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FROM:PHONE HI Am. Oe 2012 04: 12PM P1
ANNUAL REPORT FOR WATER tmLmES TO
THE IDAHO PUBUC UTIUTIES COMMISSION
FOR ThYAR ENDING 1) 1 L
COMPANY INFORMATION
I Give full name of utility JPiôSd4 7,eie13 'E 05rfr1 1j,4ye. '/&TEM
Telephone Area Code ( 3- ;L- -7 P. 0
R-mailaddress 24i)72E/¼). MC'T
2 Date of Organization /
3 Olgantzad under the We of the state of
4 Address of Principal Office (number & street) U-i 4SV C- 0 1-.6 0 f J,
5 P.O. Box (If applicabta)
e city $#JQ p°o, rU r
7 State
84Code _______________
9 Organization (proprietor, partnership, corp.) -: Co i
10 Towns, Counties served /o UI - L Lj
II Are there any affiliated companies? - A) 0
If yea attach a Hat with names, addresses & descrIptions. Explain any services
provided to the utility.
12 Contact Information Name -- Phone No.
13 Were any water systems acquired during the year or any addltlons/dsletIong made
to the saMoa ares during the yar?
- V
iryi1, Itè,Jb a i,t JJ & Eiq,liju any VhAft provided to the utility.
14 Where are the Company's books and records kept?
SfreetAddress a>6 W12ENo LaO des.
City Søflôi 7-
State
Zip
Rev 3102 Pagel
I It. C
Apr. 09 2012 04:14PM P1
AME P, TE 1%.) #1- T6- S Vs Tt/fl I j'Jc,
COMPANY INFORMATION (Cont)
For the Year Ended 9-5) I 1
181$ the system operated or maintained under a
service contract?
18 Ky..: With whom Is the conb*ct?
When does the contract expire?
What seMces and rates are included?
Water Purchassd
19 Has any system(s) been disapproved by the
Idaho DIVISIOn of SWumunwital Quality?
If yes, attach full explanation
20 Has the Idaho Division of Environmental Quality
recommended any improvements?
If yes, attach full explanation
71 tilnmhrr nf rnmnlintr rnnntunrl dlulnn unir nnnnnmirvr
Quality of Service
High Bills
Disconnection
22 Number of Customers Involuntarily disconnected
It Data customers last received a ew of the
Of Rulas required by IDAPA 31.2101.701?
A$aah a mv at fm tumnvwv
24 Did significant additions or retirements from the
Plant Accounts occur during the year?
If yea, attach full explanation
sno an upaatea system map
JO
10
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Rev 32 Paso 2
FROM : PHONE NO. : Apr. 08 2012 04: 1EPM P1
NME e ,-r 111
REVENUE & EXPENSE DETAIL
For the Yew Ended _____________
ACCT # DESCRIPTION -
460
499 REVENUES
Unmetered Water Revenue U
2 464.1 Metered Sales-Residential
3 4612 Metered Sales - Commercial, Industrial
4 482 Fire Protection Revenue
5 484 Other Water Sates Revenue
8 465 IrrigatIon Sales Revenue
1 468 Sales for ROWS
8 400 TotaI Revenue (Add Unesl-7)
(a%so enter result on Page 4, lIne 1)
9 • CEO Fees Billed aeperately to nustomere _________Booked to Acct #________
10 ' Hookup or ConnectiOn Fees Collected _________Booked to Acct #_
11 COmmiasiOn Approved Surchargas Collected Booked to Acct #
jOPEMTlNG EXPENSE
12 801.1-S Labor - Operation &Maintenance 5OI
13 801.7 Labor -CustomerAccounts;
14 601.8 Labor - MmInIstratIv, & General
16 803 Ssledes Officers & Ofrectors L6-2 0,0
18 604 Empio. Pensions & Benefits
17 810 Purchased Water
18 615-16 Purchased Power & Fuel for Power 57 3
19 618 ChemIcals j 8-01 4
20 820.14 Materials & Supplies - Operation & Malnt.
V
21 ?
22 631-34 Contract Services - Professional 0
23 635 Contract Srvfces - Water Testing g 1/0 ,OO
24 836 Contract Services -Other
25 841-42 Rental. - Property & Equipment t / DU
28 650 TransportatIon Expense .?0 9 00
21 866-69 kiswinc
28 680 AdvertisIng
29 866 Rate Coos Eisn.e (i15*#in)
30 607 Regulatory Comm. Exp. (Other except taxes) 0 C)
31 670 Bad Debt Expense
32 875 Mlscsllanous i- 577b. 7?
33 Total Operating Expanses (Add lines 12 .32, also enter on Pg 4 ling 2) Q 7
Rev 3102 Pages
FROM PHONE NO. : Apr. 08 2012 04:20PM P1
Nne: z:- L'±E'
INCOME STATEMENT
For Yew Ended _'
ACCT S -
DE
I Revenue (From Page 3. Una 8)
2 Opersting Expefl*e8(From Pop 3s line 33)
3 403 DeprecIation Expense
4 406 AmortiZation1 Utility Plant Aqulaltian P4.
5 407 AmoilizatiOn 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
98
ac
90
10
'II
12
13
14
15
16
17
18
19
20
21
22
23
24
28
26
27
28
29
30
31
32
409.10 FederW Income Taxes
409.11 State Income Taxes --
410.10 ProvIsion for Deferred Income Tax - Federal
410,11 Provision for Deferred Income Tax -
411 ProvIsion for Deferred Utility Income Tax Credits
412 Investment Tax Credits - Utility
Total Expenses from operations before Interest (odd lines 245) VL t 6s I
413 Income From Utility Plant Leased to Others
414 Gains (Losses) From DisposItion of Utility Plant
Net Operating Income (Add lines 1, 17 &18 less line 16)
418 Revenues, Merchandlzirç Jobbing and Ccntiect Work
418 Expenses. Merchandlzlng, Jobbing & Contracts
419 Interest & Dividend Income
420 Allowance for Funds used Owing Construction
421 Miscellaneous Non-Utility Income
426 Miscellaneous Non-Utility Expense
408.20 Other Taxes, Non-Utility Operations
409-20 Income Taxes, Non-Utility Operations
Net Nan-Utility Income (Add lines 20,22123 & 24 less lines 21,26.W. & 27)
Gross Income (add lines 19 & 28)
427.3 Interest Exp. on Long-Term Debt wT 770, 7 T
427.8 Other Interest Charges
NET INCOME (Una 29 lass Ones 3O&31) (AlsoEnteron PgO Line 2) c9IT3>
I 1A Peg. 4
PI-OE NO. : Apr. 08 212 0422P11 P1
FROM :
ama ti u-YElL ç ysE JAJ
ACCOUNT 101 PLANT IN SERVICE OfTAL
For Year Ended tO (i
Balance Added Removed Balance
SUB Beginning Owing During End of
62214 DESCRIPTION of Year Year - Year , Ysar
i 301 Organization A-4 _______ <9106
2 302 Franchises and Consents
3 303 Land & Lend Rights
4 304 Structures and Improvements
5 305 Collactlng&knpoundlng Reservoirs
8 308 Lake, River & Other Intakes
7 $07 Waft
8 308 InfiltratIon Galleries & Tunnels
9 309 Supply Melne
10 310 Power Generation Equipment
11 311 Power Pumping Equipment
12 320 Purification Systems
13 330 DIstribution Reservoirs & Standpipes
14 331 Trans. & Dlstilb. Mains & Accessories
15 333 Services
1* 334 Meters and M*ter Inetaftaftons -
17 335 Hydrants -
18 338 SackSow Prevention Devices
19 339 Other Plant & Misc. Equipment
20 340 Office Furniture and Equipment
21 341 TransportatIon Equipment
22 $42 Stores Equipment
23 343 Tools. Shop and Garage Equipment
34 344 Laboratory Equipment
25 345 Power Operated Equipment
26 345 CommunIcations Equipment
27 347 Mlacøllanous Equipment
28 348 Other Tangible Property
29 TOTAL PLANT fNSERV10E 9./b
V -
Rev 3102 pap S
FROM : PHONE P11 Apr. 08 2012 04: 24PM P1
Na rne:eTa A7EZ S'/TEM INC.
ACCUMUlATED DEPRECIATION ACCOUNT 1081 DETAIL
For Yew Ended (LOIl
Depreciation Balance Balance
SUB Rate Beginning End of
ACOT # DESCRIPTION of Year Year -
I 304 Suctures and Improvements
2 308 Collecting & ImPOUndktQ Reservoirs
3 308 Lake, River & Other intakes
4 307 Wails 3_% , 37o 3'_3 Za
5 308 infiltration Galleries a TUnnels
8 309 Supply Maine
7 310 Power Generation Equipment
8 311 Power Pumping Equipment
9 320 Purification Systems
10 330 DIstribution Reservoirs & Standpp.e
11 331 Trans. &Dlatiib. Maine &Accessories
12333 Services
13 334 Mat*rs and Meter Installations
14335 i4ydrants
15 338 Backflow Prevention Devices
18 339 Other Plant & Misc. Equipment
17 340 Office Furniture and Equipment
18 341 Transpo1atlon 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 MisusUaneous Equipment
25 345 Other Tangible operty
26 TOTALS (Add Lines 1-25) &576 V 5S % g',_s%
Enter beginning & end of yàar totals on Pg 7,
Rsv3!02 Pea* a
Increase
or
1ZWI!
Name: PVT& SVsrmrll ,,'J
BALANCE SHEET
For Yew Ended
MI Balance Balance
Beginning End of mm
1 101 Utility Pk* in Service (From Pg5 1 Une29)
2 102 UftuityPantLeasadtoOthere
3 103 Plant Held for Future Use
4 105 Construction Work In Progress
5 114 Utility Plant Aqutaitlen Adjustment
8 Subtotal (Add Lines 1 -5)
7 108.1 Accumulated Depreciation (From Pg 8 Line 28)
8 108.2 Mourn. Depr. - Utility Plant Lease to Others
9 108.3 Mourn. Depr. - Property Held for Future Use
10 110.1 Accum. Amort. - Utility Plant in Service
11 110.2 Mourn. Amort. - Utility Plant Lease to Othem
12 115 Accumulated Amortization - Aquleltion Adj.
13 Not Utility Plant (Line 6 low llneel-12)
14 123 Investment In Subsidiaries
15 125 Other Investments
16 Total Investments (Add Ones .14&IS)
17 131 Cash
18 135 Shot Term Investments
19 141 Accts/Notes Receivable - Customers
20 142 Other Receivables
21 145 Receivables from Associated Companies
22 151 Materials & Supplies hwentary
23 162 Prepaid Expenses
24 173 Unblfted (Accrued) Utility Revenue
25 143 ProvIsion for Uncoltactable Accounts
26 TOW Currsnt (Add Una l7-24 how line 25)
27 181 Unamortized Debt Discount & Expense
28 183 PrelIminary Survey & Investigation Charges
29 184 Deferred Rate Case Expenses
30 188 Other Deferred Chss
31 Total Meets (Add tInes 13,16526-30)
7S,7/o
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Rev 3/02 Page 7
FROM PHONEOIE NQ-
,
: Apr. 88 2812 0428P11 P1.
:
Namw.11? r w ,-it sv- /
BALANCE SHEET
For VearEnded -t 1/
LCT6 sakvm = cE or
1 201-3 Common Stock
2 204-0 Preferred Stock
3 207-13 Miscellaneous Capital Accounts
4 214 Appropriated Retained Earnings
5 215 UnapproprIated Retained Earnings
6 218 ReacquIred Caplt*t Stock
7 218 ProprIetary Ceplt*1
8 Total Equity Capital (Add Lines 1-5+7 lees lIne 8)
9 221-2 ponds
10 223 Advances from Associated Companies
11 224 Other Long - Term Debt
12 231 Accøunts Payable
13 232 Notes Payable
14 233 Accounts Payable -Associated Companies
15 235 Customer Deposits (Refundable)
16 236.11 AccvuodOUi.rT*xesPayaDie
17 23612 Accrued Income Taxes Payable.
18 2362 ACcrued Taxes - Non-Utility
19 237-40 Accrued Oebt Interest & Dividends Payable
20 241 MIsc. Current & Accrued Liabilities
21 251 UnamortIzed Debt Premium
22 252 Advanooa for Oonbutiuu
23 253 Other Deferred Lisbifitles
24 255.1 Accumulated tnvesbient Tax Credits- Utility
25 255.2 Accum. Investment Tx Credits - Non-Utility
26 261-5 Operating Reserves
27 271 ContrIbutions In Aid of Construction
28 272 Mcum.Amortof Contrib. }n Aid ofC0nst
29 281-3 Accumulated Deferred Income Taxes
30 Total LiabilitIes (Add lines 9-29
31 TOTAL 1.IAB & CAPITAL (Add itnes I & 30)
** Only If CQnwfllsslon Approved
.,Al- 73! Ai;
./7lo ?77
FROM PHONE No.
P4rne: ,q7E
STATEMENT OF RETAINED EARNINGS
For Year Ended ______________
I Retained Ew*igs Balance 0 Beginning of Year
2 Amount Added from Current Year Income (From Pg 4 Line 32)
S Other Credits to Account
4 Dividends Paid or Appropriated
5 Other Oiatñbutlons of Retained Earnings
6 Retained Earnings Balance a End of Year.
CAPITAL STOCK DETAIL
No. Shares
7 OesIlon (ç,s. Per Value eg
Interest Vearend interest Interest EJ
Rev 3102 Psgeo
FROM: P1-O.E 'O. . Apr. 08 2012 04:32R1 P1
Nam. t WhTEA SVS Y/')1 /NC,
SYSTEM ENGiNEERING DATA
For Year Ended H
I Provide an updated system map If significant ch*nges bave been made to the system during the year.
2 Water Supply Type of Water
Treatment Supply
Rated (Nor* Chlorine Annual Source
Capacity Fluoride Production (Well, Spring,
Totst Usable Type of
Capacity Capacity Reservoir Construction 000's owl tat iI..'.-i
(Duplicat, form and attach If neceesary. Asterisk facilities added this year.)
Rev 3/02
3
/M/Uy_yE,4 1es
FROM:
3 Pr wrEL
A)C 10
Name: __L ---------
SYSTEM ENe1NEaNG DATA
(0ontiftU*d) , For Year Ended__________________
4 Pump hformaftofl for ALL system pumps, ndud1flg web and boosters.
Rated Dtechalge
paur.
Energy
Used
ROW 3102 Pag.11
'4,
FROM FHQE Mi:
Name Ptt1 L)frTEfZ sysrEfl 1A)c,
SYSTEM ENGINEERING DATA
flued)
For Year Ended "Lo 1/
FEET OF MAINS
In Use Installed Abandoned In Us.
I Pipe Beginning During During End of
CUSTOMER STATISTICS
Rev 3/02 Pe 12
FROM
Apr. 08 2012 04:37Pt1 P1
S
4.
CERTIFICATE
WE, the undsralgned,,_ F?o*ev CoLaft
of
utility, on our oath do severatiy say That the foregoIng report has been prepared under our dctton,
from the otlginsi books, papers and records of said utility; that we have careMy 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 owin set forth. to the best of our
knowledge, Information end belief,
this_daYOf #rl/ -,
_i
NOTARY PUBLIC
• ••.. •
My Commission Eq*ee
Doc Date: 'f-f)..- I;-. #Pages:
Name: 7_/1' Circuit
Doc. Desc ption:j1n4.t.--_I(€i't7éi'
RevO 13
Signature Date
NOTARY CERTIFICATION
• ..
• .
S
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