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Annual Financial Report - Part III Form. This is a California form and can be use in Blue Sky Secretary Of State.
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Tags: Annual Financial Report - Part III, 260.241.2 (III), California Secretary Of State, Blue Sky
STATE OF CALIFORNIA
DEPARTMENT OF CORPORATIONS
ANNUAL FINANCIAL REPORT
PART III
NAME OF LICENSEE:
for the period from
to
STATEMENT OF INCOME (LOSS)
REVENUE
Commissions
Gains or Losses on Principal transactions including unrealized gains and losses
Underwriting
Interest
Income from the sale of investment company shares
Other
TOTAL REVENUE
$
$
EXPENSES
Employee compensation and benefits
Commissions and floor brokerage
Communications
Promotional
Interest
Occupancy and equipment rental
Taxes other than income taxes
Other operating expenses
$
TOTAL EXPENSES
$
Income (loss) before income taxes and items below
Income taxes
Minority interest in income of consolidated subsidiaries
Equity in earnings of unconsolidated subsidiaries
Income (loss) before extraordinary items
Extraordinary items
Cumulative effect of changes in accounting principles
NET INCOME (LOSS)
260.241.2 (PART III) (11-77)
$
$
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STATE OF CALIFORNIA
DEPARTMENT OF CORPORATIONS
ANNUAL FINANCIAL REPORT
PART III
NAME OF LICENSEE:
for the period from
to
STATEMENT OF CHANGES IN OWNERSHIP EQUITY
(SOLE PROPRIETORSHIP, PARTNERSHIP OR CORPORATION)
Balance, beginning of period
Net income (loss)
Additions
Deductions
$
Balance, end of period
$
STATEMENT OF CHANGES IN LIABILITIES SUBORDINATED
TO CLAIMS OF GENERAL CREDITORS
Balance, beginning of period
Increases
Decreases
$
Balance, end of period
$
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STATE OF CALIFORNIA
DEPARTMENT OF CORPORATIONS
ANNUAL FINANCIAL REPORT
PART III
NAME OF LICENSEE:
as of
COMPUTATION OF NET CAPITAL
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Total ownership equity (from Statement of
Financial Condition) ..................................................... $
Deduct: Ownership equity not allowable
for net capital ......................................................... (
Total ownership equity qualified net capital ..............................
Add:
A. Liabilities subordinated to claims of general creditors
allowable in computation of net capital ..................................
B. Other(deductions) or allowable credits (List)
............................
Total capital and allowable subordinated liabilities .......................... $
Deductions and/or charges:
A. Total non-allowable assets from
Statement of Financial Condition
.................................. $
(Notes B and C)
1. Additional charges for customers' and
non-customers' security accounts ..............
2. Additional charges for customers' and
non-customers' commodity accounts .............
B. Aged fail-to-deliver: ............................
1. Number of items ...............
C. Aged short security differencesless reserve of ................. $
number of items .................
D. Secured demand note deficiency .................
E. Commodity futures contracts and
spot commodities - proprietary
capital charges ..................................
F. Other deductions and/or charges .................
G. Option deductions and/or charges pursuant to
Rule 260.216.12(c)(2)(J) and/or (K)
.................
(
H. Total deductions and/or charges .......................................$
Other additions and/or allowable credits (List) .............................
Net Capital before haircuts on securities positions ..........................$
Haircuts on securities: (computed, where applicable,
pursuant to Rule 260.216.12:
A. Contractual securities commitments .................
B. Subordinated securities borrowings .................
C. Trading and Investment securities:
1. Bankers' acceptances, certificates of
deposit and commercial paper .................
2. U.S. and Canadian government
obligations....................................
3. State and municipal government
obligations....................................
4. Corporate obligations ..........................
5. Stocks and warrants .............................
6. Options ........................................
7. Arbitrage .....................................
8. Other securities ..............................
D. Undue concentration ................................
(
E. Other (List) .......................................
Net Capital
............................................................... $
)
))
)
OMIT PENNIES
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STATE OF CALIFORNIA
DEPARTMENT OF CORPORATIONS
ANNUAL FINANCIAL REPORT
PART III
NAME OF LICENSEE:
as of
COMPUTATION OF BASIC NET CAPITAL REQUIREMENT
Part A
11. Minimum net capital required (6-2/3% of line 18)
.............................. $
12. Minimum dollar net capital requirement of reporting firm
and minimum net capital requirement of subsidiaries
computed in accordance with Note (A) .......................................... $
13. Net capital requirement (greater of line 11 or 12) ............................ $
14. Excess net capital (line 10 less 13) .......................................... $
COMPUTATION OF AGGREGATE INDEBTEDNESS
Total A.1 liabilities from Statement of Financial Condition ................... $
Add:
A.
Drafts for immediate credit ........................... $
Market value of securities borrowed for which
B.
no equivalent value is paid or credited ............... $
C.
Other unrecorded amounts (List) ....................... $
17. Deduct: Adjustment based on deposits in Special Reserve Bank
Accounts Rule 260.216.12(c)(1)(G)
.............................................$
18. Total aggregate indebtedness ................................................. $
19. Percentage of aggregate indebtedness to net capital
.
(line 18 .by line 10) ........................................................%
15.
16.
.
.
COMPUTATION OF ALTERNATE NET CAPITAL REQUIREMENT
Part B
20. 4% of combined aggregate debit items as shown in Formula for Reserve
Requirements pursuant to Rule 260.216.12.1 prepared as of the date
of the net capital computation including both broker-dealers and
consolidated subsidiaries' debits .............................................$
21. Minimum dollar net capital requirement of reporting brokerdealer and minimum net capital requirement of subsidiaries
computed in accordance with Note (A)
..........................................$
22. Net capital requirement (greater of line 20 or 21) .............................$
23. Excess net capital (line 10 less 22)
..........................................$
24. Percentage of Net Capital to Aggregate Debits (line
.
10 . by line 18 page 5-Part III ..............................................%
25. Net capital in excess of the greater of 7% of combined
aggregate debit items or $100,000 .............................................$
OTHER RATIOS
Part C
26. Percentage of debt to debt-equity total computed in accordance
with Rule 260.216.12(d)
..................................................... %
27. Options deductions/Net Capital ratio (total (deductions under
.
.
Rule 260.216.12(a)(6),(a)(7) and (c)(2)(J) Net Capital)
.......................%
NOTES:
(A) The minimum net capital requirement should be computed by adding the minimum
dollar net capital requirement of the reporting broker-dealer and, for each
subsidiary to be consolidated, the greater of:
1. Minimum dollar net capital requirement, or
2. 6-2/3% of aggregate indebtedness or 4% of aggregate debits if alternative
method is used.
(B) Do not deduct the value of securities borrowed under subordination agreements
or secured demand notes covered by subordination agreements not in satisfactory
form and the market values of membership in exchange contributed for use of
company and partners' securities which were included in non-allowable assets.
(C) A list of all material non-allowable assets should be provided with this report.
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STATE OF CALIFORNIA
DEPARTMENT OF CORPORATIONS
ANNUAL FINANCIAL REPORT
PART III
NAME OF LICENSEE:
as of
COMPUTATION FOR DETERMINATION OF RESERVE REQUIREMENTS
FOR BROKER-DEALERS UNDER RULE 260.216.12.1
(See Rule 260.216.12.1(n) and Related Notes)
CREDIT BALANCES
1. Free credit balances and other credit balances in customers' security
accounts (see Note A, Rule 260.216.12.1 ......................... $
2. Monies borrowed collateralized by securities carried for the accounts
of customers ........................................................
3. Monies payable against customers' securities loaned ..................
4. Customer securities failed to receive ................................
5. Credit balances in firm accounts which are attributable to principal
sales to customers ..................................................
6. Market value of stock dividends, stock splits and similar distributions
receivable outstanding over 30 calendar days ..........................
7. *Market value of short security count differences over 30 calendar
days old ...........................................................
8. *Market value of short securities and credits (not to be offset by longs
.........
or by debits) in all suspense accounts over 30 calendar days
9. Market value of securities which are in transfer in excess of 40
calendar days and have not been confirmed to be in transfer by the
transfer agent of the issuer during the 40 days
........................................................
10. Other (list)
11. TOTAL CREDITS .................................................................... $
DEBIT BALANCES
12. *Debit balances in customers' cash and margin accounts excluding
unsecured accounts and accounts doubtful of collection net of
deductions pursuant to Note B, Rule 260.216.12.1(n)3
................. $
13. Securities borrowed to effectuate short sales by customers and
securities borrowed to make delivery on customers' securities
failed to deliver ...................................................
14. Failed to deliver of customers' securities not older than 30
calendar days .......................................................
15. Other (list) ........................................................
16. *Aggregate debit items .............................................................$
17. *Less 3% (for alternative method only - see Rule 260.216.12(f)(5)(A)
.................
18. *TOTAL RULE 260.216.12.1 DEBITS .................................................... $
RESERVE COMPUTATION
19. Excess of total debits over total credits (line 18 less line 11)
................... $
20. Excess of total credits over total debits (line 11 less line 18)
...................
21. If computation permitted on a monthly basis, enter 105% of excess
of total credits over total debits ................................................
22. Amount held on deposit in "Reserve Bank Account(s)" including
value of qualified securities, at end of reporting period ..........................
...................
23. Amount of deposit (or withdrawal), including qualified securities
24. New amount in Reserve Bank Account(s) after adding deposit
value of qualified securities .........
or subtracting withdrawal including $
25. Date of deposit (MM/DD/YY)
.......................................................
OMIT PENNIES
FREQUENCY OF COMPUTATION
26. Daily
Weekly
Monthly
*In the event the Net Capital Requirement is computed under the alternative
method, this "Reserve Formula" shall be-prepared in accordance with the
requirements of paragraph (f) of Rule 26O.216.12.
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STATE OF CALIFORNIA
DEPARTMENT OF CORPORATIONS
ANNUAL FINANCIAL REPORT
PART III
NAME OF LICENSEE:
as of
COMPUTATION FOR DETERMINATION OF RESERVE REQUIREMENTS
FOR BROKER-DEALERS UNDER RULE 260.216.12.1
(continued)
EXEMPTIVE PROVISIONS
27. If an exemption from Rule 260.216.12.1 is claimed, identify below the section upon
which such exemption is based (check one only)
.......................
A. (j)(1) $2,500 capital category as per Rule 260.216.12
..
B. (j)(2)(i) "Special Account for the Exclusive Benefit of Customers" maintained
C. (j)(2)(ii) All customer transactions cleared through another broker-dealer
on a fully disclosed basis. Name of clearing firm
D. (j)(3) - Exempted by order of the Commissioner
..................................
Information for Possession or Control Requirements Under Rule 260.216.12.1
State the market valuation and the number of items of:
1. Customers' fully paid securities and excess margin securities
not in the respondent's possession or control as of the report
date (for which instructions to reduce to possession or control
had been issued as of the report date) but for which the required
action was not taken by respondent within the time frames specified
under Rule 260.216 12 1. Notes A and B .......................... $
A. Number of items.............................................
2. Customers' fully paid securities and excess margin securities
for which instructions to reduce to possession or control
had not been issued as of the report date, excluding items
arising from "temporary lags which result from normal business
operations" as permitted under Rule 260.216.12.1. Notes B and C ... $
A. Number of Items .............................................
3.
The system and procedures utilized in complying with the
requirement to maintain physical possession or control of
customers' fully paid and excess margin securities have
been tested and are functioning in a manner adequate to
fulfill the requirements of Rule 260.216.12.1 ...............
OMIT PENNIES
Yes
No
NOTES
A - Do not include in 1. customers' fully paid and excess margin securities
required by Rule 260.216.12.1 to be in possession or control but for which no
action was required by the respondent as of the report date or required action
was taken by respondent within the time frames specified under Rule 260.216.12.1.
B - State separately in response to Items 1. and 2. whether the securities reported
in response thereto were subsequently reduced to possession or control by the
respondent.
C - Be sure to include in item 2. only items not arising from "temporary lags which
result from normal business operations" as permitted in Rule 260.216.12.1.
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