Annex C

____________________________(City, Municipality, Province)Statement of Financial PerformanceFor the Year Ended December 31, 2015(In thousands of Pesos)

Note 2015Revenue Tax Revenue xxx Share from Internal Revenue Collections xxx Other Share from National Taxes Service and Business Income xxx Shares, Grants and Donations xxx Gain on Sale of Assets xxxTotal Revenue xxx

Less: Current Operating Expenses Personnel Services xxx Maintenance and Other Operating Expenses xxx Non-cash Expenses xxx Financial Expenses xxxCurrent Operating Expenses xxx

Surplus (Deficit) from Current Operation xxx Add (Deduct): Transfers, Assistance and Subsidy From xxx Transfers, Assistance and Subsidy To (xxx)Surplus(Deficit) for the period xxx