(1) The financial statements which must be filed annually with the commissioner must include the following:

(a) balance sheet;

(b) statement of gain or loss from operations;

(c) statement of changes in financial position;

(d) statement of changes in capital paid up, gross paid in and contributed surplus and unassigned funds (surplus); and

(e) notes to the financial statements.

(2) The notes to the financial statement shall be those required by generally accepted accounting principles, and shall include:

(a) a reconciliation of differences, if any, between the audited financial report and the statement or form filed with the commissioner; and

(b) a summary of ownership and relationship of the company and all affiliated corporations or companies insured by the captive.