182x 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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