Accounting Reporting System as at 30 June 2014 of insurance undertakings

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1 ANNEX Rule No.18/2014 Accounting Reporting System as at 30 June 2014 of insurance undertakings CHAPTER I SECTION 1 Methodological Rules for the preparation and submission of accounting reports as at 30 June 2014 I. General provisions. 1) These rules shall apply to Romanian legal persons, branches or subsidiaries of an insurer of a third state, and to branches of an insurance undertaking or mutual insurance undertaking of a Member State, which received an authorisation from the competent authority of the home member state, reinsurers, legal persons authorised according to law, or by the competent authority of the home member state, insurance and/or reinsurance brokers, Romanian legal persons, and to intermediaries of a member state pursuing intermediation activities within the territory of Romania, trading companies authorised in accordance with Law No. 32/2000 on the insurance activity and supervision of insurance, as subsequently amended and supplemented, under the obligation to submit accounting reports on 30 June ) Accounting reports as at 30 June 2014 shall be submitted as follows: a) one copy to the Financial Supervisory Activity; b) one copy to the territorial units of the Ministry of Public Finance, to their registry office of post offices, as the case may be, through letter with declared value, in accordance with the provisions of Government Decision No. 627/1995 on the improvement of the discipline on the submission of balance sheets and other financial-accounting and fiscal documents by economic agents and other tax payers. 3) The accounting reports as at 30 June 2014 shall be prepared in accordance with the provisions of the Accounting Regulations in line with the specific European directives in the insurance field, approved by Order No. 3129/2005 of the President of the Insurance Supervisory Commission, as subsequently amended and supplemented, applicable together with the provisions of Accounting 1

2 Law No. 82/1991, republished, as subsequently amended and supplemented. The following details shall be considered: a) the monetary items expressed in foreign currency (cash and cash equivalents, such as letters of credit and bank deposits, foreign currency receivables and debts) shall be evaluated and reported by using the exchange rate communicated by the National Bank of Romania as at 30 June Exchange rate differences, favourable or unfavourable, between the exchange rate as at the date of registration of foreign currency receivables or debts, or the exchange rate at which they were reported in the previous financial statements, and the NBR exchange rate as at 30 June 2014, shall be entered under financial income or expenses, as the case may be; b) in the case of receivable and debts expressed in lei, the settlement of which is made depending on the exchange rate of foreign currency, any favourable or unfavourable differences resulting from their evaluation shall be entered under financial income or expenses. Differences in value shall be determined similarly to the provisions of Letter a); c) the exchange rate valid on the date the operation is made is used to enter foreign currency transactions in the accounts. Exchange rate valid on the date the operation is made means the exchange rate of the FX market communicated by the National Bank of Romania on the last banking day prior to the operation, available as information on the date the operation is made (receipt, payment, issue of documents). II. Presentation and filling in accounting reports as at 30 June ) Insurers and reinsurers shall prepare and submit accounting reports comprising the following forms: a) Balance sheet (code 01); b) Profit and Loss Account, consisting of: (i) technical account of non-life insurance (code 02); (ii) technical account of life insurance (code 03); (iii) non-technical account (code 04); c) Informative data (code 05). 2) The insurers managing voluntary pension funds shall prepare and submit the statements referred to in Chapter V Section 4, Form "Statements submitted by insurers managing voluntary pension funds" of the Accounting Regulations in line with the specific European directives in the insurance field, approved by Order No. 3129/2005 of the President of the Insurance Supervisory Commission, as subsequently amended and supplemented, as follows: A) Statement of assets, liabilities and equities; 2

3 B) Statement of income and expenses. 3) Insurance and/or reinsurance brokers shall prepare and submit accounting reports comprising the following forms: a) Balance sheet (code 01); b) Profit and loss account (code 02); c) Informative Data (code 03). 4) The subunits opened in Romania by undertakings in the insurance field (insurers and insurance-reinsurance brokers) resident in states of the European Economic Area shall submit to the Financial Supervisory Authority and to the territorial units of the Ministry of Public Finance an accounting reporting as at 30 June 2014, consisting of the forms referred to in Item 1) or Item 2) depending on the specificities of the activity carried out (insurance/reinsurance or intermediation). 5) The accounting reporting as at 30 June 2014 of the subunits opened in Romania by undertakings in the insurance field resident in states of the European Economic Area shall be prepared based on the trial balance of synthetic accounts as at 30 June 2014, in line with the balances of the analytic accounts balance. 6) The template of the forms related to the accounting reporting as at 30 June 2014, the instruction to fill in the same, and the correlations of the forms for insurers, insurance brokers and subunits opened in Romania by undertakings in the field of insurance resident in states of the European Economic Area submitting accounting reports as at 30 June 2014 are laid down in Chapter II hereof. 7) Insurance, reinsurance, insurance and/or reinsurance brokers and the subunits registered in Romania by undertakings in the insurance field resident in states of the European Economic Area shall clearly fill in, without any abbreviations or initials, the identification details (name of the undertaking, address, telephone and registration number with the trade registry), and details regarding the correct classification in the form of ownership and sole registration code. The codes setting out the classification of insurers and insurance brokers shall be filled out in the boxes. 8) Insurers and reinsurers, and insurance and/or reinsurance brokers shall fill in the code for the activity carried out, in accordance with the Classification of the activities of the national economy - CAEN, approved by Government Decision No. 656/1997, as subsequently revised. 9) The balance sheet presents, in a synthetic form, the assets and liabilities, grouped by nature and liquidity, and by nature and chargeability. The balance sheet is prepared based on the trial balance of the synthetic accounts as at 30 June 2014, in line with the balances of the analytic accounts balance, closed after registration of all documents in which the financial-accounting operations related to the reporting period were mentioned taking into account the general accounting 3

4 principles set out by the accounting regulations in line with the specific European directives in the insurance field. Failure to correctly fill in the first page of the Form "Balance Sheet" with the details mentioned above leads to the impossibility to identify the undertaking and, consequently, the document shall be deemed not submitted. The insurers and reinsurers, and insurance and/or reinsurance brokers shall be penalised in accordance with Art. 39 of Law No. 32/2000, as subsequently amended and supplemented and with the provisions of Art. 42 of Law No. 82/1991, republished, as subsequently amended and supplemented. 10) For the presentation of the profit and loss account as at 30 June 2014, insurers, depending on the insurance activity carried out, shall fill in the form of the technical account of non-life insurance (code 02), the form of the technical account of life insurance (code 03) and the form of the nontechnical account (code 04). 11) Insurance and/or reinsurance brokers shall prepare the form of the profit and loss account (code 02). The data indicated in the forms of the profit and loss account are from the beginning of the year to the end of the reporting period. 12) Insurers, reinsurers and insurance and/or reinsurance brokers having under their authority subunits, shall enter figure 1 in Form "Informative Data", under rows 01 and 02 column 1, irrespective of their number. The rows related to overdue payments shall be filled in with the amounts at the end of the reporting period which exceeded the payment terms provided in the contracts or legislation. 13) Insurers, reinsurers and insurance and/or reinsurance brokers having under their authority branches or subunits devoid of legal personality shall verify and centralise their trial balances, and prepare accounting reports as at 30 June The turnover and balances expressed in foreign currency of the trial balances of the synthetic accounts shall be evaluated in lei at the exchange rate of the last day of the reporting period, being centralised with the trial balance prepared for the economic-financial operations carried out within the country. If the operations of their own subunits abroad were entered over the period both in foreign currency and in lei, to be included in the accounting reports of the legal person in the country as at 30 June 2014, the account balances and turnover expressed in lei shall be taken over as such. 14) The accounting reports as at 30 June 2014 shall be filled in by insurers and reinsurers, and insurance brokers, by using the chart of accounts referred to in Chapter III Items 1 and 2 of the Accounting Regulations in line with the specific European directives in the field of insurance, approved by Order No. 3129/2005 of the President of the Insurance Supervisory Commission, as subsequently amended and supplemented. The insurers authorised to carry out life insurance 4

5 category and accident and health insurance classes shall use the synthetic accounts related to life insurance. 15) The forms composing the accounting reports as at 30 June 2014 shall be filled out in lei. III. Execution of the accenting reports prepared for 30 June ) The accounting reporting forms prepared for 30 June 2014 shall be signed by the administrator or any other person in charge with the business management, indicating their name in print. 2) The row corresponding to the capacity of the person who prepared the accounting reports shall be filled in as follows: a) economic director, chief accountant or other person authorised to hold such position, according to law; b) natural or legal persons, authorised according to law, member of the Body of Expert and Licensed Accountants of Romania. IV. Details concerning the manner of submission of the accounting reports as at 30 June ) Insurers and reinsurers, insurance and/or reinsurance brokers, and their subunits shall submit the accounting reports prepared for 30 June 2014 to: a) the Financial Supervisory Authority, as follows: (i) hard copy (the form of the CSA-EWS application Admin), signed and stamped, according to law, together with a copy of the sole registration code, administrator s report, and also a copy of the trial balance of the synthetic accounts; (ii) in electronic format, by uploading the data to the CSA-EWS application Admin. b) the territorial units of the Ministry of Public Finance, as follows: (i) hard copy, and (ii) in electronic format, or only in electronic format on the portal with extended electronic signature, signed and stamped according to law. The assistance program is made available to the undertakings free of charge by the territorial units of the Ministry of Public Finance, or it may be downloaded from the web server of the Ministry of Public Finance at 2) The insurers, reinsurers and insurance and/or reinsurance brokers established in 2014, which pursued business since their establishment date until 30 June 2014, shall submit to the Financial Supervisory Authority accounting reports prepared in accordance with these rules. 5

6 3) The insurers, reinsurers and insurance and/or reinsurance brokers which did not pursue any business since their establishment date until 30 June 2014, those temporarily inactive in the first semester of 2014, and those undergoing liquidation (as at 1 January 2014) according to law, shall not prepare any accounting reports, but an affidavit corresponding to their situation as at 30 June V. Deadline for the submission of the accounting reports as at 30 June ) The accounting reports prepared for 30 June 2014, and the affidavits of insurers, reinsurers and insurance and/or reinsurance brokers which did not carry put any activity, shall be submitted to the Financial Supervisory Authority and to the territorial units of the Ministry of Public Finance no later than 18 August ) Failure to timely submit the accounting reports prepared for 30 June 2014, the forms printed, signed and stamped, or the affidavits, as the case may be, shall be penalised as provided by Art. 39 of Law No. 32/2000, as subsequently amended and supplemented, and by Art. 42 of Law No. 82/1991, republished, as subsequently amended and supplemented. SECTION 2 Classification Forms of Ownership NAME CODE 20 MIXED OWNERSHIP (State and privately owned) MIXED OWNERSHIP (State owned less than 50%) 21 Domestically state-owned and foreign state-owned trading companies 22 Domestic and foreign state and privately owned trading companies 23 Domestic state and privately owned trading companies 24 Foreign state and privately owned trading companies MIXED OWNERSHIP (State owned - 50% and more than 50%) 25 Domestically state-owned and foreign state-owned trading companies 26 Domestic and foreign state and privately owned trading companies 27 Domestic state and privately owned trading companies 28 Foreign state and privately owned trading companies 30 INDIVIDUAL OWNERSHIP - PRIVATE (domestic privately owned, domestic and foreign privately owned, foreign privately owned) 34 joint stock companies 35 limited liability companies 6

7 Chapter II Forms for accounting reporting as at 30 June 2014 Section 1 INSURERS County _ _ Legal person Address: locality, sector, Str. No., Block, Entrance, Apt. Telephone, Fax Registered with the Trade Registry under No. Form of ownership _ _ Main activity (CAEN class name) CAEN class code _ _ _ _ Sole Registration Code _ _ _ _ _ _ _ _ _ _ A 1. BALANCE SHEET INSURERS as at 30 June lei - Caption No. row Balance at: A B 1 2 ASSETS INTANGIBLE ASSETS I. Intangible non-current assets B 1.Set-up costs ( ) 2.Development costs ( ) 3. Concessions, patents, licences, trademarks and similar rights and assets ( ) 4. Goodwill ( ) 5. Advance payments and intangible non-current assets in progress ( ) 6. Other intangible assets ( ) TOTAL (rows 01 to 06) 07 INVESTMENTS I. Investments in tangible assets and in progress 1. Land and buildings ( )

8 Caption No. row Balance at: A B Advance payments and tangible non-current assets in progress ( ) 09 TOTAL (row ) 10 II. Investments in affiliated undertakings and as participating interests or other investments in financial assets 1.Shares in affiliated undertakings ( ) 2.Debt securities or loans to affiliated undertakings ( ) 3. Holdings in undertakings with participating interests ( ) 4. Debt securities and loans to undertakings with participating interests ( ) 5. Other investments in financial assets ( ) TOTAL (row11 to 15) 16 III. Other financial investments 1. Shares and other variable-yield securities and units in investment pools ( ) 2. Bonds and other fixed-income securities. ( ) 3. Participation in investment pools ( ) 4. Loans guaranteed by mortgages ( ) 5. Other loans ( ) 6. Deposits placed with credit institutions ( ) 7. Other financial investments ( ) TOTAL (row17 to 23)

9 C D Caption No. row Balance at: A B 1 2 IV Deposits with ceding undertakings ( ) 25 INVESTMENTS RELATED TO LIFE INSURANCE FOR WHICH EXPOSURE TO INVESTMENT RISK IS TRANSFERRED TO 26 CONTRACTORS ( ) TOTAL INVESTMENTS (row ) 27 PART OF TECHNICAL RESERVES RELATED TO REINSURANCE CEDED CONTRACTS I. Part of technical reserves related to reinsurance ceded contracts to non-life insurance 1. Part of the premium reserve related to 28 reinsurance ceded contracts (395) 2. Part of the reserve for participation in the benefits and discounts related to reinsurance 29 ceded contracts. (3922) 3. Part of the claim reserve related to reinsurance 30 ceded contracts.(397) 4. Part of other technical reserves related to reinsurance ceded contracts a) Part of the unexpired risk reserves related to 31 reinsurance ceded contracts (3992) b) Part of the catastrophe reserve related to 32 reinsurance ceded contracts (3991) c) Part of other technical reserves related to 33 reinsurance ceded contracts (3993) TOTAL (rows 28 to 33) 34 II. Part of technical reserves related to reinsurance ceded contracts to life insurance 1. Part of the mathematical reserve related to reinsurance ceded contracts(391) Part of the premium reserve related to reinsurance ceded contracts(398) 3. Part of the reserve for participation in the benefits and discounts related to reinsurance ceded contracts (3921) 4. Part of the claims reserve related to reinsurance ceded contracts(396) 5. Part of other technical reserves related to reinsurance ceded contracts(393)

10 E F Caption No. row Balance at: A B 1 2 TOTAL (rows 35 to 39) 40 III. Part of the mathematical reserve related to life insurance for which the exposure to investment risk is transferred to contractors 41 reinsurance ceded (394) TOTAL (rows ) 42 RECEIVABLES Amounts owed by affiliated undertakings ( ) 43 Amounts receivable from participating interests ( ) 44 TOTAL (rows 43+44) 45 I Receivables from direct insurance operations Policyholders (401*-491) 46 Insurance intermediaries ( ) 47 Other receivables from direct insurance 48 operations ( ) TOTAL (rows 46 to 48) 49 II Receivables from reinsurance operations 50 (411*+412*-491) III Other receivables ( *+437* * *+ 443*+ 444* *+447*+448* * ) IV Receivables regarding the unpaid 52 subscribed share capital ( ) OTHER ASSETS I Tangible assets and inventories 1.Plant and machinery ( ) 2. Other fixtures and fittings, tools and equipment ( ) 3. Advance payments and tangible non-current assets in progress ( ) 55 TOTAL (rows 53 to 55) 56 10

11 G A Caption No. row Balance at: A B 1 2 Inventories 4. Consumables ( ) Advance payments for purchases of inventories (of acc. 461) 58 TOTAL (rows ) 59 II Cash at bank and in hand ( ) 60 III Other assets ( ) 61 PREPAYMENTS I Accrued interest and rents (471) 62 II Deferred acquisition costs TOTAL (rows 64+65) Deferred acquisition costs related to non-life insurance (4722) Deferred acquisition costs related to life insurance (4721) 65 III Other deferred charges (473) 66 TOTAL (rows ) 67 TOTAL ASSETS (row ) LIABILITIES CAPITAL AND RESERVES I Capital Share capital ( ) of which: 69 - share capital subscribed and paid in ( ) 70 II Share premium ( ) 71 III Revaluation reserve ( ) 72 IV Reserves 1.Legal reserves ( ) Statutory or contractual reserves ( ) Reserves representing surplus from revaluation 75 reserves ( ) 4. Other reserves ( ) Own shares ( ) 77 TOTAL (rows73 to 76-77) 78 V Retained earnings 1. Profit/loss carried forward ( ) 2. Retained earnings due to the adoption of IAS for the first time, with the exception of IAS 29 ( ) BalanceC 79 BalanceD 80 BalanceC 81 Balance D 82 11

12 Caption No. row Balance at: A B Retained earnings resulting from the correction of accounting errors Balance C 83 ( ) Balance D Retained earnings resulting from Balance C the adoption of Accounting 85 Regulations according to the European Directives ( ) Balance D 86 VI Profit (loss) for the financial Balance C 87 year (121) Balance D 88 VII Profit appropriation (129) 89 TOTAL (rows ) 90 B SUBORDINATED DEBTS ( ) 91 C TECHNICAL RESERVES I. Technical reserves related to non-life insurance (rows ) Premium reserves related to non-life insurance (315) reserve for participation in the benefits and discounts related to non-life insurance (332) Claim reserve related to non-life insurance (rows 96+97) 95 a) Outstanding claims reserves - reported (3271) 96 b) Outstanding claims reserves IBNR (3272) Other technical reserves for non-life insurance (rows ) 98 a) Unexpired risk reserve (334) 99 b) Catastrophe reserve (333) 100 c) Other technical reserves (335) 101 II. Technical reserves related to life insurance (rows ) Mathematical reserves (311) Life insurance premium reserve (318) Reserve for participation in the benefits and discounts related to life insurance.(312) Claim reserve related to life insurance (rows ) 106 a) Outstanding claims reserves - reported (3261) 107 b) Outstanding claims reserves IBNR (3262) Other technical reserves for life insurance (313) 109 III. Equalisation reserve (338) 110 TOTAL (rows )

13 D E F G Caption No. row Balance at: A B 1 2 MATHEMATICAL RESERVE RELATED TO LIFE INSURANCE FOR WHICH EXPOSURE TO INVESTMENT RISK IS TRANSFERRED TO 112 CONTRACTORS (314) PROVISIONS 1. Provisions for pensions and similar obligations ( ) Provisions for taxes ( ) Other provisions ( ) TOTAL (rows 113 to 115) 116 DEPOSITS RECEIVED FROM REINSURERS ( ) 117 DEBTS Amounts owed to affiliated undertakings ( **+4518** ) Amounts owed related to participating interests ( **+ 4528** ) I Debts from direct insurance operations ( **) 120 II Debts from reinsurance operations (411**+412**) 121 III Bond loans ( ) IV Amounts owed to credit institutions ( ) V Other debts, including fiscal debts and debts to social insurance ( **+431**+437** ** **+443**+444**+446**+447**+448** ** ** ** ) TOTAL (rows 118 to 124 )

14 H Caption No. row Balance at: A B 1 2 DEFERRED INCOME I. Investment subsidies ( ) 126 II Deferred income ( ) 127 TOTAL (rows ) 128 TOTAL LIABILITIES (rows ) *debtor balances of such accounts **creditor balances of such accounts ADMINISTRATOR DRAWN UP 1 Surname and first name Surname and first name Signature Capacity 2 Signature Stamp of the unit Registration number with professional body 14

15 2. PROFIT AND LOSS ACCOUNT INSURERS TECHNICAL ACCOUNT OF NON-LIFE INSURANCE as at 30 June 2014 Caption No. row - lei - Results related to the reporting period previous current A B Premium income, net of reinsurance a) gross written premium income (+) 01 b) reinsurance ceded premiums (-) 02 c) change in the premium reserve (+/-) 03 d) change in the reinsurance ceded premium reserve (+ /- ) 04 TOTAL (rows ) Share of investment net income (difference in the income and expenses from investments) transferred from 06 the non-technical account (+) 3.Other technical income, net of reinsurance (+) 07 4.Claim expenses, net of reinsurance a) paid claims (rows 09-10): 08 gross amounts 09 reinsurers share (-) 10 b) change in the claim reserve, net of reinsurance: (+/-) 11 TOTAL(rows 08+11) 12 5.Change in other technical reserves, net of reinsurance, of which: a)change in the reserve for unexpired risks (+/-) 13 b)change in the catastrophe reserve (+/-) 14 c)change in other technical reserves (+/-) 15 TOTAL (rows ) 16 6.Variaton in the reserve for participation in benefits and discounts (+/-) 17 7.Net operating expenses a) acquisition costs 18 b) change in the amount of deferred acquisition costs (+/-) 19 15

16 c) administrative costs 20 d) commissions received from reinsurers and participation in benefits (-) 21 TOTAL (rows ) 22 8.Other technical costs, net of reinsurance 23 9.Change in equalisation reserve (+/-) 10.Technical result of non-life insurance Profit (rows ) Loss (rows ) ADMINISTRATOR DRAWN UP 1 Surname and first name Surname and first name Signature Capacity 2 Signature Stamp of the unit Registration number with professional body 2.2. TECHNICAL ACCOUNT OF LIFE INSURANCE as at 30 June lei - Caption 1.Premium income, net of reinsurance A No. row a) gross written premium income (+) 01 b) reinsurance ceded premiums(-) 02 c) change in the premium reserve, net of reinsurance (+/-) 03 TOTAL (rows ) 04 2.Investment income a)income from holdings in undertakings with participating interests, of which: - investment income in affiliated undertakings B Results related to the reporting period previous current

17 b) Other investment income with separate presentation of investment income in affiliated undertakings, of which: Income from land and buildings 08 Other investment income 09 c)income from adjustments for depreciation/impairment of investments d)income from realisation on investments 11 TOTAL(rows ) 12 3.Surplus values not realised from investments 13 4.Other technical income, net of reinsurance Claim expenses, net of reinsurance TOTAL(rows 16+19) 15 a)amounts paid (rows 17-18): 16 - gross amounts 17 - reinsurers share (-) 18 b) change in the claim reserve (+/-) (rows20-21 ) 19 - gross amount 20 - reinsurers share (-) 21 6.Change in technical reserves for life insurance TOTAL (rows ) a) change in mathematical reserve (rows 24-25) 23 - gross amount 24 - reinsurers share (-) 25 b) Change in the reserve for participation in benefits and discounts (rows 27-28) 26 - gross amount 27 - reinsurers share (-) 28 c) Change in the technical reserve (rows 30-31) 29 - gross amount 30 - reinsurers share (-) 31 7.Change in the mathematical reserve related to life insurance for which the exposure to investment risk is transferred to contractors 32 reinsurance ceded (+/-) TOTAL(rows 33-34)

18 - gross amount 33 - reinsurers share 34 8.Net operating expenses: a ) acquisition costs 35 b) change in the amount of deferred acquisition costs 36 c) administrative costs 37 d) commissions received from reinsurers and participation in benefits (-) 38 TOTAL(rows ) 39 9.Investment expenses: a)investment management charges, including interest b) Charges with value adjustments on investments c) Losses on the realisation on investments 42 TOTAL(rows ) Less values not realised from investments Other technical costs, net of reinsurance Share of investment net income transferred to the non-technical account 13.Technical result of life insurance Profit(rows ) Loss(rows ) ADMINISTRATOR, DRAWN UP 1 Surname and first name Surname and first name Signature Capacity 2 Signature Stamp of the unit Registration number with professional body 18

19 04 Caption 2.3. NON-TECHNICAL ACCOUNT as at 30 June 2014 No. row -lei- Results related to the reporting period previous current A B Technical result of non-life insurance Profit 01 Loss 02 2.Technical result of life insurance Profit 03 Loss 04 3.Investment income a)income from holdings in undertakings with participating interests 05 of which investment income in affiliated undertakings 06 b)other investment income 07 -of which investment income in affiliated undertakings: 08 Income from land and buildings 09 Other investment income 10 c) Income from adjustments for depreciation/impairment of investments 11 d)income from realisation on investment 12 TOTAL(rows ) Surplus values not realised from investments Share of investment net income transferred from the technical account of life insurance Investment expenses TOTAL (rows ) 16 a) Investment management charges, including interest 17 b) Charges with value adjustments on investments 18 c) Losses on the realisation on investments Less values not realised from investments Share of investment net income transferred to the technical account of non-life insurance 21 9.Other non-technical income Other non-technical costs, incoming provisions and impairment Income from the management of voluntary pension funds * 24 19

20 12. Expenses from the management of voluntary pension funds * Profit from the management of voluntary pension funds * (rows24-25) Loss from the management of voluntary pension funds * (rows 25-24) Current result - Profit (rows ) Loss (rows ) Extraordinary income Extraordinary expenses Extraordinary result Profit (rows 30-31) 32 Loss (rows 31-30) Total income Total expenses Gross result Profit (rows 34-35); (rows ); 36 Loss (rows 35-34); (rows ); Tax on profit Other taxes (not included in previous positions) Net result for the year Profit (rows ) 40 Loss (row ) 41 *To be taken from the Statement of income and expenses for the insurers managing voluntary pension funds ADMINISTRATOR DRAWN UP 1 Surname and first name Surname and first name Signature Capacity 2 Signature Stamp of the unit Registration number with professional body 20

21 3. INFORMATIVE DATA as at 30 June lei No. No. units Amounts I. Data on Loss or Profit registered row 1 2 Units which registered profit 01 Units which registered loss 02 II. Data on overdue payments No. row Total col.2+3 For current activity of which: For investment activity A B Overdue payments - total (row to ) of which: Outstanding liabilities from direct insurance operations (from acc ) 04 Total (rows ) up to 30 days 05 between 30 and 90 days 06 over 90 days 07 Outstanding liabilities from reinsurance operations (from acc ) 08 Total (rows ), of which: up to 30 days 09 between 30 and 90 days 10 over 90 days 11 Outstanding liabilities to the social insurance budget 12 total (rows 13 to 17) of which: - Contributions to the State social insurance owed by employers, employees and other similar 13 persons (from acc ) - Contributions to the health social insurance fund owed by employers and policyholders (from 14 acc ) - Contribution to the additional pension - Contributions to the unemployment insurance budget owed by employers and policyholders (from 16 acc ) - Other social debts (from acc ) 17 Outstanding liabilities to special funds budgets (from acc )

22 Outstanding liabilities to other creditors (from acc ) Taxes and duties not paid on term to the State budget (from acc ) 20 Taxes and duties not paid on term to the local budgets (from acc ) 21 Bank loans not repaid when due (from acc ) total (row 23 to 25), of which: 22 - overdue after 30 days 23 - overdue after 90 days 24 - overdue after 1 year 25 Overdue interest (from acc ) 26 III. Average number of employees No. 30 June 30 June current row previous year year A B 1 2 Average number of employees 27 Actual number of employees existing at the end of the reporting period, i.e. 30 June 28 IV. Interest, dividends and royalties paid during No. the reporting period. Subsidies collected and row overdue receivables Amounts - lei- A B 1 Gross income from interest paid to non-resident natural persons, of which: 29 - tax owed to the State budget 30 Gross income from interest to non-resident natural persons of Member States of the European Union, of which: 31 - tax owed to the State budget 32 Gross income from interest paid to non-resident 33 legal persons, of which: - tax owed to the State budget 34 Gross income from interest paid to non-resident associated legal persons*) of Member States of 35 the European Union, of which: - tax owed to the State budget 36 Gross income from dividends paid to non-resident 37 natural persons, of which: - tax owed to the State budget 38 Gross income from dividends paid to non-resident legal persons, in accordance with Art. 117 Letter h) of Law No. 571/2003 on the Fiscal Code, as 39 subsequently amended and supplemented, of which: 22

23 - tax owed to the State budget 40 Gross income from royalties paid to non-resident legal persons, of which: 41 - tax owed to the State budget 42 Income from royalties paid to non-resident associated legal persons*) of Member States of the 43 European Union, of which: - tax owed to the State budget 44 Rents paid during the reporting period for lands ** 45 Gross income from services paid to non-resident persons, of which: 46 - tax owed to the State budget 47 Gross income from services paid to non-resident persons of Member States of the European Union, 48 of which: - tax owed to the State budget 49 Subsidies collected over the reporting period, of which: 50 - subsidies collected over the reporting period corresponding to assets 51 - subsidies corresponding to income, of which: 52 - subsidies for boosting labour force **) 53 Overdue receivables which were not collected on the terms provided in the commercial contracts 54 and/or legislation in force, of which: - overdue receivables from entities in the majority 55 or wholly State-owned sector - overdue receivables from entities in the private 56 sector V. Meal Vouchers No. row Counter value of meal vouchers to employees 57 (acc. 645) VI. Other information No. row Advance payments for intangible non-current assets 58 (acc.524) Advance payments for tangible non-current assets 59 (acc.522) Financial fixed assets, in gross amounts (rows ), of which: Shares in affiliated entities, participating interests, other long term investments and bonds, in gross 61 amounts (acc ) (rows 62 to 68), of which: - quoted shares issued by residents June previous year Amounts - lei- 30 June current year 23

24 - unquoted shares issued by residents 63 - shares issued by residents 64 - bonds issued by residents 65 - units issued by undertakings for collective investment issued by residents 66 - shares and social parts issued by non-residents 67 - bonds issued by non-residents 68 Long term receivables, in gross amounts (row ), of which: 69 - long term receivables in lei and denominated in lei, settled depending on the currency rate (from 70 acc. 267) - long term receivables in foreign currency (from acc. 267) 71 Trade receivables, advance payments to suppliers and other similar accounts, in gross amounts (from 72 acc. 461) Receivables from direct insurance operations, Total (rows ), of which: 73 - Policyholders - total (row 75 to 77), (acc.401), of which: 74 - up to 30 days 75 - between 30 and 90 days 76 - over 90 days 77 - Insurance intermediaries - total (rows79 to 81) (acc. 404, of which: 78 - up to 30 days 79 - between 30 and 90 days 80 - over 90 days 81 - Other receivables from direct insurance operations - total (rows 83 to 85)(acc.405), of 82 which: - up to 30 days 83 - between 30 and 90 days 84 - over 90 days 85 Receivables from reinsurance operations (rows 87 to 89)( ) 86 - up to 30 days 87 - between 30 and 90 days 88 - over 90 days 89 Employee-related claims and similar accounts 90 (acc ) Receivables with the social insurance budget and State budget (acc ), (row92 to 24

25 96) of which: - claims with the social insurance budget (acc ) 92 - tax receivables with State budget (acc ) 93 - subsidies receivable (acc. 445) 94 - special funds taxes and similar liabilities 95 (acc.447) - other claims receivable with the State budget 96 (acc.4482) Receivables of the entity with affiliated entities 97 (acc. 451) Receivables with the social insurance budget and State budget not collected on term (from acc ) Other receivables (acc ), (row100 to 102) - transaction with associates, transactions with shareholders/associates related to capital, 100 transactions related to joint operations ( ) - other receivables with natural and legal persons, other than receivables with public institutions (State institutions), 101 (from acc ) - the amounts taken from acc. 552 Cash advances representing cash advances, granted 102 according to law and not settled until (from acc. 461) Accrued interest receivable (acc ), of 103 which - from non-residents 104 Value of loans to economic operators**** 105 Short term investments, in gross amounts (acc ) (rows 107 to 113), of 106 which: - quoted shares issued by residents unquoted shares issued by residents shares issued by residents bonds issued by residents units issued by undertakings for collective investment shares issued by non-residents

26 - bonds issued by residents 113 Other outstanding lodgements (acc. 548) 114 Petty cash in lei and in foreign currencies (rows ), of which: in lei (acc ) in foreign currencies (acc ) 117 Cash at bank in lei and in foreign currencies (row ), of which: in lei (acc ), of which: bank accounts in lei with non-resident banks in foreign currencies (acc ), of which bank accounts in foreign currencies with nonresident banks 122 Other current accounts at banks and letters of credit 123 (rows ), of which: - amounts under settlement, letters of credit and other outstanding lodgements, in lei (acc ) - amounts under settlement and letters of credit in foreign currencies (acc ) Debts (rows ) of which: - Bond loans, in gross amounts (acc. 161) (row ), of which: in lei in foreign currencies 129 Accrued interest on bond loans, in gross amounts (from acc. 168), (rows ), of which: in lei in foreign currencies 132 Short term domestic loans (from acc ) (rows ), of which: in lei in foreign currencies 135 Accrued interest on short term domestic loans (from acc ), (rows ), of 136 which: - in lei in foreign currencies 138 Short term foreign loans (from acc )

27 (rows ), of which: - in lei in foreign currencies 141 Accrued interest on short term foreign loans (from acc ), (row ), of which: in lei in foreign currencies 144 Long term loans (from acc ) (rows ), of which: in lei in foreign currencies 147 Accrued interest on long term loans (from acc ), (rows ), of which: in lei in foreign currencies 150 Long term foreign loans (acc ) (rows ), of which: in lei in foreign currencies 153 Accrued interest on long term foreign loans (from acc ), (row ), of which: in lei in foreign currencies 156 State treasury loans and accrued interest (acc from acc. 168) 157 Other loans and accrued interest (acc from acc. 168) (rows ), of 158 which: - in lei and denominated in lei, settled depending on the currency rate in foreign currencies 160 Value of concessions received (from acc.167) 161 Debts from direct insurance operations 162 (acc ) Debts from reinsurance operations 163 (acc ) Trade payables, advance payments from clients and other similar accounts, in gross amounts (from 164 acc. 462), of which: - trade payables, advance payments from foreign clients and other similar accounts, in gross 165 amounts Employee-related debts and similar accounts 166 (acc ) 27

28 Debts with the social insurance budget and State budget (acc ), row (168 to 171), 167 of which: - debts with the social insurance budget (acc ) tax debts with the State budget (acc ) special funds taxes and similar liabilities (acc.447) other debts payable to the State budget (acc.4481) 171 Debts of the entity with affiliated entities ***** (acc. 451) 172 Amounts owed to shareholders/associates (acc. 455) 173 Other debts (acc ), row 174 (175 to 178), of which: - transaction with associates, transactions with shareholders/associates related to capital, transactions related to joint operations 175 ( ) - debts with natural and legal persons, other than debts with public institutions (State institutions) 176 (from acc ) - subsidies not recorded under income (from acc. 131) amounts payable for financial fixed assets and short term investments (acc ) 178 Accrued interest payable (acc ) 179 Value of loans received from economic operators*** 180 Subscribed and paid in share capital (acc ), of which: quoted shares unquoted shares shares 184 X X - share capital subscribed and paid in by nonresidents Patents and licenses (from acc. 505) VII. Research and development expenditure No. 30 June 30 June current row previous year year A B

29 Research and development expenditure, of which: from public funds from private funds 189 VIII. Information on externally contracted No. 30 June 30 June current manpower row previous year year Externally contracted manpower (acc ) Commissions and fees (acc ) 191 *) The provisions of Art , Letter b) of Law No. 571/2003 on Fiscal Code, as subsequently amended and supplemented, shall be taken into account for the status of associated legal persons. **) To fill out with the rents paid for occupied lands (agricultural crops, pastures, grassland, etc.) and related to commercial premises (terraces, etc.) of private owners or units of public administration, including rents for the use of waters for recreation or other purpose (fishing, etc.). ***) Subsidies for boosting labour force (transfers from the State budget to the employer) represent the amounts granted to employers to pay education institutions graduates, incentivize unemployed persons who are hired before the expiry of the unemployment period, incentivize employers who hire for an indefinite period the unemployed aged over 45 years old, unemployed persons who are the sole providers for their families or unemployed who, within 3 years after the employment date, meet the conditions to apply for partial early retirement pension or for old-age pension, or other situations stipulated by the legislation in force concerning the unemployment insurance system and boosting labour force. ****) The category of economic operators shall not include the entities regulated and supervised by the National Bank of Romania, and the Financial Supervisory Authority, undertakings reclassified in the sector of public administration and non-profit companies serving households. *****) The provisions of Art. 7, Para (1), Item 21, Letter c) of Law No. 571/2003 on Fiscal Code, as subsequently amended and supplemented, shall be taken into account for the status of affiliated legal persons. ADMINISTRATOR Surname and first name Signature Unit stamp DRAWN UP 1 Surname and first name Signature Capacity 2 1 The annual financial statements are signed by the persons entitled according to law, indicating their name in print. 2 The row corresponding to the capacity of the person who drafted the financial statements shall be filled out as follows: - economic director, chief accountant or other person authorised to hold such positions according to law 29

30 4. Statements submitted by insurers managing voluntary pension funds 4.1. Statement of assets, liabilities and equities as at 30 June lei- Balance at Caption No. row Balance at A B 1 2 A. NON-CURRENT ASSETS I. INTANGIBLE NON-CURRENT ASSETS * 1. Set-up costs Development costs Concessions, patents, licences, trademarks and similar rights and assets and other intangible assets at remaining value 4. Goodwill Advance payments and intangible assets in progress 05 TOTAL INTANGIBLE NON-CURRENT ASSETS (rows01 to 05) II. TANGIBLE NON-CURRENT ASSETS 1. Land and buildings** Plant and machinery Other fixtures and fittings, tools and equipment Advance payments and tangible non-current assets in progress TOTAL TANGIBLE NON-CURRENT ASSETS (rows07 to 10) 11 III. FINANCIAL NON-CURRENT ASSETS 1. Shares in affiliated undertakings Loans to affiliated undertakings Participating interests Loans to undertakings with which the undertaking is linked by the virtue of a participating interest Investments in the form of land and buildings *** Investments held as non-currents assets Other loans 18 TOTAL FINANCIAL NON-CURRENT ASSETS (rows12 to 18) TOTAL NON-CURRENT ASSETS (rows ) 20 B. CURRENT ASSETS I. INVENTORIES 1. Consumables and other inventories Advance payments for purchases of inventories 22 TOTAL INVENTORIES (rows21+22) 23 II. RECEIVABLES 1. Trade receivables Amounts owed by affiliated undertakings Amounts receivable from participating interests Other receivables

31 5. Receivables regarding the unpaid subscribed share capital 28 TOTAL RECEIVABLES (row24 to 28) 29 III. SHORT TERM FINANCIAL INVESTMENTS 1. Shares in affiliated undertakings Other short term financial investments 31 TOTAL SHORT TERM FINANCIAL INVESTMENTS (rows30+31) 32 IV. CASH AT BANK AND IN HAND 33 TOTAL CURRENT ASSETS (rows ) 34 C. DEFERRED CHARGES 35 D. DEBTS TO BE PAID NO LATER THAN ONE YEAR 1. Bond loans Amounts owed to credit institutions Payments received on account of clients Commercial debts Commercial papers payable Amounts owed to affiliated undertakings Amounts owed related to participating interests Other debts, including tax debts and other social insurance debts 43 TOTAL DEBTS TO BE PAID NO LATER THAN ONE YEAR (rows36 to 43) 44 E. NET CURRENT ASSETS, NET CURRENT DEBTS (rows ) 45 F. TOTAL CURRENT ASSETS MINUS DEBTS(rows ) 46 G. DEBTS TO BE PAID WITHIN MORE THAN ONE YEAR 1. Bond loans Amounts owed to credit institutions Payments received on account of clients Commercial debts Commercial papers payable Amounts owed to affiliated undertakings Amounts owed related to participating interests Other debts, including tax debts and other social insurance debts 54 TOTAL DEBTS TO BE PAID WITHIN MORE THAN ONE YEAR (rows 47 to 54) 55 H. PROVISIONS 1. Provisions for pensions and similar obligations Provisions for taxes Other provisions 58 TOTAL PROVISIONS (rows 56 to 58) 59 I. DEFERRED INCOME 1. Investment subsidies Deferred income 61 TOTAL DEFERRED INCOME (rows 60+61) 62 J. CAPITAL AND RESERVES 31

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