05/30/2006                                                                      Confidential Company Name                                                                          Page: 1
17:22:24                                                                 ABC12340000-Confidential Location Name                                                                     
                                                                     Monthly Debit/(Credit) Statement For April 2006                                                                      
                                                                                                                                                          Claim Reserve    Claim Reserve  
                 New S                                                                                                     Total Claim     Total Claim        Change           Change     
  Claim Number   Del T   Location    Employee/(Claimant)    LossDate  St              Accident Description                  Reserves        Payments      Current Month     Year To Date  
---------------- --- - ------------ ---------------------- ---------- -- ----------------------------------------------- --------------- --------------- ---------------- ----------------
200603520850001  New O ABC12340000  Confidential           03/31/2006 IL I/D John Smith - IL -The OV stated that he was         1,200.00            0.00        1,200.00         1,200.00 
200604036200001  New C ABC12340000  Confidential           03/31/2006 IL I/D John Smith - IL - The Iv was pulling into a            0.00            0.00            0.00             0.00 
200509475780001      C ABC12340000  Confidential           09/23/2005 IL I/D David Hunter - IL - The IV was coming down        13,364.48       13,364.48            0.00        13,358.48 
200601390240001      C ABC12340000  Confidential           01/22/2006 IL I/D Catherine Magdelene - IL - The IV was in th        2,499.04        2,499.04            0.00         2,499.04 
200512356070001      C ABC12340000  Confidential           12/19/2005 IL I/D Rodney Johnson - IL - The security guard at        2,125.56        2,125.56            0.00          (374.44)
200511463130001      C ABC12340000  Confidential           11/28/2005 IL I/D Randall Brown - IL - The IV sideswiped the         1,776.42        1,776.42            0.00          (404.58)
                                                                                                                         --------------- --------------- ---------------- ----------------
                                                                                           Totals For ("Auto") Claims -->      20,965.50       19,765.50        1,200.00        16,278.50 

200604322270001  New O ABC12340000  Confidential           04/18/2006 IL EE was holding a 45 pound box with both hands          1,580.00          150.00        1,580.00         1,580.00 
200604044180001  New O ABC12340000  Confidential           04/03/2006 IL The associate was stepping down from the loadin          990.00          150.00          990.00           990.00 
200503194190001      O ABC12340000  Confidential           03/08/2005 IL The ee slipped on a set of steps and landed on       125,584.61       46,372.99            0.00        61,828.96 
200508449810001      O ABC12340000  Confidential           08/23/2005 IL EE was putting a 45 pound box of product onto a       66,216.70       20,947.58            0.00        53,460.50 
200511493700001      O ABC12340000  Confidential           11/29/2005 IL The EE is experiencing pain to his right knee,        36,482.30       19,767.63       13,119.69        35,132.30 
200511474100001      O ABC12340000  Confidential           11/21/2005 IL EE states that over a period of time, his lower       26,409.50       14,839.21        6,734.50        19,455.63 
WC608520456          O ABC12340000  Confidential           10/04/2004 IL 10/04/04 Cfr 10/25/04 Lifting A Cooler And Twis       73,851.53       41,974.68            0.00        19,430.80 
200503245740001      O ABC12340000  Confidential           03/14/2005 IL EE was driving the forklift. He hit a bump in t       69,126.25       26,713.84        2,483.25        17,683.25 
200603129870001      O ABC12340000  Confidential           03/07/2006 IL The associate sustained swelling and pain to hi       12,468.00        5,177.08            0.00        12,468.00 
200505152930001      O ABC12340000  Confidential           05/06/2005 IL The EE was pulling a container out of a rack an       39,967.91       29,486.77            0.00        10,334.43 
200511009960001      O ABC12340000  Confidential           10/31/2005 IL The ee was carrying a product up the stairs.  T       14,351.90        6,797.70            0.00         8,002.14 
200603132680001      O ABC12340000  Confidential           03/07/2006 IL While ee was reaching for a box, he began exhib        1,580.00          460.95            0.00         1,580.00 
200603224770001      O ABC12340000  Confidential           03/13/2006 IL The employee strained his lower back area while        1,580.00          770.69            0.00         1,580.00 
WC608473593          O ABC12340000  Confidential           07/28/2003 IL 07/28/03 Cfr 00/00/00   In The Restroom, Bent O       44,488.98       25,477.92            0.00             0.00 
WC608489343          O ABC12340000  Confidential           11/11/2003 IL 11/12/03 Cfr 00/00/00   Was Carrying A 45 Pound      124,440.77       95,062.65            0.00             0.00 
WC608518961          O ABC12340000  Confidential           09/16/2004 IL 09/16/04 Cfr 00-00-00 Pushing 45 Pound Containe       63,554.08       48,704.05            0.00             0.00 
WC608519590          O ABC12340000  Confidential           08/12/2004 IL 08/12/04 Cfr 00-00-00 Has R Shoulder Pain With        98,541.84       77,616.59            0.00             0.00 
200502239260001      O ABC12340000  Confidential           02/17/2005 IL The ee was lifting the product Container when h       62,172.89       43,577.15            0.00             0.00 
200601038840001      C ABC12340000  Confidential           12/05/2005 IL The EE was handling a box of product. The box b        1,420.78        1,420.78           86.28         1,420.78 
200503245400001      C ABC12340000  Confidential           03/11/2005 IL EE was walking across the work site. The ee wal        3,569.46        3,569.46            0.00         1,108.28 
200603147910001      C ABC12340000  Confidential           02/21/2006 IL The EE strained his right shoulder will pulling        1,053.97        1,053.97          618.27         1,053.97 
200603365890001      C ABC12340000  Confidential           03/20/2006 IL The EE was carrying product upstairs on his sal          794.55          794.55         (785.45)          794.55 
200602212630001      C ABC12340000  Confidential           02/13/2006 IL While unloading merchandise from the back of th          491.47          491.47            0.00           491.47 
WC608512801          C ABC12340000  Confidential           07/16/2004 IL 07/16/04 Cfr 00-00-00   Went To Pick Up A 45 Po        4,575.87        4,575.87            0.00            70.09 
200508416950001      C ABC12340000  Confidential           08/10/2005 IL While rotating, lifting, inventory the ee felt           932.75          932.75            0.00            25.97 
WC608516319          C ABC12340000  Confidential           08/16/2004 IL 08/16/04 Cfr 00/00/00  Lifting Up Boxes And Fel        1,202.22        1,202.22            0.00            17.90 
200507320200001      C ABC12340000  Confidential           07/18/2005 IL The EE was loading his vehicle with 45 pound Bo        3,532.08        3,532.08            0.00            16.47 
200510436790001      C ABC12340000  Confidential           10/24/2005 IL The ee was exchanging a freezer and felt a kink          865.35          865.35            8.05          (708.65)
200509301940001      C ABC12340000  Confidential           09/19/2005 IL The EE stepped into the back bay of his truck t          700.93          700.93            0.00          (873.07)
200511146420001      C ABC12340000  Confidential           11/07/2005 IL The EE was lifting a freezer and felt a pain in           462.16          462.16            0.00        (1,111.84)
200510073140001      C ABC12340000  Confidential           10/03/2005 IL EE was driving and turning the wheel while doin          381.27          381.27       (1,192.73)       (1,192.73)
200511339850001      C ABC12340000  Confidential           11/18/2005 IL EE was loading the product onto his hand truck           921.59          921.59            0.00        (1,322.41)
200511462890001      C ABC12340000  Confidential           11/28/2005 IL The EE sustained a bruise to his left elbow, wh          901.09          901.09            0.00        (1,442.91)
200508416680001      C ABC12340000  Confidential           08/22/2005 IL While the ee was unloading product from the tru        3,624.43        3,624.43            0.00        (2,413.97)
WC608517141          C ABC12340000  Confidential           08/27/2004 IL 08/27/04 Cfr 00-00-00 Lifting And  Stacking  1        59,093.16       59,093.16            0.00       (15,315.01)
                                                                                                                         --------------- --------------- ---------------- ----------------
                                                                                   Totals For ("Workers Comp") Claims -->     947,910.39      588,570.61       23,641.86       224,144.90 

                                                                                      Totals For ("All Lines") Claims -->     968,875.89      608,336.11       24,841.86       240,423.40 

                                                                                                                                                         =Current Month== ==Year To Date==
                                                                                                     Total Claim Costs (Reserve Changes+Tax/Handling)-->       24,841.86       240,423.40 
                                                                                                                                Fixed Insurance Costs-->       11,627.99        46,511.99 
                                                                                                                          Future Claim Reserves(IBNR)-->       11,003.64        56,364.26 
                                                                                                                                   Manual Adjustments-->            0.00             0.00 
                                                                                                                                                         ---------------- ----------------
                                                                                                                          Total Actual Debit/(Credit)-->       47,473.49       343,299.65 
 
                                                                                                                                         Total Actual-->       47,473.49       343,299.65 
                                                                                                                                         Total Budget-->       53,293.98       213,175.98 
                                                                                                                                                         ================ ================
                                                                                                                                       Total Variance-->       (5,820.49)      130,123.66 

05/30/2006 17:22:24 L5                                             ABC12340000-Confidential Location Name                                                                          Page: 1