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Finance - Private institutions
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 Purpose Financial 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 year ending 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 fiscal year noted above? (If your institution is
audited only in combination with another entity, answer this question based on the audit of
that entity.)
Unqualified Qualified (Explain in
Caveats below)
Don't know (Explain in Caveats
below)
Caveats:
Page Survey Form e 1 of 7
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Survey Form Page 2 of 7
Part A - Balance Sheet Information
Fiscal Year 2006
(Last fiscal year ending before October 1, 2006)
Report in Whole Dollars Only
Line No. Assets, Liabilities, and Equity Amounts Prior Year Amounts
Assets
01 Total assets
Liabilities
02 Total liabilities
Equity
03 Total equity (CV)
CV = (A01 - A02)
04 Total liabilities and equity (CV)
CV = (A02 + A03)
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11/20/2006
Survey Form Page 3 of 7
Part B - Summary of Changes in Equity
Please complete Part A before providing data for Part
B
Fiscal Year 2006
(Last fiscal year ending before October 1, 2006)
Report in whole dollars only
Line Revenues, Expenses, Gains, and Amounts Prior Year
No. Losses Amounts
01 Total revenues
02 Total expenses (enter a positive number)
03 Sum of specific changes in equity (CV)
CV=[B04-(B01-B02)
]
04 Net income
05 Other changes in equity
06 Equity, beginning of year
Adjustments to beginning net equity
07 (CV)
CV=[B08-(B04+B05+B06)
]
08 Equity, end of year (from A03)
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Survey Form Page 4 of 7
Part C - Student Grants
Fiscal Year 2006
(Last fiscal year ending before October 1, 2006)
Report in whole dollars only
Line Prior Year
Student Grants Total Amount
No. Amounts
01 Pell grants
02 Other federal grants
03 State and local grants
04 Institutional grants
05 Total student grants (CV)
CV=[C01+...+C04]
06 Allowances applied to tuition and fees
07 Allowances applied to auxiliary enterprise
revenues
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11/20/2006
Survey Form Page 5 of 7
Part D - Revenues and Investment Return
Please complete Parts B and C before providing data for Part
D
Fiscal Year 2006
(Last fiscal year ending before October 1, 2006)
Report in whole dollars only
Line Prior Year
No. Source of Funds Amounts Amounts
01 Tuition and fees (net of amount reported in Part
C, line 06)
Government Appropriations, Grants and Contracts
02 Federal appropriations, grants and contracts
03 State and local appropriations, grants and
contracts
Private Grants and Contracts
04 Private grants and contracts
Other Revenue
05 Investment income and investment gains
(losses) included in net income
06 Sales and services of educational activities
07 Sales and services of auxiliary enterprises
(net of amount reported in Part C, line 07)
08 Other revenue (CV)
CV=[D09-(D01+...+D07)]
09 Total revenues and investment return (from
B01)
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11/20/2006
Part E - Expenses by Function
Please complete Part B before providing data for Part E
Fiscal Year 2006
(Last fiscal year ending before October 1, 2006)
Report in whole dollars only
Line
No.
Expenses by Functional Category
Amounts
Prior Year
Amounts
01 Instruction
02 Research and Public service
03 Academic support, Student services and
Institutional support
04 Auxiliary enterprises
05 Net grant aid to students (net of tuition and fee
allowances and agency transactions)
06 All other expenses (CV)
CV=[E07-(E01+...+E05)]
07 Total expenses (from B02)
Provide an explanation below if values cannot be reported separately.
Caveats:
Page Survey Form e 6 of 7
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Survey Form Page 7 of 7
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11/20/2006
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