<?xml version="1.0" encoding="utf-8"?>
<ns2:statementPovedRequest xmlns:ns2="http://ws.fss.ru/integration/types/rust/poved/v01">
  <insurerInfo>
    <regNumFund>1234123412</regNumFund>
    <codeTerrOrg>11111</codeTerrOrg>
    <inn>009667871264</inn>
    <ogrn>5191575896573</ogrn>
    <kpp>990000002</kpp>
    <startDate>2016-11-30</startDate>
    <registrationDate>2016-11-30</registrationDate>
    <registrationPlace>г. Калуга</registrationPlace>
    <state>false</state>
    <uncommercial>false</uncommercial>
    <jurAddress>123112, г. Москва, г Москва, ул Тестовская</jurAddress>
    <ceoName>Карпова Нонна Геннадиевна</ceoName>
    <cfoName>Зазымин Олег Николаевич</cfoName>
    <emplCount>1</emplCount>
    <year>2023</year>
  </insurerInfo>
  <okved>
    <codeOKVED2>30.11</codeOKVED2>
  </okved>
  <incomeDistribution>
    <codeOKVED2>30.11</codeOKVED2>
    <incomeVED>0</incomeVED>
    <targetedIncome>0</targetedIncome>
  </incomeDistribution>
</ns2:statementPovedRequest>