SIMPLIFIED ECONOMIC SURVEY FOR PRIMARY COOPERATIVES:

I. GENERAL INFORMATION

a. Proposed Name:[click here and type the name of co-op. Should be consistent with Art. I of the Articles of Cooperation] b. Type of Cooperative: [click here and enter the type of the cooperative. Should be consistent with the Articles of Cooperation] c. Field of Membership: [click here and type the field of membership. Should be consistent with Art. VII of the Articles of Cooperation] d. Address of Cooperative: [click here and type the postal address of the co-op. Should be consistent with Art. V of the Articles of Cooperation] e. No. of Original Member: [click here and type the number in figures. Should be consitent with the number of cooperators in the Articles of Cooperation] f. Projected Increase in Membership for the: 1st Year :______2nd Year:______3rd Year:______

II. PURPOSE OF THE COOPERATIVE:

A. General Purpose: ______

B. Secondary Purposes: ______

C. Proposed Business Activities (State goods/products/services to be offered by the proposed cooperative: ______

III. ECONOMIC AND TECHNICAL ASPECTS OF BUSINESS OPERATIONS:

a. Are there any other entities (such as cooperatives) within your proposed area that offer the same goods/services offered by your proposed cooperative? If so, state how many and what is the total volume of business they generate. ______

b. How many employees and where will the cooperative get the personnel required to administer business operation of the cooperative? ______

c. What machineries/equipment will be required for the business operation of the cooperative. ______Economic Survey Page 1 of 3 d. Do the officers/employees/members need any special training for the business operations of the cooperative? If so, what?

e. Given the present situation in your proposed area, explain how the proposed cooperative will succeed in its operations. ______

IV. FINANCIAL ASPECTS:

a. Where and how will the cooperative obtain its operating capital? State whether contributions/loans/donations/grants. ______

b. How much may the cooperative earn during the first year of business operation? ______c. In its second Year?______d. Third Year? ______

e. How much will the Cooperative require for its operating expenses in the First Year? First Year? ______Second Year?______Third Year? ______

f. Does the Cooperative intend to have capital investment? If so, state what capital investments and when such will be realized. ______

V. MANAGEMENT STRUCTURE:

a. Who will be designated to manage the day-to-day operations of the Cooperative? ______

b. Will the members be required to deposit their services with the cooperative? ______

c. How many persons will comprise the Board of Directors of the Cooperative? ______

d. What will be the role of the Board of Directors?

Economic Survey Page 2 of 3 ______

e. Will the cooperative have an Audit Committee? ______f. Will the Cooperative have a Credit Committee? ______g. Will the Cooperative hire an Accountant/Bookkeeper?______ Name of Accountant/ Bookkeeper ______h. What will be the proposed compensation of the following?

(1) Manager ______(2) Accountant ______(3) Clerks ______(4) Others ______

SUBMITTED BY: ______POSITION: Chairperson

Note: Remember that this is only a guideline; you may add, revise or omit items that are not applicable to your proposed cooperative. The CDA reserve the right to conduct an investigation into the proposed operations of the Cooperative. There is no need to submit project Financial Statements and Cash flow for three years.

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