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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: Joppa-Maple Grove # DISTRICT TYPE RCDT NUMBER: Elementary ADDRESS: P O Box 0, Joppa North Ave Joppa IL High School COUNTY: Massac Unit X NAME OF NEWSPAPER WHERE PUBLISHED: Metropolis Planet 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 BUILDING & BUILDING IMPROVEMENTS,, NUMBER OF CERTIFICATED EMPLOYEES SITE IMPROVMENTS & INFRASTRUCTURE 0 FULL-TIME CAPITALIZED EQUIPMENT,,0 PART-TIME CONSTRUCTION IN PROGRESS NUMBER OF NON-CERTIFICATED EMPLOYEES Total,0, FULL-TIME PART-TIME NUMBER OF PUPILS ENROLLED PER GRADE TAX RATE BY FUND (IN %) PRE-KINDERGARTEN 0 EDUCATIONAL,0,0.000 KINDERGARTEN OPERATIONS & MAINTENANCE 0,.000 FIRST BOND & INTEREST SECOND 0 TRANSPORTATION,.00 THIRD MUNICIPAL RETIREMENT,.00 FOURTH SOCIAL SECURITY,.00 FIFTH WORKING CASH,0.00 SIXTH FIRE PREVENTION & SAFETY,0.00 SEVENTH TORT IMMUNITY,.00 EIGHTH CAPITAL PROJECTS SPECIAL SPECIAL EDUCATION,.00 Total Elementary LEASING.00 NINTH OTHER TENTH OTHER ELEVENTH DISTRICT EQUALIZED ASSESSED VALUATION (EAV),00, TWELFTH EQUALIZED ASSESSED VALUATION PER ADA PUPIL,0 SPECIAL TOTAL LONG TERM DEBT ALLOWED,00,0 ##### Total Secondary TOTAL LONG TERM DEBT OUTSTANDING AS OF June 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, 0,0,0 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, ,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 0,0 Unreserved Fund Balance 0,, 0, 0,0 Investments in General Fixed Assets Total Liabilities and Fund Balances,, 0, 0 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 000,0,0, 0 00,0, 0,0,0, Flow-Through Received/Revenue from One District to Another District 000, State Sources 000,0, Federal Sources 000, Total Direct Receipts/Revenues,,, 0,, 0,0,0, Rec./Rev. for "On Behalf" Payments,0 Total Receipts/Revenues,0,0, 0,, 0,0,0, DISBURSEMENTS/EXPENDITURES Instruction 000,,, Support Services 000,,0,,0,, Community Services 000 Payments to Other Districts & Govt Units 000, Debt Services 000,0 Total Direct Disbursements/Expenditures,,,0,0,,0 0,, Disb./Expend. for "On Behalf" Payments 0, Total Disbursements/Expenditures,0,,0,0,,0 0,, Excess of Direct Receipts/Revenues Over (Under) Direct Disbursements/Expenditures 0, 0,0 (,0) (0,0) (,) 0,0,,0 Other Sources of Funds 000,0,0 Other Uses of Funds 000,0,0 Total Other Sources/Uses of Funds,0 (,0), (,0) 0 0 Excess of Receipts/Revenues & Other Sources of Funds (Over/Under) Expenditures/Disbursements & Other Uses of Funds,0, 0 (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 0,0, ,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. Joppa-Maple Grove # P O Box 0 Joppa, IL -- :0-:0 School District/Joint Agreement Name Address Telephone Office Hours 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: 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@ Educational Municipal Operations & Fire Prevention & Debt Services Transportation Retirement/Social Capital Projects Working Cash Tort Maintenance Safety Security Local Sources 000,0,0, 0 00,0, 0,0,0, Flow-Through Receipts/Revenues from One 000 District to Another District, State Sources 000,0 0 0, Federal Sources 000, Total Direct Receipts/Revenues,,, 0,, 0,0,0, Total Direct Disbursements/Expenditures,,,0,0,,0 0,, Other Sources/Uses of Funds,0 (,0), (,0) 0 0 Beginning Fund Balances - July, 0,,, 0,0, 0 0 0,0, Other Changes in Fund Balances Ending Fund Balances June 0, 0,, 0, 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: $,000 - $, Salary Range: $0,000 - $, Salary Range: 0,000 - $, Salary Range: $0,000 and over Vonda Belt, Robert Chambless, Mary Elliott, Kisty Arnold, Heather Ater, Larry Durham, James Biggerstaff, Kristi Duckworth, Jennifer Abate-Barrett, William Biggerstaff Karen Faulkner, James Forthman, William Rogers Crystal Forthman, Sherry Godfrey, Penny Bellamey, Kathleen Dunning, Jessica Johnson, Brenda J-Yazd, Philip Jones, Sharon Goines, Trebor Hill, Richard Jones, Tamra Peck Amy McGinness, Betty Meyer, John Quattlebaum, Susan Quattlebaum, Jusin Recuero, Justin Reynolds,Sasha Roberson, Kevin Thomas, Jonathan Voelz, Connie Webb, GROSS PAYMENT FOR NON-CERTIFICATED PERSONNEL Michelle Johnson, John Kreuter, Brandon McKinney, Johnnie Owens, Jennifer Pegram, Landon Sommer, Kathey Walquist, Sarah Wittig, Lacey Wright Salary Range: Less Than $,000 Salary Range: $,000 - $, Salary Range: $0,000 - $, Salary Range: $0,000 and over Robbie Adams, Beth Adkins, Jason Ater, Kent Kester Barbara Harding Helga Aviles, Brianna Barnett, Tonya Burnett, Helios Copeland, Billee Corzine, Mary DeMent, Amy Fitzgerald, Kenneth Harris, Twila Hodges, Debbie Johson, Kelly Johnson, Linda Johnson, Robert Johnson, Lacey Jones, Lori Jones, Kerry Krempasky, Amy Land, Deanna Latham, Shirley Lewis, Michelle Meyer, Kim Mitchell Alison Myers, Leah Reichert, Donna Rushing, Amanda Smith, Andrew Stewart, Charles Stubblefield, Gail Stubblefield, Carnan Waldon, Cheryl Walters Stephen Wolfe, Mary Wrye

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 AMERICAN FIDELITY CO,00 KENTUCKY STATE TREASURER. AFES FLEX DEPARTMENT, BANC OF AMERICA LEASING 0. AMERICAN FIDELITY CO, IMPREST FUND MAPLE GROVE. IEC-NEXT ERA ENERGY SVS, MARBLE LIFE OF ST LOUIS 00 SUPPLY WORKS, MASSAC CO MENTAL HEALTH 0. ARAMARK SERVICE CORP, CRAIG MCCLELLAN. BEUSSINK, HEY & ROE,000 MERITAIN INSURANCE/EGYPTIAN TRUST BSN SPORT,0 BANTERRA BANK 00 DANA CROSS,00 OFFICE DEPOT. FIVE CO REGIONAL VOC SYS 0, PEARSON EDUCATION. FORREST SHERER INC, BUSINESS CARDS KK,CW. FOX RIVER FOODS INC,0 PRAIRIE FARMS MILKS. HADDOCK COMPUTER CENTERS, QUINT UTILITIES HOWARD D HAPPY CO 0,0 RENAISSANCE LEARNING INC HITTERMANS MDSE MART, SIEC. ILL ASSOC SCHOOL BOARDS, SOUTHWESTERN ILLINOIS BUS 0 ICI MECHANICAL LLC, CHALKABLE 0. ILL DEPT CENTRAL MANGMENT, TEACHERS RETIREMENT SYSTEM. IDES, THIS. IL DEPT OF REVENUE, TEACHERS RETIREMENT SYSTEM 0. IL MUNICIPAL RETIREMENT,0 LIBERTY UTILITIES. PRAIRIE STATE INS COOP, WEST BUS SERVICES INC. JAMP SPECIAL EDUCA SERV, JHS IMPREST FUND, KANSAS STATE UNIVERSITY,000

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. Joppa-Maple Grove # Payments of $,000 to $,00, excluding wages and salaries Person, Firm, or Corporation Aggregate Amount Person, Firm, or Corporation Aggregate Amount AFLAC, ZEBRA GRAPHICS AT&T, BILL BIGGERSTAFF, BUSHUE HUMAN RESOURCES,0 CUSUMANO & SONS, REPUBLIC #,0 BLICK ART SUPPLIES, EARTHGRAINS COMPANY, EGYPT TROPHY & AWARDS, FLINN SCIENTIFIC INC, FOLLETT SCHOOL SOLUTIONS, FORT MASSAC WATER DISTRICT, HORACE MANN,00 JHS/JR HI ACTIVITY ACCT, LANTER DISTRIBUTING,0 NIXON INSURANCE AGENCY, NU DESIGNS,00 PREMIER FIRE PROTECTION, PRO-ED,0 SCHOLASTIC MAGAZINES, SECURITY ALARM CORPORATION, SOUTHERN ILLOISAN,0 TERMINIX PROCESSING CENTER, TRIANGLE ENTERPRISES,0 VILLAGE OF JOPPA,0

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. Joppa-Maple Grove # Payments of $00 to $, excluding wages and salaries. Person, Firm, or Corporation Aggregate Amount Person, Firm, or Corporation Aggregate Amount ROBBIE ADAMS 0.0 PENNY BELLAMEY. CARSON CENTER 0 CREATIONS FLORIST. GROUP CAST LLC 00 BARBARA HARDING. HOUGHTON MIFFLIN.0 ISAS. IJ&M AC/FRIG SYS, LLC. KENT KESTER 0. LAKESHORE LEARNING. DANIELLE LEWIS 0 METROPOLIS BIG JOHN 0. THE METROPOLIS PLANET. PICK UP MART 0. SCENARIO LEARNING 00 SHERWIN WILLIAMS. LANDON SOMMER. VERIZON WIRELESS. BOB WORTHEN 0 WORTHINGTON DIRECT 0.

9 Page Page A REPORT ON CONTRACTS EXCEEDING $,000 AWARDED DURING FY0 In conformity with sub-section (c) of Section 0-0. of the School Code [0 ILCS /0-0.], the following information is required to be 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.) B 0 0 M:\ASA0\ Guidance Regardin ITEM. Count only contracts where the consideration exceeds $,000 over the life of the contract and that were awarded during FY0 and record the number below in the space provided. Do not include: () multi-year contracts awarded prior to FY0; () collective bargaining agreements with district employee groups; and () personal services contracts with individual district employees. ITEM. Aggregate the value of consideration of all contracts included in item and record the dollar amount below in the space provided. ITEM. - Count only contracts where the consideration exceeds $,000 over the life of the contract that were awarded during FY0 to minority, female, disabled or local contractors and record the number below in the space provided. Do not include: () multi-year contracts awarded prior to FY0; () collective bargaining agreements with district employee groups; and () personal services contracts with individual district employees. ITEM. Aggregate the value of consideration of all contracts included in item and record the dollar amount below in the space provided.. Total number of all contracts awarded by the school district: (Enter Number Here). Total value of all contracts awarded:, (Enter $ Amount Here). 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). 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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