STATE STATISTICAL REPORTING

                                                                 CONFIDENTIALITY IS GUARANTEED BY THE RECEIVER OF INFORMATION

Submission of the distorted data of the state statistical reporting, untimely submission or non-presentation of such reporting attract application of measures of administrative or criminal liability according to the procedure, established by the legislation of the Republic of Belarus

Respondents represent

Representation term

Form 1-megapixel

the organizations with average number of workers for the calendar year preceding reporting, from 16 to 100 people inclusive (except listed in Instructions on filling of this form)

 February 13

Form code on OKUD

0623001

in the form of the electronic document with use of the specialized software posted on the website http://www.belstat.gov.by

Annual

on paper:

To the main statistical city department of Minsk; to department of statistics in the area (city) of the head statistical department oblasti1

Full name of the legal entity ___________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Postal address (actual) ____________________________________________________________
_________________________________________________________________________________________
E-mail address (www, e-mail) _________________________________________________________

Registration number of the respondent in the statistical register (RCBO)

Accounting Number of the Payer (ANP)

1

2

Name of the territory

Code of line, territory code on OKRB 003-20171

Payroll number of workers on average in year, the people 2

And

B

1

On the territory (the amount of data in the lines relating to line 19, shall be equal in column 1 to data on  line 2 of the Section II):

19

X

Name of indicator

Code of line

Unit of measure

In total

And

B

In

1

The average number of workers for god2.................................

1

people 3

Payroll number of workers on average for god2..........................

2

people 3

from it payroll number of women on average for god2................

12

people 3

The average number of external part-time employees in year............................

3

people 3

The average number of the citizens performing work on civil agreements in year......................................................................

4

people 3

Salary fund of workers of list and not payroll and external part-time employees in year................................................

5

one thousand rub 3

from it:

external part-time employees......................................................................

6

one thousand rub 3

workers of not payroll, including the citizens performing work on civil agreements.....................................

7

one thousand rub 3

The number of the workers employed in year...........................

8

persons.

from them on in addition entered workplaces........................

9

persons.

from line 9 the number of the workers accepted on high-productive workers mesta4...................................

18

persons.

The number of the dismissed workers in year...........................................

10

persons.

from them dismissed (translated, moved) workers from among earlier accepted in reporting year on in addition entered workplaces (line 9) in case of exception of the staff list of the corresponding established posts.............

13

persons.

The average number of workers for dekabr2.......................

14

people 3

from it the average number of women for dekabr2.............

15

people 3

Salary fund of workers of payroll, including external part-time employees for December........................................................

16

one thousand rub 3

from it salary fund of women (workers of payroll, including external part-time employees) for December...................

17

one thousand rub 3

Name of indicator

Code of line

Unit of measure

In total

And

B

In

1

Paid run of automobile cars taxi...........................................

26

one thousand km3

List number of automobile cars taxi

for the beginning of year.....................................................................................................

27

piece.

on the end of the year.......................................................................................................

28

piece.

Name of indicator

Code of line

For accounting year

And

B

1

Proceeds from sales of products, goods, works, services.......................................................

70

The accrued tax on value added estimated from proceeds from sales of products, goods, works, services................................................................................................

71

The other taxes and fees estimated from proceeds from sales of products, goods, works, services....................................................................................................................................

72

Cost of sales, goods, works, services...........................................

73

Profit, loss (–) from sales of products, goods, works, services (line 70 – line 71 – line 72 – line 73)...............................................................................................

74

Profit, loss (–) from the current activities … … … … … … … … ….....................................

75

Profit, loss (–) from investing and financial activities...................................

76

Income tax..........................................................................................................................

77

Change of deferred tax assets..............................................................................

78

Change of deferred tax liabilities......................................................................

79

The other taxes and fees, payments estimated from profit (income)....................................

80

Net profit, loss (–) (line 75 + line 76 – line 77 + line 78 + line 79 – line 80).......................................................................................................................................

81

Name of indicator

Code of line

Receivables (accounts 09, 60, 62, 68–71, 73, 75, 76)

Accounts payable (accounts 60, 62, 65, 68–71, 73, 75, 76)

Overdue debt

Credit debt and to loans (accounts 66, 67)

in total

from it for goods, works, services

in total

from it for goods, works, services

debtor -
Skye (from the column 1)

the creditor -
Skye (from the column 3)

in total

from it prosro-
ceremonious

And

B

1

2

3

4

5

6

7

8

In total (amount of lines 86, 87, 93)…………………………

85

including legal and (or) physical persons:

Republic of Belarus....

86

X

X

countries of the Commonwealth of Independent States … … … … ….

87

X

X

from them:

Republic of Kazakhstan.................

88

X

X

Russian Federation...............

90

X

X

Ukraine..................

92

X

X

other countries.................

93

X

X