UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-QSB (Mark one) |X| QUARTERLY REPORT UNDER SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 2004 |_| TRANSITION REPORT UNDER SECTION 13 OR 15 (D) OF THE EXCHANGE ACT OF 1934 for the transition period from __________ to ___________ Commission File Number: 0-06334 AssuranceAmerica Corporation (Exact name of small business issuer as specified in its charter) Nevada 87-0291240 (State of Incorporation) (IRS Employer ID Number) 5500 Interstate North Parkway, Suite 600 30328 (Address of principal executive offices) (Zip Code) (770) 952-0200 (Issuer's telephone number, including area code) (Former name, former address and former fiscal year, if changed since last report) Check whether the issuer (1) filed all reports required to be filed by Section 13 or 15(d) of the Exchange Act during the past 12 months (or such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. YES |X| NO |_| State the number of shares outstanding of each of the issuer's classes of common equity, as of the latest practicable date: 45,211,090 shares, $.01 par value, as of July 29, 2004. Transitional Small Business Disclosure Format (check one): Yes |_| No |X| ASSURANCEAMERICA CORPORATION Index to Form 10-QSB PART I - FINANCIAL INFORMATION Item 1 Financial Statements Page Consolidated Balance Sheets as of June 30, 2004 and December 31, 2003.................................3 Consolidated Statements of Income for the Three Months and Six Months Ended June 30, 2004 and June 30, 2003...........................................4 Consolidated Statements of Cash Flows for the Six Months Ended June 30, 2004 and June 30, 2003.........................................................5 Notes to Consolidated Financial Statements................................6 Item 2 Management's Discussion and Analysis or Plan of Operation...............8 Item 3 Controls and Procedures................................................11 PART II - OTHER INFORMATION Item 2 Changes in Securities and Small Business Issuer Purchases of Equity Securities...................................................12 Item 4 Submission of Matters to a Vote of Security Holders....................12 Item 6 Exhibits and Reports on Form 8-K.......................................12 Signatures....................................................................13 2 PART I - FINANCIAL INFORMATION Item 1. Financial Statements AssuranceAmerica Corporation (Unaudited) Consolidated Balance Sheets June 30, 2004 and December 31, 2003 June 30, December 31, Assets 2004 2003 Short term investments $ 2,631,182 $ 2,625,000 Cash and cash equivalents 6,882,759 3,130,553 Investment Income due and accrued 571 20,971 Receivable from insureds 5,220,554 4,332,942 Reinsurance recoverable(including $3,834,302 9,570,963 4,639,626 and $1,490,218 on paid losses) Prepaid reinsurance premium 5,882,114 4,048,201 Deferred acquisition costs 147,622 124,505 Property and equipment 931,161 1,035,975 (net of accumulated depreciation of $993,675 and $827,078) Due from related party 30,783 30,783 Prepaid expenses 171,876 157,632 Intangibles(net of accumulated amortization 3,322,122 3,322,122 of $1,097,563 and $1,097,563) Security deposits 73,324 70,016 ------------ ------------ Total assets $ 34,865,031 $ 23,538,326 ============ ============ Liabilities and equity Accounts payable and accrued expenses $ 1,879,033 $ 2,036,386 Unearned premium 8,608,440 5,861,591 Unpaid losses and loss adjustment expenses 8,195,229 4,499,152 Reinsurance payable 7,445,887 3,879,340 Provisional commission reserve 1,799,749 1,504,929 Current portion of long term debt 1,038,720 1,138,720 Long term debt, related party 5,904,658 5,904,658 Capital lease obligations 91,600 91,600 ------------ ------------ Total liabilities 34,963,316 24,916,376 Stockholder's equity Common stock, .01 par value (authorized 60,000,000, outstanding 45,211,090) 452,111 452,111 Preferred Stock (authorized 5,000,000, outstanding 240,000) 2,400 -- Surplus-paid in 15,633,851 14,456,255 Accumulated deficit (16,186,647) (16,286,416) ------------ ------------ Total stockholder's equity (98,285) (1,378,050) ------------ ------------ Total liabilities and stockholder's equity $ 34,865,031 $ 23,538,326 ============ ============ See accompanying notes to consolidated financial statements 3 AssuranceAmerica Corporation (Unaudited) Consolidated Statements of Income Three Six Month Month ----- ----- Period ended June 30, 2004 2003 2004 2003 Revenue Gross premiums written $ 7,833,482 $ 5,997,723 $ 16,337,206 $ 5,997,723 Gross premiums ceded (5,347,469) (4,198,406) (11,185,886) (4,198,406) Net premiums written 2,486,013 1,799,317 5,151,320 1,799,317 Decrease (increase) in unearned premiums, net of prepaid reinsurance premiums (176,023) (1,281,954) (912,935) (1,281,954) Net premiums earned 2,309,990 517,363 4,238,385 517,363 Commission income 2,564,250 2,013,492 5,554,880 5,357,099 Managing general agent fees 869,885 612,398 1,692,934 1,339,904 Net investment income 8,078 7,924 11,052 12,033 Other Fee Income 192,490 116,219 493,249 361,780 ------------ ------------ ------------ ------------ Total revenue 5,944,693 3,267,396 11,990,500 7,588,179 Expenses Losses and loss adjustment expenses 1,836,313 419,526 3,331,957 419,526 Selling expenses 2,593,842 1,708,677 5,192,819 4,537,374 General and administrative expense 1,438,304 1,274,464 2,954,444 2,561,483 Depreciation and amortization expense 60,300 61,108 127,877 117,032 Interest Expense 141,935 130,000 283,634 260,002 ------------ ------------ ------------ ------------ Total operating expenses 6,070,694 3,593,775 11,890,731 7,895,417 ------------ ------------ ------------ ------------ Income (loss) before provision for income (126,001) (326,379) 99,769 (307,238) tax expense Income Tax Provision -- -- -- -- ------------ ------------ ------------ ------------ Net Loss ($126,001) ($326,379) $ 99,769 ($307,238) ============ ============ ============ ============ Earnings per common share Basic (0.003) (0.01) 0.002 (0.01) Diluted (0.003) (0.01) 0.002 (0.01) Weighted average shares outstanding-basic 45,211,090 45,211,090 45,211,090 45,211,090 Weighted average shares outstanding-diluted 45,211,090 45,211,090 46,182,909 45,211,090 See accompanying notes to consolidated financial statements 4 AssuranceAmerica Corporation (Unaudited) Consolidated Statement of Cash Flows For the six months ended June 30, 2004 2003 ----------- ----------- Operating activities Net income (loss) $ 99,769 ($307,238) Adjustments to reconcile net (loss) income to net cash provided (used) by operating activities: Depreciation and amortization 127,877 117,056 Deferrred acquisition costs (23,117) (141,105) Other assets (17,552) 98,123 Reinsurance recoverable (4,931,337) (788,615) Prepaid reinsurance premiums (1,833,913) (2,991,225) Unearned premiums 2,746,849 4,226,398 Unpaid loss and loss adjustment expense 3,696,077 890,196 Other liabilities 137,467 799,448 Receivable from insureds (887,612) (2,801,524) Reinsurance payable 3,566,547 2,116,713 ----------- ----------- Net cash provided (used) by operating activities 2,681,055 1,218,203 ----------- ----------- Investing activities Investment income due and accrued 14,218 (12,043) (Purchase)/disposal of fixed assets (23,063) (309,984) Purchase of short term investments -- (2,438,331) ----------- ----------- Net cash provided(used) by investing activities (8,845) (2,760,358) ----------- ----------- Financing activities Capital Contribution 1,179,996 36,723 Payment of accrued interest (100,000) -- Note Payable -- 3,048,784 ----------- ----------- Net cash provided(used) by financing activities 1,079,996 3,085,507 ----------- ----------- Net change in cash 3,752,206 1,543,317 Cash beginning of period 3,130,553 477,197 ----------- ----------- Cash end of period $ 6,882,759 $ 2,020,549 =========== =========== See accompanying notes to consolidated financial statements 5 ASSURANCEAMERICA CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS NOTE A - THE COMPANY AND BASIS OF PRESENTATION AssuranceAmerica Insurance Company ("Carrier"), AssuranceAmerica Managing General Agency, LLC ("MGA") Trustway Insurance Agencies, LLC ("Agencies"), each indirect wholly-owned subsidiaries of AssuranceAmerica Corporation, a Nevada corporation (the "Company"), were organized to solicit, underwrite, and retain risks associated with private passenger nonstandard automobile insurance. The accompanying unaudited, consolidated, financial statements include the accounts of the Company and its wholly-owned subsidiaries. All intercompany balances and transactions have been eliminated. These unaudited financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America and in accordance with the instructions to Form 10-QSB for interim financial information. Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for complete financial statements. In the opinion of management, such statements include all adjustments (consisting of normally recurring accruals) considered necessary for fair presentation. Operating results for the quarter and six months ended June 30, 2004 are not necessarily indicative of the results that may be expected for the year ending December 31, 2004. For further information refer to the financial statements and footnotes thereto included in the Company's Form 10-KSB for the year ended December 31, 2003. Footnote disclosures, which would substantially duplicate the disclosure contained in those documents, have been omitted. Net income per share is computed in accordance with SFAS No. 128 "Earnings per Share." Contingencies In the normal course of business, the Company is named as a defendant in lawsuits related to claims and other insurance policy issues. Some of the actions request extra-contractual and/or punitive damages. These actions are vigorously defended unless a reasonable settlement appears appropriate. In the opinion of management, the ultimate outcome of litigation is not expected to be material to the Company's financial condition, results of operations, or cash flows. Income Recognition Commission income is generally recognized on the effective date of the policies. Commissions on premiums billed and collected directly by insurance companies are recorded as revenue when received. Premium adjustments, including policy cancellations, are recorded as they occur. An estimated reserve is carried for income that will not be earned due to anticipated policy cancellations. Recognition of Premium Reserves Property and liability premiums are generally recognized on a pro rata basis over the policy term. The portion of premiums that will be earned in the future are deferred and reported as unearned premiums. Deferred Policy Acquisition Costs Commissions and other costs of acquiring insurance that vary with and are primarily related to the production of new and renewal business, less ceding commissions allowed by reinsurers, are deferred and charged or credited to earnings proportionate to premiums earned. Historical and current loss and loss adjustment expense experience are considered in determining the recoverability of deferred policy acquisition costs. Start-Up Costs Start-up costs are expensed when incurred. 6 Property and Equipment Items capitalized as property and equipment are carried at historical cost. Depreciation is computed over the estimated useful lives of the assets using straight-line and accelerated methods. Depreciation expense was approximately $60,000 and $61,000 for the three months ended June 30, 2004 and 2003, respectively and $127,000 and $117,000 for the six months ended June 30, 2004 and 2003 respectively. Improvements, additions and major renewals which extend the life of an asset are capitalized. Repairs are expensed in the year incurred. Amortization of Intangible Assets Intangible assets consist of noncompetition agreements and goodwill. Intangible assets are stated at cost. Effective January 1, 2002, the Company adopted the Financial Accounting Standards Board ("FASB")'s Statement of Financial Accounting Standards ("SFAS") No. 142, "Goodwill and Other Intangible Assets". SFAS 142 requires that goodwill and certain intangibles with indefinite lives no longer be amortized, but instead be tested for impairment at least annually. The noncompetition agreements are amortized. Cash Flows For the purpose of the statements of cash flows, the Company considers all highly liquid debt instruments purchased with an original maturity of twelve months or less to be cash and cash equivalents. Estimates The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. Some material estimates that are particularly sensitive are: Return commission incurred on policies originated by MGA and Agencies - The Company has calculated a provision for return commission due to cancellation of policies before all premiums written are fully earned. This estimate is based on past Company history. The Company maintains a liability for unpaid losses and loss adjustment expense based on management's estimate of the ultimate cost to settle claims currently in process. In addition a reserve for claims that have occurred but have not been reported is also carried as a liability. The ultimate costs to settle these claims may vary from the current estimates. The Company does not discount the liability for unpaid losses and loss adjustment expense. Advertising Costs Advertising costs are expensed as incurred. Concentration of Risk The Company operates in Florida, Georgia and South Carolina and is dependent upon the economy in those states. Automobiles insured through the Carrier are principally in South Carolina and Georgia. Premium increases generally must be approved by state insurance commissioners. Income taxes The Company files a consolidated federal income tax return. The tax liability of the group is apportioned among the members of the group in accordance with the ratio, which that portion of the consolidated taxable income attributable to each member of the group having taxable income bears to the consolidated income. 7 Each entity within the consolidated group calculates its own tax provision and is directly responsible for its own tax benefits and/or expense. The Company has loss carry-forwards that may be offset against future taxable income and tax credits that may be used against future income taxes. If not used, the carry-forwards will expire between now and December 31, 2022. The loss carry-forwards at December 31, 2003 were approximately $2,710,000 and are subject to limitations each year under Section 382 of the Internal Revenue Code. After the Company's merger with AssuranceAmerica Corporation, a Georgia corporation, the Company had a net operating loss for the nine months ended December 31, 2003 of approximately $1,220,000. There was no benefit recorded for the quarter due to management's uncertainty as to the realization of the net operating loss. As a result of the net operating loss carry-forwards, the Company had a deferred tax asset of approximately $602,000 with a 100% valuation allowance for the quarter ended June 30, 2004. The Company has established the valuation allowance for its net deferred tax assets due to the uncertainty regarding the realization of these deferred income tax assets. Stock Based Compensation Under the Company's 2000 Stock Option Plan, the aggregate number of common shares authorized is currently 5,000,000. As of June 30, 2004, the Company had issued options to purchase an aggregate of 2,588,918 shares of common stock. Prior to the merger with AssuranceAmerica Corporation, a Georgia corporation, the Company had issued options to purchase 948,918 shares of common stock and AssuranceAmerica had issued options to purchase 1,300,000 shares of common stock. In connection with such merger, the outstanding options to purchase shares of AssuranceAmerica common stock were exchanged on a one-for-one basis for options to purchase shares of the Company's common stock under the Company's 2000 Stock Option Plan. The weighted-average exercise price for all options outstanding at June 30, 2004 is $1.74. The Company has adopted SFAS No. 123, "Accounting for Stock-Based Compensation" ("SFAS 123"). The provisions of SFAS 123 allow companies to either expense the estimated fair value of employee stock options or to continue to follow the intrinsic value method set forth in Accounting Principles Board ("APB") Option No.25, "Accounting for Stock Issued to Employees" ("APB No. 25"), but disclose the pro forma effects on net income had the fair value of the options been expensed. The Company has elected to apply APB No.25 in accounting for its employee stock option plan. Reclassifications Certain reclassifications have been made to the 2003 financial statements to conform to the 2004 presentation. Related Party Transactions The Company has issued certain unsecured promissory notes payable to by Guy W. Millner, the Chairman of the Company's Board of Directors, and Lawrence (Bud) Stumbaugh, the Company's President and Chief Executive Officer. The promissory notes accrue interest at a rate of 8.0% per annum. As of June 30, 2004, the amount of outstanding principal and accrued interest under such promissory notes totaled approximately $7.0 million. The promissory notes provide for the repayment of principal beginning in December 2004 in an amount equal to the greater of $500,000 or an amount equal to 25% of the Company's net income after tax, plus non-cash items, less working capital. However, the promissory notes also permit the Company to postpone any and all payments under the promissory notes without obtaining the consent of, and without giving notice or paying additional consideration. ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OR PLAN OF OPERATION The following discussion and analysis should be read in conjunction with the consolidated financial statements and notes thereto included as Item 1 of this report. This document contains "forward-looking statements" relating to future events or the Company's future financial performance within the meaning of Section 21E of the Securities Exchange Act of 1934 and that are intended to be covered by the safe harbor created thereby. These forward-looking statements are based on the beliefs of management as well as assumptions made by and information 8 currently available to management. These statements contain the words "anticipate", "believe," "expect" and words or phrases of similar import, as they relate to the Company or management. You should be aware that these "forward-looking" statements are subject to certain risks, uncertainties and assumptions related to certain factors including, without limitation, risks relating to the significant competitive pressures that the Company faces, the extensive governmental regulation of the Company's business, the availability of reinsurance, the Company's limited experience in underwriting nonstandard automobile insurance, the Company's ability to respond to future business opportunities and other risks and difficulties generally experienced by growth stage businesses. The Company undertakes no obligation to update these forward-looking statements. On April 1, 2003, a wholly-owned subsidiary of the Company merged with and into AssuranceAmerica Corporation, a Georgia corporation ("AAC"), a property and casualty-oriented holding company, focusing on the nonstandard automobile insurance markets. As a result of the merger, AAC became the surviving subsidiary of the Company. Following the merger, the Company has three operating entities, each of which is a wholly-owned subsidiary of AAC: Agencies, which owns 30 independent agencies located primarily in Florida, writing nonstandard automobile insurance, MGA, which writes nonstandard automobile insurance in Georgia and South Carolina, and Carrier, which underwrites the business written by MGA and is licensed in South Carolina and Georgia. Carrier commenced operations in April 2003. Financial Condition Investments and cash as of June 30, 2004 increased approximately $3.8 million (65%) compared to December 31, 2003. On June 30, 2004, the Company issued 240,000 shares of its Series A Convertible Preferred Stock ("Series A Preferred Stock") for aggregate consideration of $1.2 million. The balance of the increase was primarily due to cash provided by the operations of Carrier. The Company's investments are currently in money markets accounts which management believes offers the most safety regarding principal risk. Other than the securities of its wholly-owned subsidiaries, the Company has no investment in equity securities as of June 30, 2004. Receivables from insureds as of June 30, 2004 increased approximately $900,000 or 20% compared to December 31, 2003. The increase results from the Carrier's increase in written premiums over the past six months. Prepaid reinsurance premiums as of June 30, 2004 increased $1.8 million or 45%, compared to December 31, 2004. This amount represents premiums ceded by Carrier to its reinsuror that have not been fully earned. The increase results from an increase in the Carrier's written premium over the past six months. Reinsurance recoverables as of June 30, 2004, increased by approximately $5.0 million compared o December 31, 2003. The amount represents loss and loss adjustments expense, both paid and reserved, due from Carrier's reinsuror. The increase is the result of increasing loss and loss adjustment expense incurred by Carrier. Accounts payable and accrued expense as of June 30, 2004, decreased approximately $157,000 compared to December 31, 2003. The decrease is primarily related to Carrier's payment of premium taxes accrued during 2003 and paid in 2004. Unearned premiums as of June 30, 2004, increased $2.7 million compared to December 31, 2003. The amount represents premiums written by Carrier which have not been earned and the increase is the result of an increase in written premium. Unpaid losses and loss adjustments expense as of June 30, 2004, increased $3.7 million compared to December 31, 2003. The amount represents reserves for losses and loss adjustments expense for claims that have been reported and incurred as well as a reserve for claims incurred but not reported. The increase is the result of a significant increase in Carrier's claim activity. Reinsurance payables as of June 30, 2004 increased $3.6 million compared to December 31, 2003. The increase is the result on increase in Carrier's written premium and represents amounts due its reinsuror under a 70% quota share reinsurance treaty. Provisional commission reserve as of June 30, 2004 increased $295,000 compared to December 31, 2003. MGA/Carrier receives a provisional commission form Carrier's reinsuror based on written premium and is adjusted based on loss and loss adjustment expense ratios. MGA/Carrier book the difference between the minimum and provisional commissions as a liability and the increase is the result of MGA/Carrier's increase in written premium. 9 Liquidity and Capital Resources Net cash provided by operating activities for the six-month period ended June 30, 2004 was approximately $2.7 million compared to $1.2 million for the same period in 2003. The increase is primarily related to Carrier beginning operations in April 2003 resulting in only three months of operating activity in 2003 compared to six months in 2004. Investing and Financing activities for the six month period ended June 30, 2003 were primarily related to the formation and capitalization of Carrier. Financing activities for the six-month period ended June 30, 2004 included a payment of accrued interest of $100,000 to the Company's Chairman and the issuance of preferred stock resulting in additional capital of approximately $1.2 million. The Company's liquidity and capital needs have been met in the past through premium, commission and fee income and debt from its Chairman and President. The Company's debt consists of unsecured promissory notes payable to its Chairman and President. The promissory notes carry an interest rate of 8% per annum and provide for the repayment of principal beginning in December 2004 in an amount equal to the greater of $500,000 or an amount equal to 25% of the Company's net income after tax, plus non-cash items less working capital. On June 30, 2004, the Company closed on an initial capital raise of approximately $1.2 million through a private placement of equity. The Company issued 240,000 shares of Series A Preferred Stock with a semi-annual dividend of $0.20 per share. The Company anticipates a similar transaction closing in early August 2004. The growth of the Company has and will continue to strain its liquidity and capital resources. Carrier is required by the state of Georgia to maintain minimum Capital and Surplus of $3.0 million. As of June 30, 2004, Carrier's Capital and Surplus was approximately $3.1 million. Results of Operations The Company's net profit for the six-month period ended June 30, 2004 was approximately $100,000 compared to a loss of $307,000 for the same period in 2003. The Company's results for the three month period ended June 30, 2004 was a loss of $126,000 compared to a $326,000 loss for the same period in 2003. Revenue for the three and six month periods ended June 30, 2004 increased 82% and 58% respectively over the same periods in 2003. Much of the increases result from Carrier's formation in April 2003 and the resulting increase in earned premium. Operating expense for the three and six month periods ended June 30, 2004 increased 69% and 51% respectively compared to the same periods in 2003. Much of the expense increase was the result of Carrier's formation in April 2003 and the corresponding increase in losses and loss adjustment expense. Net premiums written for the three and six month periods ended June 30, 2004 increased 38% and 186% respectively. Net premiums written are premiums written by Carrier after deducting premiums ceded to its reinsuror pursuant to the reinsurance agreement. Carrier began operations in April 2003 and therefore recorded no premium for the first three months of 2003. Net premiums earned for the three and six month periods ended June 30, 2004 increased significantly compared to the corresponding periods in 2003. Premiums written are earned over the life of the policy, typically six months, and net earned premium represents Carrier's portion, net of reinsurance, of the net premiums written less the increase in unearned premiums. Commission income for the three and six month periods ended June 30, 2004 increased 27% and 4% respectively. MGA and Agencies received commissions from the carrier whose policies they sell. Commission rates vary between carriers and are applied to written premium to determine commission income. For the six month period ended June 30, 2004, MGA's written premium was 26% higher than the same period in 2003 and Agencies' written premium was 19% higher than the same period in 2003. Managing general agent fees increased 42% and 26% for the three and six month periods ended June 30, 2004 compared to 2003 respectively. The increase in fees is the result of an increase in the number of policies sold and an increase in retention rate. 10 Other fee income increased 65% and 36% respectively for the three and six month periods ended June 30, 2004 compared to corresponding periods in 2003. Agencies collects fees for various services performed and for additional products sold to insureds. The increase is the result of an increase in the number if insureds buying policies from Agencies. Losses and loss adjustment expense increased significantly for the three and six month periods ended June 30, 2004 as compared to 2003. Carrier began operations in April 2003 and therefore had relatively few losses reported by insureds during its early months of operations. Carrier's loss and loss adjustment expense for the three and six month periods ended June 30, 2004 was 79.5% and 78.6% respectively. The ratios for the corresponding periods in 2003 was 81% for both periods. Selling expenses increased 52% and 14% for the three and six month periods ended June 30, 2004 compared to the same periods in 2003. Agencies' selling expense increased 16% and 20% for the three and six month periods ended June 30, 2004 compared to the same periods in 2003. All increases are the result of increases in written premiums for both Agencies and MGA. General and administrative expense increased 13% and 15% for the three and six month periods ended June 30, 2004 compared to the same periods in 2003. Generally the increases are the result of moderate increases in the Company's general operating expenses. Interest expense increased 9% for the three and six month periods ended June 30, 2004 compared to corresponding periods in 2003. The increase resulted from interest charged on interest expense accrued but not paid in 2003. Related Party Transactions The Company has issued certain unsecured promissory notes payable to by Guy W. Millner, the Chairman of the Company's Board of Directors, and Lawrence (Bud) Stumbaugh, the Company's President and Chief Executive Officer. The promissory notes accrue interest at a rate of 8.0% per annum. As of June 30, 2004, the amount of outstanding principal and accrued interest under such promissory notes totaled approximately $7.0 million. The promissory notes provide for the repayment of principal beginning in December 2004 in an amount equal to the greater of $500,000 or an amount equal to 25% of the Company's net income after tax, plus non-cash items, less working capital. However, the promissory notes also permit the Company to postpone any and all payments under the promissory notes without obtaining the consent of, and without giving notice or paying additional consideration. Market Risk Market risk is the risk of loss from adverse changes in market prices and interest rates. Currently, the Company's investments are in money market accounts and bank certificates of deposit, both of which minimize market risk. ITEM 3. CONTROLS AND PROCEDURES As of the end of the period covered by this report, the Company carried out an evaluation, under the supervision and with the participation of the Company's Chief Executive Officer and Chief Financial Officer, of the effectiveness of the design and operation of the Company's disclosure controls and procedures in accordance with Rule 13a-15 under the Securities Exchange Act of 1934 (the "Exchange Act"). Based on this evaluation, the Company's Chief Executive Officer and Chief Financial Officer concluded that the Company's disclosure controls and procedures are effective for gathering, analyzing and disclosing the information that the Company is required to disclose in the reports it files under the Exchange Act, within the time periods specified in the SEC's rules and forms. The Company's Chief Executive Officer and Chief Financial Officer also concluded that the Company's disclosure controls and procedures are effective in timely alerting them to material information relating to the Company required to be included in its periodic SEC filings. There have been no significant changes in the Company's internal control over financial reporting that occurred 11 during the period covered by this report that have materially affected, or are reasonably likely to materially affect, the Company's internal control over financial reporting. PART II - OTHER INFORMATION ITEM 2. CHANGES IN SECURITIES AND SMALL BUSINESS ISSUER PURCHASES OF EQUITY SECURITIES On June 30, 2004, the Company sold 240,000 shares of its Series A Preferred Stock to Heritage Assurance Partners, LP ("Heritage") for $1.2 million in cash. Each share of Series A Preferred Stock is convertible into shares of common stock, at the option of the holder thereof, at any time. Each share of Series A Preferred Stock is convertible into the number of shares of common stock that results from dividing the "Conversion Value" per share by the "Conversion Price" per share in effect at the time of conversion. The number of shares of common stock into which a share of Series A Preferred Stock is convertible is referred to as the "Conversion Rate." The Conversion Price per share of Series A Preferred Stock initially in effect is $0.50 and the Conversion Value per share of Series A Preferred Stock initially in effect is equal to $5.00. The initial Conversion Price of Series A Preferred Stock is subject to adjustment in the event of issuances of common stock or securities convertible into common stock for consideration per share less than the Conversion Price in effect immediately prior to such issuance. All accrued and unpaid dividends owed to a holder of Series A Preferred Stock may be converted into a number of shares of common stock equal to the aggregate amount of such accrued but unpaid dividends owed such holder, divided by $0.50. Each share of Series A Preferred Stock will automatically convert into shares of common stock at its then effective Conversion Rate on June 28, 2006. Each share of Series A Preferred Stock will automatically convert into shares of common stock at its then effective Conversion Rate immediately prior to the closing of any public offering pursuant to an effective registration statement under the Securities Act of 1933, as amended, covering any of the Company's equity securities with aggregate proceeds to the Company, at the public offering price, of at least $20 million, before underwriting commissions and expenses, and at a per share price of at least three times the then-current Conversion Price. The Company issued the Series A Preferred Stock in reliance on the exemption from registration contained in Section 4(2) of the Securities Act of 1933, as amended. ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS At its Annual Meeting of Shareholders held on April 21, 2004, the shareholders of the Company elected the following five directors for terms to expire at the 2005 Annual Meeting of Shareholders, with votes as indicated opposite each director's name: Name of Director Votes For Votes Withheld Guy W. Millner 42,382,713 250 Lawrence Stumbaugh 42,382,713 250 Donald Ratajczak 42,382,713 250 Quill O. Healey 42,382,713 250 John E. Cay III 42,382,713 250 ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K (a) Exhibits. 4.1 Certificate of Designations Establishing the Designations, Powers, Preferences, Limitations, Restrictions and Relative Rights of Series A Convertible Preferred Stock of AssuranceAmerica Corporation. 10.1 Stock Purchase Agreement dated June 30, 2004, between the Company and Heritage Assurance Partners, L.P. 12 10.2 Registration Rights Agreement dated June 30, 2004, between the Company and Heritage Assurance Partners, L.P. 31.1 Certification of the Company's Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. 31.2 Certification of the Company's Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. 32.1 Certification of the Company's Chief Executive Officer and Chief Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. (b) Reports on Form 8-K. None. SIGNATURES In accordance with the requirements of the Exchange Act, the registrant caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. ASSURANCEAMERICA CORPORATION By: /s/ Lawrence Stumbaugh ------------------------------ Lawrence Stumbaugh President and CEO Dated: August 13, 2004 13