Balance Sheet and Annexes

Federal Democratic
Republic of Ethiopia
Ministry of Revenue Check Filing Status:
Federal Inland � Schedule B Rental Income Tax
Revenue � Schedule C Business Income Tax
Authority � Mining Income Tax

Section 1 – Taxpayer Information

1.Taxpayer’s Name (Company Name or Name, Father’s 3. Taxpayer Identification Number 8. For the Year
Name, Grandfather’s Name) ended:
TEN TEREF MANUFACTURING PLC 0076070085 July 7, 2015

2a. Region 2b. Zone/K-Ketema 4. Tax Account Number Document Number (Official
Addis Ababa kality Use Only)

2c. Woreda 2d. Kebele/Farmers 2e. House Number 5. Tax Center

07 Association New SMALL TAX PAYER
BRANCH OFFICE
6. Telephone Number 7. Fax Number
0911242055 0116630911

Section 2 – Business Assets, Liabilities and Capital

Instructions: Prior to completing this portion of the Balance Sheet you will need to complete the individual Annexes on the following three pages. Be sure and check your filing status at
the top of this form.

Assets
1 Cash 10
3,180.70
2 Accounts Receivable (Transfer Total from Annex 1, Line 4) 20
0.00
3 Allowance for Bad Debts 30

4 Net Accounts Receivable (Subtract Line 3 from Line 2 and Enter Total) 40
0.00
5 Pre Paid Expenses 50
744,704.48
6 Inventories (Transfer Total from Annex 2, Line 7) 60
9,408,936.89
7 Operating Supplies 70

8 Other Current Assets (Transfer Total from Annex 3) 80

1,727,380.74
9 Loans to Shareholders 90

10 Mortgage & Real Estate Loans Receivable 100

11 Other Investments (Transfer Total from Annex 4) 110

0
12 Building, Cost of Improvements & Reconstruction 120
Transfer from Annex 5A,

13 Computers, Software Products & Related Equipment 130

Column f

14 Plant, Machinery, Tools & Other Equipment 140

3,732,614.57
15 Motor Vehicles 150

16 Office Equipment and Furniture 160

17 Add Lines 12 through 16 and Enter Total 165

3,732,614.57
18 Accumulated Depreciation (Transfer from Annex 5B, Column d) 170

19 Net Book Value (Subtract Line 18 from Line 17 and Enter Total) 180
3,732,614.57
20 Intangible Assets (Transfer Total from Annex 6A, Column f) 190

21 Accumulated Amortization (Transfer from Annex 6B, Column f) 200

22 Net Book Value / Intangible Assets (Subtract Line 21 from Line 20 and Enter Total) 210
0.00
23 Other Assets (Transfer Total from Annex 7) 220

24 Total Assets (Add Lines 1, 4 through 11, 19, 22 and 23) 230
15,616,817.38
Liabilities
25 Accounts Payable 240
791,200.00
26 Interest Payable 250

27 Loans Payable less than 1 Year (Transfer Total from Annex 8) 260

28 Tax Payable (Transfer Total from Annex 9) 270

25,617.38
29 Other Current Liabilities (Transfer Total from Annex 10) 280

30 Loans from Shareholders 290

2,800,000.00
31 Loans Payable More than 1 Year (Transfer Total from Annex 11) 300
0.00
32 Other Long-Term Liabilities (Transfer Total from Annex 12) 310

33 Total Liabilities (Add Lines 25 through 32 and Enter Total) 320

3,616,817.38
Capital
34 Capital 330
12,000,000.00
35 Legal Reserve 340

36 Retained Earnings 350

37 Total Capital (Add Lines 34 through 36 and Enter Total) 360

12,000,000.00
38 Total Liabilities and Capital (Add Lines 33 and 37 and Enter Total) 370
15,616,817.38
Name & signature of taxpayer/agent Date Seal

Ministry of Revenue Page 1 of 4 (as of 07/08/06) FIRA Form 1302 (1/2006)

Schedule B & C - Business/Rental Income Tax

Balance Sheet Annexes
Taxpayer Information
1.Taxpayer’s Name (Company or Individual) 2. Taxpayer Identification Number 3. For the Year Ended:

Annex 1 – Accounts Receivable

a. Seq
Num
b. Item Description c. Amount

1 Trade Debtors
2 Sundry Debtors
3 Staff Debtors
4 Total of Lines 1 through 3 (Enter Total amount on Line 2 of Balance Sheet) 0.00
Annex 2 – Inventories (Applies to Business/Mining Income Only, Not Rental Income)
a. Seq
Num
b. Item Description c. Amount
1 Merchandise Stock
Manufacturing Business
2 Finished/Processed Product
3 Work in Process
4 Raw Materials 1,820,000.00
5 Reject, By Product and Other Related Items 7,588,936.89
6 Spare Parts, Supplies, Packing and Other Materials
7 Total of Lines 1 through 6. (Enter Total amount on Line 6 of Balance Sheet) 9,408,936.89
Annex 3 – Other Current Assets
a. Seq
Num
b. Account Description c. Amount

VAT Recivable 1,727,380.74

3.+ 1,727,380.74
Annex 4 – Other Investments
a. Seq
Num
b. Taxpayer c. Taxpayer Name d. Description of Investment e. Amount
Identification Number

Total (Enter Total amount on Line 11 of Balance Sheet (Include Total from Continuation Sheet if Used))
Annex 5 – Fixed Assets
a. Seq
Num
b. Item Description c. Beginning d. Addition e. f. Ending Balance
Balance Disp
osal/
A. Cost of Fixed Assets (Transfer Column f Totals to Lines 12 through 17 on Balance Sheet)
1 Building, Cost of Improvements & Reconstruction 0.00
2 Computers, Software & Related Equipment 0.00
3 Plant, Machinery, Tools & Other Equipment(GIT) 3,153,288.86 3,153,288.86
4 Motor Vehicles 0.00
5 Preoprational cost 9,304.00 570,021.71 579,325.71
6 Office Equipment and Furniture 0.00
7 Total of Lines 1 through 6 3,732,614.57
B. Depreciation of Fixed Assets (Transfer Column “d” Total to Line 18 of Balance Sheet)
7 Building, Cost of Improvements & Reconstruction 0.00
8 Computers, Software & Related Equipment 0.00
9 Plant, Machinery, Tools & Other Equipment 0.00
 10 Motor Vehicles 0.00
11 Office Equipment and Furniture 0.00
12 Total of Lines 7 through 11 0.00
13 Net Book Value (Line 6 – Line 12) 3,732,614.57
Ministry of Revenue Page 2 of 4 (as of 07/08/06) FIRA Form 1302 (2/2006)

Schedule B & C - Business/Rental Income Tax

Balance Sheet Annexes
Taxpayer Information
1.Taxpayer’s Name (Company or Individual) 2. Taxpayer Identification Number 3. For the Year Ended:

Annex 6 – Intangible Assets

a. Seq
Num
b. Item Description c. Beginning d. Addition e. f. Ending Balance
Balance Disp
osal/
A. Intangible Assets (Transfer from Column “f” to Line 20 of Balance Sheet)
1 Goodwill
2 Patent
3 Leasehold Land 0.00
4
5 Other Intangible Assets
6 Total of Lines 1 through 5 0.00 0.00 0.00
B. Amortization (Transfer from Column “f” to Line 21 of Balance Sheet)
7 Goodwill
8 Patent
9 Leasehold Land 0.00 0.00
10
11 Other Intangible Assets
12 Total of Lines 7 through 11
13 Net Book Value (Lines 6 minus 12) 0.00 0.00
Annex 7 – Other Assets
a. Seq
Num
b. Account Description c. Amount

1 ECX membership seat

2 ECX security deposit

Total (Enter Total amount on Line 23 of Balance Sheet) 0.00

Annex 8 – Loans Payable in less than One Year
a. Seq
Num
b. Name of Loan Provider (Financed by) c. Amount

1 Revolving fund loan wegagen-4492(L96)

2 Over draft
3 term loan united bank
4 cooprative bank
Total Loans Payable in Less than 1 Year (Enter Total amount on Line 27 of Balance Sheet)
0.00
Annex 9 – Tax Payable
a. Seq
Num
b. Type of Tax Payable c. Amount

1 Employment Income Tax Payable

2 Business Income Tax Payable
3 Rental Tax Payable
4 Withholding Tax Payable 25,617.38
5 VAT Payable
6 Turnover Tax Payable
7 Excise Tax Payable
8 Dividend Tax Payable
9 Other Tax Payable
10 Total (Enter Total amount on Line 28 of Balance Sheet (Include Total from Continuation Sheet if Used)) 25,617.38
Ministry of Revenue Page 3 of 4 (as of 07/08/06) FIRA Form 1302 (1/2006)
Schedule B & C - Business/Rental Income Tax
Balance Sheet Annexes
Taxpayer Information
1.Taxpayer’s Name (Company or Individual) 2. Taxpayer Identification Number 3. For the Year Ended:

Annex 10 – Other Current Liabilities

a. Seq
Num
b. Account Description c. Amount

Profit tax payable

Total (Enter Total amount on Line 28 of Balance Sheet (Include Total from Continuation Sheet if used))
0.00
Annex 11 – Loans Payable in More than 1 Year
a. Seq
Num
b. Name of Loan Provider (Financed by) c. Amount

1
2

Total (Enter Total amount on Line 30 of Balance Sheet (Include Total from Continuation Sheet if Used))
0.00
Annex 12 – Other Long-Term Liabilities
a. Seq
Num
b. Name of Loan Provider (Financed by) c. Amount
1 Defered Tax Liabilit
2 Land leasliability

Total (Enter Total amount on Line 31 of Balance Sheet (Include Total from Continuation Sheet if Used))
0.00
Taxpayer Certification

I declare that the above declaration and all information provide here-with is correct and complete. I understand that any misrepresentation is
punishable as per the tax Laws and the Penal code.

Taxpayer/Authorized Agent: Authorized Tax Officer:

Name Seal Name
Signature Date Signature Date

Ministry of Revenue Page 4 of 4 (as of 07/08/06) FIRA Form 1302 (1/2006)

 TEN TEREF MANUFACTURING PLC Thursday, December 21, 2023
General Journal List

Reference No. Period Date Amount Reverse Transaction

JV 02/07/2022 7 1/13/2022 $30.00 0
JV 01/07/2022 7 1/12/2022 $200.00 0
JV 01/05/2021 5 12/8/2021 $504.00 0
JV 01/06/2021 6 12/20/2021 $1,350.00 0
JV 02/10/2024 22 4/26/2023 $5,500.00 0
JV 01/10/2023 22 4/18/2023 $429,910.00 0

pg. 6 of 7
TEN TEREF MANUFACTURING PLC Thursday, December 21, 2023
General Journal List

pg. 7 of 7