; Annex No
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Annex No

VIEWS: 6 PAGES: 4

  • pg 1
									                                                                                         SPECIMEN
Name of bank (branch of a foreign bank) ………….....                                                                                                Annex No. 5 to Decree No. 14/2004
IČO ……………..........................................................                                                                                               Strictly Reserved

Code of bank (branch of a foreign bank) …………...........                                       Part A

                                                                                    Information
                                                               about a portfolio of securities intended for trading
                                                                                          (5/...)                                                                             (in thousands SKK)
                                                Evaluation of CP by the bank                                                                Evaluation of CP by the auditor
                                                                       Acquisitio                Total        Real    Total Real    Total
                                                                                  Number of
 L. No.        Name of CP               ISIN          Face value       n price of              acquisition   value of real value of real    Difference   Reason for the change of evaluation
                                                                                    pieces
                                                                        one CP                    price      one CP value one CP value
                     1                    2                3               4         5             6           7       8      9      10        11                        12
used method of evaluation is filled-in here


                                                                                              Part B
Name of bank (branch of a foreign bank) …………….
IČO ………………..........................................................
Code of bank (branch of a foreign bank) ………………
                                                                                      Information
                                                                      about a portfolio of securities intended for sale
                                                                                                                                                                              (in thousands SKK)
                                                Evaluation of CP by the bank                                                                Evaluation of CP by the auditor
                                                                       Acquisitio                Total        Real    Total Real    Total
                                                                                  Number of
 L. No.        Name of CP               ISIN          Face value       n price of              acquisition   value of real value of real    Difference   Reason for the change of evaluation
                                                                                    pieces
                                                                          CP                      price      one CP value one CP value
                     1                    2                3               4         5             6           7       8      9      10        11                        12
used method of evaluation is filled-in here




                                                                                                  1
                                                                                                    Part C
Name of bank …......................................................
IČO .........................................................................
Code of bank (branch of a foreign bank) ..............
                                                                                              Information
                                                                                      about a portfolio of other interests
                                                                                                                                                                                (in thousands SKK)
                                                                 Evaluation of the bank                                                    Evaluation of the investment by the auditor
                                                                                                          Share of
                                                                                                            book
                                                                                                          value on
                                                                                                         registered
                                                                                                          capital of
                                                                                                             the
                                                                                                         company /                      Required     Need for
         Legal entity                                                                        Total       deposit in        Formed       formation additional
L.      (trade name)/              Number of Face value of   Acquisition                   acquisition   a compan Real provision Real       of     formation of      Reason for the change of
No.    name of security IČO / ISIN   pieces       CP       price of one CP                    price         y (%)    value    s   value provisions     OP                   evaluation
                 1                 2               3              4              5             6               7     8        9       10       11         12                    13
used method of evaluation is filled-in here




                                                                                                           2
                                                             Explanatory Notes for Filling-in
                                                                      Annex No. 5

1. Information about the whole reviewed sample is specified in the annex, not only information where an auditor came to a different evaluation than a bank or
    a branch of a foreign bank.
    The annex is drawn up in three copies, based on audited data for:
    A. individual financial statements according to Slovak accounting standards,
    B. consolidated financial statements according to Slovak accounting standards,
    A. financial statements according to international financial reporting standards (IFSR).

   The annex shall be marked by a number and the pertinent letter according to point 1, for example: „5/A“, that will be written in brackets under the name of
   the annex so that it is clear based on what data the annex has been drawn up.

2. Used abbreviations and their meaning:
   L. No. – line number,
   IČO – identification number of an organization,
   CP – security
   OP – provisions
   thousands SKK – thousands Slovak koruna.


3. Part A – Information about portfolio of securities intended for trading
  The content of this annex are tradable securities intended for trading.
     c. 11 - c. 10 – c. 8


 Part B – Information about portfolio of securities intended for sale
 The content of this annex are tradable securities intended for sale.
   c. 11 - c. 10 – c. 8


 Part C – Information about portfolio of other interest
 The content of this annex are other interests.
   c. 12 - c. 11 – c. 9
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