Form 480.70(Oe) - Informative Return For Income Tax Exempt Organizations - Puerto Rico Department Of The Treasury Page 3

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Income Tax Exempt Organizations - Page 3
Form 480.70(OE) Rev. 05.00
Balance Sheet
Part IV
Beginning of the year
Ending of the year
Total
Total
Assets
1.
Cash .....................................................................
00
00
(1)
2.
Notes and accounts receivable ............................
00
00
(2)
(
)
(
)
Less: Reserve for bad debts....................... ........
00
00
00
00
3.
Inventories ...........................................................
00
00
(3)
4.
Investments in governmental obligations ...............
00
00
(4)
5.
Investments in non-governmental funds ................
00
00
(5)
6.
Investments in corporate stocks (see instructions
Part IV) ..................................................................
00
00
(6)
7.
Other investments (submit detail) ........................
00
00
(7)
8.
Capital assets
(a) Depreciable or depletable assets
(submit itemized schedule) .................................
00
00
(8a)
(
)
(
)
Less: Reserve for depreciation (or depletion)
00
00
00
00
(b) Land ..............................................................
00
00
(8b)
9.
Other assets (itemize) .......................................
00
00
(9)
10.
Total Assets .......................................................
00
00
(10)
Liabilities
11.
Accounts payable ..................................................
00
00
(11)
12.
Bonds, notes and mortgages payable
(a) with original maturity date of less than 1 year....
00
00
(12a)
(b) with original maturity date of 1 year or more .....
00
00
(12b)
13.
Other liabilities (submit detail) ..............................
00
00
(13)
14.
Total Liabilities ..................................................
00
00
(14)
Stockholder's Equity
15.
Capital stock
(a) Preferred stocks ..........................................
00
00
(15a)
(b) Common stocks .............................................
00
00
(15b)
16.
Membership certificates .....................................
00
00
(16)
17.
Paid-in capital or capital surplus (donated capital
if a trust) ................................................................
00
00
(17)
18.
Surplus reserves (itemize) ..................................
00
00
(18)
19.
Earned surplus and undivided profits ..........................
00
00
(19)
20.
Total Stockholder's Equity ...............................
00
00
(20)
21.
Total Liabilities and Stockholder's Equity ........
(21)
00
00
Part V
List of Officials, Directors or Employees Who Occupy Key Positions
Contributions to
Number
of
Allowances or
pension plans or
weekly hours
Social Security Number
Name and title
Compensation
expenses
deferred
dedicated to
account
compensation
the institution
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00

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