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Wu771-12

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CLASS "C" WATER AND/OR WASTEWATER UTILITIES (Gross Revenue of Less Than $200,000 Each) ANNUAL REPORT OF WU771-12-AR Melinda Keen Dunnahoe Keen Sales, Rentals and Utilities, Inc. -685 Dyson Road Haines City, FL 33844-8587 KE.e.N Sv1d. v ;....S~.)" Submitted To The STATE OF FLORIDA - r- c:: So ..,..__..... :z: no l> (""') n ( ...,) 0 (_ ~< --- +='"' =~IJ') C)- 0 17"' :;,c .,o z:;::. z ':'J rq PUBLIC SERVICE COMMISSION FOR THE YEAR ENDED DECEMBER 31, ~ \:J \ ~ Form PSC/ECR 006-W (Rev. 12/99) ==- "T1 0 :::t": a :t>::o """{ -ofTl ::s:: c: ("") - - CJ~ cr.r- - ·n -< ::J: ~- CJrrl 1..0 rr1 w +='" ~ (f)CJ ;o < ("") rr1 GENERAL INSTRUCTIONS 1. Prepare this report in conformity with the 1996 National Association of Regulatory Utility Commissioners (NARUC) Uniform System of Accounts for Water and Wastewater Utilities as adopted by Rule 25-30 .115 (1 ), Florida Administrative Code. 2. Interpret all accounting words and phrases in accordance with the Uniform System of Accounts (USOA), Commission Rules and the definitions on the next page. 3. Complete each question fully and accurately, even if it has been answered in a previous annual report. Enter the word "None" where it truly and completely states the fact. 4. For any question, section, or page which is not applicable to the respondent, enter the words "Not Applicable." Do not omit any pages. 5. Where dates are called for, the month and day should be stated as well as the year. 6. All schedules requiring dollar entries should be rounded to the nearest dollar. 7. Complete this report by means which result in a permanent record. You may use permanent ink or a typewriter. Do not use a pencil. 8. If there is not enough room on any schedule, an additional page or pages may be added provided the format of the added schedule matches the format of the schedule in the report. Additional pages should reference the appropriate schedules, state the name of the utility, and state the year of the report. 9. If it is necessary or desirable to insert additional statements for the purpose of further explanation of schedules, such statements should be made at the bottom of the page or on an additional page. Any additional pages should state the name of the • utility and the year of the report, and reference the appropriate schedule. 10. The utility shall file the original and two copies of the report with the Commission at the address below, and keep a copy for itself. Pursuant to Rule 25-30.110 (3), Florida Administrative Code, the utility must submit the report by March 31 for the preceeding year ending December 31. Florida Public Service Commission Division of Economic Regulation 2540 Shumard Oak Boulevard Tallahassee, Florida 32399-0850 11 . Pursuant to Rule 25-30.110 (7) (a), Florida Administrative Code, any utility that fails to file its annual report or extension on or before March 31, or within the time specified by any extension approved in writing by the Division of Economic Regulation, shall be subject to a penalty. The penalty shall be based on the number of calendar days elapsed from March 31, or from an approved extended filing date, until the date of filing . The date of filing shall be included in the days elapsed. REPORT OF 8 b ~ - \..\ d, \ , l?> 9::; c). ( 8l£? 3 - Y d. \ - lc) ~ :). J Telephone Number Fax Number Street Address County Date Utility First Organized :) 1.,\ N , \ (){'1 \j E-mail Address f\ D\.A rJ 1'\.J (-\ \-\ '~ ~ @ A'~\.... ,C \~ ~\ KlA\'J3~J Sunshine State One-Call of Florida, Inc. Member No. Check the business entity of the utility as filed with the Internal Revenue Service: 0 ,0{ Sub Chapter S Corporation Individual 0 1120 Corporation 0 Partnership f-\b,)J2 Name, Address and Phone where records are located: Name of subdivisions where services are provided: CONTACTS Name Person.to send~~sponden~: 7 D:\ ' o "S~ N ,-.J 'l... ,(;) ~ c\ \" Title Px-> >kkoe.r R.... Salary Charged Utility Principal Business Address c <::> r1 ;Yl _,. e. Person who prepared this report: Sf: e v ~ l::k r C0 -JcQ ~') f\ ·en, ~J.ntl~ '-'\N 1'-i·\. . ,·h·,o I< f.: ~~.('Officers ;;t Managers: 0.z e •.:~ •'<"·~' " fl\ e \ \ CIL'\ ,._b V 1 N ~>,itt.~·~ '<_ '1_, P. Ec.. t~~ .~&.. ~c:~~ ~~~~~~~~~ \ 'l)~~Ke~ ....V\' $~). $ $ $ $ Trec1.S. 5.,..<.!- ' ~-~ Report every corporation or person owning or holding directly or indirectly 5 percent or more of the voting securities of the reporting utility: Name Percent Ownership in Utility Salary Charged Utility Princ!Q_al Business Address $ $ $ $ $ $ $ F-2 UTILITY NAME: KEEN SALES , RENTALS & UTILITIES - SUBDIVISION YEAR OF REPORT ").."::l\.) DECEMBER 31, ~4. INCOME STATEMENT Account Name Ref. Page Gross Revenue: Residential - - - - - - - Commercial- - - - - - - Industrial Multiple Family_____ _ Guaranteed Revenues- Other (Specify)_ _ __ __ Water Wastewater Total Company Other $ 54,349 $ $ $ 54,349 $ 54,349 $ $ $ 54,349 $ 61 ,260 $ $ $ 61 ,260 -- -- - -- -- Total Gross Revenue-- Operation Expense (Must tie to pages W-3 and S-3) W-3 S-3 Depreciation Expense_ ___ F-5 5,261 5,261 CIAC Amortization Expense_ F-8 -3,194 -3,194 Taxes Other Than Income_ _ F-7 3,867 3,867 Income Taxes F-7 --- -- ---- Total Operating Expense $ 67,194 Net Operating Income (Loss) $ -12,845 Other Income: Non utility Income_____ $ Other Deductions: Miscellaneous Nonutility Expenses________ Interest Expense__ _ __ DONATIONS OTHER Net Income (Loss) $ $ 67,194 -12,845 $ $ $ $ $ $ $ $ $ 562 0 34 34 $ -13,441 $ F-3 $ $ -13 441 UTILITY NAME: KEEN SALES, RENTALS & UTILITIES- SUBDIVISION YEAR OF REPORT DECEMBER 31, 2012 COMPARATIVE BALANCE SHEET ACCOUNT NAME Previous Year Current Year Reference Paqe Assets: Utility Plant in Service (101-105) - - - - - Accumulated Depreciation and Amortization (108)_ _____________ F-5,W-1 ,S-1 $ $ Cash---------------------Customer Accounts Receivable (141)_ ____ Other Assets (Specify): ____________ INTER COMPANY ACCT $ Total Assets------------------ $ 51274 192997 136843 142104 F-5,W-2,S-2 Net Utility Plant_______________ 193378 $ 56154 1293 775 1161 1414 123575 115011 176917 $ 173740 Liabilities and Capital: Common Stock Issued (201 )_ _________ Preferred Stock Issued (204 )_ _________ Other Paid in Capital (211)_ __________ Retained Earnings (215)_ ___________ Propietary Capital (Proprietary and partnership only) (218)_ ___________ F-6 F-6 300 300 F-6 -34740 -21299 F-6 Total Capital _________________ Long Term Debt (224)_ ____________ Accounts Payable (231 )_ ___________ Notes Payable (232)_ _____________ Customer Deposits (235)_ ___________ Accrued Taxes (236)_ _____________ Other Liabilities (Specify)_ __________ ACCRUED EXPENSES ROUNDING Advances for Construction ----------Contributions in Aid of Construction - Net (271-272)_ _______ Total Liabilities and Capital F-6 $ -34440 $ -20999 $ 69405 1097 $ 73692 814 F-8 -----------1 $ F-4 2446 2631 135375 1 111375 3033 6227 176917 $ 173740 UTILITY NAME KEEN SALES , RENTALS & UTILITIES - SUBDIVISION YEAR OF REPORT 31-Dec-12 GROSS UTILITY PLANT Plant Accounts : (101- 107) inclusive Water Utility Plant in Service (101) $ Plant other Than Reporting Systems Wastewater Total 193378 $ $ $ 193378 193378 $ $ $ 193378 Construction Work in Progress (105)_ - - - - - - - - - - Other (Specify) _____ __ r Total Utility Plant_ ___ _ _ $ ACCUMULATED DEPRECIATION (A/D) AND AMORTIZATION OF UTILITY PLANT Account 108 Water Balance First of Year_____ Other Than Reporting Systems Wastewater Total $ 136843 $ $ $ 136843 Add Credits During Year: Accruals charged to depreciation account_ _ _ $ Salvage_______ _ ____ Other Credits (specify)_ __ 5261 $ $ $ 5261 ---- -- - -- $ 5261 $ $ $ 5261 $ $ $ $ ------ --- $ $ $ $ $ $ $ I Total Credits Deduct Debits During Year: Book cost of plant retired --- - ----- - Cost of removal- - - - - - Other debits (specify) Tota l Debits Balance End of Year___ _ __ $ 142104 F-5 142104 YEAR OF REPORT DECEMBER 31, UTILITY NAME: KEEN SALES, RENTALS & UTILITIES- SUBDIVISION 2012 CAPITAL STOCK ( 201 - 204) Preferred Stock Common Stock 1 300 300 300 0 Par or stated value per share__________________________ Shares authorized------------------------------Shares issued and outstanding _________________________ Total par value of stock issued _________________________ Dividends declared per share for year_____________________ RETAINED EARNINGS ( 215) UnAppropriated Appropriated Balance first of year_______________________________ $ Changes during the year (Specify): LOSS $ Balance end of year______________________________ $ -21299 -13441 $ -34740 PROPRIETARY CAPITAL ( 218) Proprietor Or Partner Partner Balance first of year_______________________________ $ Changes during the year (Specify): $ Balance end of year______________________________ $ $ LONG TERM DEBT ( 224 ) Interest Rate #of Pvmts Description of Obligation (Including Date of Issue and Date of Maturity): NOTE PAYABLE KEEN SALES NOTE PAYABLE EARLEEN KEEN NOTE PAYABLE KEEN SALES 7 Total ---------------------------- ---------F-6 12 Principal per Balance Sheet Date 45798 $ 22251 1356 $ 69405 UTILITY NAME: KEEN SALES, RENTALS & UTILITIES- SUBDIVISION YEAR OF REPORT DECEMBER 31, 2012 TAX EXPENSE Water (b) (a) Income Taxes: Federal income tax_______ $ State income Tax- - - - - - - Taxes Other Than Income: State ad valorem tax Local property tax__ Regulatory assessment fee___ Other (Spe CORP FILING PAYROLL TAXES Wastewater (c) $ Other (d) $ Total (e) $ -_-_-_-_-_-J Total Tax Expense________ $ 2446 2446 0 1421 1421 3867 $ $ $ 3867 PAYMENTS FOR SERVICES RENDERED BY OTHER THAN EMPLOYEES Report all information concerning outside rate, management, construction, advertising, labor relations, public relations, or other simi liar professional services rendered the respondent for which aggregate payments during the year to any corporation , partnership, individual, or organization of any kind whatever amounting to $500 or more. Name of Recipient Water Amount Wastewater Amount $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ F-7 Description of Service UTILITY NAME: KEEN SALES, RENTALS & UTILITIES - SUBDIVISION YEAR OF REPORT DECEMBER 31 , 2012 CONTRIBUTIONS IN AID OF CONSTRUCTION ( 271 ) Water (b) (a) 1) 2) Balance first of year_________________ Add credits during year_______________ 3) 4) 5) 6) Total Deduct cha rges during the year___________ Balance end of year_________________ Less Accumulated Amortization $ 54139 $ 7) Wastewater (c) Total (d) $ $ $ $ 54139 ----------------------- ----------Net CIAC ---------------------- 54139 -51106 $ 3033 54139 -51106 $ $ 3033 ADDITIONS TO CONTRIBUTIONS IN AID OF CONSTRUCTION DURING YEAR (CREDITS) Report below all developers or contractors agreements from which cash or property was received durinq the year. Indicate "Cash" or "Property" Sub-total ----------------------- Water Wastewater $ $ $ $ $ $ Report below all capacity charges , main extension charges and customer connection charges received during the vear. Charge per Number of Connection Connections Description of Charge $ Total Credits During Year (Must agree with line# 2 above.)_ _______ ACCUMULATED AMORTIZATION OF CIAC (272) Balance First of Year__________________ Add Debits During Year:______________ $ Water 47912 3194 $ $ Total 47912 3194 $ 51106 $ $ 51106 Wastewater Deduct Credits During Year: _____________ Balance End of Year (Must agree with line #6 above.) F-8 ** COMPLETION OF SCHEDULE REQUIRED ONLY IF AFUDC WAS CHARGED DURING YEAR** UTILITY NAME KEEN SALES, RENTALS & UTILITIES- SUBDIVISION YEAR OF REPORT DECEMBER 31 , 2012 SCHEDULE "8" SCHEDULE OF CAPITAL STRUCTURE ADJUSTMENTS Per Book Balance (b) Class of Capital (a) Common Equity Preferred Stock Long Term Debt Customer Deposits Tax Credits-Zero Cost Tax Credits-Weighted Cost of Capital Deferred Income Taxes Other (Explain) $ Total $ 300 Non-utility Adjustments (c) $ Non-juris. Adjustments (d) $ Capital Structure Used for AFUDC Calculation (f) Other (1) Adjustments (e) $ $ 69405 (1) 69705 300 69405 $ $ $ Explain below all adjustments made in Column (e): F-10 $ 69705 UTILITY NAME: YEAR OF REPORT 2012 DECEMBER 31 , KEEN SALES RENTAL & UTILITIES- SUBDIVISIONS WATER UTILITY PLANT ACCOUNTS Acct. No. (a) 301 302 303 304 305 306 307 308 309 310 311 320 330 331 333 334 335 336 339 340 341 342 343 344 345 346 347 348 Previous Year (c) Account Name (b) Additions (d) $ _ _ __ Organization_________ _ $ _ _ __ Franchises ___________ _ Land and Land Rights _____ _ 13896 Structures and Improvements__ Collecting and Impounding Reservoirs Lake , River a~ -Othe;:- - - - Intakes___________ _ 64874 Wells and Springs_______ _ Infiltration Galleries and Tunnels -----------Supply Mains __________ _ Power Generation Equipment__ 7595 Pumping Equipment___ _ __ _ 16842 Water Treatment Equipment Distribution Reservoirs and - Standpipes_________ _ 21800 Transmission and Distribution Lines____________ _ 32026 Services 5945 Meters and Current Year (f) Retirements (e) $ _ _ __ $ _ _ __ 0 13896 I -I 64874 I 7595 16842 T 21800 I 32026 5945 Meter------- -1 Installations_________ _ Hydrants____________ _ Backflow Prevention Devices Other Plant and - - ~Miscellaneous Equipment__ _ Office Furniture and Equipment_________ _ Transportation Equipment___ _ Stores Equipment Tools, Shop and Ga7age - - Equipment_________ _ Laboratory Equipment____ _ _ Power Operated Equipment__ _ Communication Equipment_ _ _ Miscellaneous Equipment___ _ Other Tangible Plant______ _ 381 12740 4651 13121 4651 I 783 11845 783 11845 -1 Total Water Plant________ $ 0 0 0 192997 $ ==,;;3;;;8~1 W-1 $===~0 $ 193378 UTILITY NAME: KEEN SALES RENTAL & UTILITIES- SUBDIVISIONS YEAR OF REPORT DECEMBER 31 , 2012 ANALYSIS OF ACCUMULATED DEPRECIATION BY PRIMARY ACCOUNT- WATER Acct. No. (a) 304 305 306 307 308 309 310 311 320 330 331 333 334 335 336 339 340 341 342 343 344 345 346 347 348 Average Service Life in Years (c) Account (b) Average Salvage in Percent (d) Accumulated Depreciation Balance Previous Year (f) Depr. Rate Applied (e) Debits (g) Accum . Depr. Balance End of Year (f-g+h=i ) (i) Credits (h) Structures and Improvements___ Collecting and Impounding Reservoirs ----------Lake , River and Other Intakes___ Wells and Springs_________ Infiltration Galleries & Tunnels - -----------Supply Mains___________ Power Generating Equipment__ Pumping Equipment________ 28 % % $ 18 % % % % % % 49609 2401 52010 % % 17 % 7 % 7182 16842 413 Water Treatment Equipment__ Distribution Reservoirs & Standpipes_ _ _________ Trans . & Dist. Ma ins- - - - - - - Services -------------Meter & Meter Installations---Hydrants______________ % % % % % 7595 16842 30 40 % % % % % % % % % % % % 14734 16815 3504 11908 2412 719 801 170 93 116 15453 17616 3674 12001 2528 % % % % % 270 11845 52 322 11845 I I I -I % 17 40 Backflow Prevention Devices Othec Ploot ood Ml"ellaoeoo~ - ~ Equipment_______ __ _ Office Furniture and Equipment____ ____ __ _ Transportation Equipment____ Stores Equipment__ ____ __ _ I Too~~uTph~~n~=~~a~:: ___ _ J Laboratory Equipment_______ Power Operated Equipment__ _ Communication Equipment___ _ Miscellaneous Equipment_____ Other Tangible Plant___ __ ___ 13 6 15 I Totals_ ___ _______ ____ 10 10 % % 1722 $ $ 496 $ 2218 % % % % % % % % % % % 0 % % I 0 0 $ 1 * This amount should tie to Sheet F-5. W-2 136843 $ 0 $ 5261 $ 142104 * UTILITY NAME: KEEN SALES, RENTALS. & UTILITIES- PARADISE Island YEA.R OF REPORT DECEMBER 31, 2012 WATER OPERATION AND MAINTENANCE EXPENSE Acct. No. Account Name 601 603 604 610 615 616 618 Amount Salaries and Wages- Employees ________________________________ _ Salaries and Wages- Officers. Directors, and M;Jjonty Stockholders _________ -·_ Employee Pensions and Benefrts ___________ -· ·- ___________________ _ Purchased Water ________________ ·-- ___ -· _______________ _ Purchased Power_____________________________________ _ Fuel for Power Productron ___________ ·- ___________ ··- ________ _ Chemicals___________________ -· _______ ·- ____________ _ Materials and -Supplies ______ .... ___________________________ _ Contractual Services Billing __________________________________________ _ Professional _____________________________________ _ Testing ________________________________________ _ 620 630 $ 16280 13200 2767 1349 -----1217 ·--7T5 ---·sea 6807 1674 5400 340 3780 O~e~----------------------------------------- 640 650 655 665 Rents ___________________________________________ _ Transportation Expense _________ ·- __ .. ___________________ ... __ Insurance Expense _______________________________________ _ Regulatory Commission Expenses (Amo:1ized Rate Case Expense) ______ -·- ___ ·- ____ _ Bad Debt Expense_. ____ -· .... __ .. __ -· -· ........ _ _ __ ... _ ·-- ____________ ·-- _ Miscellaneous Expenses_ ..... __ .. __ ................ ______ .. ... . _.. _____ .. ________ _ 670 675 Total '/v'ater Operation r"'nd MainterHH1ce Expense ________________________ _ $ • Thrs amount should tre to Sheet F-3. 58 3146 57321 • WATER CUSTOMERS Description ta) Residential Service 5/8" 314" 1" 1 1/2" .. Type of Meter (bl Equivalent Factor (cl [) 10 1.5 [) D D.T Number of Active Customers End Start of Year of Year (d) (e) CD -----~~-~-- 3" 3" 3" Unmetered Customers Other (Specrfy) .. D = Displacement C = Compound T =Turbine D D D D,T D,C.T c 1.0 1.5 2.5 50 8.0 15 0 16 0 T 17 5 0 (f) L\s- ss- ----- ----- 25 50 General Service 5/8" 3/4" 1" 1 1/2" 2'; Total Number of Meter Equivalents (C X e) ------ -------·-··---· -------------- ----- ----- --------·· ---·· -- --------- -----Total W-J G)'s- t1S"' q~ UTILITY NAME: YEAR OF REPORT DECEMBER 31, SYSTEM NAME: PUMPING AND PURCHASED WATER STATISTICS (a) January________ February_____ __ March April _________ _ May_ _________ June --------July_ _________ August________ September______ October________ November______ December______ Water Purchased For Resale (Omit OOO's) (b) ~ Finished Water From Wells (Omit OOO's) (c) 335-'6~ .S'7i30(p i.e/~ lo. l.b J.7lf.3l: .;R.tS'::J..s- 6.311~~ --------- Total for Year_____ Recorded Accounted For Loss Through Line Flushing Etc. (Omit OOO's) (d) ki~C'Ilo) &.1,-~,Q~~ 'i.~~:AO lS-31 j:2 ..s-olS~ t_Q~.:>..;t jo S (., ..5'11 ()2l3 'll.o~~ :J ,3, k!'(] 1~'-i J ~ 2 ':j_j~X"J. ~~/0-::l ' .S.'"lj (.p,3~ lD~lL3~ ~~ £, -8 ~ ~It:! '::U () S"" '-/31 i () \p Total Water Pumped And Purchased (Omit OOO's) [ (b)+(c)-(d)) (e) Water Sold To Customers (Omit OOO's) (f) S-377.:J.'f 6 3 ') 'I ;). t.t ..5 'I ts.J..Sl ...5 )B~..s-1 s-11D18~ .s '] :.3 8.'i.$ s: 2;3 '2. & 7o.::t'99 J (&....l-181 ..5 ~:H~\l2~ '1 I .A8.53 '-f ~.:k}~s~ ..!. '-15 ~,3 -~ l.,O B 3~{.:) '12~1:~3"'ij S Ito I 8CJ 1~ ~..;). (~i ~ ]Od541 S l:t c~llt2~ 7}~~~'-f ec- ~~'1K:l 0 \t) ~33 &::>8 3u<:> ~&\all, '7 J.~k8~~ If water is purchased for resale, indicate the following : Vendor Point of delivery If water is sold to other water utilities for redistribution, list names of such utilities below: MAINS (FEET) Kind of Pipe (PVC, Cast Iron, Coated Steel, etc.) Q ~r C.. r~ c.. '\'" c_ Diameter of Pipe to II ~" .~., First of Year Lj 3> CJl.£· / _;.- ~ ~ .).....';). ':> Added Removed or Abandoned End of Year 'f 3CJ c / /') ::15 , ~').,~ ----W-4 / J 7 YEAR OF REPORT DECEMBER 31 , d-.0 ~ UTILITY NAME: c ( [\ . ...._:) \; \'Jd' SYSTEM NAME: . . I \j I .1) I . {") WELLS AND WELL PUMPS (b) (a) Year Constructed------Types of Well Construction and Casing________ Depth of Wells_________ Diameters of Wells-----Pump- GPM_________ Motor- HP Motor Type * _________ Yields of Wells in GPD ---Auxiliary Power________ ---------- * Submersible centrifugal etc. (c) (d) (e) (d) [e) (d) (e) 1\81 I") v' c_ .-~~5 w ..z < ;:)....:;) ~ . ....0~~ - (, t-<"e ~ ,.,.3 ~-) ( ~~..Jl RESERVOIRS (a) Description (steel , concrete) Capacity of Tank_______ Ground or Elevated------ \\I ) ~<2 c). (v e...\ £} \) 0 0 C::::z ,- ~~--...a~ HIGH SERVICE PUMPING f\ (a) Motors (c) (b) (b) (c) ~ Manufacturer____ __ _ Type_____________ Rated Horsepower______ Pumps Manufacturer_________ Type____________ ·_ Capacity in GPM _ _ _____ Average Number of Hours Operated Per Day_____ Auxiliary Power________ !-::::::: ---- ...___ ~ --............ --............. ~ ~ ..........._ ' W-5 ' UTILITY NAME: YEAR OF REPORT DECEMBER 31 , .).._C)\ SOURCE OF SUPPLY List for each source of supply ( Ground, Surface, Purchased Water etc. ) Permitted Gals. per day_ __ Type of Source______ _ _ Llnk~\.)Vvl ) c~ ?-(':::! ' ""' -~a\ WATER TREATMENT FACILITIES List for each Water Treatment Facility: Type_____________ Make Permitted Capacity (GPD)_ _ High service pumping Gallons per minute____ Reverse Osmosis Lime Treatment Unit Rating________ Filtration Pressure Sq. Ft. _____ Gravity GPD/Sq.Ft. ____ Disinfection Chlorinator_______ Ozone__________ Other___________ Auxiliary Power_______ ------------- 'S-\r~,vc) Js G.,:;,'\V\ \ \a "\<.......x~-..0 r"\ ( \ ------ ~ \..\i:SKN<) ~ /\-. \ ~ .N . , ) l \ ;... Q_, .-.J~(:\ - 6.., n2 >1 .~'Z"L ~ ,.__,t,,_(' W-6 YEAR OF REPORT DECEMBER 31, :3-() \ UTILITY NAME: SYSTEM NAME: GENERAL WATER SYSTEM INFORMATION Furnish information below for each system . A separate page should be supplied where necessary. 13] 1. Present ERC's * the system can efficiently serve. 2. Maximum number of ERCs *which can be served . \_... \ N k Y'\J \.) vJ 3. Present system connection capacity (in ERGs*) using existing lines. G\"1\Jk 1II.:JW f\ liJ1 k rv() W 4. Future connection capacity (in ERGs *) upon service area buildout. 5. Estimated annual increase in ERCs *. () ~ .\~ k,v..~ v0l\ }\./o 6. Is the utility required to have fire flow capacity? If so, how much capacity is required? 7. Attach a description of the fire fighting facilities. (\ ~~ ·~'-') ' _) \ c..,;+ j \-\ .!) ; r1 cu~ 8. Describe any plans and estimated completion dates for any enlargements or improvements of this system. I lj l8 7 \:i 1\' fl~ i - 9. When did the company last file a capacity analysis report with the DEP? \ ,i ~I~ & f\..1 ~ ') ·.,.U{~ 10. If the present system does not meet the requirements of DEP rules, submit the following : a. Attach a description of the plant upgrade necessary to meet the DEP rules. b. Have these plans been approved by DEP? c. When will construction begin? d. Attach plans for funding the required upgrading . e. Is this system under any Consent Order with DEP? 11 . Department of Environmental Protection ID # Ll ~ Lr)Cf k c.;- 3- 5 12. Water Management District Consumptive Use Permit # a. Is the system in compliance with the requirements of the CUP? :~ -:s s- ljes b. If not, what are the utility's plans to gain compliance? * An ERC is determined based on one of the following methods: (a) If actual flow data are available from the preceding 12 months: Divide the total annual single family residence (SFR) gallons sold by the average number of SFR customers for the same period and divide the result by 365 days. (b) If no historical flow data are available use: ERC =(Total SFR gallons sold (omit 000)/365 days/350 gallons _per day). W-7 ':)_ S_vt_..~. .;:::__---- UTILITY NAME_:_ t< l---'-c: ..;;;: - ;....._;;;(_ ;;;;.....:.N....:..,__ _ YEAR OF REPORT DECEMBER 31, d.-0 ) :J.. ·cERTIFICATION OF ANNUAL REPORT I HEREBY CERTIFY, to the best of my knowledge and belief: YES cu lgEs NO CJ 1. The utility is in substantial compliance with the Uniform System of Accounts prescribed by the Florida Public Service Commission in Rule 25-30.115 (1 ), Florida Administrative Code. NO I CJ 2. The utility is in substantial compliance with all applicable rules and orders of the Florida Public Service Commission. 3. There have been no communications from regulatory agencies concerning noncompliance with, or deficiencies in, financial reporting practices that could have a material effect on the financial statement of the utility. 4. The annual report fairly represents the financial condition and results of operations of the respondent for the period presented and other information and statements presented in the report as to the business affairs of the respondent are true, correct, and complete for the period for which it represents . rn CJ ~ CJ NO NO .. Items Certified 1. 2. 3. 4. CZSI I ...x I [KJ L2SJ Date: 1. 2. 3. (signature of Chief Executive Officer of the utility) s-j d.-~/ ;3 I 4. CJ c=J CJ c=J (signature of Chief Financial Officer of the utility) Date: • Each of the four items must be certified YES or NO. Each item need not be certified by both officers . The items being certified by the officer should be indicated in the appropriate area to the left of the signature. Notice: Section 837 .06 , Florida Statutes, provides that any person who knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his duty shall be guilty of a misdemeanor of the second degree. V-1 Reconciliation of Revenue to Regulatory Assessment Fee Revenue Water Operations Company: J< <. c 'S 1'...1 Class C b5 i.-1.. For the Year Ended December .. , (a) (b) Gross Water Revenues Per Sch. F-3 Accounts Gross Revenue: Residential .s (I '3 '-t '9. (d) (c) Gross Water Revenues Per RAF Return Difference (b) - (c) $ c.;;Lf~~CJ $ ~ $ £; '-\ 3~ '"1l. $ ~ 'f 3.:--LC!J $ ""'& $ .S .. \f '2:, '-' C.'] L $ .S ':-\ 3 -\_ci_ $ ~ $ Commercial Industrial Multiple Family Guaranteed Revenues Other Total Water Operating Revenue LESS: Expense for Purchased Water from FPSC-Regulated Utility Net Water Operating Revenues ., ., Explanations: Instructions: For the current year, reconcile the gross water revenues reported on Schedule F-3 with the gross water revenues reported on the company's regulatory assessment fee return . Explain any differences reported in column (d), CLASS "C" WATER AND/OR WASTEWATER UTILITIES (Gross Revenue of Less Than $200,000 Each) ANNUAL REPORT OF WU771-12-AR Melinda Keen Dunnahoe · Keen Sales, Rentals and Utilities, Inc. ·- Lt\ 'K E ~Q..J.~·\ 1::, \ \ 685 Dyson Road VA<"" , J 1· \ , Haines City, FL 33844-8587 '' 1 .<:, < ·-:s:_ c., 1=\\\ol Submitted To The STATE OF FLORIDA l> ("') n C> ---·- w I - ... -oM u,-< __ ("")('T'l ::J: 1"'1 PUBLIC SERVICE COMMISSION Form PSC/ECR 006-W (Rev. 12/99) o~::t:l :::s:- ("") lcl, :::c no :::;c:n > ~.: YEAR ENDED DECEMBER 31, ~0 0 ~ z-q \.0.. FOR THE '""' r w s:- :::::c:of'l"1 U>r-- S;;(/)0 .... ('T'l ;o < ~- UTILITY NAME: KEEN SALES, RENTALS, & UTILITIES- PARADISE Island YEAR OF REPORT DECEMBER 31, 2012 INCOME STATEMENT Account Name Ref. Page Gross Revenue: Residential Commercial_ _______ Industrial Multiple Family______ Guaranteed Revenues__ Other (Specify)_ _____ -------- Water Wastewater Total Company Other $ 43,417 $ $ $ 43,417 $ 43,417 $ $ $ 43,417 $ 57,321 $ $ $ 57,321 --------- Total Gross Revenue___ Operation Expense (Must tie to pages W-3 and S-3) W-3 S-3 Depreciation Expense____ F-5 CIAC Amortization Expense_ F-8 Taxes Other Than Income__ F-7 Income Taxes_________ F-7 3,094 3,094 3,375 3,375 Total Operating Expense $ 63,790 Net Operating Income (Loss) $ -20,373 Other Income: Nonutility Income_____ ROUNDING $ Other Deductions: Miscellaneous Nonutility Expenses________ Interest Expense_____ DONATIONS Miscellaneous Nonutility ROUNDING Net Income (Loss) $ 63,790 $ $ $ -20,373 $ $ $ 0 1 $ $ $ 1 $ 127 0 34 127 34 $ -20,533 $ F-3 $ $ -20,533 UTILITY NAME: KEEN SALES, RENTALS, & UTILITIES- PARADISE lsi,,__...;;;,;;;;Y,;;;;E,;;;;A~R;,;;O,;;;;F~R~E;.;,P._O_R_T_ _....;;,;~' _ DECEMBER 31, 2012 COMPARATIVE BALANCE SHEET ACCOUNT NAME Reference Page Previous Year Current Year Assets: Utility Plant in Service (101-105) -----Accumulated Depreciation and Amortization (108)_ _____________ F-5,W-1,S-1 $ F-5,W-2,S-2 Net Utility Plant_______________ 85673 $ 37978 41069 $ Cash Customer Accounts Receivable (141)_ ____ Other Assets (Specify): ____________ ROUNDING 44604 $ 47424 1162 270 1293 242 ---------------------- 85402 3 Total Assets__________________ $ 46139 $ 48859 Liabilities and Capital: Common Stock Issued (201 )_ _________ Preferred Stock Issued (204)_ _________ Other Paid in Capital (211 )_ __________ Retained Earnings (215)_ ___________ Propietary Capital (Proprietary and partnership only) (218)_ ___________ F-6 F-6 700 700 F-6 -337618 -317082 F-6 Total Capital_ ________________ Long Term Debt (224)_ ____________ Accounts Payable (231)_ ___________ Notes Payable (232)_ _____________ Customer Deposits (235)_ ___________ Accrued Taxes (236)_ _____________ Other Liabilities (Specify)_ __________ INTERCOMPANY ACCOUNT ACCRRUED EXPENSES ROUNDING Advances for Construction Contributions in Aid of Construction - Net (271-272)_ _______ F-6 $ -336918 $ -316382 $ 57846 1004 $ 62133 251 1954 2370 123575 198676 2 115011 185476 ----------- F-8 -----------1 $ Total Liabilities and Capital F-4 46139 $ 48859 UTILITY NAME KEEN SALES, RENTALS, & UTILITIES - PARADISE Isla YEAR OF REPORT DECEMBER 31, 2012 GROSS UTILITY PLANT Plant Accounts: (101 -107) inclusive Utility Plant in Service (101) Plant other Than Reporting Systems Wastewater Water Total $ 85673 $ $ $ 85673 $ s~::a~':l -..~vi>J $ $ $ 85673 Construction Work in Progress (105)_ - - - - - - - - - - Other (Specify) _______ Total Utility Plant______ ACCUMULATED DEPRECIATION (NO) AND AMORTIZATION OF UTILITY PLANT Account 108 Balance First of Year_____ Water Other Than Reporting Systems Wastewater Total $ 37975 $ $ $ 37975 Add Credits During Year: Accruals charged to depreciation account___ $ Salvage____________ Other Credits (specify)_ __ 3094 $ $ $ 3094 Total Credits_________ $ 3094 $ $ $ 3094 Deduct Debits During Year: Book cost of plant retired Cost of removal------Other debits (specify) $ $ $ $ Total Debits__________ $ $ $ $ $ $ $ ------------ Balance End of Year______ $ 41069 F-5 41069 YEAR OF REPORT DECEMBER 31 UTILITY NAME: KEEN SALES, RENTALS, & UTILITIES- PARADISE Island 2012 CAPITAL STOCK ( 201-204) Common Stock Par or stated value per share__________________________ Preferred Stock 1 700 700 700 ------------------------------- Shares authorized Shares issued and outstanding _________________________ Total par value of stock issued_________________________ Dividends declared per share for year_____________________ RETAINED EARNINGS ( 215) UnAppropriated Appropriated Balance first of year_____________ - - - - - - ____________ Changes during the year (Specify): LOSS $ Balance end of year_______________________________ $ $ -317082 -20533 $ -337615 PROPRIETARY CAPITAL ( 218) Proprietor Or Partner Balance first of year_______________________________ Partner $ $ $ $ Changes during the year (Specify): Balance end of year_______________________________ LONG TERM DEBT ( 224 ) Interest Rate #of Pvmts Description of Obligation (Including Date of Issue and Date of Maturity): KEEN SALES & RENTAL INC EARLEEN KEEN EARLEEN KEEN 8% Total -------------------------------------F-6 12 Principal per Balance Sheet Date $ 32001 22250 3595 $ 57846 YEAR OF REPORT DECEMBER 31, UTILITY NAME: KEEN SALES, RENTALS, & UTILITIES- PARADISE Island 2012 TAX EXPENSE Income Taxes: Federal income tax_______ $ State income Tax________ Taxes Other Than Income: State ad valorem tax_______ Local property tax________ Regulatory assessment fee ___ Other (Spe' CORP FEE PAYROLL TAXES Total Tax Expense________ $ $ Total (e) Other (d) Wastewater {c) Water {b) {a) $ $ 0 1954 1954 1421 1421 0 3375 $ $ $ 3375 PAYMENTS FOR SERVICES RENDERED BY OTHER THAN EMPLOYEES Report all information concerning outside rate, management, construction, advertising, labor relations, public relations, or other similiar professional services rendered the respondent for which aggregate payments during the year to any corporation, partnership, individual, or organization of any kind whatever amounting to $500 or more. Name of Recipient Wastewater Amount Water Amount $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ F-7 ---------------- --- Description of Service **COMPLETION OF SCHEDULE REQUIRED ONLY IF AFUDC WAS CHARGED DURING YEAR ** UTILITY NAME KEEN SALES, RENTALS, & UTILITIES- PARADISE Island YEAR OF REPORT DECEMBER 31, 2012 SCHEDULE "B" SCHEDULE OF CAPITAL STRUCTURE ADJUSTMENTS Per Book Balance (b) Class of Capital (a) Common Equity Preferred Stock Long Term Debt Customer Deposits Tax Credits-Zero Cost Tax Credits-Weighted Cost of Capital Deferred Income Taxes Other (Explain) $ Total $ 700 Non-utility Adjustments (c) $ Non-juris. Adjustments (d) $ Capital Structure Used for AFUDC Calculation (f) Other (1) Adjustments (e) $ $ 57846 (1) 58546 700 57846 $ $ $ Explain below all adjustments made in Column (e): F-10 $ 58546 UTILITY NAME: YEAR OF REPORT DECEMBER 31 KEEN SALES, RENTALS, & UTILITIES- PARADISE Island 2012 WATER UTILITY PLANT ACCOUNTS Acct. No. (a) 301 302 303 304 305 306 307 308 309 310 311 320 330 331 333 334 335 336 339 340 341 342 343 344 345 346 347 348 Previous Year (c) Account Name (b) Additions (d) Organization___________ $ Franchises____________ Land and Land Rights______ Structures and Improvements__ Collecting and Impounding Reservoirs Lake, River and Other Intakes____________ Wells and Springs________ Infiltration Galleries and Tunnels____________ $ $ Current Year (f) Retirements (e) $ 2000 7783 2000 7783 3000 3000 ---------- I Supply Mains___________ Power Generation Equipment__ Pumping Equipment_______ Water Treatment Equipment___ Distribution Reservoirs and Standpipes__________ Transmission and Distribution Lines_____________ 12704 2840 I I Services Meters and Meter Installations__________ Hydrants_____________ ------------- I 26231 26231 9617 9617 5348 1013 Backflow Prevention Devices Other Plant and Miscellaneous Equipment___ Office Furniture and Equipment__________ Transportation Equipment____ Stores Equipment________ Tools, Shop and Garage Equipment__________ Laboratory Equipment______ Power Operated Equipment___ Communication Equipment___ Miscellaneous Equipment____ Other Tangible Plant_______ 12705 2840 1 270 5618 1013 --r I 3428 11107 3428 11107 331 331 I Total Water Plant________ $ $ 85402 W-1 271 $ 0 $ 85673 KEEN SALES, RENTALS, & UTILITIES- PARADISE Island UTILITY NAME: YEAR OF REPORT DECEMBER 31 2012 ANALYSIS OF ACCUMULATED DEPRECIATION BY PRIMARY ACCOUNT- WATER Acct. No. (a) 304 305 306 307 308 309 310 311 320 330 Average Service Life in Years (c) Account (b) Structures and Improvements___ Collecting and Impounding Reservoirs Lake, River and Other Intakes___ Wells and Springs_________ ----------- --- % --- % --- --- % --- % --- % % --- % --- % --- I --- % % --- % --- %% --- % --- % ----- % --- %% --- % --- % --- % --- % ----- % --- %% ----- % --- %% --- % Power Generating Equipment__ Pumping Equipment________ Water Treatment Equipment___ , Distribution Reservoirs & Standpipes___________ --18- --- ----17--730 331 333 334 335 336 339 Trans. & Dis!. Mains________ Services______________ ~ Meter & Meter Installations___ Hydrants______________ -1 --17- -1 340 Office Furniture and Equipment___________ ----- 341 342 343 Transportation Equipment____ J Stores Equipment_________ 344 345 346 347 348 Backflow Prevention Devices Plorn ""' M;"'""'""""' Ofuec Equipment___________ ~ 13 --6- I --- Tools, Shop and Garage Equipment___________ Laboratory Equipment_______ 15 Power Operated Equipment___ Communication Equipment____ Miscellaneous Equipment_____ Other Tangible Plant_______ --- --I ------ Accumulated Depreciation Balance Previous Year Depr. Rate Applied (e) 28 I Infiltration Galleries & Tunnels_____________ Supply Mains___________ , Average Salvage in Percent (d) $ --- % --- % ----- %% --- % --- % --- % --- % ----- % --- %% ----- % --- %% ----- %% - - - % --- % --- % ------- % - - - % --------------- Totals W-2 $ $ 278 $ 3648 2501 167 2668 2259 2840 831 3090 2840 3281 5694 874 277 4155 5971 3291 454 226 25 3517 479 2913 11107 394 3307 11107 265 22 287 0 $ . This amount should tie to Sheet F-5. 3370 Credits (h) Debits (g) {f) Accum. Depr. Balance End of Year (f-g+h=i) (i) 37975 $ 0 $ 3094 $ 41069 • ! UTILITY NAME: KEEN SALES. RENTALS. & UTILITIES- PARADISE Island YEAR OF REPORT DECEMBER31 2012 WATER OPERATION AND MAINTENANCE EXPENSE Acct. No. 601 603 604 610 615 616 618 620 630 Account Name Salaries and Wages- Employees________________________________ _ $ Salaries and Wages - Officers. Directors. and Majority Stockholders__________ _ Employee Pensions and Benefits____________________________ _ Purchased Water____________________________________ _ Purchased Power____________________________________ _ Fuel for Power Production_______________________________ _ Chemicals________________________________________ _ Materials and Supplies_________________________________ _ Contractual Services: Billing________________________________________ _ Professional_____________________________________ _ Testing________________________________________ _ o~ec 640 650 655 665 670 675 Amount 16280 13200 2767 1349 1217 715 588 6807 1674 5400 340 3780 ________________________________________ _ Rents__________________________________________ _ Transportation Expense_________________________________ _ Insurance Expense___________________________________ _ Regulatory Commission Expenses (Amortized Rate Case Expense)_ _________ _ Bad Debt Expense___________________________________ _ Miscellaneous Expenses________________________________ _ Total Water Operation And Maintenance Expense_______________________ •. $ • This amount should tie to Sheet F-3. 58 3146 57321 * WATER CUSTOMERS Description (al Residential Service 5/8" 3W 1" 1 1/2" General Service 5/8!! 3/4" 1" 11/2" 2" 3" 3" 3" Type of Meter •• {b) Equivalent Factor (c) D D D D.T 1.0 1.5 2.5 5.0 D D D D.T D.C.T D 1.0 1.5 2.5 5.0 8.0 15.0 16.0 17.5 c T Number of Active Customers Start End of Year of Year (d) (e) Total Number of Meter Equivalents (c x e) (f) Unmetered Customers Other (Specify) ** D = Displacement C =Compound T =Turbine Total W-3 ------------------------------ YEAR OF REPORT DECEMBER 31, ~~ UTILITY NAME: SYSTEM NAME: PUMPING AND PURCHASED WATER STATISTICS (a) January________ February_______ March April __________ May __________ Water Purchased For Resale (Omit OOO's) (b) ~ --·-- ------ t--·--· •···· --------··-----~ June July __________ August________ September______ October________ November______ December______ --------- Total for Year_____ -·--- --·· ---·- --- -------·----- ---·· --- -----·-·- - - - - - Finished Water From Wells (Omit OOO's) (c) i 'i 3 i\ "\3 L~~"J_~.p:;_~~:J. li~~8lc.3 L315]_~_L l_y_•:t~{j_'j )S_ }3'11 Total Water Pumped And Purchased (Omit OOO's) [ (b)+(c)-(d)] (e) -~~-~~-7.3_,? -5__i.J:ruJ::L 5 'f ;~ 10 5_"8_/;_9__']_£:, S{a:.l.~(p ~--~1lD3 S_t:;j.S~ i 73"7'7 ({l).k, -~~-G..O_ _] __~~1£..Q _)(Q-.r£!:> ~J_,J_ '"/., (>_(Jy_<.? 11'1;;,. 2>~~- _k_k_c;>_a~9 13~::~·1~ (pJ9) ClQ '13 () @~'::\§__\.\ ~ s:__g (a_~_]_!e 3__ $S\S'1) __ 7.3 :a.:i_K_ G28lc>3~~ ~18 JS"l$JL _:1.9..~-~9 -~- Water Sold To Customers (Omit OOO's) (f) ·.73T'J.j '& ~?g &_~3;;).. ~~~&. '23 ~.3.~l.:;l __ ..5'-i~~~- _s_~_Q.;J..':\5::> ~-~5.~~- o6 c2_L'::i.5~;)J.e_$..L)_~;.___ S~]l ) :l \S.JJ iaJ:\ &§~~-~ __<;~~HIGH SERVICE PUMPING (c) Manufacturer________ _ Type____________ _ Capacity in GPM ______ _ Average Number of Hours Operated Per Day____ _ Auxiliary Power_______ _ W-5 (d) (e) p,- UTILITY NAME: YEAR OF REPORT DECEMBER 31, d.\Ji SOURCE OF SUPPLY . List for each source of supply ( Ground, Surface, Purchased Water etc. ) Permitted Gals. per day__ _ Type of Source_______ _ uC1.CO.,.-"o:C"\..('.Q N )<. 'Y:_~L\.---· N WATER TREATMENT FACILITIES List for each Water Treatment Facility: Type ____________ _ Make____________ _ Permitted Capacity (GPO)_ _ High service pumping Gallons per minute ___ _ Reverse Osmosis _____ _ Lime Treatment Unit Rating ________ _ Filtration Pressure Sq. Ft. ____ _ Gravity GPD/Sq.Ft. ___ _ Disinfection Chlorinator______ _ Ozone_________ _ Other__________ _ Auxiliary Power______ _ --t--·-··-··-····-·····---- ---·····--!---------- ---··---- . ~--------------···· _c:..\,\~-~~~!,_____ _ N\ A -------- G ~- ~ ~c.:S:.£~.~~;--__ ~-.,J 0 W-6 UTILITY NAME: SYSTEM NAME: P. .:r: YEAR OF REPORT DECEMBER 31 ~<') . . GENERAL WATER SYSTEM INFORMATION Furnish information below for each system. A separate page should be supplied where necessary. /00 1. Present ERG's * the system can efficiently serve. u() k 2. Maximum number of ERGs • which can be served. N \.') v-.J ·~ 3. Present system connection capacity (in ERGs *) using existing lines. ltf'.l \( f'0\J V:, (\ 4. Future connection capacity (in ERGs*) upon service area buildout. \ :\....,...) ~ ~ (\ 5. Estimated annual increase in ERGs •. ~l\ {\ ~N C)v.'J (\ ~\:) 6. Is the utility required to have fire flow capacity? If so, how much capacity is required? 7. Attach a description of the fire fighting facilities. 1.~-v....) C,~-\ ~ 0 ~ \\C'\. 'Y'\ .Q. ':) c/,\~ 8. Describe any plans and estimated completion dates for any enlargements or improvements of this system. ~ ~ \'.1 ~ 9. When did the company last file a capacity analysis report with the DEP? \A ~kN\)~ I"") 10. If the present system does not meet the requirements of DEP rules, submit the following: a. Attach a description of the plant upgrade necessary to meet the DEP rules. b. Have these plans been approved by DEP? c. When will construction begin? d. Attach plans for funding the required upgrading. e. Is this system under any Consent Order with DEP? 11. Department of Environmental Protection ID # ~0-- 12. Water Management District Consumptive Use Permit # luli>'lCj,\J\ b.S 3 .. I 3 '-\ c._"") a. Is the system in compliance with the requirements of the CUP? L~e s b. If not, what are the utility's plans to gain compliance? . An ERG is determined based on one of the following methods: (a) If actual flow data are available from the preceding 12 months: Divide the total annual single family residence (SFR) gallons sold by the average number of SFR customers for the same period and divide the result by 365 days. (b) If no historical flow data are available use: ERG= (Total SFR oallons sold (omit 000)/365 days/350 gallonsger dC!Y}_. W-7 • UTILITY NAME.:_:_ - ~ ;:;; . . !'\ \'\ ' - - - - - I<_;_~_'-=--''-'---+--\:......;..._ ·-r- YEAR OF REPORT DECEMBER 3'1, d._() \ CERTIFICATION OF ANNUAL REPORT I HEREBY CERTIFY, to the best of my knowledge and belief: cp YES NO CJ ~ The utility is in substantial compliance with the Uniform System of Accounts prescribed by the Florida Public Service Commission in Rule 25-30.115 (1 ), Florida Administrative Code. 2. The utility is in substantial compliance with all applicable rules and orders of the Florida Public Service Commission. 3. There have been no communications from regulatory agencies concerning noncompliance with, or deficiencies in, financial reporting practices that could have a material effect on the financial statement of the utility. 4. The annual report fairly represents the financial condition and results of operations of the respondent for the period presented and other information and statements presented in the report as to the business affairs of the respondent are true, correct, and complete for the period for which it represents. NO ~ CJ YES 1' NO CJ NO CJ • Items Certified /'-/ ~ CZJ CXJ Et:J~-~7:~2~~(signature of Chief Executive Officer of the utility) 2. 3. Date: 1. 2. 3. '-s---/~3//3 4. c=J c=J CJ c=J (signature of Chief Financial Officer of the utility) Date: Each of the four items must be certified YES or NO. Each item need not be certified by both officers. The items being certified by the officer should be indicated in the appropriate area to the left of the signature. Notice: Section 837.06, Florida Statutes, provides that any person who knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his duty shall be guilty of a misdemeanor of the second degree. V-1 Reconciliation of Revenue to Regulatory Assessment Fee Revenue Company: Water Operations Class C KC. E rV \ ~-L · For the'Year Ended December 31, d-O\~ ~~:=~:;~·:,:=~-~~~~:~:::,···'"""E~~i~·~:·r=,~~·~~~·} T Gross Revenue: Residential . -T - , 4 3_j_l l Commercial - - - - -------- - - . - =1 _'13_,_'-\l_]_ I -------T , -~\!:\____ --------------- Industrial I, I ------------------ !I I Multiple Family Guaranteed Revenues Other Total Water Operating Revenue LESS: Expense for Purchased Water from FPSC-Regulated Utility --··---------------- Net Water Operating Revenues ----,---,- -----------------------·--·· ----------------1 .~ __\.\ ~- ,':::\.\.:1_____ -~3 j \ ::1... ! ......_,______________ ....... ·---------------·-- --i Explanations: Instructions: For the current year, reconcile the gross water revenues reported on Schedule F-3 with the gross water revenues reported on the company's regulatory assessment fee return. Explain any differences reported in column (d).