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{"sheet":"表紙、添付書類等","index":0,"n_rows":54,"n_cols":38,"rows_kept":54,"cut":false,"hidden":false,"merged":[[8,10,10,39],[32,11,33,21],[26,23,27,39],[13,16,16,33],[29,11,30,21],[29,22,30,22],[32,22,33,22],[26,11,27,21],[26,22,27,22],[32,23,33,25],[32,36,33,37],[29,23,30,25],[29,26,30,27],[29,28,30,29],[29,30,30,31],[29,32,30,33],[29,34,30,35],[29,36,30,37],[32,26,33,27],[32,28,33,29],[32,30,33,31],[32,32,33,33],[32,34,33,35],[35,37,36,38],[35,11,36,23],[35,29,36,30],[35,31,36,32],[35,33,36,34],[35,35,36,36],[35,24,36,26],[35,27,36,28]]}
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[null,null,null,null,null,null,null,null,null,null,"社会福祉法人指導監査関係資料"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"－令和７年度－"]
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[null,null,null,null,null,null,null,null,null,null,null,"法人名",null,null,null,null,null,null,null,null,null,null,"："]
[]
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[null,null,null,null,null,null,null,null,null,null,null,"作成日",null,null,null,null,null,null,null,null,null,null,"：","令和",null,null,null,null,"年",null,null,null,"月",null,null,null,"日"]
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[null,null,null,null,null,null,null,null,null,null,null,"指導監査実施日",null,null,null,null,null,null,null,null,null,null,"：","令和",null,null,null,null,"年",null,null,null,"月",null,null,null,"日"]
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[null,null,null,null,null,null,null,null,null,null,null,"（前回の指導監査実施日：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,null,"月",null,null,null,"日）"]
[]
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["●記載上の注意点"]
["・施設ごとではなく、法人全体の状況を記載してください。"]
["・記載内容は、時期が特定されているものを除き、本監査資料の作成日現在で記載してください。"]
["・既存の資料で代替可能なものがあればそれに替えて提出いただいて結構です。"]
["・調書上の表の行が足りない場合は、適宜追加してください。"]
[]
["●添付書類"]
["本監査資料と併せて、次の書類を提出してください。（各書類１部ずつ）"]
["（１）",null,"理事長の専決事項に関する規程、事務決裁規程等（理事長、業務執行理事の業務分担について規定しているもの）"]
["（２）",null,"役員・評議員の報酬及び費用弁償についての規程類（役員・評議員報酬規程、役員・評議員の費用弁償に関する規程、旅費規程等）"]
["（３）",null,"評議員選任・解任委員会運営細則"]
["（４）",null,"法人の登記事項証明書（履歴事項全部証明書）の写し（最新の状況が確認できるもの）"]
["（５）",null,"基本財産となっている土地及び建物の登記事項証明書（全部事項証明書）の写し"]
[null,null,"（最新の状況が確認できるもの）（社会福祉事業の存続に必要な借地を含む）"]
["（６）",null,"経理規程（勘定科目「別表」を含む）"]
["（７）",null,"法人が所有する全ての預貯金（定期預金、有価証券等を含む）の預金残高証明書の写し（令和６年度末時点のもの）"]

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["１　法人の概況"]
["法人名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"理事長名"]
["主たる事務所の所在地"]
["法人の沿革"]
[]
[]
["（前回監査時までについては省略可）"]
["法人本部担当職員の\n状況\n（法人本部会計事業に従事する職員の状況）",null,null,null,null,null,null,null,"職　　　名",null,null,null,null,null,null,null,"氏　　　名",null,null,null,null,null,null,null,null,"常勤・非常勤の別",null,null,null,null,null,null,"理事兼務の有無",null,null,null,null,null,"備　　　　　考"]
[]
[]
[]
["施設長等(重要な役割を担う職員)の状況",null,null,null,null,null,null,null,"職　　　名",null,null,null,null,null,null,null,"氏　　　名",null,null,null,null,null,null,null,null,"常勤・非常勤の別",null,null,null,null,null,null,"理事兼務の有無",null,null,null,null,null,"施設長等選任の理事会議決年月日"]
[]
[]
[]
[]
[]
[]
[]
["（注）",null,null,"１","「法人の沿革」は、既存の資料に代えて差し支えないこと。"]
[null,null,null,"２","法人の行う事業や施設定員に変更があった場合、その経過についても「法人の沿革」に記載すること。"]
[]
[]
["２　評議員、評議員選任・解任委員、役員、会計監査人"]
["（１）評議員",null,null,null,null,null,"定数　　　",null,null,null,null,"人、現員数",null,null,null,null,"人、欠員",null,null,null,null,"人"]
["（評議員一覧）"]
[null,"氏　　名",null,null,null,null,null,null,"職業・職名",null,null,null,null,null,null,null,null,null,null,null,null,null,"評議員の任期等",null,null,null,null,null,null,null,null,null,null,null,null,null,"評議員報酬支給総額\n(R6年度・円)",null,null,null,null,null,"評議員会出席時の費用弁償(交通費)支給総額\n（R6年度・円）",null,null,null,null,null,"評議員会\n出席回数\n(R6年度)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"評議員選任・\n解任委員会年月日",null,null,null,null,"現在の任期"]
[1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[2,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[3,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[4,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[5,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[6,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[7,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[8,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[9,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[10,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[11,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[12,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[13,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[14,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[15,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[16,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[17,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[18,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[19,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[20,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[21,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[22,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[23,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[24,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[25,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["（注）",null,null,"１","「職業・職名」は、できるだけ具体的に記載すること。現在、職に就いている場合は現在の状況を、現在は無職である場合は、以前の職業の前に「元」又は「前」をつけて表記すること。"]
[]
[null,null,null,null,"〈記載例〉「○○医院院長」「○○会社社長」「○○会計事務所長」「○○福祉施設園長」「元民生委員・児童委員」「前○○自治会長」等"]
[null,null,null,"２","「評議員選任・解任委員会年月日」は、現任期に係る選任手続きを行った評議員選任・解任委員会の決議年月日を記載すること。"]
[null,null,null,"３","「現在の任期」は、任期の始期は就任年月日を記載すること。任期の終期が定時評議員会である場合は年月（例：R7.6）を記載すること。"]
[null,null,null,"４","「評議員会出席回数」は、決議の省略を行った場合は回数に含めない。"]
[]
["（２）任期途中で交代した評議員の状況（前回の指導監査以降）"]
[null,null,"氏　　名",null,null,null,null,null,"職業・職名",null,null,null,null,null,null,null,null,null,null,null,null,null,"評議員の任期等",null,null,null,null,null,null,null,null,null,null,null,null,null,"評議員報酬支給総額\n(R6年度・円)",null,null,null,null,null,"評議員会出席時の費用弁償(交通費)支給総額\n（R6年度・円）",null,null,null,null,null,"評議員会\n出席回数\n(R6年度)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"評議員選任・\n解任委員会年月日",null,null,null,null,"任期"]
["後任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["前任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["後任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["前任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["後任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["前任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["後任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["前任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["後任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["前任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["（注）",null,null,"記載上の注意事項は上記と同様。前任者の任期の終期は辞任日を記載し、後任者の任期は交代時の任期を記載すること。"]
[]
["（３）評議員選任・解任委員"]
[null,"氏　　名",null,null,null,null,null,null,"職業・職名",null,null,null,null,null,null,null,null,null,null,null,null,null,"評議員選任・解任委員の任期等",null,null,null,null,null,null,null,null,null,null,null,null,null,"評議員選任・解任委員報酬支給総額\n(R6年度・円)",null,null,null,null,null,"評議員選任・解任委員会\n出席時の費用弁償(交通費)支給総額\n（R6年度・円）",null,null,null,null,null,"評議員選任・\n解任委員会\n出席回数\n(R6年度)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"選任年月日\n（理事会等）",null,null,null,null,"現在の任期"]
[1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[2,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[3,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[]
["（４）理事・監事",null,null,null,null,null,null,"定数",null,null,null,null,"人（理事",null,null,null,null,null,"人、監事",null,null,null,null,"人）、現員数",null,null,null,null,{"$f":"SUM(AK83,AG83)","v":0},"人（理事",null,null,null,"人、監事",null,null,null,"人）、欠員",null,null,null,{"$f":"SUM(AX83,AT83)","v":0},"人（理事",null,null,null,"人、監事",null,null,null,"人）"]
["（役員一覧）"]
[null,"役職",null,null,"氏　名",null,null,null,null,"職業・職名",null,null,null,null,null,null,null,"役員の資格等\n（該当する番号を左欄に記載）",null,null,null,null,null,null,"親族等\n特殊の\n関係の\n有無",null,"親族等\n特殊の\n関係性",null,null,"役員の任期等",null,null,null,null,null,null,null,null,null,null,null,null,"役員報酬\n支給総額\n(R6年度・円)",null,null,"理事会・評議員会出席時の費用弁償(交通費)支給総額\n（R6年度・円）",null,null,null,"理事会\n出席回数\n(R6年度)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"選任評議員会\n年月日",null,null,null,"現在の任期"]
[1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1.社会福祉事業の経営に関する識見を有する者\n2.法人が行う事業の区域における福祉に関する実情に通じている者\n3.施設の管理者(自法人が経営する施設に限る)\n4.その他\n【以下は社協のみ】\n5.社会福祉事業を経営する団体の役職員\n6.ボランティア活動を行う団体の代表者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[2,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[3,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[4,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[5,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[6,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[7,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[8,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[9,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[10,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[11,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[12,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[13,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[14,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[15,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[16,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[17,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[18,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[19,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[20,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[21,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[22,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[23,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[24,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[25,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[1,"監事",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1.社会福祉事業について識見を有する者\n2.財務管理について識見を有する者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[2,"監事",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[3,"監事",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["（注）",null,null,"１","「職業・職名」は、できるだけ具体的に記載すること。現在、職に就いている場合は現在の状況を、現在は無職である場合は、以前の職業の前に「元」又は「前」をつけて表記すること。"]
[]
[null,null,null,null,"〈記載例〉「○○医院院長」「○○会社社長」「○○会計事務所長」「○○福祉施設園長」「元民生委員・児童委員」「前○○自治会長」等"]
[null,null,null,"２","「役員の資格等」は、右の選択肢の中から該当するものを選び、番号を記載すること。"]
[null,null,null,"３","「親族等特殊の関係の有無」は、各理事について親族等の特殊の関係者がいる場合に、誰との特殊関係であるか分かるように、特殊の関係がある理事の番号を記載すること。"]
[]
[null,null,null,"４","「親族等特殊の関係性」は、親族等特殊の関係者がいる場合、その具体的な関係性について記載すること。（例：夫、妻）"]
[null,null,null,"５","「選任評議員会年月日」は、現任期に係る選任手続きを行った評議員会の決議年月日を記載すること。"]
[null,null,null,"６","「現在の任期」は、任期の始期は選任評議員会の決議年月日(選任後に就任承諾した場合は承諾日)を記載し、任期の終期が定時評議員会である場合は年月（例：R7.6）を記載する。"]
[]
[null,null,null,"７","「理事会出席回数」は、決議の省略を行った場合は回数に含めない。"]
[]
["（５）任期途中で交代した役員の状況（前回の指導監査以降）"]
[null,null,"役職",null,null,null,"氏　名",null,null,null,null,"職業・職名",null,null,null,null,null,null,null,"役員の資格等\n（該当する番号を左欄に記載）",null,null,null,null,null,null,null,null,null,"役員の任期等",null,null,null,null,null,null,null,null,null,null,null,null,"役員報酬\n支給総額\n(R6年度・円)",null,null,"理事会・評議員会出席時の費用弁償(交通費)支給総額\n（R6年度・円）",null,null,null,"理事会\n出席回数\n(R6年度)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"選任評議員会\n年月日",null,null,null,"任期"]
["後任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1.社会福祉事業の経営に関する識見を有する者\n2.法人が行う事業の区域における福祉に関する実情に通じている者\n3.施設の管理者(自法人が経営する施設に限る)\n4.その他\n【以下は社協のみ】\n5.社会福祉事業を経営する団体の役職員\n6.ボランティア活動を行う団体の代表者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["前任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["後任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["前任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["後任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["前任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["後任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["前任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["後任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["前任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["後任者",null,"監事",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1.社会福祉事業について識見を有する者\n2.財務管理について識見を有する者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["前任者",null,"監事",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["後任者",null,"監事",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["前任者",null,"監事",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["（注）",null,null,"記載上の注意事項は上記と同様。前任者の任期の終期は辞任日を記載し、後任者の任期は交代時の任期を記載すること。"]
[]
["（６）会計監査人"]
["氏　名",null,null,null,null,null,"選任評議員会年月日",null,null,null,null,null,null,"報酬の額（R6年度・円）"]
[]
[]
[]
["３　評議員会、評議員選任・解任委員会、理事会の開催状況"]
["（１）評議員会の開催状況（前回の指導監査以降）"]
["招集手続の省略の有無",null,null,"決議の\n省略の\n有無",null,null,"招集通知年月日\n(決議の省略の場合は提案年月日)",null,null,null,null,"開催年月日及び\n開催時刻",null,null,null,null,null,"決議事項及び報告事項",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"出席\n評議員数",null,"/","定数",null,"欠席評議員の氏名"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～"]
["（注）",null,null,"１","「招集手続の省略の有無」は、決議の省略を行った場合は「－」と記載する。"]
[null,null,null,"２","「招集通知年月日」は、招集手続の省略を行った場合は記載不要。"]
[null,null,null,"３","「開催年月日及び開催時刻」は、決議の省略を行った場合は決議があったとみなされた日を記載する。その場合、時刻は記載不要。"]
[null,null,null,"４","「出席評議員数」は、決議の省略を行った場合は同意書を受領した数を記載する。"]
[]
["（２）評議員選任・解任委員会の開催状況（前回の指導監査以降）"]
["招集通知年月日",null,null,null,null,"開催年月日及び\n開催時刻",null,null,null,null,null,"決議事項及び報告事項",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"出席\n委員数",null,"/","定数",null,"欠席評議員選任・\n解任委員の氏名"]
[null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]
[null,null,null,null,null,"時刻",null,null,"～"]
[null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/"]
[null,null,null,null,null,"時刻",null,null,"～"]
[]
["（３）理事会の開催状況（前回の指導監査以降）"]
["招集手続の省略の有無",null,null,"決議の\n省略の\n有無",null,null,"招集通知年月日\n(決議の省略の場合は提案年月日)",null,null,null,null,"開催年月日及び\n開催時刻",null,null,null,null,null,"決議事項及び報告事項",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"出席\n理事数",null,"/","定数",null,"欠席理事、\n欠席監事の氏名"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,"理事"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監事"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,"理事"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監事"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,"理事"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監事"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,"理事"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監事"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,"理事"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監事"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,"理事"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監事"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,"理事"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監事"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,"理事"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監事"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,"理事"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監事"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,"理事"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監事"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,"理事"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監事"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,"理事"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監事"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,"理事"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監事"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,"理事"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監事"]
[null,null,null,null,null,null,null,null,null,null,null,"年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,"理事"]
[null,null,null,null,null,null,null,null,null,null,null,"時刻",null,null,"～",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監事"]
["（注）",null,null,"１","「招集手続の省略の有無」は、決議の省略を行った場合は「－」と記載する。"]
[null,null,null,"２","「招集通知年月日」は、招集手続の省略を行った場合は記載不要。"]
[null,null,null,"３","「開催年月日及び開催時刻」は、決議の省略を行った場合は決議があったとみなされた日を記載する。その場合、時刻は記載不要。"]
[null,null,null,"４","「出席理事数」は、決議の省略を行った場合は同意書を受領した数を記載する。"]
[]
["（４）理事長及び業務執行理事の職務の執行の状況報告（前回の指導監査以降）"]
["報告した\n理事会年月日",null,null,null,null,null,"左の議事録\n記載有無",null,null,null,null,"職務の執行状況の報告内容"]
[]
[]
[]
[]
[]
["（注）",null,null,"「職務の執行状況の報告内容」は、理事長・業務執行理事別に記載すること。"]
[]
["４　監事監査の実施状況（前回の指導監査以降）"]
["監事監査の状況",null,null,null,null,null,null,null,null,null,"監査報告内容\n通知日",null,null,null,null,"監査結果の内容及び指示・指摘事項",null,null,null,null,null,null,null,null,null,null,null,null,null,"改善状況",null,null,null,null,null,null,null,null,null,null,null,null,"計算書類等の承認に係る理事会及び評議員会"]
["監査年月日",null,null,null,"実施監事氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"済・未",null,null,"改善内容又は今後の改善計画",null,null,null,null,null,null,null,null,null,"開催年月日",null,null,null,"出席監事の氏名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（理事会）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（評議員会）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（理事会）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（評議員会）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（理事会）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（評議員会）"]
[]
["（注）",null,null,"監事は理事会への出席義務はあるが、評議員会については、評議員から説明を求められた場合に必要な説明をしなければならないとされている。"]
[]
["５　会計監査人監査の実施状況（前回の指導監査以降）"]
["会計監査報告作成日",null,null,null,null,null,null,"会計監査報告内容通知日",null,null,null,null,null,null,null,null,"監査結果の内容及び指示・指摘事項",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"改善状況"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"済・未",null,null,"改善内容又は今後の改善計画"]
[]
[]
["６　実施事業"]
["（１）法人の実施事業の内容（定款の記載にかかわらず、実施している事業は全て記載すること。）"]
["事業種別",null,null,null,"事業名",null,null,null,null,null,null,null,null,null,null,null,null,null,"施設・事業所名",null,null,null,null,null,null,null,null,null,"定員（人）",null,null,null,"事業開始\n年月日",null,null,null,null,"定款変更認可\n年月日",null,null,null,null,"定款\n記載有無",null,null,null,null,"事業報告\n記載有無"]
["　社会福祉事業",null,"　第一種"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"　第二種"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["公益事業"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["収益事業"]
[]
[]
[]
[]
["（注）",null,null,"「定員（人）」は、入所・通所のそれぞれの定員を記載すること（例：入所100、通所10）。"]
[]
["（２）定款、事業報告への記載がない理由"]
["事業名",null,null,null,null,null,null,null,null,null,null,null,"定款への記載がない理由",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業報告への記載がない理由"]
[]
[]
[]
[]
["（注）",null,null,"（１）の各事業において、定款又は事業報告への記載が「無」の場合は、事業ごとに「無」である理由を明記すること。"]
[]
["（３）地域における公益的な取組、社会福祉充実計画"]
["地域における公益的な取組",null,null,null,"取組の名称",null,null,null,null,null,null,null,null,null,null,"取組の内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業開始\n年月日",null,null,null,null,"定款変更認可\n年月日",null,null,null,null,"定款\n記載有無",null,null,null,null,"事業報告\n記載有無"]
[]
[]
[]
["社会福祉\n充実計画",null,null,null,"事業種別",null,"事業名",null,null,null,null,null,null,null,null,"事業概要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業費\n（千円）",null,null,null,null,"計画の対象期間",null,null,null,null,null,null,null,null,"定款\n記載有無",null,null,null,"事業報告\n記載有無"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"～"]
["（注）",null,null,"「社会福祉充実計画」の「事業種別」は、社会福祉事業は「社」、地域公益事業は「地」、公益事業は「公」と記載すること。また、「事業費」には計画期間全体の事業費を記載すること。"]
[]
[]
["（４）【公益事業を実施している場合】令和６年度決算における事業活動内訳表の次期繰越活動増減差額（公益事業）：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null," 上記増減差額の使途：　"]
[]
["（５）【収益事業を実施している場合】令和６年度決算における事業活動内訳表の次期繰越活動増減差額（収益事業）：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null," 上記増減差額の使途：　"]
[]
["７　資産（土地・建物）等の状況"]
["（１）自己所有資産の状況"]
["資産種別",null,null,null,"所在地",null,null,null,null,null,null,null,null,null,null,"構造",null,null,null,null,null,null,null,"用途",null,null,null,null,null,null,"面積\n（㎡）",null,null,null,"所有権\n登記年月日",null,null,null,"担保提供の状況"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"提供の\n有無",null,null,"提供先",null,null,null,"所轄庁\n承認有無",null,null,"抵当権\n設定年月日"]
["基本財産"]
["土地"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["基本財産"]
["建物"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["その他財産"]
["土地"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["その他財産"]
["建物"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["公益",null,"土地"]
[]
[]
[]
[]
[]
[]
[]
["公益",null,"建物"]
[]
[]
[]
[]
[]
[]
[]
["収益",null,"土地"]
[]
[]
[]
[]
[]
[]
[]
["収益",null,"建物"]
[]
[]
[]
[]
[]
[]
[]
["（注）",null,null,"１","土地、建物はそれぞれ１筆、１棟ごとに記載すること。"]
[null,null,null,"２","「所在地」、「構造」、「面積」、「所有権登記年月日」及び「担保提供の状況」は登記簿の記載と一致させること。"]
[null,null,null,"３","「提供先」は登記簿の抵当権設定に記載されているすべての抵当権者を記載すること。"]
[null,null,null,"４","「所轄庁承認有無」は、担保提供先が独立行政法人福祉医療機構のみの場合は、「不要」を選択する。"]
[]
["（２）借地等の状況"]
["種別",null,"所在地",null,null,null,null,null,null,null,null,null,null,null,null,"用途",null,null,null,null,null,null,null,null,null,"面積\n（㎡）",null,null,null,"地上権・賃借権\nの登記の状況",null,null,null,null,null,null,"賃貸借契約の状況",null,null,null,null,null,null,null,null,null,null,null,"賃借料\n(令和6年度\n支払総額・円)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"登記\n有無",null,null,"登記年月日",null,null,null,"契約期間",null,null,null,null,null,null,"契約の相手方"]
["土地"]
[]
[]
["建物"]
[]
[]
["（注）",null,null,"１","土地、建物はそれぞれ１筆、１棟ごとに記載すること。"]
[null,null,null,"２","「賃借料」は、必ず決算書との整合を図った上で記載すること。"]

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["８　経理規程の整備及び計算書類等の作成等"]
["経理規程に定める区分と定款記載事業及び決算書記載区分との比較（令和６年度決算時）"]
["経理規程に規定している区分名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"左に対応する定款記載事業",null,null,null,null,null,null,null,null,null,null,null,"決算書に記載されている\nサービス区分名"]
["事業区分",null,null,null,null,null,null,"拠点区分",null,null,null,null,null,null,null,null,"サービス区分"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["（注）",null,null,"１","「経理規程に規定している区分名」は、経理規程の規定内容どおり記載すること。"]
[null,null,null,"２","「決算書に記載されているサービス区分名」は、決算書に記載されているとおりの名称を記載すること。"]
[]
["９　会計組織"]
["区分",null,null,null,null,null,null,"職名",null,null,null,null,null,"氏名",null,null,null,null,null,"担当拠点区分又はサービス区分",null,null,null,null,null,null,null,null,null,null,null,"会計職員としての\n辞令交付の状況",null,null,null,null,null,null,null,null,"金融機関との取引に使用する\n通帳、印鑑等の管理状況"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"交付の有無",null,null,null,"交付年月日",null,null,null,null,"通帳の管理者",null,null,null,"印鑑の管理者",null,null,null,"現金の管理者"]
["理事長"]
["統括会計責任者"]
["会計責任者"]
["会計責任者"]
["出納職員"]
["出納職員"]
["出納職員"]
["（注）",null,null,"１","「職名」は、「法人事務局長」、「○○園事務員」等、具体的に記載すること。"]
[null,null,null,"２","「担当拠点区分又はサービス区分」は法人全体の経理を担当している場合は、「法人全体」と記載すること。"]
[null,null,null,"３","「通帳の管理者」、「印鑑の管理者」、「現金の管理者」は保管場所の鍵の管理者とし、該当者に○をつけること。"]
[]
["10　小口現金及び小口現金以外の現金の管理　※実際の状況を記入してください。"]
["（１）小口現金"]
["①小口現金出納帳の令和６年度期末残高（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円）＋現金出納帳の令和６年度期末残高（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）円"]
[null,"＝令和６年度財産目録の現金残高（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）円"]
["　→　上記の式で整合が取れない場合は、その理由を次に記載すること。（理由：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
["②小口現金出納帳の作成有無："]
["③小口現金出納帳の作成者等",null,null,null,null,null,null,null,null,null,null,"【作成者】出納職員又は会計責任者（氏名：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）、【承認者】（職・氏名：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
["④出納職員の会計責任者への小口現金管理内容の報告の頻度（毎日・入出金が生じた日・その他（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）・実施していない）"]
[null,"経理規程における、④の手続きの根拠（第",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"条第",null,null,null,"項）"]
["⑤会計責任者の現金・小口現金出納帳と通帳の突合の頻度（毎日・入出金が生じた日・その他（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）・実施していない）"]
[null,"経理規程における、⑤の手続きの根拠（第",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"条第",null,null,null,"項）"]
[]
["（２）小口現金以外の現金"]
["①小口現金以外に取り扱っている現金（利用者からの現金収入等（寄附金を除く））がある場合、その具体的内容"]
["（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
["②金銭の収納～金融機関への預け入れまでの手続き及び保管状況"]
[null,"ア",null,"金銭の受理者（職・氏名：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"イ",null,"領収書の押印担当者　（職・氏名：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"ウ",null,"会計ソフト入力担当者（職・氏名：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"エ",null,"金融機関への預け入れ担当者　（職・氏名：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"オ",null,"上記ア～エが同一人物の場合、内部牽制機能を働かせるための取組内容（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"カ",null,"金融機関へ預け入れる頻度（入金が生じた日・収入後（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）日以内・その他（",null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,"経理規程におけるカの手続きの根拠（第",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"条第",null,null,null,"項）"]
["③現金の残高確認等の状況"]
[null,"ア",null,"現金出納帳の作成有無："]
[null,"イ",null,"現金出納帳の作成者等：【作成者】出納職員又は会計責任者（氏名：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）、【承認者】（職・氏名：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"ウ",null,"出納職員の会計責任者への現金管理内容の報告の頻度（毎日・入出金が生じた日・その他（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）・実施していない）"]
[null,null,null,"経理規程におけるウの手続きの根拠（第",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"条第",null,null,null,"項）"]
[null,"エ",null,"会計責任者の現金・現金出納帳と通帳の突合の頻度（毎日・入出金が生じた日・その他（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）・実施していない）"]
[null,null,null,"経理規程におけるエの手続きの根拠（第",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"条第",null,null,null,"項）"]
["④債権等の残高確認等の状況"]
[null,"ア",null,"未収金台帳の作成有無："]
[null,"イ",null,"未収金台帳の作成者等：【作成者】出納職員又は会計責任者（氏名：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）、【承認者】（職・氏名：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"ウ",null,"利用者負担金等が未収の場合の管理の方法（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
["11　寄附金品"]
["（１）帳簿等の整備状況"]
["①寄附申込書（物品含む）：",null,null,null,null,null,null,null,null,null,null,null,null,"②寄附金領収書（控）、物品受領書：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"③寄附金品台帳：",null,null,null,null,null,null,null,null,null,"④寄附金収益明細書："]
[]
["（２）決算書との整合性（令和６年度決算時）"]
["①寄附金品台帳の合計額(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円)＝経常経費寄附金収入(収益)(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円)＋施設整備等寄附金収入(収益)(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円)"]
["②寄附物品の有無：",null,null,null,null,null,null,null,null,"、寄附を受けた物品名："]
["　寄附物品の合計額(",null,null,null,null,null,null,null,null,null,null,null,null,null,"円)＝経常経費寄附金収入(収益)(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円)＋固定資産受贈額(",null,null,null,null,null,null,null,null,null,null,null,null,null,"円)"]
["③共同募金会からの配分金の有無："]
["・受配者指定寄附金以外の合計額(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円)＝補助金事業収入(収益)(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円)",null,"←経常的経費に係る配分金"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"＋施設整備等補助金収入(収益)(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円)",null,"←施設整備及び設備整備に係る配分金"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同額を国庫補助金等特別積立金に積立てる。"]
["・受配者指定寄附金の合計額(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円)＝経常経費寄附金収入(収益)(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円)",null,"←経常的経費に係る配分金"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"＋施設整備等寄附金収入(収益)(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円)",null,"←施設整備及び設備整備に係る配分金"]
[null,"※受配者指定寄付金…共同募金会を通じて交付される、寄附者が受配者（法人）とその寄附の使途を指定した寄附金"]
[]
["12　契約"]
["工事発注、物品購入等に係る契約締結状況（令和６年度・契約金額100万円以上）"]
["購入物品、業務委託、\n発注工事名等",null,null,null,null,null,null,null,null,"金　額\n（円）",null,null,null,null,null,"契約の相手方",null,null,null,null,null,null,"契約締結に係る\n理事会承認年月日\n(理事長専決事項の場合は\n「理事長専決」と記載)",null,null,null,null,null,"契約の状況"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"契約方法",null,null,null,null,"入札(見積)\n業者数",null,null,null,"随意契約の場合、\nその理由\n（下記から選択）",null,null,null,null,null,"契約年月日",null,null,null,null,"契約書等の\n有無"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["（注）",null,null,"１","１件の契約金額が100万円以上のものについて、全て記載すること（契約単位で記載すること。同時に複数の物品を発注した場合、それぞれが100万円以下であっても、契約金額が100万円以上であれば記載すること。）"]
[]
[null,null,null,"２","固定資産を増減させる契約については、固定資産管理台帳、基本財産及びその他の固定資産（有形・無形固定資産）の明細書との整合を図った上で、該当する契約につき全て記載すること。"]
[]
[null,null,null,"３","「随意契約の場合、その理由」は、随意契約を行った理由について、平成29年３月29日付け社援基発0329第１号「社会福祉法人における入札契約等の取扱いについて」の１の(３)に掲げる下記事由から該当するものを選択すること。"]
[]
[null,"ア　予定価格が下記の金額を超えない場合。\n＜会計監査を受けない法人＞\n　1,000万円\n\n＜会計監査を受ける法人＞\n・建築工事　20億円\n・建築技術・サービス　2億円\n・物品等　3,000万円",null,null,null,null,null,null,null,null,null,"イ　契約の性質又は目的が競争入札に適さない場合\n①不動産の買入れ又は借入れ\n②特殊な技術等を必要とする工事\n③既設の設備と密接不可分の関係にある場合\n④目的物が特定の者でなければ納入不可の場合\n⑤目的物が代替性のない特定の物質等の場合\n⑥日常的に消費する物品の購入で社会通念上妥当な場合",null,null,null,null,null,null,null,null,null,"ウ　緊急の必要により競争に付することができない場合\n①故障に伴う緊急復旧工事\n②災害発生時の応急工事等\n③感染防止の設備購入等",null,null,null,null,null,null,null,null,null,"エ　競争入札に付することが不利と認められる場合\n①現に履行中の工事で契約者以外の者では不利である場合\n②売惜しみ等により価格を騰貴させる恐れがある場合\n③緊急に契約しなければ契約する機会を失う等の恐れがある場合\n（予定価格が1,000万円を超える整備は②③は不可）",null,null,null,null,null,null,null,null,null,"オ　時価に比して有利な価格等で契約を締結できる見込みの場合\n①特定の業者が当該物品を多量に所有し、他の業者が所有している同一物品の価格に比して有利な価格で購入可能な場合\n②価格及びその他の要件を考慮した契約で他の契約よりも有利となる場合\n（予定価格が1,000万円を超える整備は①②は不可）"]
[]
["13　積立金"]
["積立て及び取崩しの状況（令和６年度中に積立て及び取崩しがあった積立金についてのみ記載）"]
["積立金の名称",null,null,null,null,null,null,null,"積立目的",null,null,null,null,null,null,null,null,"貸借対照表の純資産の部の積立金",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"貸借対照表の資産の部の積立資産"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"R5末残高(円)",null,null,null,null,"R6積立額(円)㋐",null,null,null,null,"R6取崩額(円)㋑",null,null,null,null,"取崩しの理由",null,null,null,null,null,null,null,null,"R6末残高(円)A",null,null,null,null,"R6末残高(円)B"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(理事会承認年月日)",null,null,null,null,"(理事会承認年月日)"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(理事会承認年月日)",null,null,null,null,"(理事会承認年月日)"]
[]
[" AとBの額が一致していない積立金の名称（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[" 一致していない理由（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
["㋐R6積立金積立額合計(",null,null,null,null,null,null,null,null,null,null,null,null,"円)＜事業活動計算書の当期末繰越活動増減差額(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円)＋㋑R6積立金取崩額合計(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円)"]
["（注）",null,null,"当期末繰越活動増減差額に積立金取崩額を加算した額に余剰が生じた場合に、その範囲内で積立金を積み立てることができる。"]
[null,null,null,"(社会福祉法人会計基準の制定に伴う会計処理等に関する運用上の取扱いについて「19 積立金と積立資産の関係について(会計基準省令第6条第3項関係)」）"]
[]
[]
["14　決算書と残高証明書との整合性"]
["令和7年3月31日時点の預金残高（法人保有分全て）及び令和6年度決算額について記載すること。"]
["種別",null,null,null,"金融機関名・支店名",null,null,null,null,null,null,null,null,null,"口座番号",null,null,null,"金　額\n（円）",null,null,null,null,null,"財産目録における貸借対照表科目",null,null,null,null,null,null,null,null,null,null,"使用目的\n(使用している拠点区分、サービス区分名)",null,null,null,null,null,null,null,null,null,null,"財産目録における\n貸借対照表価額\n（円）"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["法人の保有する全ての預貯金の残高合計　①",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(S140:X154)","v":0},null,null,null,null,null,"合計　②",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(AU140:AZ154)","v":0}]
["（注）",null,null,"１","当該表を作成せず、添付書類の預金残高証明書の余白に「財産目録における貸借対照表科目」を記載する方法でも可。"]
[null,null,null,"２","「金融機関・支店名」は、支店名まで必ず記載すること。"]
[null,null,null,"３","保有する全ての預貯金について正確に記載すること（有価証券の形態で保有しているものも含む。）。"]
[null,null,null,"４","「財産目録における貸借対照表科目」は、流動資産・固定資産の別に加え、普通預金・定期預金・○○積立資産・投資有価証券等の別を必ず記載すること。"]
[]
[null,null,null,"５","１つの口座に複数の使用目的が含まれている場合は、使用目的ごとに行を分けて記載し、口座情報欄のセルは結合させること。"]
[null,null,null,"６","「財産目録における貸借対照表価額」は、「財産目録における貸借対照表科目」の額（の内訳）と合致するよう記載すること。"]
[null,null,null,"７","合計欄の①、②部分について、原則①＝②となるため、数字を比較し、財産目録との整合性を確認すること。数字が一致しない場合は、その理由を次に記載すること。"]
[]
[null,null,null,null,"（理由：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]