Form Adv-W - Notice Of Withdrawal From Registration As An Investment Adviser Page 9
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9FORM ADV-W
Your Name: ______________________________
SEC File No.: ___________________
Schedule W2
CRD No.: ______________________
Date: ___________________________________
(Paper Version)
If you answered “yes” to Items 3, 4, or 6 of Form ADV-W, you are required to complete this Schedule W2. This balance sheet must be prepared
in accordance with generally accepted accounting principles, but need not be audited.
I.
Assets
Current Assets
Cash
____________________________
Securities at Market
____________________________
Non-Marketable Securities
____________________________
Other Current Assets
____________________________
Total Current Assets
$___________________________
Fixed Assets
Total Fixed Assets
$___________________________
TOTAL ASSETS
$
LIABILITIES & SHAREHOLDERS’ EQUITY
Current Liabilities
Prepaid Advisory Fees
____________________________
Short-Term Loans from Clients
____________________________
Other Short-Term Loans
____________________________
Other Current Liabilities
____________________________
Total Current Liabilities
$___________________________
Fixed Liabilities
Long-Term Debt Owed to Clients
____________________________
Other Long-Term Debt
____________________________
Other Long-Term Liabilities
____________________________
Total Fixed Liabilities
$___________________________
Shareholders’ Equity
Total Shareholders’ Equity (or Deficit)
$___________________________
TOTAL LIABILITIES AND SHAREHOLDERS’ EQUITY
$
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