Quarterly Survey of Financial Statements - Local Credit Unions (F11)

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Information

Purpose

Information collected as part of the Quarterly Financial Statistics for Enterprises program provides data used to measure the financial position and performance of incorporated businesses by industry aggregations. It also provides information on financial holdings and transactions in the Canadian System of Macroeconomic Accounts sector accounts.

Additional information

Instructions for completing and returning the questionnaire and the Corporate Structure can be found on the last page.

Authority

Confidential when completed - This survey is conducted under the authority of the Statistics Act, Revised Statutes of Canada, 1985,c. S-19.

Completion of this questionnaire is a legal requirement under the Statistics Act.

Confidentiality

Statistics Canada is prohibited by law from releasing information obtained from this survey which would identify a business without the previous written consent of that business. The data reported on this questionnaire will be treated in confidence, used for statistical purposes and published in aggregate form only. The confidentiality provisions of the Statistics Act are not affected by the Access to Information Act or any other legislation.

Reporting instructions

Please return completed copy within 30 days of quarter end. Si vous préférez ce questionnaire en français, veuillez cocher

FORMAT CHANGES

- Many cell names have been altered or shortened. For example, "Investments in and claims on parent, subsidiaries and affiliates" has been replaced with "Investments in affiliates." In such cases, as long as the SICA box number has not changed, the same definitions and reporting methods apply as before.

- All Supplementary questions have now been placed in the last section of the questionnaire, rather than at the end of each individual section.

Reporting Entity

Reporting Entity - Question identifier:1.

This report covers (please mark only one)

If you have received a Corporate Structure, please review the list of entities and make any necessary corrections. The Corporate Structure lists the Canadian entities expected to be consolidated in this report.

If you have not received a Corporate Structure and this entity
is part of a Canadian consolidation, please check here

Reporting Entity - Question identifier:2.

Does this reporting entity have investments in partnerships or joint ventures?

Reporting Entity - Question identifier:3.

Please indicate which accounting standards were used by the reporting entity to complete this questionnaire:

  • (1): International Financial Reporting Standards (IFRS)
  • (2): Accounting standards for Private enterprises
  • (3): Other (specify)

Reporting Entity - Question identifier:4.

Please explain any significant events, changes in accounting or basis of reporting, that have impacted operations since the prior period.

Reporting Entity - Question identifier:5.

This report covers the period from: Day, month, year to Day, month, year

Certification

I certify that the information herein is complete and correct to the best of my knowledge.

  • 1: Name of company official (please print)
  • 2: Name and position of person to contact if different from above (please print)
  • 3: Telephone number and Extension
  • 4: Position of company official
  • 5: E-mail address
  • 6: Facsimile number

SECTION A - ASSETS

Balance sheet date: Day, month, year

SECTION A - ASSETS - Question identifier:1.

Cash and deposits

  • (a): Canadian currency
  • (b): foreign currency

SECTION A - ASSETS - Question identifier:2.

Items in transit

SECTION A - ASSETS - Question identifier:3.

Accounts receivable

SECTION A - ASSETS - Question identifier:4.

Allowance for doubtful accounts

SECTION A - ASSETS - Question identifier:5.

Lease contracts

  • (a): financial leases
  • (b): residual value

SECTION A - ASSETS - Question identifier:6.

Investment in affiliates

  • (a): shares and equity
  • (1): shares
  • (2): accumulated earnings
  • (b): debt claims on affiliates

SECTION A - ASSETS - Question identifier:7.

Canadian investments - non-affiliates

  • (a): Government of Canada treasury bills
  • (b): bankers' acceptances, commercial and other short-term paper
  • (c): Government of Canada debt
  • (d): provincial and municipal government debt
  • (e): corporate bonds and debentures
  • (f): shares in centrals, leagues and federations
  • (g): corporate and cooperative shares
  • (h): other Canadian investments

SECTION A - ASSETS - Question identifier:8.

Foreign investments - non-affiliates

SECTION A - ASSETS - Question identifier:9.

Derivatives

SECTION A - ASSETS - Question identifier:10.

Reverse repurchase agreements

SECTION A - ASSETS - Question identifier:11.

Mortgage loans to non-affiliates

  • (a): secured by property in Canada
  • (1): residential mortgages
  • (i): to individuals
  • (ii): to others
  • (2): non-residential mortgages
  • (i): to farms
  • (ii): to others
  • (b): secured by property outside Canada
  • (c): accumulated provisions and allowances for losses on mortgages.

SECTION A - ASSETS - Question identifier:12.

Non-mortgage loans to non-affiliates

  • (a): to individuals, unincorporated businesses and non-profit institutions
  • (1): credit card receivables
  • (2): lines of credit
  • (3): other
  • (i): farms
  • (ii): other
  • (b): local credit unions
  • (c): central credit unions
  • (d): corporations and other cooperative enterprises
  • (e): to others
  • (f): accumulated provisions and allowances for losses on non-mortgage loans

SECTION A - ASSETS - Question identifier:13.

Fixed assets

  • (a): depreciable assets and land
  • (b): accumulated depreciation

SECTION A - ASSETS - Question identifier:14.

Stabilization fund deposits

SECTION A - ASSETS - Question identifier:15.

Other assets

SECTION A - ASSETS - Question identifier:16.

Accumulated provisions and allowances for losses

SECTION A - ASSETS - Question identifier:17.

TOTAL ASSETS

SECTION B - LIABILITIES AND EQUITY

Balance sheet date: Day, month, year

LIABILITIES

LIABILITIES - Question identifier:18.

Deposit liabilities

  • (a): tax-sheltered deposits
  • (1): RRSP
  • (2): other
  • (b): deposits of individuals, unincorporated businesses and non-profit institutions
  • (1): Canadian currency
  • (2): foreign currency
  • (c): deposits of corporations resident in Canada
  • (1): Canadian currency
  • (2): foreign currency
  • (d): deposits of non-resident corporations
  • (e): other deposits

LIABILITIES - Question identifier:19.

Accounts payable

LIABILITIES - Question identifier:20.

Income taxes payable

LIABILITIES - Question identifier:21.

Amounts owing to affiliates

LIABILITIES - Question identifier:22.

Borrowing from non-affiliates

  • (a): loans and overdrafts
  • (1): from lenders in Canada
  • (2): from lenders outside Canada
  • (b): centrals, leagues and federations
  • (c): mortgage loans

LIABILITIES - Question identifier:23.

Equity securities classified as liabilities

LIABILITIES - Question identifier:24.

Derivatives

LIABILITIES - Question identifier:25.

Obligations related to repurchase agreements

LIABILITIES - Question identifier:26.

Future income taxes

LIABILITIES - Question identifier:27.

Other liabilities

LIABILITIES - Question identifier:28.

TOTAL LIABILITIES

MEMBERS' EQUITY

MEMBERS' EQUITY - Question identifier:29.

Share capital

  • (a): members' shares
  • (b): other

MEMBERS' EQUITY - Question identifier:30.

Accumulated other comprehensive income

MEMBERS' EQUITY - Question identifier:31.

General and other reserves

MEMBERS' EQUITY - Question identifier:32.

Undivided surplus

MEMBERS' EQUITY - Question identifier:33.

TOTAL MEMBERS' EQUITY

MEMBERS' EQUITY - Question identifier:34.

TOTAL LIABILITIES AND EQUITY

MEMBERS' EQUITY - Question identifier:35.

Undivided surplus

  • (a): opening balance
  • (b): net income (loss) for the current period
  • (c): transfers from (to) other accounts
  • (d): other additions (deductions)
  • (e): dividends declared
  • (1): on shares
  • (2): interest rebates and additional interest on savings deposits
  • (f): closing balance

SECTION C - INCOME STATEMENT

From: Day, month, year To: Day, month, year

REVENUE (net of sales taxes)

REVENUE (net of sales taxes) - Question identifier:36.

Interest revenue from Canadian sources

  • (a): bonds and debentures
  • (b): mortgages
  • (c): consumer loans
  • (d): financial leases
  • (e): other interest revenue

REVENUE (net of sales taxes) - Question identifier:37.

Interest revenue from foreign sources

REVENUE (net of sales taxes) - Question identifier:38.

Dividends

  • (a): from Canadian corporations
  • (b): from foreign corporations

REVENUE (net of sales taxes) - Question identifier:39.

Derivative gains (losses)

  • (a): realized
  • (b): unrealized

REVENUE (net of sales taxes) - Question identifier:40.

Gains (losses) on the sale of assets

REVENUE (net of sales taxes) - Question identifier:41.

Other revenue

REVENUE (net of sales taxes) - Question identifier:42.

TOTAL REVENUE

EXPENSES

EXPENSES - Question identifier:43.

Wages and salaries

EXPENSES - Question identifier:44.

Employer portion of employee benefits

EXPENSES - Question identifier:45.

Pension expense

EXPENSES - Question identifier:46.

Purchased goods and services

EXPENSES - Question identifier:47.

Depreciation

EXPENSES - Question identifier:48.

Amortization of

  • (a): intangible assets
  • (b): deferred charges

EXPENSES - Question identifier:49.

Interest expense

  • (a): mortgages
  • (b): deposits
  • (c): other interest expenses

EXPENSES - Question identifier:50.

Dividends paid on equity securities classified as liabilities

EXPENSES - Question identifier:51.

Provisions for losses on loans

EXPENSES - Question identifier:52.

Bad debts expense and charitable donations

EXPENSES - Question identifier:53.

TOTAL EXPENSES

EXPENSES - Question identifier:54.

Other gains (losses) and revaluations

  • (a): Foreign currency gains (losses)
  • (b): Revaluations, (write-downs) and (write-offs)

EXPENSES - Question identifier:55.

INCOME (LOSS) BEFORE INCOME TAX

EXPENSES - Question identifier:56.

Current income tax expense

EXPENSES - Question identifier:57.

Future income tax expense

EXPENSES - Question identifier:58.

INCOME (LOSS) AFTER INCOME TAXES

EXPENSES - Question identifier:59.

Equity in unconsolidated affiliates

EXPENSES - Question identifier:60.

NET INCOME (LOSS)

EXPENSES - Question identifier:61.

Other comprehensive income

  • (a): unrealized gains (losses)
  • (b): realized (gains) losses
  • (c): income taxes

EXPENSES - Question identifier:62.

COMPREHENSIVE INCOME

SECTION D - DISCLOSURE OF SELECTED ACCOUNTS

BALANCE SHEET DISCLOSURE

BALANCE SHEET DISCLOSURE - Question identifier:63.

Deposit liabilities

  • (a): demand or savings deposits
  • (1): chequing
  • (2): non-chequing
  • (b): term deposits

BALANCE SHEET DISCLOSURE - Question identifier:64.

TOTAL

PENSION PLAN FUNDING

PENSION PLAN FUNDING - Question identifier:65.

Funded status

  • (a): plan assets
  • (b): benefit obligation
  • (c): funded status
  • (d): accrued benefits (liability) or asset

INCOME STATEMENT DISCLOSURE

INCOME STATEMENT DISCLOSURE - Question identifier:66.

Software costs expensed

INCOME STATEMENT DISCLOSURE - Question identifier:67.

Equity method dividends received from Canadian corporations

OTHER DISCLOSURE

OTHER DISCLOSURE - Question identifier:68.

Hours spent completing questionnaire

DISCLOSURE ON ADOPTION OF NEW ACCOUNTING STANDARDS

Is this your first quarterly report completed for the Quarterly Survey of Financial Statements after adopting a new set of acounting standards?

  • (1): YES If yes, please complete sections below.
  • (2): NO

BALANCE SHEET AS AT TRANSITION YEAR END (Changeover date)

Total assets - Canadian GAAP

Total assets - New accounting standards

Total liabilities - Canadian GAAP

Total liabilities - New accounting standards

Total equity - Canadian GAAP

Total equity - New accounting standards

Explanation of differences between figures under prior Canadian GAAP and under the new accounting standards.

INCOME STATEMENT FOR TRANSITION YEAR (Full year preceding new accounting standards changeover date)

Total revenue - Canadian GAAP

Total revenue - New accounting standards

Total expenses - Canadian GAAP

Total expenses - New accounting standards

Net income (loss) - Canadian GAAP

Net income (loss) - New accounting standards

Comprehensive income (loss) - Canadian GAAP

Comprehensive income (loss) - New accounting standards

Explanation of differences between figures under prior Canadian GAAP and under the new accounting standards.

Additional comments

Please use this section to report any comments you may have.

Instructions

Report only Canadian operations - please exclude foreign affiliates.

Report all amounts in thousands of Canadian dollars - "$ 000s"

Use parentheses to report negative values.

If actual data are not available, estimates may be used.

The term "affiliate" used in this questionnaire covers unconsolidated:

- parent, subsidiary and related corporations

- related joint ventures and partnerships

- head offices, branches and divisions

- directors, officers and individual shareholders

Affiliates are entities within a common family of corporations controlled or significantly influenced by the reporting company or another company within the corporate family.

Returning your questionnaire and Corporate Structure:

Return the completed questionnaire and Corporate Structure in the enclosed envelope or fax it to Statistics Canada at (800) 552-4428 within 30 days of quarter end.

Fax or other electronic transmission disclosure:

Statistics Canada advises you there could be risk of disclosure during facsimile or other electronic transmission. However, upon receipt of your information, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

For further information, definitions of terms used, or questions concerning this survey, please consult the "Quarterly Survey of Financial Statements Reporting Guide" (available at www.statcan.gc.ca/imdb-bmdi/2501-eng.htm), and/or contact Statistics Canada at:

Telephone: (877) 898-6686 Fax: (800) 552-4428 E-mail: QSFS-RTEF@statcan.gc.ca Statistics Canada Business Survey Section/Central Region 2nd Floor, Jean Talon Building 150 Tunney's Pasture Driveway Ottawa, Canada, K1A 0T6

THANK YOU FOR YOUR CO-OPERATION

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