Finance 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 http://surveys.nces.ed.gov/ipeds/PrintForms.aspx 11/20/2006 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) http://surveys.nces.ed.gov/ipeds/PrintForms.aspx 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) http://surveys.nces.ed.gov/ipeds/PrintForms.aspx 11/20/2006 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 http://surveys.nces.ed.gov/ipeds/PrintForms.aspx 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) http://surveys.nces.ed.gov/ipeds/PrintForms.aspx 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 http://surveys.nces.ed.gov/ipeds/PrintForms.aspx 11/20/2006 Survey Form Page 7 of 7 Print Form(s) GoBack http://surveys.nces.ed.gov/ipeds/PrintForms.aspx 11/20/2006