Decision on the Layout and Content of Statistical Report for Insurance Undertakings

“Official Gazette of the RS”, No. 135/2014 In accordance with Article 35, paragraph 4 of the Law on Accounting (“Official Gazette of the RS”, No 62/2013) and Article 18, paragraph 1, item 3 of the Law on the National Bank of Serbia (“Official Gazette of the RS”, No. 72/2003, 55/2004, 85/2005 – other law, 44/2010, 72/2012 and 106/2012), the Governor of the National Bank of Serbia hereby issues the DECISION ON THE LAYOUT AND CONTENT OF STATISTICAL REPORT FOR INSURANCE UNDERTAKINGS
I. INTRODUCTORY PROVISIONS

1. This Decision lays down the statistical report form for insurance
   undertakings (hereinafter: undertaking) and the contents of items in the form. The undertaking shall draw up the statistical report and submit it to the Business Registers Agency, pursuant to provisions of the law regulating accounting, and to the National Bank of Serbia, in the manner and within the timeframe set forth by the law governing insurance, in the part pertaining to submission of financial reports.
2. The form referred to in Section 1 hereof shall be printed together with
   the Decision and shall be integral part thereof (Appendix 1). The contents of particular groups of accounts and accounts in forms referred to in paragraph 1 of this Section is set forth by the provision of the decision regulating the Chart of Accounts for insurance undertakings and the contents of specific accounts in the chart of accounts. Amounts in the form referred to in paragraph 1 of this Section shall be stated in thousands of dinars, whereas the number of shares and employees shall be stated in whole numbers.
3. The newly established undertaking shall state its business data for the
   reporting year, for the period which is shorter than or equal to a calendar year without stating the balance as at 1 January of the reporting year, or operations in the previous year. An undertaking that has undergone a status change or is subject to bankruptcy or liquidation proceedings shall submit its annual financial statement to the Business Registers Agency stating consolidated data for the

2 entire reporting period, in the net amount, after offsetting the results before and after the status change.
II. CONTENTS OF ITEMS IN THE STATISTICAL REPORT FORM
4. The undertaking shall enter data in tables I through XI in the form
referred to in Section 1 hereof.
Data shall be entered in each of the designated columns, in line with the contents of groups of accounts and accounts specified in the table.
5. In table I. GENERAL DATA ON THE LEGAL ENTITY, under code
ADP 9001 – Number of months of operation, entry shall be made of the number of months of operation in a calendar year, as a whole number from 1 to 12. Under code ADP 9002 – Type of insurance operations, entry shall be made of an appropriate code for the type of activities, whereby code 1 shall indicate simultaneous carrying on life and non-life insurance activities, code 2 only life insurance activities, code 3 only non-life insurance activities, and code 4 reinsurance activities. Under code ADP 9003 – Ownership code, entry shall be made of an appropriate code for statistical ownership , whereby code 1 shall indicate social ownership, code 2 private ownership, code 3 collective ownership, code 4 mixed ownership (two or more types of ownership) and code 5 state ownership. Under code ADP 9004 – Number of foreign entities (legal entities or private individuals) holding a share in capital, entry shall be made of the number of legal entities or private individuals holding a share in the core capital of the undertaking, with headquarters abroad. Under code ADP 9005 – Number of employees on the basis of balance as at the end of each month entry shall be made of the average number of employees in the reporting year (column 3), i.e. in the previous year (column 4.) The average number of employees shall be the sum of the number of employees at the end of each month in the accounting period, divided by the number of months of operation, and shall be expressed as a whole number.
6. In table II. GROSS CHANGES IN INTANGIBLE INVESTMENTS,
PROPERTY, PLANT AND EQUIPMENT AND BIOLOGICAL ASSETS, under code ADPs 9006 through 9020 entries shall be made of data from the

3 account group 01 and/or 02 relating to the opening balance, changes during the year (purchases, reductions and revaluations) and the closing balance, whereby in column 4 entry shall be made of gross amounts, in column 5 of value adjustments and in column 6 of net amounts.
7. In table III. STRUCTURE OF CORE AND OTHER CAPITAL WITH
SHARE PREMIUM, under code ADPs 9021 through 9027, except under 9022, entries shall be made of the balance of appropriate accounts in group 30, while under code ADP 9022 entry shall be made of the part pertaining to share capital in foreign ownership. Under code ADP 9028 – Total, entry shall be made of the sum of amounts stated in items ADP 9021 through 9027.
8. In table IV. STRUCTURE OF SHARE CAPITAL, under code ADPs
9029 and 9031 entries shall be made of the absolute number of ordinary and/or preferred shares at the end of the current year (column 4) and the previous year (column 5). Under codes ADP 9030 and 9032 entries shall be made of the nominal value of ordinary and/or preferred shares, and shall be a product of the number of shares and the nominal value per share. Under code ADP 9033 – Total, entry shall be made of the total nominal value of shares, and shall be equal to the amount of share capital under code ADP 9021.
9. In table V. RECEIVABLES AND LIABILITIES, under code ADP 9034 –
Receivables, entry shall be made of the balance of account groups 20, 21 and 22 at the end of the current and/or the previous year. Under code ADP 9035 – Liabilities from operation, entry shall be made of the balance on account groups 43 and 44 at the end of the current, and/or the previous year. Under code ADP 9036 – Receivables on other insurance undertakings for compensation of damage on own property during the year, entry shall be made of the total value of receivables on other insurance undertakings for compensation of damage during the year (increase – debit transactions without opening balance of the account 226). Under code ADP 9037 – VAT – previous VAT, entry shall be made of the total previous annual amount of VAT as per tax calculation and tax returns.

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Under code ADP 9038 – Liabilities from operation, entry shall be made of credit transactions without opening balance for account groups 43 through 46. Under codes ADP 9039 through 9041 entry shall be made of the total annual liabilities for salaries and compensations – increase during the year (credit transactions without opening balance) for accounts 450, 451 and 452. Under code ADP 9042 – Liabilities for dividends and share in profit, entry shall be made of the total annual amount of calculated dividends and share in the operating result according to the distribution of results during the year (increase during the year – credit transactions without opening balance). Under code ADP 9043 – Liabilities to individuals for contracted compensation, entry shall be made of the increase in liabilities to individuals from contracts during the year (credit transactions without opening balance) presented in account 462. Under code ADP 9044 – VAT liabilities, entry shall be made of the total annual VAT amount, as per calculation and tax returns.
10. In table VI. COSTS AND OTHER EXPENDITURE, entries shall be
made in columns 4 and 5, according to the content of accounts in column 1. Under code ADP 9046 – Fuel and energy costs, entry shall be made of the amount posted to account 541. Under code ADP 9047 – Cost of salaries and compensation (gross), entry shall be made of the amount posted to account 550. Under code ADP 9048 – Cost of taxes and contributions on salaries and wages payable by employer, entry shall be made of the amount posted to account 551. Under code ADP 9049 – Cost of contracted compensation to individuals (gross), entry shall be made of the sum of balances on accounts 552 through 555, which indicate total expenditure on account of special service contracts, work-for-hire contracts, contracts on temporary and casual appointments and other contracts. Under code ADP 9050 – Cost of remunerations to the manager and/or members of managing and supervisory bodies, entry shall be made of the amount posted to account 556.

5
Under code ADP 9051 – Other personal expenses and compensation, entry shall be made of the amount posted to account 559. Under code ADP 9052 – Costs of production services, entry shall be made of the amount posted to account 542. Under code ADP 9053 – Rental costs, entry shall be made of the amount posted to a separate account within account 542 referring to rental costs, while code ADP 9054 – Costs of land rental shall separately indicate the cost of land rental. Under code ADP 9055 – Research and development costs, entry shall be made of the amount posted to an appropriate separate account within account 542. Under code ADP 9056 – Costs of depreciation and provisions, entry shall be made of the cumulative amount posted to account group 53. Under code ADP 9057 – Costs of insurance premiums, entry shall be made of the amount posted to account 545. Under code ADP 9058 – Costs of payment transactions, entry shall be made of the amount posted to account 547. Under code ADP 9059 – Membership fees, entry shall be made of the amount posted to an appropriate separate account within account 549. Under codes ADP 9060 and 9061 entries shall be made of the amounts of expenses for taxes and/or contributions posted to appropriate parts of account 546. Under code ADP 9062 – Interest expenses (to third parties), entry shall be made of the amount posted to account 562. Under code ADP 9063 – Interest expenses and partial financial expenditure, entry shall be made of the amount posted to account 562, as well as the calculated annual amount of all types of interest on liabilities to parent, subsidiary and related legal entities posted to accounts 560 and 561. Under code ADP 9064 – Interest on loans from banks and other financial institutions, entry shall be made of the amount posted to a part of account 562 which refers to interest on loans, as well as, if any, interest on loans from banks on account of liabilities to parent, subsidiary and related legal entities posted to accounts 560 and 561.

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Under code ADP 9065 – Expenses for humanitarian, scientific, religious, cultural, healthcare, educational and sports purposes and environmental protection, entry shall be made of the annual amount of expenses for these purposes posted to analytical accounts within account 549.
11. In table VII. INCOME, entries shall be made in columns 4 and 5
according to the content of accounts specified in column 1. Under code ADP 9067 – Income from insurance premiums, entry shall be made of the insurance premium income in the amount posted to appropriate accounts of group 60 and/or 61. Under code ADP 9068 – Income from other premiums, subsidies, grants, recourse, compensation and tax refunds, entry shall be made of the income stated in accounts 640 and 642. Under code ADP 9069 – Income from donations under specified conditions, entry shall be made of the amount posted to account 641. Under code ADP 9070 – Rental income, entry shall be made of the amount posted to accounts 608 and 653. Under code ADP 9071 – Income from commission, entry shall be made of the amount posted to accounts 606, 650 and 651. Under code ADP 9072 – Interest income , entry shall be made of the amount posted to account 662, as well as , if any, interest on receivables from parent, subsidiary and related legal entities posted to accounts 660 and 661. Under code ADP 9073 – Income from interest on accounts and deposits in banks and other financial institutions, entry shall be made of the amount posted to account 662 in the part relating to interest from deposits, as well as, if any, interest on deposits related to receivables from parent, subsidiary and related legal entities posted to accounts 660 and 661. Under code ADP 9074 – Income from dividends and share in profit received, entry shall be made of the amount posted to appropriate parts of accounts 665 and 669, as well as income from dividends and share in profit received from parent, subsidiary and other related legal entities which is posted to accounts 660 and 661.

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12. In tables VIII through XI, data shall be entered in columns 4 and 5,
according to the content of accounts specified in column 1, according to item descriptions given in column 2 (ADP 9076 – 9111).
III. FINAL PROVISION
13. This Decision shall be published in the “RS Official Gazette” and shall
enter into force on 31 December 2014.
Decision No.32 Governor of the
9 December 2014 National Bank of Serbia B e l g r a d e Dr. Jorgovanka Tabaković, sgd.

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Appendix 1
To be filled in by the insurance undertaking Identification number Activity code TIN Name:
Head office:
STATISTICAL REPORT
FOR 20___
I. GENERAL DATA ON THE LEGAL ENTITY
DESCRIPTION ADP code Current year Previous year 1 2 3 4 Number of months of operation (1 to 12) 9001 Types of insurance operations (1 to 4) 9002 Ownership code (1 to 5) 9003 Number of foreign entities (legal entities or private individuals) holding a share in capital 9004 Number of employees on the basis of balance as at the end of each month (whole number) 9005
II. GROSS CHANGES IN INTANGIBLE INVESTMENTS, PROPERTY, PLANT AND EQUIPMENT AND BIOLOGICAL
ASSETS
(RSD thousand)
Account group, account DESCRIPTION ADP Gross Value adjustment Net (amt. 4 - 5) 1 2 3 4 5 6 01 Intangible investments Opening balance 9006 Increase (purchases) during the year 9007 Reduction during the year 9008 Revaluation 9009 Closing balance (9006 + 9007 - 9008 + 9009) 9010
part of 02 Property, plant and equipment
Opening balance 9011
Increase (purchases) during the year 9012 Reduction during the year 9013 Revaluation reserves 9014 Closing balance (9011 + 9012 - 9013 + 9014) 9015
part of 02 Biological assets
Opening balance 9016
Increase (purchases) during the year 9017 Reduction during the year 9018 Revaluation 9019 Closing balance (9016 + 9017 - 9018 + 9019) 9020
III. STRUCTURE OF CORE AND OTHER CAPITAL WITH SHARE PREMIUM
(RSD thousand)

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Account group, account DESCRIPTION ADP Current year Previous year 1 2 3 4 5 300 Share capital 9021 of which foreign capital 9022 301, 302 Share of mutual insurance undertakings 9023 303 State capital 9024 304 Socially owned capital 9025 305 Premium on issue of shares 9026 309 Other capital 9027 TOTAL (9021 + 9023 + 9024 + 9025 + 9026 +
9027) 9028
IV. STRUCTURE OF SHARE CAPITAL
(RSD thousand/number of shares as a whole number) Account group, account DESCRIPTION ADP Current year Previous year 1 2 3 4 5 Ordinary shares Number of ordinary shares 9029
part of 300 Nominal value of ordinary shares – total 9030
Preferred shares
Number of preferred shares 9031
part of 300 Nominal value of preferred shares – total 9032
TOTAL – nominal value of shares (9030 + 9032 = 9021) 9033
V. RECEIVABLES AND LIABILITIES
(RSD thousand)
Account group, account
DESCRIPTION ADP Current year Previous year 1 2 3 4 5 20, 21, 22 Receivables (closing balance) 9034 43, 44 Liabilities from operation (closing balance) 9035 226 Receivables on other insurance undertakings for compensation of damage on own property during the year (debit transactions without opening balance) 9036 26 VAT – previous VAT (annual amount as per tax returns) 9037 43, 44, 45, 46 Liabilities from operation (credit transactions without opening balance) 9038 450 Liabilities for net salaries and compensation, except refundable compensation (credit transactions without opening balance) 9039 451 Liabilities for taxes on salaries and compensation charged to employees (credit transactions without opening balance) 9040 452 Liabilities for contributions on salaries and compensation charged to employees (credit transactions without opening balance) 9041 476, 477 Liabilities for dividends and share in profit received (credit transactions without opening balance) 9042 462 Liabilities to individuals for contracted compensation (credit transactions without opening balance) 9043 471 VAT liabilities (annual amount as per tax returns) 9044 Checksum (9034 to 9044) 9045

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VI. COSTS AND OTHER EXPENDITURE
(RSD thousand)
Account group, account
DESCRIPTION ADP Current year Previous year 1 2 3 4 5 541 Fuel and energy costs 9046 550 Cost of salaries and compensation (gross) 9047 551 Cost of taxes and contributions on salaries and wages payable by employer 9048 552, 553, 554 and 555 Contracted compensation to individuals (gross) 9049 556 Costs of remunerations to the manager and/or members of managing and supervisory bodies 9050 559 Other personal expenses and compensation 9051 542 Costs of production services 9052
part of 542 Rental costs 9053
part of 542 Costs of land rental 9054
part of 542 Research and development costs 9055
53 Costs of depreciation and provisions 9056 545 Costs of insurance premiums 9057 547 Costs of payment transactions 9058
part of 549 Membership fees 9059
part of 546 Tax expenses 9060
part of 546 Contribution expenses 9061
562 Interest expenses (to third parties) 9062
part of 560,
part of 561
and 562
Interest expenses and partial financial expenditure 9063
part of 560,
part of 561
and part of
562
Interest on loans from banks and other financial institutions 9064
part of 549
Expenses for humanitarian, scientific, religious, cultural, healthcare, educational and sports purposes, and environmental protection 9065 Checksum (9046 to 9065) 9066
VII. INCOME
(RSD thousand)
Account group, account
DESCRIPTION ADP Current year Previous year 1 2 3 4 5
part of 60,
part of 61 Income from insurance premiums 9067
640, 642 Income from other premiums, subsidies, grants, recourse, compensation and tax refunds 9068 641 Income from donations under specified conditions 9069 608, 653 Rental income 9070 606, 650, 651 Income from commission 9071
part of 660,
part of 661
and 662
Interest income 9072
part of 660,
part of 661
and part of
Income from interest on accounts and deposits in banks and other financial institutions 9073

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662
part of 660,
part of 661
part of 665
and part of
669
Income from dividends and share in profit received 9074 Checksum (9067 to 9074) 9075
VIII. STRUCTURE OF INVENTORIES
(RSD thousand)
Account group, account
DESCRIPTION ADP Current year Previous year 1 2 3 4 5 10 Material, spare parts and small inventory items written off in the moment of use 9076 13 Remaining insured damaged goods 9077
part of 14 Assets held for trading obtained by collection of
receivables 9078
Checksum (9076 to 9078) 9079
IX. STRUCTURE OF PREMIUMS BY SECTOR
(RSD thousand)
Account group, account
DESCRIPTION ADP Current year Previous year 1 2 3 4 5
part of 60,
part of 61
Income from premiums collected from domestic undertakings 9080
part of 60,
part of 61
Income from premiums collected from domestic individuals 9081
part of 60,
part of 61
Income from premiums collected from domestic entrepreneurs 9082
part of 60,
part of 61
Income from premiums collected from domestic government institutions 9083
part of 60,
part of 61
Income from premiums collected from domestic financial institutions 9084
part of 60,
part of 61
Income from premiums collected from domestic non-profit organisations and foundations 9085
part of 60,
part of 61 Income from premiums collected from foreign individuals 9086
part of 60,
part of 61
Income from premiums collected from foreign legal entities 9087
part of 60,
part of 61
Income from premiums collected from European financial institutions and development organisations 9088
part of 60,
part of 61
Income from premiums collected from international financial institutions and development organisations 9089 Checksum (9080 to 9089) 9090

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X. STRUCTURE OF DAMAGE BY SECTOR
(RSD thousand)
Account group, account
DESCRIPTION ADP Current year Previous year 1 2 3 4 5
part of 51,
part of 52
Expenses of damage compensation and contracted amounts to domestic undertakings 9091
part of 51,
part of 52
Expenses of damage compensation and contracted amounts to domestic individuals 9092
part of 51,
part of 52
Expenses of damage compensation and contracted amounts to domestic entrepreneurs 9093
part of 51,
part of 52
Expenses of damage compensation and contracted amounts to domestic government institutions 9094
part of 51,
part of 52
Expenses of damage compensation and contracted amounts to domestic financial institutions 9095
part of 51,
part of 52
Expenses of damage compensation and contracted amounts to domestic non-profit organisations and foundations 9096
part of 51,
part of 52
Expenses of damage compensation and contracted amounts to foreign individuals 9097
part of 51,
part of 52
Expenses of damage compensation and contracted amounts to foreign legal entities 9098
part of 51,
part of 52
Expenses of damage compensation and contracted amounts to European financial institutions and development organisations 9099
part of 51,
part of 52
Expenses of damage compensation and contracted amounts to international financial institutions and development organisations 9100 Checksum (9091 to 9100) 9101
XI. STRUCTURE OF DIVIDENDS
(RSD thousand)
Account group, account
DESCRIPTION ADP Current year Previous year 1 2 3 4 5
part of 476 Dividends paid out to domestic undertakings 9102
part of 476 Dividends paid out to domestic individuals 9103
part of 476 Dividends paid out to domestic government institutions 9104
part of 476 Dividends paid out to domestic financial institutions 9105
part of 476 Dividends paid out to domestic non-profit organisations
and foundations 9106
part of 476 Dividends paid out to foreign individuals 9107
part of 476 Dividends paid out to foreign legal entities 9108
part of 476 Dividends paid out to European financial institutions and
development organisations 9109
part of 476 Dividends paid out to international financial institutions
and development organisations 9110
Checksum (9102 to 9110) 9111
In ___________________,
Legal representative of insurance undertaking on _______________ _____________________