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["附件3"]
["“小金库”重点抽查统计表"]
["填报单位：（盖章）",{"$nulls":7},"金额：万元"]
[null,null,"行次","合计","党政机关","事业单位","社会团体","公募基金会","国有及国有控股企业","备注"]
["一","重点抽查基本情况",1]
[1,"单位总户数",2]
[2,"重点抽查单位户数",3]
[3,"重点抽查发现存在“小金库”问题单位户数",4]
[4,"重点抽查发现“小金库”个数",5]
["二","截至2007年底（党政机关和事业单位为2006年底）“小金库”资金滚存余额和资产原值",6]
[null,"其中：滚存资金余额",7]
["三","2008年（党政机关和事业单位为2007年）至今“小金库”资金来源合计",8]
[1,"财政拨款/政府补助",9]
[2,"行政事业性收费收入",10]
[3,"政府性基金收入",11]
[4,"罚没收入",12]
[5,"会费收入",13]
[6,"捐赠收入",14]
[7,"经营收入",15]
[8,"投资收益",16]
[9,"资产(资源)处置、有偿使用收入",17]
[10,"附属单位或分支机构上缴收入",18]
[11,"其他",19]
["四","2008年（党政机关和事业单位为2007年）至今“小金库”资金支出合计",20]
[1,"弥补经费、成本费用",21]
[2,"购建资产、对外投资、对外借款支出",22]
[null,"其中：期末存在的资产原值",23]
[3,"工资、奖金、津补贴、福利、礼品礼金等支出",24]
[null,"其中：购买消费卡支出",25,{"$nulls":6},"补充表1"]
[4,"接待宴请、公款旅游、职务消费支出",26]
[6,"私分、贪污",27]
[7,"其他",28]
["五","截至检查时“小金库”资金滚存余额和资产原值",29]
[1,"现金和银行存款",30]
[2,"有价证券",31]
[3,"固定资产原值",32]
[4,"股权和债权",33]
[5,"其他",34]
["六","“小金库”主要表现形式（金额）",35]
[1,"隐匿收入设立“小金库”",36]
[null,"其中：用资产处置、出租收入设立“小金库”",37]
[2,"违规收费、罚款及摊派设立“小金库”",38]
[3,"虚列支出转出资金设立“小金库”",39]
[null,"其中：以会议费、培训费套取资金设立“小金库”",40,{"$nulls":6},"补充表2"]
[null,"      虚列利息支出、手续费、虚假理赔等套取资\n      金设立“小金库”",41]
[null,"      以咨询费等名义套取资金设立“小金库”",42]
[4,"转移资产、资金设立“小金库”",43]
[5,"其他形式设立“小金库”",44]
[null,"其中：以假发票套取资金设立“小金库”",45,{"$nulls":6},"补充表3"]
[null,"负责人：                填报人： ","联系电话：",{"$nulls":4},"填报日期："]

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["补充表1"]
["“小金库”资金购买各类消费卡问题统计表"]
["填报单位：",{"$nulls":13},"金额：万元"]
["项目","检查单位个数","存在此类问题单位个数","购卡金额",{"$nulls":5},"支出使用情况",{"$nulls":4},"结余金额","备注"]
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[null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15]
["党政机关"]
["事业单位"]
["社会团体"]
["公募基金会"]
["国有及国有控股企业"]
["合    计"]
[]
["负责人：",null,null,"填报人：",{"$nulls":3},"联系电话：",{"$nulls":3},"填报日期："]

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["补充表2"]
["以会议费、培训费套取资金设立“小金库”问题统计表"]
["填报单位：",{"$nulls":10},"金额：万元"]
["项目","检查单位个数","存在此类问题的单位个数","设立“小金库”个数","“小金库”问题金额","支出情况",{"$nulls":5},"结余金额","备注"]
[{"$nulls":5},"用于接待宴请、公款旅游等","用于职工奖金、津补贴、福利","用于礼品礼金","用于私分","其他","小计"]
[null,1,2,3,4,5,6,7,8,9,10,11,12]
["党政机关"]
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["社会团体"]
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[]
["负责人：",null,null,"填报人：",null,null,"联系电话：",null,null,"填报日期："]

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["补充表3"]
["以假发票套取资金设立“小金库”问题统计表"]
["填报单位：",{"$nulls":16},"金额：万元"]
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[null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18]
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["事业单位"]
["社会团体"]
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[]
["负责人：",{"$nulls":3},"填报人：",{"$nulls":3},"联系电话：",{"$nulls":3},"填报日期："]