Form 10-356 Concessioner Annual Financial Report

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Overview

Instructions
Concessioner Info
Notices
A
A-1
B
C
D-Fixed Assets
D-Financial Assets
D-Intangible Assets
E
F
G
H
I
J
K
L
M1
M2
M3
M4
M5
M6
M7
P
Q
lookups

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Sheet 1: Instructions

	INSTRUCTIONS FOR COMPLETING THE ANNUAL FINANCIAL REPORT
1	Enter your financial information in the dark grey cells on each of the following worksheets. Cells not highlighted in dark grey are automatically calculated and should not be changed.
2	Since many Schedule A amounts are pulled from other schedules, it is suggested the information be input in the following order: Schedule; G, H, J, I, P, Q, D, K, C, E, N (if needed), B then A. The input order of the remaining schedules is not affected.
3	Use the tab key or arrow keys to move through the cells in each worksheet.
4	In the "Type of Entity" area on the Concessioner Information worksheet, make the appropriate selection using the dropdown menu.
5	Manually enter the correct concessioner ID. Concessioner ID's take the form ABCD-###, where ABCD represents the alphanumeric code for the park and the numbers are a contract number.
6	To move a comment box, place the cursor on the comment box, left click and hold, then drag the comment box to to another place on the screen.
7	Generally, if there are not enough 'Other' lines, combine multiple amounts and input one number on the schedule; provide a breakdown of the combined amounts on Schedule L unless otherwise directed.
8	The signature(s) on the Concessioner Info worksheet should be typed rather than written.
9	Do not enter zeroes, NA, dashes or anything else in cells which are not applicable to your operation. Leave these cells blank.
10	For help, email [email protected]

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Sheet 2: Concessioner Info

CONCESSIONER: -					PERIOD ENDING: MM/DD/YYYY
For the Period from:		to:
Concessioner ID
Concessioner Name
Park Unit
	Contract or Permit Number		Effective Date		Expiration Date
Type of Entity
TABLE OF CONTENTS
Schedule A - Statement of Income			Schedule H - Departmental Income and Expenses
Schedule A-1 - Statement of Income & Comprehensive Income			Schedule I - General & Administrative Expenses
Schedule B - Computation of Government Fees			Schedule J - Info on Corporate Owners, Officers & Partners
Schedule C - Balance Sheet			Schedule K - Additions to & Disposals of Depreciable Fixed Assets
Schedule D - Depreciable Fixed Assets (PI or LSI)			Schedule L - Supporting Schedule
Schedule D-1 - Intangible Assets ASC Topic 853			Schedule M - Operational Statistics
Schedule E - Statement of Cash Flows - Direct Method			Schedule P - Component Renewal/Replacement Reserve Annual Reconciliation
Schedule F - Notes to the Financial Statements			Schedule Q - Component Renewal/Replacement Reserve Expenditures
Schedule G - Detail of Gross Receipts
ANNUAL FINANCIAL STATEMENT CERTIFICATION (Either one or both of the certifications below may be completed)
COMPLETE THE CERTICATION BELOW IF YOU ARE THE CONCESSIONER AND COMPLETED THE ANNUAL FINANCIAL REPORT
By typing my name below, I certify that I am authorized to complete and submit this report. This report has been examined by me and to the best of my knowledge and belief is a true, correct, and complete report.
		Name of Person Responsible for Report Information
		Title
		Date
COMPLETE THE CERTIFICATION IF YOU ARE A CPA WHO HAS EITHER COMPILED, REVIEWED OR AUDITED THE CONCESSIONER'S FINANCIAL STATEMENTS AND HAVE COMPLETED THE ANNUAL FINANCIAL REPORT.
By typing my name in the box below, I certify that I have been authorized to complete and submit this report on behalf of the concessioner. This report has been completed and prepared under my supervision using data/information from the company's compiled/reviewed/audited financial statements and/or other financial records and to the best of my knowledge and belief is a true, correct, and complete report.
		Name of Person Responsible for Report Information
		Title
		Date
CONCESSIONER CONTACT INFORMATION
		Mailing Address
		City
		State
		Zip Code
		Telephone
		Email Address

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Sheet 3: Notices

NOTICES
PRIVACY ACT STATEMENT
Authority: 16 U.S.C. 5966, Commercial Use Authorizations. Purpose: The purposes of the system are (1) to assist NPS employees in managing the NPS Commercial Services program allowing commercial uses within a unit of the National Park System to ensure that business activities are conducted in a manner that complies with Federal laws and regulations; (2) to monitor resources that are or may be affected by the authorized commercial uses within a unit of the National Park System; (3) to track applicants and holders of commercial use authorizations who are planning to conduct or are conducting business within units of the National Park System; and (4) to provide to the public the description and contact information for businesses that provide services in national parks. Routine Uses: In addition to those disclosures generally permitted under 5 U.S.C.552a(b) of the Privacy Act, records or information contained in this system may be disclosed outside DOI as a routine use pursuant to 5 U.S.C. 552a(b)(3) to other Federal, state and local governments, tribal organizations, and members of the general public upon request for names, addresses and phone numbers of Commercial Use Authorizations (CUA) holders conducting business within units of the National Park System for the purpose of informing the public of the availability of the services offered by the CUA holder. In addition, records or information contained in this system may be disclosed outside DOI based on an authorized routine use when the disclosure is compatible with the purpose for which the records were compiled as described under the system of records notice for this system. Disclosure: Voluntary, however, failure to provide the requested information may impede our ability to 1) manage the National Park Service (NPS) Commercial Services Program allowing commercial uses within a unit of the NPS, 2) monitor resources that are or may be affected by the authorized commercial uses, and 3) provide the public the description and contact information for businesses that provide services in national parks.
PAPERWORK REDUCTION ACT STATEMENT
We collect this information under the authority of Title IV of the National Parks Omnibus Management Act of 1998 (Pub. L. 105–391). We use this information to determine the franchise fees of the concessioner. Your response is required to obtain or retain a benefit. We may not collect or sponsor and you are not required to respond to a collection of information unless it displays a currently valid OMB control number. OMB has approved this collection of information and assigned Control No. 1024-0029.
ESTIMATED BURDEN STATEMENT
We estimate that it will take you 15 hours to complete this form, including time to review instructions, gather and maintain data, and complete and review the form. You may send comments on the burden estimate or any aspect of this form to the Information Collection Clearance Officer, National Park Service, 12201 Sunrise Valley Drive, Mail Stop 242, Reston, VA 20192. Please do not send your completed form to this address.

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Sheet 4: A

	CONCESSIONER: -		PERIOD ENDING: MM/DD/YYYY
		This Period: YYYY	Last Period: YYYY
	DEPARTMENTAL INCOME
1	GROSS RECEIPTS (Schedule H, Column A, Line 2)	0
2	SALES RETURNS AND ALLOWANCES (Schedule H, Column A, Line 3)	0
3	NET SALES (Schedule H, Column A, Line 4)	0	0
4	COST OF SALES (Schedule H, Column A, Line 8)	0
5	GROSS PROFIT (Schedule H, Column A, Line 9)	0	0
6	TOTAL DIRECT EXPENSES (Schedule H, Column A, Line 34)	0
7	DEPARTMENTAL INCOME (LOSS) (Schedule H, Column A, Line 35)	0	0
	INDIRECT OPERATING EXPENSES
8	General and Administrative Expenses (Schedule I, Line 29)	0	0
9	Government Fees (Schedule B, Line 32)	0
10	Special Account Contributions (Schedule N, Line 10)
11	TOTAL INDIRECT OPERATING EXPENSES	0	0
12	TOTAL INCOME (LOSS) FROM OPERATIONS BEFORE FIXED EXPENSES	0	0
	FIXED EXPENSES
13	Rent
14	Property Taxes
15	Business/Liability/Property Insurance
16	Interest Expense
17	Depreciation (Schedule D, Column G, Line 13)	0
18	Amortization (Schedule D-1, Line 8)	0
19	(Other Fixed Expenses)
20	(Other Fixed Expenses)
21	TOTAL FIXED EXPENSES	0	0
22	INCOME (LOSS) BEFORE INCOME TAXES AND OTHER INCOME (EXPENSES)	0	0
	OTHER EXPENSES (INCOME)
23	Interest and Dividend (Income)
24	Loss (Gain) on Sale of Assets
25	Commissions/Fees/Compensation from Subconcessioners (Income)(Schedule B, Line 30)	0
26	(Additional Other Expenses (Income))
27	(Additional Other Expenses (Income))
28	TOTAL OTHER EXPENSES (INCOME)	0	0
29	INCOME (LOSS) BEFORE INCOME TAXES	0	0
	INCOME TAXES
30	Federal
31	State and Local
32	TOTAL INCOME TAXES	0	0
33	NET INCOME (LOSS)	0	0
	RETAINED EARNINGS
34	Retained Earnings - Beginning of Year	0
35	Prior Period Adjustments
36	(Other Retained Earnings)
37	Net Income (Loss) (Line 33)	0	0
38	Dividends Paid
39	Retained Earnings - End of Year	0	0
40	Total Shares
41	Earnings Per Share	0	0
	*The accompanying notes are an integral part of these financial statements.

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Sheet 5: A-1

	CONCESSIONER: -		PERIOD ENDING: MM/DD/YYYY
		This Period: YYYY	Last Period: YYYY
1	Net Income (loss) (Schedule A, Line 33)	0	0
	List Other Comprehensive Income:
2	Foreign Currency Items
3	Holding Losses or Gains on Available-For-Sale-Securities
4	Excess of Additional Pension Liability
5	Changes in Market Value of Futures Contract
6	Total Comprehensive Income	0	0
	*The accompanying notes are an integral part of these financial statements.

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Sheet 6: B

	CONCESSIONER: -				PERIOD ENDING: MM/DD/YYYY
1	FLAT FEE
2	BUILDING USE FEE (USE OF GOVERNMENT-OWNED IMPROVEMENTS)
	PERCENTAGE FEE
3	Gross Receipts (Schedule A, Line 1)				0
	PLUS: Gross Receipts of Subconcessioners
4	(Name of Subconcessioner)
5	(Name of Subconcessioner)
6	(Name of Subconcessioner)
7	Total Gross Receipts of Subconcessioners				0
	LESS: Authorized Deductions (ONLY If Included in Gross Receipts)
8	Genuine Authorized Native Handicrafts (Schedule G, Line 12)				0
9	Intracompany Earnings
10	Charges for Employees’ Meals, Lodgings and Transportation (Schedule G, Line 66)				0
11	Cash Discounts on Purchases (Purchases Discounts)
12	Cash Discounts on Sales (Sales Discounts)
13	Returned Sales and Allowances (Sales Returns and Allowances) (Schedule A, Line 2)				0
14	Excise Taxes Added to Sales Price
15	Gasoline Taxes
16	Cost of Fishing Licenses Fees Sold
17	Cost of Postage Stamps Sold
18	Outside of Park Sales (Included in Gross Receipts)
19	(Other)
20	Total Authorized Deductions				0
21	Total Gross Receipts Per Contract Subject to Percentage Fee				0
	Fee Structure:
22	(Percentage fee)	% of	(Gross Receipts)	=	0
23	(Percentage fee)	% of	(Gross Receipts)	=	0
24	(Percentage fee)	% of	(Gross Receipts)	=	0
25	(Percentage fee)	% of	(Gross Receipts)	=	0
26	TOTAL PERCENTAGE FEE				0
	COMMISSIONS/FEES/COMPENSATION FROM SUBCONCESSIONERS
27	(Name of Subconcessioner)
28	(Name of Subconcessioner)
29	(Name of Subconcessioner)
30	Total Commissions/Fees/Compensation From Subconcessioners				0
31	FIFTY PERCENT OF COMMISSIONS/FEES/COMPENSATION FROM SUBCONCESSIONERS				0
32	TOTAL GOVERNMENT FEES (Carry to Schedule A, Line 9)				0
	*Schedule B is for computing Government Franchise Fees only. Computation of amounts due to the Component Renewal/Replacement Reserve and Special Accounts should be done on Schedules P and N, respectively.

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Sheet 7: C

	CONCESSIONER: -		PERIOD ENDING: MM/DD/YYYY
	ASSETS	This Period: YYYY	Last Period: YYYY
	CURRENT ASSETS
1	Cash and Cash Equivalents
2	Marketable Securities
3	Inventories - Merchandise
4	Accounts Receivable
5	Notes Receivable - Related Party
6	Notes Receivable - Other
7	Prepaid Expenses
8	Component Renewal/Replacement Reserve (Schedule P, Lines 8 and 11)	0	0
9	Special Account Fund
10	(Other Current Assets)
11	TOTAL CURRENT ASSETS	0	0
	FIXED ASSETS
12	Depreciable Fixed Assets (Schedule D, Column G, Line 5)	0	0
13	Less: Accumulated Depreciation (Schedule D, Column G, Line 15)	0	0
14	Net Depreciable Fixed Assets (Schedule D, Column G, Line 16)	0	0
15	Construction in Progress
16	Land
17	TOTAL FIXED ASSETS	0	0
18	Net Intangible Assets (Schedule D-1, Line 11)	0	0
19	Gross PI/LSI Subject to ASC Topic 853	0	0
20	(Other Assets)
21	TOTAL OTHER ASSETS	0	0
22	TOTAL ASSETS	0	0
	LIABILITIES
	CURRENT LIABILITIES
23	Notes Payable - Related Party
24	Notes Payable - Other
25	Accounts Payable
26	Current Maturities on Long - Term Debt
27	Government Fees Payable
28	Special Account Payable
29	Accrued Liabilities
30	Advance Deposits
31	(Other Current Liabilities)
32	TOTAL CURRENT LIABILITIES	0	0
	LONG-TERM LIABILITIES
33	Long -Term Debt, Excluding Current Maturities
34	(Other Long-Term Liabilities)
35	TOTAL LONG-TERM LIABILITIES	0	0
36	TOTAL LIABILITIES	0	0
	EQUITY
37	Partner’s or Proprietor’s Capital
38	Common and Preferred Stock
39	(Other Equity)
40	Additional Paid - In Capital
41	Less: Treasury Stock
42	Retained Earnings (Schedule A, Line 39)	0	0
43	Accumulated Other Comprehensive Income (Loss)
44	TOTAL EQUITY	0	0
45	TOTAL LIABILITIES AND EQUITY	0	0
	*The accompanying notes are an integral part of these financial statements.

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Sheet 8: D-Fixed Assets

	CONCESSIONER: -								PERIOD ENDING: MM/DD/YYYY
		FIXED ASSETS IN WHICH POSSESSORY INTEREST IS CLAIMED		FIXED ASSETS IN WHICH LEASEHOLD SURRENDER INTEREST IS CLAIMED	FIXED ASSETS EXCLUDING OR NOT ELIGIBLE FOR POSSESSORY INTEREST OR LEASEHOLD SURRENDER INTEREST				TOTAL
		NPS Approved Concessioner Improvements	NPS Approved Government Improvements	NPS Approved Capital Improvements	Other Improvements	Transportation Equipment	Furniture, Fixtures & Equipment	Other Personal Property
		A	B	C	D	E	F	G	H
	COST
1	Depreciable Fixed Assets / Gross PI subject to ASC 853, Prior Year Balance								0
2	Adjustment(s) to Prior Year Balance(s)								0
3	Additions this Year (Must be itemized on Schedule K)								0
4	Disposals this Year (Must be itemized on Schedule K)								0
5	Depreciable Fixed Assets, Ending Balance (Carry Column G to Schedule C, Line 12)	0	0	0	0	0	0	0	0
	ACCUMULATED DEPRECIATION
11	Accumulated Depreciation, Prior Year Balance								0
12	Adjustment(s) to Prior Year Balance(s)								0
13	Depreciation this Year (Carry Column G to Schedule A, Line 17)								0
14	Accumulated Depreciation on Assets Disposed this Year								0
15	Accumulated Depreciation, Ending Balance (Carry Column G to Schedule C, Line 13)	0	0	0	0	0	0	0	0
16	Net Depreciable Fixed Assets, End of Year (Carry Column G to Schedule C, Line 14)	0	0	0	0	0	0	0	0

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Sheet 9: D-Financial Assets

	CONCESSIONER: -			PERIOD ENDING: MM/DD/YYYY
		NON-FIXED ASSETS IN WHICH POSSESSORY INTEREST IS CLAIMED - SUBJECT TO ASC TOPIC 853		NON-FIXED ASSETS IN WHICH LEASEHOLD SURRENDER INTEREST IS CLAIMED - SUBJECT TO ASC TOPIC 853
		NPS Approved Capital Improvements	NPS Approved Government Improvements	NPS Approved Capital Improvements
	COST
1	Gross PI or LSI subject to ASC 853, Prior Year Balance
1A	ASC 853 Implementation Adjustment
2	Adjustment(s) to Prior Year Balance(s)
3	Additions this Year
4	Disposals this Year
5	Gross PI or LSI subject to ASC 853, Ending Balance	0	0	0
	VALUATION ADJUSTMENTS
6	PI or LSI valuation adjustment, Prior Year Balance
7	Current Year PI or LSI valuation adjustment (Carry Column H to Schedule A, Line 26)
8	PI or LSI valuation adjustment, Ending Balance	0	0	0
9	PI or LSI subject to ASC 853 (Carry Column H to Schedule C, Line 19)	0	0	0

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Sheet 10: D-Intangible Assets

	CONCESSIONER: -	PERIOD ENDING: MM/DD/YYYY
	COST
1	Gross intangible, Prior Year Balance
1A	ASC 853 Implementation Adjustment
2	Adjustment(s) to Prior Year Balance(s)
3	Additions this Year
4	Disposals this Year
5	Gross intangible, Ending Balance	0
	ACCUMULATED AMORTIZATION
6	Accumulated Amortization, Prior Year Balance
7	Adjustment(s) to Prior Year Balance(s)
8	Amortization this Year (Carry to Schedule A, Line 18)
9	Accumulated Amortization on Assets Disposed this Year
10	Accumulated Amortization, Ending Balance	0
11	Net intangible (Carry to Schedule C, Line 18)	0

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Sheet 11: E

	CONCESSIONER: -		PERIOD ENDING: MM/DD/YYYY
		This Period: YYYY	Last Period: YYYY
	CASH FLOWS FROM OPERATING ACTIVITIES
1	Cash received from customers
2	Cash paid for merchandise
3	Cash paid for wages and other operating expenses
4a	Cash received for interest
4b	Cash paid for interest
5	Cash paid for taxes
6	Cash paid to National Park Service for franchise fees
7	(Other Cash from Operating Acitivities)
8	(Other Cash from Operating Acitivities)
9	Net Cash Flows Provided (Used) by Operating Activities	0	0
	CASH FLOWS FROM INVESTING ACTIVITIES
10	Purchase of assets
11	Proceeds from sale of assets
12	(Other Cash from Investing Acitivities)
13	(Other Cash from Investing Acitivities)
14	(Other Cash from Investing Acitivities)
15	(Other Cash from Investing Acitivities)
16	Net Cash Flows Provided (Used) by Investing Activities	0	0
	CASH FLOWS FROM FINANCING ACTIVITIES
17	Net increase/decrease in intracompany receivable account
18	Cash received from issuing stock
19	Cash paid to retire bonds
20	Cash paid for dividends
21	(Other Cash from Financing Acitivities)
22	(Other Cash from Financing Acitivities)
23	Net Cash Flows Provided (Used) by Financing Activities	0	0
24	NET INCREASE (DECREASE) IN CASH	0	0
25	CASH AT BEGINNING OF YEAR	0
26	CASH AT END OF YEAR (Schedule C, Line 1)	0	0
	RECONCILIATION OF NET INCOME TO NET CASH PROVIDED BY OPERATIONS
27	Net Income (Loss) (Schedule A, line 33)	0	0
	Adjustments to reconcile net income to net cash provided by operating activities
28	Depreciation expense (Schedule A, Line 17)	0	0
29	Amortization expense (Schedule A, Line 18)	0	0
30	Gain or loss on sale of assets (Schedule A, Line 24)	0	0
31	(Other non-cash expenses (income))
	Changes in Assets and Liabilities:
32	Inventories	0
33	Accounts receivable	0
34	Prepaid expenses	0
35	Other current assets	0
36	Accounts payable	0
37	Government fees and contributions payable	0
38	Accrued liabilities	0
39	Advance deposits	0
40	Other current liabilities	0
41	(Other)
42	(Other)
43	Net Cash provided by operating activities	0	0
	*The accompanying notes are an integral part of these financial statements.

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Sheet 12: F

	CONCESSIONER: -	PERIOD ENDING: MM/DD/YYYY
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
	*If the financial notes do not fit on this page, save them as a separate Word, Excel or PDF file and upload with the AFR. See User's Guide for instructions.

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Sheet 13: G

	CONCESSIONER: -		PERIOD ENDING: MM/DD/YYYY
		Amount	Reference to Table Column on Schedule H
	LODGING
1	Hotel and Motel
2	Cabins and Cottages
3	Hostels
4	Tent Cabins
5	LODGING DEPARTMENT TOTAL	0
	FOOD AND BEVERAGE
6	Restaurant
7	Cafeteria
8	Snack Bar and Fast Food
9	FOOD DEPARTMENT TOTAL	0
10	Alcoholic Beverages
	SOUVENIRS
11	Gifts, Curios
12	Genuine Authorized Native Handicrafts
13	SOUVENIR DEPARTMENT TOTAL	0
	GENERAL MERCHANDISE
14	Grocery
15	Package Liquor
16	Camera and Photographic Supplies
17	(Other General Merchandise)
18	MERCHANDISE DEPARTMENT TOTAL	0
	RECREATION VEHICLE PARKS AND CAMPSITES
19	Tents
20	RV Camping (without hook-ups)
21	RV Camping (with hook-ups)
22	RV Park
23	RV AND CAMPSITES DEPARTMENT TOTAL	0
	AUTO SERVICE
24	Fuel and Oil
25	Parts, Service and Other
26	AUTO SERVICE DEPARTMENT TOTAL	0
	MARINA
27	Covered Slips
28	Uncovered Slips and Mooring
29	Houseboat Rental
30	Boat and Motor Rental
31	Fuel and Oil
32	Boat and Motor Sales
33	Boat Repair
34	Dry Storage
35	(Other Marina)
36	(Other Marina)
37	MARINA DEPARTMENT TOTAL	0
	TRANSPORTATION OF VISITORS
38	Water
39	Air
40	Ground
41	(Other Transportation)
42	(Other Transportation)
43	TRANSPORTATION OF VISITORS DEPARTMENT TOTAL	0
	HORSE AND MULE
44	Horse and Mule Pack Services
	GUIDED TOURS
45	Float Trips and River Runners
46	Water
47	Ground (Vehicle/Tram/Bus)
48	Ground (Snowmobiles)
49	Air
50	Backcountry Horse Trail Rides
51	Backcountry Hiking
52	(Other Guided Tours)
53	(Other Guided Tours)
54	GUIDED DEPARTMENT TOTAL	0
	CRUISE SHIPS
55	Cruise Ships
	OTHER
56	Parking Lot
57	Vending Machine
58	Bathhouse/Health Spa Services
59	Rentals (Equipment, Video, Bicycles & Other)
60	Hunting Guides
61	Instructional Service (mountain climbing school; environmental school, etc.)
62	Medical Care
63	Golf Course and Driving Range
64	Sports Facilities
65	(Other Departments)
66	(Other Departments)
	EMPLOYEE CHARGES
67	Charges for Employee's meals, lodgings and transportation
68	TOTAL GROSS RECEIPTS	0

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Sheet 14: H

	CONCESSIONER: -					PERIOD ENDING: MM/DD/YYYY				PERIOD ENDING: MM/DD/YYYY				PERIOD ENDING: MM/DD/YYYY
		A	B	C	D	E	F	G	H	I	J	K	L	M
1	DEPARTMENT	Total All Columns	(Department)	(Department)	(Department)	(Department)	(Department)	(Department)	(Department)	(Department)	(Department)	(Department)	(Department)	(Department)
2	GROSS RECEIPTS	0
3	SALES RETURNS AND ALLOWANCES	0
4	NET SALES	0	0	0	0	0	0	0	0	0	0	0	0	0
	COST OF SALES
5	Inventory, Beginning	0
6	Plus: Purchases	0
7	Less: Ending Inventory	0
8	TOTAL COST OF SALES	0	0	0	0	0	0	0	0	0	0	0	0	0
9	GROSS PROFIT	0	0	0	0	0	0	0	0	0	0	0	0	0
	DIRECT EXPENSES
	DIRECT LABOR
10	Direct Salaries, Wages, Payroll Taxes, and Benefits	0
11	Maintenance Salaries, Payroll Taxes, and Benefits	0
12	TOTAL DIRECT LABOR	0	0	0	0	0	0	0	0	0	0	0	0	0
	OTHER DIRECT
13	Laundry	0
14	Uniforms	0
15	China, Silver, Linen and Glass	0
16	Commissions	0
17	Music and Entertainment	0
18	Operating Supplies	0
19	Equipment Rental	0
20	Contract Services	0
21	Utilities Expense	0
22	Licenses and Fees	0
23	Repair and Maintenance Expense	0
24	Repair and Maintenance Expensed from Component Renewal/ Replacement Reserve	0
25	Vehicle Expense	0
26	Spoilage	0
27	Travel and Trip Expense	0
28	Equipment Purchased	0
29	Hay, Pasture and Feed	0
30	(Other Direct Expenses)	0
31	(Other Direct Expenses)	0
32	(Other Direct Expenses)	0
33	TOTAL OTHER DIRECT	0	0	0	0	0	0	0	0	0	0	0	0	0
34	TOTAL DIRECT EXPENSES	0	0	0	0	0	0	0	0	0	0	0	0	0
35	DEPARTMENTAL INCOME (LOSS)	0	0	0	0	0	0	0	0	0	0	0	0	0

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Sheet 15: I

	CONCESSIONER: -		PERIOD ENDING: MM/DD/YYYY
		This Period: YYYY	Last Period: YYYY
1	Owners, Officers and Partners Salaries, Payroll Taxes and Benefits (Schedule J, Column I, Line 21)	0
	Other Salaries, Payroll Taxes and Benefits:
2a	Office / Manager's Office
2b	Accounting / Finance
2c	Human Resources / Personnel
2d	Information System / Data Processing
2e	Marketing / Promotion
2f	(Other Salaries, Payroll Taxes and Benefits)
2g	(Other Salaries, Payroll Taxes and Benefits)
2	Total Other (Administrative) Salaries, Payroll Taxes and Benefits	0	0
3	Employee Recruitment
4	Over and Short
5	Credit Card Fees
6	Bank Charges
7	Bad Debts
8	Office Expense
9	Data Processing
10	Postage and Freight
11	Dues and Subscriptions
12	Travel Expense
13	Telecommunications Expense
14	Donations
15	Complimentary
16	Management Fees
17	Corporate Overhead
18	Legal Fees
19	Accounting and Audit Fees
20	Advertising and Promotional Expense
21	Security Expense
22	Consulting Agreements
23	Training Cost
24	Other Personnel Expenses
25	(Other G&A Expenses)
26	(Other G&A Expenses)
27	(Other G&A Expenses)
28	(Other G&A Expenses)
29	TOTAL GENERAL AND ADMINISTRATIVE EXPENSES (Carry to Schedule A, Line 8)	0	0

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Sheet 16: J

	CONCESSIONER: -								PERIOD ENDING: MM/DD/YYYY
	A	B	C	D	E	F	G	H	I
				% of Ownership
	Name	Title	% of Time Devoted to Business	Partnership Interest	Common Stock	Preferred Stock	Total Wages	Total Benefits	Total Amount of Compensation
1									0
2									0
3									0
4									0
5									0
6									0
7									0
8									0
9									0
10									0
11									0
12									0
13									0
14									0
15									0
16									0
17									0
18									0
19									0
20	Individual Total of Columns G and H						0	0
21	Total Amount of Owners, Officers and Partners Compensation (Carry to Schedule I, Line 1)								0

---

Sheet 17: K

	CONCESSIONER: -								PERIOD ENDING: MM/DD/YYYY
	Asset Description	NPS Asset #	Type*	Date of Acquisition or Disposal	Depreciation Method	Years of Useful Life	Cost	Current Year Depreciation	Accumulated Depreciation for Disposal
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
	*Use the following letters in "Type" Column to describe the assets types for all appropriate additions and disposals:
C =	Concessioner improvements with or eligible for Possessory Interest.
G =	Government assigned improvements with or eligible for Possessory Interest.
L =	Capital improvements with or eligible for Leasehold Surrender Interest.
I =	Other improvements excluding or not eligible for Leasehold Surrender Interest or Possessory Interest.
M =	Concessioner's contractually required Component Renewal/Replacement Reserve.
P =	Personal Property.

---

Sheet 18: L

	CONCESSIONER: -	PERIOD ENDING: MM/DD/YYYY
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
	*If the financial notes do not fit on this page, save them as a separate Word, Excel or PDF file and upload with the AFR. See User's Guide for instructions.

---

Sheet 19: M1

	CONCESSIONER: -			PERIOD ENDING: MM/DD/YYYY
	Site:
	Period Covered:
	LODGING
1	Number of Rooms in Facility
2	Total Number of Room Nights Available
3	Total Number of Room Nights Occupied
4	Occupancy Percentage	0%
5	Average Daily Room Rate (ADR)
6	Revenue Per Available Room (RevPAR)	0
7	Total Number of Guests
8	Number of Lodging Employees
	FOOD AND BEVERAGE
9	Number of Seats
10	Total Square Feet of Seating Area
11	Total Customers
12	Average Check per Customer
13	Number of Food and Beverage Employees
	GIFTS AND MERCHANDISE
14	Total Retail Square Feet (including storage)
15	Average Transaction / square foot
16	Total Number of Retail Employees
	MARINAS	Number Available	Average Occupied	Occupancy Rate
17	Covered Slips			0%
18	Uncovered Slips			0%
19	Rental Boats and Houseboats			0%
20	Dry Storage Units			0%
21	Linear Feet of Wet Moorage
22	Number of Marina Employees
	TRANSPORTATION / TOUR / GUIDE SERVICE	Annual Trips	Annual Riders	Riders per Trip
23	(Type of Trip/Tour)			0
24	(Type of Trip/Tour)			0
25	(Type of Trip/Tour)			0
26	(Type of Trip/Tour)			0
27	(Type of Trip/Tour)			0
28	Number of Transportation Employees
	CAMPGROUNDS	Number Available	Average Occupied	Occupancy Rate
29	Campground Sites			0%
30	Number of Campground Employees
	CONCESSION EMPLOYEES	Annual
31	Permanent year around employees
32	Filled seasonal positions
33	Estimated total full-time equivalents (One FTE = 2,080 hours)
	CONCESSION EMPLOYEE HOUSING	Number Available	Average Occupied	Occupancy Rate
34	Employee Beds			0%
		Total	Per Occupied Bed
35	Direct Housing Expense		0.00

---

Sheet 20: M2

	CONCESSIONER: -			PERIOD ENDING: MM/DD/YYYY
	Site:
	Period Covered:
	LODGING
1	Number of Rooms in Facility
2	Total Number of Room Nights Available
3	Total Number of Room Nights Occupied
4	Occupancy Percentage	0%
5	Average Daily Room Rate (ADR)
6	Revenue Per Available Room (RevPAR)	0
7	Total Number of Guests
8	Number of Lodging Employees
	FOOD AND BEVERAGE
9	Number of Seats
10	Total Square Feet of Seating Area
11	Total Customers
12	Average Check per Customer
13	Number of Food and Beverage Employees
	GIFTS AND MERCHANDISE
14	Total Retail Square Feet (including storage)
15	Average Transaction / square foot
16	Total Number of Retail Employees
	MARINAS	Number Available	Average Occupied	Occupancy Rate
17	Covered Slips			0%
18	Uncovered Slips			0%
19	Rental Boats and Houseboats			0%
20	Dry Storage Units			0%
21	Linear Feet of Wet Moorage
22	Number of Marina Employees
	TRANSPORTATION / TOUR / GUIDE SERVICE	Annual Trips	Annual Riders	Riders per Trip
23	(Type of Trip/Tour)			0
24	(Type of Trip/Tour)			0
25	(Type of Trip/Tour)			0
26	(Type of Trip/Tour)			0
27	(Type of Trip/Tour)			0
28	Number of Transportation Employees
	CAMPGROUNDS	Number Available	Average Occupied	Occupancy Rate
29	Campground Sites			0%
30	Number of Campground Employees

---

Sheet 21: M3

	CONCESSIONER: -			PERIOD ENDING: MM/DD/YYYY
	Site:
	Period Covered:
	LODGING
1	Number of Rooms in Facility
2	Total Number of Room Nights Available
3	Total Number of Room Nights Occupied
4	Occupancy Percentage	0%
5	Average Daily Room Rate (ADR)
6	Revenue Per Available Room (RevPAR)	0
7	Total Number of Guests
8	Number of Lodging Employees
	FOOD AND BEVERAGE
9	Number of Seats
10	Total Square Feet of Seating Area
11	Total Customers
12	Average Check per Customer
13	Number of Food and Beverage Employees
	GIFTS AND MERCHANDISE
14	Total Retail Square Feet (including storage)
15	Average Transaction / square foot
16	Total Number of Retail Employees
	MARINAS	Number Available	Average Occupied	Occupancy Rate
17	Covered Slips			0%
18	Uncovered Slips			0%
19	Rental Boats and Houseboats			0%
20	Dry Storage Units			0%
21	Linear Feet of Wet Moorage
22	Number of Marina Employees
	TRANSPORTATION / TOUR / GUIDE SERVICE	Annual Trips	Annual Riders	Riders per Trip
23	(Type of Trip/Tour)			0
24	(Type of Trip/Tour)			0
25	(Type of Trip/Tour)			0
26	(Type of Trip/Tour)			0
27	(Type of Trip/Tour)			0
28	Number of Transportation Employees
	CAMPGROUNDS	Number Available	Average Occupied	Occupancy Rate
29	Campground Sites			0%
30	Number of Campground Employees

---

Sheet 22: M4

	CONCESSIONER: -			PERIOD ENDING: MM/DD/YYYY
	Site:
	Period Covered:
	LODGING
1	Number of Rooms in Facility
2	Total Number of Room Nights Available
3	Total Number of Room Nights Occupied
4	Occupancy Percentage	0%
5	Average Daily Room Rate (ADR)
6	Revenue Per Available Room (RevPAR)	0
7	Total Number of Guests
8	Number of Lodging Employees
	FOOD AND BEVERAGE
9	Number of Seats
10	Total Square Feet of Seating Area
11	Total Customers
12	Average Check per Customer
13	Number of Food and Beverage Employees
	GIFTS AND MERCHANDISE
14	Total Retail Square Feet (including storage)
15	Average Transaction / square foot
16	Total Number of Retail Employees
	MARINAS	Number Available	Average Occupied	Occupancy Rate
17	Covered Slips			0%
18	Uncovered Slips			0%
19	Rental Boats and Houseboats			0%
20	Dry Storage Units			0%
21	Linear Feet of Wet Moorage
22	Number of Marina Employees
	TRANSPORTATION / TOUR / GUIDE SERVICE	Annual Trips	Annual Riders	Riders per Trip
23	(Type of Trip/Tour)			0
24	(Type of Trip/Tour)			0
25	(Type of Trip/Tour)			0
26	(Type of Trip/Tour)			0
27	(Type of Trip/Tour)			0
28	Number of Transportation Employees
	CAMPGROUNDS	Number Available	Average Occupied	Occupancy Rate
29	Campground Sites			0%
30	Number of Campground Employees

---

Sheet 23: M5

	CONCESSIONER: -			PERIOD ENDING: MM/DD/YYYY
	Site:
	Period Covered:
	LODGING
1	Number of Rooms in Facility
2	Total Number of Room Nights Available
3	Total Number of Room Nights Occupied
4	Occupancy Percentage	0%
5	Average Daily Room Rate (ADR)
6	Revenue Per Available Room (RevPAR)	0
7	Total Number of Guests
8	Number of Lodging Employees
	FOOD AND BEVERAGE
9	Number of Seats
10	Total Square Feet of Seating Area
11	Total Customers
12	Average Check per Customer
13	Number of Food and Beverage Employees
	GIFTS AND MERCHANDISE
14	Total Retail Square Feet (including storage)
15	Average Transaction / square foot
16	Total Number of Retail Employees
	MARINAS	Number Available	Average Occupied	Occupancy Rate
17	Covered Slips			0%
18	Uncovered Slips			0%
19	Rental Boats and Houseboats			0%
20	Dry Storage Units			0%
21	Linear Feet of Wet Moorage
22	Number of Marina Employees
	TRANSPORTATION / TOUR / GUIDE SERVICE	Annual Trips	Annual Riders	Riders per Trip
23	(Type of Trip/Tour)			0
24	(Type of Trip/Tour)			0
25	(Type of Trip/Tour)			0
26	(Type of Trip/Tour)			0
27	(Type of Trip/Tour)			0
28	Number of Transportation Employees
	CAMPGROUNDS	Number Available	Average Occupied	Occupancy Rate
29	Campground Sites			0%
30	Number of Campground Employees

---

Sheet 24: M6

	CONCESSIONER: -			PERIOD ENDING: MM/DD/YYYY
	Site:
	Period Covered:
	LODGING
1	Number of Rooms in Facility
2	Total Number of Room Nights Available
3	Total Number of Room Nights Occupied
4	Occupancy Percentage	0%
5	Average Daily Room Rate (ADR)
6	Revenue Per Available Room (RevPAR)	0
7	Total Number of Guests
8	Number of Lodging Employees
	FOOD AND BEVERAGE
9	Number of Seats
10	Total Square Feet of Seating Area
11	Total Customers
12	Average Check per Customer
13	Number of Food and Beverage Employees
	GIFTS AND MERCHANDISE
14	Total Retail Square Feet (including storage)
15	Average Transaction / square foot
16	Total Number of Retail Employees
	MARINAS	Number Available	Average Occupied	Occupancy Rate
17	Covered Slips			0%
18	Uncovered Slips			0%
19	Rental Boats and Houseboats			0%
20	Dry Storage Units			0%
21	Linear Feet of Wet Moorage
22	Number of Marina Employees
	TRANSPORTATION / TOUR / GUIDE SERVICE	Annual Trips	Annual Riders	Riders per Trip
23	(Type of Trip/Tour)			0
24	(Type of Trip/Tour)			0
25	(Type of Trip/Tour)			0
26	(Type of Trip/Tour)			0
27	(Type of Trip/Tour)			0
28	Number of Transportation Employees
	CAMPGROUNDS	Number Available	Average Occupied	Occupancy Rate
29	Campground Sites			0%
30	Number of Campground Employees

---

Sheet 25: M7

	CONCESSIONER: -			PERIOD ENDING: MM/DD/YYYY
	Site:
	Period Covered:
	LODGING
1	Number of Rooms in Facility
2	Total Number of Room Nights Available
3	Total Number of Room Nights Occupied
4	Occupancy Percentage	0%
5	Average Daily Room Rate (ADR)
6	Revenue Per Available Room (RevPAR)	0
7	Total Number of Guests
8	Number of Lodging Employees
	FOOD AND BEVERAGE
9	Number of Seats
10	Total Square Feet of Seating Area
11	Total Customers
12	Average Check per Customer
13	Number of Food and Beverage Employees
	GIFTS AND MERCHANDISE
14	Total Retail Square Feet (including storage)
15	Average Transaction / square foot
16	Total Number of Retail Employees
	MARINAS	Number Available	Average Occupied	Occupancy Rate
17	Covered Slips			0%
18	Uncovered Slips			0%
19	Rental Boats and Houseboats			0%
20	Dry Storage Units			0%
21	Linear Feet of Wet Moorage
22	Number of Marina Employees
	TRANSPORTATION / TOUR / GUIDE SERVICE	Annual Trips	Annual Riders	Riders per Trip
23	(Type of Trip/Tour)			0
24	(Type of Trip/Tour)			0
25	(Type of Trip/Tour)			0
26	(Type of Trip/Tour)			0
27	(Type of Trip/Tour)			0
28	Number of Transportation Employees
	CAMPGROUNDS	Number Available	Average Occupied	Occupancy Rate
29	Campground Sites			0%
30	Number of Campground Employees

---

Sheet 26: P

	CONCESSIONER: -	PERIOD ENDING: MM/DD/YYYY
	CALCULATION OF COMPONENT RENEWAL/REPLACEMENT RESERVE
1	Gross Receipts (Schedule A, Line 1)	0
2	Less - Adjustments to Gross Receipts (Schedule B, Line 20)	0
3	Gross Receipts Subject to Reserve Calculation (Schedule B, Line 21)	0
4	Component Renewal/Replacement Reserve Percentage
5	Amount Due to Component Renewal/Replacement Reserve	0
6	(Other Method - Per Authorization (Specify Calculations))
7	Total Amount Due to Component Renewal/Replacement Reserve for the Current Year	0
	COMPONENT RENEWAL/REPLACEMENT RESERVE RECONCILIATION
8	Balance in Component Renewal/Replacement Reserve from Prior Year
9	Total Amount Due to Component Renewal/Replacement Reserve for Current Year	0
10	Less: Total Expenditures Made in Current Year (Schedule Q, Line 40)	0
11	Balance in Component Renewal/Replacement Reserve at Year End	0

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Sheet 27: Q

	CONCESSIONER: -			PERIOD ENDING: MM/DD/YYYY
	Expenditure Description	Expenditures Made in Current Year	AFR Reference*	NPS Approval Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40	TOTAL EXPENDITURES MADE IN CURRENT YEAR	0
	*Identify which Schedule(s) and Line(s) each Expenditure is Reported on in the AFR

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Sheet 28: lookups

Schedule K, Type	Concessioner Info, Type of Entity
C	C Corporation
G	S Corporation
L	B Corporation
I	Limited Liability Company
M	Partnership
P	Sole Proprietorship
	Other