MISSOURI LOCAL GOVERNMENT FINANCIAL ST A TEMENT

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FORM M-62() (~5-212) MSSOUR LOCAL GOVERNMENT FNANCAL ST A TEMENT &. Name of contact Ma L. Wurtz 7. Telephone number 314-261-55 8. Fax number 1.

1 FORM M-62() (~5-212) MSSOUR LOCAL GOVERNMENT FNANCAL ST A TEMENT &. Name of contact Ma L. Wurtz 7. Telephone number Fax number 1. List up to 3 funds (other than General Fund) n the order you want them to appear in the Local Government Financial Statement (omit the word "fundj 1. Flnanclal Statement Summary for the Year Ended Political subdivision number Ci of Pine Lawn, Mo Month 3-Jun Year Name of coun St. Louis Coun 6. Mailing 625 Steve Marra Avenue Ho.o H - H.. '""''... n. H.. - H... address Pine Lawn, MO address mwurtz@swbell.net 1. Capital mprovements 2. Storm Water/Parks 3. Trash NSTRUCTONS FOR COMPLETNG FNANCAL REPORT FOR POLTCAL SUBDVSONS State Auditor's Office P.O. Box869 Jefferson Cl MO 6512 OR to: polyaubfa@audltor.mo.gov Part 1- FNANCAL STATEMENT A. Receipt. (pages 2 and 3) 1- Property Tax - nclude real, personal, and other property tax, but do not include any tax revenues which you collect as agent for another governmental entity. 2. Sales Tax - nclude any and all sales taxes by fund and type. Municipalities in St. Louis County should report their share of the county sales tax. 3. Amusement Sales Tax - Taxes on admission tickets and on gross receipts of all or specified types of amusement businesses. 4. Motor Fuel Tax - Taxes on gasoline, diesel oil, aviation fuel, gasohol, "ethanol," and any other fuels used in motor vehicles or aircraft. 5. Publlc UUlitles Sales Tax - Taxes imposed distinctively on public utllllies, and measured by gross receipts, gross earnings, or units of service sold, either as a direct tax on consumers or as a percentage of gross receipts of utility. 6. Tobacco Product. Tax - Taxes on tobacco products and synthetic cigars and cigarettes, including related products like cigarette tubes and paper. 7. Hotel/Motel and Restaurant/Meals Tax - Sales tax on hotel/motel and restaurant/meals. 8. Alcohollc Beverages Licensing and Pennlt Taxes - Licenses for manufacturing, importing, wholesaling, and retailing of alcoholic beverages. 9. Amusements Licensing and Pennlt Taxes - Licenses on amusement businesses generally and on specific types of amusement enterprises or devices. 1. Motor Vehicles Licensing and Pennlt Taxes - Licenses imposed on owners or operators of motor vehicles for the right to use public roads.. Franchise Tax (Public Utllltles Tax) - Licenses distinctively imposed on public utilities, whether privately or publicly owned. 12. Occupation and Business Licensing and Pennlt Taxes - Licenses required of persons engaged in particular professions, trades, or occupations. 13. Other Licenses and Permit Fees - License and inspections charges on buildings, animals, marriage, guns, etc. 14. ntergovernmental Receipt. - Specify source of ntergovernmental grants and monies received (federal, state or local). 16. Charges for Services - nclude fees and service revenue. 17. Utlllty Receipt. - Gross receipts of any water, electric, gas, or transit systems operated by your government, from utility sales and charges. 18. lntereat Earned- nterest earned from investments. 19. Fines, Cost8, and Forfeitures - Receipts from penalties imposed for violations of law and civil penalties. 2. Rent8 - Revenues from temporary possession or use of government-owned buildings, land, and other properties. 21. Donations - Gifts of cash or securities from private individuals or corporations. 22. Other Receipt. and Transfers - nclude any other receipts that your political subdivision receives that would not be included in the above categories. Sections B and C Dl8bursernent8 - Should be broken down by function and/or object. Governments having multiple functions, (such as police, fire, etc.) or objects (salaries, supplies, etc.) should provide both (if available) and the totals of both should agree. B. Dlabursement8 By Function (pages 4 and &) - List amounts on the line pertaining to the category or write in a category on one of the blank lines. C. 18bursement8 By Object (pages 5 and 6) - List amounts on the line pertaining to the category or write in a category on one of the blank lines. D. Statement Of ndebtedness (pages 6 and 7) - This section requests information on debt ssued by your political subdivision. Debt outstanding at the beginning of the fiscal year, plus debt issued less debt retired should equal the debt outstanding at the end of the fiscal year. All types of debt (e.g., general obligation bonds, revenue bonds, leases, notes) should be reported here. E. lntereat on Debt- (page 7) -Amounts of interest paid, including any interest paid on short-term or non-guaranteed obligations as well as general obligations. F. Statement of Asaesaed Valuation and Tax Rates (page 7) - The assessed valuation information, will be available from your county. The tax rate information will pertain to the tax rate set for the fiscal year reported. Part - FNANCAL STATEMENT SUMMARY (page 8) - Five columns are provided, one for the total of all funds, one for your General Fund, and three for any other funds which you may have. f you have funds in addition to your General Fund, such as a Debt Service, Street, Water, or Sewer Fund, you need to insert the name of any such fund in the blanks provided. f you have more than three funds in addition to your General Fund, you will need to attach a separate page showing the additional funds. The beginning balance of each fund, plus total receipts, less total disbursements should equal your ending balance. Total receipts for each fund should equal the total receipts shown on page 3. Total disbursements for each fund should equal the total disbursements shown on page 6. f you have any questions regarding the completion of this form, please feel free to call the Missouri State Auditor's Office, telephone (573) NOTCE - State law requires political subdivisions to file a financial report with the State Auditor's Office each year pursuant to Section , RSMo, and 15 CSR CONTNUE WTH FORM ON THE NEXT PAGE

Part - FNANCAL STATEMENT A. Receipts FUNDS - Report in whole dollars all funds Capital Storm General mprovements Water/Parks Trash Fund Fund Fund Fund 1.

2 Part - FNANCAL STATEMENT A. Receipts FUNDS - Report in whole dollars all funds Capital Storm General mprovements Water/Parks Trash Fund Fund Fund Fund 1. Total property tax T1 $ 43,654 $ 43,654 $ $ $ 2. Total sales tax T9 38,913 38, Amusement sales tax T 4. Motor fuel tax T13 82,756 82, Public utilities sales tax T15 6. Tobacco products tax T16 7. Hotel/Motel and restaurant/meals tax T19 8. Alcoholic beverages licensing and permit taxes T2 9. Amusement licensing and permit taxes T21 1. Motor vehicles licensing and permit taxes T24 35,18 35,18. Franchise tax (public utilities tax) T27 338, , Occupation and business licensing and permit taxes T26 14,334 14, Other licenses and permit fees T29 22,822 22, ntergovernmental receipts a. Sewer Lateral 44,438 75,41 329,397 b. Roads & Bridges 2,997 2,997 c. Railroad Utilities 12,484 12,484 d. Tobacco Settlement 3,151 3,151 e. Sale of obsolete police cars 7,7 7,7 f. nsurance reimbursements 33,364 33,364 g. Trash Fees 146, ,593 h. i. Sum of lines 14a-h $ 637,727 $ 12,673 $ 37,461 $ $ 146, SUB Sum of items 1-14i $ 1,753,49 $ 1,236,436 $ 37,461 $ $ 146,593 Page 2 FORM M-62(ef) ( )

3 Part - FNANCAL STATEMENT - Continued A. Receipts - Continued FUNDS - Report in whole dollars all funds Capital Storm General mprovements Water/Parks Trash Fund Fund Fund Fund 15. SUB (from page 2) $ 1,753,49 $ 1,236,436 $ 37,461 $ $ 146, Charges for Services a. b. c. d. Sum oflines 16a-c $ $ $ $ $ 17. Utility receipts a. b. c. d. e. Sum of lines 17a-d $ $ $ $ $ 18. nterest earned U2 2, , Fines, costs, and forfeitures U3 2,57,272 2,57, Rents U4 4,77 4, Donations U5 8,295 8, Other receipts and transfers a. Animal Control share 6,992 6,992 b. Notary Fees, Copies c. lnterfund transfers 241,417 61,2 39,717 14,5 d. Sum of lines 22a-c $ 249, 188 $ 7,771 $ 61,2 $ 39,717 $ 14,5 23. RECEPTS Sum of items 15 throu h 22d 4, ,827, ,276 41,14 287,2 PLEASE CONTNUE WTH DSBURSEMENTS ON PAGE 4 Page 3 FORM MO-S2(ef) ( )

Part - FNANCAL STATEMENT - Continued B. Disbursements (by function) FUNDS - Report in whole dollars all funds l Capital Storm General mprovements Water/Parks Trash Fund Fund Fund Fund 1.

4 Part - FNANCAL STATEMENT - Continued B. Disbursements (by function) FUNDS - Report in whole dollars all funds l Capital Storm General mprovements Water/Parks Trash Fund Fund Fund Fund 1. Highways and streets E44 $ 382,444 $ 269,415 $ 3,29$ $ 2. Financial administration E23 3. Central administration E29 943,69 815,74 127, Fire E24 5. Parks and recreation E61 86,883 35,955-14,5 155,43 6. Solid waste management E61 7. Sewerage ESO 8. Water supply system E91 9. Hospitals E36 1. Health (other than hospital) E32. Police E62 1,753,866 1,67, , 12. Judicial and legal E25 453, ,659 69, Correctional institutions E4 14. Probation EOS 15. General public buildings E , Libraries E Public welfare E79 26,52 26, Protective inspection and regulation E Housing and community development E5 799,215 18, , , Economic development E Natural resources E Airports E1 23. SUB Sum oflines 1-22 $ 4,493,5221J 3,366,73s1J 686,8881J 155,431J 284,856 Page4 FORM M-62(ef) ( )

5 Part - FNANCAL STATEMENT - Continued B. Disbursements (by function) FUNDS - Report in whole dollars Continued ' all funds Capital Storm General mprovements Water/Parks Trash! Fund Fund Fund Fund 23. SUB (from page 4) $ 4,493,522 $ 3,366,735 $ 686,888 $ 155,43 $ 284, Electric power system E Parking facilities E6 26. Gas supply system E Transit or bus system E Sea and inland port facilities E Miscellaneous commercial activities E3 3. Other - Specify a. Bank Charges b. c. i 31. lnterfund transfers 241,417 21,7 39, DSBURSEMENTS (by function) Sum of items $ 4,73s.1J 3,568,4351J 726,651J 155,431J 284,927 c. Disbursements (by object) 1. Salaries zoo 1,557,825 1,557, Fringe benefits 472, , Operations 2,463,335 1,336, , ,43 284, SUB Sum of items C1-3 $ 4,493,593 $1 3,366,7351 $1 686,8881$1 155,431 $ 284,927 PLEASE CONTNUE WTH DSBURSEMENTS ON PAGE 6 Page 5 FORM M-62(ef) ( )

6 Part - FNANCAL STATEMENT - Continued B. Disbursements (by object) - FUNDS - Report in whole dollars Continued all funds Capital Storm General mprovements Water/Parks Trash Fund Fund Fund. Fund 4.SUB (from page 5) $ 4,493,593 $ 3,366,735 $ 686,888 $ 155,43 $ 284, Capital expenditures - Specify a. b. ' c. i 1 d. e. 1 f. 1 g. 6. lnterfund transfers - Specify a. Cap, Trash 21,7 21,7 b. Storm Water/Paks 39,717 39, DSBURSEMENTS (by object) Sum of items 4-6b $ 4,73s,1J 3,568,4351J 726,651J 155,431J 284,927 FUNDS - Report in whole dollars Outstanding During Fiscal Year -- Outstanding Beginning of End of Fiscal Year ssued Retired Fiscal Year D. Statement of ndebtedness f 1. General obligation bonds 19U 29U 39U 49U a. b. c. j J 2. 2 Revenue bonds i f 19U 29U 39U 49U a. b. J '' c. 4.SUB Sum of items D1 and 2 $1 ol$1 olsl 1$1 i Page 6 FORM M-62(ef) ( )

7 Part - FNANCAL STATEMENT - Continued D. Statement of ndebtedness FUNDS - Report in whole dollars Continued Outstanding During Fiscal Year -- Outstanding Beginning of End of Fiscal Year ssued Retired Fiscal Year 3. SUB {from page 6) $ $ $ $ 4. Other debt - Specify a. ' 1 b. i c. i 5. Conduit debt 6. STATEMENT OF NDEBTEDNESS Sum of items 3-5 $1 ol $1 1$1 1$1 E. nterest on Debt 1. nterest on water supply system debt 191 $ 2. nterest on electric power system debt 192 $ 3. nterest on gas supply system debt 193 $ 4. nterest on transit or bus system debt 194 $ 5. nterest on all other debt 189 $ F. statement of Assessed Valuation and Tax Rates 1. Real estate $ 14,355,91 2. Personal property 2,298, State assessed railroad and utility VALUATON 4. Sum of items F1-3 $ 16,653,85 Tax rate Tax Rates Funds - Specify (per $1) 1. Residential, Commercial.3 2. Personal Property , Page7 FORM MO-e2(ef) ( }

8 Part - FNANCAL STATEMENT SUMMARY all funds FUNDS - Report in whole dollars Capital Storm General mprovements Water/Parks Fund Fund Fund Trash Fund A. Beginning balance $ 89,173 $ 154,97 '$ 42,259 $ 33,484 $ B. Total receipts 4,588,155 3,827, ,276 41,14 C. Total disbursements 4,735,1 3,568, ,65 155,43 o. Ending balance $ 743,318 $ 414,288 $ 17,93 $ 216,455 $ 2,46 287, 2 284,927 4,645 NOTES Please use this space to provide additional explanations if the space provided for any item was not sufficient. Be sure to reference the item number. Page8 FORM M-62(ef) ( )

MISSOURI LOCAL GOVERNMENT FINANCIAL STATEMENT

FORM M-62() (3-5-212) MISSOURI LOCAL GOVERNMENT FINANCIAL STATEMENT 5. Name of contact Barbara L Miller 7. Telephone number 314-738-772 8. Fax number 1. List up to 3 funds (other than General ) in the