| Sample Insurance Company | ||||||
| Balance Sheets - Statutory | ||||||
| As of March 31, 2008 and February 29, 2008 | ||||||
| March | December | |||||
| 2008 | 2007 | |||||
| ADMITTED ASSETS | ||||||
| Cash | $ 2,981,733 | $ 2,147,659 | ||||
| Money Market Funds | 1,870,549 | 3,789,965 | ||||
| Certificates of Deposit | - | 2,000,000 | ||||
| Mortgage Backed Obligations | 6,123,041 | 3,689,737 | ||||
| Bonds | 7,088,522 | 3,663,916 | ||||
| Stocks | - | - | ||||
| $ 18,063,846 | $ 15,291,277 | |||||
| Other Assets: | ||||||
| Premiums Receivable | $ 1,775,137 | $ 941,672 | ||||
| Policy Fees Receivable | 32,741 | 36,495 | ||||
| Accrued Interest Receivable | 80,697 | 93,640 | ||||
| Reinsurance Recoverable on Paid Loss and LAE | - | - | ||||
| Due from Affiliates | 11,620 | 373 | ||||
| Due from Others | 1,583 | 520 | ||||
| EDP Equipment and Software, net of Dep. | 4,352 | - | ||||
| Deferred Tax Asset | 645,957 | 268,359 | ||||
| Total Other Assets | $ 2,552,087 | $ 1,341,059 | ||||
| TOTAL ADMITTED ASSETS | $ 20,615,933 | $ 16,632,336 | ||||
| LIABILITIES | ||||||
| Loss & LAE Reserves: | ||||||
| Loss Reserves | $ 276,000 | $ 2,000 | ||||
| LAE Reserves | 11,649 | 800 | ||||
| AO Reserves | 6,800 | 1,800 | ||||
| IBNR Reserves | 20,000 | 19,000 | ||||
| Total Loss and LAE Reserves: | $ 314,449 | $ 23,600 | ||||
| Other Liabilities: | ||||||
| Unearned Premium Reserve | $ 6,321,967 | $ 2,364,142 | ||||
| Commission Payable | 516,106 | 295,721 | ||||
| Policy Fees Payable | 159,927 | 80,148 | ||||
| Reinsurance Balances Payable | (71,700) | 160,250 | ||||
| Advance Premiums | 278,812 | 75,728 | ||||
| Premium Tax Payable | 108,181 | 46,532 | ||||
| Interest Payable - Surplus Note | - | - | ||||
| Accounts Payable | 47,270 | 11,686 | ||||
| Accrued Expenses | - | 2,000 | ||||
| Due to Affiliates | - | - | ||||
| Due to Others | 49,535 | 54,919 | ||||
| Unclaimed Property | - | - | ||||
| Federal Taxes Payable | - | - | ||||
| State Taxes Payable | - | - | ||||
| Total Other Liabilities: | $ 7,410,098 | $ 3,091,126 | ||||
| TOTAL LIABILITIES | $ 7,724,547 | $ 3,114,726 | ||||
| SURPLUS | ||||||
| Common Stock | $ 1,000 | $ 1,000 | ||||
| Contributed Surplus | 6,999,000 | 6,999,000 | ||||
| Surplus Note | 7,000,000 | 7,000,000 | ||||
| Prior Year's Unassigned Surplus | (715,599) | - | ||||
| Non-Admitted Assets | (43,189) | (35,150) | ||||
| Change in Deferred Taxes | 645,957 | 268,359 | ||||
| Current Results | (995,783) | (715,599) | ||||
| TOTAL SURPLUS | $ 12,891,386 | $ 13,517,610 | ||||
| TOTAL LIABILITIES & SURPLUS | $ 20,615,933 | $ 16,632,336 | ||||