BOI FORM S-1

ANNUAL REPORT ON ACTUAL OPERATIONS

For the year ending ______

I.  GENERAL INFORMATION

(COLD STORAGE AND BLAST FREEZING)

A. BASIC INFORMATION
Name of Enterprise:
Office Address:
Telephone No.: / E-mail: / Fax No.:
Plant Address:
Telephone No.: / Fax No.:
TIN: / Date: / VAT No.: / Date:
Representative to BOI: / Position:
Telephone No.: / Mobile: / Fax: / Email:
B. EQUITY PROFILE
Authorized Capital (P):
Equity by Nationality / % Nationality / Subscribed (P) / Paid-up (P)
Filipino
Foreign
(Pls. specify)
Total
Major Stockholders
(If there are changes from the previous year)
Name / Nationality / Subscribed (P) / Paid-up (P)

II.  BOI – REGISTERED PROJECT PROFILE:

A. REGISTERED PROJECT
Registration No. / Date
Registered Activity
Registered Capacity

Date of Actual Start of Commercial Operation

/

Status of Operation

/ Pre-Operating
Operating
Stopped Operation
Date:

III.  ACTUAL INVESTMENTS, FINANCING, AND EMPLOYMENT

A.  INVESTMENTS
Amount (P)
Land
Building
Machinery & Equipment
Others (specify)
Total
B.  SOURCES OF FUNDS
Foreign (P) / Filipino (P) / Total (P)
Equity (Fresh Capital)
Retained Earnings
Loans: / Inter-Company
Commercial Bank
Government Financial Institution
Others:
Total
C. ACTUAL EMPLOYMENT
Number / Annual Payroll
Filipino / Management / (P)
Administrative/Sales
Direct Labor
Indirect Labor
Expatriate
(specify position & nationality) / ($)

IV.  PAYMENT OF TAXES, LICENSES, FEES & OTHER CONTRIBUTIONS

A.  Gross Income / Amount (P)
1.  With Exemption
2.  Income from all operation
A. Internal Revenue Taxes/Fees
1. Corporate/Income Tax/Minimum Corporate Tax
2. VAT
3. Documentary Stamps
4. Withholding Taxes on Employees’ Salaries and Wages
5. Annual Registration/Fees/Others
B. Local Taxes
1. Real Estate Taxes
2. Business Taxes/Permits
3. Occupation Taxes/Other Taxes and Fees
C. Others
1. Taxes and duties on Importation
2. Warehousing Fees for Bonded Warehouse
3. Wharfage Fees
4. Motor Vehicle Registration Fees
5. Filing Fees
6. R & D Expense
7. Infrastructure Works
8. Training Expenses
9. Donations to LGUs
10. Others
Total

V.  PERFORMANCE AND SALES DATA

Total Service Fee (P)
Volume (MT/Pallet)
Depreciation (Imported Equipment)
Allocated Overhead
(i.e. expatriate/salaries/benefits)
Local
Local Raw materials (P)
Direct Labor (In-house)
Salaries and benefits (others)
Subcontracts
Activity
Prehandling/Palletizing
Security Services
Quality Service
Others
Depreciation (locally purchased equipment)
Utilities
Electricity
Water
Communications
Rental
Amortization of Preopex & Org. Cost
Repairs and Maintenance
Travel and Transportation
Taxes and Licenses
Gas and Oil
Fringe benefits and tax expense
Freight and Handling
Insurance Expense
Stationery and office supplies
Others
Total

VI.  FOREIGN EXCHANGE INFLOWS & OUTFLOWS

Amount (US$)
Foreign Exchange Inflows
Export Earnings (FOB/ CMT)
Equity Investments
Loan Proceeds
Others
Foreign Exchange Outflows
Acquisition of Equipment
Purchase of Spare parts
Purchase of Raw Materials and Supplies
Remittances
Others

VII.  INCENTIVES AVAILED

Amount (P)

Tax Exemptions

1.  Income Tax Holiday
2. Imported Capital Equipment
3. Spare Parts
4. ADLE
5. Others (please specify)
Tax Credits
1. Domestic Capital Equipment
2. Others (please specify)
Total

CERTIFICATION

I,______,of legal age, ______(status), with address at ______, after having been sworn in accordance with law, hereby state that:

1. I am occupying the position of ______in ______with business address at ______

2. I have caused the preparation of the annual report on actual operations.

3. I have read and understood the contents thereof and that all information therein are true and correct.

Done in ______on ______.

______

Name/Signature