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pdfBE-577
OMB No. 0608-0004: Approval Expires 05/31/2009
Affiliate ID
(REV. 2/2007)
1. If revised filing – Mark (X) here
2. Quarter ending date – For this report, choose the date range within which the
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 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
M-100
1441 L Street, NW
Washington, DC 20005
FAX
REPORTS
TO:
202– 606–5305
2 0
2/16–5/15
5/16–8/15
8/16–11/15
Year
11/16–2/15
3. Name of U.S. Reporter
4. U.S. Reporter mailing address. Generally, each U.S. Reporter has 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.
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
8. If affiliate’s industry classification has changed,
or if this is an initial filing, enter correct ISI code.
(See BE-577 Instructions, pages 4–5.)
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. Please read the 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
Yes
No
ISI code
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 Certification 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 reported 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
For affiliates that are foreign banking affiliates of U.S. parents that are also
banks, report only interest received on permanent invested debt capital.
Report amounts in thousands of U.S. dollars
U.S. Receipts – credited to U.S. Payments – credited
U.S. Reporter or charged to
to foreign affiliate or
foreign affiliate
charged 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.
Report amounts in thousands of U.S. dollars
Do not net items 19 and 20. (For affiliates that are foreign banking affiliates
Beginning of quarter
End of quarter
of U.S. parents that are also banks, item 19 should reflect only those amounts
that the U.S. Reporter considers to be permanent invested debt capital and
(1)
(2)
item 20 should be blank.)
221
222
19. Owed to U.S. Reporter by affiliate (U.S. Receivables)
231
232
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 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 in
thousands of U.S. dollars
Report amounts based on the U.S. Reporter’s percentage of direct equity interest in the foreign affiliate.
313
29. Quarterly provision for loan loss – Amount charged to the loan loss reserve account.
Part V
Annual
Month
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.
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 YEAR END (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
35.
Retained earnings (deficit)
36.
Accumulated other comprehensive income (loss):
Translation adjustment component
372
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.)
CERTIFICATION OF EXEMPTION
Complete A or mark (X) in 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)
Page 2
FORM BE-577 (REV. 2/2007)
File Type | application/pdf |
File Modified | 2007-02-27 |
File Created | 2007-02-27 |