Form X-17a-5 - Focus Report (United States Securities And Exchange Commission) Page 15
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30FINANCIAL AND OPERATIONAL COMBINED UNIFORM SINGLE REPORT
CAPITAL WITHDRAWALS
PART IIB
______________________________________________________________
________
________________________
(Name of Dealer)
As of (MM/DD/YYYY)
Ownership Equity and Subordinated Liabilities maturing or proposed to be withdrawn within the next six months and accruals, which have
not been deducted in the computation of net capital.
RECAP
1.
Equity Capital
A. Partnership Capital:
1. General Partners ..................................................................................
$ _____________________ 4700
2. Limited ..................................................................................................
_____________________
4 710
3. Undistributed Profits .............................................................................
_____________________
4 720
4. Other (describe below) .........................................................................
_____________________
4 730
5. Sole Proprietorship ...............................................................................
_____________________
4 735
B. Corporation Capital:
1. Common Stock .....................................................................................
$ _____________________ 4740
2. Preferred Stock .....................................................................................
_____________________
4 750
3. Retained Earnings (Dividends and Other) ...........................................
_____________________
4 760
4. Other (describe below) .........................................................................
_____________________
4 770
2.
Subordinated Liabilities
A. Secured Demand Notes .............................................................................
$ _____________________ 4780
B. Cash Subordinates .....................................................................................
_____________________
4 790
C. Debentures .................................................................................................
_____________________
4 800
D. Other (describe below) ...............................................................................
_____________________
4 810
3.
Other Anticipated Withdrawals
A. Bonuses ......................................................................................................
$ _____________________ 4820
B. Voluntary Contributions to Pension or Profit Sharing Plans .....................
_____________________
4 860
C. Other (describe below) ...............................................................................
_____________________
4 870
4.
Description of Other
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
5.
TOTAL ........................................................................................................................................................................
$
___________________ 4880
OMIT PENNIES
SEC 2430 (2-02) Page 15 of 28
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