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Home My WebLink About20100885.tiff .9^R1rn(..,,,.i ..,I�r, � ""rinm„r„nr l•r°IlIr Irl9'I" m_....7r.,, irm Tw.179113-.."''lll7"7 Ilf��. al� Clifton Gunderson LLP (ortiGrd vuLGi A t<minim'',N.t mn.mli m t. April 21, 2010 Board of County Commissioners 915 "Tenth Street PO Box 758 Greeley, CO 80632 RE: HB 08-1125/Copies of Application for Exemption From Audit—Special Districts To Whom It May Concern: Pursuant to House Bill 08-1125, enclosed are copies of Application for Exemption from Audit for the year ended December 31, 2009, for the following special Districts in Weld County: Blue Lake Metropolitan Districts No. 1 — 3 Bridgewater Metropolitan Districts No. 1 —3 Erie Corporate Center Metropolitan Districts No. 1 —3 Mesa Ridge Metropolitan District Miner's Village Metropolitan Districts No. 1 —3 Morgan Hill Metropolitan Districts No. 1 —3 North Suburban Metropolitan Districts No. 1 —4 Pinnacle Farms Metropolitan District Pioneer Regional Metropolitan District Pioneer Metropolitan Districts No. 1 —6 Resource Colorado W&S Metropolitan District Ridge Lands Metropolitan District Sweetgrass Metropolitan Districts No. 1 —3 Wyndham Hill Metropolitan Districts No. 1 —2 If you have any questions, please contact me at (303) 779-5710. Very truly yours, Toni Trapanese Administrative Assistant Enclosures 2010-0885 d't9O F.(r'e, ent Pa)kit Suit(G00 (boon mood I.illagc. (O(orado 80111 tel:303.779.5710 fax:303.779.0348 www.cliftoncpa.com Coin mv)1 , cOM a/1-5 t// 15/10 NOTE: This bill has been prepared for the signature of the appropriate legislative officers and the Governor. To determine whether the Governor has signed the bill or taken other action on it,please consult the legislative status sheet,the legislative history,or the Session Laws. JIM )) HOUSE BILL 08-1025 BY REPRESENTATIVE(S) Weissmann, Benefield, Carroll M., Fischer, Frangas, Gallegos, Gardner C., Green, Kerr A., Labuda, Levy, Madden, McFadyen, Primavera, Scanlan, Solano, Todd, Borodkin, Garza-Hicks, Hodge, Kerr J., Merrifield, Middleton, Roberts, and Soper; also SENATOR(S) Tupa, Boyd, Gibbs, Groff, Keller, Schwartz, Shaffer, Tapia, Williams, and Windels. CONCERNING THE GOVERNOR'S ENERGY OFFICE. Be it enacted by the General Assembly of the State of Colorado: SECTION 1. Title 24, Colorado Revised Statutes, is amended BY THE ADDITION OF A NEW ARTICLE to read: ARTICLE 38.5 Governor's Energy Office 24-38.5-101. Governor's energy office - creation. (1) THERE IS HEREBY CREATED WITHIN THE OFFICE OF THE GOVERNOR THE GOVERNOR'S ENERGY OFFICE, THE HEAD OF WHICH SHALL BE THE DIRECTOR OF THE GOVERNOR'S ENERGY OFFICE. THE DIRECTOR OF THE OFFICE SHALL BE ASSISTED BY A DEPUTY DIRECTOR AND A STAFF TO FULFILL THE OFFICE'S MISSION TO LEAD COLORADO TO A NEW ENERGY ECONOMY BY ADVANCING Capital letters indicate new material added to existing statutes;dashes through words indicate deletions from existing statutes and such material not part of act. ENERGY EFFICIENCY AND RENEWABLE,CLEAN ENERGY RESOURCES. (2) STAFF OF THE GOVERNOR'S ENERGY OFFICE SHALL INCLUDE BUT NOT BE LIMITED TO REGIONAL REPRESENTATIVES TO HELP ENGAGE MUNICIPALITIES,CONSUMERS,BUSINESSES,AND OTHERS WITH THE ENERGY PROGRAMS OF THE OFFICE. THE REGIONAL REPRESENTATIVES SHALL EXPEDITE PROGRAMS AND SERVE AS A LOCAL RESOURCE TO COMMUNITIES THROUGHOUT COLORADO. 24-38.5-102. Governor's energy office - duties and powers. (1) THE GOVERNOR'S ENERGY OFFICE SHALL: (a) WORK WITH COMMUNITIES, UTILITIES, PRIVATE AND PUBLIC ORGANIZATIONS,AND INDIVIDUALS TO PROMOTE RENEWABLE ENERGY SUCH AS WIND, SOLAR, AND GEOTHERMAL, AND ENERGY EFFICIENCY TECHNOLOGIES; (b) DEVELOP PROGRAMS TO PROMOTE HIGH PERFORMANCE BUILDINGS FOR COMMERCIAL AND RESIDENTIAL MARKETS; (c) MAKE STATE GOVERNMENT MORE ENERGY EFFICIENT; (d) PROMOTE TECHNOLOGY TRANSFER AND ECONOMIC DEVELOPMENT; (e) ADVANCE ENERGY EFFICIENCY AND RENEWABLE ENERGY THROUGHOUT THE STATE AS SPECIFIED IN SECTION 24-75-1201; (0 IMPLEMENT AND ADMINISTER A WIND FOR SCHOOLS PROJECT PURSUANT TO ARTICLE 89 OF TITLE 22,C.R.S.; (g) WORK WITH THE COLORADO ENERGY RESEARCH INSTITUTE TO PROVIDE GRANTS TO ADVANCE ENERGY-EFFICIENT DESIGN AND CONSTRUCTION AS SPECIFIED IN SECTION 23-41-114 (4) (b) (VI),C.R.S.; (h) DISTRIBUTE MONEY TO THE RENEWABLE ENERGY AUTHORITY AS SPECIFIED IN SECTION 24-47.5-103 (1); (I) SEND AN OFFICE REPRESENTATIVE TO THE POLLUTION PREVENTION ADVISORY BOARD ASSISTANCE COMMITTEE PURSUANT TO PAGE 2-HOUSE BILL 08-1025 SECTION 25-16.5-105.5 (2) (c) (III),C.R.S.; (j) ENSURE THAT INFORMATION EXPLAINING THE REQUIREMENTS OF ENERGY CODES IS AVAILABLE AND PROVIDE TECHNICAL ASSISTANCE CONCERNING THE IMPLEMENTATION AND ENFORCEMENT OF ENERGY CODES TO BOTH COUNTIES AND MUNICIPALITIES AS SPECIFIED IN SECTIONS 30-28-21 1 (7)AND 31-15-602(7), C.R.S.; (k) COLLABORATE WITH THE STATE BOARD OF LAND COMMISSIONERS REGARDING RENEWABLE ENERGY RESOURCE DEVELOPMENT AS SPECIFIED IN SECTION 36-1-147.5 (4),C.R.S.; (1) PROVIDE HOME ENERGY EFFICIENCY IMPROVEMENTS FOR LOW-INCOME HOUSEHOLDS AS SPECIFIED IN SECTION 39-29-109(1.5),C.R.S., AND PREPARE AND SUBMIT TO THE GENERAL ASSEMBLY AN ANNUAL REPORT AS SPECIFIED IN SECTION 39-29-109 (1.5) (h) (V),C.R.S.; (m) ESTABLISH AND MANAGE A PROGRAM TO IMPROVE ENERGY EFFICIENCY IN PUBLIC SCHOOLS AS PROVIDED IN SECTION 39-29-109.5, C.R.S.; (n) PROVIDE PUBLIC UTILITIES WITH REASONABLE ASSISTANCE, IF REQUESTED,IN SEEKING AND OBTAINING SUPPORT AND SPONSORSHIP FOR AN IGCC PROJECT AS DEFINED IN SECTION 40-2-123 (2) (b) (I), C.R.S., AND MANAGE AND DISTRIBUTE TO THE UTILITY SOME OR ALL OF ANY FUNDS PROVIDED BY THE STATE OR BY THE UNITED STATES GOVERNMENT TO THE STATE FOR PURPOSES OF STUDY OR DEVELOPMENT OF AN IGCC PROJECT AS SPECIFIED IN SECTION 40-2-123 (2) (j), C.R.S.; (o) COLLABORATE WITH THE DEPARTMENT OF HIGHER EDUCATION TO DEVELOP RENEWABLE ENERGY CURRICULA THAT WILL SERVE THE WORK FORCE NEEDS OF RENEWABLE ENERGY INDUSTRIES. SUCH COLLABORATION MAY INCLUDE RESEARCH INSTITUTIONS, STATE COLLEGES, COMMUNITY COLLEGES,AND TRADE ORGANIZATIONS IN AN EFFORT TO DEVELOP A MEANS BY WHICH THE STATE MAY ADDRESS ALL FACETS OF WORK FORCE DEMANDS IN THE NEW ENERGY ECONOMY. INSTITUTIONS MAY ALSO PARTNER IN THE DEVELOPMENT OF CURRICULA WITH ORGANIZATIONS THAT HAVE EXISTING CURRICULA AND TRAINING PROGRAMS ON RENEWABLE ENERGY. FOR THE PURPOSES OF THIS PARAGRAPH(o),"RENEWABLE ENERGY"SHALL HAVE THE SAME MEANING AS SET FORTH IN SECTION 40-1-102 (11),C.R.S. PAGE 3-HOUSE BILL 08-1025 (p) ANNUALLY REPORT TO THE SENATE AGRICULTURE, NATURAL RESOURCES, AND ENERGY COMMITTEE AND THE HOUSE AGRICULTURE, LIVESTOCK, AND NATURAL RESOURCES COMMITTEE,OR THEIR SUCCESSOR COMMITTEES. (2) THE DIRECTOR OF THE GOVERNOR'S ENERGY OFFICE SHALL SERVE AS CHAIRPERSON OF THE BOARD OF DIRECTORS OF THE COLORADO CLEAN ENERGY DEVELOPMENT AUTHORITY AS SPECIFIED IN ARTICLE 9.7 OF TITLE 40,C.R.S. SECTION 2. 22-89-103(1),Colorado Revised Statutes,is amended to read: 22-89-103. Definitions. As used in this article, unless the context otherwise requires: (1) "Office of energy management and consuvation" means the office of cnugy management and w,Wc.Vatiu„ within tin, ufG,,., .,f tl.., gov.,,..u, u, any au.,.,.,aaui ufG.,L that is .,,catcd withi„ N.., ufl,a, of dm, golf eulo, fo, the put pose of pi o,l.Oti ug ems.gy u,a„ag..u.wt u, wua.a v ati u.I "GOVERNOR'S ENERGY OFFICE" MEANS THE GOVERNOR'S ENERGY OFFICE CREATED[N SECTION 24-38.5-101,C.R.S. SECTION 3. 22-89-104(1)and(2)(a),Colorado Revised Statutes, are amended to read: 22-89-104. Wind for schools grant program - created - applications. (1) There is hereby created the wind for schools grant program to fund wind for schools projects at qualified schools. A qualified school may, with the written authorization of the local board of education, apply to the GOVERNOR'S ENERGY Office, of L,,w,gy u.auag.,u,c.d a.RI LO„S.,flfatiOn, in accordance with procedures and deadlines adopted by the office, to receive moneys through the grant program. The office shall administer the grant program as provided in this article and pursuant to policies adopted by the office. (2)(a) The GOVERNOR'S ENERGY Office of taw .uauagt.,...ut and vatiu.f shall adopt policies specifying when a qualified school may request a grant and the procedure for making the request. PAGE 4-HOUSE BILL 08-1025 SECTION 4. 22-89-105,Colorado Revised Statutes,is amended to read: 22-89-105. Wind for schools grant program-policies-awarding grants. (I) The GOVERNOR'S ENERGY office of cncIgy wa�mg.u�cuf a Itl tOiiS natiu.r shall adopt policies for the implementation of the wind for schools grant program. At a minimum, the policies shall specify the procedures for applying for a grant, the form of the grant application, the information to be provided by the applicant, and the criteria for awarding grants. (2) (a) The GOVERNOR'S ENERGY office of cnci gy n.anagwmwt and LnuSci vatwnn shall review each grant application received from a qualified school pursuant to section 22-89-104 and shall make a determination as to whether the grant should be awarded and, except as provided in paragraph (c) of this subsection (2), the amount of the grant. If the office determines an application is missing any information required by the office's policy to be included with the application, the office may contact the applicant to obtain the missing information. (b) In awarding grants pursuant to this article, the GOVERNOR'S ENERGY office Uf cncigy ruanagciucut and c.,ii3.,nat uir shall consider, at a minimum, whether a qualified school: (I) Would reduce its electricity costs by the implementation of a wind for schools project; and (II) Has a plan in place to incorporate the implementation of a wind for schools project into its educational curriculum. (c) A qualified school shall not receive an aggregate amount of grants pursuant to this article that exceeds five thousand dollars. (3) The GOVERNOR'S ENERGY office of wnngy ulauagwucut aiRI Leib3ci oathoti shall use at least fifty thousand dollars for the implementation of this grant program from the existing resources of the office. of cncrgy lnanagclncnt and%.vnacr vatiutc The minimum funding requirement for the implementation of this grant program may be met in one or more fiscal years. The office of 6vv'.'nu' shall not submit a request for an appropriation or a supplemental appropriation for this purpose. PAGE 5-HOUSE BILL 08-1025 SECTION 5. 23-41-114 (4) (b) (VI) (A), Colorado Revised Statutes, is amended to read: 23-41-114. Colorado energy research institute - creation. (4) The institute shall conduct: (b) The following specific research and educational programs designed to meet the information needs of the department of natural resources,other agencies of the state's executive branch,the legislature,and the public: (VI)(A) To provide grants through the governor's ENERGY office of energy management and conservation CREATED IN SECTION 24-38.5-101, C.R.S., for the development of a central resource for building trade professionals,including contractors,engineers,architects,and designers,for the purpose of increasing available tools and education to advance energy-efficient design and construction. SECTION 6. 24-47.5-103 (I), Colorado Revised Statutes, is amended to read: 24-47.5-103. Funding- appropriations contingent on receipt of federal grant moneys- repeal. (1) For the state fiscal year commencing on July I, 2006,and in each of the state fiscal years commencing on July 1, 2007, and July 1, 2008, the general assembly shall appropriate two million dollars from the operational account of the severance tax trust fund created in section 39-29-109, C.R.S., to the governor's ENERGY office of tnt,gy managt,iidul and Coust,rn akin,ii ally analogous SuCCLSJOI uffit.a,CREATED IN SECTION 24-38.5-101, for distribution to the authority for the purposes specified in section 24-47.5-102; except that, if grants of federal moneys equal to or exceeding the amount of state moneys appropriated pursuant to this article have not been received by June 30, 2012, the unexpended and unencumbered balance of said appropriation shall revert to the operational account of the severance tax trust fund. SECTION 7. 24-75-1201, Colorado Revised Statutes, is amended to read: 24-75-1201. Clean energy fund - creation - use of fund - definitions. (I) (a) The clean energy fund is hereby created in the state PAGE 6-HOUSE BILL 08-1025 treasury. The principal of the fund shall consist of moneys transferred to the fund at the end of the 2006-07 state fiscal year and at the end of each succeeding state fiscal year from the limited gaming fund created in section 12-47.1-701 (1),C.R.S.,in accordance with section 12-47.1-701 (5),C.R.S., and from moneys received by the governor's energy office ul any Su.,cc coi uffic., pursuant to section 39-29-109 (1.5), C.R.S., in accordance with section 39-29-109(1.5)(h)(VII),C.R.S. Interest and income earned on the deposit and investment of moneys in the clean energy fund shall be credited to the fund. Moneys in the fund at the end of any state fiscal year shall remain in the fund and shall not be credited to the state general fund or any other fund. (b) FOR PURPOSES OF THIS SECTION,"GOVERNOR'S ENERGY OFFICE" MEANS THE GOVERNOR'S ENERGY OFFICE CREATED IN SECTION 24-38.5-101. (2) (a) All moneys in the clean energy fund are continuously appropriated to the governor's energy office Ot ally DuCCL&,oI officc,for the purposes of advancing energy efficiency and renewable energy throughout the state. Tic S&L, may cApcIkl d euGya Gees tlw fund. (b) THE GOVERNOR'S ENERGY OFFICE MAY EXPEND MONEYS FROM THE CLEAN ENERGY FUND: (I) To attract renewable energy industry investment in the state; (II) To assist in technology transfer into the marketplace for newly developed energy efficiency and renewable energy technologies; (III) To provide market incentives for the purchase and distribution of energy efficient and renewable energy products; (IV) To assist in the implementation of energy efficiency projects throughout the state; (V) To aid governmental agencies in energy efficiency government initiatives; (VI) To facilitate widespread implementation of renewable energy technologies; and PAGE 7-HOUSE BILL 08-1025 (VII) In any other manner that serves the purposes of advancing energy efficiency and renewable energy throughout the state. (c) (I) SUBJECT TO THE PROVISIONS OF SUBPARAGRAPH (II)OF THIS PARAGRAPH (c), THE MONEYS IN THE CLEAN ENERGY FUND MAY ALSO BE USED BY THE GOVERNOR'S ENERGY OFFICE TO MAKE GRANTS OR LOANS TO PERSONS,AS DEFINED IN SECTION 2-4-401 (8),C.R.S.,FOR USE IN CARRYING OUT THE PURPOSES OF THIS PART 12. THE GOVERNOR'S ENERGY OFFICE SHALL CONSIDER THE FOLLOWING INFORMATION IN DETERMINING WHETHER TO MAKE A GRANT OR LOAN: (A) THE AMOUNT OF THE GRANT OR LOAN; (B) THE QUANTIFIED IMPACT ON ENERGY DEMAND OR AMOUNT OF CLEAN ENERGY PRODUCTION GENERATED AS A RESULT OF THE GRANT OR LOAN; (C) THE POTENTIAL ECONOMIC IMPACT OF THE GRANT OR LOAN;AND (D) THE PUBLIC BENEFITS EXPECTED TO RESULT FROM THE GRANT OR LOAN. (II) THE GOVERNOR'S ENERGY OFFICE MAY ESTABLISH TERMS AND CONDITIONS FOR MAKING GRANTS OR LOANS PURSUANT TO THIS SECTION AND IN ACCORDANCE WITH THE OBJECTIVES OF THE OFFICE AS SET FORTH IN SECTION 24-38.5-102. SECTION 8. 25-16.5-105 (1) (m) (I), Colorado Revised Statutes, is amended to read: 25-16.5-105. Powers and duties of the advisory board-advanced technology fund. (1) The advisory board shall have the following powers and duties: (m)(I) In accordance with the provisions of subparagraph(II)of this paragraph(m),to submit an annual report to the department of local affairs, the department, the governor's ENERGY office of ina«agLn.c..t and Wu3.a vat;u.t CREATED IN SECTION 24-38.5-101, C.R.S., and the standing committee of reference in each house of the general assembly exercising jurisdiction over matters concerning public health and the environment. PAGE 8-HOUSE BILL 08-1025 SECTION 9. 25-16.5-105.5(2)(c)(III),Colorado Revised Statutes, is amended to read: 25-16.5-105.5. Pollution prevention advisory board assistance committee - appointments - membership - definitions. (2) (c) The members appointed to the committee shall include representatives of industry, nonprofit and community organizations, state agencies, and local governments in accordance with the following: (III) One member of the committee shall be a representative of the governor's ENERGY office of energy management and cot. ..vat;att CREATED IN SECTION 24-38.5-101,C.R.S. SECTION 10. 30-28-211 (2) (b) and (2) (c), Colorado Revised Statutes, are amended to read: 30-28-211. Energy efficient building codes - legislative declaration - definitions. (2) As used in this section, unless the context otherwise requires: (b) "Energy code" means, at a minimum, the 2003 international energy conservation code, or any successor edition, published by the international code council or any other code determined by the GOVERNOR'S ENERGY office of cncrgy management and corset vation CREATED IN SECTION 24-38.5-101,C.R.S.,to be more appropriate for local conditions. (c) "Office" means the GOVERNOR'S ENERGY office of clergy management and conservation within the office of the govci nor or any buwwavt uff,a, that ID .t.at.d vr;tl.;tt t11. uff.. „f tlt.. gun,.Ian fu. tlt., 1St..pw. of Ywu.vtwg ...rv.gy u.auabaut vat.vtt CREATED IN SECTION 24-38.5-101, C.R.S. SECTION 11. 31-15-602 (2) (b) and (2) (c), Colorado Revised Statutes, are amended to read: 31-15-602. Energy efficient building codes - legislative declaration - definitions. (2) As used in this section, unless the context otherwise requires: (b) "Energy code" means, at a minimum, the 2003 international PAGE 9-HOUSE BILL 08-1025 energy conservation code, or any successor edition, published by the international code council or any other code determined by the GOVERNOR'S ENERGY office of cawIgy utauagcwwt and cudauvativir CREATED IN SECTION 24-38.5-101,C.R.S., to be more appropriate for local conditions. (c) "Office" means the GOVERNOR'S ENERGY office of cm,rgy managewcnt and conservrvatiou within the office of the govetnor or any sUc c ui uffcc that c,cati,d within tin, ufina., of tin, gwcluuf ftn tin, ]llxi j�wc of Ywniotuig cucigy uIauagcwln,ut in wunci vattoir CREATED IN SECTION 24-38.5-101,C.R.S. SECTION 12. 36-1-147.5 (4), Colorado Revised Statutes, is amended to read: 36-1-147.5. Leasing arrangements for renewable energy resources development - legislative declaration - definitions. (4) The state board of land commissioners shall collaborate with the GOVERNOR'S ENERGY office of c.lcl gy wauagcuwut and wuai,ivat;uir AS CREATED IN SECTION 24-38.5-101, C.R.S., to ensure that potential renewable energy resource developers are aware of any lands identified by the board as being suitable for development of renewable energy resources. SECTION 13. 39-29-109 (1.5) (b) (II), (1.5) (c) (II), (1.5) (d) (I) (B),(1.5)(e)(I)(B),the introductory portions to 39-29-109(1.5)(h)(I)and (1.5)(h)(III),39-29-109 (1.5)(h)(IV),the introductory portion to(1.5)(h) (V), and 39-29-109(1.5)(h)(VI), (1.5) (h) (VII), (1.5)(i)(IV),and(8)(a), Colorado Revised Statutes, are amended to read: 39-29-109. Severance task trust fund-created-administration - use of moneys - definitions - repeal. (1.5) (b) For the state fiscal year commencing on July 1, 2005, the general assembly shall appropriate twenty-four million dollars from the operational account of the severance tax trust fund as follows: (II) Four million dollars shall be appropriated to the GOVERNOR'S ENERGY office of the govetnoi to be used by the office of energy naanagcnrcnt and—currsentation to provide home energy efficiency improvements for low-income households. (c) For the state fiscal year commencing on July 1,2006,the general PAGE 10-HOUSE BILL 08-1025 assembly shall appropriate eleven million dollars from the operational account of the severance tax trust fund as follows: (II) Four million dollars shall be appropriated to the GOVERNOR'S ENERGY office of the guv.,.Ian t., bc ubcd by lln, nffLL of cin..gy Tnanagcnicid and euno..i vatiu,r to provide home energy efficiency improvements for low-income households. (d) (I) For the state fiscal year commencing on July 1, 2007, the general assembly shall appropriate twelve million dollars, or a lesser amount as set forth in subparagraph (II) of this paragraph (d), as follows: (B) Five million dollars shall be appropriated to the GOVERNOR'S ENERGY office of thc governor to be used by thc office of energy h.anagcni.,nt and .,unn.,1vAnti to provide home energy efficiency improvements for low-income households. (e) (I) For the state fiscal year commencing on July 1, 2008, the general assembly shall appropriate thirteen million dollars, or a lesser amount as set forth in subparagraph (H) of this paragraph (e), as follows: (B) Six million dollars shall be appropriated to the GOVERNOR'S ENERGY Office of tlw guvc.nu, to Lc used by the office of energy iittliagCifIclit and cut ati vatnnr to provide home energy efficiency improvements for low-income households. (h) (I) The GOVERNOR'S ENERGY office of..n.,Igy Inanag..nnad and Loire,vati.nr shall use moneys it receives pursuant to this subsection (1.5) for a program to provide home energy efficiency improvements for low-income households,which shall include any of the following services: (III) In carrying out the program to improve the home energy efficiency of low-income households, the GOVERNOR'S ENERGY office of Laity tnanag.,ni.,nt and ..n',J.a vatiuir shall: (IV) The GOVERNOR'S ENERGY office tit'.,nCigy u.auagC.hCut a.RI LoibCfbal;utr may use up to five percent of the moneys appropriated pursuant to this subsection (1.5) for planning, overseeing, and evaluating the program to improve the home energy efficiency of low-income households. The office shall not hire additional state employees using these PAGE 11-HOUSE BILL 08-1025 moneys to implement the program, but may contract with nonprofit organizations, for-profit organizations, and governmental entities as is necessary to carry out the program. (V) For any fiscal year in which moneys are expended as part of the program to improve the home energy efficiency of low-income households, the GOVERNOR'S ENERGY office of coca gy n.anagcn.wt anal tanoc.vatk0.f shall prepare and submit to the general assembly an annual report that specifies: (VI) If in a given fiscal year that commences before July 1, 2006, the GOVERNOR'S ENERGY office of energy management and talci vatw.f determines that it cannot use all of the moneys it receives pursuant to this subsection (1.5), the office shall notify the governor and the joint budget committee of the general assembly of such fact. Upon notification, the general assembly may make a supplemental appropriation to reduce the amount appropriated to the office and increase the amount appropriated to the department of human services for the purpose of increasing available funds under the low-income energy assistance program. (VII) If in a given fiscal year that commences on or after July 1, 2006,the governor's energy office v. any ,auccsboi office,cannot use all of the moneys it receives pursuant to this subsection (1.5) for the program described in subparagraph (I) of this paragraph (h), at the end of the fiscal year the state treasurer shall transfer the moneys that the office cannot use to the clean energy fund created in section 24-75-1201 (1), C.R.S. (i) As used in this subsection (1.5), unless the context otherwise requires: (IV) "Office of energy management and consel vation" means the Offiec of energy managcincni a.ni w.rcrva w.. Within tl.s nfGca of tl.c governor or any successor office, that .J c.catcd within the uff,cc of the gove.nv. Cul the ptuptim,ofYcvn.vtwgwc.gy nun lagw.cnto. wnbc.vat.on "GOVERNOR'S ENERGY OFFICE"MEANS THE GOVERNOR'S ENERGY OFFICE AS CREATED IN SECTION 24-38.5-101,C.R.S. (8) (a) Subject to the end balance requirement of paragraph (f) of subsection (1.5) of this section and the maintenance of a two-year reserve pursuant to sub-subparagraph (A) of subparagraph (III)of paragraph(c)of PAGE 12-HOUSE BILL 08-1025 subsection(1)of this section,for three state fiscal years beginning with the state fiscal year commencing on July 1, 2006, a portion of the operational account of the severance tax trust fund shall be appropriated to the governor's ENERGY office of %suaa gy mauagwn.tlt and cousci\'atiuu, vi aualvguua aukCCSSuf offices; for distribution to the Colorado renewable energy authority created in section 24-47.5-101, C.R.S., for the purposes stated in section 24-47.5-102(2),C.R.S. The amount appropriated shall be two million dollars per year, subject to the limitations stated in section 24-47.5-102, C.R.S., and in this paragraph (a). If there are insufficient moneys in the operational account to make all appropriations and transfers at the highest level authorized by law,the appropriations authorized by this subsection(8) and subsection(8.5) of this section shall be reduced pro rata as necessary to accommodate all appropriations and transfers at the highest level authorized by law other than this subsection (8) and subsection (8.5) of this section. SECTION 14. 39-29-109.5 (1), Colorado Revised Statutes, is amended BY THE ADDITION OF A NEW PARAGRAPH to read: 39-29-109.5. Interest differential - public school energy efficiency fund-creation-uses-definitions-repeal. (1) As used in this section, unless the context otherwise requires: (a.5) "GOVERNOR'S ENERGY OFFICE" MEANS THE GOVERNOR'S ENERGY OFFICE AS CREATED IN SECTION 24-38.5-101,C.R.S. SECTION 15. 39-29-109.5 (2) and the introductory portion to 39-29-109.5 (3), Colorado Revised Statutes, are amended to read: 39-29-109.5. Interest differential - public school energy efficiency fund-creation -uses-definitions-repeal. (2) On December 1,2007,and the first day of every third month thereafter up to and including September 1, 2010, the legislative council staff shall calculate the interest differential earned during the prior calendar quarter and notify the state treasurer of such amount. Upon receiving notice,the treasurer shall transfer an amount equal to the interest differential from the severance tax funds to the public school energy efficiency fund, which is hereby created in the state treasury; except that the total transfer to the fund for any state fiscal year shall not exceed one million five hundred thousand dollars. Moneys in the fund are hereby continuously appropriated to the GOVERNOR'S PAGE 13-HOUSE BILL 08-1025 ENERGY office of the governor to be used by the governor's energy office, or arraualugous sa.,c.ssor office,for the purposes set forth in subsection(3) of this section. All income and interest derived from the deposit and investment of the moneys in the fund shall be credited to the fund. (3) The governor's energy office or an analogous successor office, shall use moneys appropriated from the fund to establish and manage a program to improve energy efficiency in public schools. In administering the program,the govewer.s cnci y office yr an analogous saecesser uffi ,‘„ shall give consideration to whether a public school or school district is located in an area socially or economically impacted by the development, processing, or energy conversion of minerals and mineral fuels subject to taxation under this article.The program shall include the following features: SECTION 16. 40-2-123 (2) (j), Colorado Revised Statutes, is amended to read: 40-2-123. New energy technologies - consideration by commission - incentives - demonstration projects. (2) (j) In order to reduce the cost to Colorado consumers of an IGCC project,the department of public health and environment, the governor's office of economic development,and the governor's ENERGY office of onor gy wanagt.un rd and conscrratierr may provide public utilities with reasonable assistance in seeking and obtaining financial and other support and sponsorship for a project from the United States congress, the United States department of energy,and other appropriate federal and state agencies and institutions. To obtain this assistance,the utility may provide to these state agencies copies of its IGCC project proposal. The governor's ENERGY office of energy ]uauagLun,rd and conservation shall manage and distribute to the utility some or all of any funds provided by the state of Colorado or by the United States government to the state of Colorado for purposes of study or development of an IGCC project. SECTION 17. 40-9.7-103,Colorado Revised Statutes, is amended BY THE ADDITION OF A NEW SUBSECTION to read: 40-9.7-103. Definitions. As used in this article,unless the context otherwise requires: (8.5) "GOVERNOR'S ENERGY OFFICE" MEANS THE GOVERNOR'S PAGE 14-HOUSE BILL 08-1025 ENERGY OFFICE AS CREATED IN SECTION 24-38.5-101,C.R.S. SECTION 18. 40-9.7-104(2) (a)(IV), Colorado Revised Statutes, is amended to read: 40-9.7-104. Colorado clean energy development authority - creation - board membership. (2) The authority shall be governed by a board of directors,which shall exercise the powers of the authority and shall be composed of nine members, including: (a) The following four ex officio members of the executive branch of state government or their designees: (IV) The director of the governor's ENERGY office, of cncrgy n,aliag.,iiient aitd .,vise!vatwir who shall serve as the chairperson of the board. SECTION 19. Safety clause. The general assembly hereby finds, PAGE 15-HOUSE BILL 08-1025 determines, and declares that this act is necessary for the immediate preservation of the public peace, health, and safety. Andrew Romanoff Peter C. Groff SPEAKER OF THE HOUSE PRESIDENT OF OF REPRESENTATIVES THE SENATE Marilyn Eddins Karen Goldman CHIEF CLERK OF THE HOUSE SECRETARY OF OF REPRESENTATIVES THE SENATE APPROVED Bill Ritter, Jr. GOVERNOR OF THE STATE OF COLORADO PAGE 16-HOUSE BILL 08-1025 APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF $100,000 OR LESS Name of Government: Blue Lake Metropolitan District No. 1 For the Fiscal Year Address: 8390 E. Crescent Parkway ended December 31, 2009 Suite 600 or fiscal year ended: Greenwood Village, CO 80111 Contact Person: Kevin Collins Telephone: 303-779-5710 E-Mail: kevin.collins@clifloncpa.com Fax: .720-482-6668 Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604, C.R.S. outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions: (See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. Ale this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a. Resolution of the governing board-application may be e-mailed, faxed, or mailed. b Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5 The preparer must sign the application that is submitted in order for it to be accepted. 6 Additional information may be attached to the exemption at the preparer's discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name' Kevin Collins 1-2 Title: Accountant for the District 1-3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E. Crescent Parkway, Suite 600, Greenwood Village, CO 80111 1-5 Telephone Number: 303-779-5710 1-6 Date Prepared: March 15,2010 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 I PART 2 -REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ - 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): Reimbursements $ 7,194 2-21 Transfer from Blue Lake Metro#2 $ 75,050 2-22 $ - 2-23 TOTAL REVENUE all sources $ 82,244 PART3 - EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ 644 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ 1,512 3-5 Employee benefits $ - 3-6 Insurance $ 3,213 3-7 Accounting and legal fees $ 23,140 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify):Treasurer's fees $ - 3-22 Transfer to Blue Lake Metro District#1 $ - 3-23 Developer reimbursement $ 69,000 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ 97,509 Page 2 PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain:No schedule for repayment of developer advance. Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ - Revenue bonds $ - $ - $ - $ - Notes/loans $ - $ - $ - $ - Leases $ - $ - $ - $ - Developer Advances $ 2,485,662 $ - $ 69,000 $ 2,416,662 Other(specify): $ - $ - $ - $ - Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 48,100,000 "' -......,.. Date the debt was authorized: 5/4/2004 4.3 Does the entity intend to issue debt within the next calendar year(2010)? III=IMIM X If yes: How much? I .,......,...,.,.,,,,,.,,,.,,,,,,,,.,,. ..,,,,.,,.,, Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entit have debt that has been refinanced that it is still res.onsible for? X If es: What is the amount outstandin.? $ Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What is being leased? i What is the original date of the lease? arr/l M ,- Number of years of lease? y Is the lease subject to annual appropriation? �n��i..�;;;d- ppropriation. rV � i �, What are the annual lease .a menu? $ - ttauggri .clt: PART 5 -CASH AND INVESTMENTS Please provide the enti 's cash de osit and investment balances Amount Total 5-1 Checking Accounts $ 105 5-2 Savings Accounts $ - 5-3 Certificates of Deposit $ - Total Cash Deposits y -a' $ 105� Investments if investment is a mutual fund, lease list under) in investments : V- 5-4 $ 5-5 $ - 5-6 $ - 57 $ - Total Investments $ - Total Cash and Investments rs 4.';s.,,L. ,th„� $ 105 Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? Page 3 PART 6 -CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land, buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of property and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ Buildings $ - $ - $ - $ Machinery and equipment $ - $ - $ - $ Furniture and fixtures $ - $ - $ - $ Infrastructure $ - $ - $ - $ Other(explain): Construction in progress $ 2,274,393 $ - $ - $ 2.274,393 PART 7 -PENSION INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 7-1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan? • Indicate the contributions from: Tax: (Property, SO, Sales,etc) $ - State Contribution Amount $ - Other (Gifts, Donations,etc) $ - What is the monthly benefit paid for 20 years of service per retiree $ as of Jan 1st? PART 8 -BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain:The Districts expenditures are over budget,which may be in violation of state statutes. If yes: Please indicate the amount appropriated for each fund for 2009: Fund Name Budgeted 2009 Expenditures General Fund $ 73,000 PART 9 -TABOR Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X, Section 20(5)]? If no, please explain: Note; An election to exempt the government from the spending limitations of TABOR does not exempt the government from the 3%emergency reserve requirement. All governments should determine if they meet this requirement of TABOR. PART 10 -GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formation. 10-2 Is the entity a metropolitan district? X 10-3 Please indicate what services you provide: Construction and installation of public improvements, including streets and traffic signals, and water, sewer, storm drainage, and park and recreation facilities. 10-4 Does the entity have an agreement with another government to provide services? X If yes: List the name of the other government entity and the services provided: Coordinate financing for the public improvements in conjunction with Blue Lake Metropolitan Districts No. 2 and 3. Page 4 • PART 11 -GOVERNING BODY APPROVAL We,the undersigned.certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signature(unless resolution is the governing body) Expires attached) 1 Douglas D.Scott May 2012 2 Charles D. Foster May 2012 �� 3 Mark W.Bush May 2012 y- a/ •1)%\ 4 Russell N.Watterson May 2010 5 Vacancy ! .v.-. CN" May 2010 6 7 Page 5 Clifto Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Blue Lake Metropolitan District No. 1 Weld County, Colorado We have compiled the Application for Exemption from Audit of Blue Lake Metropolitan District No. 1 as of and for the year ended December 31, 2009, included in the accompanying prescribed form, in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's Office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the Colorado State Auditor's Office, which differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. We are not independent with respect to Blue Lake Metropolitan District No. 1. Greenwood Village, Colorado March 15, 2010 HLB International Offices in 17 states and Washington,DC APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF$100,000 OR LESS Name of Government: Blue Lake Metropolitan District No.2 Address: 8390 E. Crescent Parkway For the Fiscal Year ended December 31. 2009 Suite 600 Greenwood Village,CO 80111 or fiscal year ended: Contact Person: Kevin Collins Telephone: 303-779-5710 E-Mail: kevin.collinss to cliftoncpa.com Fax: 720-482-6668 Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000, but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a. Resolution of the governing board-application may be e-mailed,faxed,or mailed. b. Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparers discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name: Kevin Collins 1-2 Title:Accountant for the District 1-3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway.Suite 600,Greenwood Village, CO 80111 1.5 Telephone Number: 303-779-5710 1-6 Date Prepared: March 15,2010 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form) s 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X No Page 1 PART 2 - REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ 65,691 2-2 Specific Ownership $ 5,181 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ 236 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): Developer advance $ - 2-21 $ - 2-22 $ - 2-23 TOTAL REVENUE all sources $ 71,108 PART3 -EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not Include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ _ 3-2 Salaries $ _ 3-3 Payroll taxes $ _ 3-4 Contract services $ _ 3-5 Employee benefits $ _ 3-6 Insurance $ _ 3-7 Accounting and legal fees $ - 3-8 Repair and maintenance $ _ 3-9 Supplies $ _ 3-10 Utilities and telephone $ _ 3-11 Fire/Police $ - 3-12 Streets and highways $ _ 3-13 Public health $ _ 3-14 Culture and recreation $ — - 3-15 Utility operations $ _ 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify):Treasurer's fees $ 989 3-22 Transfer to Blue Lake Metro District#1 $ 75,050 3-23 Developer reimbursement $ 450 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ 76,489 Page 2 PART 4 -DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain: No schedule for repayment of developer advance. Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ - Revenue bonds $ - $ - $ - $ Notes/loans $ - $ - $ - $ _ Leases $ - $ - $ - $ _ Developer Advances $ - $ - $ - $ _ Other(specify): $ - $ - $ - $ Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 48,100,000 Date the debt was authorized: 5/4/2004 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? I $ _ Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What is being leased? What is the original date of the lease? Number of years of lease? - - Is the lease subject to annual appropriation? What are the annual lease payments? $ - I PART 5-CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount Total 5-1 Checking Accounts $ 38 5.2 -Savings Accounts $ - 5-3 Certificates of Deposit $ - Total Cash Deposits $ 38 Investments(if investment is a mutual fund,please list underlying investments)- 5-4 $ 5-5 $ 5-6 $ 5.7 $ Total Investments $ Total Cash and Investments $ 38 Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? Page 3 PART 6 -CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of property and equipment(capital assets)in accordance with Section 29-1-506 C.RS.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ $ Buildings - $ - $ - $ $ Machinery and equipment $ - $ - $ - $ Furniture and fixtures $ - $ - $ $ Infrastructure $ - $ - $ - $ - Other(explain): $ - $ - $ $ I PART 7 - PENSION INFORMATION Please answer the following questions by marking In the appropriate boxes Yes No 7-1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension_plan? X If yes: Who administers the plan? Indicate the contributions from: Tax:(Property,SO, Sales,etc) $ State Contribution Amount $ Other(Gifts, Donations,etc) $ - What is the monthly benefit paid for 20 years of service per retiree $ - as of Jan 1st? I PART 8 -BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain:The Districts expenditures are over budget,which may be in violation of state statutes. If yes Please indicate the amount appropriated for each fund for 2009: Fund Name Budgeted 2009 Expenditures General Fund $ 72,898 - $ _ $ I PART 9 -TABOR Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)]? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not exempt the government from the 3%emergency reserve requirement All governments should determine If they meet this requirement of TABOR. PART 10 - GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is the entity_a newly formed governmental entity? X If yes: Date of formation:I 10-2 Is the entity a metropolitan district? X 10-3 Please indicate what services you provide: Construction and installation of public improvements,including streets and traffic signals, and water,sewer, storm drainage, and park and recreation facilities. 10-4 Does the entity have an agreement with another government to provide services? X If yes: List the name of the other government entity and the services provided: Coordinate financing for the public improvements in conjunction with Blue Lake Metropolitan Districts No. 1 and 3. Page 4 _. PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which stales that an Application with revenues and expenditures of$100,000 or loss must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true: Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signature(unless resolution is the governing body) Expires attached) 1 Douglas D.Scott May 2012 2 Charles D. Foster May 2012 3 Mark W. Bush ,May 2012 4 ,Russell N.Watterson May 2010 5 1, saucy- I • w fit. f—r May 2010 \t- 6 7 Page 5 Clifton Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Blue Lake Metropolitan District No. 2 Weld County, Colorado We have compiled the Application for Exemption from Audit of Blue Lake Metropolitan District No. 2 as of and for the year ended December 31, 2009, included in the accompanying prescribed form, in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's Office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the Colorado State Auditor's Office, which differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. We are not independent with respect to Blue Lake Metropolitan District No. 2. C C P Greenwood Village, Colorado March 15, 2010 HLBInternational in 17 states and Washington,DC APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF$100,000 OR LESS Name of Government: Blue Lake Metropolitan District No.3 For the Fiscal Year Address: 8390 E.Crescent Parkway ended December 31.2009 Suite 600 or fiscal year ended: Greenwood Village,CO 80111 Contact Person: Kevin Collins Telephone: 303-779-5710 E-Mail: kevin.collins_@cliftoncpa.com Fax: 720-482-6668 Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)8664062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S. outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a. Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparers discretion. PART 1 -CERTIFICATION OF PREPARER 1.1 Name: Kevin Collins 1-2 Title: Accountant for the District 1.3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1-5 Telephone Number: 303-779-5710 1.6 Date Prepared: March 15,2010 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1-8 Are you skilled in govemmental accounting?If no,this exemption will be rejected. X Page 1 PART2 -REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the governments land. building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ 1 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ - 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): Developer advance $ - 2-21 $ - 2-22 $ - 2-23 TOTAL REVENUE all sources $ 1 I PART 3 -EXPENDITURES I EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ - 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ - 3-7 Accounting and legal fees $ - 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): $ - 3-22 $ - 3-23 $ 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ - Page 2 PART 4 - DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4.1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no, please explain: No schedule for repayment of developer advance. Please complete the following debt schedule, if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ Revenue bonds $ - $ - $ - $Notes/loans $ - $ - $ - $Leases $ - $ - $ - $Developer Advances $ - $ - $ - $ Other(specify): $ - $ - $ - $ Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 48,100,000 Date the debt was authorized: 5/4/2004 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? I $ Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes What is being leased? What is the original date of the lease? Number of years of lease? Is the lease subject to annual appropriation? What are the annual lease payments? PART 5 -CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount Total 5-1 Checking Accounts $ 1 5-2 Savings Accounts $ 5-3 Certificates of Deposit Total Cash Deposits $ 1 Investments(if investment is a mutual fund,please list underlying investments): 5-4 $ 5-5 $ - 5-6 $ 5-7 $ - Total InvestmentsTotal Cash and Investments $ 1 Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no,please explain: Page 3 PART 6 -CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land, buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of property and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no. please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ Buildings $ - $ - $ - $ Machinery and equipment $ - $ - $ - $ Furniture and fixtures $ - $ - $ - $ Infrastructure $ - $ - $ - $ Other(explain): $ - $ - $ - $ PART 7-PENSION INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 7-1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan? Indicate the contributions from: Tax:(Property,SO,Sales,etc) $ _ State Contribution Amount $ - Other(Gifts, Donations,etc) $ - What is the monthly benefit paid for 20 years of service per retiree $ as of Jan 1st? PART 8 -BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no, please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: Fund Name Budgeted 2009 Expenditures General Fund $ - PART 9 -TABOR Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X, Section 20(5)]? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not exempt the government from the 3%emergency reserve requirement AU governments should determine if they meet this requirement of TABOR. PART 10-GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10.1 Is the entity a newly formed governmental entity? X If yes: Date of formation:I 10-2 Is the entity a metropolitan district? X 10-3 Please indicate what services you provide: Construction and installation of public improvements,including streets and traffic signals, and water,sewer,storm drainage, and park and recreation facilities. 10-4 Does the entity have an agreement with another government to provide services? X If yes: List the name of the other government entity and the services provided: Coordinate financing for the public improvements in conjunction with Blue Lake Metropolitan Districts No. 1 and 2. Page 4 __ PART 11 GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures cf$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signature(unless resolution is the governing body) Expires attached) 1 Douglas D.Scott May 2012 2 Charles D. Foster May 2012 ttiVAA1 3 Mark W.Bush May 2012 4 Russell N Watterson May 2010 5 Vacancy- /, N-. �f c 1+ May 2010 6 7 • • Page 5 Clifton '// Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Blue Lake Metropolitan District No. 3 Weld County, Colorado We have compiled the Application for Exemption from Audit of Blue Lake Metropolitan District No. 3 as of and for the year ended December 31, 2009, included in the accompanying prescribed form, in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's Office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the Colorado State Auditor's Office, which differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. We are not independent with respect to Blue Lake Metropolitan District No. 3. L eft Greenwood Village, Colorado March 15, 2010 HLB International Offices in 17 states and Washington,DC • APPLICATION FOR EXEMPTION FROM AUDIT- SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF $100,000 OR LESS Name of Government: Bridgewater Metropolitan District No. 1 For the Fiscal Year Address: 2500 Arapahoe Avenue ended December 31,2009 Suite 220 or fiscal year ended: Boulder,CO 80302 Contact Person: Lewis Holtsclaw Telephone: 303-442-2299 E-Mail: Fax: Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S. outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven pads to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a. Resolution of the governing board-application may be e-mailed,faxed, or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparers discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name: Kevin Collins 1-2 Title: Independent Accountant 1-3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E. Crescent Parkway, Suite 600,Greenwood Village,CO 80111 1.5 Telephone Number: 303-779-5710 1-6 Date Prepared: February 11,2010 1-7 Signature: See Accountant's Compliation Report The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART2-REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the governments land. building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ 122 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ - 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): Developer advance $ 11.716 2-21 Transfer from Bridgewater Metropolitan District No. 2 $ 21.000 2-22 Transfer from Bridgewater Metropolitan District No. 3 $ 61,000 2-23 - TOTAL REVENUE all sources $ 93,838 PART3-EXPENDITURES -EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ 549 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - _ 3-5 Employee benefits $ _ 3-6 Insurance $ 1,956 3-7 Accounting and legal fees $ 15,860 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - _ 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): Interest oh developer advances $ 6,069 3-22 Developer repayments $ 60,167 3-23 Transfer to Bridgewater Metropolitan District No.2 $ 3.109 3-24 Transfer to Bridgewater Metropolitan District No.3 $ 3,108 3-25 TOTAL EXPENDITURES all categories $ 90,818 Page 2 PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain: X Please complete the following debt schedule, if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ _ Revenue bonds $ - $ - $ - $ - Notes/loans $ - $ - $ - $ _ Leases $ - $ - $ - $ _ Developer Advances $ 65,343 $ 11,716 $ 60,167 $ 16,892 Accrued interest on developer advances $ 2,472 $ 3,959 $ 6,069 $ 362 Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 340,00a 000 Date the debt was authorized: May 6,2008 4.3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? 1 $ _ Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? 1 $ - Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What is being leased? What is the original date of the lease? Number of years of lease? Is the lease subject to annual appropriation? What are the annual lease payments? $ - PART 5 -CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount Total 5-1 Checking Accounts $ 5,668 5.2 Savings Accounts $ _ 5-3 Certificates of Deposit $ _ Total Cash Deposits $ 5,668 Investments(if investment is a mutual fund,please list underlying investments): 5-4 CSAFE $ 121 5-5 $ 5.6 $ - 5-7 $ - Total Investments $ 121 Total Cash and Investments $ 5.789 Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no,please explain: Page 3 PART 6-CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.? If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ Buildings $ - $ - $ - $Machinery and equipment $ - $ - $ - $Furniture and fixtures $ - $ - $ - $Infrastructure $ - $ - $ - $Other(explain): $ - $ - $ - $ PART 7-PENSION INFORMATION Please answer the following questions by marking In the appropriate boxes Yes No 7-1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the elan? j, ,f`, m �„a" ,r Indicate the contributions from: Tax:(Property,SO,Sales,etc) $ - ,��, S State Contribution Amount $ - 111,65,¢, 6 ;,,L2, C;;y%,t�jt !; Other(Gifts,Donations,etc) $ - 'Iti�� 32, t97 f71=0'9, What is the monthly benefit paid for 20 years of service per retiree $ as of Jan 1st? i $�h Hi"�riry em a�,nwrri/ PART 8 -BUDGET INFORMATION Please answer the following questions by marking In the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: The District's expenditures are over budget,which may be in violation of state statute. If yes: Please indicate the amount appropriated for each fund for 2009: dg, ��" Fund Name Budgeted 2009 Expenditures' Y .3 .1, , zrzxrrvJi //r�ri �rr?"r� General $ 84,102 4A.7.,:„."4„:„....‘,.7.,i,,,/,‘4.77::,:/./417,-;...*,' a : ,a rzxv- vi Nw?/,viHwiH/:Hv4/Kf PART 9 -TABOR Please answer the following question by marking In the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)]? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not �1 2 exempt the government from the 3%emergency reserve requirement. An governments should a;°b4`: 1 s,3 determine if they meet this requirement of TABOR PART 10-GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formation:I aS 54,W4y%,:',±44,';Af f iA4{ 10-2 Is the entity a metropolitan district? 10-3 Please indicate what services the entity provides:Streets,traffic and safety controls, ", water,storm and sanitary sewer,parks and recreation,mosquito control,fire protection,TV relay,security and public transportation. iur 10-4 Does the entity have an agreeement with another government to provide services? If yes: List the name of the other government entity and the services provided:District riwzrt o ,`u �� covenant with Town of Ene. y �; �ti Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604, C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true: Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signature(unless resolution is the governing body) Expires attached) 1 Jon R. Lee May 2012 2 Lewis G. Holtsclaw May 2012 ,/'tied". a David G. Rhodes May 2010 4 6 6 7 Page 5 aClifto Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Bridgewater Metropolitan District No. I Weld County, Colorado We have compiled the Application for Exemption from Audit of Bridgewater Metropolitan District No. 1 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. e'e � .°`_ CCp Greenwood Village, Colorado February 11, 2010 Offices in I7 states and Washington,DC H LB International APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF $100,000 OR LESS Name of Government: Bridgewater Metropolitan District No.2 For the Fiscal Year Address: 2500 Arapahoe Avenue ended December 31. 2009 Suite 220 or fiscal year ended: Boulder,CO 80302 Contact Person: Lewis Holtsclaw Telephone: 303-442-2299 E-Mail: Fax: Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years-ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a. Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparer's discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name: Kevin Collins 1-2 Title: Independent Accountant 1-3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1-5 Telephone Number: 303-779-5710 1-6 Date Prepared: February 10,2010 1-7 Signature: See Accountant's Compliation Report The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 • PART 2- REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land. building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ 21,312 2-2 Specific Ownership $ 1,555 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify):Bridgewater#1 $ 3,109 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ 4 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 $ - 2-22 $ - 2-23 TOTAL REVENUE all sources $ 25,980 PART 3-EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ - 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ 1,909 3-7 Accounting and legal fees $ 1,200 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): Bridgewater 1 $ 21,000 3-22 Treasurer's fees $ 320 3-23 $ - 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ 24,429 Page 2 PART 4 -DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain: Please complete the following debt schedule, if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ - Revenue bonds $ - $ - $ - $ - Noteslloans $ - $ - $ - $ - Leases $ - $ - $ - $ Developer Advances $ - $ - $ - $ - Other(specify): $ - $ - $ - $ Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 340,000,000 Date the debt was authorized: May 6,2008 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? 1 $ - Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? ( $ - Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What is being leased'? What is the original date of the lease? Number of years of lease? Is the lease subject to annual appropriation? What are the annual lease payments? $ - ... I PART 5 -CASH AND INVESTMENTS , Please provide the entity's cash deposit and Investment balances Amount Total 5-1 Checking Accounts $ - 5-2 Savings Accounts $ 5-3 Certificates of Deposit $ Total Cash Deposits $ Investments(if investment is a mutual fund,please list underlying investments): 5-4 CSAFE $ 1,445 5-5 $ - 5-6 $ - 5-7 $ Total Investments $ 1.445 Total Cash and Investments $ 1.445 Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq.C.R.S.)? If no,please explain:The District had no cash deposits. Page 3 PART 6-CAPITAL ASSETS I Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ - Buildings $ - $ - $ - $ - Machinery and equipment $ - $ - $ - $ - Furniture and fixtures $ - $ - $ - $ Infrastructure $ - $ - $ - $ - Other(explain): $ - $ - $ - $ - PART 7 -PENSION INFORMATION Please answer the following questions by marking In the appropriate boxes Yes No 7-1 Does the entity have an"old hire"firemen's pension plan? X 7.2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the •Ian? ;4t:14 N1 Indicate the contributions from: F ':i.. ii2 %k � - �1 �l/, y : Tax:(Property,SO,Sales,etc) $ - �i�i�� i �wahf,. State Contribution Amount $ t"' �;.;':;:i7 $ 17/mi� Other: Gifts,Donations,etc $ - ,1 1"ti , /�4' ✓�,u What is the monthly benefit paid for 20 years of service per retiree $ - ° N `` "' as of Jan 1st? � c n '%F,%i I PART 8 -BUDGET INFORMATION Please answer the following questions by marking In the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: /��el , tltgY/k/ ,ri., Fund Name Bud•eted 2009 Ex•enditures F,W �/.rtey ,;, 'i . General $ 25,620 ''`i,'cy!zm4-$ - � s " fa "%� c I PART9 -TABOR I Please answer the following question by marking In the appropriate box Yes No 9-1 Is the entity In compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)j? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not . "' �'exempt the government from the 3%emergency reserve requirement All governments should yi.� �� > i determine if they meet this requirement of TABOR. f H7, ,_v7 f ,, * rAfr: PART 10-GENERAL INFORMATION I Please answer the following questions by marking in the appropriate boxes [ Yes No 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formation:12008 n, t,�ax, i/"H ,0)/6��.'-5R, A 10-2 Is the entit a metro•olitan district? X 10.3 Please indicate what services the entity provides:Streets,traffic and safety controls, �i ' n1 water,storm and sanitary sewer,parks and recreation,mosquito control,fire ';ri.4c,,Iri... ‘CI /'ter;z.'�, protection,TV relay,security and public transportation. 2y;,�j�,yy �„y,,rsy,,:“4,,,,„y,,.y„a 5;,474 10-4 Does the enti have an a•reeement with another •ovemment to •rovide services? X If yes: list the name of the other government entity and the services provided:District ;' , �s', covenant with Town of Erie. F ! ≥1: ,F2' �7�Xr“. Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signature(unless resolution is the governing body) Expires n /attached) I Jon R. Lee May 2012 444; P///�/// 2 Lewis G. Holtsclaw May 2012 / Afertca, 3 David G. Rhodes May 2010 4 5 6 7 • Page 5 M Clifton Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Bridgewater Metropolitan District No. 2 Weld County, Colorado We have compiled the Application for Exemption from Audit of Bridgewater Metropolitan District No. 2 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. a1244"—'‘ L C Greenwood Village, Colorado February 10, 2010 Offices in 17 states and Washington,DC HLB International APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF $100,000 OR LESS Name of Government: Bridgewater Metropolitan District No. 3 For the Fiscal Year Address: 2500 Arapahoe Avenue ended December 31,2009 Suite 220 or fiscal year ended: Boulder,CO 80302 Contact Person: Lewis Holtsclaw Telephone: 303-442-2299 E-Mail: Fax: Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver, CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S. outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 Individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions: (See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December.31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a. Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparers discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name: Kevin Collins 1-2 Title: Independent Accountant 1-3 Firm Of applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1-5 Telephone Number: 303-779-5710 1-6 Date Prepared: February 10,2010 1-7 Signature: See Accountant's Compilation Report The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART 2 - REVENUE I REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Properly $ 61,517 2-2 Specific Ownership $ 4,922 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): Bridgewater#1 $ 3,108 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ 25 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 $ - 2-22 $ - 2-23 TOTAL REVENUE all sources $ 69,572 I PART 3 - EXPENDITURES ! _ EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ - 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ 1,908 3-7 Accounting and legal fees $ 1,200 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): Bridgewater#1 $ 61,000 3-22 Treasurer's fees $ 923 3-23 $ - 3-24 $ 3-25 TOTAL EXPENDITURES all categories $ 65,031 Page 2 PART 4- DEBT OUTSTANDING, ISSUED AND RETIRED I Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no, please explain. Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ - Revenue bonds $ - $ - $ - $ - Notes/loans $ - $ - $ - $ - Leases $ - $ - $ - $ Developer Advances $ - $ - $ $ Other(specify): $ - $ - $ - $ Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes How much'? $ 340,000,000 Date the debt was authorized: May 6,2008 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? I $ - Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? I $ - Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What is being leased'? What is the original date of the lease? Number of years of lease? Is the lease subject to annual appropriation'? What are the annual lease payments? $ - PART 5 -CASH AND INVESTMENTS I Please provide the entity's cash deposit and investment balances Amount Total 5-1 Checking Accounts $ - 5-2 Savings Accounts $ - 5-3 Certificates of Deposit $ - Total Cash Deposits $ Investments(if investment is a mutual fund,please list underlying investments) 5-4 CSAFE $ 4,206 5-5 $ - 65 $ - 5-7 $ - Total Investments $ 4,206 Total Cash and Investments `; $ 4,206 Please answer the following question by marking in the appropriate box Yes No 6-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no,please explain:The District had no cash deposits. Page 3 PART 6-CAPITAL ASSETS Please answer the following questions by marking In the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of proper/and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ - Buildings $ - $ - $ - $ - Machinery and equipment $ - $ - $ - $ Furniture and fixtures $ - $ - $ - $ - Infrastructure $ - $ - $ - $ - Other(explain): $ - $ - $ - $ - PART 7-PENSION INFORMATION I Please answer the following questions by marking in the appropriate boxes Yes No 7-1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the .Ian? tiniZSitt3a1,;=WttatAll Indicate the contributions from: xl3 y 9'� : Tax:(Property,SO,Sales,etc) $ - g s. '-x9 ,ii fi3if�,'�/`,;. State Contribution Amount $ - , 9J9„ ?/�,` ilfa* Other:(Gifts,Donations,etc) $ - ,�, ,T e'1 Y 1 9i e r fi What is the monthly benefit paid for 20 years of service per retiree $ - ,. h as of Jan 1st? ". w.7 , ; ,'"', 4 !y PART 8 -BUDGET INFORMATION J Please answer the following questions by marking in the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: "s" "�L L277 yid -� Fund Name Bud.eted 2009 Ex.enditures 1!G-.% %5 . 1; General $ 65,223 r t r ; � z�,y $ a ''al'i 'r s. rn PART9 -TABOR Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)]? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not exempt the government from the 3%emergency reserve requirement. All governments should f✓qr% determine if they meet this requirement TAB of TABOR. ; �, PART 10-GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formation:12008 ,5”491'% ;iw`Psf4055a,Zs,r a 10-2 Is the entit a metro..titan district? nil 10-3 Please indicate what services the entity provides:Streets,traffic and safety controls, jq . ,";3YG water,storm and sanitary sewer,parks and recreation,mosquito control,fire �" � �,�✓;, ', Y/l� protection,TV relay,security and public transportation 10-4 Does the entity have an agreeement with another government to provide services? If yes: List the name of the other government entity provided:the services District Ii . ' /9 tn covenant with Town of Erie. < 5 fF Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604, C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signature(unless resolution is the governing body) Expires attached) 1 Jon R. Lee May 2012 Ly 2 Lewis G. Holtsclaw May 2012 s David G. Rhodes May 2010 4 5 6 7 Page 5 Clifton fl Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Bridgewater Metropolitan District No. 3 Weld County, Colorado We have compiled the Application for Exemption from Audit of Bridgewater Metropolitan District No. 3 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. CCP Greenwood Village, Colorado February 10, 2009 Offices in 17 states and Washington,DC HLB International APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF $100,000 OR LESS Name of Government: Erie Corporate Center Metropolitan District No. 1 For the Fiscal Year Address: 2500 Arapahoe Avenue ended December 31. 2009 Suite 220 or fiscal year ended. Boulder,CO 80302 Contact Person: Lewis Holtsclaw Telephone: 303-442-2299 E-Mail: Fax: Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)8664062 Email: OSAIG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally, any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions: (See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods. a. Resolution of the governing board-application may be e-mailed,faxed, or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparer's discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name: Kevin Collins 1-2 Title: Indpendent Accountant 1-3 Firm(if applicable): Clifton Gunderson LLP 1.4 Address: 8390 E Crescent Parkway, Suite 600, Greenwood Village, CO 80111 1-5 Telephone Number: 303-779-5710 1-6 Date Prepared: February 10,2010 1-7 Signature: SEE ACCOUNTANTS COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART 2 - REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debtor lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $2-11 Fines and forfeits $ 2-12 Special assessments $ 2-13 Investment income $ - 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 Transfer from Erie Corporate Metropolitan District No.2 $ 10,000 2-22 Transfer from Erie Corporate Metropolitan District No.3 $ 21,000 2-23 TOTAL REVENUE all sources $ 31,000 PART 3 - EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ 470 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ 2.044 3-7 Accounting and legal fees S 12.339 3-8 Repair and maintenance $ 3-9 Supplies $3-10 Utilities and telephone $3-11 Fire/Police $ - 3-12 Streets and highways $ -3-13 Public health $3-14 Culture and recreation $3-15 Utility operations $ - 3-16 Capital outlay $ 403 3-17 Debt service principal $ - 3-18 Debt service interest $3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): $3-22 Developer Advance Interest $ 15.500 3-23 Transfer to Erie Corporate Metropolitan District No.2 $ 1.625 3-24 Transfer to Erie Corporate Metropolitan District No.3 $ 1,625 3-25 TOTAL EXPENDITURES all categories $ 34,006 Page 2 PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4.1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no, please explain. The District's debt X obligations are only payable as funds are available. Please complete the following debt schedule, if Outstanding at Issued during Retired during Outstanding al applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ Revenue bonds $ - $ - $ - $Notes/loans $ - $ - $ - $Leases $ - $ - $ - $Developer Advances $ 100,000 $ - $ - $ 100,000 Other(specify): Accrued interest payable $ 17,415 $ 8,500 $ 15,500 $ 10,415 Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized, but unissued debt? X If yes: How much? $ 62,200,000 Date the debt was authorized: 2004= • 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? I $ Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? I $ f„-....4 o,,,.:J,w' Please answer the following questions by marking the appropriate boxes Yes No 4.5 Does the entity have any lease agreements? X If yes: What is being leased? What is the original date of the lease? `'- Number of years of lease? Is the lease subject to annual appropriation? What are the annual lease payments? PART 5-CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount Total 5.1 Checking Accounts $ 1,142 5-2 Savings Accounts $ - 5-3 Certificates of Deposit $ - Total Cash Deposits $ 1,142 Investments(if investment is a mutual fund,please list underlying investments) 5-4 $ 5-5 $ - 5-6 $ - 5-7 $ Total Investments Total Cash and Investments , r $ 1.142 Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no,please explain: Page 3 PART 6- CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital X assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $Buildings $ - $ - $ - $Machinery and equipment $ - $ - $ - $Furniture and fixtures $ - $ - $ - $ Infrastructure $ - $ - $ - $Other(explain): Construction in progress $ 7,229 $ 403 $ - $ 7.632 PART 7-PENSION INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 7.1 Does the entity have an"old hire"firemen's pension plan? X 7.2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan? Indicate the contributions from: Tax:(Property, SO,Sales,etc) State Contribution Amount $ Other: (Gifts, Donations,etc) $ - What is the monthly benefit paid for 20 years of service per retiree $ - asof Jan 1st? PART 8 -BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 8.1 Did the entity file a 2009 budget with the Department of Local Affairs? If no, please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: Fund Name Budgeted 2009 Expenditures General Fund $ 39,000 $ _ PART 9 -TABOR Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)]? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not exempt the government from the 3%emergency receive requirement. All governments should determine if they meet this requirement of TABOR. PART 10-GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formation: 10.2 Is the entity a metropolitan district? X 10.3 Please indicate what services the entity provides: Sewer,water, streets, traffic and safety controls,parks and recreation,television relay and translation,mosquito control,and transportation 10-4 Does the entity have an agreeement with another government to provide services? X If yes: List the name of the other government entity and the services provided: Erie Corporate Metro Districts Nos.2 and 3. The construction and operation costs of District No. 1 will be paid by District Nos.2 and 3. Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604, C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signature(unless resolution is the governing body) Expires attached) 1 Jon R. Lee May 2010 KD�� 2 David G. Rhodes May 2012 idh-4\ 3 Lewis G. Holtsclaw May 2010 4.44.14:7444"- 4 5 6 7 Page 5 a Clifton Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Erie Corporate Center Metropolitan District No. 1 Weld County, Colorado We have compiled the Application for Exemption from Audit of Erie Corporate Center Metropolitan District No. 1 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. Greenwood Village,Colorado February 10, 2010 HLBInternational in I7 states and Washington,DC • APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM • • FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF$100,000 OR LESS Name of Government: Erie Corporate Center Metropolitan District No.2 For the Fiscal Year Address: 2500 Arapahoe Avenue ended December 31,2009 Suite 220 or fiscal year ended: Boulder,CO 80302 Contact Person: Lewis Holtsclaw Telephone: 303-442-2299 E-Mail: Fax: Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a.Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparer's discretion. PART 1 -CERTIFICATION OF PREPARER 1.1 Name: Kevin Collins 1-2 Ttle: Independent Accountant 1-3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1-5 Telephone Number: 303-779-5710 1-6 Date Prepared: February 10,2010 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART 2-REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ 16,824 2-2 Specific Ownership $ 1,295 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ 53 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 Transfer from Erie Corporate Metropolitan District 1 $ 1,625 2-22 $ - 2-23 TOTAL REVENUE all sources $ 19,797 PART 3 - EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ - 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ 425 3-7 Accounting and legal fees $ 1,200 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): $ - 3-22 Transfer to Erie Corporate Metropolitan District 1 $ 10,000 3-23 Transfer to Erie Corporate Metropolitan District 3 $ 857 3-24 Treasurer fees $ 253 3-25 TOTAL EXPENDITURES all categories $ 12,735 Page 2 PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain: Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ _ Revenue bonds $ - $ - $ - $ - Notes/loans $ - $ - $ - $ - Leases $ - $ - $ - $ - Developer Advances $ - $ - $ - $ - Other(specify): $ - $ - $ - $ - Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 62,20O000 fiss."''. .!:fn'uf( i";z'..`J:...`,ii::ii::3i:`ii'P:iii3''' Date the debt was authorized: 2004;;' ✓ 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X If es: How much? $ w.., Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? ( $ Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What is being leased? ele ✓ What is the original date of the lease? '�,,',g, ,; _,,. ..`,, ,,..,,,; Hr';Y/��;. Number of years of lease? " ' � Is the lease subject to annual appropriation? a What are the annual lease payments? _ $ - p acgry°,�atrat, PART 5-CASH AND INVESTMENTS Please •rovide the enti 's cash de•osit and Investment balances Amount Total 5.1 Checking Accounts A irJS 5-2 Savings Accounts 5.3 Certificates of Deposit Total Cash Deposits WEgeng. $ - Investments(if investment is a mutual fund,please list underlying investments): ? A. ;>?�l"ai:-f.;;'' 40 5-4 CSAFE $ 7,17t 5-5 gidw, b i . 5-6 „AGu. �7 7 5-7 Total Investments - $ 7,170 Total Cash and Investments i?„<,�.;+ V $ 7,170 Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.5.)? If no,please explain: N/A-the District does not have any cash deposits Page 3 PART 6-CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes Yes No 6.1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ - Buildings $ - $ - $ - $ Machinery and equipment $ - $ - $ - $ - Furniture and fixtures $ - $ - $ - $ - Infrastructure $ - $ - $ - $ Other(explain): $ - $ - $ - $ - PART 7 -PENSION INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 7-1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the elan? IttiWatidatafrAtAmSIndicate the contributions from: '^ ' %"',�celFav 17,%O Tax:(Property,SO,Sales,etc) $ - S IVagn ' State Contribution Amount $ - W�� r..,. %, Other:(Gifts,Donations,etc) $ - What is the monthly benefit paid for 20 years of service per retiree $ - j as of Jan 1st? I PART 8 -BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 8.1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount a.propriated for each fund for 2009: - r% •'-'-"' Fund Name Bud.eted 2009 Ex.enditures awaitHwawara General Fund $ 20,765 w a�' r vxx, Ak $ - PART 9 -TABOR Please answer the followin. .uestion b markin in the a••ro.riate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)1? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not exempt the government from the 3%emergency reserve requirement. All governments should sfK determine if they meet this requirement of TABOR. PART 10 -GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formation: 10-2 Is the entity a metropolitan district? 10-3 Please indicate what services the entity provides: Sewer,water,streets,traffic and y H. safety controls, parks and recreation,television relay and translation,mosquito control,and transportation. S , 10-4 Does the entit have an a.reeement with another.overnment to .rovide services? X If yes: List the name of the other government entity and the services provided: Erie r ' v""',! Corporate Metropolitan District Nos. 1 and 3. Districts No.2 and 3 will pay for the construction and operations of District No. 1. ratabreaSSWAIM Page 4 • PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signature(unless resolution is the governing body) Expires AL- 2 attached) 1 Jon R. Lee May 2010 David G. Rhodes May 2012 ��-� � 3 Lewis G. Holtsclaw May 2010 �Jelse " 4 5 6 7 Page 5 Clifto Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Erie Corporate Center Metropolitan District No. 2 Weld County, Colorado We have compiled the Application for Exemption from Audit of Erie Corporate Center Metropolitan District No. 2 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. LCA Greenwood Village, Colorado February 10, 2010 HLB International Offices in 17 states and Washington,DC APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF $100,000 OR LESS Name of Government: Erie Corporate Center Metropolitan District#3 For the Fiscal Year Address: 2500 Arapahoe Avenue ended December 31,2009 Suite 220 or fiscal year ended: Boulder,CO 80302 Contact Person: Lewis Holtsclaw Telephone: 303-442-2299 E-Mail: Fax: Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31, 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a.Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must skin the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparer's discretion. PART 1 -CERTIFICATION OF PREPARER 1.1 Name: Kevin Collins 1-2 Title: Independent Accountant 1-3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1-5 Telephone Number: 303-779-5710 1-6 Date Prepared: February 10,2010 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART 2 - REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ 9,539 2-2 Specific Ownership $ 777 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income , $ 81 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 Transfer from Erie Corporate Metropolitan District 1 $ 1,625 2-22 Transfer from Erie Corporate Metropolitan District 2 $ 857 2-23 TOTAL REVENUE all sources $ 12,879 PART 3 -EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ - 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ 425 3-7 Accounting and legal fees $ 1,200 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): $ - 3-22 Transfer to Erie Corporate Metropolitan District 1 $ 21,000 3-23 Treasurer fees $ 144 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ 22,769 Page 2 PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no, please explain: Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year Fiscal year end General obligation bonds $ - $ - $ - $ - Revenue bonds $ - $ - $ - $ - Notes/loans $ - $ - $ - $ - Leases $ - $ - $ - $ - Developer Advances $ - $ - $ - $ - Other(specify): $ - $ - $ - $ - Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 62,200 000 ii ., Date the debt was authorized: 2004 -ii'iii- ii'ic 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? I $ „ Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? I $ - y%%7 y % ,yi,�%i Yas/,�,2%'�%�,r Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entit have an lease a.reements? X If yes: What is being leased? ).; q≥E�L MIME~* What is the original date of the lease? WekViMiT i/i cOO Number of years of lease? 9 n Is the lease subject to annual appropriation? E S tat&i,!FtIi What are the annual lease payments? $ - �,,, %„', 'Y/ ,,�f," f ,w"j,Lf'„ PART 5 -CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount Total 5.1 Checking Accounts $ - IgetqtiggiA 5-2 Savings Accounts $ - `" a 5-3 Certificates of De.osit $ - 52412.14Eral Total Cash Deposits ford't22},',,,,.,;,�,,,,Ufw„A $ - Investments(if investment is a mutual fund,please list underlying investments): Fnv,v„”,'””.°/”'', ` y„ /Aw7H/ 5.4 CSAFE $ 6,328 ,'��''` i s x a 5-5 $ - aria 5-6 $ - n !%1. .,,v 5-7 $ H":'a/' iii Total Investments a . $ 6,328 Total Cash and Investments RS 541 $ 6,328 Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no, please explain: N/A-the District does not have any cash deposits Page 3 PART 6-CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? x If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.? If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ Buildings $ - $ - $ - $ Machinery and equipment $ - $ - $ - $ Furniture and fixtures $ - $ - $ - $ Infrastructure $ - $ - $ - $ Other(explain): $ - $ - $ - $ PART 7 -PENSION INFORMATION Please answer the following questions by marking In the appropriate boxes Yes No 7-1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the 'Ian? ",t"'��" , r, ' ,; /:b" " ,, Indicate the contributions from: ,,,i7S4C,, y> f riii Hiav Tax:(Property,SO, Sales,etc) $ - k4 044# 404 .,. State Contribution Amount $ - a '6fe 5V3rie e,'f Other:(Gifts,Donations,etc) $ Iii .,u, j/iISEMSEES52) What is the monthly benefit paid for 20 years of service per retiree $ - art 2 ' ` x, as of Jan 1st? > -w, , PART 8 - BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: (nG /ij/�y w.xo ",..a Di// !�, Fund Name Bud•eted 2009 Ex•endituresl 'gb/! General Fund $ 30,943 y ,,„r pi ,wy,,,,,,r, - r $ - a'Y' i P his #a✓%� ,ra PART 9-TABOR Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)J? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not talialtenta64:474Tie exempt the government from the 3%emergency reserve requirement. All governments should ;7�/ . determine if they meet this requirement of TABOR. '1" E PART 10 -GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formation:IaCa „%Zi,'. 10-2 Is the entit a metro.olitan district? X 10-3 Please indicate what services the entity provides: Sewer,water,streets,traffic and ,,;1 safety controls,parks and recreation,television relay and translation, mosquito aff4a %',,��' ,, �',fiaC,�ore� control,and transportation. E ,cz' 10-4 Does the entit have an a.reeement with another.overnment to .rovide services? X If yes: List the name of the other government entity and the services provided: Erie Corporate Metropolitan District Nos. 1 and 2. Districts No.2 and 3 will pay for the 42. 'i. construction and operations of District No. 1. ..e. Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned, certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.K.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note: Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signature(unless resolution is the governing body) Expires attached) 1 Jon R. Lee May 2010 2 David G. Rhodes May 2012 r 3 Lewis G. Holtsclaw May 2010 G, e 4 5 6 7 Page 5 Clifto Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Erie Corporate Center Metropolitan District No. 3 Weld County, Colorado We have compiled the Application for Exemption from Audit of Erie Corporate Center Metropolitan District No. 3 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. • The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. C( A Greenwood Village, Colorado February 10, 2010 Offices in 17 states and Washington,DC HLB International • APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF$100,000 OR LESS Name of Government: Mesa Ridge Metropolitan District For the Fiscal Year Address: 8390 E.Crescent Parkway ended December 31,2009 Suite 600 or fiscal year ended: Greenwood Village,CO 80111 Contact Person: Jason Carroll Telephone: 303-779-5710 E-Mail: Jason.carrolfj cliftoncpa.com Fax: 720-482-6668 Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a.Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must skin the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparers discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name: Jason Carroll 1.2 Title: Accountant for the District 1-3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1-5 Telephone Number. 303-779-5710 1.6 Date Prepared: February 19,2010 1.7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One. (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1.8 Are you skilled in govemmental accounting?If no,this exemption will be rejected. X Page 1 PART 2-REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ - 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ _ 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 $ - 2-22 $ - 2-23 TOTAL REVENUE all sources $ _ PARTS-EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ _ 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ _ 3-5 Employee benefits $ - 3-6 Insurance $ - 3-7 Accounting and legal fees $ - 3-8 Repair and maintenance $ _ 3-9 Supplies $ _ 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ _ 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): $ - 3-22 $ - 3-23 $ - 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ - Page 2 PART 4-DEBT OUTSTANDING,ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes. No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain:The District has not issued any debt. Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ Revenue bonds $ - $ - $ - $ NotesAoans $ - $ - $ - $Leases $ - $ - $ - $Developer Advances $ - $ - $ - $ Other(specify): $ - $ - $ - $ Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 27,850,000 " Date the debt was authorized: 8/28/2006 `.`. ' '.` 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? I $ - ,..,.,,,..,,,,,,,,,,,,,,,,,,,,,,,.,;;„,,,,,,,,,,,,,,,,,,,,, Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? $ - --Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What is being leased? w cn! ' '�'' - What is the original date of the lease? ,27 :, Number of years of lease? i , er Is the lease sub'ect to annual appropriation? ° : ' -.:.ti .What are the annual lease payments? $ PART 5-CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount Total 5-1 Checking Accounts 5-2 Savings Accounts $ ^ 5-3 x $ - � Total Cash Deposits ilu„ „ $ Investments(if investment is a mutual fund,please list underlying investments): ] ti26u, g' ii'i/ii 5-4 $ - 5-5 5-6 $ - 5-7 Total Investments $ - Total Cash and Investments Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entitys deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq.C.R.S.)? If no,please explain:N/A-No deposits. Page 3 PART 6-CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes Yes No 6.1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $Buildings $ - $ - $ - $Machinery and equipment $ - $ - $ - $Furniture and fixtures $ - $ - $ - $Infrastructure $ - $ - $ - $ Other(explain): $ - $ - $ - $PART 7-PENSION INFORMATION Please answer the following questions by marking in the appropriate boxes 7-1 Does the entity have an"old hire"firemen's pension plan? 7.2 Does the entity have a volunteer firemen's pension plan? If yes: Who administers the plan? , ?l/„sl " - Indicate the contributions from: Tax:(Property,SO,Sales,etc) $ - . fT"4 ,Yc�PwLn'1F�' State Contribution Amount $ - 441(1'W'%'�-. s IS Other: Gifts,Donations,etc $ - —.. What is the monthly benefit paid for 20 years of service per retiree $ 4 . 4- as of Jan 1st? - ,,Z 'k PART 8-BUDGET INFORMATION Please answer the following questions by marking In the appropriate boxes Yes No. 6.1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount ar"ro"hated for each fund for 2009: Fund Name Budgeted 2009 Expenditures General Fund $ - 5461011/104040144 $ eit10 , . tt PART 9-TABOR Please answer the following question by marking in the appropriate box Yes No 9.1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)]? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not lv aratiwsinifiivisa exempt the government from the 3%emergency reserve requirement. All governments should 9 determine if they meet this requirement of TABOR. PART 10-GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formation:I 10.2 Is the entity a metropolitan district? 10-3 Please indicate what services you provide:Financing of certain streets,street lighting, - ,wov,: y ...yh r traffic and safety controls,water,landscaping,storm sewers and flood and surface J 5n drainage,and park and recreation improvements for the Project. ifineWeA: Ag e*-51 RCWO i r 10-4 Does the entity have an agreeement with another government to provide services? If yes: Please indicate what services you provide: ' iSprilitganzigeaMM Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled In governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Origi re resolution is the governing body) Expires a ) 1 Gregory Kent May 2010 2 Michael Kent May 2010 �� J1 3 Bill Goldberg May 2012 4 Olive Keefer May 2010 ,, I • �, 5 Barbara Anderson May 2010 .J i5l � yt je,a4D 6 7 Page 5 a .Clifton Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Ridge Lands Metropolitan District Weld County, Colorado We have compiled the Application for Exemption from Audit of Ridge Lands Metropolitan District as of and for the year ended December 31,2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. We are not independent with respect to Ridge Lands Metropolitan District. aa-t.e-avx. le b° Greenwood Village, Colorado February 19, 2010 Offices in 16 states and Washington,DC HLB International APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF$100,000 OR LESS Name of Government: Miner's Village Metropolitan District No. 1 For the Fiscal Year Address: 2500 Arapahoe Avenue ended December 31,2009 Suite 200 or fiscal year ended: Boulder,CO 80302 Contact Person: Lewis Boltsclaw Telephone: 303-442-2299 E-Mail: Fax: Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver, CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a. Resolution of the goveming board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparers discretion. PART 1 -CERTIFICATION OF PREPARER 1.1 Name. Kevin Collins 1-2 Title: Independent Accountant 1-3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E. Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1-5 ' Telephone Number: 303-779-5710 1-6 Date Prepared: February 11,2010 1-7 Signature: SEE ACCOUNTANTS COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1.8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART2-REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land. building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ - 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): Developer advance $ 12,844 2-21 Transfer from Miner's Village Metro District#2 $ 44,000 2-22 $ - 2-23 TOTAL REVENUE all sources $ 56,844 PART3-EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ 65 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ 1,945 3-7 Accounting and legal fees $ 13,923 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - — 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): Repayment of developer advance $ 32,502 3-22 Interest on repayment of developer advance $ 5,051 3-23 Transfer to Miner's Village No.2 $ 1,300 3-24 Transfer to Miner's Village No.3 $ 1,300 3-25 TOTAL EXPENDITURES all categories $ 56,086 Page 2 PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain: Developer advances X are repaid as funds become available. Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ - Revenue bonds $ - $ - $ - $ - Notes/loans $ - $ - $ - $ - Leases $ - $ - $ - $ Developer Advances $ 49,658 $ 12,844 $ 32,502 $ 30,000 Other(specify):Accrued Interest $ 1,582 $ 3,679 $ 5,051 $ 210 Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much'? $ 300,000,000 Date the debt was authorized: 5/6/2008 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? I $ - Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? I $ _ Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What is being leased? What is the original date of the lease? Number of years of lease? Is the lease subject to annual appropriation? What are the annual lease payments? $ - PART 5-CASH AND INVESTMENTS , Please provide the entity's cash deposit and investment balances Amount Total 5-1 Checking Accounts $ 1 831 5-2 Savings Accounts $ - 5-3 Certificates of Deposit $ _ Total Cash Deposits $ 1,831 Investments(if investment is a mutual fund,please list underlying investments): 5.4 $ 5-5 $ - 6-6 $ 5-7 $ Total Investments $ - Total Cash and Investments `:, $ 1,831 Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no, please explain: Page 3 I PART 6-CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land, buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ Buildings $ - $ - $ - $ Machinery and equipment $ - $ - $ - $ - Furniture and fixtures $ - $ - $ - $ Infrastructure $ - $ - $ - $ Other(explain): $ - $ - $ - $ I PART 7 - PENSION INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 7-1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan? Ix3° rxi≥ ,I �,�i� � Indicate the contributions from: t✓ r322"::14: 1 k ,> n Tax:(Property,SO,Sales,etc) $ *...;:-.../.4,-,,...5.:5-7.15.44,5..::.<.,:%:1 -z. State Contribution Amount $ - a S t Other:(Gifts, Donations,etc) $ - Y,1y, ��,✓�s,,. What Jan monthly benefit paid for 20 years of service per retiree $ - �3 " Mai a' as of Jan 1st? mr oriii Hi is H� y,, e I PART 8 - BUDGET INFORMATION I Please answer the following questions by marking in the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: k'±%:: :" ZI: Fund Name Bud feted 2009 Ex.enditures fSd::,leg/' ka riat General Fund(amended) $ 60,000 ti :',1".,v" ya'%Gizy ti $ - ir:,rY! a1;;,�' "2i/li' . .: $ - .i g,.: 4 eazz�z, ../ .... I PART9-TABOR I Please answer the following question by marking In the appropriate box Yes No 9.1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)]? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not a exempt the government from the 3%emergency reserve requirement. All governments should „j�:2;x, determine If they meet this requirement of TABOR. � � �t , tee.. I PART 10 -GENERAL INFORMATION I Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formation:I 780MKTR'„ 'f�,f iK fW 10-2 Is the entit a metro..titan district? X Please te what services th 10-3 traffic safetyacontrols,parks and recre t on,provides: mosquito c yontrol,fire protection, ,Yz i.Ftiy c, television relay,security systems and transportation. "__ ,f .4 / 10-4 Does the entit have an a.reeement with another.overnment to .rovide services? .v,,rri,�rim�.�N„oso�h.>yv%arr�/ If yes: List the name of the other government entity and the services provided:Town of Frederick Master IGA,District Facilities Joint Financing,Construction and Service � 1 , , Agreement with Miners Village Districts Na 2 and Na 3. f"'" Z 4 Page 4 PART 7-GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note: Please list all current members of the governing body. In addition, original signatures must be provided for a majority of those listed. Name(please print or type all current Date Term members of the governing body) Expires Signature 1 Jon R. Lee May 2012 2 Charles Bellock May 2012 3 Lewis G.Holtsclaw May 2012 4 Michael Strear May 2010 5 Douglas Pluss May 2010 6 7 5 Clifton Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Miner's Village Metropolitan District No. I Weld County, Colorado We have compiled the Application for Exemption from Audit of Miner's Village Metropolitan District No. 1 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. Cllr,,,_ < CP Greenwood Village, Colorado February 11, 2010 Offices in 17 states and Washington,DC HLB International APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF$100,000 OR LESS Name of Government: Miners Village Metropolitan District No.2 Address: 2500 Arapahoe Avenue For the Fiscal Year ended December 31,2009 Suite 200 Boulder.CO 80302 or fiscal year ended: Contact Person: Lewis Holtsclaw Telephone: 303-442-2299 E-Mail: Fax: Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 Individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a.Resolution of the goveming board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparers discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name: Kevin Collins 1-2 Title: Independent Accountant 1-3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1.5 Telephone Number 303-779-5710 1-6 Date Prepared: February 11,2010 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Ye1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. Xs No Page 1 PART 2 -REVENUE REVENUE All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land. building,and equipment and proceeds from debt or lease transactions. Financial information wilt not include fund equity information. Llne# Description 2-1 Taxes: Property (Omit cents) 2-2 Specific Ownership $ 53,351 2-3 Sales and Use $ 4,145 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $- 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ - 2-14 Charges for utility services $ 445 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ 2-21 Transfer from Miners Village Metro District#1 $ - 2-22 $ 1,300 2-23 $ - TOTAL REVENUE all sources $ 59,241 PART 3-EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. — Line# Description 3-1 Administrative (Omit cents) 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ - 3-7 Accounting and legal fees $ 100 3-8 Repair and maintenance $ 1,200 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): $ - 3-22 Treasurers Fees $ - 3-23 Transfer to Miners Village No.1 $ 806 3-24 $ 44,000 $ - 3-25 TOTAL EXPENDITURES all categories $ 46,106 Page 2 PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain:The district has no outstanding debt. Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ $ - Revenue bonds $ - $ - $ - $ - Notes/loans $ - $ - $ - $ Leases $ - $ - $ - $ Developer Advances $ - $ - $ - $ Other(specify):Accrued Interest $ - $ - $ - $ - Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 300,000,000 I Date the debt was authorized: 5/6/2006 ' 4-3 Does the entity intend to issue debt within the next calendar year L2010)? IIMMINII X If es: How much? $ - .. . ,,,,,.,,,.,,, Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entit have debt that has been refinanced that it is still res.onsible for? X If es: What is the amount outstandin.? $ - Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? _ X If yes: What is being leased? Z:7"11,4. y %',%'sr.. What is the original date of the lease? 4:1o41 `n ?,.1` i:" Number of years of lease? �fih �fi≥ , Is the lease subject to annual appropriation? '`* 1( ` ' '":,',"--;;;j,-*. What are the annual lease payments? $ - �1��'�`��,��>,✓v/s,„�- y`��,�,^, PART 5-CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount Total 5.1 Checking Accounts $ - ,' 1WJy 5-2 Savings Accounts $ i,�'r„ L'aft,`'1'6≥' 5-3 Certificates of Deposit $ - f W/ ht j Cn7/4 Total Cash Deposits :;:ng,WSial $ • Investments(if investment is a mutual fund,please list underlying investments): v r i."::T /� ^"�'� 5-4 CSAFE $ 12,853 No ''` "^ 5-5 $ , - tir 5-7 $ - Total investments �' $ 12,853 Total Cash and Investments ri�a7ew $ 12,853 _Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entitys deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no,please explain:The District has no cash deposits. Page 3 I PART 6-CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ - Buildings $ - $ - $ - $ - Machinery and equipment $ - $ - $ - $ - Furniture and fixtures $ - $ - $ - $ Infrastructure $ - $ - $ - $ - Other(explain): $ - $ - $ - $ - PART 7-PENSION INFORMATION •lease answer the f•II•win• •uesti•ns • m rki • in thea•.r••riate ••xes Yes No 7.1 Does the entit have an"old hire"firemen's •ension elan? X 7-2 Does the entit have a volunteer firemen's •ension 'Ian? X If yes Who administers the 'Ian? ? ;'`'Zh/k.', ::;[: 2�,g-%",[,y/y; Indicate the contributions from: ns � ..r✓%Hr� .,,-- i! F :E,: .I'll Tax: Pro.- ,SO,Sales,etc $ - , fix x / “ "''� ni /i of ii 97 ✓nN VT� State Contribution Amount $ - .-;:i.:,,,,-1:17:::.111, ,. �� o n �f rho Other Gifts,Donations,etc $ - 'J„- �t .A'� What is the monthly benefit paid for 20 years of serviceretiree $ - ' per ;;2 . %� r ,i ; -x as of Jan 1st? fa''bhy r ys%a 'µ mn' '''*. PART 8 -BUDGET INFORMATION Please answer the following questions by marking In the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: ��»s-n�f a*.S�i•�,a a.�yilN" WiJy,r9 rui rrr <eie y^,. ' ": Fund Name Budgeted 2009 Expenditures ac` r," ; �,t-�ww,(,, :.4 General Fund $ 55,100 •" `x7 '" � ,. $ $ I PART9 -TABOR , Please answer the following question by marking In the appropriate box Yes No 9-1 Is the entity In compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)]? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not .- ,7,7�,✓"� exempt the government from the 3%emergency reserve requirement. All governments should y/ ..,„.z.,„,<://:,,,.:77, r�Sys �. i /� /'F //f, Yl/, determine if they meet this requirement of TABOR. �/.,9a1 .'��f."m �. .�� . I PART 10 -GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formation: 10.2 Is the entity a metropolitan district? IIIMMPIIIIIS 10-3 Please indicate what services the entity provides:Sanitary system,water,streets, i...,,..„4::: / traffic safety controls,parks and recreation,mosquito control,fire protection, it, ' S ,��,,,r x � television relay,security systems and transportation. .,,� �'aa 10-4 Does the entity have an agreeement with another government to provide services? X If yes: List the name of the other government entity and the services provided:Town of ,f4,,,,4,:?../.:3::: ,,,,,:,,,.,„,,,,,,A,,,,,,,,,,,,,xw444��`' Frederick Master IGA,District Facilities Joint Financing,Construction and Service ^' x Agreement with Miner's Village Districts No.1 and No.3. l` � �a'"" G'„�' , Page 4 PART 7 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled In governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note: Please list all current members of the governing body. In addition, original signatures must be provided for a majority of those listed. Name(please print or type all current Date Term members of the governing body) Expires SI nature 1 Jon R.Lee May2012 2 Charles Bellock May 2012 3 Lewis G.Holtscaw May 2012 it .'' 4 Michael Strear May 2010 5 Douglas Pluss May 2010 6 7 5 a Clifto Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Miner's Village Metropolitan District No. 2 Weld County, Colorado We have compiled the Application for Exemption from Audit of Miner's Village Metropolitan District No. 2 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. C [P Greenwood Village, Colorado February 10, 2010 Offices in 17 states and Washington,DC HLB International • APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM • FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF$100,000 OR LESS Name of Government: Miner's Village Metropolitan District No.3 For the Fiscal Year Address: 2500 Arapahoe Avenue ended December 31,2009 Suite 200 or fiscal year ended: Boulder,CO 80302 Contact Person: Lewis Holtsclaw Telephone: 303-442-2299 E-Mail: Fax: Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S. outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a.Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparers discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name: Kevin Collins 1-2 Title: Independent Accountant 1-3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1-5 Telephone Number: 303-779-5710 1-6 Date Prepared: 11-Feb-10 • 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X • Page 1 PART 2-REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the governments land. building,and equipmenl and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ P6 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ - 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 Transfer from Miners Village Metro District No. 1 $ 1,300 2-22 $ - 2-23 TOTAL REVENUE all sources $ 1,326 PART 3-EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial Information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ - 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ 100 3-7 Accounting and legal fees $ 1,200 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify):Treasurers Fees $ 1 3-22 $ - 3-23 $ - 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ 1,301 Page 2 PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain:Developer advances are repaid as funds become available. Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ - Revenue bonds $ - $ - $ - $ _ Notes/loans $ - $ - $ - $ - Leases $ - $ - $ - $ - Developer Advances $ - $ - $ - $ - Other(specify):Accrued Interest $ - $ - $ - $ - Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 300,000,000 -,- ,, ,.,;:;:...:...:._,:,;;,;,:,r,,:;s.::.::::.:..:.:.: Date the debt was authorized: 5/6/2008 4-3 Does the entity intend to issue debt within the next calendar year(2010)7 illini X If yes: How much? I $ Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If es: What is the amount outstandi ? ( $ Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What is being: leased? f%::gip.` What is the original date of the lease? isni" � h Number of years of lease? d 3,v„-"r£F'- t i ;„r V:,,,,5 Is the lease subject to annual appropriation? ,yam ' s.1!� "7//ZiYfitii,i' What are the annual lease payments? $ - Z"' " �''t„Tl'�Y�,�,✓��-�ii�� I PART 5-CASH AND INVESTMENTS Please provide the entity's cash deposit and Investment balances Amount Total 5-1 Checking Accounts $ _ >r0 5-2 Savings Accounts $ - % f,s:5 Po $ - 151::22,:::720;.72',""rx 5-3 Certificates of Deposit Total Cash Deposits x.%' lJW $ - Investments(if investment is a mutual fund,please list underlying investments): f:S7",7'5'i/SJli7S/' � �G "ry?n u,,,., a'o a 5-4 CSAFE Jr7 f'tt 5s , ss / 5-6z;, t 5-T ,f y: Total Investments "'a *ir "-sG ,� $ 26 Total Cash and Investments � . $ 26 Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(POPA)public depository(Sec 11-10.5-101 et X seq,C.R.5.)? If no,please explain:The District has no cash deposits. Page 3 PART 6-CAPITAL ASSETS I Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ - Buildings $ - $ - $ - $ - Machinery and equipment $ - $ - $ - $ - Furniture and fixtures $ - $ - $ - $ - Infrastructure $ - $ - $ - $ - Other(explain): $ - $ - $ - $ - I PART 7-PENSION INFORMATION I Please answer the following questions by marking in the appropriate boxes Yes No 7-1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan? I fx ' 9'9,N'rh ?'; x Indicate the contributions from: !!„y ✓,, 1 y, fir. „ Tax:(Property,SO,Sales,etc) $ - F.,41.215'-',49 r 9n f;;s- j h State Contribution Amount $ - '`,�-',,, 4,-4.r{,.��,, +-py� pf.;: Other(Gifts,Donations,etc) $ - _ ��„ ' What is the monthly benefit paid for 20 years of service per retiree $ - ,,. " s� 1 99.9.L vas 1.,. as of.tan 1st? srmrer. i.'lH 9;.'9;n ;;„ iiravi - I PART 8 -BUDGET INFORMATION I Please answer the following questions by marking in the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: Fund Name Budgeted 2009 Expenditures '` ,tr am:' 9 P 2.�li,..r lG�.a.,u4,r7nurr .u� General Fund $ 3,321 . ', G syri ,� $ - Lu `a;a:'"//`..;f✓%.lr%c<C4.;: ir I PART9 -TABOR Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)1? If no,please explain: Note: M election to exempt the government from the spending limitations of TABOR does not r , c ,, t.:,,,,, exempt the government from the 3%emergency reserve requirement All governments should %�� ;� :., 3e f ;:nyt/JY;%;"3'.?: determine if they meet this requirement of TABOR £'i.5. 2,44; s- .;311, I PART 10-GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formation:f `�l',r jf�,-r' 9<-1.xr 2 "r a 10-2 Is the entity a metropolitan district? PlaaliPINIIIIIMI 10-3 Please indicate what services the entity provides:Sanitary systems,water,streets, - '✓�, i f ', j traffic safety controls,parks and recreation,mosquito control,fire protection, - ;, -i .- television relay,security systems and transportation. :4.4 V ;:in, ;' ;;air�;%' `,.N'',.:sfrr1 :::: 10-4 Does the entity have an agreeement with another govemment to provide services? MaIMIMII If yes: List the name of the other government entity and the services provided:Town of ti ..;.,;;„ y� , t4 s „r ? :::fir �� Frederick Master IGA,District Facilities Joint Financing,Construction and Service �� a,� ��aF ,,r, �i� Agreement with Miner's Village Districts No. 1 and No.2. z� a1Gi5r,z tdX1. Page 4 PART 7-GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note: Please list all current members of the governing body. In addition, original signatures must be provided for a majority of those listed. Name(please print or type all current Date Term members of the governing body) Expires Signature 1 Jon R. Lee May2012 2 Charles Bellock May 2012 1 3 Lewis G.Holtsclaw May 2012 /44.4.4" 4 Michael Strear May 2010 5 Douglas Pluss May 2010 6 7 5 Clifton Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Miner's Village Metropolitan District No.3 Weld County, Colorado We have compiled the Application for Exemption from Audit of Miner's Village Metropolitan District No. 3 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. eM - C Cf° Greenwood Village,Colorado February 11, 2010 Offices in 17 states and Washington,DC HLB International APPLICATION FOR EXEMPTION FROM AUDIT - SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF $100,000 OR LESS Name of Government: Morgan Hill Metropolitan District No. 1 For the Fiscal Year Address: 2500 Arapahoe Avenue ended December 31,2009 Suite 220 or fiscal year ended: Boulder, CO 80302 Contact Person: Lewis Holtsclaw Telephone: 303-442-2299 E-Mail: Fax: Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver, CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally, any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions: (See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a.Resolution of the governing board-application may be e-mailed,faxed,or mailed. b. Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparer's discretion. PART 1 - CERTIFICATION OF PREPARER 1-1 Name: Kevin Collins 1-2 Title: Independent Accountant 1-3 Firm(if applicable): Clifton Gunderson LLP 1.4 Address: 8390 E Crescent Parkway,Suite 600, Greenwood Village, CO 80111 1-5 Telephone Number: 303-779-5710 1-6 Date Prepared: February 11, 2010 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. t:Check.One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form) No 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART 2 - REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants • $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ - 2-14 Charges for utility services $ - 2-15 Debt proceeds - $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 Developer advances $ 52,664 2-22 $ - 2-23 TOTAL REVENUE all sources $ 52,664 PART 3 - EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ 19 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ 255 3-7 Accounting and legal fees $ 5,823 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): $ - 3-22 Formation costs $ 45,869 3-23 Transfer to Morgan Hill Metropolitan District No.2 - $ 255 3-24 Transfer to Morgan Hill Metropolitan District No.3 $ 255 3-25 TOTAL EXPENDITURES all categories $ 52,476 Page 2 PART 4- DEBT OUTSTANDING, ISSUED AND RETIRED 1 sVI I?X ;ifi:i'"a`(rf'WirOCteahitr iWSt115bs b = a p O oiRs 17ac a"Y Yet`` :.!) S:STM 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain:The Districts debt X obligations are payable only when funds are available. Please complete the following debt schedule, if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ Revenue bonds $ - $ - $ - $ Notes/loans $ - $ - $ - $ - Leases $ - $ - $ - $ Developer Advances $ - $ 52,664 $ - $ 52,664 Other(specify): Accrued interest payable $ - $ 3,683 $ - $ 3,683 , RleaSe2'thefdlfebigigtiOttvOnY='=markift9=therepp_ropnatekh6rtes- -, 7Fet _ -az Nt1. 4-2 Does the entity have any authorized, but unissued debt? X If yes: How much? $ 119,000,000 Date the debt was authorized: 11/4/2008 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? I $ Pteae Afiliv C.the:idli Miat4Qestktt' rlikisl `pi risalel byre ,: ` `4°"` .u... . aoa_ 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? I $ - ..- a ,Rt foip,f '4#tStidn rby_":t%)arkmgtthe.3pprojdgsxeb c " ` tS `r. , - `r-, 2,1' 4-5 Does the entity have any lease agreements? X If yes: What is being leased? What is the original date of the lease? Number of years of lease? Is the lease subject to annual appropriation? What are the annual lease payments? $ - PART 5-CASH AND INVESTMENTS '*'-". �__'.►a`,to thCee ilti z`.,..a XtfrO �'-°a'ttatt pe'fll!% �1Lr),llOi F- al a,; .' O J` ,,,& 5-1 Checking Accounts $ 1,043 ,... 5-2 Savings Accounts $ - 5-3 Certificates of Deposit $ - Total Cash Deposits $ 1,043 Investments(if investment is a mutual fund, please list underlying investments): 5-4 $ 5-5 $ - 5-6 $ - 5-7 $ - Total Investments $ Total Cash and Investments _ $ 1,043 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq C.R.S.)? If no,please explain: Page 3 PART 6 - CAPITAL ASSETS Please-answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land, buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no, please explain: Complete the following table: Balance- Beginning of the Balance- End Year Additions Deletions of the Year Land $ - $ - $ - $ Buildings $ - $ - $ - $ Machinery and equipment $ - $ - $ - $Furniture and fixtures $ - $ - $ $Infrastructure $ - $ - $ - $ Other(explain): $ - $ - $ - $ PART 7 - PENSION INFORMATION rt P eta7!`sWfrthg",fol[4ti hiduestioii5:byniarklogintheappr'opiiateboxes :Yes No 7-1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan? Indicate the contributions from: Tax: (Property,SO,Sales, etc) $ - State Contribution Amount $ - Other(Gifts, Donations,etc) What is the monthly benefit paid for 20 years of service per retiree $ as of Jan 1st? PART 8 - BUDGET INFORMATION Pie****1 01ititbliaYrlf ititiillO64lLs"ebXer0OK0WS it+k,$pp7213tat@+Ji:'6Yi73`5'-`mes r.'-4 .... 1 Z, Mom.,, ar 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no, please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: Fund Name Budgeted 2009 Expenditures General Fund(amended) $ 55,000 PART 9 -TABOR Pteasa miat7 tfollowing;Suesti W—niarktpcul ttii! apprvp tit0i `_ NO L 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)]? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not exempt the government from the 3%emergency reserve requirement. An governments should determine if they meet this requirement of TABOR. PART 10-GENERAL INFORMATION ..:==; Pis e'"a .s. . Ythe. tillowIn9qte§ttot*W0012tking4tn:theapprotiriatot}pjcos ° SAY: ra'r,aNDL. `:. 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formation:11/20/09 10-2 Is the entity a metropolitan district? X 10-3 Please indicate what services the entity provides: Sanitary and storm sewer,water, streets,traffic and safety controls, parks and recreation, mosquito control,fire protection,security,television relay and transmission,and public transportation 10-4 Does the entity have an agreeement with another government to provide services? X If yes: List the name of the other government entity and the services provided: Morgan Hill Metro Districts Nos.2 and 3. The Districts will collectively finance the construction of specified public improvements for the Morgan Hill development. Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note: Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signature(unless resolution is the governing body) Expires attached) 1 Jon R. Lee May 2010 a 2 Charles Bellock May 2010 % 3 Lewis G. Holtsclaw May 2012 /i‘aie,„ 4 5 6 7 Page 5 Clifton Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Morgan Hill Metropolitan District No. I Weld County, Colorado We have compiled the Application for Exemption from Audit of Morgan Hill Metropolitan District No. 1 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. Greenwood Village, Colorado February 1 I, 2010 Offices in 17 states and Washington,DC HLB International • APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF$100,000 OR LESS Name of Government: Morgan Hill Metropolitan District No.2 For the Fiscal Year Address: 2500 Arapahoe Avenue ended December 31,2009 Suite 220 or fiscal year ended: Boulder,CO 80302 Contact Person: Lewis Holtsclaw Telephone: 303-442-2299 E-Mail: Fax: Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a. Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparers discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name: Kevin Collins 1-2 Title: Independent Accountant 1-3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E Crescent Parkway, Suite 600,Greenwood Village, CO 80111 1-5 Telephone Number: 303-779-5710 1-6 Date Prepared: February 11.2010 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART 2-REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the governments land, building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ - 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 Transfer from Morgan Hill Metropolitan District No. 1 $ 255 2-22 $ - 2-23 TOTAL REVENUE all sources $ 255 I PART 3 -EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ - 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ 255 3-7 Accounting and legal fees $ - 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): $ - 3-22 $ - 3-23 $ - 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ 255 Page 2 PART 4- DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain: Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ Revenue bonds $ - $ - $ $ Notes/loans $ - $ - $ - $ Leases $ - $ - $ $ Developer Advances $ - $ - $ - $ Other(specify): Accrued Interest Payable $ - $ - $ - $ - Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized, but unissued debt? X If yes: How much? $ 119,000,000 Date the debt was authorized: 11/4/08 4.3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? I $ - Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X. If yes: What is the amount outstanding? I $ - Please answer the following questions by marking the appropriate boxes Yes No 4.5 Does the entity have any lease agreements? X If yes What is being leased? _. What is the original date of the lease? Number of years of lease? - - - Is the lease subject to annual appropriation? What are the annual lease payments? $ - I PART 5-CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount Total 5-1 Checking Accounts $ 5-2 Savings Accounts $ - 5-3 Certificates of Deposit $ - Total Cash Deposits $ Investments(if investment is a mutual fund,please list underlying investments): 5-4 $ 5-5 $ 5-8 $ 5-7 $ Total Investments $ Total Cash and Investments $ - Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no, please explain: N/A,the District has no cash deposits. Page 3 PART 6-CAPITAL ASSETS Ptease.answerthe following,guerbons:by"rrtarking In tlse'appropr ate"boxes Yes',. No 6-1 Does the entity have land, buildings, and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no, please explain: Complete the following table: Balance- Beginning of the Balance- End Year Additions Deletions of the Year Land $ - $ - $ - $Buildings $ - $ - $ - $Machinery and equipment $ - $ - $ - $Furniture and fixtures $ - $ - $ - $ Infrastructure $ - $ - $ - $Other(explain): $ - $ - $ - $ PART 7 - PENSION INFORMATION Pte*0101:$ :edioltowinggaestlonssbyniarjditgjnitlPaappioprfia'teb'o`xes ;. ,„.rreue§FM . _ id's 7-1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan? Indicate the contributions from: Tax:(Property,SO, Sales,etc) $ - State Contribution Amount $ - Other(Gifts, Donations,etc) $ - What is the monthly benefit paid for 20 years of service per retiree $ - as of Jan 1st? PART 8- BUDGET INFORMATION PteaseaftslVei tie`foltbwing:questiorlsbymarktigli the6pproprtate=boxes 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no, please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: Fund Name Budgeted 2009 Expenditures General Fund $ 2,000 PART 9 -TABOR Parecwoolfdt"vlhisr tion 9flaokfjig'i a t pc$dbbif �,s" , S ,_ 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X, Section 20(5)]? If no, please explain: Note: An election to exempt the government from the spending limitations of TABOR does not exempt the government from the 3%emergency reserve requirement. MI governments should determine if they meet this requirement of TABOR. PART 10-GENERAL INFORMATION # a'a alyd1 l helf011b*lnOnesttb b3`r 7iaf(i :911WWp rla'k troXe - .. h .k a J ^° r 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formation:11/20/09 10-2 Is the entity a metropolitan district? X 10-3 Please indicate what services the entity provides: Sanitary and storm sewer,water, streets,traffic and safety controls,parks and recreation, mosquito control,fire protection,security, television relay and transmission, and public transportation 10-4 Does the entity have an agreeement with another government to provide services? X If yes: List the name of the other government entity and the services provided: Morgan Hill Metro Districts Nos.1 and 3. The Districts will collectively finance the construction of specified public improvements for the Morgan Hill development. Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signature(unless resolution is the governing body) Expires attached) 1 Jon R. Lee May 2010 /Lk—, 2 Charles Bellock May 2010 3 Lewis G. Holtsclaw May 2012 G 2j p1.. 4 5 6 7 Page 5 Clifton Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Morgan Hill Metropolitan District No. 2 Weld County, Colorado We have compiled the Application for Exemption from Audit of Morgan Hill Metropolitan District No. 2 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. • LCP Greenwood Village, Colorado February 11, 2010 HLBInternational in 17 states and Washington,DC • APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF $100,000 OR LESS Name of Government: Morgan Hill Metropolitan District No. 3 For the Fiscal Year Address: 2500 Arapahoe Avenue ended December 31, 2009 Suite 220 or fiscal year ended: Boulder, CO 80302 Contact Person: Lewis Holtsclaw Telephone: 303-442-2299 E-Mail: Fax: Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S. outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 Individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions: (See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a. Resolution of the governing board-application may be e-mailed,faxed, or mailed. b. Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparer's discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name: Kevin Collins 1-2 Title. Independent Accountant 1-3 Firm(if applicable): Clifton Gunderson LLP 1.4 Address: 8390 E Crescent Parkway,Suite 600,Greenwood Village. CO 80111 1-5 Telephone Number: 303-779-5710 1-6 Date Prepared: February 11, 2010 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART2 -REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ - 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify). $ - 2-21 Transfer from Morgan Hill Metropolitan District No. 1 $ 255 2-22 $ - 2-23 TOTAL REVENUE all sources $ 255 PART 3-EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ - 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ 255 3-7 Accounting and legal fees $ - 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - . 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): $ - 3-22 $ - 3-23 $ - 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ 255 Page 2 PART 4- DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no. please explain: Please complete the following debt schedule, if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ - Revenue bonds $ - $ - $ - $ - Notes/loans $ - $ - $ - $ - Leases $ - $ - $ - $ Developer Advances $ - $ - $ - $ - Other(specify): Accrued Interest Payable $ - $ - $ - $ - Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes. How much? $ 119,000,000 Date the debt was authorized: 11/4/08 4-3 Does the entity intend to issue debt within the next calendar year(2010)7 X If yes: How much? I $ - Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? I $ - ,.... Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes'. What is being leased? What is the original date of the lease? Number of years of lease? Is the lease subject to annual appropriation? What are the annual lease payments? $ - PART 5 -CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount Total 5-1 Checking Accounts $ - 5-2 Savings Accounts $ - 5-3 Certificates of Deposit $ - Total Cash Deposits $ Investments(if investment is a mutual fund,please list underlying investments): 5-4 $ - 5-5 $ - 5-6 $ - 5-7 $ Total Investments $ Total Cash and Investments , $ .. Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq, C.R.S.)9 If no,please explain: N/A,the District has no cash deposits. Page 3 PART 6 - CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land, buildings, and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.5.? If no, please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ Buildings $ - $ - $ - $ Machinery and equipment $ - $ - $ - $Furniture and fixtures $ - $ - $ - $Infrastructure $ - $ - $ - $ Other(explain): $ - $ - $ - $ PART 7 - PENSION INFORMATION Please answer the following questions by.marking In the appropriate boxes • Yes No .? 7-1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan? Indicate the contributions from: Tax:(Property, SO, Sales, etc) $State Contribution Amount $ Other: (Gifts, Donations, etc) $ - What is the monthly benefit paid for 20 years of service per retiree $ as of Jan 1st? PART 8 - BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes - Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no, please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: Fund Name Budgeted 2009 Expenditures General Fund $ 2,000 PART 9 -TABOR Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X, Section 20(5)]? If no, please explain: Note: An election to exempt the government from the spending limitations of TABOR does not exempt the government from the 3%emergency reserve requirement. Ad governments should determine if they meet this requirement of TABOR. PART 1 • • Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formation:11/20/09 10-2 Is the entity a metropolitan district? X 10-3 Please indicate what services the entity provides: Sanitary and storm sewer,water, streets,traffic and safety controls, parks and recreation, mosquito control,fire protection,security, television relay and transmission, and public transportation 10-4 Does the entity have an agreeement with another government to provide services? X If yes: List the name of the other government entity and the services provided: Morgan Hill Metro District Nos. 1 and 2. The Districts will collectively finance the construction of specified public improvements for the Morgan Hill development. _ Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604, C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signature(unless resolution is the governing body) Expires attached) 1 Jon R. Lee May 2010 2 Charles Bellock May 2010 3 Lewis G. Holtsclaw May 2012 42:o /9414 4 w 4 5 6 7 Page 5 Clifton Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Morgan Hill Metropolitan District No. 3 Weld County, Colorado We have compiled the Application for Exemption from Audit of Morgan Hill Metropolitan District No. 3 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. `if'rn'` (<P Greenwood Village, Colorado February 11, 2010 Offices in 17 states and Washington,DC HLB International APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF$100,000 OR LESS Name of Government: _North Suburban Metropolitan District No. 1 For the Fiscal Year Address: 8390 E.Crescent Parkway ended December 31,2009 Suite 600 or fiscal year ended: Greenwood Village,CO 80111 Contact Person: Jason Carroll Telephone: 303-779-5710 E-Mail: jason.carroll(a)cliftoncpa.com Fax: 720-482-6668 Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX: (303)8664062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S. outlines the provisions for an exemption from audit. Generally, any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 Individually,you may use this form. If either revenues or expenditures are$100,000, but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a. Resolution of the governing board-application may be e-mailed,faxed, or mailed. b. Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparer's discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name: Jason Carroll 1-2 Title: Accountant for the District 1-3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway, Suite 600, Greenwood Village, CO 80111 1-5 Telephone Number: 303-779-5710 1-6 Date Prepared: March 19,2010 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART2-REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ 1 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 Developer Advance $ 15,055 2-22 Transfer from District#2 $ - 2-23 TOTAL REVENUE all sources $ 15,056 PART 3-EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ - 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ - 3-7 Accounting and legal fees $ 17,304 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): Dues $ 1,088 3-22 Miscellaneous $ - 3-23 Election expense $ - 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ 18,392 Page 2 PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain: Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ - Revenue bonds $ - $ - $ - $ - Notes/loans $ - $ - $ - $ - Leases $ - $ - $ - $ - Developer Advances $ - $ 15,055 $ - $ 15,055 Other(specify): $ - $ - $ - $ - Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized, but unissued debt? X If yes: How much? $ 1,029,000,000 Date the debt was authorized: 11/7/2006 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? I$ - Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? I$ - Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What is being leased? What is the original date of the lease? Number of years of lease? Is the lease subject to annual appropriation? What are the annual lease payments? $ - PART 5-CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount Total 5.1 Checking Accounts $ 5-2 Savings Accounts $ 53 Certificates of Deposit $ - Total Cash Deposits $ Investments(if investment is a mutual fund,please list underlying investments): _. 5-4 CSAFE $ 251 5-5 $ - 5-6 $ - 5-7 $ Total Investments $ 251 Total Cash and Investments ,. $ 251 Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no,please explain:CSAFE is a local government investment pool. Page 3 PART 6-CAPITAL ASSETS Please answer the following questions by marking In the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ - Buildings $ - $ - $ - $ Machinery and equipment $ - $ - $ - $ - Furniture and fixtures $ - $ - $ - $ - Infrastructure $ - $ - $ - $ - Other(explain): $ - $ - $ - $ - PART 7-PENSION INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 7-1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan? I �01,,,,//!ip..c,�� Indicate the contributions from: ��/��/2��/��)24%,,ONc Tax:(Property, SO,Sales, etc) $ - 7,.,„,'9;7��-i��7��/��/ State Contribution Amount $ ��/�/�l��;1 1%/111111%11////f/%%/4//ff/f/%%////fff/ffr //i2 What is the monthly(benefit paid tfor 20 years of service per retiree - /1 4�� as of Jan 1st? PART 8 -BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please x explain: If yes: Please indicate the amount appropriated for each fund for 2009: %%%��/�� ,7 /Aft AM Fund Name Budgeted 2009 Expenditures r —4,4„; ;:(5„, 'nil General Fund $ 50 000 ',Cz �%%%%///��/��I��'1 Capital Protects Fund $ 450,000 9/��/��r��19155 7,c,,, $ - '//O/0/0///%00//%0%00///00'' 9,0,0, , PART 9-TABOR Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X.Section 20(5)]? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not exempt the government from the 3%emergency reserve requirement. All governments should �� jAW AI determine if they meet this requirement or TABOR. PART 10-GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is the entity a newly formed governmental entity? ��/��/��// If yes: Date of formation: 10-2 is the entity a metropolitan district? c10-3 Pleaov te what services ito you provide: Street,por traffic a sla protection,nd water,sanitary sewer,storm drainage,parks 8 recreation,fire protectio improvements, mosquito control, public transportation,TV relay and translation and security services. 10-4 Does the entity have an agreeement with another government to provide services? X If yes: List the name of the other government entity and the services provided: IGA with the Cy ofi Evans njo ton N. S. Nu an MD's D No. 1 (Operating District) operates in conjunction with N. Suburban MD's Nos.2-4,which are the Financing Districts. Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604, C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note: Please list all current members of the governing body. Original signatures must .e provided for a majority of the governing body if the application Is mailed,or a resol -on m y be provided In lieu of original signatures. Name(print names of all current members of Date Term the governing body) Expires or I i na re(un ss resoluti is attached) 1 Kevin France May-12 2 Robert Lemon May-10 3 Rod Guerrieri May-12 4 John Suter May-10 5 Josh Suter May-10 \ _ 6 7 • Page 5 M Clifto Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANTS' COMPILATION REPORT Board of Directors North Suburban Metropolitan District No. 1 Weld County, Colorado We have compiled the Application for Exemption from Audit of North Suburban Metropolitan District No. 1 as of and for the year ended December 31, 2009, included in the accompanying prescribed form, in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's Office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the Colorado State Auditor's Office, which differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. We are not independent with respect to North Suburban Metropolitan District No. 1. 41/4x- ),La"—a-nx' Greenwood Village, Colorado March 19, 2010 Offices in 16 states and Washington,DC HLB International APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF$100,000 OR LESS Name of Government: North Suburban Metropolitan District No.2 For the Fiscal Year Address: 8390 E.Crescent Parkway ended December 31,2009 Suite 600 or fiscal year ended: Greenwood Village, CO 80111 Contact Person: Jason Carroll Telephone: 303-779-5710 E-Mail: jason.carroll@cliftoncpa.com Fax: 720-482-6668 Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866.4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a.Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparers discretion. PART 1 -CERTIFICATION OF PREPARER 1.1 Name: Jason Carroll 1-2 Title: Accountant for the District 1.3 Firm(if applicable): Clifton Gunderson LLP 1.4 Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1-5 Telephone Number: 303-779-5710 1.6 Date Prepared: March 19,2010 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART 2-REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land. building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 _ Highway Users Tax Funds(HUTF) $ - -- 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ - 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 Developer Advance $ - 2-22 Transfer from District#2 $ - 2-23 TOTAL REVENUE all sources $ - PARTS -EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ - 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ - 3-7 Accounting and legal fees $ - 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): $ - 3-22 Miscellaneous $ - 3-23 Election expense $ - 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ - Page 2 PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no, please explain: Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ Revenue bonds $ - $ - $ - $Notes/loans $ - $ - $ - $Leases $ - $ - $ - $Developer Advances $ - $ - $ - $ Other(specify): $ - $ - $ - $ Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 1,029,000,000 Date the debt was authorized: 11/7/2006 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? [$ , Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? I $Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What is being leased? What is the original date of the lease? Number of years of lease? Is the lease subject to annual appropriation? What are the annual lease payments? PART 5 -CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount Total 5.1 Checking Accounts $ 5.2 Savings Accounts $ 5.3 Certificates of Deposit $ - Total Cash DepositsInvestments(if investment is a mutual fund,please list underlying investments): 5-4 $ 5.5 $ 5.6 $ 5.7 Total Investments $Total Cash and Investments Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq.C.R.S.)? If no,please explain:The District had no deposits at year end. Page 3 PART 6 -CAPITAL ASSETS J Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ Buildings $ - $ - $ $ Machinery and equipment $ - $ - $ - $Furniture and fixtures $ - $ - $ - $Infrastructure $ - $ - $ - $ Other(explain): $ - $ - $ - $ PART 7-PENSION INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 7-1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan? Indicate the contributions from: Tax:(Property,SO,Sales,etc) $ State Contribution Amount $ - Other:(Gifts,Donations,etc) What is the monthly benefit paid for 20 years of service per retiree $ as of Jan 1st? "w PART 8 -BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 8.1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: Fund Name Budgeted 2009 Expenditures General Fund $ 25,000 $ PART 9 -TABOR Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)]? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not exempt the government from the 3%emergency reserve requirement All governments should determine it they meet this requirement of TABOR. PART 10-GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10.1 Is the entity a newly formed governmental entity? X If yes: Date of formation: 10-2 Is the entity a metropolitan district? X 10-3 Please indicate what services you provide:Street,traffic controls,safety protection, water,sanitary sewer,storm drainage,parks&recreation,fire protection improvements,mosquito control, public transportation,TV relay and translation and security services. 10-4 Does the entity have an agreeement with another government to provide services? X If yes: List the name of the other government entity and the services provided:IGA with the City of Evans to provide services. N.Suburban MD No. 1 (Operating District)operates in conjunction with N.Suburban MD's Nos.2-4,which are the Financing Districts. Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Sig r ature(u less resolution is the governing body) Expires attac ed) 1 Kevin France Ma -12 2 Robert Lemon May-10 3 Rod Guerrieri Ma -12 4 John Suter May-10 5 Josh Suter May-10 6 7 Page 5 M Clifton Gunderson LLP Certified Public Accountants&Consultants • ACCOUNTANTS' COMPILATION REPORT Board of Directors North Suburban Metropolitan District No. 2 Weld County, Colorado We have compiled the Application for Exemption from Audit of North Suburban Metropolitan District No. 2 as of and for the year ended December 31, 2009, included in the accompanying prescribed form, in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's Office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the Colorado State Auditor's Office, which differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. We are not independent with respect to North Suburban Metropolitan District No. 2. /LP Greenwood Village, Colorado March 19, 2010 Offices in 16 states and Washington,DC HLB International APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF$100,000 OR LESS Name of Government: North Suburban Metropolitan District No.3 For the Fiscal Year Address: 8390 E.Crescent Parkway ended December 31,2009 Suite 600 or fiscal year ended: Greenwood Village,CO 80111 Contact Person: Jason Carroll Telephone: 303-779-5710 E-Mall: jason.carroll@cliftoncpa.com Fax: 720-482-6668 Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 Individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in govemmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a.Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparer's discretion. PART 1 -CERTIFICATION OF PREPARER 1.1 Name: Jason Carroll 1.2 Title: Accountant for the District 1-3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1-5 Telephone Number: 303-779-5710 1.6 Date Prepared: March 19,2010 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 1 PART2-REVENUE 1 REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ - 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 Developer Advance $ - 2-22 Transfer from District#2 $ - 2-23 TOTAL REVENUE all sources $ - PART 3-EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ - 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ - 3-7 Accounting and legal fees $ - 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): $ - 3-22 Miscellaneous $ - 3-23 Election expense $ - 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ - Page 2 I PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED I Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain: Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ - Revenue bonds $ - $ - $ - $ - Notes/loans $ - $ - $ - $ - Leases $ - $ - $ - $ - Developer Advances $ - $ - $ - $ - Other(specify): $ - $ - $ - $ - Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 1,029,000,000 "" "` ,""`"`�"'"---,—` ,;,n; s,,,,bans, Date the debt was authorized: 11/7/2006", ,,,", - 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? i $ - ..rHrrrrrrrHrrrrrrrrrrrrrrrrrrrrrrH.rrr..rr,„rrrrrrH.rr. Please answer the following questions by marking the appropriate boxes Yes No 4.4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? I $ _ e F„-, , j ,-, , : sig Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X ............. .:.v,.,,, If yes: What is being leased? What is the original date of the lease? -"""" ",ix Number of years of lease? Is the lease subject to annual appropriation? •''-;_;";_,"" "='"""'""' "" What are the annual lease payments? $ - ,.,,,,,„„,. .......__......-,.. .m,- ,;/.=;;;Z:=:::::=14 PART 5-CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount Total 5-1 Checking Accounts $ - 'texnrtxrarva-ld 5-2 Savings Accounts $ - "- s „y 5-3 Certificates of Deposit $ - ` sc:"u Total Cash Deposits --'_-'- $ Investments Of investment is a mutual fund,please list underlying investments): l`' '""" .'..„„"""""""' ' '�"'" 5-6 $ 5-7 $ - „rrr, ;m,° Total Investments i - Total Cash and Investments : „ "ti% $ Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no,please explain:The District had no deposits at year end. Page 3 PART 6-CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ - Buildings $ - $ - $ - $ - Machinery and equipment $ - $ - $ - $ - Furniture and fixtures $ - $ - $ - $ - Infrastructure $ - $ - $ - $ - Other(explain): $ - $ - $ - $ - PART 7 -PENSION INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 7.1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan? I v" "' "' ',•<" ,•"• ` �,-, `"°" r e ..", -Itt4 Indicate the contributions from: Tax:(Property,SO,Sales,etc) $ - ssrsossisis,,,,,`r"• , „n ',, ms''''''" State Contribution Amount $ Other:(Gifts,Donations,etc) $ - y,;; '„ z ••�.„:_. ,,/ '_:" ,»„ What is the monthly benefit paid for 20 years of service per retiree $ - y•i,,° ;" ° g;.,-4. ,;, „�;,, as of Jan 1st? vy��`_res„„:m;: rn�r PART 8 -BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: ,,,„„„ ,,,",,,„„ • Fund Name Budgeted 2009 Expenditures•.;;:e=„-;t:,' ,.. General Fund $ 25,000 �••--- ,6;�c'<rv%rW�3,, ti $ _ ,. `,, ,,,n..x $ - ;:me rick;,, ,:, %_•'-'w•; PART 9-TABOR I Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)]? If no,please explain: Arr Note: An election to exempt the government from the spending limitations of TABOR does not "mrv. i°;=•"f>"Warm/i,,i-.5 % exempt the government from the 3%emergency reserve requirement. All governments should "determine if they meet this requirement of TABOR. ryv"'j,',,',1n",,yi,,%`,'7,•r y m,7 PART 10-GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formation:I ;s& ';¢utsj;;i;;-;~r-;t=r;;:WO:w„_;_: •,_;.rea=62 10-2 Is the entity a metropolitan district? X 10.3 Please indicate what services you provide:Street,traffic controls,safety protection, ;''r .. water,sanitary sewer,storm drainage,parks&recreation,fire protection ;=: :;— yr w improvements,mosquito control,public transportation,TV relay and translation and "s�rkze," ��' � µ" security services. ` " ;; ,=" ers- 104 Does the entity have an agreeement with another govemment to provide services? rszr" X If yes: List the name of the other government entity and the services provided:IGA with the '""�'"""'�"; '°�""';"' ✓:r��rs City of Evans to provide services. N.Suburban MD No. 1 (Operating District) ;x„„,—,-?I. ..;:rIyff i8'al operates in conjunction with N.Suburban MD's Nos.2-0,which are the Financing r kr..=='""'-'z'" s��l'.r%tr Districts. "• iii;= f:'i;kzn:••::;::s,µcz:;;;,rnSU , Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Ori;mal Si, a - . - unless r solution is the governing body) Expires attached) 1 Kevin France May-12 - '� 2 Robert Lemon May-10 3 Rod Guerrieri May-12 Prr 4 John Suter May-10 5 Josh Suter May-10 6 7 Page 5 Clifton Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANTS' COMPILATION REPORT Board of Directors North Suburban Metropolitan District No.3 Weld County,Colorado We have compiled the Application for Exemption from Audit of North Suburban Metropolitan District No. 3 as of and for the year ended December 31, 2009, included in the accompanying prescribed form, in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's Office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the Colorado State Auditor's Office, which differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. We are not independent with respect to North Suburban Metropolitan District No. 3. Greenwood Village, Colorado March 19, 2010 Offices in 16 states and Washington,DC HLB mternet,onal APPLICATION FOR EXEMPTION FROM AUDIT -SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF$100,000 OR LESS Name of Government: North Suburban Metropolitan District No.4 For the Fiscal Year Address: 8390 E.Crescent Parkway ended December 31,2009 Suite 600 or fiscal year ended: Greenwood Village,CO 80111 Contact Person: Jason Carroll Telephone: 303-779-5710 E-Mail: )ason.carroll@cliftoncpa.com Fax: 720-482-6668 Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)8664062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 Individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the goveming body as evidenced by one of the following methods: a.Resolution of the goveming board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparer's discretion. PART 1 -CERTIFICATION OF PREPARER 1.1 Name: Jason Carroll 1-2 Title: Accountant for the District 1-3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1-5 Telephone Number: 303-779-5710 1-6 Date Prepared: March 19,2010 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1.8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART 2- REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information, Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ - 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 Developer Advance $ - 2-22 Transfer from District#2 $ - 2-23 TOTAL REVENUE all sources $ - I PART 3-EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ - 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ - 3-7 Accounting and legal fees $ - 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): $ - 3-22 Miscellaneous $ - 3-23 Election expense $ - 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ - Page 2 PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain: Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ _ Revenue bonds $ - $ - $ - $ - Notes/loans $ - $ - $ - $ - Leases $ - $ - $ - $ - Developer Advances $ - $ - $ - $ - Other(specify): $ - $ - $ - $ - Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 1,029,000,000 Date the debt was authorized: 4-3 Does the entit intend to issue debt within the next calendar ear 2010? X ftmHow much? $ - ,,,,.,,,. „„,,... .,,,,,,,, Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entit have debt that has been refinanced that it is still res.onsible for? X If yes: What is the amount outstanding? $ - -.04Fit ' $ &t4d Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entit have an lease a.reements? X If yes: What is bein. leased? What is the ori.inal date of the lease? Number of years of lease? X= C"W x ,nvyt,r : Is the lease subject to annual appropriation? What are the annual lease payments? $ em .rt PART 5-CASH AND INVESTMENTS 4 Please provide the entity's cash deposit and investment balances Amount Total 5.1 Checking Accounts $ _ :;; ' '" raii 5.2 Savings Accounts $ ",,,,,r-55 5.3 Certificates of Deposit $ mar" Total Cash Deposits di arsr meta • - $ Investments if investment is a mutual fund, lease list under) in investments : 54 $ 5.5 � ss 5-6 $ - .� $ Total Investments -"`"� µµ Total Cash and Investments %rjkz"'�,.-e""""`"' y'p'j"_e $ - Please answer the following question by marking in the appropriate box Yes No 5.8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)1 If no,please explain:The District had no deposits at year end. Page 3 PART 6-CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ - Buildings $ - $ - $ - $ - Machinery and equipment $ - $ - $ - $ - Furniture and fixtures $ - $ - $ - $ - Infrastructure $ - $ - $ - $ - Other(explain): $ - $ - $ - $ - PART 7-PENSION INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 7.1 Does the entity have an"old hire"firemen's pension plan? X 7.2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan? ';• •„;:e:=' Indicate the contributions from: ,za ,�� Tax:(Property,SO,Sales,etc) $ - fr."- ,,:q1 Z =; State Contribution Amount $ - . ;„ �q„e Other: Gifts, Donations,etc $ !,,x�!I115 , , „i , / What is the monthly benefit paid for 20 years of service per retiree $ - H-••••••••—••••••• •„ ':fir , as of Jan 1st? =�„��.,�:rey�v��cff;�„,;;;�;�;�_��,'",'-,;,.t PART 8 -BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: „„,,, ,,,,,,, „_ ,,; Fund Name Budgeted 2009 Expenditures ,. „:; , f :' ;$ ;:z�M=;•-..;;•�_„;;„_z General Fund $ 25,000 •,.,; i.�u�t:+„t _„_• _.,_ $ - e ; ' $ - • „gegr e1r"'.. :=emrew, .,,., . .•7 I PART 9 -TABOR Please answer the following question by marking In the appropriate box Yes No " 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)1? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not ,","", '"zi a�'w'iE�„zi;'.";z� ;:'s'z'z„riz"��xYu�.': la dc exempt the government from the 3%emergency reserve requirement. AS governments should i4 xvrc vam�czxm .zf zrzu4 :Nut'6v,"YY?IZ'z'F,i'Y4i'SLr„Iv� determine if they meet this requirement of TABOR. •gJwgxrxproiwv,,,, ivwm Jy�n I PART 10-GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formation: 10-2 Is the entity a metropolitan district? X m .n 10-3 Please indicate what services you provide:Street,traffic controls,safety protection, ,"y�","•","y�•,•"' ' -Pr= water,sanitary sewer,storm drainage,parks&recreation,fireprotection :,"`'"' °� 1",e' 9 d �r gym„ �';fy', improvements,mosquito control,public transportation,TV relay and translation and Sr', security services. „v,"-•w."�,"""t„` -AWE., 10.4 Does the entity have an agreeement with another government to provide services? X If yes: List the name of the other government entity and the services provided: IGA with the ",'„µ'"•""•"••"„ '• 'r:»e h -'""£Y,i' ere;; ;; ray,ex-City of Evans to provide services. N.Suburban MD No. 1 (Operating District) 1,76-,a—n ";j,_, ;„ operates in conjunction with N.Suburban MD's Nos.2-4,which are the Financing '" ' y '-„ ; Districts. e::e:;e;;:,:;e::;:; ;:::;ee;:;::,;:m;;;:;ee;: "":;;;W;;:, .ry Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body If the apdication is mailed,or a resolution may be provided in lieu of original signatures. ,,// Name(print names of all current members of Date Term Ori•' al Si. ature(unle s resolution is the governing body) Expires ' attached 1 Kevin France May-12 2 Robert Lemon May-10 3 Rod Guerrieri May-12 4 John Suter May-10 5 Josh Suter May-10 e 6 7 Page 5 Clifton Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANTS' COMPILATION REPORT Board of Directors North Suburban Metropolitan District No. 4 Weld County, Colorado We have compiled the Application for Exemption from Audit of North Suburban Metropolitan District No. 4 as of and for the year ended December 31, 2009, included in the accompanying prescribed form, in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's Office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the Colorado State Auditor's Office, which differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who arc not informed about such differences. We are not independent with respect to North Suburban Metropolitan District No. 4. e41/1"- ,1w,t." ALA P Greenwood Village, Colorado March 19, 2010 Offices in 16 states and Washington,DC HLB International • APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF $100,000 OR LESS Name of Government: Pinnacle Farms Metropolitan District For the Fiscal Year Address: 8390 E.Crescent Parkway ended December 31,2009 Suite 600 or fiscal year ended: Greenwood Village,CO 80111 Contact Person: Jason Carroll Telephone: 303-779-5710 E-Mail: jason.carroll@cliftoncpa.com Fax: 720-482-6668 Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 Individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in govemmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a.Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparer's discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name: Jason Carroll 1-2 Title: Accountant for the District 1-3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1-5 Telephone Number: 303-779-5710 1-6 Date Prepared: March 17,2010 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART2 -REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ 18,312 2-2 Specific Ownership $ 1,554 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ 175 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 Developer Advance $ - 2-22 Transfer from District#2 $ - 2-23 TOTAL REVENUE all sources $ 20,041 PART 3 -EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ 551 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ 1,607 3-7 Accounting and legal fees $ 6,130 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify):Repay developer advance-principal $ 16,162 3-22 Repay developer advance-interest $ 3,838 3-23 $ - 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ 28,288 Page 2 PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain: Developer advances X do not have scheduled repayment terms. Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ - Revenue bonds $ - $ - $ - $ - Notes/loans $ - $ - $ - $ - Leases $ - $ - $ - $ - Developer Advances $ 28,443 $ - $ 16,162 $ 12,281 Other(specify): $ - $ - $ - $ - _ Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 12,139,998 •'"` """• •"" Date the debt was authorized: 11/5/2002; '•" 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X ,.,,,,, If yes: How much? $ H.....,.,.........,,„,..,,„.,... Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? ''"""' " """"""" "`"••�'�"'�� Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If es: What is bein leased? m"'' ""`'" ' What is the original date of the lease? ri" ;.,.r r��-r" -r Number of years of lease'? Is the lease subject to annual appropriation? .. ''' r•° What are the annual lease payments? _ $ - ..sts, 'tea „rS,x„ Wel PART 5-CASH AND INVESTMENTS Please provide the entity's cash deposit and Investment balances Amount Total 5-1 Checking Accounts $ 22,574 tI ttt 5t 5.2 Savings Accounts $ 5-3 Certificates of Deposit $ - e Total Cash Deposits er7 ?'"se^v1≥' ' $ 22,574 Investments(if investment is a mutual fund,please list underlying investments): r„„',;„„1_,_y ; 54 CSAFE Y 9 ) $ 43,029 • ".,,^_'4e' . ≥;4w 5-5 $ - " , 5-6 $ - r ,.Yrm4, „c/,.a-rmac, 5-7 $ Total Investments W•u•"""""�••;j,•-'•• $ 43,029 Total Cash and Investments 1 $ 65,603 Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no,please explain: Page 3 PART 6-CAPITAL ASSETS Please answer the following questions by marking In the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.5.?If no,please explain: No capital assets Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ - Buildings $ - $ - $ - $ - Machinery and equipment $ - $ - $ - $ - Furniture and fixtures $ - $ - $ - $ - Infrastructure $ - $ - $ - $ - Other(explain): $ - $ - $ - $ - PART 7 -PENSION INFORMATION Please answer the following questions by marking In the appropriate boxes Yes No 7-1 Does the entity have an"old hire"firemen's pension plan? X 7.2 Does the entit have a volunteer firemen's ension Ian? X If yes: Who administers the plan? Indicate the contributions from: Tax: Pro ert SO, Sales,etc $ - State Contribution Amount $ - Other:(Gifts, Donations,etc) $ - What is the monthly benefit paid for 20 years of service per retiree $ - as of Jan 1st? PART 8-BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No B-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: "'"''"""v" ''&"` �"""'L`2"" `""`"" Fund Name Budgeted 2009 Expenditures. " General Fund $ 34,020 :y$-=---„; ;�_,a_,,1;"„;�_ ,lw,r s ;s $ $ PART 9-TABOR Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)]? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not '�(i " ' exempt the government from the 3%emergency reserve requirement. All governments shouldaz. ✓/: X� determine if they meet this requirement of TABOR. 45- • g PART 10 -GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formation: .-.: _:ro:.r;.-;::-.;;;r:ro.-.-:.��:.�: 10-2 Is the entity a metropolitan district? X 10-3 Please indicate what services you provide:Financing for the design,acquisition, construction,and installation of essential public purpose facilities such as streets and safety controls,water,sanitary sewer,storm drainage,and park&recreation. 10-4 Does the entity have an agreeement with another government to provide services? u l X If yes: List the name of the other government entity and the services provided: 3,t%"2""' ' ",> Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note: Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signature(unless resolution is the governing body) Expires a yh 1 Lee S.Carlson May 2012 /r 2 Kent D.Carlson May 2012 3 Ryan L.Carlson May 2010 4 Scott L.Carlson May 201 5 Clay Carlson May 20 6 7 Page 5 Glifton underson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Pinnacle Farms Metropolitan District Weld County, Colorado We have compiled the Application for Exemption from Audit of Pinnacle Farms Metropolitan District as of and for the year ended December 31, 2009, included in the accompanying prescribed form, in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's Office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption form Audit is presented in accordance with the requirements of the Colorado State Auditor's Office, which differ from generally accepted principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. We are not independent with respect to Pinnacle Farms Metropolitan District. )1L,&-e-as Greenwood Village, Colorado March 17, 2010 Offices in 16 states and Washington,DC HLB International APPLICATION FOR EXEMPTION FROM AUDIT- LONG FORM - FOR GOVERNMENTS WITH REVENUES OR EXPENDITURES GREATER THAN $100,000 BUT NOT MORE THAN $500,000 Name of Government: Pioneer Regional Metropolitan District For the Fiscal Year Address: 8390 E.Crescent Parkway Ended December 31,2009 Suite 600 or fiscal year ended: Greenwood Village, CO 80111 Contact Person: Jason Carroll, CPA Telephone: 303-779-5710 E-Mail: Jason.Carroll@cliftoncpa.com Fax: 303-779-0348 Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver, CO 80203 Fax:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604, C.R.S.outlines the provisions for an exemption from audit. Generally, any local government where neither revenues nor expenditures exceed $500,000 in any fiscal year qualify for an exemption. If either revenues or expenditures are$100,000 or greater, but not more than$500,000, you may use this form. If both revenues and expenditures are less than$100,000 individually, use the short form application for exemption from audit. Instructions: (See "Instructions"tab for additional information) 1. Prepare this form completely and accurately. Pleae note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31, the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by an independent accountant(separate from the entity)with knowledge of governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a. Resolution of the governing board-application may be e-mailed, faxed, or mailed. b. Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparer's discretion. CERTIFICATION OF PREPARER I certify that I am an independent accountant with knowledge of governmental accounting and that the information in the Application is complete and accurate to the best of my knowledge. Independent means someone who is separate from the entity. Name: Jason Carroll, CPA Title: Accountant for the District Firm Name(if applicable): Clifton Gunderson LLP Address: 8390 E. Crescent Parkway,Suite 600, Greenwood Village,CO 80111 Telephone Number: 303-779-5710 Date Prepared: February 23,2010 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The Audit Law requires that a person independent of the entity complete the Application if revenues or expenditure are at least $100,000 but not more than$500,000. Independent means someone who is separate from the entity. Please describe what your relationship is with the entity. CPA firm for the District Page 1 m .C • LL = p J LL NNHVIN.... . . . N'L w N S N H C 0 : d a p LL } N N N N H. . ...... ;N IA N N N N NE O v m y a y a N O -- f (p co ' L N al O in E .c o � CO ^ m d m n .= m . 0 m w `c " m = >` cI. " c : m -- 2 z t ? m N Li. 43 2 d as '.7 m u EM m E !p w m t � � E s m co o 0 ry 01a LL r :� ^ C m K m co c., y. . 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M LL T LL M .- N M v LOON'O(O I` N m O ,- N M V N W !` m m 0 N M Q N W I- O m O N M 1- N CJ M N' M '- e- m- N N N N N N N N N N M M M M CO CO Cr) Cr) Cr) M Men cn M an NJ M M M co co M co CO M M M M PART 4 -DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking in the appropriate boxes Yes No 4-1 Does the entity have debt? X If yes: Is the debt repayment schedule attached?If no,please explain:The Districts debt is comprised of X developer advances which will be repaid as funds become available. Outstanding at Total issued Total retired Total Governmental Please complete the following debt beginning of during fiscal year during fiscal year outstanding at (G)or schedule,if applicable fiscal year (add) (less) fiscal year end Proprietary(P) General Obligation Bonds $ - $ - $ - $ - Revenue Bonds $ - $ - $ - $ - Notes/Loans $ - $ - $ - $ - Leases $ - $ - $ - $ - Developer Advances $ 139,777 $ 53,993 $ - $ 193,770 Other(specify): $ - $ - $ - $ - Total $ 139,777 $ 53,993 $ - $ 193,770 tf I*rt ti°,o. Please answer the following questions by marking in the appropriate boxes Yes No 4-2 Does the entity have authorized,but unissued debt? X If yes: How much? $3.68 Billion " " Date debt was authorized: 5/2/2006 gpmgaggargas 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? I $ - , ,;,,; a..,aityi/ . ,d Please answer the following questions by marking in the appropriate boxes Yes I No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? I $ -yye y,�j�/,�//,/y�y�j�y��y j Please answer the following questions by marking in the appropriate boxes Yes No 4-5 Does the entit have an lease a.reements? X If yes: What is being leased? Z: fi ,, What is the original date of the lease? '�`44f.,-„� �"�` Number of years of lease? ≤:241t h.7ti��Yr Is the lease subject to annual appropriation? What are the annual lease payments? $ - ,.., .,, . PART 5 -CASH AND INVESTMENTS HELD AT END OF FISCAL YEAR Please provide the entity's cash deposit and Investment balances Amount. Total 5-1 Checking Accounts $ 617 5.2 Savings Accounts $ - 5-3 Certificates of Deposit $ - Total Cash De osits $ 617 Investments(if investment is a mutual fund,please list underlying investments): 5-4 $ 5.5 $ - 5-6 $ - 5-7 $ - TotalInvestments vm „m, x $ _ Total Cash and Investments $ 617 Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository? (Section 11-10.5-101 et.seq., X C.R.S.) If no,please explain: Page 5 PART 6 -CAPITAL ASSETS Beginning of the End of Year Year Additions Deletions Balance 6.1 For Governmental Funds Land $ - $ - $ - $ - Buildings $ - $ - $ - $ - Machinery and Equipment $ - $ - $ - $ - Furniture and Fixtures $ - $ - $ - $ - Infrastructure $ - $ - $ - $ - Accumulated Depreciation $ - $ - $ - $ - Other $ - $ - $ - $ - Total for Governmental Funds $ - $ - $ - $ - Beginning of the End of Year Year Additions Deletions Balance 6-2 For Proprietary Funds Land $ - $ - $ - $ - Buildings $ - $ - $ - $ - Machinery and Equipment $ - $ - $ - $ - Furniture and Fixtures $ - $ - $ - $ - Infrastructure $ - $ - $ - $ -, Accumulated Depreciation $ - $ - $ - $ - Other $ - $ - $ - $ - Total for Proprietary Funds $ - $ - $ - $ - Please answer the following question by marking in the appropriate box -- - Yes -- No 6-3 Has the entity preformed an annual inventory of propery and equipment(capital assets)in X accordance with Section 29-1-506 C.R.S.?If no,please explain:The district has no capital assets. PART 7 - PENSION INFORMATION Please answer the following questions by marking in the appropriate boxes - Yes No. 7-1 Does the entity have an"old hire"fire pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan? I -Anykilo Indicate the contributions from: '"i ," i rw,W,4 Tax:(Property,SO,Sales,etc) $ - ';ii ;� ,, State Contribution Amount: $ - i cs i:gzka%" „.,,zr,7 v z Other:(Gifts,Donations,etc) $ - �'�J' ; ,: � What is the monthly benefit paid for 20 years of service per 4. �' %r'" retiree as of Jan 1st? $ - 4 : r- t ' PART 6 - BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes. Yes. No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please explain: X If yes: Please indicate the amount appropriated for each fund for 2009: 2% .�%'r% /%r'% 2",:'V Fund Name Bud•eted 2009 Ex.enditures 11 ttre, 7 `�7'r,¢;¢ by General Fund $ 195,000 aP/ �YY usK£"� Capital Projects Fund $ 267,025 ✓ jqs,,J,, i d n , . Page 6 PART 9 -TABOR Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR?[State Constitution Article X,Section X 20(5)]? If no,please explain: r n Note: An election to exempt the government from the spending limitations �;;;z of TABOR does not g' y f r , ti exempt the government from the 3%emergency reserve requirement. All governments should � � fxv' � determine if they meet this requirement of TABOR. :,;2 PART 10 -GENERAL INFORMATION Please answer the following questions by marking In the appropriate boxes Yes No 10-1 Is this entity a newly formed governmental entity? X If yes: Date of formation:I ii, i✓ih o' 7: iii . i1...s. 10-2 Is this a metropolitan district? 10-3 Please indicate what services are provided:Water,sanitation,streets,safety protection,park and i ' ' kf' :::: 4:47:4 ipi recreation,transportation,television relay and translation,mosquito control,and fire protection. f� i 10-4 Does the entity have an agreement with another government entity to provide services? If yes: List the name of the other government entity and the services provided:Pioneer Regional MD is T b ..rest related to Pioneer MD 1-6. PR is the Service District and Pioneer 1-6 are the Financing Districts ��-(4 1:.ro1 PR has an IGA with the Town of Keenesburg,CO for connecting to the water line. % % 9 irrNv�f �� .. ifs PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an application with revenues and expenditures at least$100,000 but not more than$500,000 must be prepared by an independent accountant with knowledge of governmental accounting. Completed to the best of our knowledge and is accurate and true. Reviewed and approved by a majority of the governing body. Note: Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body or a resolution may be provided in lieu of orginial signatures. Name(print names of all current Date Term members of the governing body) Expires riginal Signet r unless resolution Is attached) 1 Toni L. Serra May 2012 a , 2 Christopher R. Paulson May 2010 3 William V. Hibbert May 2010 / 4 Joel H. Farkas May 2010 5 6 7 Page 7 rClifton Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANTS' COMPILATION REPORT Board of Directors Pioneer Regional Metropolitan District Weld County, Colorado We have compiled the Application for Exemption from Audit of Pioneer Regional Metropolitan District as of and for the year ended December 31, 2009, included in the accompanying prescribed form, in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's Office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the Colorado State Auditor's Office, which differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. We are not independent with respect to Pioneer Regional Metropolitan District. Greenwood Village, Colorado February 23, 2010 Offices in 16 states and Washington,DC HLB International APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM I FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF$100,000 OR LESS Name of Government: Pioneer Metropolitan District No.1 For the Fiscal Year Address: 8390 E.Crescent Parkway ended December 31,2009 Suite 600 or fiscal year ended: Greenwood Village,CO 80111 Contact Person: Jason Carroll Telephone: 303-779-5710 E-Mail: jason.carroll@cliftoncpa.com Fax: 720-482-6668 Return to: Office of the State Auditor Local Government Audit Division 225 E.16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a.Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must skin the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparers discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name: Jason Carroll 1.2 Title: Accountant for the District 1.3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1.5 Telephone Number 303-779-5710 1-6 Date Prepared: February 26,2010 1.7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART 2-REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ - 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 Transfer from Pioneer Regional Metropolitan District $ 6,923 2-22 $ - 2-23 TOTAL REVENUE all sources $ 6,923 PART 3-EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ - 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ - 3-7 Accounting and legal fees $ - 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): $ - 3-22 Transfer to Pioneer Regional Metropolitan District $ 107 3-23 $ - 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ 107 Page 2 PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain: Developer advances X will be paid as funds become available. Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ - Revenue bonds $ - $ • $ - $ - Notes/loans $ - $ - $ - $ - Leases $ - $ - $ - $ - Developer Advances $ 33,091 $ - $ - $ 33,091 Other(specify): $ - $ - $ - $ - Please answer the following questions by marking the appropriate boxes Yes. No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 330,000,000 s;;;sss;:;;-i,;;;;;;;,;;;;; ;x£,`:;ss;s;ds',It Date the debt was authorized: 5/2/2006 " 4-3 Does the entity intend to issue debt within the next calendar year(2010)7 IIIIIIP=I X If yes: How much? I $ ,H,,,,.,,,.,,...,l..,,,..,,,.,,,,.,..,,,,,,,.,,,.,.,,.,.,, ^: Please answer the following questions by marking the appropriate boxes Yes No:. 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? I $ - ,. ... . . ... . . Please answer the followin• •uestions b markin• the a••ro•riate boxes Yes. No 4-5 Does the enf have an lease a.reements? X If yes: What is bein• leased? am ur,, ;,,,,,, sy�a,waa/ , What is the on•inal date of the lease? o .u „�,G. Number of years of lease? �y "';, y, r%t,, . .0%a ,n. Is the lease subject to annual appropriation? M _ ,,,,,,, ,, .P; What are the annual lease .a ents? $ PART 5-CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount Total 5-1 Checking Accounts $ - :=P;7,:patzsn 5-2 Savings Accounts $ - 5-3 Certificates of Deposit $ - .`Fit' a Total Cash Deposits "-.1 5 A t' $ - Investments(if investment is a mutual fund,please list underlying investments): ;;;;;;),zt tiffs i.✓�'s ie rv` ' % 5-4 $ - '7',dr"f ,,,,✓i,, �. 5-6 $ - -iyy,,,,.. ., 5-7 _ $ - ;�;,, Total Investments / Smay $ - Total Cash and Investments nr r yyn� $ - _Please answer the following question by marking in the appropriate box Yes No 54 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no,please explain:The District has no cash deposits. Page 3 PART 6-CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ Buildings $ - $ - $ - $Machinery and equipment $ - $ - $ - $ Furniture and fixtures $ - $ - $ - $Infrastructure $ - $ - $ - $ Other(explain): $ - $ - $ - $PART 7-PENSION INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 7-1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan? Indicate the contributions from: Tax:(Property,SO,Sales,etc) $ - State Contribution Amount $ - Other:(Gifts,Donations,etc) $ - N„O�N' What is the monthly benefit paid for 20 years of service per retiree $ - y *% as of Jan 1st? � � �s1'r PART 8-BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: Fund Name Budgeted 2009 Expenditures tmamaaszamtottFarom,;4, General Fund - � ....,,(4 $ $ - PART 9-TABOR Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5))7 If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not exempt the government from the 3%emergency reserve requirement. All governments should /" T y /% determine if they meet this requirement of TABOR J ,qy. Nor„ PART 10-GENERAL INFORMATION •lease answerthe f•II•win, •uesti•ns Markin• in the a••r • .axes Yes No 10-1 rlvinamintruta,,Ovi•irucwec•naauhrradmhanw X Ern Date of formation: 10-2 Is the enti a metroe•litan district? X 104 Please indicate what services you provide: Water,sanitation,streets,safety , ' `" ey protection,park and recreation,transportation,television relay and translation, ittiOSAMMaiiirti mosquito control,and fire protection. O - cif e•>s the -nti h ve n er -m nt with mlher.•v-mm-nl t• •r•vi•e services? X If yes: List the name of the other govemment entity and the services provided: Pioneer ffrirat4.7,5:Igifiggag Regional MD is related to Pioneer MD#1-6. Pioneer Regional MD is the Service .District and Pioneer MD#1-6 are the Finance Districts. Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signatu (unless resolution is the governing body) E ched) 1 Toni L.Serra ::: ?1re5 2 Chdstopher R. 3 William V.Ribbed May-10 /�f Aita271 4 Jean M.Gold May-10 71(7-&e . 5 6 7 Page 5 Clifto Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Pioneer Metropolitan District No. I Weld County, Colorado We have compiled the Application for Exemption from Audit of Pioneer Metropolitan District No. 1 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. We are not independent with respect to Pioneer Metropolitan District No. 1. )14-tL -aax. ILlO Greenwood Village, Colorado February 26, 2010 Offices in I6 states and Washington,DC HLB International • APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF$100,000 OR LESS Name of Government: Pioneer Metropolitan District No.2 For the Fiscal Year Address: 8390 E.Crescent Parkway ended December 31,2009 Suite 600 or fiscal year ended: Greenwood Village,CO 80111 Contact Person: Jason Carroll Telephone: 303-779-5710 E-Mall: jason.carroll@cliftoncpa.com Fax: 720-482-6668 Return to: Office of the State Auditor Local Government Audit Division 225 E.16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions'tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a.Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must skin the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparers discretion. PART 1 -CERTIFICATION OF PREPARER _ 1-1 Name: Jason Carroll 1-2 Title:Accountant for the District 1-3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1-5 Telephone Number. 303-779-5710 1-6 Date Prepared: February 26,2010 1.7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. - Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1.8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART2-REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land. building,and equipment and proceeds from debtor lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ - 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 Transfer from Pioneer Regional Metropolitan District $ 6,122 2-22 $ - 2-23 TOTAL REVENUE all sources $ 6,122 PART 3-EXPENDITURES I EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ - 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ - 3-7 Accounting and legal fees $ - 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): $ - 3-22 Transfer to Pioneer Regional Metropolitan District $ 138 3-23 $ - 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ 138 Page 2 • PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain: Developer advances X will be paid as funds become available. Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ - Revenue bonds $ - $ - $ - $ - Notes/loans $ - $ - $ - $ - Leases $ - $ - $ - $ - DeveloperAdvances $ 29,791 $ - $ - $ 29,791 Other(specify): $ - $ - $ - $ - Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 330,000,000 Date the debt was authorized: 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? I $ - ,,, Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? j $ Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What is bein' leased? �'jx�a..✓�`�.yrr„mjaar�r What is the original date of the lease? .�, `a '^5'"h"YA9. ,ce Number of years of lease? Z.';.',";"4:/a1#47: ' s Is the lease subject to annual appropriation? ' What are the annual lease payments? $ - ., ,.7/-7,4 PART 5-CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount Total 5.1 Checking Accounts 5-2 Savings Accounts $ - 5-3 Certificates of Deposit $ - .: Total Cash Deposits f.”7::2% ;',44:;"4:4 $ - Investments(if investment is a mutual fund,please list underlying investments): �.-,FjWi. 5-4 $ i if„v. 5-5 $ , 5-6 ,..., 5-7 Total Investments 444"-t;;;;t17:=2", $ *a Total Cash and Investments , '^, $ - Please answer the following question by marking in the appropriate.box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no,please explain:N/A,the District has no cash deposits. Page 3 PART 6-CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ - Buildings $ - $ - $ - $ - Machinery and equipment $ - $ - $ - $ - Furniture and fixtures $ - $ - $ - $ - Infrastructure $ - $ - $ - $ - Other(explain): $ - $ - $ - $ - PART 7-PENSION INFORMATION i ® lease answer the t•11•wint •uesti•ns • markin• in thew•r••rlate ••xes Yes No 7-1 Does the enti have an"old hire"firemen's ••nsion •an? X 7-2 Does the enti have a volunteer firemen's ••nsion •Ian? X If yes Who administers the 'Ian? tE''''nn'ern:""5:rr:T.'"'"f<9:•"4:t-4,2T-lfflo4. Tax: Pr.•e ,SO Sales etc $ - f3 /, tt' r 1� ',i'r✓z%fif $ - y t-zaz fyl 3 s Other: Gifts,Donations,etc $ - rrr� /el sxv aff1 3:', 4453 What is the monthly benefit paid for 20 years of service per retiree $ - �� as of Jan 1st? �� PART 8-BUDGET INFORMATION _ Please answer the following questions by marking in the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: � mi�a �a Fund Name Budgeted 2009 Expenditures54" N- ��d General Fund $ - w»1gw ,r,9c .,'c- 4.-r%;' $ - r PART9-TABOR Please answer the following question by marking in the appropriate box Yes No 9.1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)]? If no,please explain: Note: M election to exempt the government from the spending limitations of TABOR does not 5.: ntnyt,, xo'.,9 4' exempt the government from the 3%emergency reserve requirement All governments should ;;;;;;;;;;5;;;;;;;;; ;;, . determine if they meet this requirement of TABOR JJ , 4 PART 10-GENERAL INFORMATION ® lease answerthe f•II•win� •uesti•ns • markin a In the a••n•riate •• Yes No xes 10.1 (];y�yyjyre•Id:•A•ec••urnunrfarnraa•Ir-tra nu. X @I Date of formation: a' `a'Var',E 10-2 Is the enti ametro•• X 10.3 Please indicate what services you provide: Water,sanitation,streets,safety n � �� protection,park and recreation,transportation,television relay and translation, f s 1r J' b , , mosquito control,and fire protection. f✓ fir, 10-4 e• s the enti hav:an a•reeem nt with a •they••vemm nt t• •r•vie:s rvices7 ? X If yes: List the name of the other government entity and the services provided: Pioneer '' n. Regional MD is related to Pioneer MD#1-6. Pioneer Regional MD is the Service District and Pioneer MD#1-6 are the Finance Districts. 449t tn/4ft•areilnairera Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Ori•inal Signature(unless resolution is the governing body) Expires atta ied) 1 Toni L.Serra May-12 C I -€��:= / 2 Christopher R.Paulson May-10 3 William V.Hibbert May-10 P or/<,�(��4 te 4 Jean M.Gold May-10 5 6 7 Page 5 Clifton Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Pioneer Metropolitan District No. 2 Weld County, Colorado We have compiled the Application for Exemption from Audit of Pioneer Metropolitan District No. 2 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. We are not independent with respect to Pioneer Metropolitan District No. 2. Greenwood Village, Colorado February 26, 2010 Offices in 16 states and Washington,DC HLB International APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF$100,000 OR LESS Name of Government: Pioneer Metropolitan District No.3 For the Fiscal Year Address: 8390 E.Crescent Parkway ended December 31,2009 Suite 600 or fiscal year ended: Greenwood Village,CO 80111 Contact Person: Jason Carroll Telephone: 303-779-5710 E-Mail: )ason.carroll@cliftoncoa.com Fax: 720-482-6668 Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a.Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must skin the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparers discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name: Jason Carroll 1.2 Title: Accountant for the District 1-3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address:8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1-5 Telephone Number: 303-779-5710 1.6 Date Prepared: February 26,2010 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. _ - Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1.8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART 2-REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land. building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ 2-3 Sales and Use $ 2-4 Other(specify): $ 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ 2-12 Special assessments $ 2-13 Investment income $ 2-14 Charges for utility services $ - 2-15 Debt proceeds $ 2-16 Lease proceeds $ 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ 2-19 Donations $ 2-20 Other(specify): $ 2-21 Transfer from Pioneer Regional Metropolitan District $ 5,883 2-22 $ - 2-23 TOTAL REVENUE all sources $ 5,883 L PART 3-EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ 3-2 Salaries $ 3-3 Payroll taxes $ 3-4 Contract services $ 3-5 Employee benefits $ 3-6 Insurance $ - 3-7 Accounting and legal fees $ - 3-8 Repair and maintenance $ 3-9 Supplies $ 3-10 Utilities and telephone $ 3-11 Fire/Police $ 3-12 Streets and highways $ 3-13 Public health $ 3-14 Culture and recreation $ 3-15 Utility operations $ 3-16 Capital outlay $ 3-17 Debt service principal $ 3-18 Debt service interest $ 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ 3-21 Other(specify): $ 3-22 Transfer to Pioneer Regional Metropolitan District $ 79 3-23 $ 3-24 $ 3-25 TOTAL EXPENDITURES all categories $ 79 Page 2 PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain: Developer advances X will be paid as funds become available. Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ Revenue bonds $ - $ - $ - $ _ NotesAoans $ - $ - $ - $ _ Leases $ - $ - $ - $ _ Developer Advances $ 28,091 $ - $ - $ 28,091 Other(specify): $ - $ - $ - $ Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 330,000,000 Date the debt was authorized: 5/2/2006 �� 4-3 Does the entity intend to issue debt within the next calendar year(2010)7 X If es: How much? $ 0„d,...,...,...H,....,,..,,,,,,,,,.,, Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? I $ - Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What Is being leased? S ):4=rIt i/off What is the original date of the lease? Yz-^- �� ,r Number of years of lease? v.. 2 Is the lease subject to annual appropriation? ,y What are the annual lease •. ants? $ - 16. 7.491:xvita -sire, PART 5-CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount Total 5-1 Checki Accounts $ 5-2 Savings Accounts $ - 5-3 Certificates of Deposit $ - _. Total Cash Deposits ��iii $ - Investments if investment is a mutual fund, lease list under) in. investments : 5-4 $ _ %, ?e 5-5 $ 5-6 $ i/iii�n, 5-7 $ Total Investments ' w $ _ Total Cash and Investments ;o;; Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no,please explain:The District has no cash deposits. Page 3 — PART 6-CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes Yes No 6.1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ - Buildings $ - $ - $ - $ - Machinery and equipment $ - $ - $ - $ - Fumiture and fixtures $ - $ - $ - $ - Infrastructure $ - $ - $ - $ - Other(explain): $ - $ - $ - $ - PART 7-PENSION INFORMATION •lease answerthe f•II•win •uesti•ns • markin• Inthea••r•'riate •xes Yes - No 7-1 Does the era' have an"old hire"firemen's •ension 'Ian? X 7-2 Does the enti have a volunteer firemen's •ension .Ian? X If yes: Who administers the •tan? 116.i;�s d',�h �k:,l:� Tax: Pro.e SO,Sales,etc $ - f;Yr, s` 'Fs �: r .: $ ":-,7FEJi..K � Other: Gifts,Donations,etc $ - � �%'''� What is the monthly benefit paid for 20 years of service per retiree $ - y f "�' `r� as of Jan 1st? n e ' PART 8-BUDGET INFORMATION — Pleaseanswerthe following questions by marking in the appropriate boxes . :Yes No 8.1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: y tit i l di ..��`.�E+'�4.0 Fund Name Bud•eted 2009 Ex•enditures "" 5 � 7a , General Fund $ - 9. , z $ - $ - frt,V,I�_�,"�. atee PART 9-TABOR _ Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)]? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not 6'O/✓" exempt the government from the 3%emergency reserve requirement All governments should Ertiri�S7 determine if they meet this requirement of TABOR tinr5! 41 '- w4 c I PART 10-GENERAL INFORMATION �'•lle'a�s�e'a',nswerthef•II•wine •uesti•ns • markin• In thea••r••riate ••xes Yes- No 10-1 uyy�yu;ug,-y( Ar.l.nr-Alt X �� Date of formation: % �' 10.2 Is the enti a metros• a X 10-3 Please indicate what services you provide: Water,sanitation,streets,safety ' o , , protection,park and recreation,transportation,television relay and translation, f mosquito control,and fire protection. 7 , : J7�` 10-4 se 6 '.v mment t• •revise services? X If yes: List the name of the other government entity and the services provided: Pioneer c ,Pffr Regional MD is related to Pioneer MD#1-6. Pioneer Regional MD is the Service District and Pioneer MD#1-6 are the Finance Districts. Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled In governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided In lieu of original signatures. Name(print names of all current members of Date Term Ori•inal Signature(u•less resolution Is the governing body) Expires attac f d) 1 Toni L.Serra May-12 2 Christopher R.Paulson May-10 3 William V.Hibbert May-10 Y� yi 4 Jean M.Gold May-10 5 6 7 Page 5 Clifto Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Pioneer Metropolitan District No. 3 Weld County,Colorado We have compiled the Application for Exemption from Audit of Pioneer Metropolitan District No. 3 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. We are not independent with respect to Pioneer Metropolitan District No. 3. di Greenwood Village, Colorado February 26, 2010 Offices in 16 states and Washington,DC HLB International APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF$100,000 OR LESS Name of Government: Pioneer Metropolitan District No.4 For the Fiscal Year Address: 8390 E.Crescent Parkway ended December 31,2009 Suite 600 or fiscal year ended: Greenwood Village,CO 80111 Contact Person: Jason Carroll Telephone: 303-779-5710 E-Mall: )ason.carrol�cliftoncpa.com Fax: 720-482-6668 Retum to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 Individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the goveming body as evidenced by one of the following methods: a.Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparers discretion. PART 1 -CERTIFICATION OF PREPARER 1.1 Name: Jason Carroll 1.2 Title: Accountant for the District 1.3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1-5 Telephone Number 303-779-5710 1.6 Date Prepared: February 26,2010 1.7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1.8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART 2-REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debtor lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ - 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - - 2-20 Other(specify): $ - 2-21 Transfer from Pioneer Regional Metropolitan District $ 6,186 2-22 $ - 2-23 TOTAL REVENUE all sources $ 6,186 PART 3-EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ - 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ - 3-7 Accounting and legal fees $ - 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 _Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): $ - 3-22 Transfer to Pioneer Regional Metropolitan District $ 109 3-23 $ - 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ 109 Page 2 PART 4-DEBT OUTSTANDING,ISSUED AND RETIRED _.'. Please answer the following questions by marking the appropriate boxes Yes. No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain: Developer advances X will be paid as funds become available. Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ $ Revenue bonds $ - $ $ - $ - Notes/loans $ - $ - $ - $ Leases $ - $ - $ - $ Developer Advances $ 28,091 $ - $ - $ 28,091 Other(specify): $ - $ - $ - $ Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 330,000,000 Date the debt was authorized: 512/2006,- '- ,".' ,, ' -°. 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? I $ :,.,i;..i,,ii„ ir„<,,.1W,.,..,.,,.,,,.,,,� Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X It yes: What is the amount outstanding? I $ - 5S1-zt tiI '. 'EaVIE Please answer the following questions by marking the appropriate boxes Yes. No 4-5 Does the enti have an lease a.reements? X r�sr /L1YFI are,4,,,4a ... < ',d If yes: What is being leased? eyG'ae�' . d What is the original date of the lease? 4 ., �, `.:u`� ' ' 4�b �xa 7�w�*`�-,,,, Number of years of lease? Z ,6F'/ ,.,,✓, 6Yad Is the lease subject to annual appropriation? �-',�rirva:ry `�u ��,o� k What are the annual lease •- ents? $ - ?"1 :?:;;Zgia PART 5-CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount : Total 5-1 Checking Accounts $ - "t 5-2 Savings Accounts $ ,r,--4,44 54 Certificates of Deposit $ Total Cash Deposits ., ayMW„5YZI7 f; $ - Investments(if investment is a mutual fund,please list underlying investments): tac,,z ,„»M jg: K„r ,3z�.. 5-4 $ - 5-5 $ - 'j"j , ,. 5-6 $ - 'X::,7-:,=.;?—"— 5-7 $ - yy .m,.. r'"^%- Total Investments 4 $ Total Cash and Investments $ - Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no,please explain:The District has no cash deposits. Page 3 PART 6-CAPITAL ASSETS Please answer the following questions by marking In the appropriate boxes Yes No 6.1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ - Buildings $ - $ - $ - $ - Machinery and equipment $ - $ - $ - $ - Furniture and fixtures $ - $ - $ - $ - Infrastructure $ - $ - $ - $ - Other(explain): $ - $ - $ - $ - PART 7-PENSION INFORMATION Please answer the following questions by marking In the appropriate boxes Yes No 7.1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan? I kiln , �"'`�k aff Indicate the contributions from: l Tax:(Property,SO,Sales,etc) $ - rays Hx�iy��cn avyw: ,e, State Contribution Amount $ 7 •770;M ri d G6Ki� Other: Gifts,Donations,etc $ - ' � „ t What is the monthly benefit paid for 20 years of service per retiree $ - i ; as of Jan 1st? ' bteE PART 8-BUDGET INFORMATION — Please answer the following questions by marking in the appropriate boxes Yes No 8.1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: y:, «f/ ,,., .i�. . If yes: Please indicate the amount a••ro•hated for each fund for 2009: ��/.wn�e�e� Yrss Fund Name Budgeted 2009 Expenditures General Fund $ _ „'- z $ - .fe PART 9-TABOR Please answer the following question by marking In the appropriate box Yes No 9.1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)]? If no,please explain: 4:: n v�I�i i .vucu Note: elgoeen to rnment the government e from the spendingrequirement All of ern eRn does ld fK",,t' z exempt the from9owmment the 3%emergency reserve nquiremenl All governments should !tik -O,SZ sri i inn. determine if they meet this requirement of TABOR. PART 10-GENERAL INFORMATION — lease answerthe f•II•win� •uestl.ns • markin a• in the a••r••riate ••xes Yes - No 10-1 y ismaj(9i0'n•wurw•ub�•tanimaukka•m. X Erg Date of formation: 5.atitanx,4atiam 10.2 Is the end a metro••litan district? X 103 Please indicate what services you provide: Water,sanitation,streets,safety _ ,''' e n protection,park and recreation,transportation,television relay and translation, �. mosquito control,and fire protection. 10-4 e• sth- =nti h ve n -•re-=merit vrith mth=r a•v mment t• •nvie=s rvices? X If yes: List the name of the other government entity and the services provided: Pioneer ant: F�' l%r Regional MD is related to Pioneer MD#1-6. Pioneer Regional MD is the Service 4t �, tr District and Pioneer MD#1-6 are the Finance Districts. d, ,7744) t, � C4ar'. f G , Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Origi al Signature(unless resolution is the governing body) Expires a c d) 1 Toni L Serra May-12 AA l^ .) 2 Christopher R.Paulson May-10 3 William V.Hibbert May-10 1- Weal" 4 Jean M.Gold May-10 i 5 6 7 Page 5 aClifton Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Pioneer Metropolitan District No. 4 Weld County,Colorado We have compiled the Application for Exemption from Audit of Pioneer Metropolitan District No. 4 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. We are not independent with respect to Pioneer Metropolitan District No. 4. Greenwood Village, Colorado February 26, 2010 Offices in 16 states and Washington,DC HLB International APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF$100,000 OR LESS Name of Government: Pioneer Metropolitan District No.5 For the Fiscal Year Address: 8390 E.Crescent Parkway ended December 31,2009 Suite 600 or fiscal year ended: Greenwood Village,CO 80111 Contact Person: Jason Carroll Telephone: 303-779-5710 E-Mail: jason.carroll@cliftoncoa.com Fax: 720-482-6668 Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 Individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a.Resolution of the goveming board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must skin the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparer's discretion. PART 1 -CERTIFICATION OF PREPARER . 1-1 Name: Jason Carroll 1.2 Title: Accountant for the District 1.3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1-5 Telephone Number. 303-779-5710 1-6 Date Prepared: February 26,2010 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1.8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 r PART 2 -REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the governments land, building,and equipment and proceeds from debtor lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovemmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ - 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 Transfer from Pioneer Regional Metropolitan District $ 5,845 2-22 $ - 2-23 TOTAL REVENUE all sources $ 5,845 PART 3-EXPENDITURES _ EXPENDITURES: NI expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ - 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 35 Employee benefits $ - 3-6 Insurance $ - 3-7 Accounting and legal fees $ - 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): $ - 3-22 Transfer to Pioneer Regional Metropolitan District $ 80 3-23 $ - 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ 80 Page 2 PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes - No 4.1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain: Developer advances X will be paid as funds become available. Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ - Revenue bonds $ - $ - $ - $ - NotesAoans $ - $ - $ - $ - Leases $ - $ - $ - $Developer Advances $ 28,291 $ - $ - $ 28,291 Other(specify): $ - $ - $ - $ - Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 330,000,000 Date the debt was authorized: 5/2/2006 -; -" 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? j $ - 5...........::i::.,..............,��;:.�; Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the enti have debt that has been refinanced that it is still res••nsible for? X If yes: What is the amount outstanding? $ - :' ' la Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What is bein• leased? szrzazi, z.L--, n.,irirw,tzzz, What is the original date of the lease? 133 „�,5ai::: ^ % � Number of years of lease? Is the lease subect to annual appropriation? 9 What are the annual lease payments? $ - �lo,:txtrrtmtrtrawa:ttrrtram: PART 5-CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount Total 5-1 Checking Accounts 5-2 Savings Accounts $ - 5-3 Certificates of Deposit $ - Ri Total Cash Deposits i/_ ry..5 $ Investments(if investment is a mutual fund,please list underlying investments): 5-4 $ - 5-5 $ 5-6 $ . 5-7 $ Total Investments $ - Total Cash and Investments !ear:,,. . ..%" $ - Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no,please explain:The District has no cash deposits. Page 3 • PART 6-CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ - Buildings $ - $ - $ - $ - Machinery and equipment $ - $ - $ - $ - Fumiture and fixtures $ - $ - $ - $ - Infrastructure $ - $ - $ - $ Other(explain): $ - $ - $ - $ - PART 7-PENSION INFORMATION - lease answerthef•II•win• •uestl•ns • markin• In the a••r••date ••xes Yes No 7-1 Does the enti have an"old hire"firemen's •ension •an? X 7-2 Does the enti have a volunteer firemen's •-nsion •Ian? X If yes: Who administers the 'Ian? figia,ii.c4ti '�/ Effiii viri;Z;;w Z7V.4.w v Indicate the contributions from: �j ,�rr��,v�/ua��syr�iiifr Tax: Pr••e SO,Sales etc $ - ff5 '`'HE ; State Contribution Amount $ - i% %"Y Other: Gifts Donations etc $ - ,MI#((Lvu x �2%Lh vri3, ro i ;viiw What is the monthly benefit paid for 20 years of service per retiree $ - y as of Jan 1st? 'v�� - PART 8-BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: rit5a Fund Name Budgeted 2009 Expenditures %" General Fund $ - xi w; �ta.. $ - 04,:tr.c .,.zr O1 r IL, T v'�,,^ L PART9-TABOR Please answer the following question by marking in the appropriate box Yes No 9.1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5))? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not .. I ;;:zia'ti'aya9,9/ei exempt the government from the 3%emergency reserve requirement. All governments should ,r7 2;;;;;;7;;;;;;:1;:c7:.72;.;;;;44;577,74 . determine if they meet this requirement of TABOR. f,.- 9/ PART 10-GENERAL INFORMATION -lease answer the f•II•wint •uesti•ns • markin• inthea••r.•rlate ••xes Yes No 10.1 yQttilliialliflkaailutiLLAI31111• X Illn Date of formation: 10.2 Is the enti a metro•• X 10.3 Please indicate what services you provide: Water,sanitation,streets,safety protection,park and recreation,transportation,television relay and translation, %h „ /.P ffst mosquito control,and fire protection. tr4zt 1 H. r 10-4 I'es the enti h v• n -•ree:m:nt with meth r.•vemm•nt t• •r•vi•es rvices? X If yes: List the name of the other government entity and the services provided: Pioneer 44c,i-t "l"`" Regional MD is related to Pioneer MD#1-6. Pioneer Regional MD is the Service -S District and Pioneer MD#1-6 are the Finance Districts. Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signature(unless resolution is the governing body) Expires atta ed) 1 Toni L.Serra May-12 1 t % / 2 :z:150n '3 May-10 ,/' icia 4 Jean M.Gold May-10 5 y Z� 6 7 Page 5 • a Clifton Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Pioneer Metropolitan District No. 5 Weld County,Colorado We have compiled the Application for Exemption from Audit of Pioneer Metropolitan District No. 5 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. We are not independent with respect to Pioneer Metropolitan District No. 5. fint - ALP Greenwood Village, Colorado February 26, 2010 Offices in 16 states and Washington,DC HLB International APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF$100,000 OR LESS Name of Government: Pioneer Metropolitan District No.6 For the Fiscal Year Address: 8390 E.Crescent Parkway ended December 31,2009 Suite 600 or fiscal year ended: Greenwood Village,CO 80111 Contact Person: Jason Carroll Telephone: 303-779-5710 E-Mail: jason.carroll(&cliftoncpa.com Fax: 720-482-6668 Return to: Office of the State Auditor Local Government Audit Division 225 E.16th Ave., Suite 555 Denver,CO 80203 FAX:(303)8664062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a.Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must skin the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparers discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name: Jason Carroll 1.2 Title:Accountant for the District 1.3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1-5 Telephone Number: 303-779-5710 1-6 Date Prepared: February 26,2010 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in govemmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1.8 Are you skilled in govemmental accounting?If no,this exemption will be rejected. X Page 1 PART 2-REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debtor lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ - 2.3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ - 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 Transfer from Pioneer Regional Metropolitan District $ 5,970 2-22 $ - 2-23 TOTAL REVENUE all sources $ 5,970 PART 3-EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long4erm debt Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ - 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ - 3-7 Accounting and legal fees $ - 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): $ - 3-22 Transfer to Pioneer Regional Metropolitan District $ 73 3-23 $ - 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ 73 Page 2 PART 4-DEBT OUTSTANDING,ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain: Developer advances X will be paid as funds become available. Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ - Revenue bonds $ - $ - $ - $ - Noteslioans $ - $ - $ - $ - Leases $ - $ - $ - $ Developer Advances $ 27,946 $ - $ - $ 27,946 Other(specify): $ - $ - $ - $ - Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? I$ 330,000,000 Date the debt was authorized: 5/2/2006 ,,,, 4-3 Does the entity intend to issue debt within the next calendar year(2010)1 MEN= X If yes: How much? I $ - ,,.,,.,,, ,,,,,,,, ,,,,,-- Please answer the following questions by marking the appropriate boxes. Yes No. 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? 1 $ - . i5: ' Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What is beim leased? r—G,^r2t- '^!% ..:::=yiy;/y/j� sw m What is the original date of the lease? ea?2:FilL;JT4jtC1.1 Number of years of lease? ��"�ti�r,,r"',y' -yy uds Is the lease subject to annual appropriation? "L°'Y'TarPO'�-4 '';'''' ' a14 What are the annual lease payments? _ $ - Y��9�.� PART 5-CASH AND INVESTMENTS — Please provide the entity's cash deposit and investment balances Amount Total 5-1 Checking Accounts $ - i.. 5-2 Savings Accounts $ - amiate,,, ,- 53 Certificates of Deposit $ - wt/i"/ i,'; Total Cash Deposits N4:5c-(OPP, $ Investments(if investment is a mutual fund,please list underlying investments): ., ;,,,. „- . ,,�„ 5-4 $ - 5.5 $ - 54 $ .. /"*y� Total Investments n assswvN`; $ - Total Cash and Investments fit$ �, $ - Please answer the following question by marking in the appropriate box Yes No 54 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no,please explain:The district has no cash deposits. Page 3 _ PART 6-CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes - Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ - Buildings $ - $ - $ - $ - Machinery and equipment $ - $ - $ - $ - Fumiture and Mures $ - $ - $ - $ - Infrastructure $ - $ - $ - $ - Other(explain): $ - $ - $ - $ - PART 7-PENSION INFORMATION -Please answer Chef•II•win• • •ns • merlon• In thea••r••rlate ••xes Yes No 7-1 Does the enti have an"old hire"firemen's •ension .Ian? X 7-2 Does the enti have a volunteer firemen's •ension .lan? X If yes: Who administers the •Ian? iTZ ''OlR;;;iiRFu,'f�s s. f17•3 'scam . Tax: Pr..e SO,Sales,etc $ - :;;;% X L Wha:,:5W/ m, State Contribution Amount $ - yG�'U�rlr?� l��fv' Other: Gifts Donations,etc $ - iii&ii"'T'7 T* / i :e y,7;, s�ii�q What is the monthly benefit paid for 20 years of service per retiree $ - .C: � , ! as of Jan 1st? F ' n�0. a PART 8-BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount a.•ro•riated for each fund for 2009: Fund Name Budgeted 2009 Expenditures ."� s�riyiav-./.;v -General Fund $ - ir.in:::vv • k= $ - PaattgittO,a`a, a"??a'as Ya $ - - ...-- PART9-TABOR Please answer the following question by marking in the appropriate box Yes No 9.1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)]? If no,please explain: aw/.wi. h vvvwvH' Note: An election to exempt the government from the spending limitations of TABOR does not � / exempt the government from the 3%emergency resew requirement. M governments should 7A� ��y� ��,'y�. determine if they meet this requirement of TABORtt=r///0476 % , PART 10-GENERAL INFORMATION --lease answerthef•II•win• •uesti•ns • merlon• in thew••r••nate ••xes Yes No. 10-1 Lustily: • -• .[•t•4arnnlanr-iranil. X MI Date of formation: �,.,..,.,,. 10.2 Is the enti a metro •litan district? X S,* . . 10-3 Please indicate what services you provide: Water,sanitation,streets,safety ' '","4,4s� protection,park and recreation,transportation,television relay and translation, Will' mosquito control,and fire protection. s 11 10.4 1•-s th= enti h v:an a•r: em nt with n•ther••vemment t• •r•vi•e services? X If yes: List the name of the other government entity and the services provided: Pioneer c,:::: /h � Regional MD is related to Pioneer MD#1-6. Pioneer Regional MD is the Service / District and Pioneer MD#1-6 are the Finance Districts. / / ./ ISh Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided fora majority of the governing body If the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signature nless resolution is the governing body) Expires att d) 1 Toni L.Serra May-12 2 Christopher R.Paulson May-10 3 William V.Hibbert May-10 4 Joel H.Farkas May-10 5 6 7 Page 5 a Clifto Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Pioneer Metropolitan District No. 6 Weld County, Colorado We have compiled the Application for Exemption from Audit of Pioneer Metropolitan District No. 6 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. We are not independent with respect to Pioneer Metropolitan District No. 6. ter- -`a°"- Greenwood Village, Colorado February 26, 2010 Offices in 16 states and Washington,DC HLB International APPLICATION FOR EXEMPTION FROM AUDIT -SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF$100,000 OR LESS Name of Government: Resource Colorado Water&Sanitation Metropolitan District For the Fiscal Year Address: 8390 E.Crescent Parkway ended December 31,2009 Suite 600 or fiscal year ended: Greenwood Village,CO 80111 Contact Person: Jason Carroll Telephone: 303-779-5710 E-Mail: jason.carroll@cliftonpa.com Fax: 720-482-6668 Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than 5100,000 Individually,you may use this form. If either revenues or expenditures are 5100,000,but not more than 5500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the goveming body as evidenced by one of the following methods: a.Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preearer must skin the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparer's discretion. PART 1 -CERTIFICATION OF PREPARER 1.1 Name: Jason Carroll 1.2 Title: Accountant for the District 1-3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1.5 Telephone Number: 303-779-5710 14 Date Prepared: February 27,2010 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. .Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1.8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART2 -REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity inf Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ 1 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify):Developer advance $ 1,901 2-21 Transfer to other fund $ 247 2-22 $ - 2-23 TOTAL REVENUE all sources $ 2,149 PART3-EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ 10,923 3-2 Salaries $ - 3-3 Payroll taxes $ 184 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ 1,678 3-7 Accounting and legal fees $ 25,940 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify):Miscellaneous $ 1,776 3-22 Interest expense on developer advance $ 30,768 3-23 Transfer from other fund $ 247 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ 71,516 Page 2 r PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED 7 Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain: The entity's debt X consists of developer advances which will be repayed when and if the entity is capable. Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ - Revenue bonds $ - $ - $ - $ - Notes/loans $ - $ - $ - $ - Leases $ - $ - $ - $ - Developer Advances $ 673,709 $ 20,626 $ - $ 694,335 Other(specify):Interest on dev.Adv.Enterprise $ 54,853 $ 30,768 $ - $ 85,621 Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 2,318,000,000 r;[;;;:;:¢:;;+[t:E:;;:¢¢:;;a:;:[r::a e;s:;a :; a;as;ds€s Date the debt was authorized: 11/2/2004,,;y;;y...:.::.. ....... .... ..:...,; ...,.._ 4-3 Does the entity intend to issue debt within the next calendar year(2010)7 IIIII X If yes: How much? I $ - iiati.,,,...,...........,,,,:.......,.t...,...,......, Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? I $ - Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What is being leased? -z„tC..m" , ,;71,5',:Z.'^Z What is the original date of the lease? T, '°£�{; if,:f7rw6l. Number of years of lease? ,�yjy,. *'", y k%yj Zy/,' Is the lease subject to annual appropriation? m- xeZzfr. *,7 What are the annual lease payments? $ - ar � `+ PART 5-CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount Total 5-1 Checking Accounts $ 241 EESEZES 5-2 Savings Accounts $ - ,,�ik ,�� 5-3 Certificates of Deposit $ - 2'n''' Total Cash Deposits ,,,'fy,,,a„l�,1',.,gf„ Lf $ 241 Investments if investment is a mutual fund, 'lease list unded in. investments : � ' '/ry57-, 54 7,75:7":7047,174 5-7 2r Total Investments $Total Cash and Investments ; $ 241 _Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no,please explain: Page 3 PART 6-CAPITAL ASSETS Please answer the following questions by marking In the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital X assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land BuildingsMachinery and equipment Furniture and fixturesInfrastructure $ 87,204 _$ - $ - $ 87,204 Other(explain): PART 7-PENSION INFORMATION Please answer the following questions by marking In the appropriate boxes Yes No 7-1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan? i'tnsl`s' ?s'tS„r"'l�,, ,Y(eZ•J Indicate the contributions from: �4 yi� Tax:(Property,SO,Sales,etc) $ - lL ' `' State Contribution Amount $ - a°�';717i /°' ,E 'a Other: Gifts Donations,etc $ What is the monthly benefit paid for 20 years of service per retiree $ - III as of Jan 1st? � - -• PART 8-BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount a.•ro•riated for each fund for 2009: Fund Name Budgeted 2009 Expenditures General Fund $ 128,000 1aW' f 'via ' Enterprise Fund $ 85,000 ,fra. t $ - '' PART 9 -TABOR Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5)]? If no,please explain: ii x ry, nwivr Note: An tlgcven to rnme tiro the government cym the spendingenMI limitations of ern6eRn does not '�' `� exemptrmine gowmmet tfrom the 3%quirem ntof reserve requirement. governments should 3%,,,: ricy2. determine if they meet this requirement of TABOR. PART 10-GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10.1 Is the enti a newl formed.overnmental enti X If yes: Date of formation: �" " tea 10.2 Is the entity a metropolitan district? 10.3 Please indicate what services you provide: Construction,installation,financing and tiH operation of public improvements,including water,sanitary sewer,drainage facilities, �xv = ;� ancillary streets,and mosquito control. 10-4 Does the entity have an agreeement with another government to provide services? X If yes: List the name of the other government entity and the services provided: e"S r'' .tvk. ,.'r r Page 4 • PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.5.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the goveming body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signa e( less e-olution is the governing body) Expires a 1 Christopher R.Paulson May 2012 2 Joel H.Farkas May 2010 • '. 3 William V.Hibbert May 2010 " 4 Jack E.Reutzel May 2012 5 Toni L.Serra May 2010 6 7 Page 5 Clifton Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Resource Colorado Water and Sanitation Metropolitan District Weld County, Colorado We have compiled the Application for Exemption from Audit of Resource Colorado Water and Sanitation Metropolitan District as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. We are not independent with respect to Resource Colorado Water and Sanitation Metropolitan District. 4/1"1-- u- /L ° Greenwood Village, Colorado February 27, 2010 Offices in 16 states and Washington,DC HLB International APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF $100,000 OR LESS Name of Government: Ridge Lands Metropolitan District For the Fiscal Year Address: 8390 E.Crescent Parkway ended December 31,2009 Suite 600 or fiscal year ended: Greenwood Village,CO 80111 Contact Person: Jason Carroll Telephone: 303-779-5710 E-Mall: jason.carroll@cliftoncpa.com Fax: 720-482-6668 Return to: Office of the State Auditor Local Government Audit Division 225 E.16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local govemment where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the goveming body as evidenced by one of the following methods: a.Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must skin the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparers discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name: Jason Carroll 1-2 Title:Accountant for the District 1.3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1-5 Telephone Number: 303-779-5710 1fi Date Prepared: February 19,2010 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. . .Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1.8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 r PART2-REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the governments land, building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ - 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 $ - 2-22 $ - 2-23 TOTAL REVENUE all sources $ - PART 3 -EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ - 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ - 3-7 Accounting and legal fees $ - 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ _ 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify): $ - 3-22 $ - 3-23 $ - 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ - Page 2 PART 4-DEBT OUTSTANDING,ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes o 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain:The District has not issued any debt. Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $Revenue bonds $ - $ - $ - $ _ _ Notes/loans $ - $ - $ - $ Leases $ - $ - $ - $ _ _ Developer Advances $ - $ - $ - $ _ Other(specify): $ - $ - $ - $ Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X. If yes: How much? $ 30,300,000 Date the debt was authorized: 5/7/2007 4-3 Does the entity intend to issue debt within the next calendar year(2010)? MIME X If yes: How much? gag/` ;if'iiiiiivf//'iiiiii //iii/Ju//% Please answer the following questions by marking the.appropriate boxes Yes NXo. . 4-4 Does the entity have debt that has been refinanced that it is still responsible for? If yes: What is the amount outstanding? 1 $ - '" ',5,5-455 •&242 Please answer the following questions by marking the appropriate boxes Yes o 4-5 Does the entity have any lease agreements? X ri ' y If yes: What is being leased? -/`� rzr k�iz�✓' r,2,:42, i e'�ir What is the original date of the lease? FYI L ;,,, g ;i-,. Number of years of lease? 4' ' Is the lease subject to annual appropriation? i �' What are the annual lease •a ents? $ - PART 5-CASH AND INVESTMENTS Please•rovide the entit is cash de•osit and investment balances Amount Total 5-1 Checking Accounts $ r''''''' ' 5.2 Savings Accounts $ - 5-3 x $ - G �� Totai Cash Deposits ii�WPIIS Investments if investment is a mutual fund, •lease list unded in' investments: rw,� �/ 55 5E Jul 5-7 Total Investments $ - Total Cash and Investments !.. " Please answer the following question by marking in the appropriate box Yes o 5.8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no,please explain:The district has no deposits at year end. Page 3 PART 6-CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ - Buildings $ - $ - $ - $ - Machinery and equipment $ - $ - $ - $ - Fumiture and fixtures $ - $ - $ - $ - Infrastructure $ - $ - $ - $ - Other(explain): $ - $ - $ - $ - PART 7-PENSION INFORMATION _ . lease answer the f•II•win• •uesti•ns markin• Inthea••r••riate ••xes Yes No 7.1 Does the enti have an"old hire"firemen's •ension elan? X 7.2 Does the enti have a volunteer firemen's •-nsion 'Ian? X If yes: Who administers the 'Ian? i' lr. agRi ! Tax: Pr..e ,SO,Sales,etc $ - ta.;:',Ttt tEiti �>:� $ - mad '/�6 d -- 24,4 ii,,,,,,,7,777-, Other: Gifts,Donations etc $ - rte : .. What is the monthly benefit paid for 20 years of service per retiree $ - "- as of Jan 1st? ‘StgavilfitePnirnq PART 8-BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes Yes =No 8.1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount a••ro•dated for each fund for 2009: ,o i ' z ,... w!�Y�,�' � Fund Name Budgeted 2009 Expenditures�o , y2d General Fund $ 50,000 ir� �� $ . ,. _ . .,,,.,,. . . I PART9-TABOR I Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X,Section 20(5))? It no,please explain: iai/nwiro,22#,P-- , o Note: An election to exempt the government from the spending limitations of TABOR does not � � exempt the government from the 3%emergency reserve requirement NI governments should r' r' determine if they meet this requirement of TABOR. PART 10-GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10.1 Is the entity a newly formed governmental entity? X If yes: Date of formation:] a tlt - rt "'s"�' a 10-2 Is the entity a metropolitan district? X 10-3 Please indicate what services you provide:Financing of certain streets,street lighting, 5" j ;,2/ traffic and safety controls,water,landscaping,stone sewers and flood and surface - - drainage,and park and recreation improvements for the Project. i 10-4 Does the entity have an agreeement with another government to provide services? SON X If yes: Please indicate what services you provide: r 4 ea' SweiaarrAmielte: Page 4 • PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided In lieu of original signatures. Name(print names of all current members of Date Term Origina n (unless resolution is the governing body) Expires ttac d) 1 Gregory Kent May 2010 2 Michael Kent May 2010 3 Bill Goldberg May 2012 4 Olive Keefer May 2010 5 Barbara Anderson May 2010 6 7 Page 5 MClifton Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Ridge Lands Metropolitan District Weld County, Colorado We have compiled the Application for Exemption from Audit of Ridge Lands Metropolitan District as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly,do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly,the Application for Exemption from Audit is not designed for those who are not informed about such differences. We are not independent with respect to Ridge Lands Metropolitan District. )44-$1-44-4-ex-- Greenwood Village, Colorado February 19, 2010 Offices in 16 states and Washington,DC HLB International APPLICATION FOR EXEMPTION FROM AUDIT - LONG FORM - FOR GOVERNMENTS WITH REVENUES OR EXPENDITURES GREATER THAN $100,000 BUT NOT MORE THAN $500,000 Name of Government: Sweetgrass Metropolitan District No. 1 For the Fiscal Year Address: 2500 Arapahoe Avenue Ended December 31, 2009 Suite 220 or fiscal year ended: Boulder, CO 80302 Contact Person: Lewis Holtsclaw Telephone: 303-442-2299 E-Mail: Fax: Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 Fax: (303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604, C.R.S.outlines the provisions for an exemption from audit. Generally, any local government where neither revenues nor expenditures exceed $500,000 in any fiscal year qualify for an exemption. If either revenues or expenditures are $100,000 or greater, but not more than $500,000, you may use this form. If both revenues and expenditures are less than $100,000 individually, use the short form application for exemption from audit. Instructions: (See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Pleae note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31, the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by an independent accountant(separate from the entity)with knowledge of governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a. Resolution of the governing board-application may be e-mailed,faxed, or mailed. b. Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparer's discretion. CERTIFICATION OF PREPARER I certify that I am an independent accountant with knowledge of governmental accounting and that the information in the Application is complete and accurate to the best of my knowledge. Independent means someone who is separate from the entity. Name: Kevin Collins Title: Independent Accountant Firm Name(if applicable): Clifton Gunderson LLP Address: 8390 E. 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X If yes: Is the debt repayment schedule attached?If no, please explain: The beginning balances have been restated-see attached. Outstanding at Total issued Total retired Total Governmental Please complete the following debt beginning of during fiscal year during fiscal year outstanding at (G)or schedule, if applicable fiscal year (add) (less) fiscal year end Proprietary(P) General Obligation Bonds $ - $ - $ - $ - Revenue Bonds $ - $ - $ - $ - Notes/Loans $ - $ - $ - $ - Leases $ - $ - $ - $ - Developer Advances $ 3,301,918 $ 77,647 $ - $ 3,379,565 G Other(specify): Interest payable(restated) $ 642,459 $ 290,745 $ 130,000 $ 803,204 G Total $ 3,944,377 $ 368,392 $ 130,000 $ 4,182,769 '//////////////4 :t.pm seaitswerttii onowhtkuestio tbyiriai'king;in.the:appropaiatebues _.,. ,. „F3;y; ''4'es,,!ZIA RSISN0MEIS. 4.2 Does the entity have authorized, but unissued debt? X If yes: How much? $ 181,589,367 L /// �//////, Date debt was authorized: 2005 ��J 4-3 Does the entity intend to issue debt within the next calendar year(2010)7 X If yes: How much? f$ - %///////////O/O/////O////. w,y Pleaso'aitsweitbefallowing;questions€by markingitr the approPlftaw bo72et ..,; "yie ar. .s 7fil. 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? I $ - %///////////////////////A mg al fease3nsWerllieralitwi"ngquestidriebirriia"rklifdtiher ppropria'te bbze ,m =-.4 . .. ;Yeea... . No tat 4-5 Does the entity have any lease agreements? X If yes: What is being leased? j What is the original date of the lease? Number of years of lease? Is the lease subject to annual appropriation? What are the annual lease payments? $ - / 44 PART 5 - CASH AND INVESTMENTS HELD AT END OF FISCAL YEAR ;;Or.01-;;i Please providetthe-entityweiiit deposit and-lnvestment balances' 4 t , DAm ` sAit Ui! -`' I ' ota, ' " 5-1 Checking Accounts $ 2,230 5-2 Savings Accounts $ A 5-3 Certificates of Deposit $ _ Total Cash Deposits V//// 2,230 Investments(if investment is a mutual fund, please list underlying investments): 5-4 CSAFE $ _ 5-5 $ - .1,7 5-6 $ 5.7 $ 4 Total Investments r///////////, $ - Total Cash and Investments $ 2,230 .i2liatiPlease,ans*erthefollowingquestionbymarkcinpiq.theapproptfate'Siti „. t1:: : ..i .-tt M'ea* .,._r. No'VelS 5-8 Are the entity's deposits in an eligible(PDPA)public depository? (Section 11-10.5-101 et.seq., X C.R.S.) If no,please explain: Page 5 • PART 6 -CAPITAL ASSETS Beginning of the End of Year Year Additions Deletions Balance 6-1 For Governmental Funds _ Land $ - $ - $ , $ - Buildings $ - $ - $ - $ - Machinery and Equipment $ - $ - $ - $ - Furniture and Fixtures $ $ - $ - $ -_ Infrastructure $ - $ - $ - $ Accumulated Depreciation $ - $ $ - $ Other $ 2,804,564 $ 101,896 $ 2,906,460 $ - _ Total for Governmental Funds $ 2,804,564 $ 101,896 $ 2,906,460 $ - Beginning of the End of Year Year Additions Deletions Balance 6-2 For Proprietary Funds Land $ - S - $ $ -, Buildings $ - $ - $ - $ - Machinery and Equipment $ - $ - $ $ Furniture and Fixtures $ - $ - $ - $ - Infrastructure $ , $ - $ - $ - Accumulated Depreciation $ - $ - $ - $ - Other $ - $ - ' $ - $ - Total for Proprietary Funds $ - $ -_$ - $ - Please answer the following question by marking In the appropriate box - Yes No 6-3 Has the entity preformed an annual inventory of propery and equipment(capital assets)in X accordance with Section 29-1-506 C.R S.?If no,please explain: All infrastructure has been conveyed to other governmental entities. PART 7 - PENSION INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 7-1 Does the entity have an"old hire"fire pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan'? I Indicate the contributions from: Tax:(Property, SO,Sales,etc) $ - ,at State Contribution Amount: $ �. -, ,, „.„:, 3.=4 Other: (Gifts, Donations,etc) $ :''n'- t What is the monthly benefit paid for 20 years of service per retiree as of Jan 1st'? $ - ` N PART 8 - BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please explain: X If yes. Please indicate the amount appropriated for each fund for 2009: i,��4**:?,��V4A �Ak : , W N Fund Name Budgeted 2009 Expenditures lA,:j.Ae�:i, ��V?a, 310,000 ; 'N N., ,.,. v ., General amended $ '� Debt Service S 160,000 Capital Projects(amended) S 100,000 $ ,.' , Page 6 PART 9 -TABOR Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR?[State Constitution Article X,Section X 20(5)]? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not exempt the government from the 3%emergency reserve requirement. All governments should *��` �o C : determine if they meet this requirement of TABOR. a: \a tea, PART 10 - GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is this entity a newly formed governmental entity? X If yes: Date of formation:I 10-2 Is this a metropolitan district? X 10-3 Please indicate what services are provided:Water,sanitation,storm drainage,streets,traffic and y��V `� � ` ti safety controls,and park and recreation improvements. 10-4 Does the entity have an agreement with another government entity to provide services? X If yes: List the name of the other government entity and the services provided: Facility Construction& Service Agreement with Sweetgrass Nos.2 and 3;district covenant with City of Dacono, Colorado. S�\\v PART 11 - GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an application with revenues and expenditures at least$100,000 but not more than$500,000 must be prepared by an independent accountant with knowledge of governmental accounting. Completed to the best of our knowledge and is accurate and true. Reviewed and approved by a majority of the governing body. Note: Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body or a resolution may be provided in lieu of orginial signatures. Name(print names of all current Date Term members of the governing body) Expires Ori 'nal Signature(unless resolution is attached) 1 Jon R. Lee May 2010 / -- 2 David G. Rhodes May 2012 //' aa, 3 Lewis G. Holtsclaw May 2012 {� 4 5 6 7 Page 7 Sweetgrass Metropolitan District No. 1 Supplemental information— Section 4-1 The beginning balances of the Developer advances and Interest Payable have been restated. During 2009, the District discovered that when the Developer advances were converted into BAN's back in 2005, the converted outstanding balance included accrued interest. However, the outstanding principal balance in the ongoing schedules used to calculate accrued interest did not include the accrued interest amount. Therefore, not only the outstanding principle was restated but also the accrued interest from the point of the conversion to current. Clifto Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Sweetgrass Metropolitan District No. 1 Weld County, Colorado We have compiled the Application for Exemption from Audit of Sweetgrass Metropolitan District No. 1 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. e — I <'° Greenwood Village, Colorado February 10, 2010 Offices in 17 states and Washington,DC H LB International APPLICATION FOR EXEMPTION FROM AUDIT - LONG FORM - FOR GOVERNMENTS WITH REVENUES OR EXPENDITURES GREATER THAN $100,000 BUT NOT MORE THAN $500,000 Name of Government: Sweetgrass Metropolitan District No.2 For the Fiscal Year Address: 2500 Arapahoe Avenue Ended December 31. 2009 Suite 220 or fiscal year ended: Boulder,CO 80302 Contact Person: Lewis Holtsclaw Telephone: (303)442-2299 E-Mail: Fax: Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 Fax:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604, C.R.S.outlines the provisions for an exemption from audit. Generally, any local government where neither revenues nor expenditures exceed $500,000 in any fiscal year qualify for an exemption. If either revenues or expenditures are$100,000 or greater, but not more than $500,000, you may use this form. If both revenues and expenditures are less than $100,000 individually, use the short form application for exemption from audit. Instructions: (See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Pleae note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31, the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by an independent accountant(separate from the entity)with knowledge of governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a. Resolution of the governing board -application may be e-mailed,faxed, or mailed. b. Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must siqn the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparer's discretion. CERTIFICATION OF PREPARER I certify that I am an independent accountant with knowledge of governmental accounting and that the information in the Application is complete and accurate to the best of my knowledge. Independent means someone who is separate from the entity. Name: Kevin Collins Title: Independent Accountant Firm Name(if applicable): Clifton Gunderson LLP Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village, CO 80111 Telephone Number. 303-779-5710 Date Prepared: February 10,2010 Signature: See Accountant's Compilation Report The Audit Law requires that a person independent of the entity complete the Application if revenues or expenditure are at least $100,000 but not more than$500,000. Independent means someone who is separate from the entity. Please describe what your relationship is with the entity. CPA firm for the District • Page 1 co a c J 'O LL c J Z LL N O a� q p p N N N N g q q 434a N N N N q N w N N q q 4349 N N p p x LT. • . • . • . • y • a9 a LL } O a` 4.4349 g p w N q p✓. 41349434, 43434349 w w w v+ w q 49494. 49 w w m 0 4 a D t 25 d N y a N 0 m - •o • P. O '= E . ^ co m N c i°O 'C c J m `O Z w c c w LL a O y C C Q` m d ° O on ,, cv a m Ei 2 Y Li. A .�' W C-7.-, W co E — n C �N ≥ a W'F r J K >, 0 0 Q •,. 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X If yes: Is the debt repayment schedule attached?If no,please explain: Outstanding at Total issued Total retired Total Governmental Please complete the following debt beginning of during fiscal year during fiscal year outstanding at (G)or schedule,if applicable fiscal year (add) (less) fiscal year end Proprietary(P) General Obligation Bonds $ - $ - $ - $ - Revenue Bonds $ - $ - $ - $ - Notes/Loans $ - $ - $ - $ - Leases $ - $ - $ - $ - Developer Advances $ - $ - $ - $ - Other(specify): $ - $ - $ - $ - Total $ - $ - $ - $ - ..., , .. Please answer the following questions by marking in the appropriate boxes Yes No 4-2 Does the entity have authorized,but unissued debt? X If yes: How much? $ 40,189 600 Date debt was authorized: 2001 4-3 Does the entity intend to issue debt within the next calendar year(2010)? -X If yes: How much? I $ ... Please answer the following questions by marking in the appropriate boxes Yes No 4.4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? I $ Please answer the following questions by marking in the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? x If yes: What is being leased? ' What is the original date of the lease? Number of ears of lease? _ Is the lease subject to annual appropriation? What are the annual lease payments? $ PART 5 -CASH AND INVESTMENTS HELD AT END OF FISCAL YEAR Please provide the entity's cash deposit and investment balances Amount Total 5-1 Checking Accounts $ - 5-2 Savings Accounts $ - 5-3 Certificates of Deposit $ - Total Cash Deposits $ Investments(if investment is a mutual fund,please list underlying investments): 5-4 CSAFE $ 1,588 5-5 $ - 5-6 $ 5.7 $ - Total Investments _.. $ 1.588 Total Cash and Investments $ 1.588 Please answer the following question by marking In the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository? (Section 11-10.5-101 et. seq., X C.R.S.) If no,please explain: The District has no cash deposits. Page 5 PART 6 - CAPITAL ASSETS Beginning of the End of Year Year Additions Deletions Balance 6-1 For Governmental Funds Land $ _ $ - $ _ $ Buildings $ - $ - $ - $ Machinery and Equipment $ - $ - $ - $ _ Furniture and Fixtures $ - $ - $ - $ Infrastructure $ - $ - $ - $ Accumulated Depreciation $ - $ - $ - $ Other $ - $ - $ - $ Total for Governmental Funds $ - $ - $ - $ Beginning of the End of Year Year Additions Deletions Balance 6-2 For Proprietary Funds Land $ - $ - $ - $ Buildings $ - $ - $ - $ Machinery and Equipment $ - $ - $ - $ Furniture and Fixtures $ - $ _ $ - $ Infrastructure $ - $ - $ - $ Accumulated Depreciation $ - $ - $ - $ Other $ - $ - $ - $ Total for Proprietary Funds $ - $ - $ - $ - Please answer the following question by marking in the appropriate box Yes No 6-3 Has the entity preformed an annual inventory of propery and equipment(capital assets)in X accordance with Section 29-1-506 C.R.S.?If no,please explain: The District has no capital assets. I PART 7 -PENSION INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 7-1 Does the entity have an"old hire"fire pension plan? X 7.2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan? I " Indicate the contributions from: - - Tax:(Property,SO,Sales,etc) $ State Contribution Amount: $ _ Other.(Gifts,Donations,etc) $ _ What is the monthly benefit paid for 20 years of service per retiree as of Jan 1st? $ PART 8 - BUDGET INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please explain: X If yes: Please indicate the amount appropriated for each fund for 2009: Fund Name Budgeted 2009 Expenditures General(amended) $ 235,000 $ _ $ $ _ Page 6 PART 9 -TABOR Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR?[State Constitution Article X, Section X 20(5))? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not exempt the government from the 3%emergency reserve requirement All governments should determine If they meet this requirement of TABOR. PART 10 -GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is this entity a newly formed governmental entity? X If yes: Date of formation:I 10.2 Is this a metropolitan district? X 10-3 Please indicate what services are provided:Water, streets,traffic and safety controls,and parks and recreation, and sewer. 10.4 Does the entity have an agreement with another government entity to provide services? X If yes: List the name of the other government entity and the services provided: Facility Construction 8 Service Agreement with Sweetgrass Nos. land 3;District covenant with City of Dacono,Colorado. PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an application with revenues and expenditures at least$100,000 but not more than$500,000 must be prepared by an independent accountant with knowledge of governmental accounting. Completed to the best of our knowledge and is accurate and true. Reviewed and approved by a majority of the governing body. Note: Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body or a resolution may be provided in lieu of orginial signatures. Name(print names of all current Date Tenn members of the governing body) Expires Original Signature(unless resolution is attached) 1 Jon R. Lee May 2010 2 David G. Rhodes May 2012 3 Lewis G. Holtsclaw May 2012 %t4;)AZII%ejd 4 5 6 7 Page 7 a Clifto Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Sweetgrass Metropolitan District No. 2 Weld County, Colorado We have compiled the Application for Exemption from Audit of Sweetgrass Metropolitan District No. 2 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. Greenwood Village, Colorado February 10, 2010 Offices in 17 states and Washington,DC HLB International • APPLICATION FOR EXEMPTION FROM AUDIT- SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF $100,000 OR LESS Name of Government: Sweetgrass Metropolitan District No. 3 For the Fiscal Year Address: 2500 Arapahoe Avenue ended December 31. 2009 Suite 220 or fiscal year ended. Boulder,CO 80302 Contact Person: Lewis Holtsclaw Telephone: 303-442-2299 E-Mail: Fax: Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave.. Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S. outlines the provisions for an exemption from audit. Generally, any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a. Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must slgn the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparers discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name: Kevin Collins 1.2 Title: Independent Accountant 1-3 Firm(if applicable): Clifton Gunderson LLP 1.4 Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1-5 Telephone Number: 303-779-5710 1.6 Date Prepared: February 10,2010 1-7 Signature: See Accountant's Compilation Report The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART 2-REVENUE I REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ 30.506 2-2 Specific Ownership $ 2,331 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ 2-9 Other(specify): Transfer from Sweetgrass#1 $ 3.004 2-10 Charges for services $ 2-11 Fines and forfeits $ - 2-12 Special assessments $ 2-13 Investment income $ 33 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 $ - 2-22 $ - 2-23 TOTAL REVENUE all sources $ 35,874 PART 3 -EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ 3-2 Salaries $ 3-3 Payroll taxes $ - 3-4 Contract services $ 3-5 i Employee benefits $ • 3-6 Insurance $ 1.804 3-7 Accounting and legal fees $ 1.200 3-8 Repair and maintenance $ 3-9 Supplies $ - 3-10 Utilities and telephone $ 3-11 Fire/Police $ 3-12 Streets and highways $ - 3-13 Public health $ 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ - • 3-20 Contribution to FPPA $ - 3-21 Other(specify):Treasurer's fees $ 458 3-22 Sweetgrass#1 $ 32.816 3-23 $ - 3-24 $ 3-25 TOTAL EXPENDITURES all categories $ 36.278 Page 2 PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED I Please answer the following questions by marking the appropriate boxes Yes No 4-t Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no,please explain. Please complete the following debt schedule, if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ Revenue bonds $ - $ - $ $Notes/loans $ - $ - $ - $ _ Leases $ - $ - $ - $ _ Developer Advances $ - $ - $ - $ _ Other(specify): $ - $ $ $ Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 40,189,600 Date the debt was authorized: 2001 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? I $ - Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? I $ - - ---- Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What is being leased? What is the original date of the lease? Number of years of lease? ... Is the lease subject to annual appropriation? What are the annual lease payments? $ - - - -- - I PART 5-CASH AND INVESTMENTS I Please provide the entity's cash deposit and investment balances Amount Total 5-1 Checking Accounts $ 5-2 Savings Accounts $ 5-3 Certificates of Deposit $ Total Cash Deposits $ Investments(if investment is a mutual fund,please list undertying investments): 5-4 CSAFE $ 1,333 5-5 $ 5-6 $ 5-7 $ Total Investments $ 1,333 Total Cash and Investments $ 1,333 Please answer the following question by marking in the appropriate box Yes No 5-8 Are your deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et Seq. X C.R.S.)? If no,please explain:The District has no cash deposits. Page 3 PART 6 -CAPITAL ASSETS I Please answer the following questions by marking in the appropriate boxes Yes No 6.1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ Buildings $ - $ - $ - $ Machinery and equipment $ - $ - $ - $ Furniture and fixtures $ - $ - $ - $ Infrastructure $ - $ $ $ - Other(explain): $ - $ - $ $ - I— PART 7 -PENSION INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 7-1 Does the entity have an"old hire"firemen's pension plan? X 7.2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan? Indicate the contributions from: Tax(Property,SO, Sales,etc) $ - State Contribution Amount $ Other(Gifts, Donations,etc) $ What is the monthly benefit paid for 20 years of service per retiree $ - asof Jan 1st? I PART 8-BUDGET INFORMATION I Please answer the following questions by marking In the appropriate boxes Yes No 8.1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: If yes: Please indicate the amount appropriated for each fund for 2009: Fund Name Budgeted 2009 Expenditures General(amended) $ 37,000 $ - $ ' PART 9-TABOR Please answer the following question by marking in the appropriate box Yes No 9.1 Is the entity in compliance with all the provisions of TABOR(State Constitution Article X X,Section 20(5))? If no,please explain: Note: An election to exempt the government from the spending limitations of TABOR does not exempt the government from the 3%emergency reserve requirement. All governments should determine it they meet this requirement of TABOR. PART 10-GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formation: - 10-2 Is the entity a metropolitan district? X 10-3 Please indicate what services you provide:Water,streets,traffic and safety controls, parks and recreation,and sewer. 10-4 Does the entity have an agreeement with another government to provide services? X If yes: List the name of the other government entity and the services provided: Facility Connection&Services Agreement with Sweetgrass Metro.Districts Nos. 1 and 2; District covenants with City of Dacono,Colorado. ,. Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604, C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true: Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signature(unless resolution is the governing body) Expires attached) 1 Jon R. Lee May 2010 --- 2 David G. Rhodes May 2012 d'I‘" ��,s� //J 3 Lewis G. Holtsclaw May 2012 j 2,.vv0 /� 4 5 6 7 Page 5 Clifton 'Al Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Sweetgrass Metropolitan District No. 3 Weld County, Colorado We have compiled the Application for Exemption from Audit of Sweetgrass Metropolitan District No. 3 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. e1214""—� ( (/° Greenwood Village, Colorado February 10, 2010 HLBInternationalOffices in 17 states and Washington,DC i APPLICATION FOR EXEMPTION FROM AUDIT-SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF $100,000 OR LESS Name of Government: Wyndham Hill Metropolitan District No. 1 For the Fiscal Year Address: 2500 Arapahoe Avenue ended December 31,2009 Suite 200 or fiscal year ended: Boulder,CO 80302 Contact Person: Lewis Holtsclaw Telephone: 303-442-2299 E-Mail: Fax: Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX: (303)866-4062 Email: OSAIG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a. Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparer's discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name: Kevin Collins 1-2 Title: Independent Accountant 1-3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway.Suite 600,Greenwood Village,CO 80111 1-5 Telephone Number: 303-779-5710 1-6 Date Prepared: February 11,2009 1-7 Signature: SEE ACCOUNTANT'S COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART2-REVENUE REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ - 2-2 Specific Ownership $ - 2-3 Sales and Use $ - 2-4 Other(specify): $ - 2-5 Licenses and permits $ - 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ - 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ - 2-10 Charges for services $ - 2-11 Fines and forfeits $ - 2-12 Special assessments $ - 2-13 Investment income $ 56 2-14 Charges for utility services $ - 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 -Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): Miscellaneous $ 86 2-21 Wyndham#2 $ 51,000 2-22 Developer advance $ 29,399 2-23 TOTAL REVENUE all sources $ 80,541 PART 3-EXPENDITURES EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ 18 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ - 3-5 Employee benefits $ - 3-6 Insurance $ 2.192 3-7 Accounting and legal fees $ 2%778 3-8 Repair and maintenance $ - 3-9 Supplies $ - 3-10 Utilities and telephone $ - 3-11 Fire/Police $ - 3-12 Streets and highways $ - 3-13 Public health $ - 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ 3,470 3-17 Debt service principal $ - 3-18 Debt service interest $ 64,399 3-19 Contribution to pension plan $ - 3-20 Contribution to FPPA $ - 3-21 Other(specify):Director's fees $ 200 3-22 Wyndham#3 $ 3,277 3-23 $ - 3-24 $ - 3-25 TOTAL EXPENDITURES all categories $ 94,334 Page 2 PART 4- DEBT OUTSTANDING, ISSUED AND RETIRED Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? X If yes: Is the debt repayment schedule attached?If no, please explain:The$3,279,000 note X is due on 12/20/10. The developer advances are to be repaid when funds become available. Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ - Revenue bonds $ - $ - $ - $ - Notes/loans $ 3,279,000 $ - $ - $ 3,279,000 Leases $ - $ - $ - $ - Developer Advances $ 3,386,000 $ 29.399 $ - $ 3,415,399 Other(specify):Accrued interest payable $ 1,495,726 $ 577.044 $ 64,399 $ 2,008,371 Please answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entity have any authorized,but unissued debt? X If yes: How much? $ 529,000,000 " ;W Ma' "" Date the debt was authorized: Nov 2004&Nov 2005;I,,- 4-3 Does the entity intend to issue debt within the next calendar year(2010)? OSP X If es: How much? $ Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstanding? $ - Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What is bein. leased? , ' h, -f,,7i�/s;!', What is the original date of the lease? PriaagraMtrAngr: Number of years of lease? � ,.oq,,,1 , Is the lease subject to annual appropriation? �,�%yjt(',��, �� What are the annual lease payments? $ - �,.°.,E ..t ..$ fc.,7 ' w PART 5 -CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount Total 5-1 Checking Accounts $ 21,308 5-2 Savings Accounts $ - 5-3 Certificates of Deposit $ -- Total Cash Deposits /-W $ 21,308 Investments(if investment is a mutual fund,please list underlying investments): _ „ ,,,,, 5.4 $_ - 5-5 $ 5-6 $ - 5-7 $ - Total Investments -z , $ - Total Cash and Investments ,„' 4 , A ' $ 21,308 Please answer the following question by marking in the appropriate box Yes No 5.8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no, please explain: Page 3 PART 6 -CAPITAL ASSETS Please answer the following questions by marking in the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain:All public infrastructure was dedicated to the Town of Frederick. Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ - $ Buildings $ - $ - $ - $Machinery and equipment $ - $ - $ - $ Furniture and fixtures $ - $ - $ - $ Infrastructure $ - $ - $ - $ Other(explain):Construction in progress $ - $ - $ - $ PART 7-PENSION INFORMATION Please answer the following questions by marking In the appropriate boxes Yes No 7-1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? X If yes: Who administers the plan? " y,k ' soi ,, , Indicate the contributions from: s1Zf /�r.Z9S7,1' Tax:(Property,SO,Sales,etc) $ - State Contribution Amount $ - Other: Gifts,Donations,etc $ - 6,' ' ?a 'y,, ,. What is the monthly benefit paid for 20 years of service per retiree $as of Jan 1st? PART 8 -BUDGET INFORMATION Please answer the following questions by marking In the appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no, please X explain:The Districts expenditures are over budget,which may be a violation of state statutes. If yes: Please indicate the amount appropriated for each fund for 2009: ' 7;Stene' Fund Name Bud•eted 2009 Expenditures' 'f°;� '`- g� General Fund $ 64.000 ftc.I.3;klaa�, Ca.ital Proects $ 15,000 - , i'gy $ ro v m uhi�iii x� ' PART9-TABOR Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR[State Constitution Article X X.Section 20(5)1? If no,please explain: a Note: An election to exempt the government from the spending limitations of TABOR does not exempt the government from the 3%emergency reserve requirement. All governments should determine if they meet this requirement of TABOR. PART 10 -GENERAL INFORMATION Please answer the following questions by marking in the appropriate boxes Yes No 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formation-1 affaraRSOFASS 10-2 Is the entity a metropolitan district? X 10-3 Please indicate what services the entity provides: Sewer,water,streets,traffic and ' , , safety controls,parks and recreation,mosquito and pest control,and transportation '� sy,, tewmservices. �br.re 104 Does the entit have an a.reeement with another .overnment to •rovide services? X If yes: List the name of the other government entity and the services provided: eizq z.Miyw,wwa � Intergovernmental agreement with Wyndham Hill Metro District's No.2 and No.3. s, Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note:Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application Is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signature(unless resolution is the governing body) Expires //A attached) 1 Jon R. Lee May 2010 ILL 2 David G. Rhodes May 2012 3 Lewis G. Holtsclaw May 2010 4 5 6 7 - Page 5 a Clifton Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Wyndham Hill Metropolitan District No. 1 Weld County, Colorado We have compiled the Application for Exemption from Audit of Wyndham Hill Metropolitan District No. 1 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. -,I ,e..- - C !P Greenwood Village, Colorado February 11, 2010 Offices in 17 states and Washington,DC HLB International APPLICATION FOR EXEMPTION FROM AUDIT - SHORT FORM FOR GOVERNMENTS WITH REVENUES AND EXPENDITURES OF $100,000 OR LESS Name of Government: Wyndham Hill Metropolitan District No.3 For the Fiscal Year Address: 2500 Arapahoe Avenue ended December 31,2009 Suite 200 or fiscal year ended: Boulder,CO 80302 Contact Person: Lewis Holtsclaw Telephone: 303-442-2299 E-Mail: Fax: Return to: Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 FAX:(303)866-4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. If both revenues and expenditures are less than$100,000 individually,you may use this form. If either revenues or expenditures are$100,000,but not more than$500,000,you must use the long form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Please note that there are eleven parts to this form and all questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by a person skilled in governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a.Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparer's discretion. PART 1 -CERTIFICATION OF PREPARER 1-1 Name: Kevin Collins 1.2 Title: Independent Accoutant 1.3 Firm(if applicable): Clifton Gunderson LLP 1-4 Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 1.5 Telephone Number: 303-779-5710 1-6 Date Prepared: February 11,2010 1-7 Signature: SEE ACCOUNTANTS COMPILATION REPORT The person that completes this form must be skilled in governmental accounting. Check One (Skilled means possessing sufficient knowledge of governmental accounting to complete the exemption form.) Yes No 1-8 Are you skilled in governmental accounting?If no,this exemption will be rejected. X Page 1 PART2-REVENUE I REVENUE: All revenues for all funds must be reflected in this section including proceeds from the sale of the government's land, building,and equipment and proceeds from debt or lease transactions. Financial information will not include fund equity information. Line# Description (Omit cents) 2-1 Taxes: Property $ 5,701 2-2 Specific Ownership $ 518 2-3 Sales and Use $ 2-4 Other(specify): $ 2-5 Licenses and permits $ 2-6 Intergovernmental: Grants $ - 2-7 Conservation Trust Funds(Lottery) $ 2-8 Highway Users Tax Funds(HUTF) $ - 2-9 Other(specify): $ 2-10 Charges for services $ 2-11 Fines and forfeits $ -- 2-12 Special assessments $ 2-13 Investment income $ 1 2-14 Charges for utility services $ 2-15 Debt proceeds $ - 2-16 Lease proceeds $ - 2-17 Proceeds from sale of capital assets $ - 2-18 Fire and police pension $ - 2-19 Donations $ - 2-20 Other(specify): $ - 2-21 Transfer from Wyndham Hill Metro District 1 $ 3,277 2-22 $ - 2-23 TOTAL REVENUE all sources $ 9,507 I PART 3-EXPENDITURES I EXPENDITURES: All expenditures for all funds must be reflected in this section including the purchase of capital assets and principal and interest payments on long-term debt. Financial information will not include fund equity information. Line# Description (Omit cents) 3-1 Administrative $ 3-2 Salaries $ - 3-3 Payroll taxes $ - 3-4 Contract services $ 3-5 Employee benefits $ 3-6 Insurance $ 2,025 3-7 Accounting and legal fees $ 1.200 3-8 Repair and maintenance $ 3-9 Supplies $ 3-10 Utilities and telephone $ 3-11 Fire/Police $ 3-12 Streets and highways $ - 3-13 Public health $ 3-14 Culture and recreation $ - 3-15 Utility operations $ - 3-16 Capital outlay $ - 3-17 Debt service principal $ - 3-18 Debt service interest $ - 3-19 Contribution to pension plan $ 3-20 Contribution to FPPA $ - 3-21 Other(specify):Treasurer's Fees $ 86 3-22 Transfer to Wyndham Hill Metro District No.2 $ 6.226 3-23 $ 3-24 $ 3-25 TOTAL EXPENDITURES all categories $ 9,537 Page 2 I PART 4-DEBT OUTSTANDING, ISSUED AND RETIRED I Please answer the following questions by marking the appropriate boxes Yes No 4-1 Does the entity have outstanding debt? x If yes: Is the debt repayment schedule attached?If no,please explain: Please complete the following debt schedule,if Outstanding at Issued during Retired during Outstanding at applicable: end of prior year fiscal year fiscal year fiscal year end General obligation bonds $ - $ - $ - $ - Revenue bonds $ - $ - $ - $ - Notes/loans $ - $ - $ - $ - Leases $ - $ - $ - $ Developer Advances $ - $ - $ - $ Other(specify): $ - $ - $ - $ - Please'answer the following questions by marking the appropriate boxes Yes No 4-2 Does the entit have an authorized,but unissued debt? X If yes: How much? $ . pia;raz,.a§iP �;a ilNo .Hsmtiaa' Date the debt was authorized: 2004adi 4-3 Does the entity intend to issue debt within the next calendar year(2010)? SIPX If yes: How much? I $ W,,,,,,,,,,,,,,,,,x,, ,,w,,,,u;�w,,,,,Hw Please answer the following questions by marking the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X If yes: What is the amount outstandinav $ - .;; ' � ,,,a ,,,,,,""""" Please answer the following questions by marking the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What is being leased? sera iwy9H�Hk0,W What is the original date of the lease? av 7„"3:*),:. ' Number of ears of lease? ""'""'„;;;; ``""'"'"""xxxt:,--:., 5"' fifisa.,.,,„,.,, ruc,.,,.,,.,.,,„c Is the lease subject to annual appropriation? ".. %;s iy%„:x..-'�%%%%�%%%%r ;2,..y',:;;;;:,r�.�..�lW;;;;,;E,`„'x:;;.LL, ,,",M,, What are the annual lease payments? $ - ''..«i...: 'i �.�x" %vim%%�xd�vd�a""%='iY' PART 5 -CASH AND INVESTMENTS Please provide the entity's cash deposit and investment balances Amount Total 5.1 Checking Accounts $ - C' „.,. 5-2 Savings Accounts $ - ''`'rf;; ;;;;;; _.'::;; 5-3 Certificates of Deposit $ - o.• Total Cash Deposits %'� v�ri t'=""'" Investments(if investment is a mutual fund,please list underlying investments): ,„,•,;. „„ j, 5-4 $ 5.5 $ 56 $ 5-7 $ „ty tiz.'bSiar� u, $ - Total Investments �`'1O74iN7A . -> Total Cash and Investments 3r " $ - Please answer the following question by marking In the appropriate box Yes No 5-8 Are the entity's deposits in an eligible(PDPA)public depository(Sec 11-10.5-101 et X seq,C.R.S.)? If no,please explain:The District has no cash deposits. Page 3 PART 6-CAPITAL ASSETS I Please.answer the following questionsby marking In the appropriate boxes Yes No 6-1 Does the entity have land,buildings,and/or equipment? X If yes: Has the entity preformed an annual inventory of propery and equipment(capital assets)in accordance with Section 29-1-506 C.R.S.?If no,please explain: Complete the following table: Balance- Beginning of the Balance-End Year Additions Deletions of the Year Land $ - $ - $ $ Buildings $ - $ - $ - $ Machinery and equipment $ - $ - $ - $ - Furniture and fixtures $ - $ - $ - $ Infrastructure $ - $ - $ - $ Other(explain): $ - $ - $ $ PART 7 -PENSION INFORMATION I Please answer the following questions by marking in the appropriate boxes Yes No 7.1 Does the entity have an"old hire"firemen's pension plan? X 7-2 Does the entity have a volunteer firemen's pension plan? w , X ,,, , If yes: Who administers the plan? % iisiii fii 't�' "'"`'",,, _,"'"'""7""'` Indicate the contributions from: 'i:: ert r rJ t•� rri Tax:(Property,SO,Sales,etc) $ - / 'i3 ;/" - l��," ; ::i-" State Contribution Amount $ - ,s„,si;;;i:a`::4141;v '-;y:,i;.;;;-';�"�,"" Other:(Gifts,Donations,etc) $ - Asi a °"��u%iia •W�""" n,,.,a srfirytzxx-rr4;;ani7r,E,--.,,.,,"s;rer,;.r� What is the monthly benefit paid for 20 years of service per retiree $ - r ';;;;.0a:W ;•""; ,»,,;„;rai as of Jan 1st? ; iii iSige '„r';uz•;.007"r`, I PART 8 -BUDGET INFORMATION I Please answer the following questions by marking in the'appropriate boxes Yes No 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? If no,please X explain: The Districts General Fund expenditures are over budget,which may be in violation of state statutes. If yes: Please indicate the amount appropriated for each fund for 2009: ,`.'"ars?yH: n" ,.;:,-4"irie°'"-' "" Fund Name Budgeted 2009 Expenditures r ;-ra?':,`;Y:Yn =: ? %�F .•w..'. General Fund $ 9,186 i:',mi`'%^ ' • ''"' :""n^ '",s"•r'a $ - '"%a.4µ4 :44-itr,.: ;:"7%�,,,;wiss., I PART9 -TABOR I Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR(State Constitution Article X X,Section 20(5)]? If no, please explain: rtlt Note: An election to exempt the government from the spending limitations of TABOR does not ;"� " "NH y,,,,, „p,�,,,y„H,,,, „ya". ..".".. .r„ . 3,,,,.,"". rr exempt the government from the 3%emergency reserve requirement. AM governments should -"",% f""'r" "-r`ll:'''"'''' determine if they meet this requirement of TABOR. ;;„;;n. :C,,,.,,.,p,";;n ......................... I PART 10 -GENERAL INFORMATION I Please answer the following questions by marking in the appropriate boxes Yes I No 10-1 Is the entity a newly formed governmental entity? X If yes: Date of formalion:I xxx� x„,—.• "" %r4,---`""' 10-2 Is the entity a metropolitan district? 10-3 Please indicate what services the entity provides:Storm drainage,sewer,water, µ,ye r,,:'; ..,w z streets,traffic safety controls,parks and recreation,mosquito control,and 4, q "',�r-'A,'',,—L'`."s",-"/.Y,,A�,.'d ay'",i tc(K•rxcr:;;a".'''t ze transportation. - ""„''•' thaRAHEASAD 10.4 Does the entity have an aqreeement with another government to provide services? X , ,,,,,F;; ;,;_,,,,�x. If yes: List the name of the other government entity and the services provided:Town of •�-"- d ;. ;,,;;,,_Py stein Frederick Master IGA,Wyndham Hill Metropolitan Districts Na 1 and No.2-fiancing m" i m.,.:, ;�j ;;.: r of public improvements. ss ` '""" r ""'�„•"'�'�%%e Page 4 PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an Application with revenues and expenditures of$100,000 or less must be prepared by a person skilled in governmental accounting; Completed to the best of our knowledge and is accurate and true; Reviewed and approved by a majority of the governing body. Note: Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body if the application is mailed,or a resolution may be provided in lieu of original signatures. Name(print names of all current members of Date Term Original Signature(unless resolution is the governing body) Expires attached) 1 Jon R. Lee May 2010 2 David G. Rhodes May 2012 // 3 Lewis G. Holtsclaw May 2010 G�ylie 4 5 6 7 Page 5 MClifton Gunderson L L P Certified Public Accountants&Consultants ACCOUNTANT'S COMPILATION REPORT Board of Directors Wyndham Hill Metropolitan District No. 3 Weld County, Colorado We have compiled the Application for Exemption from Audit of Wyndham Hill Metropolitan District No. 3 as of and for the year ended December 31, 2009, included in the accompanying prescribed form in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the State Auditor's office, which may differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. L lP Greenwood Village, Colorado February 11, 2010 Offices in 17 states and Washington,DC HLB International • APPLICATION FOR EXEMPTION FROM AUDIT-LONG FORM - FOR GOVERNMENTS WITH REVENUES OR EXPENDITURES GREATER THAN$100,000 BUT NOT MORE THAN $500,000 Name of Government: Pioneer Regional Metropolitan District For the Fiscal Year Address: 8390 E.Crescent Parkway Ended December 31,2009 Suite 600 or fiscal year ended: Greenwood Village,CO 80111 Contact Person: Jason Carroll,CPA Telephone: 303-779-5710 E-Mail: Jason.Carroll@cliftoncpa.com Fax: 303-779-0348 Return to Office of the State Auditor Local Government Audit Division 225 E. 16th Ave., Suite 555 Denver,CO 80203 Fax:(303)866.4062 Email: OSA.LG@state.co.us Call(303)866-3338 if you need help completing this form. Section 29-1-604,C.R.S.outlines the provisions for an exemption from audit. Generally,any local government where neither revenues nor expenditures exceed$500,000 in any fiscal year qualify for an exemption. if either revenues or expenditures are$100,000 or greater,but not more than$500,000,you may use this form. if both revenues and expenditures are less than$100,000 individually,use the short form application for exemption from audit. Instructions:(See"Instructions"tab for additional information) 1. Prepare this form completely and accurately. Pleae note that there are eleven parts to this form and ail questions must be answered for the application to be considered complete. 2. File this form with the Office of the State Auditor within 3 months after the end of the fiscal year. For years ended December 31,the form must be received by the Office of the State Auditor by March 31. 3. The form must be completed by an independent accountant(separate from the entity)with knowledge of governmental accounting. 4. The application must be approved by the governing body as evidenced by one of the following methods: a.Resolution of the governing board-application may be e-mailed,faxed,or mailed. b.Original signatures-application must be mailed. E-mail or fax will NOT be accepted. 5. The preparer must sign the application that is submitted in order for it to be accepted. 6. Additional information may be attached to the exemption at the preparers discretion. CERTIFICATION OF PREPARER certify that I am an independent accountant with knowledge of governmental accounting and that the Information in the Application is complete and accurate to the best of my knowledge. Independent means someone who is separate from the entity. Name: Jason Carroll,CPA Title: Accountant for the District Firm Name(if applicable): Clifton Gunderson LLP Address: 8390 E.Crescent Parkway,Suite 600,Greenwood Village,CO 80111 Telephone Number: 303-779-5710 Date Prepared: February 23,2010 Signature: SEE ACCOUNTANT'S COMPILATION REPORT `The Audit Law requires that a person independent of the entity complete the Application if revenues or expenditure are at least $100,000 but not more than$500,000. Independent means someone who is separate from the entity. Please describe what your relationship is with the entity. CPA firm for the District Page 1 . . a mu u.�, r. Z LL M, LI 3 www 706 44 wY►www.laN N in 49 WW w w N x 41 2 a >- , a4...........w. w w NM , __LL O �m W C M a. N 0 Yi M R r R — EE r o m '' y c a1 , J v1 2 Z 2 b' b g N u w 2 v c c 'p3� m m m t0 2 d 2 A m w c ^ F N a m y "• G N E G c w p E �ice m n o g Z' y m N m m O • .� ,C y, a a m m Z s a c a t m 7 t m avi0. m , O. 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X If yes: Is the debt repayment schedule attached?If no,please explain:The District's debt is comprised of X developer advances which will be repaid as funds become available. Outstanding at T Total issued Total retired Total Governmental Please complete the following debt beginning of during fiscal year during fiscal year outstanding at (G)or schedule,if applicable fiscal year (add) (less) fiscal year end Proprietary(P) General Obligation Bonds $ $ - $ - $ - Revenue Bonds $ $ - $ $ - _ Notes/Loans $ $ - $ $ Leases $ $ - $ $ Developer Advances $ 139,777 $ 53.993 $ - $ 193,770 Other(specify): $ - $ - $ - $ Total $ 139,777 $ 53,993 $ - i$ 193,770 y " cz: Please answer the following questions by marking In the appropriate boxes Yes No 4-2 Does the entity have authorized,but unissued debt? X If yes: How much? $3.68 Billion .d,]�4r �.. Date debt was authorized: 5/2/2006„ . , P '-~r 4-3 Does the entity intend to issue debt within the next calendar year(2010)? X If yes: How much? I$ 3 i'',••••' w-. Please answer the following questions by marking in the appropriate boxes Yes No 4-4 Does the entity have debt that has been refinanced that it is still responsible for? X �� If yes: What Is the amount outstanding? I $ ''.;,; ra .n. ;z'. Please answer the following questions by marking in the appropriate boxes Yes No 4-5 Does the entity have any lease agreements? X If yes: What is bei leased? � ` te, . . What is the original date of the lease? ,,," = ' � Number of years of lease? ,rr.: Is the lease subject to annual appropriation? ��° What are the annual lease payments? $ - ' PART 5-CASH AND INVESTMENTS HELD AT END OF FISCAL YEAR Please provide the entity's cash deposit and investment balances Amount Total 5-1 Checking Accounts $ 617ii;� : 5-2 Savings Accounts $ L ' 5-3 Certificates of Deposit $ - m•� Total Cash Deposits Y4b,%r $ 617 y «y'. xrn", , Investments(if investment is a mutual fund,please list underi in.investments 5.4 $ - -"". ..i '''''''''':"'"4" �nihHM ,,::, ,: A, Total Investments Z - Total Cash and Investments $ 617 Please answer the following question by marking in the appropriate box Yes No 5-8 Are the entitys deposits in an eligible(PDPA)public depository? (Section 11-10.5-101 et.seq., X C-R.9-) If no,please explain: Page 5 PART 6-CAPITAL ASSETS _ I Beginning of the End of Year Year Additions Deletions Balance 6-1 For Governmental Funds Land $ $ - $ - $ - Bukldings $ - $ $ - $ -- Machinery and Equipment $ - $ - $ . - $ Furniture and Fixtures $ - $ - $ - $ Infrastructure $ - $ - $ - $ Accumulated Depreciation $ - $ - $ - $ Other $ - $ - $ - $ Total for Governmental Funds $ - $ - $ - $ Beginning of the End of Year Year Additions Deletions Balance 6-2 For Proprietary Funds Land $ - $ - $ - S - Buildings $ - $ $ - $ - Machinery and Equipment $ - $ - $ - $ - Fumiture and Fixtures $ - $ - $ - $ -. Infrastructure $ - $ - $ - $ - Accumulated Depreciation $ - $ - $ - $ - Other $ - $ - $ - $ - Total for Proprietary Funds $ - $ - $ - $ - Please answer the following question by marking in the appropriate box Yes . : No 6-3 Has the entity preformed an annual inventory of propery and equipment(capital assets)in X accordance with Section 29-1-506 C.R.S.?If no,please explain:The distract has no capital assets. PART 7-PENSION INFORMATION ® -....._ 1= := eras girth- f•II• in• •u stl�ds• m�rkin• inth= a••r••rla= ••xes Yes No 7-1 Does the enti have an"old hire"fire.enslon*Ian? IlliM© 7-2 fi.T ti.raarti� s -• . •. •Il�x�r.7.1.1- ? If yes: Who administers the.tan. Z', . ZiiH✓ a`�.2 Indicate the contributions from: �� ,, Talc Pro•ert ,SO,Sales etc - ' ' ""' ' State Contribution Amount: $ - 4,-.t.1±,z,; - ` Other Gifts,Donations,etc $ - 71::::::27:71":::::7,-.771;:7,4 What is the monthly benefit paid for 20 years of service per t -7-7Z.'``` .-..5 �". retiree as of Jan 1st? � F PART 8 -BUDGET INFORMATION ®•I .seanswerth 1.11-win• •u-stl•ns • markfn• inthea•- 'do rlt ••x: IMINIMINENo 8-1 Did the entity file a 2009 budget with the Department of Local Affairs? IT no,please explain: X Please indicate the amount a.. o.riated for each fund for 2009: � �� .� Fund Name Bud•eted 2009 Ex•enditures f � General Fund 195,000 :.: :/ : : S 15 267.O25 7" wy ' `� , Ca.ital Pra'acts Fund $ � � Zl �i%j...-$ a :t N $ - i,: z &i,- �i..�� r4 Page 6 I PART 9-TABOR Please answer the following question by marking in the appropriate box Yes No 9-1 Is the entity in compliance with all the provisions of TABOR?[State Constitution Article X,Section X 20(5)]? If no,please explain: Note:An election to exempt the government from the spending limitations of TABOR does not F75 ' s FW.r, ar °5If� ✓ �m exempt the government from the 3%emergency reserve requirement, All governments should �`�s�r-Y determine If they meet this requirement of TAB0R. rVj 'E7 PART 10-GENERAL INFORMATION ® I-as- anew rth 1.11 win• • sti.ns • m rkln In th •ri •z Yes No 10.1 Is this enti a newt formed•overnmental enti 7 X EMI c wuf vuv Dale of formation: 10-2 is this a metro..litan district? X MINIM 10-3 Please indicate what services areprovided:Water,sanitation,streets,safety protection,park and ";- 9- '' % recreation,transportation,television relay and translation,mosquito control,and fire protection .: � 10-4 r• stheenti h:v n-.r==m=Wiwi n•th r••v rnm rR n. t- . •vi•:servi. s? X If yes: List the name of the other government entity and the services provided:Pioneer Regional MD is �f,f ;N;y 'yrr1111�fv £ related to Pioneer MD 1-6. PR is the Service District and Pioneer 1-6 are the Financing Districts. PR has an IGA with the Town of Keenesburg,CO for connecting to the water line. f�, PART 11 -GOVERNING BODY APPROVAL We,the undersigned,certify that this Application for Exemption from Audit has been: Prepared consistent with Section 29-1-604,C.R.S.,which states that an application with revenues and expenditures at least$100.000 but not more than$500,000 must be prepared by an independent accountant with knowledge of governmental accounting. Completed to the best of our knowledge and is accurate and true. Reviewedand approved by a majority of the governing body. Note: Please list all current members of the governing body. Original signatures must be provided for a majority of the governing body or a resolution may be provided in lieu of orginial signatures. Name(print names of all current Date Term members of the governing body) Expires _ riginal Signet r unless resolution is attached) 1 Toni L. Serra May 2012 �. 2 Christopher R.Paulson May 2010 3 William V. Hibbert May 2010 , 4 Joel H. Farkas May 201O 5 6 7 Page 7 a Clifton Gunderson LLP Certified Public Accountants&Consultants ACCOUNTANTS' COMPILATION REPORT Board of Directors Pioneer Regional Metropolitan District Weld County,Colorado We have compiled the Application for Exemption from Audit of Pioneer Regional Metropolitan District as of and for the year ended December 31, 2009, included in the accompanying prescribed form, in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. Our compilation was limited to presenting in the form prescribed by the Colorado State Auditor's Office information that is the representation of management. We have not audited or reviewed the accompanying Application for Exemption from Audit and, accordingly, do not express an opinion or any other form of assurance on it. The Application for Exemption from Audit is presented in accordance with the requirements of the Colorado State Auditor's Office, which differ from generally accepted accounting principles. Accordingly, the Application for Exemption from Audit is not designed for those who are not informed about such differences. We are not independent with respect to Pioneer Regional Metropolitan District. Greenwood Village,Colorado February 23, 2010 Offices in I slates and Washington,DC HLB international Hello