HomeMy WebLinkAbout2014 Exemption of AuditJune 19, 2015
Board Of Directors
Wheat Ridge Housing Authority
7500 W. 29th Avenue
Wheat Ridge, CO 80215
To Whom it May Concern:
Office of the State Auditor
Dianne E. Ray, CPA
State Auditor
RE: 7353.00
We have reviewed the Applications for Exemption from Audit of the Wheat Ridge Housing Authority. Based on
our review, the 12/31/2014 Application for Exemption from Audit has been approved.
We accepted your Application for Exemption from Audit, even though it was filed after the statutory deadline of
March 31. The Local Government Audit Law states that an Application for Exemption from Audit must be filed
with the Office of the State Auditor within three months after the close of the fiscal/calendar year.
Changes effective for periods beginning after January 1, 2015:
Senate Bill 1.5-024, passed during the 2015 Legislative Session, increased the maximum threshold for the
application for exemption from audit to $750,000. All applications for exemption from audit are subject to
review by and approval of the State Auditor in accordance with the Local Government Audit Law, Section
29-1-601 et seq., C.R.S. Applications must be completed in accordance with regulations issued by the state
auditor. We strongly advise that you familiarize yourself with the new requirements and all provisions of the
Local Government Audit Law. Please consult our web site for current requirements prior to preparing your
application for exemption from audit for the year December 31, 2015 which will be due March 31, 2016.
If we may be of any assistance to you, please feel free to call us at 303-869-3000. For further resources see our
web site at: www.leg.state.co.us/OSA/coauditorl.nsf
Sincerely,
Crystal L. Dorsey, CPA
Local Government Audit Manager
cc: Colorado Department of Local Affairs
Division of Local Governments
2
We Set the Standard for Good Government
Loral Govemment Audit Division • 1525 Sherman Street, 7th Floor • Denver, Colorado 80203-1700
Phone: 303.869.3000 • Fax: 303.869.3061
NMHA
Wheat Ridge Housing Authority
7500 W. 29`h Ave.
Wheat Ridge, CO
303-235-2846
March 25, 2015
Swanhorst & Company LLC
8400 E. Crescent Parkway, Suite 600
Greenwood Village, Colorado 80111
In connection with your engagement to assist in the preparation of the Application for Exemption from Audit (the
"Application") for the year ended December 31, 2014, we confirm, to the best of our knowledge and belief, the
following representations made to you during your engagement.
1. We are responsible for selecting the criteria for this engagement and for determining that such criteria are
appropriate for our purposes.
2. We have made available to you all financial records and related data.
3. There have been no communications from regulatory agencies concerning noncompliance with, or deficiencies
in, financial reporting practices.
4. We have disclosed to you all information that we believe is relevant to the engagement.
5. We are not aware of any act or omission that would cause the results of this engagement to be inaccurate.
6. We have made all management decisions andperformed all management functions, have designated an individual
with suitable skill, knowledge or experience to oversee these services, have evaluated the adequacy and results
of these services, and have accepted responsibility for them.
7. We have responded fully to all inquiries made to us during the engagement.
8. We are not aware of events that are expected to occur subsequent to today's date that would require adjustment
to, or modification of, the information provided to you during the engagement.
9. The Application is intended solely for the information and use of the Board of Commissioners and management
of the Wheat Ridge Housing Authority and the State of Colorado Office of the State Auditor, nd is not intended
to be and should not be used by anyone other than those specified parties.
Signed Signed
Title Ann Wang, CPA, M.T. Title t� PP
AW Financial Services, LLC
--- a Swanhorst & Company LLC
CwiNd Public Accnmunnt,
March 9, 2015
Board of Commissioners
Wheat Ridge Housing Authority
7500 West 29th Avenue
Wheat Ridge, Colorado 80033
We are pleased to confirm our understanding of the services we are to provide for the Wheat Ridge Housing
Authority. We will assist the Board of Commissioners and management to prepare the Application for Exemption
from Audit (the "Application") for the year ended December 31, 2014, solely to meet the requirements of the State
of Colorado Office of the State Auditor. This agreed-upon procedures engagement will be conducted in accordance
with attestation standards established by the American Institute of Certified Public Accountants.
The sufficiency of the procedures we perform is solely the responsibility of the parties specified in this letter.
Consequently, we snake no representation regarding the sufficiency of the procedures we will perform either for the
purpose for which the Application has been requested or for any other purpose. We will perform procedures to
reasonably ensure the Application is complete and acceptable to the Office of the State Auditor.
We understand that you will provide us with the basic information required for the Application and that you are
responsible for the accuracy and completeness of that information. You are responsible for management decisions
and functions, for designating an individual with suitable skill, knowledge or experience to oversee these services,
and for evaluating the adequacy and results of these services and accepting responsibility for them. We will advise
you about appropriate accounting principles and their application and will assist in the preparation of the Application,
but the responsibility for the Application remains with you.
We are not engaged to, and will not, perform an examination, the objective of which would be the expression of an
opinion on any financial information. Accordingly, we will not express such an opinion. If we performed additional
procedures, other smatters might come to our attention that we would report to you.
We estimate that our fees for these services will not exceed $3,000. This fee estimate is based on anticipated
cooperation from your personnel and the assumption that unexpected circumstances will not be encountered during
the engagement. If significant additional time is necessary, we will discuss it with you and arrive at a new fee
estimate before we incur the additional costs.
We appreciate the opportunity to be of service to you. If you have any questions, please let us know. If you agree
with the terms of our engagement as described in this letter, please sign the letter and return it to us.
Sincerely,
Swanhorst & Company LLC
8400 E. Crescent Parkway • Suite 600 • Greenwood Village, CO 80111 • (720) 528-4306 Fax: (720) 528-4307
Board of Commissioners
Wheat Ridge Housing Authority
Page 2
RESPONSE
This letter correct sets fPrth thgpnderstanding of the Wheat Ridge Housing Authority.
By:,
Title: 1 i`
Date: ?
Applying for Exemption from Audit
In accordance with the Local Government Audit Law (Section 29-1-601, et seq., C.R.S.), any local government may apply for an exemption from audit if revenues or expenditures for the year are not more than $500,000. This
means that neither revenues nor expenditures can exceed $500,000 in the year.
General Instructions READ ALL INSTRUCTIONS BEFORE COMPLETING OR SUBMITTING THIS FORM
Exemptions from audit are not automatic. Every year, in order to be exempt from audit, the local government must complete an Application for Exemption from Audit and submit it to the Office of the State Auditor. An exemption from audit is only granted upon
the review and approval of the Office of the State Auditor.
The application must be received and filed with the Office of the State Auditor within 3 months after the end of the year. The application must be received in our office on or before March 31 for governments with a December 31 year-end. POSTMARK
DATES WILL NOT BE CONSIDERED.
The appropriate version of the Application for Exemption from Audit must be used.
Prior years' forms are obsolete and will not be accepted. Applications submitted on forms other than those prescribed by the State Auditor will also not be accepted.
The application must be fully and accurately completed.
The preparer must sign the application.
The application must be personally reviewed and approved by the governing body. Approval is evidenced by one of the following two methods'
1) If the completed application is going to be submitted electronically using email or fax, the application MUST include a resolution of the governing body that states the completed application was personally reviewed and approved by a majority of the body in an
open public meeting. The resolution MUST include the signatures of a majority of the governing body (see samole resolution).
2) If the completed application is going to be submitted through postal mail (U.S. Post Office, UPS, FedEx), the application must include the original ink signatures of a majority of the governing body.
USE ONLY ONE OF THE ABOVE METHODS WHEN FILING THE APPLICATION.
The mailing address is: We Moved!
Office of the State Auditor Please note our new address:
Local Government Audit Division 1525 Sherman St., 7th Floor
1525 Sherman St, 7th Floor Denver, CO 80203
Denver, CO 80203 303-869-3000
The fax number is: (303) 869-3061
The e-mail address is: OSA.LG(a,)state.co.us
Two forms are available:
1) The "short form" should be submitted if both revenues and expenditures are less than or equal to $100,000. A preparer of the short form must be a person skilled in governmental accounting.
2) The "long form" should be submitted if either revenues or expenditures are greater than $100,000 but are less than or equal to $500,000. A preparer of the long form must be an independent accountant with knowledge of governmental accounting.
Please call (303) 869-3000 if you need help completing the Application for Exemption from Audit forms.
Important: All Applications ror Exemption from AuditaresubjeeEto ruvfew anttappsnvgl:by tbaMeeofthe State Auditor. Failure to.iilean application or deniatofthe request could cause the -local government to.lose itarxemption from audit for
ihakc-ear andYheeosuing,vear, In that care, anauditshaltherequired.
OPY
min
APPLICATION FOR EXEMPTION FROM AUDIT - LONG FORM - FOR GOVERNMENTS WITH REVENUE OR EXPENDITURES GREATER THAN
$100,000 BUT NOT MORE THAN $500,000
Name of Government: Wheat Ridge Housing Authority
For the Year
Address: 7500 West 29th Avenue
Wheat Ridge, CO 80033
Ended December 31, 2014
Contact Person: Kenneth Johnstone
Telephone: I J303)236.2844
or fiscal year
ended:
Email: klohnstone@ci.wheatridge.co.us
Fax: 303 235-2857
Return to: Office of the State Auditor PLEASE READ THE ABOVE INSTRUCTIONS BEFORE SUBMITTING THE
Local Government Audit Division COMPLETED APPLICATION
1525 Sherman St., 7th Floor
Denver, CO 80203
Fax: 303-869-3061
Email: OSA. LG@state. co. us
Call (303) 869-3000 if you need help completing this form.
Section 29-1-604, C.R.S., outlines the provisions for an exemption from audit. Generally, any local government for which neither revenue nor expenditures exceed $500,000 in any year may qualify for an exemption.
If either revenues or expenditures are $100,000 or greater, but not more than $500,000, you may use this form. If both revenues and expenditures are less than $100,000 individually, use the short form application for
exemption from audit.
Please review ALL. instructions prior to the completion of this form.
Instructions:
1. Prepare this form completely and accurately. Please note that there are 11 parts to this form and all questions must be answered for the application to be considered complete.
a. Please use whole dollars. Do not include any cents. Please round consistently to ensure that the financial information balances between schedules.
2. File this forth with the Office of the State Auditor within 3 months after the end of the year.
For years ended December 31, the form must be received by the Office of the State Auditor by March 31.
3. The form must be completed by an independent accountant (separate from the entity) with knowledge of governmental accounting.
4. The application must be personally reviewed and approved by a majority of the governing body as evidenced by one of the following methods:
a. Resolution of the governing body - application may be emailed, faxed, or mailed.
b. Original signatures - application must be mailed. Email or fax will NOT be accepted.
5. The preparer must sign the application that is submitted in order for R to be accepted.
6. Additional information may be attached to the exemption at the preparers discretion.
CERTIFICATION OF PREPARER
I certify that I am an independent accountant with knowledge of governmental accounting and that the information in the Application Is complete and accurate to the best of my knowledge. Independent means someone who is
separate from the entity.
Name: Wendy Swanhorst
Title: Partner
Firm Name if applicable): Swanhorst & Company LLC
Address: 6400 East Crescent Parkway, Suite 600, Greenwood Village, 80111
Telephone Number: 720 5284306
Date Prepared: 3/16/2015
1 affirm that I am independent from this entity and skilled in governmental accounting (Required): The application will be rejected xnot signed by the prepamr.
Swanhorst & Company LLC has no relationship with the Wheat Ridge Housing Authority.
The Audit Law requires that a person independent of the entity complete the application If revenues or expenditure are at least $100,000 but not more than $500,000. Independent means someone who Is separate from
the entity. Please describe your relationship to the entity in the above box, with your signiture.
Has the Entity Filed for Has the district filed a Title 32, Article 1 Special District Notice of Inactive
Yes
No
Status during the year? [Applicable to Title 32 special districts only, pursuant to Sections 32-1-103
(9.3) and 32-1 .104 (3), C.R.S.]
If Yes, Date Filed:
X
2 of 11
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PART 2 - Financial Statements - Operating Statement - Revenues
Governmental Funds
Fund* Fund"
Pro rieta ll'id clary Funds
Enterprise
Fund' Fund' Grand Totals
2-1
Tax Revenue
Property
$
- $
Tax Revenue
Property
$-
$
2-2
Specific Ownership$
$
Specific Ownership
$
$
2-3
Sales and Use Tax
$
$
Sales and Use Tax
$
$
2-4
Other (specify):
$
$
Other (specify)
$
$
2-5
$
$
$ -
$
2-6
$
$
$ -
$
2-7
2-8
Total Tax Revenue
$
$
$
$
Total Tax Revenue
$
$
$
$
2-9
Licenses and Permits
$
$
Licenses and Permits
$
$
2-10
Highway Users Tax Funds HUTF
$
$
Highway Users Tax Funds (HUTF)
$
$
2-11
Conservation Trust Funds (Lottery)
$
$
Conservation Trust Funds(Lottery)
$
$
2-12
Community Development Block Grant
$
$
Community Development Block Grant
$
$
2-13
2-14
Fire & Police Pension
Grants
$
$
$
$
Fire & Police Pension
Grants
$
$ 469,987
$
$
2-15
Donations
$
- $
Donations
$
$
2-16
Charges for Sales and Services
$
$
Charges for Sales and Services
$
$
2-17
Rental Income
$
$
Rental Income
$
$
2-18
Fines and Forfeits
$
$
Fines and Forfeits
$
$
2-19
Interest/Investment Income
$
$
Interestlinvestment Income
$ 1,074
$
2-20
Tap Fees
$
- $
Tap Fees
$
$
2-21
Developer Advances
$
$
Developer Advances
$
$
2-22
All Other(specify)
$
$
All Other(specify)
$
$
2-23
$
- $
$ -
$ -
2-24
2-25
Total Revenues (Add lines 2-8 through 2-23)
Other Financing Sources
Debt Proceeds
$
$
$
$
Total Revenues (Add lines 2-8 through 2-23)
Other Financing Sources
Debt Proceeds
$ 471,061
$
$
$
2-26
Proceeds from Sale of Capital Assets
$
$
Proceeds from Sale of Capital Assets
$
$
2-27
Other (specify)
$
- $
Other (specify)
$ -
$ -
2-28
Total Other Financing Sources (Add lines 2-25 through 2-
27)
$
- $
Total Other Financing Sources (Add lines 2-25 through 2-
- 27)
$ -
$ -
2-29
Total Revenues and Other Financing Sources (Add lines 2
24 and 2-28)
$
$
Total Revenues and Other Financing Sources (Add
tines 2-24 and 2-28)
$ 471,061
$ $ 471.,061
Note: If Total Revenues and Other Financing Sources - Total'ofAll Funds (Line;2-29) are greater than :;$500 000 - STOP, you may not use this form. An audit may be required. See Section 29-1-604, C.R.S., or contact us at
4of 11
5 of 11
PART 3 - Financial Statements - Operating Statement - Expenditures
Governmental Funds
Fund" Fund'
Proprietary/Fid claFunds
Enterprise
Fund* Fund` Grand Totals
3-1
Expenditures
General Government
$ $
Expenditures
General Operating & Administrative
a .
$ 13,358
$
3-2
Judicial
$ $
Salaries
$ -
$
3-3
Law Enforcement
$ $
Payroll Taxes
$
$
3-4
Fire
$ - $
Contract Services
$ -
$
3-5
Highways & Streets
$ $
Employee Benefits
$
$f
3-6
Solid Waste
$ - $
- Insurance
$ -
$
3-7
Contributions to Fire & Police Pension Assoc.
$ $
Accounting and Legal Fees
$
$
3-8
Health
$ $
Repair and Maintenance
$ 2,099
$
3-9
Culture and Recreation
$ $
Supplies
$ -
$
3-10
Other (specify)
$ $
Utilities
$ 1,056
$
3-11
$ $
Contributions to Fire & Police Pension Assoc.
$
$
3-12
$ $
Other (specify) Loss on Sale of Property
$ 35,102
$
3-13
$ - $
$ -
$
3-14
Capital Outla
$ $
Ca itaIOutla
$
$
3-15
Debt Service
Principal (matches part 4)
$ $
Debt Service
Principal (matches part 4)
$
$
3-16
Interest
$ - $
Interest
$ -
$
3-17
Bond Issuance Costs
$ $
Bond Issuance Costs
$
$
3-18
Developer Repayments matches part 4)
$ $
Developer Repayments (matches part 4)
$
$
3-19
All Other (speci)
$ $
All Other(specify)
$
$
3-20
$ - $
$ -
$
3-21
Total Expenditures (Add lines 3-1 through 3-20)
$ $
Total Expenditures (Add lines 3-1 through 3-20)
$ 51,615 $ $ 5.1,6.75
3-22
Intertund Transfers In
$ $
Net Intertund Transfers In
$ -
$
3-23
Interfund Transfers Out
$ $
Net Intertund Transfers (Out)
$
$
3-24
Other (specify) :
$ $
Depreciation
$
$
3-25
$ $
Other Financing Sources (from line 2-28)
$
$
3-26
$ $
Capital Outlay (from line 3-14)
$
$
3-27
$ $
Debt Principal (from line 3-15)
$
$
3-28
Total Transfers and Other Expenditures (Add lines 3-22
through 3-27)
$ $
Total Reconciling Items (Line 3-26, plus line 3-27, less
line 3-24, less line 3-25)
$ -
$
3-29
Excess (Deficiency) of Revenues and Other Financing
Sources Over (Under) Expenditures (Line 2-29, less line 3-
121, plus line 3-28)
$ $
Net Increase (Decrease) in Equity (Line 2-29, less line 3-
21, plus line 3-28)
$ 419,446
$
3-30
3-31
Fund Balance, January 1 from December 31 prior year
report
Fund Balance, December 31 (Line 3-29 plus line 3-30) This
total should be the same as line 1-36.
$ - $
$ $
Net Position, January 1 from December 31 prior year
- report
Net Position, December 31 (Line 3-29 plus line 3-30)This
total should be the same as line 1-36.
$ 950,096
$ 1,369,542
$
1 $"
Note:
if Total Expenditures- Total,of AltFunds,(Line 3-21) are greaterthan
$500,000 - STOP, you
may not use this form. An audit may be required. See Section 29-1-604, C.R,S„
or contact us at (303) 869-3000 for assistance.
5 of 11
PART 4 - DEBT OUTSTANDING, ISSUED, AND RETIRED
Please answer the follovAng questions by marking the appropriate boxes. Yes No Please use this space to provide any explanations or comments:
A.1 f)— tha —fit. have -00—ii— i.ht)
4-2
Is the debt repayment schedule attached? If no, please explain:
$ _
X
-
4-6
Does the entity intend to issue debt within the next calendar ear?
Is the entity current in its debt service payments? If no, please explain:
If yes:
How much?
I $ _
4-3
Please complete the following debt schedule, if applicable:
(please only include principal amounts)
Outstanding at end Issued during
of prior year year
Retired during
year
x
Outstanding at ear -end
4-4
X
General obligation bonds
is the amount outstanding?
$
$
$
Revenue bonds
$
$
$
$
X
Notes/Loans
$
$
$
$
Leases
$
$
$
$
Develo er Advances
$
$
$
$
Other (specify):
$$
$
$
Total:
$
$
$
$
Please answer the follovAng questions by marking the appropriate boxes.
Yes
No
—
If yes:
iuueb ale eiltny (lave any autnurizeu, out unissued, aeon!
How much?
Date the debt was authorized:
$ _
X
-
4-6
Does the entity intend to issue debt within the next calendar ear?
X
If yes:
How much?
I $ _
4-7 IDoes
the entity have debt that has been refinanced that it is still responsible for?
X
If yes: lWhat
is the amount outstanding?
$
4-8 IDoes
the entity have any lease agreements?
X
If yes What is being leased?
the lease
hat are th
have a
the foil
Total 0.00
PART 5 - CASH AND INVESTMENTS
Please provide the entity's cash deposit and investment balances. Amount Total Please use this space to provide any explanations or comments:
5-1 Checking accounts
$ 294,916
5-2 Savings accounts
$ 596,681
5-3 Certificates of deposit $ _
Total Cash Deposits
$ 891,597
Investments (if investment is a mutual fund, please list underlying investments):
Investments
$ 891,597
Please answer the following question by marking in the appropriate box Yes No
5-8 Are the entity's deposits in an eligible (Public Deposit Protection Act) public depository (Section 11-10.5-101, et seq.
C.R.S.)? if no, please explain: X
6off1
7 of 11
PART 6 - CAPITAL ASSETS
Please answer the following questions by marking in the appropriate boxes.
Yes
No
Please use this space to provide any explanations or comments:
6-1
Does the entity have capital assets?
X
If yes:
Has the entity performed an annual inventory of capital assets in accordance with Section 29-1-506, C.R.S.,? If no,
please explain:
imam
Balance -
6-2
Complete the following table for GOVERNMENTAL FUNDS:
beginning of the
Additions
Deletions
Year-End Balance
year
Land
$
$
$
$
Buildings
$
$
$
$
Machinery and equipment
Fumiture and fixtures
Infrastructure
$
$
$
$
Construction In Progress (CIP)
$
$
$
$
Other (explain):
$
$
$
$
Accumulated Depreciation
$
$
$
$
Total
$
$
$
$
6-3
Balance -
Complete the following table for PROPRITARY FUNDS:
beginning of the
Additions
Deletions
Year-End Balance
year
Land
$
$
$
$
Buildings
$
$
$
$
Machinery and equipment
$
$
$
$
Furniture and fixtures
Infrastructure
$ _
$ _
$ _
$
_
Construction In Progress (CIP)
$
$
$
$
Other (explain):
$
$
$
$
Accumulated Depreciation
$
$
$
$
Total
$
$
$
$
PART 7 - PENSION INFORMATION
Please answer the following questions by marking in the appropriate boxes.
Yes
I
No Please use this space to provide any explanations or comments:
7-1
Does the entity have an "old hire" firemen's pension plan?
X
7-2
Does the entity have a volunteer firemen's pension plan?
X
If yes:
Who administers the
plan?
Indicate the contributions from:
Tax (property, SO, sales, etc.):
$ -
State contribution amount:
$
Other (gifts, donations, etc.):
$
Total:
$
What is the monthly benefit paid for 20 years of service per retiree as of Jan 1?
$
7 of 11
Please answer the following questions by marking in the approp
8-1 Did the entity file a current year budget with the Department of Local,
8-2 Did the entity pass an appropriations resolution? In no, please explair
If yes: Please indicate the amount appropriated for each fund for the current
Fund Name
PART 8 - BUDGET INFORMATION
ces. Yes
If no, please explain: X
X
tmerpnse runa $ 64,410
$
$
PART 9 - TAX PAYER'S BILL OF RIGHTS (TABOR)
Please answer the following question by marking in the appropriate box Yes No
s 1 Is the entity in compliance with all the provisions of TABOR [State Constitution, Article X, Section 20(5)]? X
Note: An election to exempt the government from the spending limitations of TABOR does not exempt the
government from the 3 percent emergency reserve requirement. All governments should determine if they
meet this requirement of TABOR.
PART 10 - GENERAL INFORMATION
Please answer the folloviring questions by marking in the appropriate boxes.
Is this application for a newly formed governmental entity?
10.1
If yes: Date of formation:
10-2 Has the entity changed its name in the past or current year?
If Yes: Please list the NEW name & PRIOR name:
Is the entity a metropolitan district?
10.3
10-4 Please indicate what services the entity provides:
housing
10-5 Does the entity have an agreement with another government to provide services?
If yes: List the name of the other governmental entity and the services provided:
City of Wheat Ridae, administrative services
X
No
X
X
X
Please use this space to
Please use this space to
use this space to
I Please use this space to provide any additional explanations or comments not previously included:
8 of 11
or comments:
PART 11 - GOVERNING BODY APPROVAL
Below is the certification and approval of the governing board. By signing the board member is certifying they are a duly elected or appointed officer of the local government. Governing board members may
be verified. Also by signing, the board member certifies that this Application for Exemption from Audit has been prepared consistent with Section 29-1-604, C.R.S., which states that a governmental agency
with revenue and expenditures of $500,000 or less must have an application prepared by a person skilled in governmental accounting; completed to the best of their knowledge and is accurate and true.
Use additional pages if needed.
Print the names of all current governing board members below. A MAJORITY of the governing board members must complete and sign in the column below.
Print Board Members Name
I attest I am a duly elected or appointed board member and I have reviewed and approve
the application for exemption from audit.
Board Member
Tracy Langworthy
Signed Date:
My term Expires:
Print Board Members Name
I —" — L attest I am a duly elected or appointed board member and I have reviewed and approve
the application for exemption from audit.
Board Member
2
Jennifer Walter
Signed( �Zl} J
Date:
My term Expires: t3
Print Board Members Name
I attest I am a duly elected or appointed board member and I have reviewed and approve
the application for exemption from audit.
Board Member
3
Chad Harr
Signed Date:
My,Wm Expires:
Print Board Members Name
I, attest I am a duly elected or appointed board member and I have reviewed and approve
Board Member
t e application for tion from audit.
�j�_i
4
Thomas Abbott
,% ai/! ��J
Signed ;', Date:
My ter xpires:
Print Board Members Name
I ` 1' attest I am a duly elected or appointed board member and I have reviewed and approve
the application for ex ption from audit.
Board Member
5
Janice Thompson
7 2
Signed Date: �'� � ✓ —��
My term Expir F. ' — t
Print Board Members Name
I attest I am a duly elected or appointed board member and I have reviewed and approve
the application for exemption from audit.
Board Member
6
Signed Date:
My term Expires:
Print Board Members Name
I , attest I am a duly elected or appointed board member and I have reviewed and approve
the application for exemption from audit.
Board Member
7
Signed Date:
My term Exnireq
9 of 11
OSA USE ONLY
EntityiWide:
General Fund
Governmental Funds
Unrestricted Cash & Investments
$
891,597 Unrestricted Fund Bal[ $
- Total Tax Revenue
$ -
Current Liabilities
$
6,611 Total Fund Balance
$
- Revenue Paying Debt Service
$ -
Deferred Inflow
$
- PY Fund Balance
$
- Total Revenue
$ -
Total Revenue
$
- Total Debt Service Principal
$ -
Total Expenditures
$
- Total Debt Service Interest
$ -
Interfund In
$
-
Interfund Out
$
- Enterprise Funds
Net Position
$ 1,369,542
PY Net Position
$ 950,096
Governmental
Proprietary
Government -Wide
Total Cash & Investments
$
- Current Assets
$
1,376,153 Total Outstanding Debt
$ -
Transfers In
$
- Deferred Outflow
$
- Authorized but Unissued
$ -
Transfers Out
$
- Current Liabilities
$
6,611 Year Authorized
$ -
Property Tax
$
- Deferred Inflow
$
-
Debt Service Principal
$
- Cash & Investments
$
891,597
Total Expenditures
$
- Principal Expense
$
-
Total Developer Advances
$
Total Developer Repayments
$
-