Form BE-577 Direct transactions of U.S. Reporter with Foreign Affili

BE-577

OMB No. 0608-0004: Approval Expires 05/31/2009

(REV. 1/2007)

Affiliate ID
1. If this is a revised filing – Mark (X) here
2. Quarter ending data – For this report, choose the data range within which this
foreign affiliate’s quarter ends. For example, for the quarter ending 12/31, choose
the range 11/16–2/15. Mark (X) one item below and enter the four-digit year.

DIRECT TRANSACTIONS OF U.S.
REPORTER WITH FOREIGN AFFILIATE
MANDATORY –
CONFIDENTIAL QUARTERLY REPORT
MAIL
REPORTS
TO:

U.S. Department of Commerce
Bureau of Economic Analysis
BE-69(Q)
Washington, DC 20230

DELIVER
REPORTS
TO:

U.S. Department of Commerce
Bureau of Economic Analysis,
BE-69(Q)
Shipping and Receiving Section,
M100
1441 L Street, NW
Washington, DC 20005

FAX
REPORTS
TO:

202– 606–5305

2/16–5/15

5/16–8/15
8/16–11/15
Quarter ending date
3. Name of U.S. Reporter

11/16–2/15
Year

4. U.S. Reporter mailing address – indicate any corrections for future BE-577 mailings.
Generally, each U.S. Reporter will have a single address for all its BE-577 reports.

OR

OR

Public burden for this collection of information is estimated
to average 1 hour per response (form). This burden
includes the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of
information. Send comments regarding this burden
estimate to Director, Bureau of Economic Analysis (BE-1),
U.S. Department of Commerce, Washington, DC 20230; and
to the Office of Management and Budget, Paperwork
Reduction Project (0608-0004), Washington, DC 20503.
CONTACT US FOR HELP:
Email:

be577@bea.gov

Telephone:

202–606–5557 between
8:00 a.m. and 4:30 p.m. eastern time

Copies of form and instructions:
http://www.bea.gov/bea/surveys/diasurv.htm

IMPORTANT – This report covers items received from,
paid to, or entered into intercompany accounts with the
foreign affiliate. Read BE-577 Instructions before
completing this form. DATA SHOULD BE BASED ON
THE BOOKS OF THE U.S. REPORTER EXCEPT FOR
ITEMS 11–14, AND 30–38, WHICH SHOULD BE
BASED ON THE BOOKS OF THE FOREIGN
AFFILIATE.
Part I
Quarterly

5. Name of foreign affiliate

6. Country of location (country where affiliate’s physical assets are located or
primary activity is carried out) – may differ from country of incorporation

7. Foreign affiliate is incorporated in country of location
Yes
No
8. If an affiliate’s industry classification has changed, or
ISI code
if this is an initial filing, enter correct ISI code at right.
(See BE-577 Instructions, page 4.)
9. If affiliate’s reporting status changed during period – Mark (X) one
Final report – Affiliate was:
Initial report –
Merged or reorganized – Attach explanation.
Affiliate was not
Sold or seized ⎫
previously reported –
⎬ Also complete Part III.
Complete Parts III and V.
Liquidated
⎭
Exempt – Affiliate fell below exemption level –
Resumed report –
Complete Certificate of Exemption
Affiliate was
(on reverse side).
previously reported
Month Day
Year
Inactivated
but became
temporarily exempt
For final report – Specify
date of status change
10. If the U.S. Reporter does not hold a direct equity
Affiliate ID number
interest in the foreign affiliate named in item 5, give
the ID number of the foreign affiliate in this affiliate’s
ownership chain that is directly owned by the U.S.
Reporter. Complete only Part II quarterly.

Report amounts in
thousands of U.S. dollars

U.S. REPORTER’S DIRECT EQUITY IN FOREIGN AFFILIATE’S

101

11. Quarterly net income (loss) after provision for foreign income taxes
• For items 12 and 13: Certain realized and unrealized gains (losses) (excluding translation adjustments) after provision
for foreign income taxes
12. Included in item 11 – See Additional Instructions.
13.

Not included in item 11, but taken to other comprehensive income, excluding translation adjustments for an
incorporated affiliate, or to owners’ equity for an unincorporated affiliate – See Additional Instructions.

111

121

131

14. Change in balance sheet translation adjustment account during quarter
15. Dividends on common and preferred stock (exclude stock and liquidating dividends) of incorporated foreign affiliate
or distributed earnings of unincorporated foreign affiliate – Gross amount

141

151

16. Tax withheld on dividends or distributed earnings in item 15
161

17. Dividends on common and preferred stock of incorporated foreign affiliate or distributed
earnings of unincorporated foreign affiliate – Net amount (item 15 less item 16)
Part II
Quarterly

INTEREST RECEIPTS AND PAYMENTS (GROSS OF WITHHOLDING TAXES)
BETWEEN U.S. REPORTER AND FOREIGN AFFILIATE DURING QUARTER
For affiliates that are foreign banking affiliates of U.S. parents that are also
banks, report interest on permanent invested debt capital only.

Report amounts in thousands of U.S. dollars
U.S. Receipts – credited to U.S. Payments – credited to
U.S. Reporter or charged to foreign affiliate or charged
foreign affiliate
to U.S. Reporter
(1)
171

(2)
172

18. Interest on amounts reported in items 19 and 20, including interest on capital leases
DEBT AND OTHER INTERCOMPANY BALANCES BETWEEN U.S. REPORTER AND FOREIGN AFFILIATE
Include current and long-term items, indebtedness resulting from a capital lease,
and the net book value of equipment under a long-term operating lease. Do not
Report amounts in thousands of U.S. dollars
net items 19 and 20. (For affiliates that are foreign banking affiliates of U.S.
parents that are also banks, item 19 should reflect only those amounts that the
Beginning of quarter
End of quarter
U.S. Reporter considers to be permanent invested debt capital and item 20
(1)
(2)
should be blank.)
221

222

231

232

19. Owed to U.S. Reporter by affiliate (U.S. Receivables)
20. Owed to affiliate by U.S. Reporter (U.S. Payables)

BEA USE ONLY

462

463

464

465

466

467

468

469

Part III
Quarterly

CHANGE DURING THE QUARTER IN U.S. REPORTER’S EQUITY IN CAPITAL STOCK AND/OR ADDITIONAL PAID-IN
CAPITAL OF INCORPORATED FOREIGN AFFILIATE OR EQUITY INVESTMENT IN UNINCORPORATED FOREIGN
AFFILIATE
Report transactions during the quarter that changed the U.S. Reporter’s equity holdings in the foreign
affiliate. Include equity changes due to treasury stock transactions with the U.S. Reporter and liquidating
dividends. Exclude equity changes due to net income or (loss), stock and cash dividends, earnings
distributions, balance sheet translation adjustments, treasury stock transactions with persons other than
the U.S. Reporter and reorganizations in capital structure that do not affect total equity. Report all
amounts at transaction value, i.e., the value of the consideration given (received) by the U.S. Reporter.

• Increase in U.S. Reporter’s equity interest in this affiliate

Amount paid or received
Report amounts in
thousands of U.S. dollars
(1)
242

21. Establishment of affiliate or acquisition (partial or total) of equity interest in this affiliate by U.S.
Reporter either from this affiliate or from other foreign persons

252

22. Capital contributions and other transactions
of the U.S. Reporter with foreign persons that
increase equity in this affiliate – Specify
262

23. Acquisition (partial or total) of equity interest in
this affiliate by U.S. Reporter from other U.S.
persons – Give name and address of seller
272

• Decrease in U.S. Reporter’s equity interest in this affiliate
24. Liquidation of affiliate or sale (partial or total) of equity interest in this affiliate by the U.S. Reporter either to
the affiliate or to other foreign persons

282

25. Return of capital contributions and other transactions
of the U.S. Reporter with foreign persons that
decrease equity in this affiliate – Specify
292

26. Sale (partial or total) of equity interest in this
affiliate by U.S. Reporter to other U.S. persons –
Give name and address of new owner
• For items 21 through 26 – Enter the amounts by which the transaction value —

For acquisition
(1)

For liquidation or sale
(2)

301

302

311

312

27. Exceeds the value carried on the books of the affiliate
28. Is less than the value carried on the books of the affiliate
Part IV
Quarterly

PROVISION FOR LOAN LOSS OF FOREIGN BANK AFFILIATES TO BE COMPLETED FOR
AFFILIATES IN BANKING ONLY

Report amounts based on the U.S. Reporter’s percentage of direct equity interest in the foreign affiliate.
29. Quarterly provision for loan loss – Amount charged to the loan loss reserve account during the quarter.

Part V
Annual

SELECTED ANNUAL DATA – TO BE COMPLETED ONCE EACH YEAR
Complete items below once a year, no later than the second report following the close of the fiscal
year. If an initial report, complete items 30–38 as of the ending date of the quarter for the initial report.

Report amounts in
thousands of U.S. dollars
313

Month

Day

Year

322

30. Foreign affiliate’s fiscal year (or, if an initial report, for quarter) ending date.
332

31. U.S. Reporter’s percent of direct ownership based on equity interest if an incorporated affiliate, or an
equivalent interest in an unincorporated affiliate. Round to the nearest percent.
Section A
Annual

%

U.S. REPORTER’S EQUITY IN FOREIGN AFFILIATE’S ANNUAL NET INCOME

Report amounts in
thousands of U.S. dollars
342

32. U.S. Reporter’s direct equity in affiliate’s annual net income (loss) after provision for foreign income taxes
Section B
Annual

U.S. REPORTER’S SHARE OF TOTAL OWNERS’ EQUITY IN FOREIGN
AFFILIATE AT YEAREND (OR QUARTER END IF AN INITIAL REPORT)

Report amounts in
thousands of U.S. dollars
352

U.S. Reporter’s direct equity in foreign affiliate as of the date given in item 30
• Incorporated foreign affiliate –
33.

Total equity – Equals the sum of items 34 through 37.
362

34.

Capital stock and additional paid-in capital
372

35.

Retained earnings (deficit)

36.

Accumulated other comprehensive income (loss):
Translation adjustment component

382

392

37.

All other components including other comprehensive income

38. • Unincorporated foreign affiliate – U.S. Reporter’s share of total owners’ equity. (In calculating owner’s
equity, assets, or liabilities of the affiliate carried on any owners’, as well as those carried on the affiliate’s,
books should be included. Owner’s equity should include cumulative earnings not distributed.)

CERTIFICATE OF EXEMPTION

Complete A or mark (X) B below to indicate reason affiliate
is exempt. See "Reporting Requirements" for determining
exempt status.

Amount – Report
amounts in thousands of
U.S. dollars

A. The affiliate is exempt because none of the three items listed below was greater than
$40 million (positive or negative) at any time during the affiliate’s fiscal year.

(1)
481

402

Amounts in 39, 40, and 41
are for affiliate’s
fiscal year ending
(2)
Month

Day

Year

502

39. Total assets,
491

40. Annual sales or gross operating revenues, excluding sales taxes, and
501

41. Annual net income after provision for foreign income taxes.
B.

The affiliate is exempt because it is indirectly owned and neither of the following items exceeds $1 million.
• Item 19, column (2) (foreign affiliate’s end-of-quarter payables to the U.S. Reporter)
• Item 20, column (2) (foreign affiliate’s end-of-quarter receivables from the U.S. Reporter)

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FORM BE-577 (REV. 1/2007)