Docstoc

Vigo Co Lost Creek Twp AR2009

Document Sample
Vigo Co Lost Creek Twp AR2009 Powered By Docstoc
					  * FEDERAL IDENTIFICATION NUMBER                          STATE OF INDIANA
                                                      STATE BOARD OF ACCOUNTS                               TOWNSHIP:           Lost Creek
                           351474277          302 WEST WASHINGTON STREET, ROOM E418
                                                   INDIANAPOLIS, INDIANA 46204-2765                         COUNTY:             Vigo
                                                       TELEPHONE: (317) 232-2513
TOWNSHIP FORM 15 (REVISED 2009)
PRESCRIBED BY
THE STATE BOARD OF ACCOUNTS                                                                                       ID:

                                                                                                                   (State Board of Accounts USE ONLY)

                                       CONTENTS:
                                       PART 1 - STATEMENT OF RECEIPTS, DISBURSEMENTS, CASH BALANCES AND INVESTMENT BALANCES
TOWNSHIP TRUSTEES ANNUAL REPORT TO:         FOR THE YEAR ENDING 2009 (ADVERTISE)
                                       PART 2 - RECEIPTS FOR THE YEAR ENDING 2009 (ADVERTISE)
  THE TOWNSHIP BOARD                   PART 3A - DISBURSEMENTS
                                       PART 3B - DETAIL OF DISBURSEMENTS FOR THE YEAR ENDING 2009 (ADVERTISE)
  THE COUNTY AUDITOR                   PART 4 - CASH AND INVESTMENTS AT DECEMBER 31, 2009
                                       PART 5 - INDEBTEDNESS (ADVERTISE)
  THE STATE BOARD OF ACCOUNTS          PART 6 - INTERGOVERNMENTAL EXPENDITURES
                                       PART 7 - STATEMENT OF FEDERAL GRANT RECEIPTS, DISBURSEMENTS, AND BALANCES
                                       PART 8 - STATEMENT OF STATE GRANT RECEIPTS, DISBURSEMENTS, AND BALANCES
                                       PART 9 - CERTIFICATION (ADVERTISE)
                                       PART 10 - ADVERTISEMENT AND NOTE TO PUBLISHERS
TOWNSHIP:   Lost Creek                 PART 11- TOWNHSHIP ASSISTANCE STATISTICAL REPORT
                                       PART 12 - FINANCIAL ASSISTANCE TO NONGOVERNMENTAL ENTITIES
COUNTY:   Vigo
                                       TRUSTEE'S NAME:   Rick D. Long
FOR THE YEAR ENDED DECEMBER 31, 2009

                                       TRUSTEE'S ADDRESS:       9550 E US Hwy 40/PO Box 296                                     ricklong2@verizon.net
                                                                          (street)                                                         (email)
FILED IN THE COUNTY AUDITOR'S OFFICE
                                                         Seelyville                                IN                                        47878
                                                              (city/town)                        (state)                                      (zip)

                                                                             8:00   to    12:00 noon      and by appointment
                                       TELEPHONE (BETWEEN THE HOURS OF ____ AM AND ____ PM): _______________________




                                                                                                                                         CoverPage
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                                                     TOWNSHIP:                                 Lost Creek
TOWNSHIP FORM 15 (REVISED 2009)
                                                                                                COUNTY:                                      Vigo

PART 1 - STATEMENT OF RECEIPTS, DISBURSEMENTS, CASH BALANCES AND INVESTMENT BALANCES FOR THE YEAR ENDING 2009
                                                           A                 B                C                                                          D

                                                                         Cash Balance at                                                          Cash Balance at
                            FUNDS                              Code      January 1, 2009              Receipts             Disbursements         December 31, 2009
   Township                                                    0101               300,606.75              102,443.84              92,214.17               310,836.42
   Township Assistance                                         0840                26,713.27               21,472.61              20,285.88                  27,900.00
   Fire Fighting                                               1111                                              0.00                    0.00                     0.00
   Cumulative Fire                                             1190                                              0.00                    0.00                     0.00
   Dog                                                         0202                                              0.00                    0.00                     0.00
   Park and Recreation                                         1301                                              0.00                    0.00                     0.00
   Fire Debt                                                   1182                                              0.00                    0.00                     0.00
   Levy Excess                                                 0108                 5,786.00                     0.00                    0.00                 5,786.00
   Federal Revenue Sharing                                     4501                                              0.00                    0.00                     0.00
   Rainy Day                                                   0061                      4.31                    0.00                    0.00                     4.31


      Subtotals Cash                                                              333,110.33              123,916.45             112,500.05               344,526.73


Transfers:                                                                                          Transfers In           Transfers Out
   Township                                                    0101                                              0.00                  554.88
   Township Assistance                                         0840                                              0.00                    0.00
   Fire Fighting                                               1111                                              0.00                    0.00
   Cumulative Fire                                             1190                                              0.00                    0.00
   Dog                                                         0202                                                                      0.00
   Park and Recreation                                         1301                                              0.00                    0.00
   Fire Debt                                                   1182                                              0.00                    0.00
   Levy Excess                                                 0108                                              0.00                    0.00
   Federal Revenue Sharing                                     4501                                                                      0.00
   Rainy Day                                                   0061                                              0.00                    0.00


      Subtotals Transfers                                                                                        0.00                  554.88


                                                                      Investment Balance at         Investments             Investments         Investment Balance at
Investments:                                                              January 1, 2009            Purchased                  Sold             December 31, 2009
   Township                                                    0101                                              0.00                    0.00                     0.00
   Township Assistance                                         0840                                              0.00                    0.00                     0.00
   Fire Fighting                                               1111                                              0.00                    0.00                     0.00
   Cumulative Fire                                             1190                                              0.00                    0.00                     0.00
   Dog                                                         0202                                                                                               0.00
   Park and Recreation                                         1301                                              0.00                    0.00                     0.00
   Fire Debt                                                   1182                                              0.00                                             0.00
   Levy Excess                                                 0108                                                                                               0.00
   Federal Revenue Sharing                                     4501                                              0.00                    0.00                     0.00
   Rainy Day                                                   0061                                              0.00                    0.00                     0.00


      Subtotals Investments                                                              0.00                    0.00                    0.00                     0.00


Subtotal Cash and Investments - Page One                                          333,110.33              123,916.45             111,945.17               344,526.73
Subtotal Cash and Investments - Page Two                                             (291.75)               9,348.00                9,056.25                      0.00


Grand Total Cash and Investments                                                  332,818.58              133,264.45             121,001.42               344,526.73

                     Grand Totals and subtotals show the total of the cash fund transactions adjusted for any transfers and/or investment activity.

                                                                                                                                                       Pt1Pg1
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                                                            TOWNSHIP: Lost Creek
TOWNSHIP FORM 15 (REVISED 2009)
                                                                                                         COUNTY: Vigo

PART 1 - STATEMENT OF RECEIPTS, DISBURSEMENTS, CASH BALANCES AND INVESTMENT BALANCES FOR THE YEAR ENDING 2009, PAGE2
                                                           A                 B                C                  D

                                                                        Cash Balance at                                                            Cash Balance at
                            FUNDS                             Code      January 1, 2009              Receipts            Disbursements            December 31, 2009
Rainy Day Fund                                                0061                                                                                              0.00
Township Fund                                                 0101                                                                                              0.00
Excess Levy                                                   0105                                                                                              0.00
Township Assistance                                           0840                                                                                              0.00
Payroll Deductions                                            9999                  (291.75)               9,348.00                9,056.25                     0.00
                                                                                                                                                                0.00
                                                                                                                                                                0.00
                                                                                                                                                                0.00
                                                                                                                                                                0.00
                                                                                                                                                                0.00


      Subtotals Cash                                                                (291.75)               9,348.00                9,056.25                     0.00


Transfers:                                                                                         Transfers In           Transfers Out
New Fund A
New Fund B




      Subtotals Transfers                                                                                       0.00                   0.00


                                                                     Investment Balance at         Investments             Investments        Investment Balance at
Investments:                                                             January 1, 2009            Purchased                  Sold               December 31, 2009
New Fund A                                                                                                                                                      0.00
New Fund B                                                                                                                                                      0.00
                                                                                                                                                                0.00
                                                                                                                                                                0.00
                                                                                                                                                                0.00
                                                                                                                                                                0.00
                                                                                                                                                                0.00
                                                                                                                                                                0.00
                                                                                                                                                                0.00
                                                                                                                                                                0.00


      Subtotals Investments                                                             0.00                    0.00                   0.00                     0.00


Subtotal Cash and Investments - Page Two                                            (291.75)               9,348.00                9,056.25                     0.00

                       Subtotals - Page Two show the total of the cash fund transactions adjusted for any transfers and/or investment activity.

                                                                                                                                                       Pt1Pg2
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                      TOWNSHIP: Lost Creek                                                                                                  ID:           0
TOWNSHIP FORM 15 (REVISED 2009)                                                                                                                                         (State Board of Accounts
                                                                   COUNTY: Vigo                                                                                         USE ONLY)


PART 2 - RECEIPTS FOR THE YEAR ENDING 2009, PAGE 1

                                                                 Township           Fire        Cumulative                   Park and                                       Federal
                                                 Township        Assistance       Fighting        Fire        Dog           Recreation     Fire Debt     Levy Excess        Revenue                Rainy
                                                   Fund            Fund            Fund           Fund        Fund            Fund           Fund           Fund            Sharing                 Day
                                          Code      101            0840            1111           1190        0202            1301           1182           0108             4501                  0061
General Property Taxes                    0100       75,786.74     19,055.58
Financial Institution Tax                 0201         180.00          47.00
Auto and Aircraft Excise Tax              0202        9,352.52       2,317.58
Certified Shares (CAGIT)                  0203       11,063.03
Property Tax Replacement Credit (CAGIT)   0204        3,222.00
County Option Income Tax (COIT)           0212        1,941.51
Commercial Vehicle Excise Tax (CVET)      0217
Interest Earned                           6100         698.04          52.45
Federal Revenue Sharing                   1201
Special State Distributions               1514
Riverboat Distributions                   1701
Contractual Services                      2705
Fire Protection Contracts                 2206
Fire Protection Service Fees              2211
Federal Grants                            1115
Emergency Medical Service Fees            2504
Park and Recreation Receipts              2601
Receipts from the Sale of Bonds           5303
Cemetery Receipts                         2703
Reimbursements from County                2710
State Grants                              1412
Sale of Investments                       5500
Court Costs                               4101
Dog Tax                                   3101
Refunds                                   5600
Transfer of Funds                         5206
Miscellaneous Receipts                    6500         200.00
Tax Anticipation Warrants
Emergency Loans


Total Receipts                                    102,443.84       21,472.61             0.00          0.00          0.00           0.00          0.00           0.00                0.00                  0.00




                                                                                                                                                                                                   Pt2 Pg1
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                      TOWNSHIP: Lost Creek                                                   ID:          0
TOWNSHIP FORM 15 (REVISED 2009)                                                                                                  (State Board of Accounts
                                                                   COUNTY: Vigo                                                  USE ONLY)


PART 2 - RECEIPTS FOR THE YEAR ENDING 2009, PAGE 2


                                                     Fund                         Fund
                                                      101                          840
                                          Code
General Property Taxes                    0100       75,786.74                    19,055.58
Financial Institution Tax                 0201         180.00                        47.00
Auto and Aircraft Excise Tax              0202        9,352.52                     2,317.58
Certified Shares (CAGIT)                  0203       11,063.03
Property Tax Replacement Credit (CAGIT)   0204        3,222.00
County Option Income Tax (COIT)           0212        1,941.51
Commercial Vehicle Excise Tax (CVET)      0217
Interest Earned                           6100         698.04                        52.45
Federal Revenue Sharing                   1201
Special State Distributions               1514
Riverboat Distributions                   1701
Contractual Services                      2705
Fire Protection Contracts                 2206
Fire Protection Service Fees              2211
Federal Grants                            1115
Emergency Medical Service Fees            2504
Park and Recreation Receipts              2601
Receipts from the Sale of Bonds           5303
Cemetery Receipts                         2703
Reimbursements from County                2710
State Grants                              1412
Sale of Investments                       5500
Court Costs                               4101
Dog Tax                                   3101
Refunds                                   5600
Transfer of Funds                         5206         554.88
Miscellaneous Receipts                    6500         200.00
Tax Anticipation Warrants
Emergency Loans


Total Receipts                                   102,998.72            0.00       21,472.61   0.00   0.00   0.00   0.00   0.00                0.00                0.00



                                                                                                                                                            Pt2 Pg2
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                    TOWNSHIP: Lost Creek                                                             ID: 0
TOWNSHIP FORM 15 (REVISED 2009)                                                                                                 (State Board of Accounts
                                                                 COUNTY: Vigo                                                   USE ONLY)


PART 3A - PAGE 1: DISBURSEMENTS BY FUNCTION FOR TOWNSHIP, FEDERAL REVENUE SHARING AND TOWNSHIP ASSISTANCE FUNDS (REPORT IN DOLLARS AND CENTS)


                                               Township       Township        Township                                                                       TOTAL
                                               General         Public          Culture/        Township                                                    TOWNSHIP
               TOWNSHIP FUND                  Government       Safety         Recreation         Misc.                                                       FUND
                                      Code     0101-410       0101-420        0101-450         0101-490                                                       N/A
1. Personal Services                  1000        39,846.15                                                                                                   39,846.15
2. Supplies                           2000          709.27                                                                                                       709.27
3. Other Services and Charges         3000        38,438.10                                                                                                   38,438.10
4. Capital Outlay                     4000        12,665.77                                                                                                   12,665.77
5. Purchase of Investments            7000                                                                                                                         0.00
6. Transfers of Funds                 6000          554.88                                                                                                       554.88
7. Total Expenditures                             92,214.17            0.00             0.00            0.00                                                  92,214.17
                                                Federal        Federal         Federal          Federal                                                     TOTAL
                                               Revenue        Revenue          Revenue          Revenue         Federal                                    FEDERAL
                                                Sharing        Sharing         Sharing          Sharing        Revenue                                     REVENUE
                                               General         Public          Culture/        Township         Sharing                                    SHARING
     FEDERAL REVENUE SHARING FUND             Government       Safety         Recreation       Assistance        Misc.                                      FUND
                                      Code     4501-410       4501-420        4501-450         4501-442        4501-490                                      N/A
1. Personal Services                  1000                                                                                                                         0.00
2. Supplies                           2000                                                                                                                         0.00
3. Other Services and Charges         3000                                                                                                                         0.00
4. Capital Outlay                     4000                                                                                                                         0.00
5. Purchase of Investments            7000                                                                                                                         0.00
6. Transfers of Funds                 6000                                                                                                                         0.00
7. Total Expenditures                                  0.00           0.00             0.00            0.00           0.00                                         0.00

                                                              Township        Township                                                                      TOTAL
                                              Township        Assistance      Assistance       Township                                                    Township
                                              Assistance        Direct          Other          Assistance                                                  Assistance
        TOWNSHIP ASSISTANCE FUND               Admin.         Assistance      Assistance       Misc. Inv.                                                    FUND
                                      Code    0840-441        0840-442        0840-443         0840-490                                                       N/A
1. Personal Services                  1000         7,040.28                                                                                                    7,040.28
2. Supplies                           2000          601.10                                                                                                       601.10
3. Other Services and Charges         3000                                                                                                                         0.00
4. Capital Outlay                     4000                                                                                                                         0.00
5. Purchase of Investments            7000                                                                                                                         0.00
6. Transfers of Funds                 6000                                                                                                                         0.00
7. Medical, Hospital, Burial          8000                          764.27                                                                                       764.27
8. Other Direct Relief                5000                       11,880.23                                                                                    11,880.23
9. Total Expenditures                              7,641.38      12,644.50             0.00            0.00                                                   20,285.88


                                                                                                                                                            Pt3APg1
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                  TOWNSHIP: Lost Creek                                                                           ID: 0
TOWNSHIP FORM 15 (REVISED 2009)                                                                                                              (State Board of Accounts
                                                               COUNTY: Vigo                                                                  USE ONLY)


PART 3A - PAGE 2: DISBURSEMENTS BY FUNCTION FOR OTHER TOWNSHIP FUNDS (REPORT IN DOLLARS AND CENTS)


                                                Fire         Cumulative                      Park and
                                              Fighting         Fire           Dog           Recreation      Fire Debt       Levy Excess            Rainy
                OTHER FUNDS                    Fund            Fund           Fund            Fund            Fund             Fund                 Day
                                      Code     1111            1190           0202            1301            1182             0108                 0061
1. Personal Services                  1000
2. Supplies                           2000
3. Other Services and Charges         3000
4. Capital Outlay                     4000
5. Purchase of Investments            7000
6. Transfers of Funds                 6000
7. Total Expenditures                                 0.00            0.00           0.00            0.00            0.00             0.00                 0.00         0.00   0.00         0.00




                OTHER FUNDS
                                      Code
1. Personal Services                  1000
2. Supplies                           2000
3. Other Services and Charges         3000
4. Capital Outlay                     4000
5. Purchase of Investments            7000
6. Transfers of Funds                 6000
7. Total Expenditures                                 0.00            0.00           0.00            0.00            0.00             0.00                 0.00         0.00   0.00         0.00




                OTHER FUNDS
                                      Code
1. Personal Services                  1000
2. Supplies                           2000
3. Other Services and Charges         3000
4. Capital Outlay                     4000
5. Purchase of Investments            7000
6. Transfers of Funds                 6000
7. Total Expenditures                                 0.00            0.00           0.00            0.00            0.00             0.00                 0.00         0.00   0.00         0.00




                                                                                                                                                                                      Pt3APg2
ANNUAL FINANCIAL REPORT --                                ID: 0
                                                                  (State Board of Accounts USE ONLY)
                                                             Part 3B
INDIANA TOWNSHIPS

TOWNSHIP FORM 15 (REVISED 2009)


PART 3B - DETAIL OF DISBURSEMENTS FOR THE YEAR ENDING 2009

Township Fund - 1000 Personal Services                       Township Fund - 2000 Supplies

                To Whom Paid             Gross Amount                          To Whom Paid            Gross Amount
David Mason                                  3420            Boyce Forms                                   129
Internal Revenue Service                   2697.15           Dollar General                                    70.15
PERF                                           1,629.00      First Financial Bank                                  9.75
Rick Long                                     18,720.00      James Shepard                                     25.00
Robert All                                     3,420.00      Office Max                                       431.37
Susan Long                                     6,540.00      US Postmaster                                     44.00
Tom Nicoson                                    3,420.00


Subtotal                                      39,846.15      Subtotal                                         709.27




BE SURE TO REPORT TOWNSHIP ASSISTANCE DISBURSEMENTS IN DETAIL LIKE ALL OTHER FUNDS.
                                                                                                         Part 3B
ANNUAL FINANCIAL REPORT --                                     ID: 0
                                                                  (State Board of Accounts USE ONLY)
                                                                  Part 3B 2
INDIANA TOWNSHIPS

TOWNSHIP FORM 15 (REVISED 2009)


PART 3B - DISBURSEMENTS

Township Fund - 3000 Other Services and Charges                   Township Fund - 4000 Capital Outlays

                                                   Gross                                                  Gross
                 To Whom Paid                     Amount                             To Whom Paid        Amount
Ace Hardware                                           81.68      Ace Signs                                   400.00
Ace Signs                                              55.00      Bedino Construction                        1,200.00
Advanced Waste Management                           2,100.00      Kramer Land Clearing, LLC                  6,727.50
Arnold Brames                                       2,398.49      Linda Edwards                               250.00
Carousel Music and Flag                                82.00      Net Results, Inc                           2,295.00
D & R Tree Service                                    550.00      Office Max                                 1,133.31
Double Bee Fence                                      349.00      Rural King                                  279.90
Indiana Township Association ITA                      300.00      Seelymart                                   137.00
Kaufmann and Associates                               714.00      Vigo County Treasurer                       243.06
Langmans Services                                   4,090.00
Larry Long                                          8,570.00
Old National Service                                  154.67      Subtotal                                 12,665.77
ONB Insurance Group                                 1,000.00
Paitson Hardware                                       73.44
Rick Long                                             332.45
RTB Enterprises                                     6,000.00
Rural King                                            590.57
Seelyville Water Works                                649.38
Selective Insurance Com                               878.00
Tabco                                               4,647.43
Terry Taylor                                           50.00
Tim Cork                                              500.00
Tribune Star                                          737.67
Valley Press                                        1,517.50
Verizon North                                       1,516.78
William Steele                                        500.00


Subtotal                                           38,438.10




BE SURE TO REPORT TOWNSHIP ASSISTANCE DISBURSEMENTS IN DETAIL LIKE ALL OTHER FUNDS.
                                                                                                         Part 3B 2
ANNUAL FINANCIAL REPORT --                                     ID: 0
                                                                  (State Board of Accounts USE ONLY)
                                                                  Part 3B 3
INDIANA TOWNSHIPS

TOWNSHIP FORM 15 (REVISED 2009)


PART 3B - DISBURSEMENTS

Welfare Administration - 1000 Personal Services                   Welfare Adminstration - 2000 Supplies

                                                   Gross                                                   Gross
                  To Whom Paid                    Amount                             To Whom Paid         Amount
Internal Revenue Service                              500.28      Boyce Forms                                  228.44
Susan Long                                          6,540.00      Dollar General                                 24.42
                                                                  First Financial Bank                             9.75
Total                                               7,040.28      Office Max                                   338.49


                                                                  Total                                        601.10
0840.2 - 1000 Direct Poor Relief
Medical, Hospital, Burial                                         9999.1 Federal Income Tax / IRS             3,277.44


Mattox Wood Funeral Home                              450.00      9999.2 Social Security Tax / IRS            2,627.72
Walmart                                               314.27
                                                                  9999.3 Medicare Tax / IRS                    609.73
Total                                                 764.27
                                                                  9999.4 State Tax
0840.2 Direct Poor Relief - 2000                                  Indiana Dept of Revenue                     1,327.07
Other Direct Relief                                               Internal Revenue Service                     100.46


AHT Properties                                        350.00      9999.5 County Tax
Andy Altvater                                         700.00      Indiana Dept of Revenue                      488.71
Briar Ridge Mobile Home Park                          641.46      Internal Revenue Service                       37.00
Dan Kellett                                           350.00
Dennis Meneely                                        350.00      PERF                                        1,143.00
Duke Energy                                         4,392.41
Jeanette Deakins                                      350.00
Newlin-Johnson                                        900.00
Pam Federle                                           350.00
Rita Smith                                            350.00
Sav-A-Lot Food                                        489.47
Seelymart                                             115.00
Seelyville Water Works                                393.56
Tim Altvater                                          350.00
Tim Fortune                                           350.00
Tom Wright                                            350.00
Vectren                                               368.33
Village Quarter                                       350.00
William Marts                                         200.00
Woodridge Motel                                       180.00


Total                                              11,880.23




BE SURE TO REPORT TOWNSHIP ASSISTANCE DISBURSEMENTS IN DETAIL LIKE ALL OTHER FUNDS.
                                                                                                          Part 3B 3
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                                                      TOWNSHIP: Lost Creek                                                      ID   0
TOWNSHIP FORM 15 (REVISED 2009)
                                                                                                   COUNTY: Vigo                                     (State Board of
                                                                                                                                                    Accounts USE ONLY)
PART 4 - CASH AND INVESTMENTS AT DECEMBER 31, 2009
    PURCHASE                                                                                                      MATURITY               INTEREST          PURCHASE
        DATE                      FUND               CODE     DESCRIPTION TYPE AND SERIAL NUMBER                    DATE                   RATE              COST
                                                            INVESTMENTS ON HAND DECEMBER 31, 2009:




                                                                                                            Total Investments                                            0.00

                                                            CASH AT DECEMBER 31, 2009:




                                                            Other Cash Accounts


                                                            Total Monies on Deposit Investment
                                                                                                            Total Cash                                                   0.00
                                                                                                            Total Cash and Investments                                   0.00
                                                                                                            Less 12-31-09 M Account Balances
                                                                                                            Record Balance                                               0.00
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                     TOWNSHIP: Lost Creek                                                    ID:                  0
TOWNSHIP FORM 15 (REVISED 2009)                                                                                                       (State Board of
                                                                  COUNTY: Vigo                                                   Accounts USE ONLY)


PART 5 - INDEBTEDNESS AS OF DECEMBER 31, 2009
                                   Outstanding               Issued                Retired      Outstanding           Interest Paid                     Principal and
                                    1/1/2009               During Year           During Year    12/31/2009            During 2009                       Interest Due
                                 (Beginning Year)             2009                  2009       (Ending Year)           (Full Year)                         In 2010
Township Assistance Bonds                                                                                      0.00
General Obligation Bonds                                                                                       0.00
Fire Equipment Loans                                                                                           0.00
Other DLGF Authorized Debt                                                                                     0.00




PART 6 - INTERGOVERNMENTAL EXPENDITURES


OF THE EXPENDITURES REPORTED IN PART 3, HOW MUCH WAS PAID TO OTHER GOVERNMENTAL UNITS FOR:


               Purpose                Amount


1. E.M.S. Services
2. Fire Protection
3. Parks and Recreation
4. All Other

5. Total (All lines 1 through 4)                    0.00




                                                                                                                                                           Pts5 6
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                                TOWNSHIP: Lost Creek                                                           ID: 0
TOWNSHIP FORM 15 (REVISED 2009)                                                                                                                       (State Board of
                                                                             COUNTY: Vigo                                                           Accounts USE ONLY)


PART 7 - STATEMENT OF FEDERAL GRANT RECEIPTS, DISBURSEMENTS AND BALANCES (REPORT IN DOLLARS AND CENTS)
   CFDA                                             FEDERAL OR                                                CASH BALANCE                                         CASH BALANCE
  NUMBER               FEDERAL TITLE               STATE AGENCY      AWARD AMOUNT          FUND TITLE           AS OF 1/1/09    RECEIPTS    DISBURSEMENTS          AS OF 12/31/09
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00
                                                                                                                                                                                 0.00


NOTE: DO NOT TOTAL GRANTS. USE THIS PAGE TO DETAIL ALL FEDERAL FINANCIAL ASSISTANCE INCLUDING ASSISTANCE
PASSED THROUGH STATE AGENCIES. IF GRANT IS PART FEDERAL AND PART STATE, DETAIL THE FEDERAL PORTION HERE, AND THE STATE PORTION ON PART 8.                                Part7
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS                                 TOWNSHIP: Lost Creek                                                     ID: 0
TOWNSHIP FORM 15 (REVISED 2009)                                                                                                                  (State Board of
                                                                              COUNTY: Vigo                                                     Accounts USE ONLY)


PART 8 - STATEMENT OF STATE GRANT RECEIPTS, DISBURSEMENTS, AND BALANCES
   GRANT                                                                                                   CASH BALANCE                                       CASH BALANCE
  NUMBER               PROJECT NAME                STATE AGENCY      AWARD AMOUNT             FUND TITLE     AS OF 1/1/09   RECEIPTS   DISBURSEMENTS          AS OF 12/31/09
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00
                                                                                                                                                                            0.00


NOTE: DO NOT TOTAL GRANTS. USE THIS PAGE TO DETAIL ALL STATE FINANCIAL ASSISTANCE.
IF GRANT IS PART STATE AND PART FEDERAL, DETAIL THE STATE PORTION HERE, AND FEDERAL PORTION ON PART 7.




                                                                                                                                                                    Part8
PART 9 - CERTIFICATION


State of Indiana

SS:

VIGO COUNTY

  I, RICK LONG, Trustee of LOST CREEK TOWNSHIP, VIGO COUNTY, Indiana
do solemnly affirm under the penalty of perjurty that the preceding report is complete, true and correct; that the sum with which I am
charged in this report are all of the sums received by me; and that the various items of expenditures credited have been fully paid in
the sums stated; that such payments were made without express or implied agreement that any protion thereof shall be retained by
or repaid to me or to any other person. I further affirm that a complete and detailed annual report, together with all accompanying
vouchers showing the names of persons having been paid money by the township, have been filed as required by law in the office
of the County Auditor, and that copies of such annual report are in custody of the Township Board and the State Board of Accounts.
Said report is subject to inspection by any taxpayer of the township.




____________________________________ Township Trustee

Telephone: ____812-877-3415___________________

Date this report was to be published: ______________________

       Subscribed and sworn (or affirmed) to before me, the Chairman of the Township Board of __Lost Creek______ Township at
its annual meeting, this___18th___ day of January , 2010.

______________________________________ (sign)

______Lost Creek ____________ Township Board Chairman

                                                         OPTION 1
This report was received, accepted, and approved by the Township Board at its annual meeting, this ___18th__ day of January,
2010.

___Lost Creek_____ Township Board:

______________________________________ (sign)

______________________________________ (sign)

______________________________________ (sign)

                                                           OPTION 2
This report was received, accepted, and approved except for Part(s) ______ by
the following Township Board Member(s) at its annual meeting, this ________ day of
January, 2010.

______________________________________ (sign)

______________________________________ (sign)

______________________________________ (sign)

The following note should not be advertised.
Note: Option 1 to be used where the Township Board approves the annual report.
Option 2 to be used where a member or all members of the Township Board
disapproves part or all of the annual report. (DO NOT ADVERTISE)
ANNUAL FINANCIAL REPORT --                                                                                 ID:                  0
                                                                                          (State Board of Accounts USE ONLY)


INDIANA TOWNSHIPS                                                                               TOWNSHIP:                 Lost Creek

TOWNSHIP FORM 15 (REVISED 2009)                                                                    COUNTY:                     Vigo


PART 10 - NOTE TO PUBLISHERS

NOTE TO PUBLISHERS:

Township Form 15 of report is prescribed by the State Board of Accounts in compliance with IC 36-6-4-13.

All legal advertisements shall by set in solid type not larger than the type used in the regular reading matter of the newspaper,
without any leads or other devices for increasing space. All such advertisements shall be headed by no more than two (2) lines,
neither of which shall total more than four (4) solid lines of the type in which the body of the advertisement is set.



NOTE TO TOWNSHIP TRUSTEE:

IC 36-6-4-13 requires Township Form 15 to be prepared for publication within four weeks after the third Tuesday following the first
Monday in January. February 15, 2010 is the last date for publication. Publication is to be made ONE TIME ONLY in two (2)
newspapers published in the township. If only one (1) newspaper is published in the township, then the notice shall be published in
that newspaper. If no newspaper is published in the township, then publication shall be made in a newspaper published in the
county and that circulates within the township.
Prescribed by the State Board of Accounts                                                                  Form TA-7 (Revised 2009)
                                                                                                           Part 11 - page 1

                                        Lost Creek TOWNSHIP, Vigo COUNTY
                              TOWNSHIP ASSISTANCE STATISTICAL REPORT (IC 12-20-28-3)
                                   FOR THE PERIOD ENDING DECEMBER 31, 2009




1. TOTAL NUMBER OF REQUESTS FOR TOWNSHIP ASSISTANCE

2. (A) TOTAL NUMBER OF RECIPIENTS OF TOWNSHIP ASSISTANCE

2. (B) TOTAL NUMBER OF HOUSEHOLDS CONTAINING RECIPIENTS OF TOWNSHIP ASSISTANCE

2. (C) (i) TOTAL NUMBER OF CASE CONTACTS MADE WITH OR ON BEHALF OF RECIPIENTS OF TOWNSHIP ASSISTANCE

2. (C) (ii) TOTAL NUMBER OF CASE CONTACTS MADE WITH OR ON BEHALF OF MEMBERS OF A HOUSEHOLD
             RECEIVING TOWNSHIP ASSISTANCE

3. TOTAL VALUE OF BENEFITS PROVIDED TO RECIPIENTS OF TOWNSHIP ASSISTANCE                               $

4. TOTAL VALUE OF BENEFITS PROVIDED THROUGH EFFORTS OF TOWNSHIP STAFF FROM SOURCES OTHER
   THAN TOWNSHIP FUNDS                                                                                 $


5. (A) TOTAL NUMBER RECEIVING UTILITY ASSISTANCE - RECIPIENTS

5. (A) (i) TOTAL NUMBER RECEIVING UTILITY ASSISTANCE - HOUSEHOLDS

5. (B) TOTAL NUMBER OF RECIPIENTS ASSISTED BY TOWNSHIP STAFF IN RECEIVING UTILITY ASSISTANCE
        FROM SOURCES OTHER THAN TOWNSHIP FUNDS


6. (i) TOTAL VALUE OF BENEFITS PROVIDED FOR PAYMENT OF UTILITIES - TOWNSHIP                            $

6. (ii) TOTAL VALUE OF BENEFITS PROVIDED FOR PAYMENT OF UTILITIES - NONTOWNSHIP SOURCES                $

6. (iii) TOTAL VALUE OF ALL BENEFITS PROVIDED FOR PAYMENT OF UTILITIES                                 $                       0.00


7. (A) TOTAL NUMBER RECEIVING HOUSING ASSISTANCE - RECIPIENTS

7. (A) (i) TOTAL NUMBER RECEIVING HOUSING ASSISTANCE - HOUSEHOLDS

7. (B) TOTAL NUMBER OF RECIPIENTS ASSISTED BY TOWNSHIP STAFF IN RECEIVING HOUSING ASSISTANCE
        FROM SOURCES OTHER THAN TOWNSHIP FUNDS

8. (i) TOTAL VALUE OF BENEFITS PROVIDED FOR HOUSING ASSISTANCE - TOWNSHIP                              $

8. (ii) TOTAL VALUE OF BENEFITS PROVIDED FOR HOUSING ASSISTANCE - NONTOWNSHIP SOURCES                  $

8. (iii) TOTAL VALUE OF ALL BENEFITS PROVIDED FOR PAYMENT OF HOUSING ASSISTANCE                        $                       0.00


9. (A) TOTAL NUMBER RECEIVING FOOD ASSISTANCE - RECIPIENTS

9. (A) (i) TOTAL NUMBER RECEIVING FOOD ASSISTANCE - HOUSEHOLDS

9. (B) TOTAL NUMBER OF RECIPIENTS ASSISTED BY TOWNSHIP STAFF IN RECEIVING FOOD ASSISTANCE
        FROM SOURCES OTHER THAN TOWNSHIP FUNDS

10. (i) TOTAL VALUE PROVIDED FOR FOOD ASSISTANCE - TOWNSHIP                                            $

10. (ii) TOTAL VALUE PROVIDED FOR FOOD ASSISTANCE - NONTOWNSHIP SOURCES                                $

10. (iii) TOTAL VALUE ALL FOOD ASSISTANCE PROVIDED                                                     $                       0.00
Prescribed by the State Board of Accounts                                                              Form TA-7 (Revised 2009)
                                                                                                       Part 11 - page 2

                                        Lost Creek TOWNSHIP, Vigo COUNTY
                              TOWNSHIP ASSISTANCE STATISTICAL REPORT (IC 12-20-28-3)
                                   FOR THE PERIOD ENDING DECEMBER 31, 2009
                                                     (Continued)


11. (A) TOTAL NUMBER PROVIDED HEALTH CARE - RECIPIENTS

11. (A) (i) TOTAL NUMBER PROVIDED HEALTH CARE - HOUSEHOLDS

11. (B) NUMBER OF RECIPIENTS ASSISTED BY TOWNSHIP STAFF IN RECEIVING HEALTH CARE ASSISTANCE
        FROM SOURCES OTHER THAN TOWNSHIP FUNDS

12. (i) TOTAL VALUE OF HEALTH CARE PROVIDED - TOWNSHIP                                             $

12. (ii) TOTAL VALUE OF HEALTH CARE PROVIDED - NONTOWNSHIP SOURCES                                 $

12. (iii) TOTAL VALUE OF ALL OF HEALTH CARE PROVIDED                                               $                       0.00


13. TOTAL NUMBER OF FUNERALS, BURIALS, AND CREMATIONS

14. (A) TOTAL ACTUAL VALUE OF FUNERALS, BURIALS, AND CREMATIONS                                    $

14. (B) (i) TOTAL PAID BY TOWNSHIP FUNDS FOR FUNERALS, BURIALS, AND CREMATIONS                     $

14. (B) (ii) DIFFERENCE BETWEEN ACTUAL VALUE AND AMOUNT PAID BY TOWNSHIP FUNDS FOR FUNERALS,
              BURIALS, AND CREMATIONS                                                              $                       0.00


15. (A) TOTAL NUMBER OF NIGHTS OF EMERGENCY SHELTER PROVIDED TO THE HOMELESS

15. (B) TOTAL NUMBER OF NIGHTS OF EMERGENCY SHELTER PROVIDED TO THE HOMELESS THROUGH EFFORTS OF
         TOWNSHIP STAFF FROM SOURCES OTHER THAN TOWNSHIP FUNDS

15. (C) (i) TOTAL VALUE OF EMERGENCY SHELTER FOR HOMELESS INDIVIDUALS - TOWNSHIP                   $

15. (C) (ii) TOTAL VALUE OF EMERGENCY SHELTER FOR HOMELESS INDIVIDUALS - NONTOWNSHIP SOURCES       $

15. (C) (iii) TOTAL VALUE OF ALL EMERGENCY SHELTER PROVIDED FOR HOMELESS INDIVIDUALS               $                       0.00


16. (A) TOTAL NUMBER OF REFERRALS OF TOWNSHIP ASSISTANCE APPLICANTS TO OTHER PROGRAMS

16. (B) TOTAL VALUE OF TOWNSHIP SERVICES IN MAKING REFERRALS TO OTHER PROGRAMS                     $


17. TOTAL NUMBER OF TRAINING PROGRAMS OR JOB PLACEMENTS FOUND FOR TOWNSHIP ASSISTANCE RECIPIENTS
    WITH ASSISTANCE OF TOWNSHIP TRUSTEE


18. NUMBER OF HOURS SPENT BY TOWNSHIP ASSISTANCE RECIPIENTS AT WORKFARE

19. (i) TOTAL VALUE OF SERVICES PROVIDED BY WORKFARE TO THE TOWNSHIP                               $

19. (ii) TOTAL VALUE OF SERVICES PROVIDED BY WORKFARE TO OTHER AGENCIES                            $

19. (iii) TOTAL VALUE OF ALL SERVICES PROVIDED BY WORKFARE                                         $                       0.00


20. (A) TOTAL AMOUNT OF REIMBURSEMENT FOR ASSISTANCE RECEIVED FROM RECIPIENTS                      $

20. (B) TOTAL AMOUNT OF REIMBURSEMENT FOR ASSISTANCE RECEIVED FROM MEMBERS OF RECIPIENTS'
         HOUSEHOLDS                                                                                $

20. (C) TOTAL AMOUNT OF REIMBURSEMENT FOR ASSISTANCE RECEIVED FROM RECIPIENTS' ESTATES             $


21. TOTAL AMOUNT OF REIMBURSEMENT FOR ASSISTANCE RECEIVED FROM MEDICAL PROGRAMS
    UNDER IC 12-20-16-2(e)                                                                         $


22. (A) TOTAL NUMBER OF INDIVIDUALS ASSISTED THROUGH A REPRESENTATIVE PAYEE PROGRAM

22. (B) TOTAL AMOUNT OF FUNDS PROCESSED THROUGH THE REPRESENTATIVE PAYEE PROGRAM THAT ARE NOT
         TOWNSHIP FUNDS                                                                            $
Prescribed by the State Board of Accounts                                                                                                      Form TA-7 (Revised 2009)
                                                                                                                                               Part 11 - page 3

                                           Lost Creek TOWNSHIP, Vigo COUNTY
                                 TOWNSHIP ASSISTANCE STATISTICAL REPORT (IC 12-20-28-3)
                                      FOR THE PERIOD ENDING DECEMBER 31, 2009
                                                        (Continued)


23. (A) TOTAL NUMBER OF INDIVIDUALS ASSISTED THROUGH SPECIAL NONTRADITIONAL PROGRAMS PROVIDED
         THROUGH THE TOWNSHIP WITHOUT THE EXPENDITURE OF TOWNSHIP FUNDS

23. (B) TOTAL AMOUNT OF NONTOWNSHIP FUNDS USED TO PROVIDE THE SPECIAL NONTRADITIONAL PROGRAMS                                              $


24. (A) (i) TOTAL NUMBER OF HOURS AN INVESTIGATOR OF TOWNSHIP ASSISTANCE SPENDS ON CASE
              MANAGEMENT SERVICES - RECIPIENTS

24. (A) (ii) TOTAL NUMBER OF HOURS AN INVESTIGATOR OF TOWNSHIP ASSISTANCE SPENDS ON CASE
               MANAGEMENT SERVICES - HOUSEHOLDS

24. (B) TOTAL VALUE OF CASE MANAGEMENT SERVICES PROVIDED                                                                                   $


25. TOTAL NUMBER OF HOUSING INSPECTIONS PERFORMED BY THE TOWNSHIP




DATE_______________ TRUSTEE'S SIGNATURE________________________________

The State Board of Accounts is of the audit position, with the concurrence of the Attorney for the Township Trustees Association, the following procedures should be
followed for a consistent compilation and completion of Township Assistance Form TA-7.


When completing the form please keep in mind reconcilement or cross-checking cannot, necessarily, be achieved; i.e., Total Value of Benefits Provided Township
Assistance Recipients (Item 3), will not necessarily be the summation of Total Value of Benefits Provided for Utilities (Item 6 (i)); Total Value of Benefits Provided for
Housing Assistance (Item 8 (i)); Total Value of Food Assistance Provided (Item 10 (i)); and, Total Value of Health Care Provided (Item 12 (i)); because IC 12-20-28-3
does not specifically require separate reporting of certain Township Assistance provided by townships; i.e., clothing, household supplies, transportation, etc.
ANNUAL FINANCIAL REPORT - INDIANA TOWNSHIPS           TOWNSHIP: Lost Creek                                        ID: 0
TOWNSHIP FORM 15 (REVISED 2009)                                                                                (State Board of
                                                        COUNTY: Vigo                                         Accounts USE ONLY)


PART 12 - FINANCIAL ASSISTANCE TO NONGOVERNMENTAL ENTITIES (REPORT IN DOLLARS AND CENTS)

 FEDERAL                                                                NAME OF      PHONE NUMBER
    ID                                              COUNTY OF          OPERATING     OF OPERATING   DESCRIPTION OF
 NUMBER           NAME              ADDRESS         OPERATION           OFFICER         OFFICER        FUNDING                   AMOUNT




* NOTE: DO NOT TOTAL AMOUNTS.

                                                                                                                                  Part 12

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:18
posted:9/19/2012
language:Unknown
pages:23