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ANNUAL REPORT FOR WATER UTILITIES TO
THE IDAHO PUBLIC UTILITIES COMMISSION
FOR THE YEAR ENDING j
COMPANY INFORMATION
1 Give full name of utility
Telephone Area Code (lo?
Email address
2 Date of Organization
3 Organized under the laws of the state of
4 Address of Principal Office (number & street)
5 P.O. Box (if applicable)
6 City
7 State
8 Zip Code
9 Organization (proprietor, partnership, corp.)
10 Towns, Counties served
11 Are there any affiliated companies? I'10
If yes, attach a list with names, addresses & descriptions. Explain any services
provided to the utility.
12 Contact Information Name Phone No.
13 Were any water systems acquired during the year or any additions/delens made
to the service area during the year? NO
If yes, attach a list with names, addresses & descriptions. Explain any services
provided to the utility.
14 Where are the Company's books and records kept?
Street Address Vt C. . / O1fc2.- L aM r ss o
City
State
Zip
President (Owner)
Vice President
Secretary Wf€C C. ) Bsl- 73cf
General Manager
-
Complaints or Billing ___________ L&w4cL C.
Engineering
Emergency Service __________________________________________ '1-', /4e hie-) 1 20')9V'-5?
Accounting L.awrecL (. zo) /-7
Rev 3/02 Page 1
NAME: Iflac 0L4t, flfl4j 1A t
COMPANY INFORMATION (Cont.)
For the Year Ended 1, 2o//
15 Is the system operated or maintained under a /
service contract? ye
16 If yes: With whom is the contract?
When does the contract expire? 'j 40 y'i
What services and rates are included? ena ,',4.41-a___a..4Li OpP.-cd)9vl c
17 Is water purchased for resale through the system? _____________
18 If yes: Name of Organization
Name of owner or operator
Mailing Address
City
State
Zip
Water Purchased
19 Has any system(s) been disapproved by the
Idaho Division of Environmental Quality?
If yes, attach full explanation
20 Has the Idaho Division of Environmental Quality
recommended any improvements?
If yes, attach full explanation
21 Number of Complaints received during year concerning:
Quality of Service
High Bills
Disconnection
22 Number of Customers involuntarily disconnected
23 Date customers last received a copy of the Summary
of Rules required by IDAPA 31.21.01.701?
Attach a copy of the Summary
24 Did significant additions or retirements from the
Plant Accounts occur during the year?
If yes, attach full explanation
and an updated system map
Gallons/CCF
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Rev 3/02 Page 2
NAME: J
REVENUE & EXPENSE DETAIL
For the Year Ended Qv&i. / Z0//
ACCT # DESCRIPTION --
400 REVENUES
1 460 Unmetered Water Revenue
2 461.1 Metered Sales - Residential
3 461.2 Metered Sales - Commercial, Industrial
4 462 Fire Protection Revenue
5 464 Other Water Sales Revenue
6 465 Irrigation Sales Revenue
7 466 Sales for Resale
8 400 Total Revenue (Add Lines 1 - 7)
(also enter result on Page 4, line 1)
9 * DEQ Fees Billed separately to customers
10 ** Hookup or Connection Fees Collected
11 ***Commission Approved Surcharges Collected
2J5,. o9
Booked to Acct #____________
' Booked to Acct #___________
Booked to Acct #
401 OPERATING EXPENSES
12 601.1-6 Labor - Operation & Maintenance 78 5-9
13 601.7 Labor - Customer Accounts
14 601.8 Labor - Administrative & General
15 603 Salaries, Officers & Directors
16 604 Employee Pensions & Benefits
17 610 Purchased Water
18 615-16 Purchased Power & Fuel for Power Ii, 7th,
19 618 Chemicals
20 620.1-6 Materials & Supplies - Operation & Maint.
21 620.7-8 Materials & Supplies - Administrative & General
22 631-34 Contract Services - Professional /70
23 635 Contract Services - Water Testing 7,g
24 636 Contract Services - Other
25 641-42 Rentals - Property & Equipment
26 650 Transportation Expense
27 656-59 Insurance
28 660 Advertising
29 666 Rate Case Expense (Amortization)
30 667 Regulatory Comm. Exp. (Other except taxes)
31 670 Bad Debt Expense
32 675 Miscellaneous L027
33 Total Operating Expenses (Add lines 12 - 32, also enter on Pg 4, line 2) 2-7, 529c
Rev 3/02 Page 3
Name: D rill a 5 I .IA .
INCOME STATEMENT
For Year Ended )L4-wk 3!, loll
ACCT # DESCRIPTION
1 Revenue (From Page 3, line 8) i -
2 Operating Expenses (From Page 3, line 33)
3 403 Depreciation Expense
4 406 Amortization, Utility Plant Aquisition Adj.
5 407 Amortization Exp. - Other
6 408.10 Regulatory Fees (PUC)
7 408.11 Property Taxes
8 408.12 Payroll Taxes
9A 408.13 Other Taxes (list) DEQ Fees
9B
9C
9D
10 409.10 Federal Income Taxes
11 409.11 State Income Taxes
12 410.10 Provision for Deferred Income Tax - Federal
13 410.11 Provision for Deferred Income Tax - State
14 411 Provision for Deferred Utility Income Tax Credits
15 412 Investment Tax Credits - Utility
16 Total Expenses from operations before interest (add lines 2-15) 4'1, 3J
17 413 Income From Utility Plant Leased to Others
18 414 Gains (Losses) From Disposition of Utility Plant
19 Net Operating Income (Add lines 1, 17 &18 less line 16) 7, 1/07
20 415 Revenues, Merchandizing Jobbing and Contract Work
21 416 Expenses, Merchandizing, Jobbing & Contracts
22 419 Interest & Dividend Income
23 420 Allowance for Funds used During Construction
24 421 Miscellaneous Non-Utility Income
25 426 Miscellaneous Non-Utility Expense
26 408.20 Other Taxes, Non-Utility Operations
27 409-20 Income Taxes, Non-Utility Operations
28 Net Non-Utility Income (Add lines 20,22,23 & 24 less lines 21,25,26, & 27)
29 Gross Income (add lines 19 & 28) 21, '/07
30 427.3 Interest Exp. on Long-Term Debt 3 S. 2/0
31 427.5 Other Interest Charges 50
32 NET INCOME (Line 29 less lines 30 & 31) (Also Enter on Pg 9, Line 2) <'I l, LIç3'>
Rev 3/02 Page 4
Name: y/r 5pra /
ACCOUNT 101 PLANT IN SERVICE DETAIL
For Year Ended bec.i1oe,- 3/, 20/1
Balance Added
SUB Beginning During
ACCT# DESCRIPTION of Year Year
Removed Balance
During End of
Year Year
1 301 Organization
2 302 Franchises and Consents __________
3 303 Land & Land Rights - 17S POD i7~ 000
4 304 Structures and Improvements ODD 5''0 5S, NO
5 305 Collecting & Impounding Reservoirs
6 306 Lake, River & Other Intakes
7 307 Wells 000 2"2~ 000
8 308 Infiltration Galleries & Tunnels
9 309 Supply Mains
10 310 Power Generation Equipment
11 311 Power Pumping Equipment 000 5-0,00 0
12 320 Purification Systems
13 330 Distribution Reservoirs & Standpipes
14 331 Trans. & Distrib. Mains & Accessories
15 333 Services
16 334 Meters and Meter Installations
17 335 Hydrants
18 336 Backflow Prevention Devices
19 339 Other Plant & Misc. Equipment
20 340 Office Furniture and Equipment
21 341 Transportation Equipment
22 342 Stores Equipment
23 343 Tools, Shop and Garage Equipment
24 344 Laboratory Equipment
25 345 Power Operated Equipment
26 346 Communications Equipment
27 347 Miscellaneous Equipment
28 348 Other Tangible Property
29 TOTAL PLANT IN SERVICE S00, 000 1 I
~ So
(Add lines 1 - 28) Enter beginning & end of year totals on Pg 7, Line I
Rev 3/02 Page 5
Name:
ACCUMULATED DEPRECIATION ACCOUNT 108.1 DETAIL
ForYearEnded LL'iitki- '?,. 2-a/i
Depreciation Balance
SUB Rate Beginning
ACCT # DESCRIPTION % of Year
304 Structures and Improvements i) I oO
Balance Increase
End of or
Year (Decrease)
7ôoo I 2,000
2 305 Collecting & Impounding Reservoirs
3 306 Lake, River & Other Intakes
4 307 Wells
5 308 Infiltration Galleries & Tunnels
6 309 Supply Mains
7 310 Power Generation Equipment
8 311 Power Pumping Equipment
9 320 Purification Systems
10 330 Distribution Reservoirs & Standpipes
11 331 Trans. & Distrib. Mains & Accessories
12 333 Services
13 334 Meters and Meter Installations
14 335 Hydrants
15 336 Backflow Prevention Devices
16 339 Other Plant & Misc. Equipment
17 340 Office Furniture and Equipment
18 341 Transportation Equipment
19 342 Stores Equipment
20 343 Tools, Shop and Garage Equipment
21 344 Laboratory Equipment
22 345 Power Operated Equipment
23 346 Communications Equipment
24 347 Miscellaneous Equipment
25 348 Other Tangible Property
26 TOTALS (Add Lines 1 - 25)
2oo I.00
ST,000 I 7 ii' I 2 //'
3'i,Soo I I3,/i'
Enter beginning & end of year totals on Pg 7, Line 7
Rev 3/02 Page 6
Name:
ACCT #
eI d L) 4e,' Cpa
BALANCE SHEET
For Year Ended LLeø1Ece1' 201!
ASSETS Balance Balance
Beginning End of
DESCRIPTION of Year Year
Increase
or
)ecrease)
1 101 Utility Plant in Service (From Pg 5, Line 29)
2 102 Utility Plant Leased to Others
3 103 Plant Held for Future Use
4 105 Construction Work in Progress
5 114 Utility Plant Aquisition Adjustment
6 Subtotal (Add Lines I - 5)
7 108.1 Accumulated Depreciation (From Pg 6, Line 26)
8 108.2 Accum. Depr. - Utility Plant Lease to Others
9 108.3 Accum. Depr. - Property Held for Future Use
10 110.1 Accum. Amort. - Utility Plant in Service
11 110.2 Accum. Amort. - Utility Plant Lease to Others
12 115 Accumulated Amortization - Aquisition Adj.
13 Net Utility Plant (Line 6 less lines 7 - 12)
14 123 Investment in Subsidiaries
15 125 Other Investments
16 Total Investments (Add lines 14 & 15)
17 131 Cash
18 135 Short Term Investments
19 141 Accts/Notes Receivable - Customers
20 142 Other Receivables
21 145 Receivables from Associated Companies
22 151 Materials & Supplies Inventory
23 162 Prepaid Expenses
24 173 Unbilled (Accrued) Utility Revenue
25 143 Provision for Uncollectable Accounts
26 Total Current (Add lines 17 -24 less line 25)
27 181 Unamortized Debt Discount & Expense
28 183 Preliminary Survey & Investigation Charges
29 184 Deferred Rate Case Expenses
30 186 Other Deferred Charges
31 Total Assets (Add lines 13,16 & 26 -30)
13 <17>
7,72 /L3 ____
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41I01 7so q70737 V/o,oi,)
Rev 3/02 Page 7
Name: JR( /
BALANCE SHEET
For Year Ended be &v' Q 3/, 2011
LIABILITIES & CAPITAL Balance Balance
Beginning End of
ACCT # DESCRIPTION of Year Year
Increase
or
1 201-3 Common Stock
2 204-6 Preferred Stock
3 207-13 Miscellaneous Capital Accounts
4 214 Appropriated Retained Earnings
5 215 Unappropriated Retained Earnings
6 216 Reacquired Capital Stock
7 218 Proprietary Capital
8 Total Equity Capital (Add Lines 1-5+7 less line 6)
9 221-2 Bonds
10 223 Advances from Associated Companies
11 224 Other Long - Term Debt
12 231 Accounts Payable
13 232 Notes Payable
14 233 Accounts Payable - Associated Companies
15 235 Customer Deposits (Refundable)
16 236.11 Accrued Other Taxes Payable
17 236.12 Accrued Income Taxes Payable
18 236.2 Accrued Taxes - Non-Utility
19 237-40 Accrued Debt, Interest & Dividends Payable
20 241 Misc. Current & Accrued Liabilities
21 251 Unamortized Debt Premium
22 252 Advances for Construction
23 253 Other Deferred Liabilities
24 255.1 Accumulated Investment Tax Credits - Utility
25 255.2 Accum. Investment Tax Credits - Non-Utility
26 261-5 Operating Reserves
27 271 Contributions in Aid of Construction
28 272 Accum. Amort. of Contrib. in Aid of Const. **
29 281-3 Accumulated Deferred Income Taxes
30 Total Liabilities (Add lines 9 - 29
31 TOTAL LIAB & CAPITAL (Add lines 8 & 30)
** Only if Commission Approved
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00 D00 /OoO
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62's I/K) I 13I. 9q) I (// L/S3')
303
5I77'3?€?/ K27n
(3/3i
100'1, 24S (, f, g'f a
q5?67s0 W70" -7 r/Ibo,3"
Rev 3/02 Page 8
Name: fie ld ri's 4e
,
STATEMENT OF RETAINED EARNINGS
For Year Ended £Lf4,3IkJ 31 jo/I
I Retained Earnings Balance @ Beginning of Year
2 Amount Added from Current Year Income (From Pg 4, Line 32)
3 Other Credits to Account
4 Dividends Paid or Appropriated
5 Other Distributions of Retained Earnings
6 Retained Earnings Balance @ End of Year
9>
CAPITAL STOCK DETAIL
No. Shares
7 Description (Class, Par Value etc.) Authorized
4YYr)1 \Jf)tIACJ / I 1ô VILA. ) O?Q
No. Shares
Outstanding
Dividends
Paid
Joo
DETAIL OF LONG-TERM DEBT
Interest Year-end Interest Interest
8 Description Rate Ralanre Pit1 Arm u,1
Wote P 4 y , 1/z 7 - 'I 2.3
-f-4 in n-jc —Y7 8.
Rev 3/02 Page 9
Name: c
SYSTEM ENGINEERING DATA
ForVearEnded
I Provide an updated system map if significant changes have been made to the system during the year.
2 Water Supply: Type of Water
Treatment: Supply
Rated (None, Chlorine Annual Source
Capacity Fluoride Production (Well, Spring,
3 System Storage:
Total Usable Type of
Capacity Capacity Reservoir Construction
COO's 000's (Elevated,Pres- (Wood, Steel
(Duplicate form and attach if necessary. Asterisk facilities added this year.)
Rev 3/02 Page 10
Name: (flv4Ii
/,(
SYSTEM ENGINEERING DATA
(continued)
For Year Ended j ce,v'k Lc 1 ii
4 Pump information for ALL system pumps, including wells and boosters.
Rated Discharge Energy
Designation or Location Horse Capacity Pressure Used
R. Tvnc of PLImr)** PnwAr (onm' (osñ This Year
tiJfll P -i Dow J4Ic
Jeu-
Pu, 7, 30 ___
\Ut\\2- E'e /1 000
** Submit oumo curves unless oreviouslv orovided or unavailable. Asterisk facilities added this year.
Attach additional sheets if inadequate space is available on this page.
5 If Wells are metered:
What was the total amount pumped this year? (. 1 719
What was the total amount pumped during peak month? 21.
What was the total amount pumped on the peak day? .11
6 If customers are metered, what was the total amount sold in peak month? 3 7/ 16
7 Was your system designed to supply fire flows? Ye .
If Yes: What is current system rating?
8 How many times were meters read this year?
During which months? - OQa? v
9 How many additional customers could be served with no system improvements
except a service line and meter?
How many of those potential additions are vacant lots?
10 Are backbone plant additions anticipated during the coming year?
If Yes, attach an explanation of projects and anticipated costs!
11 In what year do you anticipate that the system capacity (supply, storage or distribution)
will have to be expanded?
Rev 3/02 Page 11
Lb
1/0
A/o
h
2 Metered:
2A Residential
2B Commercial
2C Industrial
3 Flat Rate:
3A Residential
3B Commercial
3C Industrial
4 Private Fire Protection
5 Public Fire Protection
6 Street Sprinkling
floe 7 Municipal, Other
8 Other Water Utilities
TOTALS (Add lines 2 through 8)
Name: M /J fi4( /4 C
SYSTEM ENGINEERING DATA
(continued)
For Year Ended j€Le.v o'-r 3/, /1
FEET OF MAINS
In Use Installed Abandoned In Use
I Pipe Beginning During During End of
Si7e Of Year Year Year Year
'I /c
CUSTOMER STATISTICS
Numoer or uustomers inoi sanas 01 uayons boia
This Last This Last
Year Year Year Year
(PD
Rev 3/02 Page 12
CERTIFICATE
State of Idaho
) ss
ountyof
and
of the [V(y ti./'of $ c L4J -k-
utility, on our oath do severally say that the foregoing report has been prepared under our direction,
from the original books, papers and records of said utility; that we have carefully examined same, and
declare the same to be a correct statement of the business and affairs of said utility for the period
covered by the report in respect to each and every matter and thing therin set forth, to the best of our
knowledge, information and belief.
I LI
in Charge of Accounts)
Subscribed and Sworn to Before Me I dIIIOUgg1
* V ••"•' ZOE this. day oL,i4pj _ 2Pi2
NOTARY PUBLIC Of IV
OF4 "I..-...
My Commission Expires lb_c
Rev 3/02 Page 13