Free Word template · SEC Rule 13a-15 / Reg S-X 1-02(a)(4)

SOX 404 Management Assessment Memo

Management of an issuer evaluates the effectiveness of internal control over financial reporting as of the fiscal year-end, with a suitable, recognized control framework, and evaluates each quarter any change in ICFR that has materially affected or is reasonably likely to materially affect it (Exchange Act Rule 13a-15(c) and (d)). This memo documents the basis for management’s conclusion.

Standard
SEC Rule 13a-15 / Reg S-X 1-02(a)(4)
Format
Word (.docx)
Cost
Free
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What it is

Management of an issuer evaluates the effectiveness of internal control over financial reporting as of the fiscal year-end, with a suitable, recognized control framework, and evaluates each quarter any change in ICFR that has materially affected or is reasonably likely to materially affect it (Exchange Act Rule 13a-15(c) and (d)). This memo documents the basis for management’s conclusion.

It covers the framework, scope, risk assessment and key control identification, the evidence supporting the evaluation, the deficiencies and their classification using the Regulation S-X definitions, the conclusion, and changes in ICFR in the period. Other entities can adapt it for a lender or board need.

When to use it

What’s inside

Standard cited

This template follows SEC Rule 13a-15 / Reg S-X 1-02(a)(4). It is written in our own words, except for phrases the standard requires the document to contain, with [bracketed placeholders] for client details, amounts in USD and dates as MM/DD/YYYY. Check it against the current standard and your firm’s methodology before use.

Download free Word template (.docx)

Questions

Can management conclude ICFR was effective with a material weakness?

No. If there is one or more material weakness, management cannot conclude that ICFR was effective, and it describes each material weakness.

Who prepares the evaluation?

Management, with the participation of the principal executive and financial officers. The auditor’s procedures do not replace management’s own evaluation.

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