DEADLINE FOR SUBMISSION

For Calendar Year

April 30
For Fiscal Year
4 months after end of fiscal year

BOI FORM S-1

ANNUAL REPORT ON ACTUAL OPERATIONS
For the year ending _________
I.

GENERAL INFORMATION
FREEZING)

A.

BASIC INFORMATION

Name of Enterprise:
Office Address:
Telephone No.:
Plant Address:
Telephone No.:
TIN:
Representative to BOI:
Telephone No.:
B.

(COLD STORAGE AND BLAST

E-mail:

Fax No.:
Fax No.:
VAT No.:
Position:
Fax:

Date:
Mobile:

Date:
Email:

EQUITY PROFILE

Authorized Capital (P):

Equity by Nationality
Filipino
Foreign
(Pls. specify)

% Nationality

Subscribed (P)

Paid-up (P)

Total
Major Stockholders
Name

II.
A.

(If there are changes from the previous year)

Nationality
Subscribed (P)

BOI REGISTERED PROJECT PROFILE:

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:

Paid-up (P)

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
Filipino

Management
Administrative/Sales
Direct Labor
Indirect Labor

Expatriate
(specify position &
nationality)

IV.

Annual Payroll
(P)

($)

PAYMENT OF TAXES, LICENSES, FEES & OTHER CONTRIBUTIONS

A. Gross Income
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

Amount (P)

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