Sample Insurance Company
Income Statement - Statutory
For the Three Months Ending March 31, 2008
MTD MTD MTD MTD MTD MTD MTD MTD MTD MTD MTD MTD YTD YTD
  Jan 2008 Feb 2008 Mar 2008 Apr 2008 May 2008 Jun 2008 Jul 2008 Aug 2008 Sep 2008 Oct 2008 Nov 2008 Dec 2008 Mar 2008   Mar 2007
 
PREMIUMS:
Written Premiums Direct  $   1,347,844  $   1,801,569  $   2,127,676  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $   5,277,089  $              -
Change in Unearned Premium - Direct     (1,046,158)     (1,391,415)     (1,520,252)                  -                  -                  -                  -                  -                  -                  -                  -                  -     (3,957,825)                  -
Premiums Earned - Direct  $      301,686  $      410,154  $      607,424  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $   1,319,264  $              -
Written Premiums Ceded  $       (91,250)  $       (91,250)  $        76,950  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $    (105,550)  $              -
Change in Unearned Premium - Ceded                        -                        -                        -                  -                  -                  -                  -                  -                  -                  -                  -                  -                        -                  -
Premiums Earned - Ceded  $       (91,250)  $       (91,250)  $        76,950  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $    (105,550)  $              -
NET PREMIUMS EARNED  $      210,436  $      318,904  $      684,374  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $   1,213,714  $              -
Policy Fee Income  $           3,091  $           3,249  $           4,622  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $        10,962  $              -
LOSSES:
Paid Loss and LAE - Direct (net of salvage)  $        11,000  $        40,210  $      134,157  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $      185,366  $              -
Paid Loss and LAE - Ceded (net of salvage)                        -                        -                        -                  -                  -                  -                  -                  -                  -                  -                  -                  -                        -                  -
Paid AO Expenses               1,500               2,100               2,700                  -                  -                  -                  -                  -                  -                  -                  -                  -               6,300                  -
Change in Loss and Expense Reserves - Net             47,775               9,277          227,797                  -                  -                  -                  -                  -                  -                  -                  -                  -          284,849                  -
Change in IBNR Reserves - Net               1,000                        -                        -                  -                  -                  -                  -                  -                  -                  -                  -                  -               1,000                  -
Change in AO Expense Reserve                   800                        -                        -                  -                  -                  -                  -                  -                  -                  -                  -                  -                  800                  -
TOTAL LOSSES  $        62,075  $        51,587  $      364,654  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $      478,316  $              -
ACQUISITION COSTS:
Commissions   $      328,436  $      437,905  $      516,106  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $   1,282,447  $              -
Ceding Commissions                        -                        -                        -                  -                  -                  -                  -                  -                  -                  -                  -                  -                        -                  -
Policy Fees             37,585             53,334             67,872                  -                  -                  -                  -                  -                  -                  -                  -                  -          158,791                  -
Premium Taxes             23,588             48,954             43,617                  -                  -                  -                  -                  -                  -                  -                  -                  -          116,159                  -
TOTAL ACQUISITION COSTS  $      389,609  $      540,193  $      627,595  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $   1,557,397  $              -
OTHER COSTS:
Advertising  $                    -  $           3,750  $                    -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $           3,750  $              -
Bad Debt                     72                  198                        -                  -                  -                  -                  -                  -                  -                  -                  -                  -                  270                  -
Boards, Bureaus & Associations             58,942             12,754             26,081                  -                  -                  -                  -                  -                  -                  -                  -                  -             97,776                  -
Salaries, Payroll Taxes and Benefits             42,010             35,385             30,961                  -                  -                  -                  -                  -                  -                  -                  -                  -          108,357                  -
Temporary Employees                     70                  295                  334                  -                  -                  -                  -                  -                  -                  -                  -                  -                  699                  -
PEO Fees                 (530)                  640                  408                  -                  -                  -                  -                  -                  -                  -                  -                  -                  518                  -
Insurance                  628                  656                  656                  -                  -                  -                  -                  -                  -                  -                  -                  -               1,939                  -
Travel and Entertainment                  470               1,590               1,610                  -                  -                  -                  -                  -                  -                  -                  -                  -               3,670                  -
Rent and Office               1,488               1,601               1,370                  -                  -                  -                  -                  -                  -                  -                  -                  -               4,459                  -
Equipment                   (50)               1,449                        -                  -                  -                  -                  -                  -                  -                  -                  -                  -               1,399                  -
Depreciation                  482                  796                  827                  -                  -                  -                  -                  -                  -                  -                  -                  -               2,105                  -
Printing and Stationery                        -                        -               2,066                  -                  -                  -                  -                  -                  -                  -                  -                  -               2,066                  -
Postage and Telephone                  477                  486               1,486                  -                  -                  -                  -                  -                  -                  -                  -                  -               2,449                  -
Professional Fees               4,452               6,365             22,619                  -                  -                  -                  -                  -                  -                  -                  -                  -             33,436                  -
Licenses and Fees                        -                  700                  115                  -                  -                  -                  -                  -                  -                  -                  -                  -                  815                  -
Contributions                        -                        -                        -                  -                  -                  -                  -                  -                  -                  -                  -                  -                        -                  -
Conventions and Seminars                        -                  477               1,068                  -                  -                  -                  -                  -                  -                  -                  -                  -               1,544                  -
Taxes                     64                     64                     64                  -                  -                  -                  -                  -                  -                  -                  -                  -                  193                  -
Bank Service Charges               7,099               1,341               3,161                  -                  -                  -                  -                  -                  -                  -                  -                  -             11,601                  -
Miscellaneous                        -                        -                        -                  -                  -                  -                  -                  -                  -                  -                  -                  -                        -                  -
TOTAL OTHER COSTS  $      115,674  $        68,546  $        92,824  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $      277,045  $              -
NET INVESTMENT INCOME:  $        61,800  $        46,571  $        56,652  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $      165,022  $              -
INTEREST EXPENSE - SURPLUS NOTE:  $       (24,774)  $       (23,176)  $       (24,774)  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $       (72,724)  $              -
NET INCOME BEFORE TAXES  $    (316,806)  $    (314,778)  $    (364,199)  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $    (995,783)  $              -
TAXES:
Federal Income Taxes  $                    -  $                    -  $                    -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $                    -  $              -
State Income Taxes                        -                        -                        -                  -                  -                  -                  -                  -                  -                  -                  -                  -                        -                  -
TOTAL TAXES  $                    -  $                    -  $                    -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $                    -  $              -
NET INCOME  $    (316,806)  $    (314,778)  $    (364,199)  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $              -  $    (995,783)  $              -