Audit Report Form
FINANCIAL SUMMARYGENERAL INFORMATION:NAME OF MASTERCERTIFICATE HOLDER:_____________________________________________________DATE OF LAST FINANCIAL STATEMENT: ___ / ___ / ___(mm dd yr)FINANCIAL INFORMATION:CASH & MARKETABLE SECURITIES . . .$________________________________INVENTORY. . . . . . . . . . . . .$________________________________TOTAL CURRENT ASSETS . . . . . . .$________________________________TOTAL INTANGIBLE ASSESTS . . . . .$________________________________TOTAL ASSETS . . . . . . . . . . . . . . . . . . . . . . . . . . . $________________________________TOTAL SHORT TERM DEBT. . . . . . .$________________________________TOTAL CURRENT LIABILITIES. . . . .$________________________________TOTAL LONG TERM DEBT . . . . . . .$________________________________LONG-TERM PENSION OBLIGATIONS . . $________________________________TOTAL LIABILITIES . . . . . . . . . . . . . . . . . . . . . . . . $________________________________TOTAL SHAREHOLDERS’ EQUITY . . . .$________________________________TOTAL PREFERRRED STOCK. . . . . ..$________________________________RETAINED EARNINGS. . . . . . . . .$________________________________NET SALES. . . . . . . . . . . . .$________________________________COST OF GOODS SOLD . . . . . . . .$________________________________SELLING, GENERAL & ADMINISTRATIVE EXPENSES. . . . . .$________________________________OPERATING PROFIT/(LOSS). . . . . .$________________________________EARNINGS BEFORE INTEREST AND TAXES. . . . . . . . . . .$________________________________TOTAL INTEREST EXPENSES. . . . . .$________________________________NET INCOME/(NET LOSS) . . . . . .$________________________________RENTAL EXPENSE. . . . . . . . . ..$________________________________DEPRECIATION AND AMORTIZATION . . $________________________________EXTRAORDINARY ITEMS. . . . . . . .$________________________________PREPARED BY:________________________________ DATE______________TITLE_______________________________________Form A4-7 (4/03) ................
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