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  Big contributors to the state budget which hands in the F10 - pp. 1
Check if only the case: Balance Sheet in Bucharest  
Branch  Type of the Financial Statement: BS

Entity
 
County Sector Locality
Address: 

 
 
Street No. Block Ladder Ap. Phone no.

 
 
 
 
Number in the commerce registry Unique registration code
 
 
Ownership form
   
 Main activity (code and name according to the National Classification of Economic Activities)
 
 
 
   
  BALANCE SHEET, short  
     
Form 10 at 31.12.2020 - lei -
  Row Balance at Balance at
  Elements’ name No. 01.01.2020 31.12.2020
 
 
  A B 1 2
  A. NONCURRENT ASSETS      
 
  I. INTANGIBLE ASSETS (acct.201+203+205+2071+208+233+234-280-290-2933) 01    
 
  II. TANGIBLE ASSETS (acct.211+212+213+214+231+232-281-291-2931) 02    
  III. FINANCIAL ASSETS (acct.261+263+265+267* - 296* ) 03    
 
  NONCURRENT ASSETS - TOTAL (R 01 + 02 + 03) 04    
 
  B. CURRENT ASSETS      
 
  I. INVENTORIES (acct.301+302+303+/308+331+332+341+345+346+/348+351+354+356    
  +357+358+361+/-368+371+/-378+381+/-388-391-392-393-394-395-396-397-398+4091- 05
4428)

II. RECEIVABLES 28) (acct. 267*- 296* + 4092 +411 +413 +418 +425 +4282 +431 +437    
+4382 +441+4424+4428+444+445+446+447+4482+451+453+456+4582+461+473-491- 06
495-496+5187)

III. SHORT TERM FINANCIAL INVESTMENTS (acct.501+505+506+508+5113+5114-591-595-596-598) 07    

IV. PETTY CASH AND CASH AT BANK (acct. 5112 + 512 + 531 + 532 + 541 + 542) 08    
CURRENT ASSETS - TOTAL (R 05 +06 + 07 + 08) 09    
C. PREPAYMENTS (acct. 471) 10    
D. DEBTS: AMOUNTS DUE IN LESS THAN ONE YEAR      
 
(acct.161+ 162+ 166+ 167+ 168- 169+ 269+ 401+ 403+ 404+ 405+ 408+ 419+
11
421+ 423+ 424 +426+ 427+ 4281+ 431+ 437+ 4381+ 441+ 4423+ 4428+ 444+
446+ 447+ 4481+ 451+ 453 +455+456+457+4581+462+473+509+5186+519)
E. NET CURRENT ASSETS/NET CURRENT DEBTS (R09+10-11-18) 12    
F. TOTAL ASSETS LESS CURRENT DEBTS (R04+12) 13    
G. DEBTS: AMOUNTS DUE IN MORE THAN ONE YEAR      
 
(acct.161+ 162+ 166+ 167+ 168- 169+ 269+ 401+ 403+ 404+ 405+ 408+ 419+
14
421+ 423+ 424 +426+ 427+ 4281+ 431+ 437+ 4381+ 441+ 4423+ 4428+ 444+
446+ 447+ 4481+ 451+ 453 +455+456+457+4581+462+473+509+5186+519)
H. PROVISIONS (acct. 151) 15    
I. ACCRUED INCOME (R 17+18), of which : 16    
 
 
     
F10 - pp. 2
  Row Balance at Balance at
Elements’ name No. 01.01.2020 31.12.2020

A B 1 2
- subsidies for investments (acct. 131 + 132 + 133 + 134 + 138) 17    
- accrued income (acct. 472) 18    
J. CAPITAL AND RESERVES      
I. CAPITAL (R20 +21+22), of which: 19    
- Subscribed and paid in capital (acct. 1012) 20    
- Subscribed and not paid in capital (acct. 1011) 21    
- Patrimony of autonomous companies (acct. 1015) 22    
II. SHARE PREMIUMS (acct. 104) 23    
III. REVALUATION RESERVES (acct. 105) 24    
IV. RESERVES (ct.106) 25    
Own shares (ct. 109) 26    
Earnings connected with own equity instruments (acct. 141) 27    
Losses connected with own equity instruments (acct. 149) 28    
V. RETAINED EARNING OR LOSS CLOSING BALANCE C (acct. 117) 29    
CLOSING BALANCE D (acct. 117) 30    
VI. PROFIT OR LOSS IN CURRENT PERIOD CLOSING BALANCE C (acct. 121) 31    
CLOSING BALANCE D (acct. 121) 32    
Appropriation of the profit (acct. 129) 33    
OWN CAPITAL-TOTAL (R 19+23+24+25-26+27-28+29-30+31-32-33) 34    
Public patrimony (acct. 1016) 35    
CAPITALS - TOTAL (R 34+35) 36    
Control amount F10 :
*) Accounts to distribute by the nature of respective elements.
28) The amounts in this row taken from 267 account are receivables from financial leasing contracts and other similar contracts as well as other
long-term receivables due in less than 12 months.
 
 
 
ADMINISTRATOR, PREPARED,
   
Name, last and first  Name, last and first
 
 
 
 
 
Signature Signature

 
Unit’s Stamp  
Legal capacity
 
 
 
 
NONVALIDATED Registration no. in the professional body:
FORM
  F20 - pp. 1
 
PROFIT AND LOSS ACCOUNT
 
 
at 31.12.2020
 

 
Form 20 - lei -
       
  Row Financial Financial
Indicators’ name No. year year
2019 2020

A B 1 2
1. Net turnover (R 02 to 05) 01    

Production sold (acct.701+702+703+704+705+706+708) 02    


Sales of commodities (acct. 707) 03    
 
Interest incomes recorded by leasing operators (acct.766)    
04

Incomes from operating subsidies related to turnover (acct.7411) 05    


2. Incomes related to cost of inventories (acct.711)      
CLOSING BALANCE CREDIT 06    
CLOSING BALANCE DEBIT 07    
 
3. Production used for own purposes, capitalized    
08
(acct.721+ 722)
4. Other operating incomes (acct.7417+758) 09    
OPERATING INCOME - TOTAL (R 01+06-07+08+09) 10    
5. a) Raw materials and consumables expenses (acct.601+602-7412) 11    
Other materials expenses (acct.603+604+606+608) 12    
b) Other external expenses (energy and water) (acct.605-7413) 13    
c) Commodities expenses (acct.607) 14    
6. Personnel expenses (R 16+17), of which: 15    
a) Salaries (acct.641+642-7414) 16    
b) Social security contributions (acct.645-7415) 17    
7.a) Adjustments in value of noncurrent tangible and intangible assets (R 19-20) 18    
a.1) Expenses (acct.6811+6813) 19    
a.2) Incomes (acct.7813) 20    
b) Adjustments in the value of current assets (R 22-23) 21    
b.1) Expenses (acct.654+6814) 22    
b.2) Incomes (acct.754+7814) 23    
8. Other operating expenses (R 25 to 28) 24    
8.1. External prestations expenses (acct.611+612+613+614+621+622+623+624    
+625+626+627+628-7416) 25

8.2. Other taxes, charges and similar expenses (acct.635) 26    


8.3. Compensations, donations and net value of assets disposed (acct.658) 27    
     
Refinancing interest expenses recorded by leasing operators (acct.666)
28

Adjustments in the value of provisions (R 30-31) 29    


 

       
F20 – pp 2
       
  Row Financial Financial
Indicators’ name No. year year
2019 2020

A B 1 2
- Expenses (acct.6812) 30    
- Incomes (acct.7812) 31    
OPERATING EXPENSES - TOTAL (R 11 to 15+18+21+24+29) 32    
OPERATING PROFIT OR LOSS:      
- Profit (R 10-32) 33
- Loss (R 32-10) 34
9. Incomes from shares held in related parties (acct.7611+7613) 35    
- of which, from affiliated entities 36    
 
10. Incomes from other investments and loans which are parts of noncurrent    
37
assets (acct.763)
- of which, from affiliated entities 38    
11. Interest incomes (acct.766) 39    
- of which, from affiliated entities 40    
Other financial incomes (acct.762+764+765+767+768) 41    
FINANCIAL INCOMES - TOTAL (R 35+37+39+41) 42    
 
12. Adjustments in the value of noncurrent assets and investments held as    
43
current assets (R 44-45)
- Expenses (acct.686) 44    
- Incomes (acct.786) 45    
13. Interest expenses (acct.666-7418) 46    
- of which, in relation with affiliated entities 47    
Other financial expenses (acct.663+664+665+667+668) 48    
FINANCIAL EXPENSES - TOTAL (R 43+46+48) 49    
FINANCIAL PROFIT OR LOSS:      
- Profit (R 42-49) 50

- Loss (R 49-42) 51
14. CURRENT PROFIT OR LOSS:      
- Profit (R 10+42-32-49) 52
- Loss (R 32+49-10-42) 53
15. Extraordinary incomes (acct.771) 54    
16. Extraordinary expenses (acct.671) 55    
17. EXTRAORDINARY PROFIT OR LOSS:      
- Profit (R 54-55) 56
- Loss (R 55-54) 57
TOTAL INCOMES (R 10+42+54) 58    
TOTAL EXPENSES (R 32+49+55) 59    
 

 
 
     
F20 – pp 3
       
  Row Financial Financial
Indicators’ name No. year year
2019 2020

A B 1 2
GROSS PROFIT OR LOSS:      
- Profit (R 58-59) 60
- Loss (R 59-58) 61
18. Profit tax expenses (acct.691) 62    
19. Other tax expenses not included above (acct.698) 63    
20. NET PROFIT OR LOSS IN CURRENT PERIOD:      
- Profit (R 60-61-62-63) 64
- Loss (R 61+62+63-60) 65
 

Control amount F20 :


 
 
ADMINISTRATOR, PREPARED,
 
Name, last and first Name, last and first
 
 
 
 
 
Signature Signature

 
Unit’s stamp  
Legal capacity
 
 
 
 
 
Registration no. in the professional body:
NONVALIDATED

FORM
  F30 – pp 1
 
 
INFORMATIVE DATA
 
 
at 31.12.2020
Form 30 - lei -
 

  Row    
I. Data on recorded result No. No. of units Amounts
A B 1 2
Units that recorded profit 01    

Units that recorded loss 02    


     
  Row For For
Total,
II Data on overdue payments No. operating investments
of which:
activities acvitities
A B 1=2+3 2 3
   

Overdue payments – total (R04+08+14 to 18+22), of which: 03      

Suppliers overdue– total (R 05 to 07), of which: 04      

- over 30 days 05      

- over 90 days 06      

- over 1 year 07      
 
Overdue obligations to the social security budget– total      
08
(R09 to 13), of which:
 
- Social security contributions owed by the      
09
employers, employees and other similar persons

- Healthcare fund contributions 10      

- Supplemental pension plan contributions 11      


- Unemployment insurance budget contributions 12      

- Other social debts 13      


 
Overdue obligations to the special budgets funds and other 14
     
funds
   

Overdue obligations to other creditors 15      

Fees and taxes unpaid on the established terms to the state buget 16      

Fees and taxes unpaid on the established terms to local budgets 17      


 
Overdue bank loans – total (R 19 to 21), of which:      
18

- overdue after 30 days 19      


- overdue after 90 days 20      
   
- overdue after 1 year 21      
   
     
Overdue interest 22
  Row    
III. Average number of employees No. 31.12.2019 31.12.2020
       
A B 1 2
   

Average number of employees 23    


 

F30 – pp 2
  Row  
IV. Payments of interests and royalties No. Amounts (lei)

A B 1
   
Gross revenues from income paid by legal romanian persona to
24
nonresidents from EU member states, of which:
- tax owed to the state’s budget 25  
 
Gross revenues from income paid by legal romanian persona to affiliated*)  
26
legal personas nonresidents of EU member states, of which:
- tax owed to the state’s budget 27  
 
Revenues from royalties paid by legal romanian personas to affiliated*) legal  
28
personas nonresidents of EU member states, of which:
- tax owed to the state’s budget 29  
 
Row  

V. Meal tickets No. Amounts (lei)


A B 1
The backvalue of meal tickets given to employees 30  
  Row    
VI. Innovation expenses **) No. 31.12.2019 31.12. 2020

A B 1 2
Innovation expenses **) – total (R 32 to 34), of which: 31    
- innovation expenses finished during the current period 32    
- innovation expenses in progress during the current period 33    
- innovation expenses abandoned during the period 34    
  Row    

VII. Other information No. 31.12.2019 31.12. 2020

A B 1 2
Long term financial assets, gross amounts (R 36 + 42), of which: 35    
Shares of affiliated entities, participating interests, other long term shares      
and long term bonds, gross amounts (R 37 to 41), of which: 36

- listed shares 37    
- non listed shares 38    
- social shares 39    
- bonds 40    
- shares issued by funds (including Financial Institution Companies) 41    
Long term receivables, gross amounts (R 43 + 44), of which: 42    
- long term receivables in lei and expressed in lei which will be cashed in-in  
   
link to other currency quotation (from acct. 267) 43

- long term receivables in other currencies (from acct. 267) 44    


Commercial receivables, advance payments to suppliers and other similar  
   
accounts, gross amounts (acct. 4092 + 411 + 413 + 418) 45

Receivables from employees and similar accounts (acct. 425 + 4282) 46    


Receivables from the social security budget and state budget (ct. 431 + 437 +  
   
4382 + 441 + 4424 + 4428 + 444 + 445 + 446 + 447 + 4482) 47

Other receivables (ct. 451 + 453 + 456 + 4582 + 461 + 471 + 473) 48    
Interests to receive (acct. 5187) 49    
Short-term investments, gross amounts (ct. 501 + 505 + 506 + din ct.508)  
   
(R 51 to 55), of which: 50
 

 
 

F30 - pag. 3
  Row    
No. 31.12. 2019 31.12. 2020

A B 1 2
- listed shares 51    
- unlisted shares 52    
- social shares 53    
- bonds 54    
- shares issued by funds (including Financial Institution Companies) 55    
Other receivables (acct. 5113 + 5114) 56    
Petty cash in lei and other currencies (R 58 + 59), of which: 57    
- in lei (acct. 5311) 58    
- other currencies (acct. 5314) 59    
Current bank accounts in lei and other currencies (R 61 + 62), of which: 60    
- in lei (acct. 5121) 61    
- other currencies (acct. 5124) 62    
Other current bank accounts and letters of credit (R 64 + 65), of which: 63    
- transfers in progress amounts, letters of credit and other receivables, lei  
   
(acct. 5112 + 5125 + 5411) 64

- transfers in progress amounts and letters of credit in other currencies (ct. 5125 + 5412) 65    
Debts (R 67 + 70 + 73 + 76 + 79 + 82 + 83 + 86 to 90), of which: 66    
- Long-term bond issues and carrying interests, gross amounts (acct. 161 +  
   
1681)(R 68 + 69), of which: 67

- lei 68    
- other currencies 69    
- Internal short-time bank loans and carrying interests (acct. 5191 + 5192+      
5197 + from acct. 5198), (R 71 + 72), of which: 70

- lei 71    
- other currencies 72    
- External short-time bank loans and carrying interests (acct. 5193 + 5194 + 5195 +  
   
from acct. 5198), (R 74 + 75), of which: 73

- lei 74    
- other currencies 75    
- Long-term bank loans and carrying interests (acct. 1621 + 1622 + 1627 +  
   
from acct. 1682) (R 77 + 78), of which: 76

- lei 77    
- other currencies 78    
- External long-term bank loans (ct. 1623 + 1624 + 1625 + from acct. 1682)  
   
(R 80 + 81), of which: 79

- lei 80    
- other currencies 81    
- State treasury loans (acct. 1626 + from acct. 1682) 82    
     
- Other loans and carying interests (ct. 166 + 167 + 1685 + 1686 + 1687)
83
(R 84 + 85), of which:
     
- in lei and expressed in lei which will be cashed in-in link to other
84
currency quotation
- other currencies 85    
 

F30 - pag. 4
  Row    
No. 31.12.2019 31.12.2020
       
A B 1 2
 
- Commercial debst, advance payments received from clients and
     
86
other similar accounts, gross amounts (acct. 401 + 403 + 404 + 405 + 408 + 419)

- Debts to employees and other similar accounts (acct. 421 + 423 + 424 +  
   
87
426 + 427 + 4281)
     
- Debts to social security budget and state budget (acct. 431 + 437 + 4381 +
88
441 + 4423 + 4428 + 444 + 446 + 447 + 4481)
- Other debts (acct. 451 + 453 + 455 + 456 + 457 + 4581 + 462 + 472 + 473 +  
   
89
269 + 509)
   

- Interests payable (acct. 5186) 90    

Paid-in capital (acct. 1012) (R 92 to 94), of which: 91    

- listed shares 92    

- unlisted shares 93    

- social shares 94    
       
  Row    
VIII. Information on regarding the expenses to collaborators No. 31.12.2019 31.12. 2020

A B 1 2
       
Expenses to collaborators (acct. 621) 95

Control amount F30:


 
 
*) For the status of “affiliated legal personas” there will be applied the provisions of article 7 point 21 of the
Law no. 571/2003 regarding the Fiscal Code, with the subsequent additions and modifications
**) Innovation expenses will be determined according to the Rule (EC) no. 1450/2004 of the Comission, published in the
Official EU Journal L267/14.08.2004

 
 
 
 
ADMINISTRATOR, PREPARED,
 
Name, last and first Name, last and first
 
 
 
 
 
Signature Signature

 
Unit's stamp  
Legal capacity
 
 
 
 
  Registration no. in the professional body:
NONVALIDATED
FORM
 

 
  STATEMENT OF NON-CURRENT ASSETS  
 
   
at 31.12.2020 - lei -
Form 40 (pp 1-2)
 

Row Gross amounts


No.
Decreases
Noncurrent assets elements Balance
Of which:
Initial amount Increase (col.5=1+2-3)
Total dismemberments
and cassations

A B 1 2 3 4 5
 
           
Intangibles
   
Setup and development        
01 X
expenses
Other long-term assets 02       X  
   
Advance payments and        
03 X
intangibles in progress
TOTAL (R 01 to 03) 04       X  

Tangible assets            
Land 05       X  
Constructions 06          
Technical installations and machinery 07          
Other installations, equipments and 08          
furnitures
Advance payments and tangible    
       
assets in progress 09 X

TOTAL (R 05 to 09) 10          
Long-term financial assets 11       X  
 
NONCURRENT ASSETS -          
12
TOTAL (R04+10+11)
 
STATEMENT OF NONCURRENT ASSETS’ DEPRECIATION - lei -
 
           
   
  Row
  Depreciation
Depreciation of End-year
Noncurrent assets elements Initial amount written-off depreciation
No. recorded during
noncurrent assets (col.9=6+7-8)
the current year

A B 6 7 8 9
Intangibles          
 
Setup and development        
13
expenses
Other long-term assets 14        
TOTAL (R13 +14) 15        
Tangible assets          
Land 16        
Constructions 17        
Technical installations and machinery 18        
Other installations, equipments and 19        
furnitures
TOTAL (R16 to 19) 20        
DEPRECIATION - TOTAL (R15 +20) 21        
 

STATEMENT OF NONCURRENT ASSETS’ IMPAIRMENTS - lei -


 
   
       
  Row  
Impairments Impairments Ending
Noncurrent assets elements No.
Initial amount
made during the retreated as Balance
year incomes (col. 13=10+11-12)
A B 10 11 12 13
Intangibles          
 
Setup and development        
22
expenses
Other long-term assets 23        
Advance payments and intangibles in  
       
progress 24

TOTAL (R22 to 24) 25        


Tangible assets          
Land 26        
Constructions 27        
Technical installations and machinery 28        
Other installations, equipments and 29        
furnitures
Advance payments and tangible assets in  
       
progress 30

TOTAL (R 26 to 30) 31        
Long-term financial assets 32        
 
IMPAIRMENTS - TOTAL        
33
(R25+31+32)
Control amount F40 :
 
ADMINISTRATOR, PREPARED,
 
Name, last and first Name, last and first
 
 
 
 
 
Signature  Signature  

 
Unit’s stamp Legal capacity

 
 
 
Registration no. in the professional body:
 
 
 
 
NONVALIDATED
 
Vers.1.02
FORM

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