Form Adv-W - Notice Of Withdrawal From Registration As An Investment Adviser Page 11
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11FORM ADV-W
Your Name: ____________________________
SEC File No.: __________________
Schedule W2
Date: __________________________________
CRD No.: _____________________
(Pape r Ve rsion)
If you answered “ yes” to Items 3, 4, or 6 of Form ADV-W, you are required to complete this Schedule W2. T his 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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