ASSETS

Cash:

Accounts receivable:

Inventory:

Loan to stockholders:

Depreciable, depletable, and intangible assets:

Other assets:

Less accumulated depreciation:

depletion, and amortization:

Less bad debt allowance:

Total Assets:

$ -

$ -

$ -

$ -

$ -

LIABILITIES

Accounts payable:

Taxes:

Other current liabilities:

Loans from stockholders:

Mortgages, notes, bonds payable:

Other liabilities:

Capital stock:

Paid-in or capital surplus:

Retained earnings:

Less cost of treasury stock:

Total Liabilities and Stockholder’s Equity:

$ -

$ -

$ -

$ -

$ -