UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 13F FORM 13F COVER PAGE Report for the Calendar Year or Quarter Ended: September 30, 2004 Check here if Amendment [ ]; Amendment Number:____________ This Amendment (Check only one.): [ ] is a restatement [ ] adds new holdings entries. Institutional Investment Manager Filing this Report: Name: Cincinnati Indemnity Company Address: 6200 South Gilmore Road Fairfield, Ohio 45014 13F File Number: 028-10756 The institutional investment manager filing this report and the person by whom it is signed hereby represent that the person signing the report is authorized to submit it, that all information contained herein is true, correct and complete, and that it is understood that all required items, statements, schedules, lists, and tables, are considered integral parts of this form. Person Signing the Report on Behalf of Reporting Manager: Name: Kenneth W. Stecher Title: Chief Financial Officer Phone: (513) 870-2626 Signature, Place and Date of Signing: /s/ Kenneth W. Stecher Fairfield, Ohio November 10, 2004 - ---------------------- ------------------ --------------------- Report Type (Check only one.): [X] 13F HOLDINGS REPORT. (Check here if all holdings of this reporting manager are reported in this report.) [ ] 13F NOTICE. (Check here if no holdings reported are in this report, and all holdings are reported by other reporting manager(s).) [ ] 13F COMBINATION REPORT. (Check here if a portion of the holdings for this reporting manager are reported in this report and a portion are reported by other reporting manager(s).) List of other Managers Reporting for this Manager: N/A 1
FORM 13F SUMMARY PAGE Report Summary: Number of Other Included Managers 1 --------- Form 13F Information Table Entry Total: 5 --------- Form 13F Information Table Value Total 14,005 --------- List of Other Included Managers: 01 Cincinnati Financial Corporation 13F File No. 028-10798 ---------- 2
COLUMN 2 COLUMN 3 COLUMN 4 COLUMN 5 TITLE OF CLASS CUSIP FMV (000) SHARES SH/PRN PUT/CALL -------------- ----- --------- ---------- ------ -------- EXXON MOBIL CORPORATION Common 30231G102 4,930 102,000 SH GENERAL ELECTRIC CO. Common 369604103 1,679 50,000 SH GENUINE PARTS CO Common 372460105 576 15,000 SH JOHNSON & JOHNSON Common 478160104 1,408 25,000 SH PROCTER & GAMBLE CORPORATION Common 742718109 5,412 100,000 SH 14,005 292,000 COLUMN 6 COLUMN 7 COLUMN 8 INVESTMENT ISSUER DIS OTH MGRS SOLE SHARED NONE ------ ---------- -------- -------- ---------- ---- EXXON MOBIL CORPORATION SHARED 01 - 102,000 - GENERAL ELECTRIC CO. SHARED 01 - 50,000 - GENUINE PARTS CO SHARED 01 - 15,000 - JOHNSON & JOHNSON SHARED 01 - 25,000 - PROCTER & GAMBLE CORPORATION SHARED 01 - 100,000 - 292,000 3
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