‘The Authority hereby prescribes for the adoption of the attached BOA Res No. 056, s-2013 dated February 7, 2013, duly stamped by the Office of National Administrative Registrar (ONAR) dated February 15, 2013 consisting of five (5) pages. Section 1. Legal Basis. Article 53 of RA 9520 provides, “(1) Every cooperative shall draw up regular reports x x x. These reports shall be filed with the Authority within one hundred twenty (120) days from the end of the calendar year. The form and contents of the reports shall be prescribed by the rules of the Authority. xxx ise, Section 2 Rule 8 implementing certain provisions of RA 9520 provides, “The following reports shall be submitted to the Authority: 1. Cooperative Anrual Performance Report (CAPR) xX X Section 2. Coverage. This template shall apply to all types and categories of cooperative to be implemented this calendar year 2013 covering the 2012 Section 3. Information Dissemination. All Extension Offices of the ‘Authority shall conduct information campaign and employ strategics for the mandatory submission of the said statutory report by all cooperatives. Section 4. Effectivity. This Circular shall take effect immediately. For the Board of Administrators By: M. Ph.D Chairman ‘Ottce Gt ine Chowan 721-5828 Telefax 7218824 | Ontce of the Executive Diector 726-4480 | Offices of the Day 725-3764Republic of the Philippines OFFICE OF THE PRESIDENT - ole ar s COOPERATIVE DEVELOPMENT AUTHORITY 827 Aurora Blvd. Service Road, Brgy. Immaculate Conception, 1111 Cubao, Quezon City, Philippines PHUPPUES February 14, 2013 ATTY. VINCENT YAMBAO, JR. Director Office of the Administrative Register (ONAR) University of the Philippines Law Center Room 208, 2/F Bocobo Hall, UP Law Complex Diliman, Quezon City Dear Director Yambao: In compliance with administrative rules and regulations and consistent with your communication dated November 12, 2003, we are filing herewith copies of CDA reporting template, entitled "Cooperative Annual Performance Report (CAPR)’, which is one of the mandatory reports required under Section 2(1) Rule 8 Implementing Certain Provision of Republic Act No. 9520. The above reporting template was approved by the CDA Board of ‘Administrators during its regular board meeting held on February 7, 2013 under BOA Res. No. 056, S-2013. oe vin Ad N acoonn j a oS coo ——— Darou . NIEL/A. SANTILLAN Fam Efe eG y ar mt 2:20 gy, Attachments: 1. Three Certified True Copies of the above template 2. One CD consisting copy of the above CAPR 3. Minimal Fee GHase at He Chalten TELESIS Teldax TAL-SaDM; Amin Offs 725— 2107; Office of the Executive, DSS Sire or piamming Div. 736-2814; MIS 725-0750; Supplies/Casn/Records 723-6206; Finance Dw, 222.2 Fae ee Perna 723-5229; Coop Reseach Info & Training Div. 725-6604; Coop Project & Devt. Assisiatice Orc of a cagal Div. 725-8536; Registration Div. 725-5510; Officer of the Day 725-3764 werw.cde.govPhCooperative Authority . Cooperative Annual Performance Report (CAPR) Form ‘As of December 31, 20__ BOX 4: To be filled up by GDA Staff only Received by: Date Received Validated by: Date Validated Encoded by: DateEncoded by: Date Vertted/Reviewed INSTRUCTIONS TO COOPERATIVES 1. The GAPR Form shail be uniformly used by ALL GOOPERATIVES. 2. Allblanks shall be faled-up with appropriate information. = = L through registered maa, electronic mail or hand-caried to concemed CDA Extension Officesin accordance with Rule 8 IRR and MC No.2011-06. he reports shall be typewritien or andenitten (pring. ‘The Accountant/BookkeepedtCompliance Officer shall fil.up the CAPR Form. ‘The Chairman of the Board and General Manager shall certiy to the truthiuiness and correctness of the Information contained herein. 7. This form shall be submitted in three (3) copies; 1 for EO, 1 for CDS & 4 for coop. ll f t i Pr GENERAL INFORMATION ‘A. Cooperative Identification Number (CIN): B. Name of Cooperative as of latest amendment. C. Registration Number (under RA 9520): D. Date Registered: ‘Original Date of Registration: Registration Date under RA 9520: E. Present Address of "H. Business Activities: "__| Financial intermediation | Mining and Quarrying ~) Construction * Transport, Storage & Communication 1 Real Estate, Renting & Business Activities Health & Social Work Fishing ’ Electricity, Gas & Water supphes H1. Products/Commodiies, H2. Services Rendered (please specify) HS. Annual Volume of Business (Amount in Php): H3.a For Credit, Loans granted Hb For Service, Gross receipt, —__ H3.c For ConsumeniMarkoting/Sales, | information on Number of Employees Numbes of Employees Fultime Part-Time Total Note: in case of Werkers Cooperative, al waters are considered direct employees ofthe cooperative. TOTAL J. information on Number of Volunteer Workers, (Current Year Number of Volunteer Workers Male Female TOTAL Vohnteer Rae Velartoars are momar Sarees Be Cooperative wal sary K. Contact Person, a. Name : b. Designation: ¢. Phone Number: @. Fax Number: ©. Email Address: ‘Revised January2013 Per BOA Res No.056, -2013 doted February 7, 2013 pn eng [> wscppos sectipn cer UE (L. Information on Membership ForPrimary | Secondary | For Tertiary | Other Juridical Particulars: Mate | Female | Primary | Secondary |___ Persons No. of Reguiar members. _ _ No. of Associate members Total No. of Members. “Target/Potential Membership Lt. Membership Composition (Indicate Number) Famers §. Indigenous People ARBS a b. c. — Fisherfolk d. (OFWs e. f. Teachers Rebel Retumees. L2, Information on Gooperative Branches/Satellite Offices Numbers Branch Office Satellite Office __ L3. Detalls of Cooperative Branches/Satellites Address of ‘Volume of PaidUp | Savings BranchSatetiite | N° Business (Php)| Capital | Generated Male Female M. Certificate of Good Standing (CGS) Regular__| Special CGS NO. Date Issued N. Certificate of Tax Exemption Ruling Date Issued Valiaity Revised January2013 Per BOA Res No.056, 2013 dated Fetruary 7, 2013©. Information on Savings Deposits Regular Members Associate Members Vio. | No.of | Total | No.of | No.of Members | Accounts | Amount | Members | Accounts ‘Type of Deposits prety mn pion deposit deposit Total accounts | accounts ‘Amount ‘Savings deposits ‘Time deposits ‘Gther types of deposits, please | Specty [Total E _| P. Information on Capitalization ‘Common Preferred Total ‘Authorized Capital | Subscribed Capital Paid-up Capital Deposit for Capital Subscription ~ ParValueperShae = =| ‘| #4 ‘4 Q. Information on Statutory Reserves - ‘Amount utilized forthe | Accumulated Balance _year General Reserve Fund _ CETF Remitted to Federation/Union Retained amount _ Community Development Fund Optional Fund __! R. Information on External Audit a. Date of last audit b. Period of Operation Covered by the last audit c._Name of extemal auditor Revised January2013 Per BOA Res No.056, s-2013 dated February 7, 2013 Page 4 of 5 ener or 3 cowCertified True and Correct: ‘General Manager ‘Chairman ‘Revised January2013 Per BOA Res No.056, s-2013 dated February 7, 2013