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Form 10-355 Financial Information for Revenue Producing Uses

ICR 201705-1024-002 · OMB 1024-0233 · Object 73479401.

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Form 10-355 Financial Information for Revenue Producing Uses
MBaucum
Writer
2017-04-27
2026-10-04
complete

Extracted Text

I. START UP COSTS
Working Capital
Utility Hookups
     
     
Improvements
FF&E
     
     
Marketing
Legal
     
     
Total Start Up Costs
     
Explain the basis of all estimates. The estimates must credibly demonstrate your understanding of the start-up costs associated with this lease opportunity.

II.  Stabilized Operating Proforma
Revenue
Expenses
     
     
General/Administrative
Operations
     
     
Building Maintenance
Grounds Upkeep
     

HVAC
Utilities

     
Security

     

Other Expenses:

Total Expenses
Net Income After Expenses
     
     
Annual Cost of Debt and Equity
Rent to NPS
     
     
Net Cash Flow

     

Explain the basis of all estimates. These estimates must credibly demonstrate that your net revenue will be sufficient to permit payment of the proposed rent and otherwise demonstrate that your proposal is financially viable.


NOTICES



Paperwork Reduction Act Statement

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 evaluate proposals received in response to leasing opportunities.  Your response is required to obtain or retain a benefit.  We estimate that it will take you 1 hour to complete this form.  This estimate includes time for reviewing instructions, gathering and maintaining data, and completing and reviewing 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, 1849 C Street, NW, (2601), Washington, DC  20240.  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.

Estimated Burden Statement

We estimate that it will take you 1 hour 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.