| Profit and Loss Statement |
| <Company Name> |
| For the <Month or Year> ending <Month-Day-Year> | | | | | | Stated in 000s |
| Gross margin [L/J] | - |
| Return on sales [T/J] | - |
| | Year 1 | Year 1 as % of Sales | Year 2 | Year 2 as % of Sales | Year 3 | Year 3 as % of Sales |
| Sales Revenue |
| Product/Service 1 | | - | | - | | - |
| Product/Service 2 | | - | | - | | - |
| Product/Service 3 | | - | | - | | - |
| Product/Service 4 | | - | | - | | - |
| Total Sales Revenue [J] | 0 | - | 0 | - | 0 | - |
| Cost of Sales |
| Product/Service 1 | | - | | - | | - |
| Product/Service 2 | | - | | - | | - |
| Product/Service 3 | | - | | - | | - |
| Product/Service 4 | | - | | - | | - |
| Total Cost of Sales [K] | 0 | - | 0 | - | 0 | - |
| Gross Profit [L=J-K] | 0 | - | 0 | - | 0 | - |
| Operating Expenses |
| Sales and Marketing |
| Advertising | | - | | - | | - |
| Direct marketing | | - | | - | | - |
| Other expenses (specify) | | - | | - | | - |
| Other expenses (specify) | | - | | - | | - |
| Total Sales and Marketing Expenses [M] | 0 | - | 0 | - | 0 | - |
| Research and Development |
| Technology licenses | | - | | - | | - |
| Patents | | - | | - | | - |
| Other expenses (specify) | | - | | - | | - |
| Other expenses (specify) | | - | | - | | - |
| Total Research and Development Expenses [N] | 0 | - | 0 | - | 0 | - |
| General and Adminstrative |
| Wages and salaries | | - | | - | | - |
| Outside services | | - | | - | | - |
| Supplies | | - | | - | | - |
| Meals and entertainment | | - | | - | | - |
| Rent | | - | | - | | - |
| Telephone | | - | | - | | - |
| Utilities | | - | | - | | - |
| Depreciation | | - | | - | | - |
| Insurance | | - | | - | | - |
| Repairs and maintenance | | - | | - | | - |
| Other expenses (specify) | | - | | - | | - |
| Other expenses (specify) | | - | | - | | - |
| Total General and Adminstrative Expenses [O] | 0 | - | 0 | - | 0 | - |
| Total Operating Expenses [P=M+N+O] | 0 | - | 0 | - | 0 | - |
| Income from Operations [Q=L-P] | 0 | - | 0 | - | 0 | - |
| Other Income [R] | | - | | - | | - |
| Taxes |
| Income taxes | | - | | - | | - |
| Payroll taxes | | - | | - | | - |
| Real estate taxes | | - | | - | | - |
| Other taxes (specify) | | - | | - | | - |
| Other taxes (specify) | | - | | - | | - |
| Total Taxes [S] | 0 | - | 0 | - | 0 | - |
| Net Profit [T=Q+R-S] | 0 | - | 0 | - | 0 | - |