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Form SC-04 PEQUOT LAKES / Page 4 <br /> Projection of Surplus or(Deficit) as of December 31,2004 <br /> `— Projected Assets (Line 4) 5 496,359 <br /> 2004 Accrued Liability (Page 3,cell A) 6 565,726 <br /> Surplus or(Deficit) (Line 5 minus Line 6) 7 (69,367) <br /> Complete Section II below. <br /> Calculation of Municipal Contribution <br /> A. If Line 7 is positive,complete this section: <br /> Normal Cost (Page 3,cell C) 8 <br /> Projected Administrative Expense (2003 Admin.Exp.x 1.035) g <br /> State Fire Aid 10 <br /> Member Dues 11 <br /> 5%of Projected Assets at December 31, 2004 (Line 4 x 0.05) 12 <br /> 10%of Surplus (Line 7 x 0.10) 13 <br /> Municipal Contribution (Add Lines 8 and 9,subtract Lines 10, 11, 12 and 13) 14 <br /> B. If Line 7 is negative,complete this section: <br /> Deficit Table <br /> Year Incurred Original Amount Amt Retired 12/31/04 Left to Retire 1/1/05 <br /> 1995 0 0 0 <br /> 1996 p 0 0 <br /> 1997 p 0 0 <br /> 1998 0 0 0 Deficit(Line 7) <br /> 1999 0 0 0 A 1 69,367 <br /> 2000 0 0 0 Left to Retire Total <br /> 2001 0 0 0 B 4,952 <br /> 2002 22,443 17,829 4,614 A minus B <br /> 2003 64,753 0 64,753 C (15,585) <br /> 2004 01 1 01 1 <br /> Totals 87,19611 17,8291 69,367 <br /> If line C is positive,this is the new additional deficit for 2004. Enter the amount in Original Amount and Left <br /> to Retire Columns. If line C is negative,reduce prior deficits according to the separate Schedule instructions. <br /> Amortization of Deficit (Total of Original Amount column x 0.10) 15 8,720 <br /> Normal Cost (Page 3,cell C) 16 51,700 <br /> Projected Administrative Expense (2003 Admin. Exp.x 1.035) 17 2,125 <br /> State Fire Aid 18 25,083 <br /> Member Dues 19 0 <br /> 5% of Projected Assets at December 31, 2004 (Line 4 x 0.05) 20 24,8181 <br /> Municipal Contribution (Add Lines 15, 16 and 17,subtract Lines 18, 19 and 20) 21 12,644 <br /> The municipal contribution must be made during 2005. <br />