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ANNUAL REPORT
MICHAEL GROTH
COUNTRY CLUB HILLS UTIL
570 S YELLOWSTONE AVE
IDAHO FALLS, ID 83402
r
NAME
ADDRESS
TO THE
IDAHO PUBLIC
UTILITIES COMMISSION
FOR THE
YEAR ENDED 2012
C
C) L) ()
MICHAEL GROTH
COUNTRY CLUB HILLS UTIL
570 S YELLOWSTONE AVE
IDAHO FALLS, ID 83402
NAME
Idaho Statutes
TITLE 61
PUBLIC UTILITY REGULATION
CHAPTER 4
REPORTS BY PUBLIC UTILITIES
61-405. ANNUAL REPORT. Every public utility shall file an annual
report with the commission, verified by the oath of an officer
thereof. The verification shall be to the best of said official's
knowledge, information and belief. The commission shall prescribe the
form of such report and the character of the information to be
contained therein, and may from time to time make such changes and
such additions in regard to the form and contents thereof as it may
deem proper, and on or before January first in each year shall furnish
a blank form for such annual reports to every public utility. The
contents of such reports and the form thereof shall conform, as nearly
as may be, in the case of public utility subject to an act of
congress, entitled "An act to regulate commerce," approved February 4,
1887, and the acts amendatory thereof and supplementary thereto, to
that required by the interstate commerce commission; and the
commission may also require the report to contain such additional
information as is reasonably practicable for the public utility to
furnish in relation to rates or regulations concerning fares, rates,
agreements or contracts affecting the same, so far as such rates or
regulations pertain to transportation within this state. In case it is
unable to give such information, it shall give a good and sufficient
reason for such failure. When the report of such corporation is
defective, or believed to be erroneous, the commission shall notify
the corporation or person to amend the same within the time prescribed
by the commission. The originals of the reports subscribed to and
sworn to as prescribed by law, shall be filed on or before the
fifteenth day of April in each year and preserved in the office of the
commission. The commission may extend the time for making and filing
such report for a period not exceeding sixty (60) days.
Provided, that the commission may in its discretion, prescribe an
abbreviated or modified form for such annual report, to be used by
persons or corporations who operate or control any plant or system for
distributing electric current but who do not generate such current, or
by persons or corporations who operate on a small scale or serve a
small community of persons.
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O'BRIEN TOMCHAK& CO CHARTERED Accounting
13 Were any water systems acquired during the year or any additions/deletions made
to the service area during the year?
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 570 S YELLOWSTONE AVE
City IDAHO FALLS
State IDAHO -
President (Owner)
Vice President
Secretary
General Manager
Complaints or Billing
Engineering
Emergency Service
MICHAEL P GROTH 529-5000
O DEAN WRIGHT 522-7502
MICHAEL P GROTH 529-5000
O DEAN WRIGHT 522-7502
HARLOW AUTOMATION & ELECTRIC 589-7090
DALE NEALIS 523-6686
524-4200
NO
ANNUAL REPORT FOR WATER UTILITIES TO
THE IDAHO PUBLIC UTILITIES COMMISSION
- FOR THE YEAR ENDING DECEMBER, 2012
COMPANY INFORMATION
1 Give full name of utility
Telephone Area Code (208)
E-mail 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
COUNTRY CLUB HILLS UTILITIES, INC
529-5000
GROTH @ CABLE 1 .NET
AUGUST 13, 1978
IDAHO
570 S YELLOWSTONE AVE
IDAHO FALLS
IDAHO
83402-3907
NON—PROFIT CORPORATION
IDAHO FALLS - BONNEVILLE
11 Are there any affiliated companies? NO
If yes, attach a list with names, addresses & descriptions. Explain any services
provided to the utility.
12 Contact Information Name Phone No.
Zip 83402-3907
I
NAME: COUNTRY CLUB HILLS UTILITIES, INC
COMPANY INFORMATION (Cont.)
For the Year Ended DECEMBER 31 , 2 01 2
15 Is the system operated or maintained under a
service contract? YES
16 If yes: With whom is the contract? BONNEVILLE COUNTY
When does the contract expire? NON—EXPIRING
What services and rates are included? OPERATION OF THE WATER STORAGE TANK AND
WATER UTILITY SYSTEM.
17 Is water purchased for resale through the system? NO
18 If yes: Name of Organization
Name of owner or operator
Mailing Address
City
State
Zip
Gallons/CCF
ANNUAL ASSESSMENT
$Amount
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
NO
NO
NONE
NONE
NONE
NONE
JUNE, 20
NO
Rev 3/02 2
NAME: COUNTRY CLUB HILLS UTILITIES
REVENUE & EXPENSE DETAIL
For the Year Ended DECEMBER 31 2012
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 383
11 ***Commission Approved Surcharges Collected
401 OPERATING EXPENSES
12 601.1-6 Labor- Operation & Maintenance 1 ,113
13 601.7 Labor - Customer Accounts 600
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 16,742
19 618 Chemicals
20 620.1-6 Materials & Supplies - Operation & Maint. 411
21 620.7-8 Materials & Supplies - Administrative & General 775
22 631-34 Contract Services - Professional 3,500
23 635 Contract Services - Water Testing 415
24 636 Contract Services - Other
25 641-42 Rentals - Property & Equipment 4,200
26 650 Transportation Expense 2,985
27 656-59 Insurance 200
28 660 Advertising
29 666 Rate Case Expense (Amortization) 2,753
30 667 Regulatory Comm. Exp. (Other except taxes)
31 670 Bad Debt Expense
32 675 Miscellaneous Utilities 3,678
735 Booked to Acct #464
Booked to Acct # 464
Booked to Acct #_____________
2,086
45.080
836
1,118
49,120
33 Total Operating Expenses (Add lines 12 - 32, also enter on Pg 4, line 2)
37,372
Rev 3/02 Page 3
Name: COUNTRU CLUB HILLS UTILITIES
INCOME STATEMENT
For Year Ended DECEMBER 31 2012
ACCT# DESCRIPTION
1 Revenue (From Page 3, line 8) 49,120
2 Operating Expenses (From Page 3, line 33) 37,372
3 403 Depreciation Expense 7,912
4 406 Amortization, Utility Plant Aquisition Adj.
5 407 Amortization Exp. - Other
6 408.10 Regulatory Fees (PUC) 102
7 408.11 Property Taxes 232
8 408.12 Payroll Taxes
9A 408.13 Other Taxes (list) DEQ Fees 735
913 LICENSE RENEWAL 35
9C WATER DISTRICT ANNUAL ASSESS 212
9D
10 409.10 Federal Income Taxes
11 409.11 State Income Taxes 20
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) 46,620
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) 2,500
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) 2,500
30 427.3 Interest Exp. on Long-Term Debt
31 427.5 Other Interest Charges 2,271
32 NET INCOME (Line 29 less lines 30 & 31) (Also Enter on Pg 9, Line 2) 229
Rev 3/02 Page 4
Name: COUNTRY CLUB HILLS UTILITIES
ACCOUNT 101 PLANT IN SERVICE DETAIL
For Year Ended DECEMBER 31 , 201 2
Balance Added Removed Balance
Beginning During During End of
of Year Year Year Year
300 300
170 170
12,000 12,000
3,403 3,403
55,972 55,972
55,520 55,520
2,398 2,398
124,410 124,410
20,377 20,377
25,291 25,291
12,750 12,750
1,781 1,781
2,261 2,261
815 815
317,448 317,448
tnter oeginning 6 ena OT year totais on vg ',Line 1
SUB
ACCT # DESCRIPTION
1 301 Organization
2 302 Franchises and Consents
3 303 Land & Land Rights
4 304 Structures and Improvements
5 305 Collecting & Impounding Reservoirs
6 306 Lake, River & Other Intakes
7 307 Wells
8 308 Infiltration Galleries & Tunnels
9 309 Supply Mains
10 310 Power Generation Equipment
11 311 Power Pumping Equipment
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
ME TOTAL PLANT IN SERVICE
(Add lines I - 28)
Rev 3/02 Page 5
Name COUNTRY CLUB HILLS UTILITIES
ACCUMULATED DEPRECIATION ACCOUNT 108.1 DETAIL
For Year Ended DECEMBER 31 , 2 01 2
SUB
ACCT#
1 304
2 305
3 306
4 307
5 308
6 309
7 310
8 311
9 320
10 330
11 331
12 333
13 334
14 335
15 336
16 339
17 340
18 341
19 342
20 343
21 344
22 345
23 346
24 347
25 348
26
DESCRIPTION
Structures and Improvements
Collecting & Impounding Reservoirs
Lake, River & Other Intakes
Wells
Infiltration Galleries & Tunnels
Supply Mains
Power Generation Equipment
Power Pumping Equipment
Purification Systems
Distribution Reservoirs & Standpipes
Trans. & Distrib. Mains & Accessories
Services
Meters and Meter Installations
Hydrants
Backflow Prevention Devices
Other Plant & Misc. Equipment
Office Furniture and Equipment
Transportation Equipment
Stores Equipment
Tools, Shop and Garage Equipment
Laboratory Equipment
Power Operated Equipment
Communications Equipment
Miscellaneous Equipment
Other Tangible Property
TOTALS (Add Lines 1 - 25)
Depreciation Balance Balance Increase
Rate Beginning End of or
% of Year Year (Dcrcs
2,673 2,748 75
61,659 63,524 1,865
63,314 65,966 2,652
71,242 73,249 2,007
18,077 18,586 509
16,187 16,749 562
8,595 8,837 242
241,747 249,659 1 7,912
triter beginning & enO ot year totals on Pg 7, Line 7
Rev 3/02 Page 6
Name:
ACCT #
COUNTRY CLUB HILLS UTILITIES
BALANCE SHEET
For Year Ended DECEMBER
ASSETS
DESCRIPTION
31 , 2012
Balance
Beginning
of Year
Balance
End of
Year
Increase
or
(Decrease)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
101
102
103
105
114
108.1
108.2
108.3
110.1
110.2
115
123
125
131
135
141
142
145
151
162
173
143
181
183
184
186
Utility Plant in Service (From Pg 5, Line 29)
Utility Plant Leased to Others
Plant Held for Future Use
Construction Work in Progress
Utility Plant Aquisition Adjustment
Subtotal (Add Lines l-5)
Accumulated Depreciation (From Pg 6, Line 26)
Accum. Depr. - Utility Plant Lease to Others
Accum. Depr. - Property Held for Future Use
Accum. Amort. - Utility Plant in Service
Accum. Amort. - Utility Plant Lease to Others
Accumulated Amortization - Aquisition Adj.
Net Utility Plant (Line 6 less lines 7 - 12)
Investment in Subsidiaries
Other Investments
Total Investments (Add lines 14 & 15)
Cash
Short Term Investments
Accts/Notes Receivable - Customers
Other Receivables
Receivables from Associated Companies
Materials & Supplies Inventory
Prepaid Expenses
Unbilled (Accrued) Utility Revenue
Provision for Uncollectable Accounts
Total Current (Add lines 17 -24 less line 25)
Unamortized Debt Discount & Expense
Preliminary Survey & Investigation Charges
Deferred Rate Case Expenses
Other Deferred Charges
Total Assets (Add lines 13,16 & 26 - 30)
314,852
314,852
241,747
73,105
( 2,229 )
3,826
53
1,650
74,755
314,852
314,852
249,659 7,912
65,193 ( 7,912)
( 8,316) ( 6,087)
3,425 ( 401 )
411 358
( 4,480) ( 6,130)
60,713 (14,042)
Rev 3/02 Page 7
I
Name: COUNTRY CLUB HILLS UTILITIES
ACCT #
BALANCE SHEET
For Year Ended DECEMBER
LIABILITIES & CAPITAL
DESCRIPTION
31 , 201 2
Balance
Beginning
of Year
Balance Increase
End of or
Year (Decrease)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
20 1-3
204-6
207-13
214
215
216
218
221-2
223
224
231
232
233
235
23611
236.12
236.2
23740
241
251
252
253
255.1
255.2
261-5
271
272
281-3
TOTAL
Common Stock
Preferred Stock
Miscellaneous Capital Accounts
Appropriated Retained Earnings
Unappropriated Retained Earnings
Reacquired Capital Stock
Proprietary Capital
Total Equity Capital (Add Lines 1-5+7 less line 6)
Bonds
Advances from Associated Companies
Other Long - Term Debt
Accounts Payable
Notes Payable
Accounts Payable - Associated Companies
Customer Deposits (Refundable)
Accrued Other Taxes Payable
Accrued Income Taxes Payable
Accrued Taxes - Non-Utility
Accrued Debt, Interest & Dividends Payable
Misc. Current & Accrued Liabilities
Unamortized Debt Premium
Advances for Construction
Other Deferred Liabilities
Accumulated Investment Tax Credits - Utility
Accum. Investment Tax Credits - Non-Utility
Operating Reserves
Contributions in Aid of Construction
Accum. Amort. of Contrib. in Aid of Const. **
Accumulated Deferred Income Taxes
Total Liabilities (Add lines 9-29
LIAB & CAPITAL (Add lines 8 & 30)
** Only if Commission Approved
314
314
27,648
275,200
302,848
303,162
314
314
15,779 ( 11,869)
275,200
290,979 ( 11,869)
291 ,293 ( 11,869)
Rev 3/02 Page 8
Name: COUNTRY CLUB HILLS UTILITIES
STATEMENT OF RETAINED EARNINGS
4
For Year Ended DECEMBER 31 201 2
1 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
(13,174 )
229
( 12,945
CAPITAL STOCK DETAIL
No. Shares No. Shares Dividends
7 Description (Class, Par Value etc.)
DETAIL OF LONG-TERM DEBT
Interest Year-end Interest Interest
Rev 3/02 Page 9
Name: COUNTRY CLUB HILLS UTILITIES
SYSTEM ENGINEERING DATA
For Year Ended DECEMBER 31, 2012
1 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
000's 000's (Elevated,Pres- (Wood, Steel
(Duplicate form and attach if necessary. Asterisk facilities added this year.)
Rev 3/02 Page 10
$
f fl
Al
Name: COUNTRY CLUB HILLS UTILITIES
SYSTEM ENGINEERING DATA
(continued)
For Year Ended DECEMBER 31, 2012
4 Pump information for ALL system pumps, including wells and boosters.
Rated Discharge Energy
Designation or Location Horse Capacity Pressure Used
& Tvoe of Pumo** Power (aom' (osñ This Year
WELL #1 SUBMERSIBLE 20 200 55 77,886 E
WELL #2 SUBMERSIBLE 20 200 55 108,811 1<
** Submit pump curves unless previously provided 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? 55,779,193
What was the total amount pumped during peak month? 12,108,615
What was the total amount pumped on the peak day?
6 If customers are metered, what was the total amount sold in peak month? 12,108,615
7 Was your system designed to supply fire flows? YES
If Yes: What is current system rating? NOT RATED
8 How many times were meters read this year? 7
During which months? APRIL thru OCTOBER
9 How many additional customers could be served with no system improvements 26 except a service line and meter?
How many of those potential additions are vacant lots? 25
10 Are backbone plant additions anticipated during the coming year? NO
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? N/A
Rev 3/02 Page 11
2 Metered:
2A Residential
2B Commercial
2C Industrial
3 Flat Rate:
3A Residential
36 Commercial
3C Industrial
4 Private Fire Protection
5 Public Fire Protection
6 Street Sprinkling
7 Municipal, Other
8 Other Water Utilities
TOTALS (Add lines 2 through 8)
Name:
kh
1 Pipe
Size
COUNTRY CLUB HILLS UTILITIES
SYSTEM ENGINEERING DATA
(continued)
For Year Ended DECEMBER 31, 2012
FEET OF MAINS
In Use Installed Abandoned In Use
Beginning During During End of
Of Year Year Year Year
6" 7958 7958
8" 3520 3520
10" 360 360
12" 1970 1970
CUSTOMER STATISTICS
umoer OT iustomers inousanas OT jaiions
This
Year
tigio
Last
Year
This
Year
Last
Year
136 136 51,136,603 41,152,354
1 1 1,042,590 1,235,320
10 10 3,600,000 3,600,000
147 147 55,779,193 45,987,674
Rev 3/02 Page 12
0
I. CERTIFICATE
State of Idaho
)ss
County of BONNEVILLE)
WE, the undersigned MICHAEL P GROTH
and
of the COUNTRY CLUB HILLS
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.
(Chi~f Officer)
(Officer in Charge of Accounts)
Subscribed and Sworn to Before Me
l FP
this day of frlau ,
NOTARY PUBLIC a UBLIC ,
My Commission Expires
gdkiexcel/jnelson/anulrpts/wtrannualrpt
Rev 3/02 Page 13