Академический Документы
Профессиональный Документы
Культура Документы
Revision N
Effectivity D
INSTRUCTIONS TO COOPERATIVES
1. All blanks shall be filled-up with appropriate information. Do not leave any field blank. Write 0 for none and N/A
Applicable, dates should be written in mm/dd/year
2. The submission of the duly accomplished Cooperative Annual Progress Report (CAPR) Form shall be done ANNUA
days after the end of the calendar year.
3. Submission to CDA shall be done electronically through www.cda.gov.ph in accordance with MC No. 2014
cooperative shall submit to the Authority, through the Extension Office, one (1) copy of the encoded CAPR Form
days after the end of the calendar year.
4. The Authorized Representative of the Cooperative shall encode all the data required in the CAPR Form.
5. The Chairman and General Manager shall certify to the truthfulness and correctness of the information
contained herein.
6. All Multi-Purpose Cooperatives shall segregate records per economic activity.
GENERAL INFORMATION
E. Date Registered:
Original Date of Registration :
Registration Date under RA 9520 :
(Pls. check only one item) Small (with Assets of P3,000,001 to P15 million)
L. Quorum Requirement:
M. Fiscal Year:
O. Business Activities:
O1. Annual Volume of Business: (select only business activities undertaken (maybe more than one) and indic
per business activity)
O2. Products/Commodities
Put check mark/s for the Use drop down to choose Check either the
Major Products Specific Products raw or pro
Crops Banana
Page 2 of 62
CDA-SEU-
Revision N
Effectivity D
Note: In case of Workers Cooperative, all workers are considered direct employees of the cooperative.
For honoraria -do not include officers receiving honoraria
R. Information on Membership
For Primary
For Secondary For Tertiary
Primary Co- Secondary
Particulars Male Female ops Co-ops
No. of Regular members
No. of Associate members
Total No. of Members
Page 3 of 62
CDA-SEU-
Revision N
Effectivity D
R1. MEMBERSHIP COMPOSITION: (Please select composition from the drop down and indicate number of mem
in each composition)
add more
R3. List of Officers - Officers as of the Reporting Period (Indicate name and address)
Page 4 of 62
CDA-SEU-
Revision N
Effectivity D
NAME ADDRESS
A. AUDIT COMMITTEE
1
2
3
B. ELECTION COMMITTEE
1
2
3
C. MEDIATION AND CONCILIATION COMMITTEE
1
2
3
D. ETHICS COMMITTEE
1
2
3
E. OTHER COMMITTEES (Please specify)
1
2
3
4
5
T. Laboratory Cooperative
Page 5 of 62
CDA-SEU-
Revision N
Effectivity D
No. of Members
Name and Address of Laboratory
Cooperative Male Female
Student Non- Student Student Non- Student
Savings deposits
Time deposits
Other types of deposits, please specify
Total
Number of Units
Page 6 of 62
CDA-SEU-
Revision N
Effectivity D
No. of
Type of Deposits Members No. of Members
with No. of Accounts Total Amount with deposit
deposit accounts
accounts
Savings deposits
Time deposits
Other types of deposits, please specify
Total
V. Information on Capitalization
Common Preferred
Authorized Capital
Subscribed Capital
Paid-up Capital to be deleted
Deposit for Capital Subscription
Par Value per Share
Treasury Shares
Z. Information of Actual Taxes Withheld/Remitted to BIR (Total for the whole year)
Taxes withheld and remitted for Employees Salary/Compensation
Taxes withheld and remitted for Honorarium
Expanded Withholding Taxes
VAT Payments / Percentage Taxes
Income Taxes Paid
Other Taxes Paid, please specify
AA. Affiliations
Name of Federations/Unions Address
Page 7 of 62
CDA-SEU-
Revision N
Effectivity D
AB. Risk Pooling Activities (activities that cover protection against death, injury and illness, loss of property, and
events.
Page 8 of 62
CDA-SEU-
Revision N
Effectivity D
Accountant
Bookkeeper
Compliance Officer
Page 9 of 62
CDA-SEU-FR-003
Revision No. 4
Effectivity Date: ___________, 2017
evelopment Authority
nnual Progress Report (CAPR)
er 31, _______
ONS TO COOPERATIVES
Do not leave any field blank. Write 0 for none and N/A for Not
ual Progress Report (CAPR) Form shall be done ANNUALLY within 120
r economic activity.
Secondary Tertiary
Page 10 of 62
CDA-SEU-FR-003
Revision No. 4
Effectivity Date: ___________, 2017
tivities undertaken (maybe more than one) and indicate total amount
Amount
raw processed
raw processed
Page 11 of 62
CDA-SEU-FR-003
Revision No. 4
Effectivity Date: ___________, 2017
raw processed
raw processed
raw processed
Bills Payment
Others, pls. specify
_______________
TOTAL
Page 12 of 62
CDA-SEU-FR-003
Revision No. 4
Effectivity Date: ___________, 2017
Composition No.
ADDRESS
ADDRESS
Page 13 of 62
CDA-SEU-FR-003
Revision No. 4
Effectivity Date: ___________, 2017
ADDRESS
Certificate of Authority
No.
Page 14 of 62
CDA-SEU-FR-003
Revision No. 4
Effectivity Date: ___________, 2017
Total Amount
Total
Total
Valid Until
Page 15 of 62
CDA-SEU-FR-003
Revision No. 4
Effectivity Date: ___________, 2017
Associate Members
No. of Total
Accounts Amount
Total
Total
Address
Page 16 of 62
CDA-SEU-FR-003
Revision No. 4
Effectivity Date: ___________, 2017
Amount Utilized
Amount Remitted
Amount Utilized
Amount Utilized
gainst death, injury and illness, loss of property, and other contingent
Amount
Page 17 of 62
CDA-SEU-FR-003
Revision No. 4
Effectivity Date: ___________, 2017
Page 18 of 62
Cooperative Development Authority
Cooperative Annual Progress Report (CAPR)
As of December 31, _2018______
INSTRUCTIONS TO COOPERATIVES
1. All blanks shall be filled-up with appropriate information. Do not leave any field blank. Write 0 for none and N/A
Applicable, dates should be written in mm/dd/year
2. The submission of the duly accomplished Cooperative Annual Progress Report (CAPR) Form shall be done ANNUA
days after the end of the calendar year.
3. Submission to CDA shall be done electronically through www.cda.gov.ph in accordance with MC No. 2014
cooperative shall submit to the Authority, through the Extension Office, one (1) copy of the encoded CAPR Form w
the end of the calendar year.
4. The Authorized Representative of the Cooperative shall encode all the data required in the CAPR Form.
5. The Chairman and General Manager shall certify to the truthfulness and correctness of the information
contained herein.
6. All Multi-Purpose Cooperatives shall segregate records per economic activity.
GENERAL INFORMATION
B. Name of Cooperative as of latest amendment: SUSTAINABLE INITIATIVES PEOPLE ACTION FOR GROW
E. Date Registered:
Original Date of Registration : 2010-03-19
Registration Date under RA 9520 :
/
Page 19 of 62
/
G. Category of Cooperative: Primary Secondary
(Pls. check only one item) Small (with Assets of P3,000,001 to P15 million)
Note: Land should be excluded from the Total Asset as per CDA MC 2007-07 dated June 5, 2007.
Provincial
N. Area of Operation: National Regional Municipal
O. Business Activities:
O1. Annual Volume of Business: (select only business activities undertaken (maybe more than one) and indic
per business activity)
Page 20 of 62
Transportation Gross Service Revenue /Income
add more service activities
O2. Products/Commodities
Check either produ
Major Products Use drop down to choose Specific Products process
/
Crops Banana Corn
/
Aqua Marine Crabs Mussles
/
Livestocks Pig Ducks Goat
/
Metal /Minerals Lime Gold Iron
/
Other Products & Bamboo Copra Flowers
Commodities
Note: In case of Workers Cooperative, all workers are considered direct employees of the cooperative.
For honoraria -do not include officers receiving honoraria
Page 21 of 62
d. Fax Number: 044-9058-5021
e. Email Address: florayroso@yahoo.com
R. Information on Membership
For Primary
For Secondary For Tertiary
Primary Co- Secondary
Particulars Male Female ops Co-ops
No. of Regular members 9 6
No. of Associate members N/A N/A
Total No. of Members 9 6
R1. MEMBERSHIP COMPOSITION: (Please select composition and indicate number of members in each compos
R3. List of Officers - Officers as of the Reporting Period (Indicate name and address)
Page 22 of 62
6
7
8
9
10
11
12
13
14
15
T. Laboratory Cooperative
No. of Members
Name and Address of Laboratory
Cooperative Male Female
Student Non- Student Student Non- Student
N/A
Page 24 of 62
T1. Activities of Laboratory Cooperative
Activities /Services
N/A
03-17-1354 2017-11-22
Page 25 of 62
Validity: N/A
TIN N/A
No. of
Type of Deposits Members No. of Members
with No. of Accounts Total Amount with deposit
deposit accounts
accounts
Z. Information of Actual Taxes Withheld/Remitted to BIR (Total for the whole year)
Taxes withheld and remitted for Employees Salary/Compensation
Taxes withheld and remitted for Honorarium
Expanded Withholding Taxes
VAT Payments / Percentage Taxes
Income Taxes Paid
Other Taxes Paid, please specify
AA. Affiliations
Name of Federations/Unions Address
N/A N/A
Page 26 of 62
AA2. Information on the Remittances of CETF to Federations/Unions
N/A
N/A
N/A N/A
AB. Risk Pooling Activities (activities that cover protection against death, injury and illness, loss of property, and
events.
Page 27 of 62
Prepared By: AMANDA CASTRO
Position
Accountant
/ Bookkeeper
Compliance Officer
Page 28 of 62
CDA-SEU-FR-003
Revision No. 5
February 7, 2017
evelopment Authority
nnual Progress Report (CAPR)
er 31, _2018______
ONS TO COOPERATIVES
Do not leave any field blank. Write 0 for none and N/A for Not
ual Progress Report (CAPR) Form shall be done ANNUALLY within 120
r economic activity.
N/A
N/A
Page 29 of 62
CDA-SEU-FR-003
Revision No. 5
February 7, 2017
Secondary Tertiary
Provincial
Others, pls. specify
tivities undertaken (maybe more than one) and indicate total amount
Amount
5,000.00
2,000.00
Page 30 of 62
CDA-SEU-FR-003
Revision No. 5
February 7, 2017
raw processed
raw processed
raw processed
raw processed
raw processed
Bills Payment
Others, pls. specify
_______________
TOTAL
Page 31 of 62
CDA-SEU-FR-003
Revision No. 5
February 7, 2017
N/A
N/A
Composition No.
Private Employees 9
ADDRESS
biclat, Aliaga, Nueva Ecija
n Leonardo, Nueva cija
blacion East I, Aliaga, Nueva Ecija
iaga, Nueva Ecija
blacion East II, Aliaga, Nueva Ecija
Page 32 of 62
CDA-SEU-FR-003
Revision No. 5
February 7, 2017
ADDRESS
ntiago, Aliaga, Nueva Ecija
n Jose City, Nueva Ecija
n Eustacio, Aliaga, Nueva Ecija
ADDRESS
N/A
N/A
Certificate of Authority
No.
Page 34 of 62
CDA-SEU-FR-003
Revision No. 5
February 7, 2017
Total Amount
N/A
N/A
N/A
Total
N/A
Total
N/A
Valid Until
2018-04-30
N/A
N/A
Page 35 of 62
CDA-SEU-FR-003
Revision No. 5
February 7, 2017
N/A
N/A
Associate Members
No. of Total
Accounts Amount
N/A N/A
N/A N/A
N/A N/A
Total Amount
N/A
N/A
N/A
N/A
N/A
N/A
Address
Amount Utilized
Page 36 of 62
CDA-SEU-FR-003
Revision No. 5
February 7, 2017
Amount Remitted
N/A
Amount Utilized
N/A
Amount Utilized
N/A
gainst death, injury and illness, loss of property, and other contingent
Amount
N/A
Page 37 of 62
CDA-SEU-FR-003
Revision No. 5
February 7, 2017
DANILO GOMEZ
Page 38 of 62
Crops Aqua Marine Livestocks Metal /Minerals Other Products /Commodities
Type of cooperative
1 Advocacy
2 Agrarian Reform Beneficiaries
3 Agriculture
4 Consumer
5 Coop Banks
6 Credit
7 Dairy
8 Education
9 Electric
10 Financial Service
11 Fishermen
12 Health
13 Housing
14 Insurance
15 Labor Service
16 Marketing
17 Multi Purpose
18 Producers
19 Professional
20 Service
21 Small Scale Mining
22 Transport
23 Water Service
24 Workers
25 Others
Services
Medical
Dental
Hospitalization
Transportation
Insurance
Housing
Electric
Water
Communication
Consultancy
Rental of Equipment/Office Space
Practice of Profession, pls. specify ___________
Others, please specify ___________
Other Products /Commodities
Farm Inputs/implements
Mushroom
Water Refilling
Rootcrops, Pls specify ________
High value vegetables, pls specify ______
Other Fruits, Pls specify ________
Others, please specify ________
CDA-SEU-FR-003
Revision No. 3
Effectivity Date: February 11
INSTRUCTIONS TO COOPERATIVES
1. All blanks shall be filled-up with appropriate information.
2. The submission of the duly accomplished Cooperative Annual Progress Report (CAPR) Form shall be done ANNUA
within 120 days after the end of the calendar year.
3. Submission to CDA shall be done electronically through www.cda.gov.ph in accordance with MC No. 2014-05. L
the cooperative shall submit to the Authority, through the Extension Office, one (1) copy of the encoded CAPR Form
five (5) days from the electronic submission duly signed by the Accountable Officer.
4. The Authorized Representative of the Cooperative shall encode all the data required in the CAPR Form.
5. The Chairman and General Manager shall certify to the truthfulness and correctness of the information
contained herein.
6. All Multi-Purpose Cooperatives shall segregate records per economic activity.
7. Do not leave blank. Write 0 for none and N/A for Not Applicable
GENERAL INFORMATION
D. Date Registered:
Original Date of Registration :
Registration Date under RA 9520 :
E. Business Permit
Business Permit No.
Date Issued
Amount Paid
H. Type of Cooperative:
Page 43 of 62
CDA-SEU-FR-003
Revision No. 3
Effectivity Date: February 11
K. Quorum Requirement:
L. Fiscal Year:
_________________________________ ____________________________________
_________________________________ ____________________________________
_________________________________ ____________________________________
_________________________________ ____________________________________
_________________________________ ____________________________________
N1. Products/Commodities
N2. Services Rendered (please specify)
N3. Annual Volume of Business:
Note: In case of Workers Cooperative, all workers are considered direct employees of the cooperative.
For honoraria - include no. of officers receiving honoraria
Q. Contact Person
Page 44 of 62
CDA-SEU-FR-003
Revision No. 3
Effectivity Date: February 11
a. Name:
b. Designation:
c. Phone Number:
d. Fax Number:
e. Email Address:
R. Information on Membership
For Primary For
Secondary For Tertiary Other Juridical P
Particulars Male Female Primary Secondary
No. of Regular members
No. of Associate members
Total No. of Members
Target/Potential Membership
Page 45 of 62
CDA-SEU-FR-003
Revision No. 3
Effectivity Date: February 11
Page 46 of 62
CDA-SEU-FR-003
Revision No. 3
Effectivity Date: February 11
1
2
3
4
5
Page 47 of 62
CDA-SEU-FR-003
Revision No. 3
Effectivity Date: February 11
Savings deposits
Time deposits
Other types of deposits, please specify
Total
Page 48 of 62
CDA-SEU-FR-003
Revision No. 3
Effectivity Date: February 11
No. of No. of
Type of Deposits Members No. of Total Members with No. of
with Accounts Amount deposit Accounts
deposit accounts
accounts
Savings deposits
Time deposits
Other types of deposits, please specify
Total
V. Information on Capitalization
Common Preferred Total
Authorized Capital
Subscribed Capital
Paid-up Capital
Deposit for Capital Subscription
Par Value per Share
Treasury Shares
Page 49 of 62
CDA-SEU-FR-003
Revision No. 3
Effectivity Date: February 11
Accountant
Bookkeeper
Compliance Officer
Page 50 of 62
CDA-SEU-FR-003
Revision No. 3
Effectivity Date: February 11, 2015
ve Development Authority
ve Annual Progress Report (CAPR)
mber 31, _______
NS TO COOPERATIVES
on.
Annual Progress Report (CAPR) Form shall be done ANNUALLY
Tertiary
Page 51 of 62
CDA-SEU-FR-003
Revision No. 3
Effectivity Date: February 11, 2015
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
Amount
TOTAL
TOTAL
Page 52 of 62
CDA-SEU-FR-003
Revision No. 3
Effectivity Date: February 11, 2015
No.
Page 53 of 62
CDA-SEU-FR-003
Revision No. 3
Effectivity Date: February 11, 2015
ADDRESS
ADDRESS
ADDRESS
Page 54 of 62
CDA-SEU-FR-003
Revision No. 3
Effectivity Date: February 11, 2015
Certificate of Authority
No.
Page 55 of 62
CDA-SEU-FR-003
Revision No. 3
Effectivity Date: February 11, 2015
Date Issued
Deposit Liabilities
Total Amount
Valid Until
Valid Until
Page 56 of 62
CDA-SEU-FR-003
Revision No. 3
Effectivity Date: February 11, 2015
Associate Members
Total
Amount
Total
Total
Accumulated Balance
Page 57 of 62
CDA-SEU-FR-003
Revision No. 3
Effectivity Date: February 11, 2015
Page 58 of 62
Agrarian Reform Beneficiaries
Barangay officials and employees
Driver / Operators / Conductors
Diferrently Abled Person/PWD
Elderly/Senior Citizen
Entreprenuers
4Ps Beneficiaries
Farmers
Fishermen/fisherfolks/fish vendors
Government employees and officials
Housewives/Househusbands
Livestock growers
Informal Settlers
Military Personnel
Non-uniformed Military Personnel
Miners
Teachers/Educators
Non-teaching personnel
Overseas Filipino Workers
Private Employees
Professionals
Rebel Returnees
Religious Sector/Worker
Retired Employees/Retirees
Seaman/Seafarers
Self-employed, pls. specify nature
Skilled workers, pls. specify
Students
Vendors
Others, Pls. specify ___________________
SUSTAINABLE INITIATIVES AND PEOPLE'S ACTION FOR GROWTH MULTI-PURPOSE COOPERATIVE
Poblacion West III, Aliaga, Nueva Ecija
CDA REG./Con. No. PGA 6254
Dormitory
DRYING
duck egg selling
Emission Testing
Enrichment Program
Feed Milling Venture
Feeds Distribution
Ferrying of Visitors/Tourists
Fishing
Food Processing
FUEL REFILLING STATION