CLASS "C" WATER and/or WASTEWATER UTILITIES. (Gross Revenue of Less Than $200,000 Each) ANNUAL REPORT. WU AR NHC Utilities, Inc.

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1 CLASS "C" oh=rcial co~ r Public Service Con;rr;ission Do Not Remove From This C':fflce WATER and/or WASTEWATER UTILITIES (Gross Revenue of Less Than $200,000 Each) ANNUAL REPORT WU96315AR NHC Utilities, Inc. EXACT LEGAL NAME OF RESPONDENT 663W Certificate Number(s) Submitted To The STATE OF FLORIDA,..., C:::l O'""' r::) ('";.. ~ t.... I ',,,;.) ~ l.,, <'' e,"!"'w :,:,''!~; :"'t., :;:~::! C) '. :.J;.:" PUBLIC SERVICE COMMISSION Form PSC/WAW 6 (Rev. 12/99) FOR THE YEAR ENDED DECEMBER 31, 2015

2 GENERAL INSTRUCTIONS 1. Prepare this report in conformity with the 1996 National Association of Regulatory Utility Commissioner~ (NARUC) Uniform System of Accounts for Water and Wastewater Utilities as adopted by Rule (1 ), Flonda Administrative Code. 2. Interpret all accounting words and phrases in accordance with the Uniform System of Accounts (USOA). Commission Rules and the definitions on next page. 3. Complete each question fully and accurately, even if it has been answered in a previous annual report. Enter the word "None" where it truly and completely states the fact. 4. For any question, section, or page which is not applicable to the respondent enter the words "Not Applicable". Do not omit any pages. 5. Where dates are called for, the month and day should be stated as well as the year. 6. All schedules requiring dollar entries should be rounded to the nearest dollar. 7. Complete this report by means which will result in a permanent record. You may use permanent ink or a typewriter. Do not use a pencil. 8. If there is not enough room on any schedule, an additional page or pages may be added provided the format of the added schedule matches the format of the schedule in the report. Additional schedules should reference the appropriate schedules, state the name of the utility, and state the year of the report. 9. If it is necessary or desirable to insert additional statements for the purpose of further explanation of schedules, such statement should be made at the bottom of the page or an additional page. Any additional pages should state the name of the utility, the year of the report, and reference the appropriate schedule. 10. The utility shall file the original and two copies of the report with the Commission at the address below, and keep a copy for itself. Pursuant to Rule (3), Florida Administravite Code, the utility must submit the report by March 31 for the preceeding year ending December 31. Florida Public Service Commission Division of Economic Regulation 2540 Shumard Oak Boulevard Tallahassee, Florida Pursuant to Rule (7)(a), Florida Administrative Code, any utility that fails to file its annual report or extension on or before March 31, or within the time specified by any extension approved in writing by the Division of Economic Regulation, shall be subject to a penalty. The penalty shall be based on the number of Calendar days elapsed from March 31, or from an approved extended filing date, until thedate of filing. The date of filing shall be included in the days elapsed

3 GENERAL DEFINITIONS ADVANCES FOR CONSTRUCTION This account shall include advances by or in behalf of customers for construction which are to be refunded either wholly or in part. (USOA) ALLOWANCE FOR FUNDS USED DURING CONSTRUCTION this account shall include concurrent credits for allowance for funds used during construction based upon the net cost of funds used for construction and a reasonable rate upon other funds when so used. Appropriate regulatory approval shall be obtained for "a reasonable rate". (USOA) AMORTIZATION The gradual extinguishment of an amount in an account by distributing such amount over a fixed period, over the life of the asset or liability to which it applies, or over the period during which it is anticipated the benefit will be realized. (USOA) CONTRIBUTIONS IN AID OF CONSTRUCTION (CIAC) Any amount or item of money, services, or property received by a utility, from any person or governmental agency, any portion of which is provided at no cost to the utility, which represents an addition or transfer to the capital of the utility, and which is utilized to offset the acquisition, improvement or construction costs of the utilities property, facilities, or equipment used to provide services to the public. (Section (3), Florida Statutes) CONSTRUCTION WORK IN PROGRESS (CWIP) This account shall include the cost of water and wastewater plant in process of construction, but not yet ready for services. (USOA) DEPRECIATION The loss of service value not restored by current maintenance, incurred in connection with the consumption or prospective retirement of utility plant in the course of service from causes which are known to be in the current operation and against which the utility is not protected by insurance. (Rule (i), Florida Administrative Code) EFFLUENT REUSE The use of wastewater after the treatment process, generally for reuse as irrigation water or for in plant use. (Section (6), Florida Statutes) EQUIVALENT RESIDENTIAL CONNECTION (ERC) (WATER) (Rule (8), Florida Administrative Code) (a) 350 gallons per day (b) The number of gallons a utility demonstrates in the average daily flow for a single family unit; or (c) The number of gallons which has been approved by the DEP for a single family residential unit. EQUIVALENT RESIDENTIAL CONNECTION (ERC) (WASTEWATER )Industry standard of 80% of Water ERC or 280 gallons per day for residential use. GUARANTEED REVENUE CHARGE A charge designed to cover the utility's costs including, but not limited to, the cost of operation, maintenance, depreciation and any taxes, and to provide a reasonable return to the utility for facilities, a portion of which may not be used and useful to the utility or its existing customers. (Rule (9), Florida Administrative Code) LONG TERM DEBT All Notes, Conditional Sales Contracts, or other evidences of indebtedness payable more than one year from date of issue. {USOA) PROPRIETARY CAPITAL (For proprietorships and partnerships only) The investment of a sole proprietor, or partners, in an unincorporated utility. (USOA) RETAINED EARNINGS This account reflects corporate earnings retained in the business. Credits would include net income or accounting adjustments associated with correction of errors attributable to a prior period. Charges to this account would include net losses, accounting adjustments associated with correction of errors attributable to a prior period or dividends. {USOA) ii

4 TABLE OF CONTENTS FINANCIAL SECTION PAGE Identification Income Statement Balance Sheet Net Utility Plant Accumulated Depreciation and Amortization of Utility Plant Capital Stock Retained Earnings Proprietary Capital Long Term Debt Taxes Accrued Payment for Services Rendered by Other Than Employees Contributions in Aid of Construction Cost of Capital Used for AFUDC Calculation AFUDC Capital Structure Adjustments F2 F3 F4 F5 F5 F6 F6 F6 F6 F7 F7 F8 F9 F10 WATER OPERATING SECTION PAGE Water Utility Plant Accounts Analysis of Accumulated Depreciation by Primary Account Water Water Operation and Maintenance Expense Water Customers Pumping and Purchased Water Statistics and Mains Wells and Well Pumps, Reservoirs, and High Service Pumping Sources of Supply and Water Treatment Facilities General Water System Information W1 W2 W3 W3 W4 W5 W6 W7 WASTEWATER OPERATING SECTION PAGE Wastewater Utility Plant Accounts Analysis of Accumulated Depreciation by Primary Account Wastewater Wastewater Operation and Maintenance Expense Wastewater Customers Pumping Equipment, Collecting and Force Mains and Manholes Treatment Plant, Pumps and Pumping Wastewater Statistics General Wastewater System Information S1 S2 S3 S3 S4 S5 S6 VERIFICATION SECTION PAGE Verification V1 iii.

5 FINANCIAL SECTION ~~

6 REPORT OF NHC Utilities, Inc. (Exact name of utility) Two North Riverside Plaza 3737 El Jobean Road Chica o, IL Port Charlotte. FL Charlotte Mailing Address Street Address County Telephone Number Date Utility First Organized 12/96 Fax Number (941) Address Harborlakes Sunshine State OneCall of Florida, Inc. Member No. D Individual Osub Chapter s Corporation m Applied For Check the business entity of the utility as filed with the Internal Revenue Service: 1120 Corporation 0Partnership Location where books and records are located: Two North Riverside Plaza Chicago, IL Names of subdivisions where service is provided: CONTACTS: Salary Charged Name Title Principle Business Address Utility Person to send correspondence: 2560 GulftoBay Blvd. k,:.:,,:. :',..::,'.:..:.:,.:,' :', :. 0,,,,.,, Anthony Q. De Santis, CPA CPA Clearwater, Fla Person who prepared this report: 2560 GulftoBay Blvd. CJN&WCPAs CPAs Clearwater, Fl Officers and Managers: Don Barton General mana!ler 2210 N. Tamiami Trail, N Ft M:t:ers Fl None Eric Zimmerman Re!lional Vice President 5100 W. Lemon Street, Ste. 109 None Tamr:1a, FL Report every corporation or person owning or holding directly or indirectly 5 percent or more of the voting securities of the reporting utility: Percent Salary Ownership In Charged Name Utility Principle Business Address Utility LEMBLP 100% Two North Riverside Plaza None Chica!lo, ll F2

7 UTILITY NAME: NHC Utilities, Inc. YEAR OF REPORT December 31, 2015 INCOME STATEMENT Account Name Ref. Page Water Wastewater Other (1) Total Company Gross Revenue: Residential $ Commercial Industrial Multiple Family 134,814 N/A N/A $ 134,814 Guaranteed Revenues Other (Specify) Total Gross Revenue 134, ,814 Operation Expense (Must W3 tie to Pages W3 and S3) S3 109, ,859 Depreciation Expense F5 9,950 9,950 CIAC Amortization Expense F8 (1,809) (1,809) Taxes Other Than Income F7 8,035 8,035 Income Taxes F7 Total Operating Expenses 126, ,035 Net Operating Income (Loss) 8,779 8,779 Other Income: Nonutility Income Interest Income Other Deductions: Miscellaneous Nonutilty Expenses Interest Expense AFUDC Net Income (Loss) $ 8,779 N/A N/A $ 8,779 F3

8 UTILITY NAME: NHC Utilities, Inc. YEAR OF REPORT December 31, 2015 COMPARATIVE BALANCE SHEET Account Name Reference Page Current Year Previous Year ASSETS: Utility Plant In Service ( ) F5, W1, S1 $ Accumulated Depreciation and Amortization (108) F5, W2, S2 Net Utility Plant Cash Customer Accounts Receivable (141 ) Other Assets (Specify): Due from LEMB Mise Accrued assets 566,647 $ (449,625) 117, ,300 2, ,647 (439,675) 126, , ,722 13,031 Total Assets $ 406,508 $ 348,274 LIABILITIES AND CAPITAL: Common Stock Issued (201) F6 $ Preferred Stock Issued (204 ) F6 Other Paid In Capital (211) Retained Earnings (Deficit)(215) F6 Proprietary Capital (Proprietary and partnership only) (218) F6 Total Capital 1,000 $ 295,337 (62,704) 233,633 1, ,337 (71,483) 224,854 Long Term Debt (224) F6 Accounts Payable (231) Notes Payable (232) Customer Deposits (235) Accrued Taxes (236) Other Liabilities (Specify): Misc. Accrued Liab. 83 6, ,043 (1) 4,691 83,238 Advances For Construction (252) Contributions In Aid Of Construction Net ( ) F8 Total Liabilities and Capital $ 33, ,508 $ 35, ,274 F4

9 UTILITY NAME NHC Utilities, Inc. YEAR OF REPOR December31, 2015 GROSS UTILITY PLANT Plant Accounts: ( ) Inclusive Water Sewer Plant Other Than Reporting Systems Total Utility Plant In Service {101) Construction Work In Progress {105) Other {Specify) $ 566,647 N/A N/A $ 566,647 Total Utility Plant $ 566,647 N/A N/A $ 566,647 ACCUMULATED DEPRECIATION (AID) AND AMORTIZATION OF UTILITY PLANT Other Than Reporting Account108 Water Wastewater Systems Total Balance First Of Year $ 439,675 $ N/A $ 439,675 Add Credits During Year: Accruals charged to depreciation account 9,950 9,950 Salvage Other credits {specify) Rounding Total credits 9,950 9,950 Deduct Debits During Year: Book cost of plant retired Cost of removal Other debits {specify) Total debits Balance End of Year $ 449,625 N/A N/A $ 449,625 F5

10 UTILITY NAME: NHC Utilities, Inc. CAPITAL STOCK ( ) Common Stock Preferred Stock Par or stated value per share $ N/A Shares authorized 100 Shares issued and outstanding 100 Total par value of stock issued 1,000 Dividends declared per share for year RETAINED EARNINGS (215) Appropriated Un Appropriated Balance first of year N/A $ (71,483) Charges during the year (specify): Current Year Income 8,779 Prior year adjustments Balance end ofyear $ $ {62,704) PROPRIETARY CAPITAL (218) Proprietor or Partner Partner Balance first of year N/A N/A Charges during the year (specify): Current year income Balance end ofyear Total LONG TERM DEBT (224) Interest Principal Description of Obligation (Including Nominal #of Per Balance Date of Issue and Date of Maturity) Rate Payments Sheet Date % $ % % % N/A F6

11 UTILITY NAME: NHC Utilities, Inc. ~ TAX EXPENSE YEAR OF REPORT December 31, 2015 WATER SEWER OTHER TOTAL (a) (b) (c) (d) (e) Income Taxes: Federal income tax $ N/A N/A $ State income tax Taxes Other Than Income: State ad valorum tax Local property tax 1,968 1,968 Regulatory assessment fee 6,067 6,067 Other (Specify): Total taxes accrued $ 8,035 $ 8,035 PAYMENTS FOR SERVICES RENDERED BY OTHER THAN EMPLOYEES Report all information concerning rate, management, construction, advertising, labor relations, public relations, or other similar professional services rendered the respondent for which aggregate payments during the year to any corporation, partnership, individual, or organization of any kind whatever, amounting to $500 or more. Water Wastewater Name of Recipient Amount Amount Description of Service CJNW i 7,200 $ Accounting F7

12 UTILITY NAME: NHC Utilities, Inc. CONTRIBUTIONS IN AID OF CONSTRUCTION (271) Water Wastewater (a) (b) (c) YEAR OF REPORT December 31, 2015 TOTAL (d) 1. Balance first of year $ 102,221 N/A 2. Add credits during year: 3. Total 4.Deduct charges during year 5.Balance end of year 102,221 6.Less Accumulated Amortization (68,539) 7.NetCIAC $ 33,682 $ $ 102, ,221 (68,539) 33,682 ADDITIONS TO CONTRIBUTIONS IN AID OF CONSTRUCTION DURING YEAR (CREDITS) Report below all developers or contractors Indicate agreements from which cash or property was "Cash" or received during the year. "Property" Water Wastewater $ $ Subtotal NONE NONE Report below all capacity charges, main extension charges and customer connections charges received during the year. Number of Charge per Description of Charge Connections Connection None Total Credits During Year (Must agree with line# 2 above) $ $ ACCUMULATED AMORTIZATION OF CIAC Water Wastewater Total Balance First ofyear $ 66,729 N/A $ 66,729 Add Debits During Year: Rounding 1 1 Deduct Credits During Year: 1,809 1,809 Balance End of Year (Must agree with line #6 above)_ $ 68,539 $ $ 68,539 F8

13 WATER OPERATION SECTION ~~

14 UTILITY NAME: NHC Utilities, Inc. ~ WATER UTILITY PLANT ACCOUNTS YEAR OF REPOR December 31, 2015 Acct. PREVIOUS No. Account Name YEAR ADDITIONS RETIREMENTS (a) (b) (c) (d) (e) 301 Organization $ $ $ 302 Franchises 303 Land and Land Rights 304 Structure and Improvements_ 8, Collecting and Impounding Reservoirs 306 Lake, River and Other Intakes_ 307 Wells and Springs 308 Infiltration Galleries and Tunnels 309 Supply Mains 220, Power Generation Equipment_ 311 Pumping Equipment 320 Water Treatment Equipment 155, Distribution Reservoirs and Standpipes 129, Transmission and Distribution Mains 333 Services 33, Meters and Meter Installations_ 4, Hydrants 9, Other Plant and Miscellaneous Equipment 340 Office Furniture and Equipment 5, Transportation Equipment 342 Stores Equipment 343 Tools, Shop and Garage Equip 344 Laboratory Equipment 345 Power Operated Equipment 346 Communication Equipment 347 Miscellaneous Equipment 348 Other Tangible Plant Total Water Plant $ 566,647 $ $ CURRENT YEAR (f) $ 8, , , ,830 33,275 4,976 9,935 5,102 $ 566,647 NOTE: Any adjustments made to reclassify property from one account to another must be footnotec W1

15 UTILITY NAME: NHC Utilities, Inc. YEAR OF REPORT December31, 2015 ANALYSIS OF ACCUMULATED DEPRECIATION BY PRIMARY ACCOUNT WATER ACCT. NO. (a) ACCOUNT NAME (b) 301 Organization 302 Franchises 304 Structure and Improvements 305 Collecting and Impounding Reservoirs 306 Lake, River and other Intakes 307 Wells and Springs 308 Infiltration Galleries and Tunnels 309 Supply Mains 310 Power Generation Equipment 311 Pumping Equipment 320 Water Treatment Equipment Average Service Life in Years (c) Average Salvage in Percent (d) Depr. Rate Accumulated Depreciation Balance Applied Previous Year Debits (e) (f) (g)(1) % ~ $ $ % ~ % 2.50 A 8,065 % OA % ~ % ~ % ~ % 3.13 ~ 151,283 % OA % ~ % 5.88 ~ 155,412 Credits (h) $ 5,501 Accum. Depr. Balance End of year (fg+h=i) (i) $ 8, , , Distribution Reservoirs and Standpipes 30 % 3.33 o/c 89,260 3,245 92, Transmission and Distribution Mains 333 Services 334 Meters and Meter Installations 335 Hydrants 339 Other Plant and Miscellaneous Equipment 340 Office Furniture and Equipment 341 Transportation Equipment 342 Stores Equipment 343 Tools, Shop and Garage Equipment 344 Laboratory Equipment 345 Power Operated Equipment 346 Communication Equipment 347 Miscellaneous Equipment 348 Other Tangible Plant % o;. % 2.86 o/c 22,878 % 8.33 o/c 848 % 2.50 o/c 6,827 % o/c % o/c 5,102 % o/c % o;. % o/c % o/c % o/c % o/c % o/c % ~ , ,075 5,102 Totals $ 439,675 $ 9,950 $ 449,625 * This amount should tie to Sheet F5 Note : (1) Rounding W2

16 UTILITY NAME: NHC Utilities, Inc. YEAR OF REPORT December 31, 2015 WATER OPERATION AND MAINTENANCE EXPENSE Acct. No. Account Name Amount Salaries and Wages Employees Salaries and Wages Officers, Directors, and Majority Stockholders Employee Pensions and Benefits Purchased Water..::8.::.9,...::5..::6.:: Purchased Power 616 Fuel for Power Production 618 Chemicals 620 Materials and Supplies 2, Contractual Services: Billing Operator and Management Testing..::8..;;;.5..;;_3 Other 13, R~~ 650 Transportation Expense Insurance Expense Regulatory Commission Expenses (Amortized Rate Case Expense) _ Bad Debt Expense Miscellaneous Expenses Total Water Operation and Maintenance Expense $ *This amount should tie to Sheet F3. WATER CUSTOMERS 1,077 2, ,859 * Description Number of Active Customers Type of Equivalent Start End Meter Factor of Year of Year (a) {bj_ (c) (d) (e) Residential Service 5/8" D /4" D 1.5 1" D /2" D,T 5.0 General Service 5/8" D /4" D " D /2" D,T 5.0 2" D,C,T " D " c " T 17.5 Total Number of Meter Equivalents (c xe) (f) Unmetered Customers 1.0 Other (Specify): ** D Displacement C =Compound Total T =Turbine 341 W3

17 UTILITY NAME: NHC Utilities, Inc. SYSTEM NAME: :N::H::::C~U~t~ili::':tie.;..;s:...:...;;...:... YEAR OF REPORT December 31, 2015 PUMPING AND PURCHASED WATER STATISTICS Recorded Water Finished Accounted For Total Water Purchased Water From Loss Through Pumped And For Resale Wells Line Flushing Purchased (Omit OOO's) (Omit OOO's) Etc. (Omit OOO's) MONTH (Omit OOO's) [(b}+(c)(d)] (a) (b) (c) (d) (e) January 1,419 1,419 February 1,472 1,472 March 1,706 1,706 Ap~ 1,304 1,304 May June July August September October December 1,632 November 1,125 1,125 1,632 Total for year 12,805 N/A 12,805 Water Sold To Customers (Omit OOO's) (f) (1) 673 1, , ,675 If water is purchased for resale, indicate the following: Vendor Charlotte County Utilities Point of Delivery Rothschild Ave If Water is sold to other water utilities for redistribution, list names of such utilities below: N/A MAINS (Feet) Kind of Pipe Diameter (Cast Iron, coated of First of Removed or steel, etc.) Pipe Year Added Abandoned PVC 8" 10,420 PVC 6" 5,470 DR255CH900 12" 2,874 Dr255DH900 8" 76 CL51DIP 6" 6 End of Year 10,420 5,470 2, (1) Difference 1n gallons purchasea ana gallons sold was due to a p1pe break that the customers were not billed for lost water but the utility had purchased the water. W4

18 UTILITY NAME: NHC Utilities, Inc. SYSTEM NAME: NHC Utilities WELLS AND WELL PUMPS (If Available) YEAR OF REPORT December 31, 2015 (a) (b) (c) (d) (e) Year Constructed Types of Well Construction and Casing N/A Depth of Wells Diameters of Wells Pump GPM Motor HP Motor Type * Yeilds of Wells in GPD Auxiliary Power * Submersable, centrifugal, etc. RESERVOIRS (a) (b) (c) (d) (e) Description (steel, concrete) Capacity of Tank Ground of Elevated N/A HIGH SERVICE PUMPING (a) MOTORS Manufacturer T~~ Rated Horsepower (b) None (c) (d) (e) (a) PUMPS Manufacturer T~~ Capacity in GPM Average Number of Hours Operated Per Day (b) None (c) (d) (e) Auxiliary Power W5

19 UTILITY NAME: NHC Utilities, Inc. YEAR OF REPORT December 31, 2015 SOURCE OF SUPPLY List for each source of supply (Ground, Surface, Purchased Water, etc): Gallons per day of source 35,000 Type of source Purchased List for each Water Treatment Facility: WATER TREATMENT FACILITIES Type Make Permitted Capacity (GPO) High service pumping Gallons per minute See Page W5 Reverse Osmosis Lime treatment Unit Rating Filtration Pressure Sq. Ft. Gravity GPO/Sq. Ft. Disinfection Chlorinator Ozone Other Auxiliary Power N/A I W6

20 UTILITY NAME: NHC Utilities, Inc. SYSTEM NAME: NHC Utilities OTHER WATER SYSTEM INFORMATION YEAR OF REPORT December 31, 2015 Furnish information below for each system not physically connected with another facility. A separate page should be supplied where necessary. 1. Present ERC's * the system can efficiently serve Maximum number of ERC's * which can be served Present system connection capacity (in ERC's *) using existing lines Future connection capacity (in ERC's *) upon service area buildout Estimated annual increase in ERC's* None System is builtout 6. Is the utility required to have fire flow capacity? No If so, how much capacity is required? 7. Attach a description of the fire fighting facilities Hydrants 8. Describe any plans and estimated completion dates for any enlargements or improvements of this system. None 9. When did the company last file a capacity analysis report with the DEP? None 10. If the present system does not meet the requirements of DEP rules, submit the following: a. Attach a description of the plant upgrade necessary to meet DEP rules. b. Have these plans been approved by DEP? c. When will construction begin? d. Attach plans for funding the required upgrading. e. Is this system under any Consent Order with DEP? 11. Department of Environmental Protection ID # None 12. Water Management District Consumptive Use Permit# None a. Is the system in compliance with the requirements of the CUP? N/A b. If not, what are the utility's plans to gain compliance? N/A * An ERC is determined based on one of the following methods: (a) if actual flow data are available from the preceding 12 months: Divide the total annual single family residence (SFR) gallons sold by the average number of single family residents (SFR) gallons sold by the average number of single family residence customers for the same period and divide the result by 365 days. (b) If no historical flow data available are available for use: ERC = (Total SFR gallons sold (omit 000)/365 days/350 gallons per day). W7

21 WASTEWATER OPERATION SECTION NHC Utilities provides water service only; therefore, Pages S1 through S6 have been omitted from this report.

22 UTILITY NAME: NHC Utilities, Inc. ~ CERTIFICATION OF ANNUAL REPORT I HEREBY CERTIFY, to the best of my knowledge and belief: YES NO (X) ( ) 1. The utility is in substantial compliance with the Uniform System Of Accounts prescribed by the Florida Public Service Commission in Rule (1 ), Florida Administrative Code. YES NO 2. The utility is in substantial compliance with all applicable rules and ( X) ( ) orders of the Florida Public Service Commission. YES NO 3. There have been no communications from regulatory agencies ( X) ( ) concerning noncompliance with, or deficiencies in, financial reporting practices that could have a material effect on the financial statement of the utility. YES NO 4. The annual report fairly represents the financial condition and results of ( X) ( ) operations of the respondent for the period presented and other information and statements presented in the report as to the business affairs of the respondent are true, correct and complete for the period for which it represents. ITEMS CERTIFIED ( ) ( ) ( ) ( ) (X) (X) ( X) ( X) (signature of chief executive officer of the utility) * * * Each of the four items must be certified YES or NO. Each item need not be certified by both officers. The items being certified by the officer should be indicated in the appropriate area to the left of the signature. Notice: Section , Florida Statutes, provides that any person who knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his duty shall be guilty of a misdemeanor of the second degree. V1

23 Company: NHC Utilities, Inc. Reconciliation of Revenue to Regulatory Assessment Fee Revenue Water Operations Class C For the Year Ended December 31, 2015 (a) (b) (c) Gross Water Gross Water Revenues per Revenues per Accounts Sch. F3 RAFReturn (_d) Difference (b) (c) Gross Revenue: Residential $ I34,8I4 134,813 Commercial Industrial Multiple Family Guaranteed Revenues Other (Irrigation) Total Water Operating Revenue $ 134,8I4 $ 134,813 LESS: Expense for Purchased Water from FPSCRegulated Utility Net Water Operating Revenues $ 134,8I4 $ 134,813 $ $ $ I I I Explanations: Difference due to rounding. Instructions: For the current year, reconcile the gross water revenues reported on Schedule F 3 with the gross water revenues reported on the company's regulatory assessment fee return. Explain any differences reported in column (d).