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["附件1："]
["蚌埠学院“小金库”专项整治“回头看”自查自纠情况统计表"]
[]
["（公章）：",null,null,"单位：万元、个"]
["序号","项  目","个数","金额","备注"]
["一","自查基本情况"]
[1,"自查单位户数"]
[2,"自查发现存在“小金库”单位户数"]
["二","自查发现“小金库”及纠正情况"]
[1,"自查发现“小金库”个数及金额"]
[2,"纠正处理“小金库”个数及纠正金额"]
["三","截至填报日“小金库”资金来源合计"]
[1,"财政拨款"]
[2,"政府性基金收入"]
[3,"专项收入"]
[4,"行政事业性收费收入"]
[5,"罚没收入"]
[6,"国有资本经营收入"]
[7,"国有资源(资产)有偿使用收入"]
[8,"资产处置收入"]
[9,"资产出租收入"]
[10,"经营收入"]
[11,"利息收入"]
[12,"捐赠收入"]
[13,"附属单位上缴收入"]
[14,"其他"]
["四","截至填报日“小金库”资金支出合计"]
[1,"弥补经费"]
[2,"购建资产支出"]
[3,"发放奖金、津补贴、福利等支出"]
[4,"接待宴请、公款旅游支出"]
[5,"礼品礼金支出"]
[6,"私分"]
[7,"其他"]
["五","截至填报日“小金库”资金滚存余额和资产原值"]
[1,"现金"]
[2,"银行存款"]
[3,"有价证券"]
[4,"固定资产原值"]
[5,"股权和债权"]
[6,"其他"]
["党政主要负责人：              填表人：",null," ","联系电话： "]
[null,null,"填表日期：   年   月  日"]
["                             "]

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["附件2"]
["“小金库”专项整治“回头看”内部检查情况统计表"]
["填报单位:（盖章）",null,null,"单位:万元、人、个"]
["序号","项目","行次","人数/个数","金额","备注"]
["一","内部检查人员组成",1]
[1,"单位领导",2]
[2,"纪检部门",3]
[3,"监察部门",4]
[4,"审计部门",5]
[5,"财务部门",6]
[6,"其他部门",7]
["二","内部检查次数",8]
[1,"合作培训方面",9]
[2,"教材教辅方面",10]
[3,"资产（场地）出租方面",11]
[4,"资产处置方面",12]
[5,"后勤管理方面",13]
[6,"附属产业方面",14]
[7,"原始票据合法性",15]
[8,"经济业务真实性",16]
[9,"经营收入完整性",17]
[10,"实地抽检接待、会议、培训等支出",18]
[11,"其他部位和环节内部检查",19]
["三","内部检查发现“小金库”个数",20]
[1,"合作培训方面",21]
[2,"教材教辅方面",22]
[3,"资产（场地）出租方面",23]
[4,"资产处置方面",24]
[5,"后勤管理方面",25]
[6,"附属产业方面",26]
[7,"原始票据合法性",27]
[8,"经济业务真实性",28]
[9,"经营收入完整性",29]
[10,"实地抽检接待、会议、培训等支出",30]
[11,"其他部位和环节内部检查",31]
["四","内部检查发现“小金库”金额",32]
[1,"合作培训方面",33]
[2,"教材教辅方面",34]
[3,"资产（场地）出租方面",35]
[4,"资产处置方面",36]
[5,"后勤管理方面",37]
[6,"附属产业方面",38]
[7,"原始票据合法性",39]
[8,"经济业务真实性",40]
[9,"经营收入完整性",41]
[10,"实地抽检接待、会议、培训等支出",42]
[11,"其他部位和环节内部检查",43]
["党政主要负责人:                             填表人:",{"$nulls":3},"联系电话:"]

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["附件3："]
["“小金库”专项整治“回头看”自查自纠情况汇总统计表"]
["填报单位:（盖章）",null,null,"单位：万元"]
["序号","单位名称","“小金库”名称","资金来源","金额","已支出金额","滚存余额","处理结果"]
[]
[]
[]
["党政主要负责人: ",null,null,"填表人:",null,null,"联系电话:"]