Revised Attachment H.pdf
PDF 180 KB Posted
- Attached to
- Tax System Modernization
- Solicitation number
- Doc1288967193
- Issued by
- North Carolina
About this file
The document is a Revised Attachment H: Financial Review Form for the Tax System Modernization Program issued by the North Carolina Department of Revenue (NCDOR) as part of RFP 45-RQ161211. The form is designed for potential vendors to provide comprehensive financial information across three complete fiscal years, including detailed balance sheet data, income statement data, and statement of cash flows. Vendors are required to submit this Excel form with their offer, with specific instructions not to add, delete, or modify the rows or columns. The form requests information such as company structure, business history, bankruptcy status, auditor notifications, and financial statement details.
The financial review form seeks to comprehensively assess a vendor's financial health and stability by requiring detailed financial reporting across multiple fiscal years. Vendors must disclose whether they have been in business for more than three years, if they have filed for bankruptcy, and if their auditor has issued any significant notification letters. The form requires vendors to provide annual reports, financial statements, and management discussions for the past three complete fiscal years. By collecting data on cash and temporary investments, accounts receivable, inventory, current assets, liabilities, stockholders' equity, net sales, cost of goods sold, net income, and cash flows, NCDOR can evaluate the financial capability and reliability of potential contractors for the Tax System Modernization Program.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment I - Functional Specifications.xlsx | XLSX spreadsheet | |
| Attachment L - Staffing Plan.xlsx | XLSX spreadsheet | |
| Attachment P - Interface Inventory.xlsx | XLSX spreadsheet | |
| Attachment J - Technical Specifications.xlsx | XLSX spreadsheet | |
| Attachment M - Tax Schedule Matrix.xlsx | XLSX spreadsheet | |
| Attachment N - Forms Inventory.xlsx | XLSX spreadsheet | |
| RFP 45-RQ161211 NCDOR Tax System Modernization.pdf | ||
| Revised Attachment i - Functional Specifications.xlsx | XLSX spreadsheet | |
| Attachment O - Systems Inventory.xlsx | XLSX spreadsheet | |
| Attachment D - Cost Form.xlsx | XLSX spreadsheet | |
| Attachment Q - Implementation Roles & Responsibilities.xlsx | XLSX spreadsheet | |
| Attachment V - Statutory References.xlsx | XLSX spreadsheet | |
| Addendum 1 RFP 45-RQ161211-State Response to Vendor Questions.pdf | ||
| Revised Attachment D - Cost Form.xlsx | XLSX spreadsheet |
Show all 14
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Text version
TAX SYSTEM MODERNIZATION PROGRAM – North Carolina Department of Revenue - RFP 45-RQ161211
REVISED ATTACHMENT H: FINANCIAL REVIEW FORM
Vendor shall review the Financial Review Form, provide responses in the gray-shaded boxes, and submit the completed Form as an Excel file with its offer. Vendor shall not add or delete rows or columns in the Form, or change the order of the rows or column in the file.
1. Vendor Name:
2. Company structure for tax purposes (C Corp, S Corp, LLC, LLP, etc.):
3. Have you been in business for more than three years?
Yes No
4. Have you filed for bankruptcy in the past three years?
5. In the past three years, has your auditor issued any notification letters addressing significant issues? If yes, please explain and provide a copy of the notification letters.
6. Are the financial figures below based on audited financial statements?
7. Start Date of financial statements:
End Date of financial statements:
8. Provide annual reports with financial statements and management discussion for the past three complete fiscal years:
9. Provide the following information for the past three complete fiscal years:
Latest complete fiscal year minus two years
Latest complete fiscal year minus one year
Latest complete fiscal year
BALANCE SHEET DATA
a. Cash and Temporary Investments
b. Accounts Receivable (beginning of year)
c. Accounts Receivable (end of year)
d. Average Account Receivable for the Year (calculated)
e. Inventory (beginning of year)
f. Inventory (end of year)
g. Average Inventory for the Year (calculated)
h. Current Assets
i. Current Liabilities
j. Total Liabilities
k. Total Stockholders’ Equity (beginning of year)
l. Total Stockholders’ Equity (end of year)
m. Average Stockholders’ Equity during the year (calculated)
INCOME STATEMENT DATA
a. Net Sales
b. Cost of Goods Sold (COGS)
TAX SYSTEM MODERNIZATION PROGRAM – North Carolina Department of Revenue - RFP 45-RQ161211
c. Gross Profit (Net Sales minus COGS) (calculated)
d. Interest Expense for the Year
e. Net Income after Tax
f. Earnings for the Year before Interest & Income Tax Expense
STATEMENT OF CASH FLOWS
a. Cash Flow provided by Operating Activities
b. Capital Expenditures (property, plant, equipment)
File details come from the government source that posted it. Updated .