One Biscayne Tower

Two South Biscayne Blvd., Suite 1500

Miami, FL 33131-1822

T 305 347 4080

F 305 347 4089
www.bipc.com

INTERPLUS LIFE CORPORATION

ATTN: ANDREA RIVERA, CEO August 17, 2023
ANDREA@INTERPLUSLIFE.COM Invoice No. 12252666
MIAMI, FL 33131

INVOICE SUMMARY

For Professional Services Rendered:

RE: CORPORATE GOVERNANCE

Our Reference: 0107308-000001

Fees: $2,029.00
Disbursements: $0.00

Total Current Invoice: $2,029.00

STATEMENT OF ACCOUNT

Invoice Date Invoice No Invoice Amount Payments/Credits Due

06/16/23 12240855 $5,000.00 $0.00 $5,000.00
07/26/23 12247728 $4,541.00 $0.00 $4,541.00

Total Prior Balance Due: $9,541.00

Current Invoice: $2,029.00

Total Due All Invoices For this Matter: $11,570.00

INCORPORATED IN PENNSYLVANIA :: TAX ID. 25-1381032

 One Biscayne Tower
Two South Biscayne Blvd., Suite 1500
Miami, FL 33131-1822

T 305 347 4080

F 305 347 4089
www.bipc.com

INTERPLUS LIFE CORPORATION

ATTN: ANDREA RIVERA, CEO August 17, 2023
ANDREA@INTERPLUSLIFE.COM Invoice No. 12252666
MIAMI, FL 33131

For Professional Services Rendered:

RE: CORPORATE GOVERNANCE

Our Reference: 0107308-000001

Date Timekeeper Narrative Hours Amount

07/03/23 J. Jimenez Correspondence with NAIC office regarding UCAA 0.20 59.00
electronic application.
07/05/23 J. Jimenez Correspondence with NAIC regarding DE Certificate of 0.30 88.50
Authority.
07/06/23 R. Montes de Oca Attend to Insurance License application and matters; 0.30 165.00
confer with Jenny Jimenez re same.
07/06/23 J. Jimenez Call with R. Montes de Oca regarding DE Life and 0.20 59.00
Health insurance application.
07/07/23 J. Jimenez Respond to correspondence from client regarding DE Life 0.20 59.00
and Health insurance application forms and schedule a
call for next week; Correspondence to R. Montes de Oca
regarding same.
07/10/23 J. Jimenez Call DE Office of Insurance Regulations and left a 1.30 383.50
voicemail; Waited on Teams call for 10 minutes but client
did not show; Email client regarding call; Rescheduled
call for later in the afternoon; Call with client regarding
questions for one of the Forms attached to the UCAA
application; Correspondence to R. Montes de Oca
regarding updates.
07/11/23 J. Jimenez Translate UCAA Application Forms from English to 4.00 N/C
Spanish and send to client.
07/12/23 R. Montes de Oca Attend to DE insurance application; review and respond 0.30 165.00
to Jenny Jimenez questions re same.
07/12/23 J. Jimenez Correspondences with representative from Delaware 0.30 88.50
Office of Insurance Regulations re: Certificate of
Authority.
07/13/23 R. Montes de Oca Attend to change of entity status; confer w/ Jenny 0.30 165.00
Jimenez re same: follow up w/ client re same
07/13/23 J. Jimenez Correspondences with representative from Delaware 0.20 59.00
Office of Insurance Regulations re: Certificate of
Authority
07/14/23 J. Jimenez Provide R. Montes de Oca update on DE Life and Health 0.20 59.00
Insurance matter.

INCORPORATED IN PENNSYLVANIA :: TAX ID. 25-1381032

 INTERPLUS LIFE CORPORATION Page 3
RE: CORPORATE GOVERNANCE August 17, 2023
0107308-000001 Invoice No. 12252666

Date Timekeeper Narrative Hours Amount

07/17/23 J. Jimenez Call with NAIC regarding UCAA primary application 1.70 501.50
where I got a demo on the program and its electronic
submission process.
07/20/23 J. Jimenez Update R. Montes de Oca in connection with my call 0.20 59.00
with a representative from NAIC/UCAA.
07/27/23 J. Jimenez Respond to client correspondence; Follow up with R. 0.20 59.00
Montes de Oca regarding UCAA Primary Application for
DE.
07/31/23 J. Jimenez Email with client to schedule call; Send client a Teams 0.20 59.00
invite for same.

Total Hours 10.10

Total Fees $2,029.00

Amount Due This Invoice: $2,029.00

INCORPORATED IN PENNSYLVANIA :: TAX ID. 25-1381032

 INTERPLUS LIFE CORPORATION Page 4
RE: CORPORATE GOVERNANCE August 17, 2023
0107308-000001 Invoice No. 12252666

TIMEKEEPER SUMMARY

Name Title Hours Rate Amount

J. Jimenez Associate 5.20 295.00 1,534.00
J. Jimenez Associate 4.00 N/C N/C
R. Montes de Oca Partner 0.90 550.00 495.00
Total 10.10 2,029.00

INCORPORATED IN PENNSYLVANIA :: TAX ID. 25-1381032

 One Biscayne Tower
Two South Biscayne Blvd., Suite 1500
Miami, FL 33131-1822

T 305 347 4080

F 305 347 4089
www.bipc.com

REMITTANCE STATEMENT

INTERPLUS LIFE CORPORATION

ATTN: ANDREA RIVERA, CEO August 17, 2023
ANDREA@INTERPLUSLIFE.COM Invoice No. 12252666
MIAMI, FL 33131

Our Reference: 0107308-000001

Client Name: INTERPLUS LIFE CORPORATION

Invoice Date: August 17, 2023

Invoice Number: 12252666

Total Due This Invoice: $2,029.00

Total Prior Balance Due: $9,541.00

Total Due All Invoices For this Matter: $11,570.00

PLEASE RETURN THIS REMITTANCE STATEMENT WITH YOUR PAYMENT

THANK YOU

Make checks payable to: Buchanan Ingersoll & Rooney

Union Trust Building
Attn: Accounting Department
501 Grant Street – Suite 200
Pittsburgh, PA 15219-4413
Tax ID: 25-1381032

Wire / ACH Information

PNC Bank, N.A.
Buchanan Ingersoll & Rooney Operating Account
Account #: 1133081072
Routing#: 043000096
SWIFT CODE: PNCCUS33
Please Reference 0107308-000001 Invoice: 12252666

Amount remitted this payment: $___________________________

RECENT FEES AND DISBURSEMENTS MAY NOT

YET BE ENTERED ON YOUR ACCOUNT AND
IF NOT, WILL BE SUBSEQUENTLY BILLED

INCORPORATED IN PENNSYLVANIA :: TAX ID. 25-1381032