Page 1 Page 1 A B C D E F G H I J. School Business Services (217) ANNUAL STATEMENT OF AFFAIRS FOR THE FISCAL YEAR ENDING June 30, 2016

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1 Page Page A B C D E F G H I J This page must be sent to ISBE Note: For submitting to ISBE, the "Statement of Affairs" can and retained within the district/joint agreement ILLINOIS STATE BOARD OF EDUCATION be submitted as one file to avoid separating worksheets. administrative office for public inspection. School Business Services ()- SCHOOL DISTRICT/JOINT AGREEMENT NAME: Ladd CCSD DISTRICT TYPE RCDT NUMBER: Elementary x ADDRESS: East Cleveland Street, Ladd, IL High School COUNTY: Bureau Unit NAME OF NEWSPAPER WHERE PUBLISHED: Bureau County Republican ASSURANCE The statement of affairs has been made available in the main administrative office of the school district/joint agreement and the required Annual Statement of Affairs Summary has been published in accordance with Section 0- of the School Code. YES CAPITAL ASSETS VALUE SIZE OF DISTRICT IN SQUARE MILES WORKS OF ART & HISTORICAL TREASURES 0 NUMBER OF ATTENDANCE CENTERS LAND,0 MONTH AVERAGE DAILY ATTENDANCE 0 BUILDING & BUILDING IMPROVEMENTS,, NUMBER OF CERTIFICATED EMPLOYEES SITE IMPROVMENTS & INFRASTRUCTURE 0,0 FULL-TIME CAPITALIZED EQUIPMENT,00 PART-TIME 0 CONSTRUCTION IN PROGRESS 0 NUMBER OF NON-CERTIFICATED EMPLOYEES Total,, FULL-TIME PART-TIME NUMBER OF PUPILS ENROLLED PER GRADE TAX RATE BY FUND (IN %) PRE-KINDERGARTEN EDUCATIONAL 0.0 KINDERGARTEN OPERATIONS & MAINTENANCE 0.00 FIRST BOND & INTEREST 0.00 SECOND TRANSPORTATION 0.00 THIRD MUNICIPAL RETIREMENT FOURTH SOCIAL SECURITY FIFTH WORKING CASH SIXTH FIRE PREVENTION & SAFETY SEVENTH TORT IMMUNITY 0.00 EIGHTH CAPITAL PROJECTS SPECIAL 0 SPECIAL EDUCATION Total Elementary LEASING NINTH 0 OTHER TENTH 0 OTHER ELEVENTH 0 DISTRICT EQUALIZED ASSESSED VALUATION (EAV),, TWELFTH 0 EQUALIZED ASSESSED VALUATION PER ADA PUPIL, SPECIAL 0 TOTAL LONG TERM DEBT ALLOWED,,0 ##### Total Secondary 0 TOTAL LONG TERM DEBT OUTSTANDING AS OF June 0, 0 0,0 Total District PERCENT OF LONG TERM DEBT OBLIGATED CURRENTLY.% ISBE 0- (0/0) ASAform.xls ANNUAL STATEMENT OF AFFAIRS FOR THE FISCAL YEAR ENDING June 0, 0 (Section 0- of the School Code)

2 Page Page A B C D E F G H I J K STATEMENT OF ASSETS AND LIABILITIES AS OF JUNE 0, 0 Description CURRENT ASSETS (00) Acct No (0) (0) (0) (0) (0) (0) (0) (0) (0) Municipal Operations & Fire Prevention & Educational Debt Service Transportation Retirement & Capital Projects Working Cash Tort Maintenance Safety Social Security Cash (Accounts thru ),,0,,, 0,,0, Investments 0 Taxes Receivable 0 Interfund Receivables 0 Intergovernmental Accounts Receivable 0 Other Receivables 0 Inventory 0 Prepaid Items 0 Other Current Assets 0 Total Current Assets,,0,,, 0 0,,0, CURRENT LIABILITIES (00) Interfund Payables 0 Intergovernmental Accounts Payable 0 Other Payable 0 Contracts Payable 0 Loans Payable 0 Salaries & Benefits Payable 0 Payroll Deductions & Withholdings 0 Deferred Revenues & Other Current Liabilities 0 Due to Activity Fund Organizations Total Current Liabilities LONG-TERM LIABILITIES (00) Long-Term Debt Payable Total Liabilities Reserved Fund Balance 0, Unreserved Fund Balance 0,,0,,, 0,,0, Investments in General Fixed Assets Total Liabilities and Fund Balances,,0,,, 0 0,,0,

3 Page Page RECEIPTS/REVENUES A B C D E F G H I J K STATEMENT OF REVENUES RECEIVED/REVENUES, EXPENDITURES DISBURSED/EXPENDITURES, OTHER SOURCES/USES AND CHANGES IN FUND BALANCE - FOR YEAR ENDING JUNE 0, 0 Description Acct No (0) (0) (0) (0) (0) (0) (0) (0) (0) Educational Operations & Maintenance Debt Service Transportation Municipal Retirement & Social Security Capital Projects Working Cash Tort Fire Prevention & Safety Local Sources 000,, 0,,,,,, Flow-Through Received/Revenue from One District to Another District 000 State Sources 000 0,0 0,000,0 Federal Sources 000,0 Total Direct Receipts/Revenues,0,, 0,,0, 0,,, Rec./Rev. for "On Behalf" Payments, Total Receipts/Revenues,0,, 0,,0, 0,,, DISBURSEMENTS/EXPENDITURES Instruction 000,, Support Services ,00,,, 0,0,00 Community Services 000, Payments to Other Districts & Govt Units 000, Debt Services 000,0 Total Direct Disbursements/Expenditures,,,,0,, 0 0,0,00 Disb./Expend. for "On Behalf" Payments 0, Total Disbursements/Expenditures,0,,,0,, 0 0,0,00 Excess of Direct Receipts/Revenues Over (Under) Direct Disbursements/Expenditures (,) (,) (,0) (0,0) (,) 0, (,0), Other Sources of Funds 000,000,0 Other Uses of Funds 000,0,000 Total Other Sources/Uses of Funds (,0),000, (,000) 0 0 Excess of Receipts/Revenues & Other Sources of Funds (Over/Under) Expenditures/Disbursements & Other Uses of Funds (,) (,), (0,0) (,) 0 (0,) (,0), Beginning Fund Balances - July, 0,0 0,,0, 0, 0,,,0 Other Changes in Fund Balances Increases (Decreases) Ending Fund Balances June 0, 0,,0,,, 0 0,,,

4 Page Page 0 0 A B C D E F G H I J K L M The summary must be published in the local newspaper. Ladd CCSD School District/Joint Agreement Name -- Telephone SUMMARY: The following is the Annual Statement of Affairs Summary that is required to be published by the school district/joint agreement for the past fiscal year. Statement of Operations as of June 0, 0 ANNUAL STATEMENT OF AFFAIRS SUMMARY FOR FISCAL YEAR ENDING JUNE 0, 0 Copies of the detailed Annual Statement of Affairs for the Fiscal Year Ending June 0, 0 will be available for public inspection in the school district/joint agreement administrative office by December, 0. Individuals wanting to review this Annual Statement of Affairs should contact: East Cleveland Street, Ladd, IL Address Also by January, 0 the detailed Annual Statement of Affairs for the Fiscal Year Ending June 0, 0, will be posted on the Illinois State Board of Education's website@ AM- PM Office Hours Educational Municipal Operations & Fire Prevention & Debt Services Transportation Retirement/Social Capital Projects Working Cash Tort Maintenance Safety Security Local Sources 000,, 0,,, 0,,, Flow-Through Receipts/Revenues from One 000 District to Another District State Sources 000 0,0 0,000 0, Federal Sources 000, Total Direct Receipts/Revenues,0,, 0,,0, 0,,, Total Direct Disbursements/Expenditures,,,,0,, 0 0,0,00 Other Sources/Uses of Funds (,0),000, (,000) 0 0 Beginning Fund Balances - July, 0,0 0,,0, 0, 0 0,,,0 Other Changes in Fund Balances Ending Fund Balances June 0, 0,,0,,, 0 0,,,

5 Page Page A B C D E F G SALARY SCHEDULE OF GROSS PAYMENTS FOR CERTIFICATED PERSONNEL AND NON-CERTIFICATED PERSONNEL This listing must be published in the local newspaper, sent to ISBE, and retained within your district/joint agreement administrative office for public inspection GROSS PAYMENT FOR CERTIFICATED PERSONNEL Salary Range: Less Than $,000 Salary Range: Less Than $,000 Salary Range: $,000 - $, Salary Range: $0,000 - $, Salary Range: $0,000 and over Arkins, Elizabeth O'Keefe, Peggy Bosi, Amy Bickett, Amanda Zeko, Michelle Banitista, Joel Pinter, Erin Cattani, Brandy Fiocchi, Lori Becker, Bruce Sartain, Theresa DeRubies, Katryna Flanagan, Holly Biagoni, Tina Tumbleson, Linda Jalley, Kimberly Hultquist, Laura Birkey, Diane Warren, Terry Knowles, Jacki Lawler, Ariella Burkman, Emily Ribas, Jackie Lawrence, David Coutts, Amanda Wright, Christine Lonegra, Jill Croasdale, Lois Manning, Jennifer Dempsey, Anna Michels, Kim Embom, Diane Perra, Karen Fiocchi, Marie Garvin,Susan Gonzalez, Clare Jalley, Thomas Kirk, Hannah Klett, Jeffery Lowry, Nancy McLain, William McAlpine, Rhonda GROSS PAYMENT FOR NON-CERTIFICATED PERSONNEL Salary Range: Less Than $,000 Salary Range: $,000 - $, Salary Range: $0,000 - $, Salary Range: $0,000 and over Bartels, Jeannette Pinter, Deborah Dziarnowski, James Bezely, Rhonda Miller, Geri Bosi, Steven Brokaw, Deborah Burcham, Morgan Burkman, Emily Burkman, Paula Chaido, Kay Cole, Melody Coutts, Amanda Devert, Dean Kaspeski, Lisa Lamboley, Robert McKane, Mary Peterson, Linda Raineri, Becky Wilke, August

6 Page Page A B C D E Payments over $,00, excluding wages and salaries. Person, Firm, or Corporation Aggregate Amount Person, Firm, or Corporation Aggregate Amount ABC Insulation, Johns Service and Sales Advanced Asphalt Corp,00 Kidder Music Amazon, KS State Bank 0 American Nickeloid,00 Locker room 0 Ameren Illinois, Malden Grade School AT&T Corp, Marco North Central Bank F 00, Mastercard Corparate North Central Bank S,00 Mastercard Corparate North Central Bank M, Mastercard Corparate Bureau County Special School,0 Mautino Distributing Blue Cross Blue Shiled of Illinois, Nawa, Julee BMP Special Education Co-op, North Central Illinois Clear Amor,00 Northwest Evaluation Associates Common Goals, Office Depot Dresbach Distributing, Oppenheimer Funds Service 00 Forecast Analytics,000 Pacific Life Insurance 0 Dearborn National,0 Prairie State Insurance 0 Fox River Performance, Renaissance Learning Heartland Bank and Trust 0, Robbins Schwartz Nichols 0 Heinemann Corp, Select Account Henry Senachwine CUSD, Teachers Retirement System 0 Hopkins Assoicates CPA,00 Teachers Health Insurance Houghton Mifflin Corp, Varsity Spirit Fashion Corp IASB,0 Village of Ladd IEA/NEA, Waste Management Illinois Dept of Revenue Zaner-Bloser 0 Imprest Fund 0 IMRF 00 International Academy of Science Illinois Valley Community College 00 Johannes Bus Service

7 Page Page A B C D E F PAYMENTS TO PERSON, FIRM, OR CORPORATION OF $,000 TO $,00 This listing must be sent to ISBE, and retained within your district/jointagreement administrative office for public inspection. Ladd CCSD Payments of $,000 to $,00, excluding wages and salaries Person, Firm, or Corporation Aggregate Amount Person, Firm, or Corporation Aggregate Amount Commercial Electronic Equipment,0 Princeton Arts Academy 00 Chalkable, Regional Office of Education Cinatas Fire Protection, RSAC Derby Tech,0 Scholastic 0 Everest Energy Control,0 Sheraton Holly Flanagan, Skatetime Arthur Gallagher, Starline Construction Jacquelyn Ribas, US Postmaster Graphic Electronics, Michelle Zeko 0 Guard, HyVee Food Store, IASA, IL Computing Educators,0 Larson Equip + Furniture Co,0 David Lawrence, LEASE Consultants, Mastercard Corporation, McGraw Hill,0 Menards, Inc, Midland Communications, Midland Paper, Parent Institute, Perma Bound,0 Pheasant Run Resort, Pottinger Concrete Construction,00

8 Page Page A B C D E PAYMENTS TO PERSON, FIRM, OR CORPORATION OF $00 TO $ This listing must be retained within your district/joint agreement administrative office for public inspection. Ladd CCSD Payments of $00 to $, excluding wages and salaries. Person, Firm, or Corporation Aggregate Amount Person, Firm, or Corporation Aggregate Amount A & M Gutterman School Mate Arrow Sales & Service Sofitel Chicago 0 Batteries and Things Thermo Systems Bureau County Republican Uniform Select Casey's Inc 0 Wal-Mart Connecting Point Computer William Sadlier Consortium 0 Zukowski Law Office The Cubby Hole Corp Duffin, James 00 Energy Control Technology Heriff Jones, Inc 0 Hultquist, Laura IASBO 0 IESA 0 IPA Kuntz, Sharon Larsons Ladd Lanes Laminator.com Lanter Distributing Learning A-Z Linn, Christopher 0 OMNI Cheer Orkin Pest Control Peoria Chiefs 0 Rosebud Theater

9 Page Page A REPORT ON CONTRACTS EXCEEDING $,000 AWARDED DURING FY In conformity with sub-section (c) of Section 0-0. of the School Code [0 ILCS /0-0.], the foll submitted in conjunction with submission of the Annual Statement of Affairs [0 ILCS /0-]. INSTRUCTIONS: (See the attached document (pdf) for additional guidance and definitions.) 0 0. Total number of all contracts awarded by the school district:. Total value of all contracts awarded: M:\ASA0\ Guidance Regardin ITEM. Count only contracts where the consideration exceeds $,000 over the life of the contract an and record the number below in the space provided. Do not include: () multi-year contracts awarded pri agreements with district employee groups; and () personal services contracts with individual district em ITEM. Aggregate the value of consideration of all contracts included in item and record the dollar a ITEM. - Count only contracts where the consideration exceeds $,000 over the life of the contract tha minority, female, disabled or local contractors and record the number below in the space provided. Do no awarded prior to FY0; () collective bargaining agreements with district employee groups; and () pe individual district employees. ITEM. Aggregate the value of consideration of all contracts included in item and record the dollar a. Total number of contracts awarded to minority owned businesses, female owned businesses, businesses owned by persons with disabilities, and locally owned businesses:. Total value of contracts awarded to minority owned businesses, female owned businesses, businesses owned by person with disabilities, and locally owned businesses:

10 Page 0 Page 0 0 owing information is required to be B nd that were awarded during FY0 ior to FY0; () collective bargaining ployees. amount below in the space provided. 0 at were awarded during FY0 to ot include: () multi-year contracts rsonal services contracts with amount below in the space provided. (Enter Number Here), (Enter $ Amount Here) 0 (Enter Number Here), (Enter $ Amount Here)