Laserfiche WebLink
<br />1. <br /> <br />. - <br />_. <br /> <br />General Questions Concerning the Entity <br /> <br />What type of services does the entity provide? <br /> <br />L <br /> <br />Police <br />Street Maint. <br />Fire <br />Pest Control <br />Water <br /> <br />(check the applicable services) <br /> <br />Cemetery <br />Sewer <br />Parks & Recreation <br />Street Lighting <br /> <br />Electric <br />Traffic Control <br />Health <br />Trash Removal <br />Other - explain <br /> <br />2. Does the entity provide services in cooperation with any other governmental unit (i.e., <br />mutual aid or intergovernmental agreements)? Yes No 2- N/A <br />If so, list service and name of other government entity. N / A <br /> <br />Is the entity financially accountable for any other organizations? <br /> <br />Yes No x N/A <br /> <br />Note: Financially accountable is defined by governmental standards as. "The level of accountability that exists if a primary <br />government appoints a voting majority of an organization's governing board and is either able to impose ilS will on that organization <br />or there is a potential forme organization to provide specific Enancial benefits to. or impose specific tinanciill burdens on, the primary <br />govemment. " <br /> <br />If SO, what are the names of the other organizations? N / A <br /> <br />3. Pension Information: <br /> <br />a) <br />b) <br /> <br />How many employees does the entity have? 1 <br /> <br />Employees/volunteers arc covered by: <br /> <br />Fire & Police Public Employees <br />Pension Assn. Retirement Assn. <br /> <br />Volunteers'! <br /> <br />o <br /> <br />Social Security <br /> <br />Other (specify plan below) <br /> <br />x <br /> <br />c) <br /> <br />Please provide a plan name and description if "Other" employee/volunteer pension <br />or savings plan is indicated above. N / A <br /> <br />d) <br /> <br />What were total employer contributions to employee/volunteer pension plans for the <br />year? $ N / A <br /> <br />e) <br /> <br />What were the state contributions to local fire and police pension plans for the <br />year? $ N / A <br /> <br /> <br />What was the 10c:!1 contribution to this pl:!n? S N/ A <br /> <br />Application for Exemption from Audit - Revised ')/')8 <br />SEE ACCOUNTANTS' COMPILATION REPORT <br /> <br />B.10 <br />