Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698839028659.pdf (Saint Vincent and the Grenadines)
Form No.

J 6601-6603 2011/10 STATISTICAL OFFICE Central Planning Division Kingstown, St. Vincent Telephone No.

456-1111 Ext 592/377 Fax.

456-2430 Email:svg.stats@mail.gov.vc Website:www.stats.gov.vc ST .VINCENT AND THE GRENADINES ANNUAL SURVEY OF ECONOMIC ACTIVITY LIFE INSURANCE,GENERAL INSURANCE AND RELATEDSERVICES This Form covers local establishments and resident subsidiaries of foreign companies providing life and non-life insurance, including re-insurance, and pension fund services.
The Form also covers auxiliary insurance services such as those provided by insurance agents, brokers, managers and consultants, insurance adjusters and actuaries.

Confidential under the Statistics Act, No.

24 of 1983 OFFICIAL USE ONLY Date Received …………………………………… Checked by …………………………………… Establishment No.

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ISIC NO: …………………………… SECTION I - DESCRIPTION OF ESTABLISHMENT 1.1 Name of Establishment ……………………………………………………………………………………….. 1.2 Address of Establishment …………………………………………………………………………………….. 1.3 Postal Address (if different from above) …………………………………………………………………….
1.4 Which of the following best describes the ownership of your establishment (indicate by a tick [] Private Limited Company [ ] Partnership/Family(unlimited) [ ] Other specify Public Limited Company [ ] PublicCorporation/StatutoryBody[ ] Sole /Owner Trader [ ] Non Profit Institution [ ] 1.5 Please state the percentage (%) of foreign ownership of your establishment ………………………….. 1.6 Please state the month and year in which your establishment started operations/was incorporated ………………………………………………………………………………………………………………….. 1.7 State financial year used in completing this form:- 2011: From ……………………………………… To …………………………….. 2010: From ……………………………………… To ………………………………… If your financial year is not the same as the calendar year, please apply the following procedure: If your financial year ends on or before June 30, enter 2011/2012 accounting data for 2011 and 2010/11 for 2010.
If your financial year ends after June 30, enter 2010/2011 accounting data for 2011 and 2009/2010 accounting data for 2010.
1 1.8 Activity carried on by your establishment Main …………………………………………………………………………………………………………………….. Other Activities……………………………………………………………………………………………………… 1.9 Please indicate whether it is normal policy to close operations during the year Yes ___________________ specify dates when closing occurs ____________________________ No ____________________ 1.10 Name of person responsible for completing the questionnaire: Name: …………………………………………………………………………………………………………… Position: …………………………………………………………………………………………………... Telephone No.
: ………………………………………………………………………………………………… SECTION 2 - PERSONS ENGAGED 2.1 How many persons were engaged in each of the below categories during the last pay period for the months of June and December.
Working Proprietors Unpaid Workers Employees Male Female Male Female Male Female Period 2011 – June 2011 – December 2010 – June 2010 – December 2 SECTION 3 - SALES AND RECEIPTS (EC dollars) 2011 2010 D7111 Insurance premiums received/receivable D7210 Less: Insurance claims paid/payable F6110 Change in insurance actuarial/technical reserve D7119 Net reinsurance premiums paid D7120 Pension fund contributions received/receivable D7220 Less: Pension fund benefits paid/payable D8000 Change in pension fund actuarial/technical reserves D4100 Interest, dividends and rents received D4200 Income from dividend, securities and deposits PI111 Fees, commissions and other income received P1111 Income from rental of buildings, equipment etc P1111 Other operating income Total Income 2011 (EC Dollars) 2010 SECTION 4 - EXPENSES Labour Payments D1111 Gross wages and salaries paid to employees during the year Employers contribution to:- (a)Social Security D11111 D11112 (b)Medical Benefit scheme D11113 (c)Private Pension Schemes, Life, Health and casualty insurance schemes D11114 Directors Fees 3 2011 2010 D11115 Value of payments in kind D11116 Other payments to labour Total labour Payments Other Operating expenses D2990 Other Taxes on production D2149 Taxes levied on financial institutions D29901 Property tax D29902 Hotel tax D29903 Licences and other fees D29904 Other (specify) K1000 Depreciation and amortization D4009 Interest paid on deposits D4009 Interest paid on loans P2160 Cost of fuel P2170 Cost of stationary and other
 Office supplies P2211 Maintenance and repair of machinery and equipment P2212 Maintenance and repair of vehicle P2220 Electricity P2221 Water P2240 Building maintenance and repair P2412 Transport and travel P2420 Telephone and other communications P2421 Postage and courier services P2510 Bank charges P2520 Insurance P2540 Credit card commissions 4 2011 2010 P2550 Commissions paid to travel agents P2610 Rental/lease of buildings P2630 Rental/lease of machinery, equipment P2631 Rental/lease of vehicles P2700
 Computer services/maintenance of office P2810 equipment Professional services P2820 Advertising and promotion P2891 Guest entertainment P2892 Management fees P2900 All Other operating expenses Total Operating Expenses D4190 Interest paid D7520 Bad debt written off D7521 Donations P29001 Royalties P2901 Other non-operating Expenses Total Expenes SECTION 5 – SPECIAL ITEMS 2011 (EC dollars) 2010 Special Items Total profit(loss) before income tax D4210 Dividends payable D4300 Additions to retained earnings D4211 Dividends repatriated 5 (EC dollars) SECTION 6 - CAPITAL EXPENDITURE 2011 2010 Land (a) Purchased P5131 (b) Reclaimed P511 P5112 P5112 P5111 P5111 P5111 Building Purchased – Residential Purchased –Non-residential Constructed – Residential Constructed – Non-residential Construction works, roads and parking areas P5111 Machinery and equipment purchased P5111 P5111 P5111 Motor vehicles and other transport equipment purchased Livestock for breeding, dairy, draught, plantations, orchards Plantations, orchards P5111 Computer software P5111 Other Fixed Assets Total Capital Expenditure Sales of Capital Goods Land P5113 Building (a) Sold – Residential (b) Sold – Non-residential P5113 Machinery and Equipment P5113 Motor vehicle and other transport equipment sold 6 2011 2010 P5113 Other fixed assets sold (Specify) …………………………………………… …………………………………………… Total Sales of Capital Goods SECTION 7 – VALUABLES 2011 2010 P53AN13 Acquisition of Valuables P53AN14 Disposal of Valuables
 SECTION 8 - MISCELLANEOUS What is the total number of policies in force during the year?
Policies in force at the beginning of the year Policies in force at the end of the year 2011 2010 What was the total value of goods (c.i.f.)

and services purchased directly from abroad?

2011: $___________ 2010: $___________ 7 INSURANCE AND RELATED ACTIVITIES EXPLANATORY NOTES D7111 Insurance premiums received/receivable Include premiums received/receivable for life, accident, sickness, fire or other forms of insurance to individuals or groups.
D7119 Net reinsurance premiums paid These flows include premiums paid, claims recovered and reinsurers' share in the addition to technical reserves if relevant.

F6110 D7120 D8000 Change in insurance actuarial/technical reserves Change in the funds held by life and non-life insurance companies against outstanding risks and claims, for with-profit insurance, and as prepaid premiums.
Pension fund contributions received/receivable Change in pension fund actuarial/technical reserves Include contributions received from specific groups of employees for the purpose of providing benefits on retirement.

Change in the funds of pension schemes that are held against outstanding risks and benefits, and as prepaid contributions.

P 1111 Fees, commissions and other income received Include gains or losses on foreign exchange, but exclude bad debts recovered (see item D7520).
P1111 Gross income from rental of machinery and equipment D4410 Interest, dividends and rents received Income from leasing or rental of machinery and equipment without operator.

Interest and dividends earned on business account.

D7511 Grants, donations and subvensions received Current transfers and voluntary donations from businesses, government, households or from abroad.
P 1189 Other operating income D1111 Wages, salaries and benefits Income from other sources related to the business, e.g., rental of buildings and equipment, commissions, ledger fees, exchange gain/loss, miscellaneous income, etc.

Exclude grants, donations and subventions received, gains or losses on the sale of fixed assets and bad debts recovered.

Gross cash payments to employees, including overtime payments, bonuses, fees, commissions, cost of living allowances, vacation and sick pay.
Include the employer's contributions to pension, insurance and other schemes on behalf of employees, as well as the cost of meals, housing and other benefits not recovered from employees.

D2990 Other taxes and licences Include business fees, business and professional licences, property taxes, vehicle licences, stamp duties and other fees paid to government on behalf of the business.
P7520 Bad debts, net of recoveries, and donations Include financial claims that can no longer be collected because of bankruptcy or other factors.

P2412 Transport and travel Local freight charges, local and overseas business travel.

8 P2420 Telephone, postage and other communications Include cellular phone charges, the cost of courier and messenger services, fax, telex, and internet services.

P2520 Insurance Premiums paid for motor vehicle, property and marine insurance.
Include insurance of staff under DIIII.

P2700 Computer services and maintenance of office equipment P2810 Professional services P2820 Advertising and promotion P2900 Other expenses P5110 Buildings P5139 Machinery, equipment and other fixed assets P5200 Changes in inventories Include maintenance and repair of office and accounting machinery and of computers and computer peripheral equipment.
Include expenditure on legal, accounting, audit, architectural and engineering services, management and other consultancy services.

Include entertainment expenses.

Include security services, janitorial services, medical expenses, veterinary services, laundry services, and other expenditures such as staff training, subscriptions, research and development, etc.

Exclude bad debts, extraordinary items and other non-current items of expenditure.
Value of new and existing buildings acquired during the year, less disposals of existing buildings.

Include the value of extensions and major renovations to existing buildings.

Value of all new or second hand machinery and equipment, including transport equipment; office, accounting and computer equipment, including computer software; furniture, fixtures and furnishings and other durable goods acquired during the year, less disposals of similar items.
Total value of all inventories at the end the period minus the value at the beginning of the period, including materials and supplies that are held in stock for use as intermediate inputs, work-in-progress, finished goods and goods for resale.

P53AN13 Valuables Valuables are assets that are acquired as stores of wealth and are not used up in production.

They do not deteriorate over time and are expected to at least hold their value.
Examples are jewelry, works of art, antiques and precious stones and metals.

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