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1 Page 1 Page 1 This page must be sent to ISBE and retained within the district/joint agreement administrative office for public inspection. Note: For submitting to ISBE, the "Statement of Affairs" can ILLINOIS STATE BOARD OF EDUCATION be submitted as one file to avoid separating worksheets. School Business Services (217) ANNUAL STATEMENT OF AFFAIRS FOR THE FISCAL YEAR ENDING June 30, 2018 (Section of the School Code) SCHOOL DISTRICT/JOINT AGREEMENT NAME: Cowden-Herrick CUSD3A DISTRICT TYPE RCDT NUMBER: A-26 Elementary ADDRESS: 633 County Highway 22, Cowden, IL High School COUNTY: Shelby Unit X NAME OF NEWSPAPER WHERE PUBLISHED: ASSURANCE Shelbyville Daily Union 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 of the School Code. YES CAPITAL ASSETS VALUE SIZE OF DISTRICT IN SQUARE MILES 105 WORKS OF ART & HISTORICAL TREASURES NUMBER OF ATTENDANCE CENTERS 2 LAND 42,712 9 MONTH AVERAGE DAILY ATTENDANCE 336 BUILDING & BUILDING IMPROVEMENTS 5,117,347 NUMBER OF CERTIFICATED EMPLOYEES SITE IMPROVMENTS & INFRASTRUCTURE 271,067 FULL-TIME 36 CAPITALIZED EQUIPMENT 1,668,089 PART-TIME 0 CONSTRUCTION IN PROGRESS NUMBER OF NON-CERTIFICATED EMPLOYEES Total 7,099,215 FULL-TIME 18 PART-TIME 3 NUMBER OF PUPILS ENROLLED PER GRADE TAX RATE BY FUND (IN %) PRE-KINDERGARTEN 0 EDUCATIONAL KINDERGARTEN 28 OPERATIONS & MAINTENANCE FIRST 27 BOND & INTEREST SECOND 21 TRANSPORTATION THIRD 27 MUNICIPAL RETIREMENT FOURTH 14 SOCIAL SECURITY FIFTH 30 WORKING CASH SIXTH 24 FIRE PREVENTION & SAFETY SEVENTH 31 TORT IMMUNITY EIGHTH 20 CAPITAL PROJECTS SPECIAL 29 SPECIAL EDUCATION Total Elementary 251 LEASING NINTH 25 OTHER TENTH 22 OTHER ELEVENTH 28 DISTRICT EQUALIZED ASSESSED VALUATION (EAV) 23,466,050 TWELFTH 18 EQUALIZED ASSESSED VALUATION PER ADA PUPIL 69,839 3 SPECIAL 13 TOTAL LONG-TERM DEBT ALLOWED 3,238,315 ##### Total Secondary 106 TOTAL LONG-TERM DEBT OUTSTANDING AS OF June 30, ,601 Total District 357 PERCENT OF LONG-TERM DEBT OBLIGATED CURRENTLY 6.23% ISBE (06/2018) ASA18form.xls

2 Page 2 Page 2 STATEMENT OF ASSETS AND LIABILITIES AS OF JUNE 30, 2018 Description Acct No (10) (20) (30) (40) (50) (60) (70) (80) (90) Educational Operations & Maintenance Debt Service Transportation Municipal Retirement & Social Security Capital Projects Working Cash Tort Fire Prevention & Safety CURRENT ASSETS (100) Cash (Accounts 111 thru 115) 1,704,737 31,558 14, , , ,429 61,386 92,751 52,433 Investments 120 Taxes Receivable 130 Interfund Receivables 140 Intergovernmental Accounts Receivable 150 Other Receivables 160 Inventory 170 Prepaid Items 180 Other Current Assets 190 Total Current Assets 1,704,737 31,558 14, , , ,429 61,386 92,751 52,433 CURRENT LIABILITIES (400) Interfund Payables 410 Intergovernmental Accounts Payable 420 Other Payable 430 Contracts Payable 440 Loans Payable 460 Salaries & Benefits Payable 470 Payroll Deductions & Withholdings 480 (57) 124 (23) 16 Deferred Revenues & Other Current Liabilities 490 Due to Activity Fund Organizations 493 Total Current Liabilities (57) (23) LONG-TERM LIABILITIES (500) Long-Term Debt Payable 511 Total Liabilities (57) (23) Reserved Fund Balance ,915 55, ,429 Unreserved Fund Balance 730 1,657,879 31,434 14, , ,001 61,386 92,735 52,433 Investments in General Fixed Assets Total Liabilities and Fund Balances 1,704,737 31,558 14, , , ,429 61,386 92,751 52,433

3 Page 3 Page 3 STATEMENT OF REVENUES RECEIVED/REVENUES, EXPENDITURES DISBURSED/EXPENDITURES, OTHER SOURCES/USES AND CHANGES IN FUND BALANCE - FOR YEAR ENDING JUNE 30, 2018 Description Acct No (10) (20) (30) (40) (50) (60) (70) (80) (90) Educational Operations & Maintenance Debt Service Transportation Municipal Retirement & Social Security Capital Projects Working Cash Tort Fire Prevention & Safety RECEIPTS/REVENUES Local Sources , ,461 41,232 97, , ,763 11, ,392 22,006 Flow-Through Received/Revenue from One District to Another District ,130 9, State Sources ,237, , , Federal Sources , Total Direct Receipts/Revenues 3,394, ,301 41, , , ,763 11, ,392 22,006 Rec./Rev. for "On Behalf" Payments ,306,021 Total Receipts/Revenues 4,700, ,301 41, , , ,763 11, ,392 22,006 DISBURSEMENTS/EXPENDITURES Instruction ,819,737 27,798 Support Services , , , ,814 12, ,499 33,523 Community Services , Payments to Other Districts & Govt Units , Debt Services , Total Direct Disbursements/Expenditures 2,941, ,217 40, , ,612 12, ,499 33,523 Disb./Expend. for "On Behalf" Payments ,306, Total Disbursements/Expenditures 4,247, ,217 40, , ,612 12, ,499 33,523 Excess of Direct Receipts/Revenues Over (Under) Direct Disbursements/Expenditures 453,508 (71,916) ,842 17,190 90,182 11,002 13,893 (11,517) Other Sources of Funds ,000 Other Uses of Funds ,000 Total Other Sources/Uses of Funds 0 50, (50,000) 0 Excess of Receipts/Revenues & Other Sources of Funds (Over/Under) Expenditures/Disbursements & Other Uses of Funds 453,508 (21,916) ,842 17,190 90,182 11,002 (36,107) (11,517) Beginning Fund Balances - July 1, ,251,286 53,349 14,042 29, ,115 89,245 50, ,844 63,949 Other Changes in Fund Balances Increases (Decreases) (2) 1 Ending Fund Balances June 30, ,704,794 31,434 14, , , ,429 61,386 92,735 52,433

4 Page 4 Page 4 ANNUAL STATEMENT OF AFFAIRS SUMMARY FOR FISCAL YEAR ENDING JUNE 30, 2018 The summary must be published in the local newspaper. Copies of the detailed Annual Statement of Affairs for the Fiscal Year Ending June 30, 2018 will be available for public inspection in the school district/joint agreement administrative office by December 1, annually. Individuals wanting to review this Annual Statement of Affairs should contact: Cowden-Herrick CUSD3A School District/Joint Agreement Name 633 County Highway 22, Cowden, IL Address 217/ Telephone 7:00 am - 3:30 pm Office Hours Also by January 15, annually the detailed Annual Statement of Affairs for the Fiscal Year Ending June 30, 2018, will be posted on the Illinois State Board of Education's website@ SUMMARY: The following is the Annual Statement of Affairs Summary that is required to be published by the school district/joint agreement for the past fiscal year. Statement of Operations as of June 30, 2018 Educational Operations & Maintenance Debt Services Transportation Municipal Retirement/Social Security Capital Projects Working Cash Tort Fire Prevention & Safety Local Sources , ,461 41,232 97, , ,763 11, ,392 22,006 Flow-Through Receipts/Revenues from One 2000 District to Another District 48,130 9, State Sources ,237, , , Federal Sources , Total Direct Receipts/Revenues 3,394, ,301 41, , , ,763 11, ,392 22,006 Total Direct Disbursements/Expenditures 2,941, ,217 40, , ,612 12, ,499 33,523 Other Sources/Uses of Funds 0 50, (50,000) 0 Beginning Fund Balances - July 1, ,251,286 53,349 14,042 29, ,115 89,245 50, ,844 63,949 Other Changes in Fund Balances (2) 1 Ending Fund Balances June 30, ,704,794 31,434 14, , , ,429 61,386 92,735 52,433

5 Page 5 Page 5 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 $25,000 Salary Range: $25,000 - $39,999 Salary Range: $40,000 - $59,999 Salary Range: 60,000 - $89,999 Salary Range: $90,000 and over Gary Cadwell, Tashina Calame, Emily Ade, Shawn Beck, Marc Bain, Carolyn Burrus, Tina Oldham, Seth Schuler Darrell Gordon Kevin Corley, Stephanie Cosart, Anthony Berry, Kristen Blakey Casey Burrus, Karen Christner, Christopher Earles, Karen Ellis, Brett Boehm, Jodi Boys, Shelli Cotton, Tamara Evans, Angela Jefferies, Jennifer Endsley, Rebecca Gruis Jennifer Hopkins, Sadie Kircher, Kyle Knop, Douglas Koester, Shirley Hall, Jenifer Harvey, Kelsey Mayfield, Jackie Mette, Sheila Moore, Shantal Parks, Sally Ruot, Lorrie Milleville, Andrew Noble Kristen Nohren, Jeremy Rinkel, Pamela Siddens, Cassandra Spangler, Katy Noble, Andrew Nohren Stefani Robinson Lisa Steffen, Lana Stephens, Barby Renoe, Elizabeth Russell Dave Wojcik, Judith Wood Elizabeth Russell, Connie Smith Jamie Summers, Glenna Taylor Glenna Taylor, Amanda Watson Carolyn Wendte, Jeremy Williams Sara Williams, Lauren Withiem GROSS PAYMENT FOR NON-CERTIFICATED PERSONNEL Salary Range: $25,000 - $39,999 Salary Range: $40,000 - $59,999 Salary Range: $60,000 and over Salary Range: Less Than $25,000 Barbara Boehm, Anthony Carlisle, Alan Boehm, Nicole Carter, Gary Davis, None Jennifer Allen, Samantha Allen, Crystal Wehrle Teresa Redman Desiree Banning, Donna Bartels, Charlotte Blickem, Larry Blickem, Trent Boehm, Jessica Bunch, Gary Cadwell, Jessica Cook, Patty Cooper, Stephanie Cosart, Willie Ana Denton, Glenda Depoister, Diana Dunaway, Christopher Earles, Alec Edwards, Laura Endsley, Steve Evans, Devin Friesland, Richard Green, Shirley Hall, Kendra Houghtaling, Mitzi Howell, Jay Huddleston, Sara James, Karen Jones, Patricia Jones, Jodi Kelly, Holly Lucas, Pamela Mahaffey, Michelle Manley, Linda McBee, Aaron Nohren, Sally Pease, Miranda Pope, Donna Ray, Barby Renoe, Karen Ritchie, Elizabeth Russell, Lindsay Sarver, Madonna Shellenbarger, Glenna Taylor, Shannon Thomas, Lola Thompson, Rhonda Thompson, John VanVoorhis, Amanda Watson, Michael Williams,

6 Page 6 Page 6 Lauren Withiem, David Wojcik, Theodore Woods, Larry Young

7 Page 7 Page 7 Payments over $2,500, excluding wages and salaries. This listing must be published in the local newspaper, sent to ISBE, and retained within your district/joint agreement administrative office for public inspection Cowden-Herrick CUSD3A A-26 Person, Firm, or Corporation Aggregate Amount Person, Firm, or Corporation Aggregate Amount Jill Dare 5,555 Kendra Brading 28,672 AMERENIP 12,339 CASNER INDUSTRIAL LIGHTIN 3,075 The Atlanta National Bank 40,950 Lakemary Center, Inc. 246,350 Barlow Lock & Security,IN 3,960 Liberty Utilities Midstat 15,359 BLUECROSS BLUESHIELD 309,776 LAND OF LINCOLN CREDIT UN 4,200 Brumleve Industries, Inc 3,700 Masco Pkg & Ind Supply 3,373 BSN Sports, Inc. 11,381 MCGuire,Yuhas,Huffman 9,895 Burford Electric, Inc. 8,061 MENARDS 3,662 Cardmember Service 19,352 Midwest Bus Sales 17,190 Carlisle Repair 21,329 Midwest Office Supply 9,405 C.C. Services, Inc. 4,955 Miller Oil Co. 45,803 CDW Government 50,421 Miller, Tracy, Braun 2,762 IL Federation Of Teachers 26,479 M.J. Kellner 79,398 C-HHS Revolving Fund 4,339 QNS 103,952 Country Mutual Ins. Co. 61,902 R.D. McMillen Enterprises 4,696 Consolidated Communicatio 11,283 RENAISSANCE LEARNING, INC 4,942 CRAIG ANTENNA SERVICE 10,361 Rick Prosser 4,305 Doty & Sons Mowing 8,850 Scheid Diesel Service Co. 3,588 Doty Sanitation Service 5,122 School Specialty 6,092 ECOLAB 2,746 Schlanser Trucking 2,510 EFFINGHAM BUILDERS SUPPLY 5,032 Shelby Electric Coop 57,063 EFPTS 335,106 State Disbursement Unit 3,328 Eastern IL Ed For Emp.Sys 6,472 TAP Business Systems 18,958 Frontier Communications 2,855 TEACHERS HEALTH INS.SEC. 36,736 Dearborn Nat. Life Ins.Co 3,491 Trigg's Flooring 6,254 Great Western Supply Co. 3,556 TEACHERS RETIREMENT SYST 171,307 IL Assoc.Of School Boards 2,998 TSA Consulting Group 7,780 IL Dept. Employment Sec. 18,489 Tyler Technologies, Inc 5,905 IL DEPT. OF REVENUE 102,308 Verizon Wireless 2,654 IHLS 3,004 Wente Plbg&Htg Co.,Inc 4,866 Illinois Principal Assoc. 3,245 IMPREST FUND 2,679 IL MUNI RETIREMENT FUND 86,993

8 Page 8 Page 8 PAYMENTS TO PERSON, FIRM, OR CORPORATION OF $1,000 TO $2,500 This listing must be sent to ISBE, and retained within your district/jointagreement administrative office for public inspection. Cowden-Herrick CUSD3A A-26 Payments of $1,000 to $2,500, excluding wages and salaries Person, Firm, or Corporation Aggregate Amount Person, Firm, or Corporation Aggregate Amount D & K Bennett, Inc. 2,045 WALMART COMMUNITY BRC 1,316 BRADFIELD'S COMPUTER SUP. 1,467 West Interactive Services 1,271 Technology Mgmt Rev Fund 1,680 ComTech Holding, Inc. 2,207 Darrell E. Gordon 2,000 EFFINGHAM DAILY NEWS 1,246 EICHENAUER SERVICES, INC. 1,603 FLINN SCIENTIFIC INC. 2,095 General Office Fund 2,148 Gould Transportation Svc 1,300 Great Lakes Higher E.G.C. 1,141 Jo Ann Moutrey 1,200 Summit Financial Resource 1,586 Lyle Prosser Construction 1,500 MedCom, Inc. 1,020 Neal Tire Shelbyville 1,849 PowerSchool 2,263 Probst Refrigeration 2,277 RENAISSANCE LEARNING, INC 2,415 REGIONAL OFFICE OF ED 1,629 Shelbyville Daily Union 1,324 Shelby County Health Dept 1,328 Specialty Floors, Inc. 1,800 VILLAGE OF COWDEN 2,332 VILLAGE OF HERRICK 2,310

9 Page 9 Page 9 PAYMENTS TO PERSON, FIRM, OR CORPORATION OF $500 TO $999 This listing must be retained within your district/joint agreement administrative office for public inspection. Cowden-Herrick CUSD3A A-26 Payments of $500 to $999, excluding wages and salaries. Person, Firm, or Corporation Aggregate Amount Person, Firm, or Corporation Aggregate Amount ARAB Termite & Pest Contr 780 Lisa K. Steffen 655 Barker's Garage 756 Martin's IGA 864 Battery&Starter Specialty 587 Matrix/Impact Telecom 787 Bushue Background Screeni 624 Michael L. Mobley 530 Charles & Sandra Crouch 868 Pro-Ed, Inc. 758 Cowden Medical Clinic 525 SCHOOL MATE 552 Dissinger Reed, LLC 525 Scholastic, Inc. 743 Gopher 710 The Sherwin-Williams Co 800 W.W. Grainger, Inc. 782 S.J. Smith Co. 641 The Green Works 771 SLACK GLASS CO. 721 Tames/Health Resource Ser 779 Teacher Direct 680 Ideal Environmental Eng.I 525 Triad Industrial Sup.,Inc 816 IL ELEM. SCHOOL ASSOC. 980 University Of Illinois 850 INDUSTRIAL MECHANICAL INC 919 Varsity Spirit Fashions 596 Jay's Tree Service 500 Ward's Science 640 Jennifer Allen 511 Warehams Security FBS Inc 990 Kendall M. Huffman 700 LAKE LAND COLLEGE 586

10 Page 10 Page 10 REPORT ON CONTRACTS EXCEEDING $25,000 AWARDED DURING FY2018 In conformity with sub-section (c) of Section of the School Code [105 ILCS 5/ ], the following information is required to be submitted in conjunction with submission of the Annual Statement of Affairs [105 ILCS 5/10-17]. INSTRUCTIONS: (See the attached document (pdf) for additional guidance and definitions.) M:\ASA2011\ Guidance Regardin ITEM 1. Count only contracts where the consideration exceeds $25,000 over the life of the contract and that were awarded during FY2018 and record the number below in the space provided. Do not include: (1) multi-year contracts awarded prior to FY2018; (2) collective bargaining agreements with district employee groups; and (3) personal services contracts with individual district employees. ITEM 2. Aggregate the value of consideration of all contracts included in item 1 and record the dollar amount below in the space provided. ITEM 3. - Count only contracts where the consideration exceeds $25,000 over the life of the contract that were awarded during FY2018 to minority, female, disabled or local contractors and record the number below in the space provided. Do not include: (1) multi-year contracts awarded prior to FY2018; (2) collective bargaining agreements with district employee groups; and (3) personal services contracts with individual district employees. ITEM 4. Aggregate the value of consideration of all contracts included in item 3 and record the dollar amount below in the space provided. 1. Total number of all contracts awarded by the school district: 1 (Enter Number Here) 2. Total value of all contracts awarded: 55,000 (Enter $ Amount Here) 3. Total number of contracts awarded to minority owned businesses, female owned businesses, businesses owned by persons with disabilities, and locally owned businesses: 0 (Enter Number Here) 4. Total value of contracts awarded to minority owned businesses, female owned businesses, businesses owned by person with disabilities, and locally owned businesses: 0 (Enter $ Amount Here)

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