Balance Sheet Blank Forms

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The following document is a balance sheet template/questionnaire created by the American Association of Port Authorities to study a port’s marine operations.

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Shared by: Crisologa Lapuz
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FY 2000 AAPA Finance Survey Page 1 of 4 APPENDIX [BLANK FORM PROVIDED FYI] FY 2000 AAPA PORT FINANCE SURVEY QUESTIONNAIRE (Please report only information relative to your port's marine operations) PORT: ________________ ______________________________________________________________________________ City/State: ___________________________________________________ Prepared by: ________________________________ Phone: ____________________________________ Title: _________________________________ Fax: _________________________________ Email: ___________________________________________________ For the fiscal year ended: ___________________________ , 2000 NOTES: [no later than 12/31/2000] a) Return by July 25, 2001, to AAPA [fax: 703-684-6321]. b) Put currency in ACTUAL U.S. DOLLARS, rounded to nearest dollar. STATEMENT OF EARNINGS (FY 2000) (Actual U.S. Dollars) Line Description 1 Operating Revenue: 2 Marine Terminals (Pier Leases, Tariff Charges) 3 Other Marine Terminal Revenue (Warehouse, Land & Bldg. Rentals, etc.) 4 Total Operating Revenue [2+3] Amount (Actual US$) Line 1 $ 2 .00 3 $ 4 .00 5 6 .00 7 8 9 10 11 .00 12 .00 13 14 15 16 17 18 19 20 21 22 23 24 $ $ 25 .00 26 .00 5 Operating Expenses (Marine Related): 6 Operating and Maintenance 7 Security 8 Sales Promotion/Trade Development 9 All Other Administration 10 Depreciation 11 12 Total Operating Expenses [sum (6..10)] Operating Income [4-11] $ $ $ 13 Other Income (Expenses) 14 Interest Earned 15 Bond Interest Expense (see section 2, p.3) 16 Tax Levies 17 Contributions (total from section 3, p. 3) 18 Other Items (Specify): 19 __________________________ 20 __________________________ 21 __________________________ 22 __________________________ 23 __________________________ 24 __________________________ 25 26 Total Other Income (Expense) [sum (14..24)] NET INCOME [12+25] $ ( .00 ) A-1 FY 2000 AAPA Finance Survey Page 2 of 4 BALANCE SHEET (FY 2000) (Actual U.S. Dollars) Line Description ASSETS 27 Amount (Actual US$) Line 27 28 29 .00 30 31 32 .00 33 34 .00 35 36 37 38 39 40 41 42 43 .00 44 45 28 Current Assets: 29 Cash and Investments 30 Trade Accounts Receivable (Gross) 31 Less: Reserve for Bad Debts 32 Net Trade Accounts Receivable [30-31] 33 Other Current Assets 34 Total Current Assets [29+32+33] $ $ .00 .00 $ $ 35 Investment in Plant, Property and Equipment: 36 Land $ 37 Buildings 38 Other Improvements 39 Equipment 40 Total [sum(36..39)] $ 41 Less: Accumulated Depreciation ( 42 Construction in Progress 43 Net Investment in Plant, Prop. & Equip. [sum (40..42)] 44 Restricted Assets 45 All Other Assets 46 47 Total Current Liabilities Payable from Current Assets Total Current Liabilities Payable from 49 Restricted Assets 50 Total Current Liabilities [48+49] 51 Long-Term Liabilities 48 52 53 Total Liabilities [50+51] EQUITY TOTAL ASSETS [34+43+44+45] LIABILITIES .00 .00 ) $ $ 46 .00 47 $ .00 48 49 50 .00 51 52 .00 53 $ 54 .00 55 56 57 .00 58 .00 $ $ 54 Contributed Capital - Net 55 Retained Earnings - Restricted 56 Retained Earnings - Unrestricted 57 58 Total Equity [54+55+56] TOTAL LIABILITIES AND EQUITY [52+57] $ $ A-2 FY 2000 AAPA Finance Survey Page 3 of 4 Section 1: OUTSTANDING BONDS (List types and amounts of bonds outstanding as of the end of FY 2000) (Actual U.S. Dollars) Line 1 2 3 4 5 6 7 8 Types of Bonds Revenue Bonds G. O. Bonds Commercial Paper Conduit Financing Debt Other Debt (Specify): _______________________ Amount Outstanding (Actual US$) $ .00 Total [sum (1..7)] $ Line 1 2 3 4 5 6 7 .00 8 Section 2: DEBT SERVICE PAYMENTS (for FY 2000 ONLY) (In most cases, BUT NOT ALL, the interest section below should equal line 15) (Actual U.S. Dollars) Types of Bonds Revenue Bonds G. O. Bonds Commercial Paper Conduit Financing Other Debt Total Section 3: Principal (Actual US$) Interest (Actual US$) .00 $ Total (Actual US$) .00 $ .00 $ $ .00 $ .00 $ .00 CONTRIBUTIONS, DONATIONS AND GRANTS RECEIVED IN FY 2000 [Please show sources (federal, state, local, foundations, etc.), and types (ISTEA, EDA, etc.) -Purpose, amount, and matching funds required, too] (Actual U.S. Dollars) Source Type Purpose $ Amount .00 $ Matching Funds .00 Total Section 4: $ .00 $ .00 CARGO REPORT [FY 2000 Cargo Handled (in SHORT TONS of 2,000 Lbs.)] Line 1 2 3 4 5 6 7 Type of Cargo General Breakbulk Autos (in Short Tons) Other Ro/Ro (in Short Tons) Containerized (in Short Tons Dry Bulk Liquid Bulk Total Short Tons [sum (1..6)] Actual Tonnage (Short Tons) ST ST A-3 FY 2000 AAPA Finance Survey Page 4 of 4 SALES OFFICES (Number of sales promotion/trade development field offices and personnel, including those in the port city) Foreign Offices Personnnel (number) Domestic Offices Personnel (number) _________ _________ _________ _________ TYPE OF OPERATION (Please check only one) Non-operating Operating Limited Operating (combination) _________ _________ _________ TYPE OF GOVERNMENTAL AGENCY (Please check only one) (1) Bi-state Authority (2) State Department, Authority or Agency (3) County Department, Authority or Agency (4) Municipal Agency (5) Special Purpose Port/Navigation District or Authority (6) Canada Port Authority (7) Other (Specify):_______________________________ _________ _________ _________ _________ _________ _________ _________ EXTENT OF PLANNING (Please check all applicable and indicate year plan was adopted and/or last modified) Type of Plan Strategic Plan Marketing Plan Financial Plan Development Plan (for facilities, etc.) Yes No Year adopted or last revised A-4

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