324x Filetype XLSX File size 0.03 MB Source: www.tn.gov
Sheet 1: Cover Sheet
| Tennessee Higher Education Commission / Division of Postsecondary State Authorization | |||||||||
| Financial Statement Cover Page | |||||||||
| THE FOLLOWING INDIVIDUAL IS AUTHORIZED TO BE CONTACTED REGARDING THE INSTITUTION'S FINANCIAL MATTERS: | |||||||||
| Institution Name: | |||||||||
| Financial Statement Preparer : | |||||||||
| Preparer's Title: | |||||||||
| Telephone Number: | Fax Number: | ||||||||
| Email Address: | |||||||||
| Street Address: | |||||||||
| City: | State: | Zip: | |||||||
| Are the financial statements prepared by a Certified Public Accountant: | YES: | NO: | |||||||
| Are the financial statements prepared by a bookkeeper certified by the National Association of Certified Public Bookkeepers: | YES: | NO: | |||||||
| Institution's Fiscal Year: | Beginning Date: | Ending Date: | |||||||
| Basis of Acounting: | |||||||||
| Signature: | |||||||||
| * Please ensure the forms are typed | |||||||||
| * For questions concerning completion of the financial statements, please contact: | |||||||||
| Stephanie Strong: | Email: | Stephanie.L.Strong@tn.gov | Phone: | (615) 253-7467 | |||||
| Balance Sheet | ||||||||||
| Balance Sheet prepared for [INSERT NAME OF INSTITUTION] | ||||||||||
| Reporting Period: | ||||||||||
| ASSETS | ||||||||||
| 1 | Current Assets | |||||||||
| 2 | Cash on Hand - Unrestricted | |||||||||
| 3 | Cash - Restricted | |||||||||
| 4 | Accounts Receivable, Students (Net) | |||||||||
| 5 | Accounts Receivable, Related Parties | |||||||||
| 6 | Accounts Receivable, Other | |||||||||
| 7 | Notes Receivable, Related Parties | |||||||||
| 8 | Inventory- Books & Supplies | |||||||||
| 9 | Other Current Assets | |||||||||
| 10 | Total Current Assets | $0.00 | $0.00 | |||||||
| 11 | ||||||||||
| 12 | Fixed Assets | |||||||||
| 13 | Buildings | |||||||||
| 14 | Accumulated Depreciation- Buildings | |||||||||
| 15 | Furniture and Equipment | |||||||||
| 16 | Accumulated Depreciation- Furniture and Equipment | |||||||||
| 17 | Leasehold Improvements | |||||||||
| 18 | Amortization of Leashold Improvements | |||||||||
| 19 | Library | |||||||||
| 20 | Accumulated Depreciation- Library | |||||||||
| 21 | Land | |||||||||
| 22 | Other Fixed Assets | |||||||||
| 23 | Accumulated Depreciation- Other Fixed Assets | |||||||||
| 24 | Total Fixed Assets | $0.00 | $0.00 | |||||||
| 25 | ||||||||||
| 26 | Other Assets | |||||||||
| 27 | Deposits | |||||||||
| 28 | Prepaid Expenses | |||||||||
| 29 | Goodwill | |||||||||
| 30 | Other Assets | |||||||||
| 31 | Total Other Assets | $0.00 | $0.00 | |||||||
| 32 | ||||||||||
| 33 | Total Assets | $0.00 | $0.00 | |||||||
| LIABILITIES | ||||||||||
| 34 | Current Liabilities | |||||||||
| 35 | Accounts Payable - Trade | |||||||||
| 36 | Notes Payable- Equipment | |||||||||
| 37 | Notes Payable- Other | |||||||||
| 38 | Tuition Refunds Payable | |||||||||
| 39 | Current Portion of Notes or Bonds Payable | |||||||||
| 40 | Current Portion of Mortgage Payable | |||||||||
| 41 | Payroll Taxes Payable | |||||||||
| 42 | Accrued Salary and Wages | |||||||||
| 43 | Unearned Tuition | |||||||||
| 44 | Unearned Dormitory Fees | |||||||||
| 45 | Other Current Liabilities | |||||||||
| 46 | Total Current Liabilities | $0.00 | $0.00 | |||||||
| 47 | ||||||||||
| 48 | Long-Term Liabilities | |||||||||
| 49 | Note or Bond Payable (Net of Current Portion) | |||||||||
| 50 | Mortgage Payable (Net of Current Portion) | |||||||||
| 51 | Other Long-Term Liabailities | |||||||||
| 52 | Total Long-Term Liabilities | $0.00 | $0.00 | |||||||
| 53 | Total Liabilities | $0.00 | $0.00 | |||||||
| STOCKHOLDER'S / OWNER'S EQUITY | ||||||||||
| 54 | Stockholder's / Owner's Equity | |||||||||
| 55 | Retained Earnings | |||||||||
| 56 | Beginning Balance | $0.00 | ||||||||
| 57 | Net Income / (Loss) | $- | ||||||||
| 58 | Deduct: Dividends / Distributions | |||||||||
| 59 | Other Retained Earnings Changes | |||||||||
| 60 | Retained Earnings (Ending Balance) | $0.00 | $0.00 | |||||||
| 61 | Preferred Stock | |||||||||
| 62 | Common Stock | |||||||||
| 63 | Other Equity | |||||||||
| 64 | Total Stockholder's Equity | $0.00 | $0.00 | |||||||
| 65 | ||||||||||
| 66 | Total Liabilities and Stockholder's / Owner's Equity | $0.00 | $0.00 | |||||||
| Note that the Line 33 should equal Line 66. | ||||||||||
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