA02 94101 013 A00AA01 ERNST & YOUNG LLP 013 B01AA01 BOSTON 013 B02AA01 MA 013 B03AA01 02116 014 A00AA01 SIGNATOR INVESTORS, INC. 014 B00AA01 8-13995 014 A00AA02 JOHN HANCOCK FUNDS, INC. 014 B00AA02 8-43582 015 A00AA01 INVESTORS BANK & TRUST COMPANY 015 B00AA01 C 015 C01AA01 BOSTON 015 C02AA01 MA 015 C03AA01 02111 015 E01AA01 X 015 A00AA02 CITIBANK, N.A. (ARGENTINA) 015 B00AA02 S 015 C01AA02 BUENOS AIRES 015 D01AA02 ARGENTINA 015 E04AA02 X 015 A00AA03 NATIONAL AUSTRALIA BANK LIMITED 015 B00AA03 S 015 C01AA03 MELBOURNE 015 D01AA03 AUSTRALIA 015 E04AA03 X 015 A00AA04 BANKAUSTRIA CREDITANSTALT 015 B00AA04 S 015 C01AA04 VIENNA 015 D01AA04 AUSTRIA 015 E04AA04 X 015 A00AA05 PARIBAS 015 B00AA05 S 015 C01AA05 BRUSSELS 015 D01AA05 BELGIUM 015 E04AA05 X 015 A00AA06 BANKBOSTON BRAZIL 015 B00AA06 S 015 C01AA06 SAO PAULO 015 D01AA06 BRAZIL 015 E04AA06 X 015 A00AA07 ROYAL BANK OF CANADA 015 B00AA07 S 015 C01AA07 TORONTO 015 D01AA07 CANADA PAGE 3 015 E04AA07 X 015 A00AA08 CITIBANK, N.A. (ECUADOR) 015 B00AA08 S 015 C01AA08 QUITO 015 D01AA08 ECUADOR 015 E04AA08 X 015 A00AA09 UNIBANK, A.S. 015 B00AA09 S 015 C01AA09 COPENHAGEN 015 D01AA09 DENMARK 015 E04AA09 X 015 A00AA10 SKANDINAVISKA ENSKILDA BANKEN 015 B00AA10 S 015 C01AA10 HELSINKI 015 D01AA10 FINLAND 015 E04AA10 X 015 A00AA11 EUROCLEAR FRANCE 015 B00AA11 S 015 C01AA11 PARIS 015 D01AA11 FRANCE 015 E04AA11 X 015 A00AA12 BNP PARIBAS 015 B00AA12 S 015 C01AA12 FRANKFURT 015 D01AA12 GERMANY 015 E04AA12 X 015 A00AA13 PARIBAS 015 B00AA13 S 015 C01AA13 ATHENS 015 D01AA13 GREECE 015 E04AA13 X 015 A00AA14 STANDARD CHARTERED BANK, HONG KONG 015 B00AA14 S 015 C01AA14 HONG KONG 015 D01AA14 HONG KONG 015 E04AA14 X 015 A00AA15 STANDARD CHARTERED BANK, JAKARTA 015 B00AA15 S 015 C01AA15 JAKARTA 015 D01AA15 INDONESIA 015 E04AA15 X 015 A00AA16 BANK OF IRELAND SECURITIES SERVICES 015 B00AA16 S 015 C01AA16 DUBLIN 015 D01AA16 IRELAND 015 E04AA16 X 015 A00AA17 PARIBAS 015 B00AA17 S 015 C01AA17 MILAN 015 D01AA17 ITALY 015 E04AA17 X PAGE 4 015 A00AA18 STANDARD CHARTERED BANK, TOKYO 015 B00AA18 S 015 C01AA18 TOKYO 015 D01AA18 JAPAN 015 E04AA18 X 015 A00AA19 STANDARD CHARTERED BANK, DHAKA 015 B00AA19 S 015 C01AA19 DHAKA 015 D01AA19 BANGLADESH 015 E04AA19 X 015 A00AA20 STANDARD CHARTERED BANK, SEOUL 015 B00AA20 S 015 C01AA20 SEOUL 015 D01AA20 KOREA 015 E04AA20 X 015 A00AA21 EUROCLEAR/BANQUE ET CAISSE D'EPARGNE DE L'ETA 015 B00AA21 S 015 C01AA21 LUXEMBOURG 015 D01AA21 LUXEMBOURG 015 E04AA21 X 015 A00AA22 STANDARD CHARTERED BANK MALAYSIA BERHAD 015 B00AA22 S 015 C01AA22 KUALA LUMPUR 015 D01AA22 MALAYSIA 015 E04AA22 X 015 A00AA23 GRUPO FINANCIERO BBVA BANCOMER 015 B00AA23 S 015 C01AA23 MEXICO CITY 015 D01AA23 MEXICO 015 E04AA23 X 015 A00AA24 FORTIS BANK, N.V. 015 B00AA24 S 015 C01AA24 AMSTERDAM 015 D01AA24 NETHERLANDS 015 E04AA24 X 015 A00AA25 NATIONAL NOMINEES LIMITED 015 B00AA25 S 015 C01AA25 WELLINGTON 015 D01AA25 NEW ZEALAND 015 E04AA25 X 015 A00AA26 UNION BANK OF NORWAY 015 B00AA26 S 015 C01AA26 OSLO 015 D01AA26 NORWAY 015 E04AA26 X 015 A00AA27 STANDARD CHARTERED BANK, MANILA 015 B00AA27 S 015 C01AA27 MANILA 015 D01AA27 PHILIPPINES 015 E04AA27 X 015 A00AA28 CITIBANK PORTUGAL S.A. PAGE 5 015 B00AA28 S 015 C01AA28 LISBON 015 D01AA28 PORTUGAL 015 E04AA28 X 015 A00AA29 CITIBANK, A.S. 015 B00AA29 S 015 C01AA29 PRAGUE 015 D01AA29 CZECH REPUBLIC 015 E04AA29 X 015 A00AA30 STANDARD CHARTERED BANK, SINGAPORE 015 B00AA30 S 015 C01AA30 SINGAPORE 015 D01AA30 SINGAPORE 015 E04AA30 X 015 A00AA31 STANDARD CHARTERED BANK, COLOMBO 015 B00AA31 S 015 C01AA31 COLOMBO 015 D01AA31 SRI LANKA 015 E04AA31 X 015 A00AA32 PARIBAS 015 B00AA32 S 015 C01AA32 MADRID 015 D01AA32 SPAIN 015 E04AA32 X 015 A00AA33 SVENSKA HANDELSBANKEN 015 B00AA33 S 015 C01AA33 STOCKHOLM 015 D01AA33 SWEDEN 015 E04AA33 X 015 A00AA34 BANK LEU LTD. 015 B00AA34 S 015 C01AA34 ZURICH 015 D01AA34 SWITZERLAND 015 E04AA34 X 015 A00AA35 STANDARD CHARTERED BANK, TAIPEI 015 B00AA35 S 015 C01AA35 TAIPEI 015 D01AA35 TAIWAN 015 E04AA35 X 015 A00AA36 STANDARD CHARTERED BANK, BANGKOK 015 B00AA36 S 015 C01AA36 BANGKOK 015 D01AA36 THAILAND 015 E04AA36 X 015 A00AA37 OTTOMAN BANK 015 B00AA37 S 015 C01AA37 ISTANBUL 015 D01AA37 TURKEY 015 E04AA37 X 015 A00AA38 HSB PLC 015 B00AA38 S PAGE 6 015 C01AA38 LONDON 015 D01AA38 UNITED KINGDOM 015 E04AA38 X 015 A00AA39 BANK HAPOALIM B.M. 015 B00AA39 S 015 C01AA39 JERUSALEM 015 D01AA39 ISRAEL 015 E04AA39 X 015 A00AA40 CITIBANK, N.A. (CARACAS) 015 B00AA40 S 015 C01AA40 CARACAS 015 D01AA40 VENEZUELA 015 E04AA40 X 015 A00AA41 THE STANDARD BANK OF SOUTH AFRICA LIMITED 015 B00AA41 S 015 C01AA41 CAPETOWN, PRETORIA 015 D01AA41 SOUTH AFRICA 015 E04AA41 X 015 A00AA42 STANDARD CHARTERED BANK, SHENZHEN 015 B00AA42 S 015 C01AA42 SHENZHEN 015 D01AA42 CHINA 015 E04AA42 X 015 A00AA43 CITITRUST COLOMBIA S.A. (COLOMBIA) 015 B00AA43 S 015 C01AA43 BOGOTA 015 D01AA43 COLOMBIA 015 E04AA43 X 015 A00AA44 CITIBANK BUDAPEST RT 015 B00AA44 S 015 C01AA44 BUDAPEST 015 D01AA44 HUNGARY 015 E04AA44 X 015 A00AA45 STANDARD CHARTERED BANK, SHANGHAI 015 B00AA45 S 015 C01AA45 SHANGHAI 015 D01AA45 CHINA 015 E04AA45 X 015 A00AA46 STANDARD CHARTERED BANK, KARACHI 015 B00AA46 S 015 C01AA46 KARACHI 015 D01AA46 PAKISTAN 015 E04AA46 X 015 A00AA47 CITIBANK, N.A. (PERU) 015 B00AA47 S 015 C01AA47 LIMA 015 D01AA47 PERU 015 E04AA47 X 015 A00AA48 BANK POLSKA (PEKAO) 015 B00AA48 S 015 C01AA48 WARSAW PAGE 7 015 D01AA48 POLAND 015 E04AA48 X 015 A00AA49 HONGKONG SHANGHAI BANKING CORP. 015 B00AA49 S 015 C01AA49 PORT LOUIS 015 D01AA49 MAURITIUS 015 E04AA49 X 015 A00AA50 BARCLAYS BANK OF BOTSWANA LTD. 015 B00AA50 S 015 C01AA50 GARBORONE 015 D01AA50 BOTSWANA 015 E04AA50 X 015 A00AA51 CITIBANK, N.A. (EGYPT) 015 B00AA51 S 015 C01AA51 CAIRO 015 D01AA51 EGYPT 015 E04AA51 X 015 A00AA52 BARCLAYS BANK OF GHANA LTD. 015 B00AA52 S 015 C01AA52 ACCRA 015 D01AA52 GHANA 015 E04AA52 X 015 A00AA53 CITIBANK, N.A. (JORDAN) 015 B00AA53 S 015 C01AA53 AMMAN 015 D01AA53 JORDAN 015 E04AA53 X 015 A00AA54 BARCLAYS BANK PLC 015 B00AA54 S 015 C01AA54 LUSAKA 015 D01AA54 ZAMBIA 015 E04AA54 X 015 A00AA55 BARCLAYS HOLDINGS ZIMBABWE LIMITED 015 B00AA55 S 015 C01AA55 HARARE 015 D01AA55 ZIMBABWE 015 E04AA55 X 015 A00AA56 CITIBANK - MAGHREB 015 B00AA56 S 015 C01AA56 RABAT 015 D01AA56 MOROCCO 015 E04AA56 X 015 A00AA57 CREDIT SUISSE (MOSCOW) LTD. 015 B00AA57 S 015 C01AA57 MOSCOW 015 D01AA57 RUSSIA 015 E04AA57 X 015 A00AA58 ING BANK 015 B00AA58 S 015 C01AA58 BRATISLAVA 015 D01AA58 SLOVAK REPUBLIC PAGE 8 015 E04AA58 X 015 A00AA59 THE DEPOSITORY AND CLEARING CENTRE 015 B00AA59 S 015 C01AA59 LONDON 015 D01AA59 UNITED KINGDOM 015 E04AA59 X 015 A00AA60 HSBC BANK MIDDLE EAST 015 B00AA60 S 015 C01AA60 MANAMA 015 D01AA60 BAHRAIN 015 E04AA60 X 015 A00AA61 BANKAUSTRIA CREDITANSTALT 015 B00AA61 S 015 C01AA61 ZAGREB 015 D01AA61 CROATIA 015 E04AA61 X 015 A00AA62 HANSABANK 015 B00AA62 S 015 C01AA62 TALLIN 015 D01AA62 ESTONIA 015 E04AA62 X 015 A00AA63 STANDARD CHARTER BANK 015 B00AA63 S 015 C01AA63 NEW DELHI 015 D01AA63 INDIA 015 E04AA63 X 015 A00AA64 HANSABANK 015 B00AA64 S 015 C01AA64 RIGA 015 D01AA64 LATVIA 015 E04AA64 X 015 A00AA65 HSBC BANK MIDDLE EAST 015 B00AA65 S 015 C01AA65 BEIRUT 015 D01AA65 LEBANON 015 E04AA65 X 015 A00AA66 SKANDINAVISKA ENSKILDA BANKEN 015 B00AA66 S 015 C01AA66 VILNIUS 015 D01AA66 LITHUANIA 015 E04AA66 X 015 A00AA67 HSBC BANK MIDDLE EAST 015 B00AA67 S 015 C01AA67 MUSCAT 015 D01AA67 OMAN 015 E04AA67 X 015 A00AA68 BANKAUSTRIA CREDITANSTALT SECURITIES S.A. 015 B00AA68 S 015 C01AA68 BUCHAREST 015 D01AA68 ROMANIA 015 E04AA68 X PAGE 9 015 A00AA69 BANK AUSTRIA CREDITSTALDT D.D. LJUBJANA 015 B00AA69 S 015 C01AA69 LJUBLJANA 015 D01AA69 SLOVENIA 015 E04AA69 X 015 A00AA70 THE BANK OF BERMUDA LIMITED 015 B00AA70 S 015 C01AA70 HAMILTON 015 D01AA70 BERMUDA 015 E04AA70 X 015 A00AA71 ING BANK 015 B00AA71 S 015 C01AA71 SOFIA 015 D01AA71 BULGARIA 015 E04AA71 X 015 A00AA72 BANKBOSTON, SANTIAGO 015 B00AA72 S 015 C01AA72 SANTIAGO 015 D01AA72 CHILE 015 E04AA72 X 015 A00AA74 ABN AMRO 015 B00AA74 S 015 C01AA74 ALMA-ATA 015 D01AA74 KAZAKSTAN 015 E04AA74 X 015 A00AA75 BARCLAYS BANK OF KENYA LTD. 015 B00AA75 S 015 C01AA75 NAIROBI 015 D01AA75 KENYA 015 E04AA75 X 015 A00AA76 ING BANK 015 B00AA76 S 015 C01AA76 KIEV 015 D01AA76 UKRAINE 015 E04AA76 X 015 A00AA77 BANKBOSTON MONTEVIDEO 015 B00AA77 S 015 C01AA77 MONTEVIDEO 015 D01AA77 URUGUAY 015 E04AA77 X 015 A00AA78 BANCO BCT 015 B00AA78 S 015 C01AA78 SAN JOSE 015 D01AA78 COSTA RICA 015 E04AA78 X 015 A00AA79 SOCIETE GENERALE 015 B00AA79 S 015 C01AA79 ABIDJAN 015 D01AA79 IVORY COAST 015 E04AA79 X 018 00AA00 Y PAGE 10 019 A00AA00 Y 019 B00AA00 74 019 C00AA00 JOHNHANCOC 020 A000001 BEAR STEARNS 020 B000001 13-3604093 020 C000001 1 020 C000002 0 020 C000003 0 020 C000004 0 020 C000005 0 020 C000006 0 020 C000007 0 020 C000008 0 020 C000009 0 020 C000010 0 021 000000 1 022 A000001 SWISS BANK CORP. 022 C000001 10092349 022 D000001 42055 022 A000002 BANK OF NEW YORK 022 B000002 13-4941102 022 C000002 6363057 022 D000002 15163 022 A000003 SALOMON BROTHERS,INC. 022 B000003 13-3802694 022 C000003 774208 022 D000003 753399 022 A000004 GOLDMAN SACHS & CO. 022 B000004 13-5108880 022 C000004 722434 022 D000004 293805 022 A000005 LEHMAN BROTHERS,INC. 022 B000005 13-2726611 022 C000005 650792 022 D000005 241389 022 A000006 MERRILL LYNCH 022 B000006 13-5674085 022 C000006 376538 022 D000006 434910 022 A000007 CHASE J.P. MORGAN 022 B000007 13-3224016 022 C000007 324413 022 D000007 234120 022 A000008 STATE STREET BANK & TRUST CO. 022 C000008 418206 022 D000008 0 022 A000009 MORGAN STANLEY 022 B000009 13-2655998 022 C000009 238083 022 D000009 149815 022 A000010 FIRST BOSTON CORP. PAGE 11 022 B000010 13-5659485 022 C000010 151965 022 D000010 100543 023 C000000 20786742 023 D000000 2985673 024 00AA00 N 025 D00AA01 0 025 D00AA02 0 025 D00AA03 0 025 D00AA04 0 025 D00AA05 0 025 D00AA06 0 025 D00AA07 0 025 D00AA08 0 026 A000000 Y 026 B000000 Y 026 C000000 Y 026 D000000 Y 026 E000000 N 026 F000000 N 026 G010000 N 026 G020000 N 026 H000000 N 027 000000 Y 037 00AA00 N 038 00AA00 0 039 00AA00 Y 040 00AA00 Y 041 00AA00 Y 045 00AA00 Y 046 00AA00 N 047 00AA00 Y 048 00AA00 0.000 048 A01AA00 1500000 048 A02AA00 0.500 048 B01AA00 2000000 048 B02AA00 0.450 048 C01AA00 2500000 048 C02AA00 0.400 048 D01AA00 0 048 D02AA00 0.000 048 E01AA00 0 048 E02AA00 0.000 048 F01AA00 0 048 F02AA00 0.000 048 G01AA00 0 048 G02AA00 0.000 048 H01AA00 0 048 H02AA00 0.000 048 I01AA00 0 048 I02AA00 0.000 PAGE 12 048 J01AA00 0 048 J02AA00 0.000 048 K01AA00 2500000 048 K02AA00 0.350 049 00AA00 N 050 00AA00 N 051 00AA00 N 052 00AA00 N 053 A00AA00 N 054 A00AA00 Y 054 B00AA00 N 054 C00AA00 N 054 D00AA00 N 054 E00AA00 N 054 F00AA00 N 054 G00AA00 Y 054 H00AA00 Y 054 I00AA00 N 054 J00AA00 Y 054 K00AA00 N 054 L00AA00 N 054 M00AA00 Y 054 N00AA00 N 054 O00AA00 N 055 A00AA00 N 055 B00AA00 N 056 00AA00 Y 057 00AA00 N 058 A00AA00 N 059 00AA00 Y 060 A00AA00 Y 060 B00AA00 Y 061 00AA00 1000 066 A00AA00 N 067 00AA00 N 068 A00AA00 N 068 B00AA00 N 069 00AA00 N 077 A000000 Y 077 B000000 Y 077 C000000 N 077 D000000 N 077 E000000 N 077 F000000 N 077 G000000 N 077 H000000 N 077 I000000 N 077 J000000 N 077 K000000 N 077 L000000 N 077 M000000 N PAGE 13 077 N000000 N 077 O000000 N 077 P000000 N 077 Q010000 Y 077 Q020000 N 077 Q030000 N 078 000000 N 028 A010100 26377 028 A020100 5398 028 A030100 0 028 A040100 20176 028 B010100 20726 028 B020100 5044 028 B030100 0 028 B040100 25206 028 C010100 21569 028 C020100 5183 028 C030100 0 028 C040100 21293 028 D010100 35338 028 D020100 4846 028 D030100 0 028 D040100 21004 028 E010100 21550 028 E020100 5251 028 E030100 0 028 E040100 36850 028 F010100 34872 028 F020100 5451 028 F030100 0 028 F040100 40128 028 G010100 160432 028 G020100 31173 028 G030100 0 028 G040100 164657 028 H000100 121204 029 000100 Y 030 A000100 1211 030 B000100 4.50 030 C000100 1.00 031 A000100 106 031 B000100 0 032 000100 643 033 000100 462 034 000100 Y 035 000100 536 036 A000100 Y 036 B000100 0 042 A000100 0 042 B000100 0 042 C000100 100 PAGE 14 042 D000100 0 042 E000100 0 042 F000100 0 042 G000100 0 042 H000100 0 043 000100 5563 044 000100 8735 062 A000100 Y 062 B000100 0.0 062 C000100 0.0 062 D000100 6.9 062 E000100 0.0 062 F000100 0.0 062 G000100 0.0 062 H000100 0.0 062 I000100 0.0 062 J000100 0.0 062 K000100 0.0 062 L000100 0.0 062 M000100 13.5 062 N000100 12.3 062 O000100 0.0 062 P000100 66.2 062 Q000100 1.2 062 R000100 0.0 063 A000100 0 063 B000100 13.0 064 A000100 N 064 B000100 N 070 A010100 Y 070 A020100 Y 070 B010100 Y 070 B020100 N 070 C010100 Y 070 C020100 N 070 D010100 Y 070 D020100 N 070 E010100 Y 070 E020100 N 070 F010100 Y 070 F020100 N 070 G010100 Y 070 G020100 N 070 H010100 Y 070 H020100 N 070 I010100 N 070 I020100 N 070 J010100 Y 070 J020100 Y 070 K010100 Y 070 K020100 N PAGE 15 070 L010100 Y 070 L020100 Y 070 M010100 Y 070 M020100 N 070 N010100 Y 070 N020100 Y 070 O010100 N 070 O020100 N 070 P010100 Y 070 P020100 N 070 Q010100 N 070 Q020100 N 070 R010100 Y 070 R020100 N 071 A000100 3009877 071 B000100 3031227 071 C000100 1278600 071 D000100 235 072 A000100 12 072 B000100 99845 072 C000100 1459 072 D000100 0 072 E000100 0 072 F000100 6761 072 G000100 0 072 H000100 0 072 I000100 3407 072 J000100 275 072 K000100 0 072 L000100 62 072 M000100 87 072 N000100 78 072 O000100 0 072 P000100 0 072 Q000100 0 072 R000100 42 072 S000100 9 072 T000100 5563 072 U000100 0 072 V000100 0 072 W000100 336 072 X000100 16620 072 Y000100 0 072 Z000100 84684 072AA000100 5032 072BB000100 0 072CC010100 65332 072CC020100 0 072DD010100 71799 072DD020100 11680 072EE000100 0 PAGE 16 073 A010100 0.9200 073 A020100 0.8300 073 B000100 0.0000 073 C000100 0.0000 074 A000100 0 074 B000100 94836 074 C000100 0 074 D000100 1274705 074 E000100 15956 074 F000100 0 074 G000100 0 074 H000100 0 074 I000100 0 074 J000100 12014 074 K000100 0 074 L000100 31485 074 M000100 164 074 N000100 1429160 074 O000100 34659 074 P000100 996 074 Q000100 0 074 R010100 0 074 R020100 0 074 R030100 0 074 R040100 9211 074 S000100 0 074 T000100 1384294 074 U010100 77625 074 U020100 14837 074 V010100 14.69 074 V020100 14.69 074 W000100 0.0000 074 X000100 101250 074 Y000100 21197 075 A000100 0 075 B000100 1352139 076 000100 0.00 080 A000100 GULF INSURANCE COMPANY 080 B000100 ICI MUTUAL INSURANCE COMPANY 080 C000100 45000 081 A000100 Y 081 B000100 80 082 A000100 N 082 B000100 0 083 A000100 N 083 B000100 0 084 A000100 N 084 B000100 0 085 A000100 Y 085 B000100 N PAGE 17 SIGNATURE SUSAN S. NEWTON TITLE VICE PRESIDENT