Individual Cpa Certificate Renewal - Minnesota Board Of Accountancy - 2018 Page 5
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CPE REPORTING TABLE
already reported your CPE through the Board’s
Complete this form if you
have not
Online Services
and you did not claim exemption on
page 3 (Question
8A).
FISCAL YEAR 2015 (Hours completed July 1, 2014 to June 30, 2015)
Self-Study Course
Course Hours from
Hours from a NASBA
Course Hours from
Non-Approved
Approved Self-Study
Approved Sponsors
Sponsors
Type of Credits
Sponsor
Total
(Not including self-study)
(Not including self-study)
General
Ethics
Personal Development
Teaching
N/A
Writing
Total for fiscal year ending June 30, 2015
FISCAL YEAR 2016 (Hours completed July 1, 2015 to June 30, 2016)
Self-Study Course
Course Hours from
Hours from a NASBA
Course Hours from
Non-Approved
Approved Self-Study
Approved Sponsors
Sponsors
Type of Credits
Sponsor
Total
(Not including self-study)
(Not including self-study)
General
Ethics
Personal Development
Teaching
N/A
Writing
Total for fiscal year ending June 30, 2016
FISCAL YEAR 2017 (Hours completed July 1, 2016 to June 30, 2017)
Self-Study Course
Course Hours from
Hours from a NASBA-
Course Hours from
Non-Approved
Approved Self-Study
Approved Sponsors
Sponsors
Type of Credits
Sponsor
Total
(Not including self-study)
(Not including self-study)
General
Ethics
Personal Development
Teaching
N/A
Writing
Total for fiscal year ending June 30, 2017
Carryback hours used to satisfy the minimum requirements
(Include copies of certificates of completion for carryback hours.)
Grand Total for Three Years
(Must meet minimum requirement of 120 hours)
CPA Certificate Renewal Form—Page 4 of 6
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