Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698839100286.pdf (Saint Vincent and the Grenadines)
Form No.

n 8511-8532.2011/10 STATISTICAL OFFICE Central Planning Division Kingstown, St. Vincent Telephone No.

456-1111 Ext 592/377 Fax.

456-2430 Email:svg.stats@mail.gov.vc Website:www.stats.gov.vc ST .VINCENT AND THE GRENADINES ANNUAL SURVEY OF ECONOMIC ACTIVITY HEALTH AND SOCIAL WORK The Form covers establishments providing private health and social work services.

Confidential under the Statistics Act, No.


24 of 1983 OFFICIAL USE ONLY Date Received …………………………………… Checked by …………………………………… Establishment No.

…………………………….

ISIC NO: …………………………… SECTION I - DESCRIPTION OF ESTABLISHMENT 1.1 Name of Establishment ……………………………………………………………………………………….. 1.2 Address of Establishment …………………………………………………………………………………….. 1.3 Postal Address (if different from above) …………………………………………………………………….
1.4 Which of the following best describes the ownership of your establishment (indicate by a tick [] Private Limited Company [ ] Partnership/Family(unlimited) [ ] Other specify Public Limited Company [ ] PublicCorporation/StatutoryBody[ ] Sole /Owner Trader [ ] Non Profit Institution [ ] 1.5 Please state the percentage (%) of foreign ownership of your establishment ………………………….. 1.6 Please state the month and year in which your establishment started operations/was incorporated ………………………………………………………………………………….. 1.7 State financial year used in completing this form:- 2011: From ……………………………………… To …………………………….. 2010: From ……………………………………… To ………………………………… If your financial year is not the same as the calendar year, please apply the following procedure: If your financial year ends on or before June 30, enter 2011/2012 accounting data for 2011 and 2010/11 for 2010.
If your financial year ends after June 30, enter 2010/2011 accounting data for 2011 and 2009/2010 accounting data for 2010 SEE EXPLANATORY NOTES 1 1.8 Activity carried on by your establishment Main …………………………………………………………………………………………………………………….. Other Activities……………………………………………………………………………………………………… 1.9 Please indicate whether it is normal policy to close operations during the year Yes ___________________ specify dates when closing occurs ____________________________ No ____________________ 1.10 Name of person responsible for completing the questionnaire: Name: …………………………………………………………………………………………………………… Position: …………………………………………………………………………………………………... Telephone No.
: ………………………………………………………………………………………………… SECTION 2 - PERSONS ENGAGED 2.1 How many persons were engaged in each of the below categories during the last pay period for the months of June and December.
Working Proprietors Unpaid Workers Employees Male Female Male Female Male Female Period 2011 – June 2011 – December 2010 – June 2010 – December SEE EXPLANATORY NOTES 2 (EC dollars) SECTION 3 - SALES AND RECEIPTS P1111 Sales and Receipts Sales of services (please specify by type of service) 2011 2010 P1112 P1113 Income from rental of machinery and equipment Income from rental of buildings D4100 Interest earned D4200 Dividend and other investment income Gain(loss) on foreign exchange Casualty insurance claims received D7511 Grants, donations and subvention received P1189 Other operating income Total Income SECTION 4 - EXPENSES Labour Payments D1111 Gross wages and salaries paid to employees during the year Employers contribution to:- (a)Social Security D11111 D11112 (b)Medical Benefit scheme D11113 (c)Private Pension Schemes, Life, Health and casualty insurance schemes D11114 Directors Fees D11115 Value of payments in kind D11116 Other payments to labour Total labour Payments SEE EXPLANATORY NOTES 3 2011 (EC Dollars) 2010 2011 2010 Other Operating expenses D2990 Other Taxes on production D29901 Property tax D29902 Hotel tax D29903 Licences and other fees D29904 Other (specify) K1000 Depreciation and amortization P2160 Cost of fuel P2170 Cost of stationary and other Office supplies P2211 Maintenance and repair of machinery and equipment P2212 Maintenance and repair of vehicle P2220 Electricity P2221 Water P2240 Building maintenance and repair P2412 Transport and travel P2420 Telephone and other communications
 P2421 Postage and courier services P2510 Bank charges P2520 Insurance P2540 Credit card commissions P2550 Commissions paid to travel agents P2610 Rental/lease of buildings P2630 Rental/lease of machinery, equipment P2631 Rental/lease of vehicles P2700 Computer services/maintenance of office equipment SEE EXPLANATORY NOTES 4 2011 2010 P2810 Professional services P2820 Advertising and promotion P2900 All Other operating expenses Total Operating Expenses D4190 Interest paid D7520 Bad debt written off D7521
 Donations P29001 Royalties Other non-operating Expenses SECTION 5 – SPECIAL ITEMS 2011 (EC dollars) 2010 Special Items Total profit(loss) before income tax Dividends payable Additions to retained earnings Dividends repatriated (EC dollars) Item End of Year Inventories 2011 2010 2009 SECTION 6 - INVENTORIES Raw Materials Finished Products Goods purchased for resale ( in same condition purchased) P5200 Total Inventories NA SEE EXPLANATORY NOTES 5 (EC dollars) SECTION 7 - CAPITAL EXPENDITURE 2011 2010 Land (a) Purchased P5131 (b) Reclaimed P511 P5112 P5112 P5111 P5111 P5111 Building Purchased - Residential Purchased –Non-residential Constructed – Residential Constructed – Non-residential Construction works, roads and parking areas P5111 Machinery and equipment purchased P5111 P5111 P5111 Motor vehicles and other transport equipment purchased Livestock for breeding, dairy, draught, plantations, orchards Plantations, orchards P5111 Computer software P5111 Other Fixed Assets Total Capital Expenditure Sales of Capital Goods Land P5113 Building (a) Sold – Residential (b) Sold – Non-residential P5113 Machinery and Equipment P5113 Motor vehicle and other transport equipment sold SEE EXPLANATORY NOTES 6 2011 2010 P5113 Other fixed assets sold (Specify) …………………………………………… …………………………………………… Total Sales of Capital Goods SECTION 8 – VALUABLES 2010 2009 P53AN13 Acquisition of Valuables P53AN14 Disposal of Valuables SECTION 9 MISCELLANEOUS Please give your best estimate of your
 overall income received directly from tourist, from tourism specific establishments and other sources.
Item 2011 Percentage 2010 Percentage Tourists Accommodation sector Other sectors  What was the total value of goods (c.i.f.)

and services purchased directly from abroad?

2011: $___________ 2010: $___________ SEE EXPLANATORY NOTES 7 HEALTH AND SOCIAL WORK EXPLANATORY NOTES P 1111 Sales of services Income, from all types of transport and communication activities, net of refunds and discounts given.

Include net receipts from any goods sold.


D4100 & D4200 D7511 Interest and dividends received Grants, donations and subventions received P 1189 Other operating income D1111 Wages, salaries and benefits Interest and dividends earned on business account.

Current transfers and voluntary donations from businesses, government, households or from abroad.
Income from other sources related to the business, e.g., rental of buildings and equipment, commissions, ledger fees, exchange gain/loss, miscellaneous income, etc.

Exclude grants, donations and subventions received, gains or losses on the sale of fixed assets and bad debts recovered.

Gross cash payments to employees, including overtime payments, bonuses, fees, commissions, cost of living allowances, vacation and sick pay.
Include the employer's contributions to pension, insurance and other schemes on behalf of employees, as well as the cost of meals, housing and other benefits not recovered from employees.

D2990 Other taxes and licences Include business fees, business and professional licences, property taxes, vehicle licences, stamp duties and other fees paid to government on behalf of the business.
K1000 Depreciation and amortization Includes the amount allocated during the reporting period to amortize the cost of acquiring long-term assets over the useful life of the asset.

P2120 Cost of materials, supplies and components P2160 Cost of fuels used Consists of purchases plus opening stock less closing stock of materials, supplies and components.

Consists of purchases plus opening stock less closing stock of fuels.

Include gasoline, kerosene, gas oil and other fuel oils, lubricating oils, etc.
P2412 Transport and travel Local freight charges, local and overseas business travel.

P2420 Telephone, postage and other communications Include cellular phone charges, the cost of courier and messenger services, fax, telex, and Internet services.

P2520 Insurance Premiums paid for motor vehicle, property and marine insurance.

Include insurance of staff under DIIII.


P2810 Professional services Include expenditure on legal, accounting, audit, architectural and engineering services, management and other consultancy services.

P2820 Advertising and promotion Include entertainment expenses.
SEE EXPLANATORY NOTES 8 P2900 Other expenses P5110 Buildings P5139 Machinery, equipment and other fixed assets P5200 Change in inventories P53AN13 Valuables Include security services, janitorial services, medical expenses, veterinary services, laundry services, and other expenditures such as staff training, subscriptions, research and development, etc.

Exclude bad debts, extraordinary items and other non-current items of expenditure.
Value of new and existing buildings acquired during the year, less disposals of existing buildings.

Include the value of extensions and major renovations to existing buildings.

Value of all new or second hand machinery and equipment, including transport equipment; office, accounting and computer equipment, including computer software; furniture, fixtures and furnishings and other durable goods acquired during the year, less disposals of similar items.
Total value of all inventories at the end the period minus the value at the beginning of the period, including materials and supplies that are held in stock for use as intermediate inputs, work-in-progress, finished goods and goods for resale.

Valuables are assets that are acquired as stores of wealth and are not used up in production.

They do not deteriorate over time and are expected to at least hold their value.

Examples are jewelry, works of art, antiques and precious stones and metals.
SEE EXPLANATORY NOTES 9