1 This page must be sent to ISBE Note: For submitting to ISBE, the "Statement of Affairs" can be
2 and retained within the district/joint agreement submitted as one file to avoid separating worksheets.
3 administrative office for public inspection. ANNUAL STATEMENT OF AFFAIRS FOR THE FISCAL YEAR ENDING
78 SCHOOL DISTRICT/JOINT AGREEMENT NAME:
Madison CUSD #12 41-057-0120-26 602 Farrish St. Madison, Il 62060 Granite City Press Record/Journal ASSURANCE
The statement of affairs has been made available in the main administrative office of the school district/joint agreement and the required Annual Statement of Affairs Summary has been published
in accordance with Section 10-17 of the School Code.
CAPITAL ASSETS SIZE OF DISTRICT IN SQUARE MILES NUMBER OF ATTENDANCE CENTERS 9 MONTH AVERAGE DAILY ATTENDANCE NUMBER OF CERTIFICATED EMPLOYEES NUMBER OF NON-CERTIFICATED EMPLOYEES NUMBER OF PUPILS ENROLLED PER GRADE TAX RATE BY FUND (IN %) Total Elementary DISTRICT EQUALIZED ASSESSED VALUATION (EAV) EQUALIZED ASSESSED VALUATION PER ADA PUPIL Total Secondary TOTAL BONDED INDEBTEDNESS AS OF June 30, 2010 Total District PERCENT OF BONDING POWER OBLIGATED CURRENTLY ISBE 50-37 (08//2010) ASA10form.xls-updated 10/12/10STATEMENT OF REVENUES RECEIVED/REVENUES, EXPENDITURES DISBURSED/EXPENDITURES, OTHER SOURCES/USES AND CHANGES IN FUND BALANCE - FOR YEAR ENDING JUNE 30, 2010 Municipal Operations & Fire Prevention & Description Educational Debt Service Transportation Retirement & Capital Projects Working Cash Maintenance Social Security
6 CURRENT ASSETS (100) 7 Cash (Accounts 111 thru 115) Total Current Assets
17 CURRENT LIABILITIES (400) 18 Interfund Payables
25 Deferred Revenues & Other Current Liabilities
Total Current Liabilities
28 LONG-TERM LIABILITIES (500) 29 Long-Term Debt Payable Total Liabilities
33 Investments in General Fixed Assets 34 Total Liabilities and Fund Balances Municipal Operations & Fire Prevention & Description Educational Debt Service Transportation Retirement & Capital Projects Working Cash Maintenance Social Security
38 RECEIPTS/REVENUES 39 Local Sources
Flow-Through Received/Revenue from One District to 2000
Total Direct Receipts/Revenues
44 Rec./Rev. for "On Behalf PaymentsTotal Receipts/Revenues
46 DISBURSEMENTS/EXPENDITURES 47 Instruction
50 Payments to Other Districts & Govt Units
Total Direct Disbursements/Expenditures
53 Disb./Expend. for "On Behalf PaymentsTotal Disbursements/Expenditures
Excess of Direct Receipts/Revenues Over (Under)
55 Direct Disbursements/Expenditures
56 Other Sources of Funds
57 Other Uses of Funds Total Other Sources/Uses of Funds
Excess of Receipts/Revenues & Other Sources of Funds (Over/Under) Expenditures/Disbursements & Other Uses of
60 Beginning Fund Balances - July 1, 2009
Other Changes in Fund Balances Increases
61 (Decreases) 62 Ending Fund Balances June 30, 2010 ANNUAL STATEMENT OF AFFAIRS SUMMARY FOR FISCAL YEAR ENDING JUNE 30, 2010 The summary must be published in the local newspaper.
Copies of the detailed Annual Statement of Affairs for the Fiscal Year Ending June 30, 2010 will be available for public inspection in the school district/joint agreement administrative office by December 1, 2010. Individuals wanting to
review this Annual Statement of Affairs should contact:
Madison CUSD #12 602 Farrish Street 618-877-1712 8:00 a.m. to 4:00 p.m. School District/Joint Agreement Name
Also by January 15, 2011 the detailed Annual Statement of Affairs for the Fiscal Year Ending June 30, 2010, will be posted on the Illinois State Board of Education's website@ www.isbe.net. SUMMARY: The following is the Annual Statement of Affairs Summary that is required to be published by the school district/joint agreement for the past fiscal year. Statement of Operations as of June 30, 2010 Total Direct Receipts/Revenues Total Direct Disbursements/Expenditures Beginning Fund Balances - July 1, 2009 Ending Fund Balances June 30, 2010 SALARY SCHEDULE OF GROSS PAYMENTS FOR CERTIFICATED PERSONNEL AND NON-CERTIFICATED PERSONNEL This listing must be published in the local newspaper, sent to ISBE, and retained within your district/joint agreement administrative office for public inspection. Madison CUSD #12 41-057-0120-26 GROSS PAYMENT FOR CERTIFICATED PERSONNEL GROSS PAYMENT FOR NON-CERTIFICATED PERSONNEL PAYMENTS TO PERSON, FIRM, OR CORPORATION OVER $2,500 This listing must be published in the local newspaper, sent to ISBE, and retained within your district/joint agreement administrative office for public inspection. Madison CUSD #12 41-057-0120-26 Payments over $2,500, excluding wages and salaries. PAYMENTS TO PERSON, FIRM, OR CORPORATION OF $1,000 TO $2,500 This listing must be sent to ISBE, and retained within your district/jointagreement administrative office for public inspection. Madison CUSD #12 41-057-0120-26 Payments of $1,000 to $2,500, excluding wages and salaries REPORT ON CONTRACTS EXCEEDING $25,000 AWARDED DURING FY2010
In conformity with sub-section (c) of Section 10-20.44 of the School Code [105 ILCS 5/10-20.44], the following information is required to be submitted in conjunction with submission of the Annual Statement of Affairs [105 ILCS 5/10-17].
INSTRUCTIONS: (See the attached document (pdf) for additional guidance and definitions.)
Guidance Regarding Reporting Requirements on Contracts Exceeding $25,000_10-17-08.pdf
ITEM 1. – Count only contracts where the consideration exceeds $25,000 over the life of the contract and that were awarded during FY2010 and record the number below in the space provided. Do not include: (1) multi-year contracts awarded prior to FY2010; (2) collective bargaining agreements with district employee groups; and (3) personal services contracts with individual district employees. ITEM 2. – Aggregate the value of consideration of all contracts included in item 1 and record the dol ar amount below in the space provided. ITEM 3. - Count only contracts where the consideration exceeds $25,000 over the life of the contract that were awarded during FY2010 to minority, female, disabled or local contractors and record the number below in the space provided. Do not include: (1) multi-year contracts awarded prior to FY2010; (2) collective bargaining agreements with district employee groups; and (3) personal services contracts with individual district employees. ITEM 4. – Aggregate the value of consideration of all contracts included in item 3 and record the dol ar amount below in the space provided.
1. Total number of all contracts awarded by the school district:
3. Total number of contracts awarded to minority owned businesses, female owned businesses, businesses owned by persons with disabilities, and locally owned businesses:
4. Total value of contracts awarded to minority owned businesses, female owned businesses, businesses owned by person with disabilities, and locally owned businesses:
Form 10-3e Academic Year 2010-11 Drug-Testing Consent − NCAA Division II Sign and return to your director of athletics. Due date: In sports in which the Association conducts year-round drug testing, at the time your intercollegiate squad first reports for practice or the first day of competition (whichever date occurs first). Required by: NCAA Constitution 3.2.4.6 and N
1 This page must be sent to ISBE
PAYMENTS TO PERSON, FIRM, OR CORPORATION OVER $2,500
PAYMENTS TO PERSON, FIRM, OR CORPORATION OF $1,000 TO $2,500
REPORT ON CONTRACTS EXCEEDING $25,000 AWARDED DURING FY2010