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Affidavit and Revenue Certification

UPPER DELTA SOIL & WATER CONSERVATION DISTRICT

Pointe Coupee Parish

New Roads, LA

ANNUAL SWORN FINANCIAL STATEMENTS AND CERTIFICATION OF REVENUES $50,000 OR LESS (if applicable)

The annual sworn financial statements are required by Louisiana Revised Statute 24:514 to be filed with the Legislative Auditor within 90 days after the close of the fiscal year. The certifioation of revenues $50,000 or less, if applicable, is required by Louisiana Revised Statute 24:513(l)(1)(c)(i).

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Personally came and appeared before the undersigned authority, Mm f (officer name), who, duly sworn, deposes and says that the financial statements

herewith^ven present fairly the financial position of CX> ̂ (entity name) as of (entity's year-end), and the results of operations for the year then ended, in accordance with the basis of accounting described within the accompanying financial statements.

(Complete if a m addition, Upper

. (officer name), who, duly sworn, deposes and says that L4y[/err nanne) received $50,000 or less in revenues and other sources for the year ended and accordingly, is not required to have an audit for the previously mentioned year.

Officer Sigry((u5^

Sworn to and subscribed before me this 2. -^av of . 20/^.

' NOTARY PUBLIC ^ f/F?

GAYNSU C $OUU« NOTAKY PUBUC

POimjXHJm PAJttSH, lOUISlANA MY COMMISSION IS P0« ure

ID #68168

=SS5Ss5H?a::: Sk,T.riSS.rs?S3~' iwaa-Mnn'ari-fl-Rougeoniceo, ulA nOllCO appropriate, at the office of the paribh clerK o

Release Date QCJ Q 5 2016

Please return the completed form within 90 days of your entity's year-end to Office of Legislative Auditor -Local Government Services. Post Office Box 94397. Baton Rouge. LA 70804-9397

UPPER DELTA SOIL AND WATER CONSERVATION DISTRICT NEW ROADS, LOUISIANA

COMBINED BALANCE SHEET ALL FUND TYPES AND ACCOUNT GROUPS

June 30,2016

GOVERNMENTAL ACCOUNT FUND TYPE GROUP

GENERAL

TOTALS (MEMORANDUM ONLY)

GENERAL FUND

FIXED ASSETS

JUNE 30, 2016

JUNE 30, 2015

ASSETS Cash and Cash Equivalents Fixed Assets (Net of Accumulated Depreciation) Accounts Receivable Prepaid Asset

-$ $ 28,068

3,225 1,275

TOTAL ASSETS $ $ $ $ 32,568

LIABILITIES AND FUND BALANCE Liabilities: Accounts Payable Accrued Compensated Absences $

$ $ $

445

Total Liabilities $ $ $ $ 445

Fund Eauitv: Investment in general fixed assets

Unassigned $ $ $

$ 32,123 Total Fund Equity $ $ $ $ 32,123

TOTAL LIABILITIES AND FUND EQUI i Y $ $ $ $ 32,568

See Accountants's Report. 4

PPER DELTA SOIL AND WATER CONSERVATION DISTRICT NEW ROADS, LOUISIANA

GOVERNMENTAL FUND TYPES COMBINED STATEMENT OF REVENUES,

EXPENDITURES, AND CHANGES IN FUND BALANCE

ALL GOVERNMENTAL FUND TYPES FOR THE YEAR ENDED JUNE 30, 2016

REVENUES Intergovernmental Revenue: Farm Bill Local-Parish Government NRCS State Funds

GOVERNMENTAL FUND TYPE GENERAL FUND

JUNE 30, 2016

JUNE 30, 2015

4,926 6,840

29,748

Other Revenue: Interest Local-Donations Rentals

Total Revenues

EXPENDITURES Operating:

Operating Services Personal Services Supplies Travel

Other:

Grants:

Capital outlay:

Total Expenditures

Excess (Deficiency) of revenues over expenditures

OTHER FINANCING SOURCES (USES) Transfers In Transfers Out

Total Other Financing Sources (Uses)

Excess (Deficiency) of Revenues Over Expenditures and Other Sources (Uses)

Unassigned Fund Balances-Beginning

Unassigned Fund Balances-Ending

34,123

34,123

See Accountant's Report. 5

14 350 140

42,018

2,082 30,500

1,642

34,224

7,794

7,794

24,329

32,123

PPKR DELTA SOIL AND WATER C ONSERVATION DISTRIC T NEW ROADS, LOLISIANA

GOVERNMENTAL FLND TYPES COMBINED STATEMENT OF REVENUES, EXPENDITURES, AND CHANGES IN FUND BALANCE-BUDGET (GAAP BASIS)

AND ACTIAL FOR THE YEAR ENDED JtNE 30.2016

REVENUES Intergovernmental Revenue:

Farm Bill Local-Parish Government NRCS State Funds

Other Revenue: Interest Local-Donations Rentals

Total Revenues

EXPENDITURES Operating:

Operating Services Personal Services Supplies Travel

Other:

Grants; Capital outlay:

Total Expenditures

Excess (Deficiency) of revenues over expenditures

OTHER FINANCING SOURCES (USESl Operaing Transfers In Operating Transfers Out

Total Other Financing Sources (Uses)

Excess (Deficiency) of Revenues Over Expenditures and Other Sources (Uses)

Unassigned Fund Balance-Beginning

Unassigned Fund Balance-Ending

BUDGET

GENERAL FUND

ACTUAL

VARIANCE FAVORABLE

(UNFAVORABLE)

$ 8,453 S 8.453 % -s 6,840 S 6,840 -s - $ - -

29,748 29,748 -

17 17 2,500 2,500 -

80 80 •

$ 47.638 s 47,638 S .

$ 1,450 s 1,416 $ 34 $ 36.775 $ 36,594 181 $ . s -s 781 $ 781 s - $ •

s - $ -

$ 39,006 s 38,791 s 215

$ 8.632 $ 8,847 $ 215

s - $ • $ -

s - $ - s -

% 8,632 s 8,847 s 215

34,123 34,123 .

s 42,755 $ 42,970 $ 215

6

UPPER DELTA SOIL AND WATER CONSERVATION DISTRICT NEW ROADS, LOUISIANA

SCHEDULE OF COMPENSATION PAID TO BOARD MEMBERS For the Year Ended June 30, 2016

Board Members do not receive per diem

Statement C

Upper Delta Soil and Water Conservation District (Agency Name)

Schedule of Compensation, Benefits and Other Payments to Agency Head or Chief Executive Officer (REQUIRED, PLEASE SUBMIT COMPLETED FORM, PER ATTACHED INSTRUCTIONS)

Agency Had Name/Title: Andrew Price Gay, Jr./Chairman

Purpose Amount Salary 0.00 Benefits-insurance 0.00 Benefits-retirement 0.00 Benefits-other (describe) 0.00 Benefits-other (describe) 0.00 Benefits-other (describe) 0.00 Car allowance 0.00 Vehicle provided by government 0.00 (enter amount reported on W-2) Per diem 0.00 Reimbursements 0.00 Travel $64.77 Registration fees 0.00 Conference travel 0.00 Housing 0.00 Unvouchered expenses (example: 0.00 travel advancements, etc.) Special meals 0.00 Other 0.00