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Finance - Private not-for-profit institutions and Public insitutions using FASB standards
General Information
Finance - FASB Institutions
To the extent possible, the finance data requested in this report should be provided from your institution's audited General Purpos
Statement (GPFS). Please refer to the instructions specific to each page of the survey for detailed instruction and references.
1. Fiscal Year calendar
This report covers financial activities for the 12-month fiscal year: (The fiscal year reported should be the most recent fiscal
before October 1, 2006.)
Beginning: month/year (MMYYYY) Month: Year:
And ending: month/year (MMYYYY) Month: Year:
2. Audit Opinion
Did your institution receive an unqualified opinion on its General Purpose Financial Statements from your auditor for the
noted above? (If your institution is audited only in combination with another entity, answer this question based on the audit of tha
Unqualified Qualified (Explain in Caveats below) Don't know (Explain in Caveats below)
3. Does this institution or any of its foundations or other affiliated organizations own endowment assets ?
Yes (report endowment assets)
No
4. If your institution participates in intercollegiate athletics, are the expenses accounted for as auxiliary enterprises or tr
student services?
Auxiliary enterprises
Student services
Does not participate in intercollegiate athletics
Other (specify in caveats box below)
5. Does your institution account for Pell grants as pass through transactions (a simple payment on the student's accoun
federal grant revenues to the institution?
Pass through (agency) Federal grants Does not award Pell grants
Caveats:
Page Survey Form e 1 of 10
http://surveys.nces.ed.gov/ipeds/PrintForms.aspx 11/20/2006
Survey Form Page 2 of 10
Line No.
Assets
Part A - Statement of Financial Position, Page 1
Fiscal Year 2006
Report in whole dollars only
Assets, Liabilities, and Net Assets Total Amount Prior Year
01 Long-term investments
02 Total assets
Liabilities
03 Total liabilities
Net assets
04 Total unrestricted net assets
05 Total restricted net assets
05a Permanently restricted net assets included in line 05
06 Total net assets
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11/20/2006
Survey Form Page 3 of 10
Part A - Statement of Financial Position, Page 2
Line No.
11
Fiscal Year 2006
Report in whole dollars only
Plant, Property and Equipment
Total Amount
End of Year
Land and land improvements
Prior Year A
12 Buildings
13
14
Equipment, including art and library collections
Property obtained under capital leases
(if not included in equipment)
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11/20/2006
Survey Form Page 4 of 10
Part B - Summary of Changes in Net Assets
(Please complete Part A before providing data for Part B)
Line No.
01
Fiscal Year 2006
Report in whole dollars only
Revenues, Expenses, Gains and Losses Total Amount
Total revenues and investment return
Prior Year A
02
03
04
05
06
07
Total expenses
(enter a positive number)
Other specific changes in net assets (CV)
CV=[B04-(B01-B02)]
Change in net assets
Net assets, beginning of year
Adjustments to beginning of year netassets (CV)
CV=[B07-(B04+B05)]
Net assets, end of year (from A06)
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11/20/2006
Survey Form Page 5 of 10
Part C -Student Grants
Fiscal Year 2006
Report in whole dollars only
Line No. Student Grants Total Amount Prior Yea
01 Pell grants
02 Other federal grants
03 State grants
04 Local grants
05 Institutional grants (funded)
06 Institutional grants (unfunded)
07 Total student grants (CV)
CV=[C01+...+C06]
08 Allowances scholarships applied to tuition and fees
09 Allowances scholarships applied to auxiliary enterprise revenues
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11/20/2006
Survey Form Page 6 of 10
Part D - Revenues and Investment Return
(Please complete Parts B and C before providing data for Part D)
Fiscal Year 2006
Report in whole dollars only
Line No. Source of Funds Total Amount Prior Year
01 Tuition and fees (net of allowance reported in Part C, line 08)
Government Appropriations
02 Federal appropriations
03 State appropriations
04 Local appropriations
Government Grants and Contracts
05 Federal grants and contracts
06 State grants and contracts
07 Local grants and contracts
Private Gifts, Grants and Contracts
08 Private gifts, grants and contracts
09 Contributions from affiliated entities
Other Revenue
10 Investment return
11 Sales and services of educational activities
12 Sales and services of auxiliary enterprises
(net of allowance reported in Part C, line 09)
13 Hospital revenue
If this institution is primarily a hospital, please click here
14 Independent operations revenue
15 Other revenue (CV)
CV=[D16-(D01+...+D14)]
16 Total revenues and investment return (from B01)
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11/20/2006
Survey Form
Page 7 of 10
Part E - Expenses by Functional and Natural Classification
(Please complete Part B before providing data for Part E)
Fiscal Year 2006
Report in whole dollars only
Line Expenses by Salaries and
Operation and
No.
Functional Total amount wages Benefits maintenance of Depreciation Interest
Classification plant
(1)
(2) (3) (4) (5) (6)
01 Instruction
02 Research
03 Public service
04 Academic
support
05 Student
service
06 Institutional
support
07 Auxiliary
enterprises
Net grant aid
to students
(net of tuition
and fee
allowances)
(do not
include work
study here)
Hospital
services
If this
hospital,
please click
here
09 institution is
primarily a
10 Independent
operations
11
Operation and
maintenance
of plant (see
instructions)
0
Other
expenses
12
(CV)
CV=[E13(E01+...+E11)]
Total
0
expenses
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11/20/2006
Survey Form Page 8 of 10
Prior year
total
expenses
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11/20/2006
Survey Form Page 9 of 10
Part H - Value of Endowment Assets
Fiscal Year 2006
Report in whole dollars only
Line No. Value of Endowment Assets Market Value Prior Year
Value of endowment assets at the beginning of the fiscal year
Value of endowment assets at the end of the fiscal year
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11/20/2006
Survey Form Page 10 of 10
Print Form(s) GoBack
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11/20/2006
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File Modified | 0000-00-00 |
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