The document outlines the Cooperative Annual Progress Report (CAPR) requirements and includes various sections for cooperatives to provide essential information such as identification numbers, registration details, business activities, and membership details. It specifies the procedure for submitting the CAPR electronically to the Cooperative Development Authority (CDA) along with additional documentation, emphasizing the importance of accuracy and completeness. The report encompasses critical financial and operational data, including capitalization and tax information, aimed at ensuring compliance with regulatory standards.

1. A. Cooperative Identification Number (CIN): _______________________________________________
B. Name of Cooperative as of latest amendment: __________________________________________
C. Registration Number (under RA 9520): _____________________________________________
Original Date of Registration : _____________________________
Registration Date under RA 9520 : _________________________
E. Business Permit
F. Present Address of Cooperative: ______________________________________________________
G. Category of Cooperative: Primary Tertiary
H. Type of Cooperative: ____________________________________________________________________
I. Common Bond of Membership: __________________________________________________________
J. Date of General Assembly: _______________________________________________________________
K. Quorum Requirement: __________________________________________________________________
L. Fiscal Year: ___________________________________________________________________________
M. Area of Operaion: National Others, pls. specify
N. Business Activities: (Please specify)
GENERAL INFORMATION
D. Date Registered:
Cooperative Development Authority
Cooperative Annual Progress Report (CAPR)
As of December 31, _______
INSTRUCTIONS TO COOPERATIVES
1. All blanks shall be filled-up with appropriate information.
Business Permit No.
2. The submission of the duly accomplished Cooperative Annual Progress Report (CAPR) Form shall be done
ANNUALLY within 120 days after the end of the calendar year.
3. Submission to CDA shall be done electronically through www.cda.gov.ph in accordance with MC No. 2014-05 .
Likewise, the cooperative shall submit to the Authority, through the Extension Office, one (1) copy of the encoded
CAPR Form within five (5) days from the electronic submission duly signed by the Accountable Officer.
4. The Authorized Representative of the Cooperative shall encode all the data required in the CAPR Form.
5.The Chairman and General Manager shall certify to the truthfulness and correctness of the information
contained herein.
6. All Multi-Purpose Cooperatives shall segregate records per economic activity.
7. Do not leave blank. Write 0 for none and N/A for Not Applicable
Date Issued
Amount Paid
Secondary
Regional Municipal
____________________________________
_________________________________ ____________________________________
_________________________________ ____________________________________
_________________________________ ____________________________________
_________________________________ ____________________________________
_________________________________
CDA-SEU-FR-003
Revision No. 1
December 1, 2014
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2. CDA-SEU-FR-003
Revision No. 1
December 1, 2014
N1. Products/Commodities ______________________________________________________________
N3. Annual Volume of Business:
O. Information on Number of Employees
Salaried Personnel
Honoraria
For honoraria - include no. of officers receiving honoraria
Male # of days Female # of days
Volunteer
a. Name: _________________________________________________________________________________
b. Designation: ____________________________________________________________________________
c. Phone Number: __________________________________________________________________________
d. Fax Number: ____________________________________________________________________________
e. Email Address: __________________________________________________________________________
R. Information on Membership
For
Secondary For Tertiary
Male Female Primary Secondary
No. of Regular members
No. of Associate members
Total No. of Members
Target/Potential Membership
Composition No. No.
N2. Services Rendered (please specify ) ____________________________________________________
Business Activity Amount
Current Year
TOTAL
Male Female
Note: In case of Workers Cooperative, all workers are considered direct employees of the cooperative.
P. Information on Number of
Volunteer Workers
Current Year
TOTAL
Note :Volunteers are members rendering services to the cooperative without salary/honoraria.
Q. Contact Person
Particulars
For Primary Other Juridical
Persons
R1. MEMBERSHIP COMPOSITION: (Please specify)
Composition
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3. CDA-SEU-FR-003
Revision No. 1
December 1, 2014
R2. List of Officers (Indicate name and address)
R2.a. Board of Directors
R2.b. Other Officers
R2.c. Committees of the Cooperative
4.
R3. Information on Cooperative Branches/Satellites
Address of Branch Office
Male Female
NAME ADDRESS
1. CHAIRMAN -
2. VICE-CHAIRMAN -
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
NAME ADDRESS
SECRETARY -
TREASURER -
GENERAL MANAGER -
NAME ADDRESS
A. AUDIT COMMITTEE
1.
2.
3.
B. ELECTION COMMITTEE
1.
2.
3.
C. MEDIATION AND CONCILIATION COMMITTEE
1.
2.
3.
D. ETHICS COMMITTEE
1.
2.
3.
E. OTHER COMMITTEES (Please specify)
1.
2.
3.
5.
No. of Branches:
No. of Satellites:
R4. Details of Cooperative Branch/es
No. of Members Date of
Issuance
Certificate of
Authority No.
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4. CDA-SEU-FR-003
Revision No. 1
December 1, 2014
R5. Details of Cooperative Satellite
Address of Satellite Office
Male Female
R6. Laboratory Cooperative
Male Female
R7. Financial Aspect of Laboratory Cooperative
Sevices of Laboratory Cooperative
R8. Information on Savings Deposit of Laboratory Cooperative
Savings deposits
Time deposits
Other types of deposits, please specify
T o t a l
S. Certificate of Good Standing (CGS)
S1. Regular CGS
S2. Special CGS
T. Certificate of Tax Exemption/Ruling
U. Information on Deposit Liabilities
No. of Members
with deposit
accounts
No. of
Account
s
Total
Amount
No. of
Members
with deposit
accounts
No. of
Account
s
Total
Amount
Savings deposits
Time deposits
Other types of deposits, please specify
T o t a l
No. of Members Date of
Issuance
Letter of Authority
No.
Name and Address of Laboratory
Cooperative
Type of Members
No. of Members Recogni
tion No.
Date
Issued
Paid-up Capital Deposit Liabilities
Type of Deposits
No. of Members with
deposit accounts
No. of Accounts Total Amount
CGS No. Date of Issue Valid Until
CGS No. Purpose
Date of
Issue
Valid Until
CTE No.
Date Issued:
Validity:
TIN
Type of Deposits
Regular Members Associate Members
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5. CDA-SEU-FR-003
Revision No. 1
December 1, 2014
V. Information on Capitalization
Authorized Capital
Subscribed Capital
Paid-up Capital
Deposit for Capital Subscription
Par Value per Share
Treasury Shares
X. Information on Statutory Reserves
General Reserve Fund
CETF
CETF - Local
Remitted to Federation/Union
Community Development Fund
Optional Fund
Prepared By:
Accountant
Bookkeeper
Compliance Officer
________________________________
General Manager Chairman
Common Preferred Total
W. Information of Actual Taxes Withheld/Remitted to BIR Total
Employees Salary
Honorarium
Interest on Share Capital
Other Taxes, pls. specify
Amount utilized for the year Accumulated Balance
Certified True and Correct:
____________________________
_________________________________________
Position
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