Form X-17a-5 - Focus Report (United States Securities And Exchange Commission) Page 16
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30FINANCIAL AND OPERATIONAL COMBINED UNIFORM SINGLE REPORT
CAPITAL WITHDRAWALS
PART IIB
______________________________________________________________________
________________________
(Name of Dealer)
As of (MM/DD/YYYY)
STATEMENT OF CHANGES IN OWNERSHIP EQUITY
(SOLE PROPRIETORSHIP, PARTNERSHIP OR CORPORATION)
1. Balance, beginning of period ...................................................................................................................................
$ ____________________ 4240
A. Net income (loss) ................................................................................................................................................
____________________ 4250
B. Additions (includes non-conforming capital of .........................................
$ _____________________ 4262
____________________ 4260
C. Deductions ........................ .........................................................................
_____________________ 4272
____________________ 4270
2. Balance, end of period (From item 1800) .................................................................................................................
$
4290
STATEMENT OF CHANGES IN LIABILITIES SUBORDINATED
TO CLAIMS OF GENERAL CREDITORS
3. Balance, beginning of period ...................................................................................................................................
$ ____________________ 4300
A. Increases .............................................................................................................................................................
____________________ 4310
B. Decreases ...........................................................................................................................................................
(__________________)_ 4320
4. Balance, end of period (From item 3520).................................................................................................................
$
4330
OMIT PENNIES
SEC 2430 (2-02) Page 16 of 28
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