Appendix III - Appendix III to Part 390—U.S. Department of Transportation, Maritime Administration—Sample Semiannual Report
Exhibit A—XYZ Co., Summary of cash, securities, and stock on deposit and net accrued deposits to and accrued withdrawals from the capital construction fund as of june 30, 19____
Cash (exhibit A-1 and B) | $1,025 | Securities and stock—adjusted basis (exhibit A-2 and B) | 2,560 | Fund total for tax purposes on deposit (exhibit C) | 3,585 | Net accrued deposits and withdrawals (exhibit A-3) | 450 | Fund total (agrees with balance sheet submitted at this date) on deposit for book purposes—June 30, 19____ | 4,035 | Portion of fund total for tax purposes as of June 30, 19____, which represents a “CCF: Security amount” pursuant to an agreement covering the dual use of a capital construction fund | Balance brought forward | $403 | Deposits | 82 | Total “CCF: Security Amount” | 485 |
Exhibit A-1—XYZ Company
First American Bank, San Francisco, Calif., checking account No. 654-0876-211 | $1,025 | Total cash in capital construction fund at June 30, 19____ | 1,025 |
Exhibit A-2—XYZ Co., Summary of Securities and Stock (Adjusted Basis and Fair Market Value) in Capital Construction Fund as of June 30, 19____(in Thousands)
Adjusted basis | Fair market value | Treasury notes—due July 4, 19____, $800,000 face value, 1st American Bank, San Francisco, Calif., trust account No. 610-2135 | $760 | $760 | Negotiable certificate of deposit—due July 31, 19____, $500,000 at 8 percent, 1st American Bank, San Francisco, Calif., CD No. 186007 | 500 | 500 | U.S.A. Motors, Inc.—class A common stock, 5,000 shares, Southern California National Bank, trust account No. 358-21 | 625 | 725 | Energy Co., Inc.—1st preferred, 4,100 shares, Southern California National Bank, trust account No. 358-21 | 205 | 255 | Boon Corp.—class A common stock, 10,000 shares, Southern California National Bank, San Francisco, Calif., trust account No. 358-21 | 470 | 520 | Total securities and stock in capital construction fund at June 30, 19____ | 2,560 | 2,760 |
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Exhibit A-3—XYZ Co., Summary of Net Accrued Deposits and Withdrawals in Capital Construction Fund as of June 19____
Accrued deposits: | 19____ income (6 mos. ended June 30, 19____) | $500 | Depreciation | 200 | Total | 700 | Accrued withdrawals: Progress payment made from general fund—hull 210 | 250 | Net accrued deposits and withdrawals in capital construction fund at June 30, 19____ | 450 |
Exhibit B—XYZ Co., Transcript of Transactions in the Capital Construction Fund for the 6 Mos. Ended June 30, 19____
Date | Description of transaction | Cash | Securities and stock (at adjusted basis) | Detail | Debit | Credit | Debit | Credit | Jan. 1, 19____ | Balances brought forward | $1,500,000 | $2,000,000 | Jan. 1, 19____ | Bond debt payment—SS | $250,000 | Jan. 3, 19____ | Deposit 19____ depreciation | 300,000 | Jan. 4, 19____ | Purchased Treasury notes—90 days at 6-percent discount. | 752,000 | 752,000 | $800,000 at 6-percent discount. | Feb. 29, 19____ | Dividends earned | 4,500 | $0.45 per share on 10,000 shares Boon Corp. | Mar. 15, 19____ | Progress payment No. 3 hull 210. | 172,500 | Apr. 4, 19____ | Sale of Treasury notes—cost | 752,000 | 752,000 | Income from sale | 48,000 | Apr. 4, 19____ | Purchased Treasury notes 90 days at 5-percent discount | 760,000 | 760,000 | $800,000 at 5-percent discount. | Apr. 15, 19____ | Deposit from 19____ earnings | 310,000 | May 15, 19____ | Progress payment No. 4—hull 210. | 180,000 | June 15, 19____ | Sale of stock—cost | 200,000 | 200,000 | 4,000 shares at $56.25 per share. | Gain on sale of stock | Energy Co., Inc. | 25,000 | Balances carried forward | 1,025,000 | 2,560,000 |
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Exhibit C—XYZ Co., Summary of Total Transaction Affecting the Tax Account Balances in the Capital Construction Fund for the 6 Mos. Ended June 30, 19____
Ordinary income | Capital gain | Capital | Total | Opening balance, Jan. 1, 19____ | $1,000,000 | $1,000,000 | $1,500,000 | $3,500,000 | Deposits, income, transfers in, etc | 362,500 | 25,000 | 300,000 | 687,500 | Total | 1,362,500 | 1,025,000 | 1,800,000 | 4,187,500 | Withdrawals, losses, transfers out, etc | 602,500 | Balance at June 30, 19____ | 1,362,500 | 1,025,000 | 1,197,500 | 3,585,000 |
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Balance brought forward | $700,000 | Qualified withdrawals during period | 352,500 | Total qualified withdrawals to date | 1,052,500 |
Balance brought forward | $500,000 | Qualified withdrawals during period | 250,000 | Total qualified withdrawals to date | 750,000 |