P&SP 7002 Supplemental Balance Sheet Special Report

Instructions to Complete
Supplemental Balance Sheet Special Report
Form P&SP –7002
As an entity regulated by the Packers and Stockyards Act you are required to file a special report
with the U.S. Department of Agriculture’s Packers and Stockyards Program (P&SP) on Form
P&SP-7002, Supplemental Balance Sheet Special Report .
You must file the form by the date shown in the letter notifying you to file the special report. The
penalty for failure to file each day the report remains delinquent is $110. All information must
be completed on this form in its entirety. Failure to do so will result in the form being
returned incomplete.
For questions about Form P&SP-7002, or additional copies of the form, please contact the PSP
Central Reporting Unit at 303-375-4264 or [email protected]. Forms and instructions
are also on GIPSA’s website at www.gipsa.usda.gov. Please fax the completed form to the
Central Reporting Unit at 314-457-4421, email to [email protected] mail to:

USDA PSP
P.O. Box 110639
Aurora, CO 80042

SECTION-BY-SECTION INSTRUCTIONS
GENERAL INFORMATION - SECTION 1
Enter name, address and contact information for the entity.
BALANCE SHEET - SECTION 2
Independently created Balance Sheets are not accepted in lieu of a fully completed report.
Line 201: Enter the total of your firm’s cash on hand including total book balances of all bank
accounts that were not in an overdraft position. An overdraft should be reported on line 230.
Line 202: Enter dollar amount of overage from analysis of Custodial Account. A shortage should
be reported on line 231.
Line 203: Enter the dollar value of any temporary cash investments (securities, CD’s, etc.).
Include only those marketable securities which represent the investment of cash available for
current operations and not otherwise pledged as security. Include cost or market value,
whichever is lower.
Line 204: Enter the dollar amount of only those accounts receivable that are due in one year or
less from others not related to the company.
Line 205: Enter the dollar amount of only those accounts receivable that are due in one year or
less from others related to the company (such as owners, officers).
Line 206: Enter the sum of lines 204 and 205.
Line 207: Enter the total dollar value of allowance for doubtful accounts.
Line 208: Subtract line 207 from 206; enter the difference as Total Accounts Receivable.
Line 209: Enter notes receivable and portions of installment notes that are due in one year or less,
including those past due that are deemed likely to be collected, from sources not related to the
company.

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Line 210: Enter notes receivable and portions of installment notes that are due in one year or less,
including those past due that are deemed likely to be collected, from sources related to the
company (such as owners, officers).
Line 211: Enter the sum of lines 209 and 210.
Line 212: Enter the dollar value of livestock inventory.
Line 213: Enter the dollar value of meat and meat food products inventory.
Line 214: Enter the dollar value of any other inventory.
Line 215: Enter the sum of lines 212 through 214.
Line 216: Enter the dollar value of advances made on livestock and meat at the close of the
reporting period.
Line 217: Enter the dollar value of other current assets.
Line 218: Enter the sum of lines 201, 202, 203, 208, 211,215, 216 and 217.
Line 219: Enter the dollar amount of investments of any kind in subsidiaries and affiliated
companies.
Line 220: Enter the dollar value of stocks, bonds, other financial instruments and real estate
investments outside of the company.
Line 221: Enter the sum of lines 219 and 220.
Line 222: Enter the dollar value of land owned by your firm.
Line 223: Enter the dollar value of the property, plant and equipment owned by your firm, net of
accumulated depreciation and amortization.
Line 224: Enter the sum of lines 222 through 223.
Line 225: Enter the dollar value of notes and loans payable due after one year from sources not
related to the company.
Line 226: Enter the dollar value of notes and loans payable due after one year from sources
related to the company.
Line 227: Enter the dollar value of other assets.
Line 228: Enter the sum of lines 225 through 227.
Line 229: Enter the sum of lines 218, 221, 224, and 228.
Line 230: Enter the bank overdraft amount as the overdraft on the firm’s books, not the overdraft
shown on the bank statement.
Line 231: Enter dollar amount of shortage from Custodial Account analysis.
Line 232: Enter the total dollar amount you owe for livestock.
Line 233: Enter the total dollar amount you owe for meat products.
Line 234: Enter the total dollar amount due in one year or less to sources not related to the
company.
Line 235: Enter dollar amount due in one year or less to subsidiaries and affiliated companies and
other sources related to company, for example employees and owners.
Line 236: Enter the sum of lines 232 through 235.
Line 237: Enter dollar amount of notes and loans due in one year or less to others.
Line 238: Enter dollar amount of notes and loans due in one year or less to subsidiaries and
affiliated companies and other sources related to company.
Line 239: Enter the sum of lines 237 and 238.
Line 240: Enter the total dollar value of any other current liabilities which have not already been
included on lines 230 through 239.
Line 241: Enter the sum of lines 230, 231, 236, 239 and 240.
Line 242: Enter the total dollar value of notes, mortgages, bonds and installments that are payable
after one year or more to sources not related to the company.
Line 243: Enter the total dollar value of notes, mortgages, bonds and installments that are payable
after one year or more to sources related to the company.
Line 244: Enter the dollar value of any other long-term liabilities.
Line 245: Enter the sum of lines 242 through 244.

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Line 246: Enter the sum of lines 241 and 245.
Line 247: If unincorporated, enter the dollar value of Net Worth.
Line 248: If incorporated, enter dollar value of capital stock and other contributed capital.
Line 249: Enter the dollar value of retained earnings.
Line 250: Add lines 248 and 249; enter as Incorporated Net Worth.
Line 251: If unincorporated, enter total from line 247, if incorporated enter total from line 250.
Line 252: Enter the sum of lines 246 and 251.
FINANCING INFORMATION – SECTION 3
Independently created Financing Information is not accepted in lieu of a fully completed report.
Line 301-302: Check appropriate box indicating whether or not your firm has contingent
liabilities. If “Yes”, briefly explain the possible direct financial obligations which are unsettled
as to the certainty of the liability and the amount.
Line 303: Check appropriate box indicating whether or not your firm had Accounts Receivable
and/or Inventories or any part thereof, pledged or assigned as collateral under a financing
agreement.
Line 304: If you checked “Yes” on line 303, enter name of financial institution that has security
interests in your firm.
Line 305-306: Enter mailing address of financial institution.
Line 307: Enter a person to contact at the financial institution.
Line 308: Enter a phone number for the person listed on line 306.
Line 309: Check appropriate box indicating whether or not inventories are collateralized under
the agreement.
Line 310: Check appropriate box indicating whether or not accounts receivable are collateralized
under the agreement.
Line 311: Enter the dollar value of the borrowing limit under the agreement.
Line 312: Enter the dollar value of borrowing payable as of the end of the reporting period.
Line 313: Check appropriate box indicating whether or not any company owners, directors,
officers or stockholders are named as a guarantor under the agreement.
Line 314: Check appropriate box indicating whether or not the parent company is named as a
guarantor under the agreement.
Line 315: Enter dollar value of minimum cash balance required to be maintained on deposit.
Line 316: Enter the dollar value of minimum working capital required to be maintained.
Line 317: Enter any other restrictions or covenants under the financing or loan agreement.
CERTIFICATION-- SECTION 4
An owner, partner, officer of a corporation or a managing member in control of the entity must
sign the report.
Line 401- 405: Enter the date the report was signed, the title or authority of the person signing the
report, phone number and signature.

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Business Entity ID Number

For P&SP Use Only

P&SP Bar Code Only

U.S. Department of Agriculture
Grain Inspection,

SUPPLEMENTAL BALANCE SHEET SPECIAL
REPORT

Packers and Stockyards
Administration

Packers and
Stockyards
Program

Instructions: If an item's value is zero, enter "0". If an item does not apply, enter "NA". Upon completion please verify that all items have been
answered. Return completed form to the appropriate P&SP regional office. See separate instructions for complete information about this report.
GENERAL INFORMATION - SECTION 1

101 Date of Report (mm/dd/yy)
102 Legal Business Name
103 Business Name (dba)
104 Mailing Address
105 City, State, Zip
106 Telephone Number
107 Fax Number
BALANCE SHEET - SECTION 2

Include values only for the reporting entity.
Assets
Current Assets
Cash (Enter overdrafts under Current Liabilities - line 230)

201

$

Overage in analysis of Custodial Bank Account (Enter shortages under Current Liabilities - line 231)

202

$

203

$

208

$

211

$

Total Inventory

215

$

Advances made on Livestock and Meat

216

$

Other Current Assets

217

$

218

$

Temporary Cash Investments (Marketable Securities, Certificates
of Deposit, Commercial Paper, etc.)
Accounts Receivable (Due in 1 Year or Less)
From Sources Not Related to Company

204

$

From Sources Related to Company

205

$

Subtotal

206

$

Less Allowance for Doubtful Accounts

207

$

Total Accounts Receivable (line 206 less 207)
Notes and Loans Receivable (Portion due in 1 Year or Less)
From Sources Not Related to Company

209

$

From Sources Related to Company

210

$

Total Notes and Loans Receivable
Inventory
Livestock

212

$

Meat and Meat Food Products

213

$

Other Inventory

214

$

Total Current Assets

Your response to this form is required under the Packers and Stockyards Act of 1921, as amended and supplemented (9 CFR 201.97 and 7 U.S.C.
181-229). According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0580-0015. The time
required to complete this information collection is estimated to average 1 hour 30 minutes per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

OMB No. 0580-0015
Expires: xx/xx/20xx

Form 7002

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Balance Sheet, Assets, continuation.

Investments
Subsidiaries and Affiliated Companies

219

$

Stock, Bonds, and Real Estate Not Used in this Business

220

$
221

$

224

$

228

$

229

$

Bank Overdraft on Non-Custodial Accounts

230

$

Shortage in Analysis of Custodial Bank Account

231

$

236

$

Total Notes and Loans Payable

239

$

Other Current Liabilities

240

$

241

$

All Other Liabilities

244

$

Total Long-Term Liabilities

245

$

246

$

Total Net Worth

251

$

Total Liabilities and Net Worth (Equals Total Assets)

252

$

Total Investments
Fixed Assets
Land

222

$

Property, Plant, & Equipment (Net of depreciation and amortization)

223

$

Total Fixed Assets
Other Assets
Accounts and Notes Receivable (Due after 1 year)
From sources not related to company

225

$

From sources related to company

226

$

227

$

All other Assets
Total Other Assets
Total Assets

Liabilities
Current Liabilities

Accounts Payable
Livestock Purchases

232

$

Meat Product Purchases

233

$

Other Paybles to Sources Not Related to Company

234

$

Other Payables to Sources Related to Company

235

$

Total Accounts Payable
Notes and Loans Payable (Demand notes and portion of long-term notes due in 1 year or Less)
To Sources Not Related to Company

237

$

To Sources Related to Company

238

$

Total Current Liabilities

Long-Term Liabilities (Due after 1 Year)
Notes, Mortgages and Payables due after 1 year
To sources not related to company

242

$

To sources related to company

243

$

Total Liabilities

Owner's Net Worth
If Unincorporated
Owner's Net Worth

247

$

Capital stock and other contributed capital

248

$

Retained Earnings

249

$

Incorporated Net Worth

250

$

If Incorporated

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FINANCING INFORMATION - SECTION 3
301 Is the registrant liable for any contingent liabilities? If Yes, give brief explaination on line 302.

Yes

No

302
303

At the end of the reporting period, were Accounts Receivable and/or Inventories, or any part thereof, pledged or assigned as collateral
under a financing or loan agreement? (If Yes, complete following questions in section)

Yes

No

Report financial lending institutions having security interests in lines 304-308 (add addition sheets if more than one)
304 Name of Institution
305 Mailing Address
306 City, State, Zip
307 Contact Person
308 Contact's Number

309 Are Inventories collateralized under the agreement?

Yes

No

310 Are Accounts Receivable collateralized under the agreement?

Yes

No

313 Are any company owners, directors, officers or stockholders named as a guarantor under the agreement?

Yes

No

314 If company is a subsidiary of another, is the Parent Company named as a guarantor under the agreement?

Yes

No

311 Enter borrowing limit under the agreement

$

312 Enter borrowing payable as of the end of the reporting period

$

Restrictions or covenants under financing or loan agreement
315 Minimum cash balance to be maintained on deposit

$

316 Minimum working capital to be maintained.

$

317 Other (describe)

CERTIFICATION - SECTION 4
Under the Packers and Stockyards Act any person who willfully makes or causes any false entry or statement of fact in this report shall be deemed guilty of offense against the United
States, and be subject to a fine of $1,000 to $5,000, or to imprisonment for a term of not more than 3 years, or to both fine and imprisonment.
I certify that this report has been prepared by me or under my direction, and to the best of my knowledge and belief correctly reflects reporting entity operations.
401 Print Name
403 Phone Number

402 Signature (Must be signed by an owner, partner, officer, of managing member)
404 Date

405 Title

Submitted information is confidential (9 CFR 201.96). Failure to report will result in forfeiture to the United States $110 per day until report receipt 7 (U.S.C. 222).
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual
orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative
means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights,
1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

Form 7002

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