1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K/A AMENDMENT NO 2 TO CURRENT REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 DATE OF REPORT (DATE OF EARLIEST EVENT REPORTED) SEPTEMBER 22, 1995 CITIZENS FINANCIAL CORPORATION (Exact name of registrant as specified in its charter) KENTUCKY 0-20148 61-1187135 (State or other (Commission (I.R.S. Employer jurisdiction File Number) Identification No.) of incorporation) The Marketplace, Suite 300 12910 SHELBYVILLE ROAD, LOUISVILLE, KENTUCKY 40243 (Address of principal executive offices) (Zip Code) REGISTRANT'S TELEPHONE NUMBER, INCLUDING AREA CODE (502) 244-2420 (Former name or former address, if changed since last report) This Form consists of 22 sequentially numbered pages. 2 This Current Report on Form 8-K was filed by Citizens Financial Corporation (the "Company") to report its acquisition of Integrity National Life Insurance Company ("INLIC"). The audited financial statements of INLIC filed as a part of this Report pursuant to Item 7 were prepared on the basis of statutory accounting principles, which were the only historical financial statements of INLIC then available. The purpose of this second amendment is to further amend the Report to file, pursuant to Item 7, audited financial statements of the individual life and disability insurance business of INLIC acquired by the Company in the transaction, prepared on the basis of generally accepted accounting principles. The Company has included the audited financial statements filed as a part of this Report after consultation with, and the receipt of no- action advice from, the staff of the Division of Corporation Finance of the Securities and Exchange Commission. ITEM 7. FINANCIAL STATEMENTS AND EXHIBITS The following is an index of the historical financial statements of INLIC and the pro forma financial information filed as a part of this Current Report on Form 8-K. The financial statements previously filed as a part of this Report were prepared on the basis of statutory accounting principles, instead of generally accepted accounting principles, because historical financial statements of INLIC prepared in accordance with GAAP were not then available. INDEX TO FINANCIAL STATEMENTS OF INTEGRITY NATIONAL LIFE INSURANCE COMPANY (filed herewith) PAGE OF FILING Report of Independent Auditors.............................. 6 Statement of Income and Expenses for the eight months ended August 31, 1995.................. 8 Statement of Assets and Liabilities at August 31, 1995.............................. 9 Notes to Financial Statements............................... 11 2 3 INDEX TO FINANCIAL STATEMENTS OF INTEGRITY NATIONAL LIFE INSURANCE COMPANY (previously filed) PAGE OF FILING Financial Statements For Full Fiscal Years Report of Independent Auditors............................... ** Statements of Admitted Assets, Liabilities and Capital and Surplus (Statutory Basis) at December 31, 1994 and 1993................................................ ** Statements of Operations (Statutory Basis) for the years ended December 31, 1994 an 1993......................... ** Statements of Capital and Surplus (Statutory Basis) for the years ended December 31, 1994 and 1993.............. ** Statements of Cash Flows (Statutory Basis) for the years ended December 31, 1994 and 1993........................ ** Notes to Statutory Financial Statements...................... ** Quarterly Statement (Statutory Basis) for the six months ended June 30, 1995..................................... ** INDEX TO PRO FORMA FINANCIAL STATEMENTS OF CITIZENS FINANCIAL CORPORATION AND SUBSIDIARIES (previously filed and filed herewith) PAGE OF FILING Pro Forma Condensed Consolidated Statements of Operations for the nine months ended September 30, 1995.......... 19 Pro Forma Condensed Consolidated Statements of Operations for the year ended December 31, 1994.................. 20 Notes to Pro Forma Condensed Consolidated Financial Statements................................. 21 **Previously filed as a part of the first amendment to this Report 3 4 SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized. Citizens Financial Corporation By:/S/ Lane A. Hersman Lane A. Hersman, Executive Vice President Date: March 30, 1998 4 5 Statement of Assets and Liabilities and Statement of Income and Expenses Integrity National Life Insurance Company FOR THE EIGHT MONTHS ENDED AUGUST 31, 1995 WITH REPORT OF INDEPENDENT AUDITORS 6 INTEGRITY NATIONAL LIFE INSURANCE COMPANY PAGE Report of Independent Auditors..................................... 2 Statement of Income and Expenses for the eight months ended August 31, 1995 ...................... 3 Statement of Assets and Liabilities at August 31, 1995.................................... 4 Notes to Financial Statements..................................... 6 1 7 REPORT OF INDEPENDENT AUDITORS The Shareholders and Board of Directors Integrity National Life Insurance Company We have audited the accompanying Statement of Assets and Liabilities of Integrity National Life Insurance Company (exclusive of its medicare supplement and long-term care segment) as of August 31, 1995, and the related Statement of Income and Expenses for the eight months then ended. These Statements are the responsibility of the Company's management. Our responsibility is to express an opinion on these Statements based on our audit. We conducted our audit in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether these Statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in these Statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of these Statements. We believe that our audit provides a reasonable basis for our opinion. The accompanying Statements were prepared for the purpose of complying with the rules and regulations of the Securities and Exchange Commission for inclusion in a registration statement of Citizens Financial Corporation as described in Note 1, and are not intended to be a complete presentation of the Company's assets and liabilities or income and expenses. In our opinion, the Statements referred to above present fairly, in all material respects, the assets and liabilities of Integrity National Life Insurance Company (exclusive of its medicare supplement and long-term care segment) at August 31, 1995, and its related income and expenses for the eight months then ended, in conformity with generally accepted accounting principles. Louisville, Kentucky May 2, 1997 2 8 INTEGRITY NATIONAL LIFE INSURANCE COMPANY Statement of Income and Expenses Eight Months Ended August 31 1995 Income: Premiums and other considerations $5,396,198 Net investment and other income 1,373,280 Net realized investment gains 29,339 Total Income 6,798,817 Benefits and Expenses: Policyholder benefits 2,195,477 Increase in net benefit reserves 843,710 Interest credited on policyholder deposits 616 Commissions 1,736,655 General expenses 1,002,977 Policy acquisition costs deferred (575,721) Amortization expense: Deferred policy acquisition costs 483,291 Value of insurance acquired 106,000 Total Benefits and Expenses 5,793,005 Income before Federal Income Tax 1,005,812 Federal Income Tax Expense 352,034 Net Income $ 653,778 Net Income Per Common Share: $ 5.95 See Notes to Financial Statements. 3 9 INTEGRITY NATIONAL LIFE INSURANCE COMPANY Statement of Assets and Liabilities August 31 1995 ASSETS Investments: Securities available-for-sale, at fair value: Fixed maturities (amortized cost of $23,674,420) $24,068,466 Equity securities (cost of $8,560) 8,832 Short-term investments 32,536 Policy loans 1,166,880 Mortgage loans on real estate 635,662 Other invested assets 128,565 Total Investments 26,040,941 Cash and cash equivalents 5,042,120 Accrued investment income 360,366 Premiums receivable 365,140 Deferred policy acquisition costs 3,958,573 Value of insurance acquired 1,206,000 Other assets 38,955 Total Assets $37,012,095 See Notes to Financial Statements. 4 10 August 31 1995 LIABILITIES AND SHAREHOLDERS' EQUITY Liabilities Policy liabilities: Future policy benefits $24,651,931 Policy and contract claims 517,154 Other policy liabilities 71,211 Total Policy Liabilities 25,240,296 Accrued expenses and other liabilities 666,737 Federal income tax payable 419,893 Deferred federal income tax 624,761 Total Liabilities 26,951,687 Commitments and Contingencies Shareholders' Equity Common stock, 110,000 shares authorized; 109,969 shares issued and outstanding 1,539,566 Additional paid-in capital 68,765 Unrealized appreciation of investments 256,307 Retained earnings 8,195,770 Total Shareholders' Equity 10,060,408 Total Liabilities and Shareholders' Equity $37,012,095 See Notes to Financial Statements. 5 11 NOTES TO FINANCIAL STATEMENTS NOTE 1--BASIS OF PRESENTATION As of August 31, 1995, Integrity National Life Insurance Company (the "Company") was a 98.85%-owned subsidiary to Southwestern Life Insurance Company ("Southwestern"). As discussed in Note 12, on September 22, 1995, 98.85% of the Company's common stock was acquired by Citizens Financial Corporation ("Citizens"). As a condition of this acquisition, the Company entered into a coinsurance and assumption reinsurance agreement with Union Bankers Insurance Company ("Union Bankers"), an affiliate of Southwestern, to divest the Company's 14,500 individual long- term care and medicare supplement insurance policies with annualized premium of approximately $14,800,000, leaving the remaining life and accident and health insurance business with the Company. The accompanying Statement of Assets and Liabilities and Statement of Income and Expenses (the "Statements") were prepared for the purpose of complying with the rules and regulations of the Securities and Exchange Commission for inclusion in a registration statement of Citizens. As the primary purpose of these Statements is to provide financial information regarding the ongoing operations of Citizens, the accompany Statements exclude the assets, liabilities and results of operations of the Company's long-term care and medicare supplement business, which was subsequently divested to Union Bankers. NOTE 2--NATURE OF OPERATIONS AND SIGNIFICANT ACCOUNTING POLICIES NATURE OF OPERATIONS. The Company was incorporated in 1903 in Pennsylvania as an insurance company engaged in the business of life insurance and accident and health insurance. The Company offers life and accident and health insurance products to individuals through independent agents. The individual life insurance products currently offered by the Company consist primarily of traditional whole life insurance policies. The Company's individual accident and health insurance products provide coverage for monthly income during periods of hospitalization, scheduled reimbursement for specific hospital and surgical expenses, and lump sum payments for accidental death or dismemberment. The Company is licensed to sell products in the District of Columbia and nineteen states primarily located in the East and Southeast. The Company markets its portfolio of products through the personal producing general agent distribution system and has approximately 320 sales representatives, all of whom are independent agents who may also represent other insurers. The majority of these agents specialize in the home service market. That market consists primarily of individuals who desire whole life policies with policy limits typically below $10,000. USE OF ESTIMATES. The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. Actual results could differ from those estimates. INVESTMENTS. Investments are reported in accordance with Statement of Financial Accounting Standards ("SAS") No. 115, "Accounting for Certain Investments in Debt and Equity Securities." All of the Company's fixed maturities and equity securities are classified as "available-for-sale", as they are not bought and held principally for the purpose of selling them in the near term (e.g. "trading securities") or, if fixed maturities, are not intended to be "held to maturity". Available-for-sale securities are carried at fair value, with unrealized gains and losses included in shareholders' equity, net of applicable deferred taxes. Fixed maturities and equity securities having a decline in value considered by management to be other than temporary are adjusted to an amount which, in management's judgment, reflects such declines. Such amounts are included in net realized investment gains and losses. For purposes of computing realized gains and losses on fixed maturities and equity securities sold, the carrying value is determined using the specific-identification method. Mortgage loans and policy loans are carried at unpaid balances. Other invested assets consist of a note receivable, which is carried at unpaid 6 12 NOTE 2--NATURE OF OPERATIONS AND SIGNIFICANT ACCOUNTING POLICIES (Continued) balance, and investment real estate, which is carried at depreciated cost. Short-term investments are carried at cost which approximates fair value. Cash and cash equivalents consist of highly liquid investments with maturities of three months or less at the date of purchase and are also carried at cost which approximates fair value. DEFERRED POLICY ACQUISITION COSTS. Commissions and other policy acquisition costs which vary with, and are primarily related to, the production of new insurance contracts are deferred, to the extent recoverable from future policy revenues and gross profits, and amortized over the life of the related contracts. See Premiums, Benefits and Expenses regarding amortization methods. VALUE OF INSURANCE ACQUIRED. Value of insurance acquired is recorded for the estimated value assigned to the insurance in force of purchased business at the date of acquisition by Southwestern. The assigned value is amortized over the expected remaining life of the insurance in force using methods consistent with that used for amortization of policy acquisition costs (as described under Premiums, Benefits and Expenses). At August 31, 1995, accumulated amortization was $2,241,851. BENEFIT RESERVES. Traditional life and accident and health insurance products include those contracts with fixed and guaranteed premiums and benefits and consist principally of whole-life and term insurance policies, and limited-payment life insurance policies. Reserves on such policies are based on assumed investment yields which range from 6% to 8%. Reserves on traditional life and accident and health insurance products are determined using the net level premium method based on future investment yields, mortality, withdrawals and other assumptions. Such assumptions are based on past experience and include provisions for possible unfavorable deviation. The Company has no participating insurance business. PREMIUMS, BENEFITS AND EXPENSES. Premiums for traditional individual life and accident and health policies are reported as earned when due. Benefit claims (including an estimated provision for claims incurred but not reported), benefit reserve changes and expenses (except those deferred) are charged to expense as incurred. Deferred policy acquisition costs related to traditional life and accident and health policies are charged to expense over the life of the policy using methods and assumptions consistent with those used in estimating liabilities for future policy benefits. In determining whether a premium uration policies, management does not give consideration to investment income. LIABILITIES FOR POLICY CLAIMS. Policy claim liabilities are based on known liabilities plus estimated future liabilities developed from trends of historical data applied to current exposures. These liabilities are closely monitored and adjustments for changes in experience are made in the period identified. FEDERAL INCOME TAXES. The Company uses the liability method of accounting for income taxes. Deferred income taxes are provided for cumulative temporary differences between balances of assets and liabilities determined under generally accepted accounting principles and balances determined for tax reporting purposes. EARNINGS PER SHARE. Earnings per share amounts are based on 109,969 weighted average common shares outstanding during the eight months ended August 31, 1995. 7 13 NOTE 3--INVESTMENTS The cost and fair value of investments in fixed maturities and equity securities are shown below. The cost amounts are adjusted for amortization of premium and accretion of discount on fixed maturities. Amortized GROSS UNREALIZED Fair Value August 31, 1995 Cost Gains Losses (Carrying Value) Fixed Maturities: U. S. government obligations $ 2,371,410 $ 93,534 $ 3,112 $ 2,461,832 Corporate securities 12,272,776 334,930 40,727 12,566,979 Mortgage-backed securities 9,030,234 220,123 210,702 9,039,655 Total $ 23,674,420 $ 648,587 $ 254,541 $ 24,068,466 Equity Securities $ 8,560 $ 2,324 $ 2,052 $ 8,832 The fair values for investments in fixed maturities and equity securities are based on quoted market prices, where available. For investments in fixed maturities and equity securities not actively traded, fair values are estimated using values obtained from independent pricing services. The change in net unrealized investment appreciation or depreciation, for the eight months ended August 31, 1995 and the amount of net realized investment gain or loss included in net income for such period are as follows: Eight Months Ended August 31 1995 FIXED MATURITIES: Change in net unrealized appreciation $ 1,874,247 Net realized gain $ 29,339 EQUITY SECURITIES: Change in net unrealized appreciation $ 143 Net realized gain $ --- The amortized cost and fair value of investments in fixed maturities at August 31, 1995, by contractual maturity are shown below. Expected maturities for investments in fixed maturities will differ from contractual maturities because borrowers may have the right to call or prepay obligations, sometimes without prepayment penalties. August 31, 1995 Amortized Cost Fair Value Due in one year or less $ 741,716 $ 743,418 Due after one year through five years 2,756,645 2,757,933 Due after five years through ten years 7,377,127 7,535,823 Due after ten years 3,768,698 3,991,637 Subtotal 14,644,186 15,028,811 Mortgage-backed securities 9,030,234 9,039,655 Total $23,674,420 $24,068,466 Gross gains of $29,748 and gross losses of $409 were realized on the sale of available-for-sale fixed maturities during the eight months ended August 31, 1995. Gross proceeds from the sale of fixed maturities during the eight months ended August 31, 1995 totaled $564,815. No realized gains or losses were recognized on equity securities during the eight months ended August 31, 1995. 8 14 NOTE 3--INVESTMENTS (Continued) Net unrealized appreciation (depreciation) of available-for-sale securities is summarized as follows: August 31 1995 Net appreciation (depreciation): Fixed maturities $394,046 Equity securities 272 Deferred income taxes (138,011) Net Unrealized Appreciation $256,307 Major categories of investment income are summarized as follows: Eight Months Ended August 31 1995 Fixed maturities $1,198,316 Equity securities 369 Mortgage loans on real estate 32,919 Policy loans 43,290 Investment real estate 7,925 Short-term investments and other 135,155 Subtotal $1,417,961 Investment expenses (44,694) Net Investment Income $1,373,280 The Company limits credit risk by diversifying its investment portfolio among government and corporate fixed maturities and common and preferred equity securities. It further diversifies these investment portfolios within industry sectors. As a result, management believes that significant concentrations of credit risk do not exist. At August 31, 1995, the Company had no investments which had not been income producing for a period of at least twelve months prior to year end. Pursuant to requirements of certain state insurance departments, the Company has investments with a carrying value of $1,990,600 at August 31, 1995, placed on deposit at various financial institutions which are restricted from withdrawal without prior regulatory approval. NOTE 4--VALUE OF INSURANCE ACQUIRED The value of insurance acquired is an asset which represents the present value of future profits on business acquired, using, for amortization, interest rates grading from 7.5% to 6%. An analysis of the value of insurance acquired for the eight months ended August 31, 1995 is as follows: Eight Months ended August 31 1995 Balance at beginning of year $1,312,000 Accretion of interest 52,480 Amortization (158,480) Balance at end of year $1,206,000 9 15 NOTE 4--VALUE OF INSURANCE ACQUIRED (Continued) Amortization of the value of insurance acquired (net of interest accretion) during the last four months of 1995 and in each of the following five years will be approximately: 1995 - $52,000; 1996 - $156,600; 1997 - $155,000; 1998 - $154,000; 1999 - $153,000; and 2000 - $152,000. NOTE 5--FEDERAL INCOME TAXES The Company's taxable income is included in Southwestern's consolidated Federal income tax return. Tax expense is allocated to the Company based on a separate company calculation as defined in a written tax sharing agreement. Federal income taxes for the eight months ended August 31, 1995 consist of the following: Eight Months Ended August 31 1995 Current tax expense $488,103 Deferred tax benefit 136,069 Federal Income Tax Expense $352,034 Deferred income taxes are provided for cumulative temporary differences between balances of assets and liabilities determined under generally accepted accounting principles and balances determined for tax reporting purposes. Significant components of the Company's deferred tax liabilities and assets as of August 31, 1995 are as follows: August 31 1995 DEFERRED TAX LIABILITIES: Deferred policy acquisition costs $ 705,584 Value of insurance acquired 422,100 Net unrealized gains on available-for-sale securities 138,011 Investments 44,051 Other 10,199 Total deferred tax liabilities 1,319,945 DEFERRED TAX ASSETS: Policy and contract reserves 623,033 Other 72,151 Total deferred tax assets 695,184 NET DEFERRED TAX LIABILITIES $ 624,761 The Company's effective income tax rate equals the statutory rate of 35%. During 1995, the Company paid $116,799 of Federal income taxes to Southwestern, pursuant to its tax sharing agreement. NOTE 6--STATUTORY ACCOUNTING PRACTICES AND SHAREHOLDERS' EQUITY Integrity is domiciled in Pennsylvania and prepares its statutory-basis financial statements in accordance with statutory accounting practices ("SAP") prescribed or permitted by the Pennsylvania Department of Insurance. Principal differences between SAP and GAAP include: a) costs of acquiring new policies are deferred and amortized for GAAP; b) value of insurance inforce acquired is established as an asset for GAAP; c) benefit reserves are calculated using more 10 16 NOTE 6--STATUTORY ACCOUNTING PRACTICES AND SHAREHOLDERS' EQUITY (Continued) realistic investment, mortality and withdrawal assumptions for GAAP; d) deferred income taxes are provided for GAAP; e) available-for-sale fixed maturity investments are reported at fair value with unrealized gain and losses reported as a separate component of shareholders' equity for GAAP; and f) statutory asset valuation reserves and interest maintenance reserves are not required for GAAP. "Prescribed" statutory accounting practices include state laws, regulations, and general administrative rules, as well as a variety of publications of the National Association of Insurance Commissioners ("NAIC"). "Permitted" statutory accounting practices encompass all accounting practices that are not prescribed; such practices may differ from state to state, may differ from company to company within a state, and may change in the future. The NAIC currently is in the process of codifying statutory accounting practices, the result of which is expected to constitute the only source of "prescribed" statutory accounting practices. Accordingly, that project, which is expected to be completed in 1998, will likely change, to some extent, prescribed statutory accounting practices, and may result in changes to the accounting practices that insurance enterprises use to prepare their statutory-basis financial statements. Statutory restrictions limit the amount of dividends which the Company may pay. Generally, dividends during any year may not be paid, without prior regulatory approval, in excess of the lesser of (a) 10% of statutory shareholder's surplus as of the preceding December 31, or (b) statutory net operating income for the preceding year. In addition, the Company must maintain the minimum capital and surplus, $1,650,000 required for life insurance companies domiciled in Pennsylvania. The Pennsylvania Department of Insurance imposes minimum risk- based capital ("RBC") requirements on insurance enterprises that were developed by the NAIC. The formulas for determining the amount of RBC specify various weighting factors that are applied to financial balances and various levels of activity based on the perceived degree of risk. Regulatory compliance is determined by a ratio (the "Ratio") of the enterprise's regulatory total adjusted capital, as defined by the NAIC, to its authorized control level RBC, as defined by the NAIC. Enterprises below specific trigger points or ratios are classified within certain levels, each of which requires specified corrective action. The Company has a Ratio that is at least 200% of the minimum RBC requirements; accordingly, the Company meets the RBC requirements. NOTE 7--REINSURANCE The Company maintains reinsurance coverage for life insurance policies with benefits exceeding $25,000. To the extent that reinsurance companies are unable to meet obligations under reinsurance agreements, the Company would remain liable. However, the majority of the Company's life insurance policies provide benefits of less than $10,000 and very few policies exceed $25,000. As discussed in Note 1, on September 22, 1995, the Company entered into a coinsurance and assumption reinsurance agreement with Union Bankers covering the Company's long term care and Medicare supplement business. Under the agreement, Union Bankers directly assumed these liabilities. NOTE 8--CONTINGENCIES In the normal course of business, the Company is party to a number of lawsuits. Management believes recorded claims liabilities are adequate to ensure these suits will be resolved without material financial impact to the Company. NOTE 9--LEASE COMMITMENTS The Company leases its home office space through June 30, 1999 and certain computer equipment through June 30, 1996. On or after December 31, 1996, the Company may terminate the home office space lease after providing six 11 17 NOTE 9--LEASE COMMITMENTS (Continued) months of advance notice. Presented below is a schedule of future minimum rental payments required under this lease. . Period Rental Four months ended December 31, 1995 $ 60,397 Year ended December 31, 1996 135,920 Year ended December 31, 1997 45,325 Total $241,642 The Company incurred approximately $121,000 of rental expense during the eight months ended August 31, 1995. NOTE 10--FAIR VALUES OF FINANCIAL INSTRUMENTS The fair values of financial instruments, and the methods and assumptions used in estimating their fair values, are as follows: FIXED MATURITIES: The fair values for fixed maturities are based on quoted market prices, where available. For those fixed maturities which are not actively traded, fair values are estimated using values obtained from independent pricing services. Available-for-sale fixed maturities are carried at fair value in the accompanying Statement of Assets and Liabilities. At August 31, 1995, the fair value of available- for-sale fixed maturities was $24,068,466. EQUITY SECURITIES: The fair values for equity securities are based on quoted market prices. Equity securities are carried at fair value in the accompanying Statement of Assets and Liabilities. At August 31, 1995, the fair value of equity securities was $8,832. Short-Term Investments: The carrying amount of short-term investments approximates their fair value. At August 31, 1995, the fair value of short-term investments was $32,536. POLICY LOANS: The carrying amount of policy loans approximates their fair value. At August 31, 1995, the fair value of policy loans was $1,166,880. MORTGAGE LOANS: The carrying amount of mortgage loans approximates their fair value. At August 31, 1995, the fair value of mortgage loans was $635,662. OTHER INVESTED ASSETS: The carrying amount of other invested assets, which consist of a note receivable and investment real estate, approximates their fair value. At August 31, 1995, the fair value of the note receivable and investment real estate is $75,000 and $53,565, respectively. CASH AND CASH EQUIVALENTS: The carrying amount of cash and cash equivalents approximates their fair value. At August 31, 1995 the fair value of cash and cash equivalents was $5,042,120 NOTE 11--RELATED PARTY TRANSACTIONS The Company is a party to a management and service agreement with Facilities Management Installation Inc. ("FMI"), a subsidiary of Southwestern. FMI provides substantially all administrative, management, investment, personnel, data processing and certain other services for the Company. FMI also administers all benefit plans available to such personnel. During the eight months ended August 31, 1995, the Company incurred approximately $688,000 of fees for such services in accordance with the agreement. At August 31, 1995, the Company has net advances receivable of $18,306 from FMI. 12 18 NOTE 12--SUBSEQUENT EVENTS As indicated in Note 1, on September 22, 1995, 98.85% of the Company's common stock was acquired by Citizens. The remaining 1.15% of common stock was also acquired by Citizens during the fourth quarter of 1995. The aggregate purchase price of the Company's stock was $9,419,000 (including net cost associated with the purchase of $437,000 and the purchase of minority shareholder stock). Effective December 31, 1995, the Company was merged into Citizens Security Life Insurance Company, a wholly owned subsidiary of Citizens. The real estate lease described in Note 9 was terminated effective March 31, 1997. As also indicated in Note 1, a condition of the acquisition required the Company to assumptively reinsure it's long-term care and Medicare Supplement insurance business. In conjunction with this assumptive reinsurance, the Company transferred approximately $9,200,000 of assets and reserves to Union Bankers. As indicated in Note 1, these amounts have been excluded from the accompanying Statements. On September 21, 1995, the Company received approval from the Pennsylvania Department of Insurance to pay an extraordinary dividend of $593,809 to Southwestern. Such dividend was paid on September 22, 1995. 13 19 CITIZENS FINANCIAL CORPORATION AND SUBSIDIARIES PRO FORMA CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS for the nine months ended September 30, 1995 AS REPORTED Citizens Financial CORPORATION Pro Forma Pro Forma ADJUSTMENTS COMPANY REVENUES Premiums and other considerations $ 7,956,944 $5,260,449 3H $13,217,393 Premiums ceded (612,982) (6,133) 3H (619,115) 7,343,962 5,254,316 12,598,278 Investment income, net of expenses 1,571,450 1,364,928 3D&H 2,936,378 Net realized gain on investment securities 1,257,006 19,018 3D&H 1,276,024 Other income 7,600 13 3H 7,613 10,180,018 6,638,275 16,818,293 BENEFITS AND EXPENSES Policyholder benefits 5,040,475 2,221,523 3H 7,261,998 Policyholder benefits ceded (572,911) (10,631) 3H (583,542) 4,467,564 2,210,892 6,678,456 Interest credited on policyholder deposits 683,591 616 3H 684,207 Increase in benefit reserves 134,011 1,417,611 3F&H 1,551,622 Commissions 1,231,518 1,735,198 3H 2,966,716 Salaries and wages 842,863 80,691 3H 923,554 Other general expenses 1,481,230 623,445 3H 2,104,675 Interest expense 211,105 505,021 3E 716,126 Policy acquisition costs deferred (496,898) (546,642) 3G&H (1,043,540) Amortization of deferred policy acquisition costs and value of insurance acquired 584,543 343,392 3G&H 927,935 9,139,527 6,370,224 15,509,751 GAIN FROM OPERATIONS BEFORE FEDERAL INCOME TAXES 1,040,491 268,051 1,308,542 Federal income taxes (benefits) 268,308 (4,543) 263,765 NET INCOME $ 772,183 $ 272,594 $ 1,044,777 NET INCOME PER SHARE: Primary $ 0.72 $ 0.87 Fully diluted N/A $ 0.85 Weighted average number of shares outstanding during the period: Primary 1,075,615 1,075,615 Fully Diluted N/A 1,167,023 20 CITIZENS FINANCIAL CORPORATION AND SUBSIDIARIES PRO FORMA CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS YEAR ENDED DECEMBER 31, 1994 AS REPORTED Integrity National Life Insurance Citizens Company Financial (Statutory- Pro Forma Pro Forma CORPORATION BASIS ADJUSTMENTS COMPANY REVENUES Premiums and other considerations $ 8,987,190 $21,415,646 $(13,661,764) 3A&C $16,741,072 Premiums ceded (1,025,612) (13,129) (1,038,741) 7,961,578 21,402,517 (13,661,764) 15,702,331 Investment income, net of expenses 2,019,926 2,501,383 (572,350) 3A&D 3,948,959 Net realized loss on investment securities (398,890) (70) 3D (398,960) Other income 5,340 65,667 71,007 9,587,954 23,969,567 (14,234,184) 19,323,337 BENEFITS AND EXPENSES Policyholder benefits 5,836,219 13,006,446 (9,915,820) 3A 8,926,845 Policyholder benefits ceded (813,902) (14,175) (828,077) 5,022,317 12,992,271 (9,915,820) 8,098,768 Interest credited on policyholder deposits 903,327 903,327 Increase (decrease) in benefit reserves (40,344) 1,661,869 (146,506) 3A,C&F 1,475,019 Commissions 1,205,891 5,183,381 (2,636,885) 3A 3,752,387 Salaries and wages 1,294,550 1,258,485 (1,017,485) 3A 1,535,550 Other general expenses 1,485,849 1,722,526 (652,365) 3A,B&C 2,556,010 Interest expense 345,287 701,124 3E 1,046,411 Policy acquisition costs deferred (473,179) (706,929) 3G (1,180,108) Amortization of deferred policy acquisition costs and value of insurance acquired 517,070 419,750 936,820 10,260,768 22,818,532 (13,955,116) 19,124,184 GAIN (LOSS) FROM OPERATIONS BEFORE FEDERAL INCOME TAXES (672,814) 1,151,035 (279,068) 199,153 Federal income taxes (benefits) (227,145) 557,226 (408,992) (78,911) NET INCOME (LOSS) $ (445,669) $ 593,809 $ 129,924 $ 278,064 NET INCOME (LOSS) PER SHARE: Primary $ (0.41) $ 0.15 Fully diluted N/A $ 0.19 Weighted average number of shares outstanding during the period: Primary 1,078,369 1,078,369 Fully Diluted N/A 1,181,109 21 NOTES TO PRO FORMA CONDENSED CONSOLIDATED FINANCIAL INFORMATION In connection with the Acquisition, the following pro forma adjustments are being made to the historical consolidated statements of operations of the Company at September 30, 1995, (Integrity National Life Insurance Company (INLIC) was consolidated into the Company at September 30, 1995) and the Company (excluding INLIC) and INLIC (on a statutory basis) for the year ended December 31, 1994. The objective of these adjustments is to illustrate the possible scope of the change in the Company's and INLIC's historical consolidated results of operations and financial position as a result of the Acquisition. The pro forma condensed consolidated statements of operations assume the Acquisition occurred as of January 1, 1994. No pro forma consolidated balance sheet amounts have been provided as an actual consolidated balance sheet has already been released as part of the September 30, 1995, 10-Q. The pro forma condensed consolidate results of operations do not purport to be indicative of the financial position or operating results which would have been achieved had the Acquisition been consummated as of the dates indicated and should not be construed as representation of future operating results. The pro forma results of operations reflect preliminary allocations of the purchase price based upon the estimated fair value of the assets acquired and liabilities assumed. The actual allocation will be based on further studies and valuations as of August 31, 1995, the designated effective date of the Acquisition. The following describes the pro forma adjustments reflected in the accompanying pro forma condensed consolidated financial statements. 1. FINANCING AND STRUCTURE OF THE ACQUISITION To consummate the Acquisition, the Company obtained a $6,400,000 bank loan. In order to obtain required approvals from insurance regulatory authorities of the state of Pennsylvania [i] the Company agreed to authorize a private placement of up to $4,070,000 of preferred stock to accredited investors, [ii] the Principal Shareholder personally guaranteed that at least $1,500,000 of the preferred stock would be sold, and [iii] the Company agreed that at least $1,500,000 of the proceeds of such sale would be used to pay down the principal amount of the $6,400,000 bank loan. The Company is required to satisfy these conditions on or before December 15, 1995. The actual amount to be placed in excess of the $1,500,000, and the use of such excess, is unknown at this time. Accordingly the pro forma financials reflect only the placement of the $1,500,000 personally guaranteed portion. If amounts in excess of the $1,500,000 are placed, they could be used for additional paydown of bank debt or to strengthen the insurance company's financial position. 2. REINSURANCE Prior to the acquisition, INLIC entered into a coinsurance and assumption reinsurance agreement with Union Bankers Insurance Company (Union Bankers), another affiliate of the seller, covering INLIC's 14,500 individual long-term care and Medicare Supplement insurance policies with annualized premium of approximately $14,800,000, leaving the remaining life and accident and health insurance business with INLIC. INLIC also transferred approximately $9,200,000 in reserves to Union Bankers. Completion of these transactions was a condition to the Company's obligations under the Stock Purchase Agreement with Southwestern Life Insurance Company because the reinsured business did not fit into the Company's current business plans. Under the agreement, Union Bankers is currently in the process of contacting INLIC policyholders and directly assuming 22 the liability. Accordingly, these statements of operations do not reflect the activity relating to this business. 3. PURCHASE ACCOUNTING MATTERS The Acquisition will be accounted for using the purchase method. The aggregate purchase price is allocated based on the estimated fair value of total assets less the estimated fair value of liabilities. The primary pro forma effects relate to the assumption the reinsurance transaction discussed above and the amortization of value assigned to the value of insurance in force, resulting from the Acquisitions. Accordingly, the following adjustments are made: a. Premiums, policyholder benefits and reserve commissions, salaries and wages, and general expenses are reduced to reflect the reinsurance of 100% of INLIC's Medicare Supplement and Long Term Care policies. In addition, investment income was reduced to reflect the reduction in investments which were used to support the reinsured liabilities. b. Other general expense reductions primarily related to the elimination of duplicate facilities, personnel and functions. c. Premiums and increase in reserves are adjusted to eliminate the effect of statutory deferred premiums on such amounts. d. Net investment income and net realized gain (loss) on investment securities were adjusted to eliminate the statutory accounting effect of the Interest Maintenance Reserve. e. Interest expense was increased to reflect interest on bank borrowings to finance the Acquisition. f. Increase in reserves were increased to adjust INLIC reserve from a statutory basis to a basis acceptable under Generally Accepted Accounting Principles (GAAP). g. Policy acquisition costs deferred and amortization of deferred policy acquisition cost and value of insurance acquired were increased to reflect the effect of INLIC on those amounts in accordance with GAAP. h. Adjusted to reflect activity, excluding the effect of business reinsured discussed above, for the period January 1, to August 31, 1995 (effective date of Acquisition). 4. IMPACT OF FEDERAL INCOME TAXES Income tax effects resulting from the above transactions have been reflected at a rateof 17%. 5. Earnings Per Share Earning per share amounts were computed assuming an issuance of $1,500,000 shares of preferred convertible stock on March 31, 1994, at a conversion price of $5.50.