SCHEDULE S-1 TRANSACTION REPORT Company Experience Period Gross Rate Excluding Special Special Agents Transaction Number of Non-Basic Rate Charges/Credits and Charges and Endorsements Total Gross Commissions Type Transactions Total Liability Liability Endorsements Credits Revenue /Retentions [4] [5] [6] [7] [9] [11] [15] [16]
SCHEDULE S-1 TRANSACTION REPORT Company Experience Period Transaction Type [4] Number of Transactions Total Liability [5] Non-Basic Rate Liability [6] Gross Rate Excluding Special Charges/Credits and Endorsements [7] Special Charges and Credits [9] Endorsements [11] Total Gross Revenue Agents Commissions /Retentions [15] [16]
B-0013-14_STAT_.docx