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Home My WebLink About 2023 TSMC Annual Report 09-26-2024TIMBER SPRINGS METROPOLITAN DISTRICT 2023 ANNUAL REPORT County Clerk and Recorder Eagle County, Colorado via Email Office of the State Auditor 1525 Sherman Street, 7th Floor Denver, Colorado 80203 via E-Filing Portal Division of Local Government 1313 Sherman Street, Room 521 Denver, Colorado 80203 via E-Filing Portal Pursuant to Section 32-1-207(3)(c), C.R.S., the Timber Springs Metropolitan District (the “District”), is required to submit an annual report for the preceding calendar year no later than October 1 of each year to the Eagle County Commissioners, Eagle County Clerk and Recorder, the Division of Local Government, and the State Auditor with regard to the following matters: For the year ending December 31, 2023, the District makes the following report: 1.Boundary changes made. None. 2.Intergovernmental Agreements entered into or terminated with other governmental entities. None. 3.Access information to obtain a copy of rules and regulations adopted by the board. There are no rules and regulations in effect for the District as of 2023. 4. A summary of litigation involving public improvements owned by the District. To our knowledge, there is no litigation involving the District’s public improvements as of December 31, 2023. 5.The status of the construction of public improvements by the District. None. 6.A list of facilities or improvements constructed by the District that were conveyed or dedicated to the county. None. 7.The final assessed valuation of the District as of December 31st of the reporting year. Eagle County: $2,988,780 8. A copy of the current year’s budget. A copy of the 2024 Budget is attached hereto as Exhibit A. 9.A copy of the audited financial statements, if required by the “Colorado Local Government Audit Law”, part 6 of article 1 of title 29, or the application for exemption from audit, as applicable. The 2023 Audit Exemption is attached hereto as Exhibit B. 10.Notice of any uncured defaults existing for more than ninety (90) days under any debt instrument of the District. None. 11.Any inability of the [District/Districts] to pay [its/their] obligations as they come due under any obligation which continues beyond a ninety (90) day period. None. EXHIBIT A 2024 Budget Timber Springs Metropolitan District _________________________________________________________________________________________________ Administrative Management Provided By Marchetti & Weaver, LLC Mountain Office Website & Email Front Range Office 28 Second Street, Suite 213 www.mwcpaa.com 245 Century Circle, Suite 103 Edwards, CO 81632 Admin@mwcpaa.com Louisville, CO 80027 (970) 926-6060 (720) 210-9136 January 10, 2024 Division of Local Government 1313 Sherman Street, Room 521 Denver, CO 80203 VIA: Electronic Filing LGID# 66529 Attached is the 2024 Budget for the Timber Springs Metropolitan District in Eagle County, Colorado, submitted pursuant to Section 29-1-113, C.R.S. This Budget was adopted on November 2, 2023. If there are any questions on the budget, please contact Mr. Kenneth J. Marchetti, telephone number 970-926-6060. The mill levy certified to the County Commissioners of Eagle County is 0.000 mills for all general operating purposes, subject to statutory and/or TABOR limitations; 0.000 mills for G.O. bonds; 0.000 mills for refund/abatement; and 0.000 mills for Temporary Tax Credit/Mill Levy Reduction. Based on an assessed valuation of $2,988,780, the total property tax revenue is $0. A copy of the certification of mill levies sent to the County Commissioners for Eagle County is enclosed. I hereby certify that the enclosed is a true and accurate copy of the budget and certification of tax levies to the Board of County Commissioners of Eagle County, Colorado. Sincerely, Kenneth J. Marchetti District Accountant Enclosure(s) Timber Springs Metropolitan District _________________________________________________________________________________________________ Administrative Management Provided By Marchetti & Weaver, LLC Mountain Office Website & Email Front Range Office 28 Second Street, Suite 213 www.mwcpaa.com 245 Century Circle, Suite 103 Edwards, CO 81632 Admin@mwcpaa.com Louisville, CO 80027 (970) 926-6060 (720) 210-9136 2024 BUDGET MESSAGE Timber Springs Metropolitan District is a quasi-municipal corporation organized and operated pursuant to provisions set forth in the Colorado Special District Act. The District was established to supply the necessary facilities and services including but not limited to potable water delivery, internal and offsite roadway systems and sanitary sewer collection and treatment. The District has no employees and all operations and administrative functions are contracted The following budget is prepared on the modified accrual basis of accounting, which is consistent with the basis of accounting used in presenting the District's financial statements. 2024 BUDGET STRATEGY The District's strategy in preparing the budget is to strive to provide the type of public-purpose facilities desired by the property owners and residents of the District in the most economic manner possible. The District’s primary function is to work cooperatively with the Timber Springs Property Owners Association to provide operational services for the Timber Springs community. The members of the Timber Springs Property Owners Association are the same as the taxpayers in Timber Springs Metropolitan District. The primary services provided are for road and related landscape maintenance. In August 2018, the Boards of Timber Springs Metropolitan District and Timber Springs Property Owners Association agreed to move all operations and administration out of the metropolitan district and into the property owners association. These operations will be funded with property owners association assessments rather than property taxes in the future. 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rinted: 01/15/24 STATEMENT OF REVENUES, EXPENDITURES AND CHANGES IN FUND BALANCE BUDGET, ACTUAL AND FORECAST FOR THE PERIODS INDICATED GENERAL FUND MODIFIED ACCRUAL BASIS 9 Months FYE 2023 Ended Prelim 12/31/22 Approved 2023 09/30/23 2024 Actual Budget Forecast Actual Budget Comments Assessed Value 1,770,650 1,902,380 1,902,380 2,988,780 Final AV 12/2023 Ops Mill Levy Rate 0.000 0.000 0.000 0.000 REVENUES Prop Taxes - Operating Mill Levy 0 0 0 0 0 Prop Taxes - Debt Service 0 0 Specific Ownership Taxes 0 0 0 0 0 Other Income (POA Xfer) 0 0 0 0 0 Interest income 0 0 0 0 0 TOTAL REVENUES 0 0 0 0 0 General & Administrative Accounting, Admin & Management 0 0 0 0 0 I nsurance 0 0 0 0 0 Legal - General 0 0 0 0 0 Dues and Subscr (Spec Distr Assn) 0 0 0 0 0 Office Overhead & Expense 0 0 0 0 0 Elections 0 0 0 0 0 Treasurer's Fees (Eagle County) 0 0 0 0 0 Operations Contingency/Other 0 0 0 0 0 Capital Expenditures Total Capital Expenditures 0 0 0 0 0 TOTAL EXPENDITURES 0 0 0 0 0 REVENUE OVER (UNDER) EXPEND. 0 0 0 0 0 OTHER FINANCING SOURCES/(USES) Transfer Fund Balance to POA 0 0 0 0 TOTAL OTHER FINANCING SOURCES 0 0 0 0 0 Revenue and Other Sources over Expenditures and other Uses 0 0 0 0 0 FUND BALANCE - BEGINNING 0 0 0 0 0 FUND BALANCE - ENDING 0 0 0 0 0 No assurance is provided on these financial statements; substantially all disclosures required by GAAP omitted. = = = = COMBINED BALANCE SHEET September 30, 2023 ASSETS 2022 09/30/23 FirstBank Checking 0 0 Colotrust 0 0 Property Taxes Receivable 0 0 Accounts Receivable 0 0 Prepaid Expenses 0 0 Capital Assets 0 0 Accum Depreciation/Amort 0 0 TOTAL ASSETS 0 0 LIABILITIES, DEFERRED INFLOWS AND NET ASSETS Accounts Payable 0 0 POA Working Capital 0 0 TOTAL LIABILITIES 0 0 DEFERRED INFLOWS Deferred Property Tax Revenue 0 0 TOTAL DEFERRED INFLOWS 0 0 NET ASSETS Investment in Capital Assets, Net 0 0 Unrestricted Net Assets 0 0 TOTAL NET ASSETS 0 0 TOTAL LIABILITIES, DEFERRED INFLOWS AND NET ASSETS 0 0 = = No assurance is provided on these financial statements; substantially all disclosures required by GAAP omitted. Page 1 133 County Tax entity code DOLA LGID/SID 66529 TO: County Commissioners1 of Eagle County , Colorado. On behalf of the Timber Springs Metropolitan District the Board of Directors of the Timber Springs Metropolitan District 2,988,780 $ 2,988,780 $ Submitted: 12/22/2023 for budget/fiscal year 2024 . (not later than Dec 15) (mm/dd/yyyy) (yyyy) PURPOSE (see end notes for definitions and examples) LEVY2 REVENUE2 1. General Operating ExpensesH 0.000 mills -$ 2. (0.000) mills -$ SUBTOTAL FOR GENERAL OPERATING: (0.000) mills -$ 3. General Obligation Bonds and InterestJ 0.000 mills -$ 4. Contractual ObligationsK 0.000 mills -$ 5. Capital ExpendituresL 0.000 mills -$ 6. Refunds/AbatementsM 0.000 mills -$ 7. OtherN (specify): 0.000 mills -$ 0.000 mills -$ TOTAL:[ ] 0.000 mills -$ Daytime phone: (970) 926-6060 Signed: Title: District Accountant (local government)C (GrossD assessed valuation, Line 2 of the Certification of Valuation From DLG 57E) (NETG assessed valuation, Line 4 of the Certification of Valuation Form DLG 57) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS assessed valuation of: CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments (taxing entity)A (governing body)B Include one copy of this tax entity's completed form when filing the local government's budget by January 31st, per 29-1-113 C.R.S. with the Division of Local Government (DLG), Room 521, 1313 Sherman Street, Denver, Colorado 80203. Questions? Call DLG (303) 864-7720. 1 If the taxing entity's boundaries include more than one county, you must certify the levies to each county. Use a separate form for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution. 2 Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation (Line 4 of Form DLG57 on the County Assessor's FINAL certification of valuation). USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED BY ASSESSOR NO LATER THAN DECEMBER 10 <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate ReductionI Contact person: (print) Kenneth J. Marchetti Sum of General Operating Subtotal and Lines 3 to 7 Note: If the assessor certified a NET assessed valuation (AV) different than the GROSS AV due to a Tax Increment Financing (TIF) AreaF the tax levies must be calculated using the NET AV. The taxing entity's total property tax revenue will be derived from the mill levy multiplied against the NET assessed valuation of: Form DLG 70 Page 1 EXHIBIT B 2023 Audit Exemption Application Click Here --or-- Under the Local Government Audit Law (Section 29-1-601, et seq., C.R.S.) any local government may apply for an exemption from audit if neither revenues nor expenditures exceed $750,000 in the year. READ ALL INSTRUCTIONS BEFORE COMPLETING AND SUBMITTING THIS FORM ALL APPLICATIONS MUST BE FILED WITH THE OSA WITHIN 3 MONTHS AFTER THE ACCOUNTING YEAR-END. FOR EXAMPLE, APPLICATIONS MUST BE RECEIVED BY THE OSA ON OR BEFORE MARCH 31 FOR GOVERNMENTS WITH A DECEMBER 31 YEAR-END. APPLICATIONS FOR EXEMPTION FROM AUDIT ARE NOT ELIGIBLE FOR AN EXTENSION OF TIME POSTMARK DATES WILL NOT BE ACCEPTED AS PROOF OF SUBMISSION ON OR BEFORE THE STATUATORY DEADLINE CHECKLIST EXEMPTIONS FROM AUDIT ARE NOT AUTOMATIC Any preparer of an Application for Exemption from Audit-SHORT FORM must be a person skilled in governmental accounting. APPLICATION FOR EXEMPTION FROM AUDIT If yes, have you included a resolution? GOVERNMENTAL ACTIVITY SHOULD BE REPORTED ON THE MODIFIED ACCRUAL BASIS PROPRIETARY ACTIVITY SHOULD BE REPORTED ON A BUDGETARY BASIS SHORT FORM To qualify for exemption from audit, a local government must complete an Application for Exemption from Audit EACH YEAR and submit it to the Office of the State Auditor (OSA). Approval for an exemption from audit is granted only upon the review by the OSA. IF EITHER REVENUES OR EXPENDITURES EXCEED $100,000, USE THE LONG FORM. Will this application be submitted via a mail service? (e.g. US Post Office, FedEx, UPS, courier.) If yes, does the application include ORIGINAL INK SIGNATURES from the MAJORITY of the governing body? Does the resolution state that the governing body PERSONALLY reviewed and approved the resolution in an open public meeting? Has the resolution been signed by a MAJORITY of the governing body? (See sample resolution.) Did you include any relevant explanations for unusual items in the appropriate spaces at the end of each section? Has the application been PERSONALLY reviewed and approved by the governing body? Has the entity corrected all Prior Year Deficiencies as communicated by the OSA? Checkout our web portal. Register your account and submit electronic Applications for Exemption From Audit, Extension of Time to File requests, Audited Financial Statements, and more! See the link below. Has the preparer signed the application? Will this application be submitted electronically? Click here to go to the portal If yes, have you read and understand the new Electronic Signature Policy? See new policy -> PRIOR YEAR FORMS ARE OBSOLETE AND WILL NOT BE ACCEPTED. APPLICATIONS SUBMITTED ON FORMS OTHER THAN THOSE PRESCRIBED BY THE OSA WILL NOT BE ACCEPTED. APPLICATIONS MUST BE FULLY AND ACCURATELY COMPLETED. FOR YOUR REFERENCE, COLORADO REVISED STATUTES CAN BE FOUND AT: http://www.lexisnexis.com/hottopics/Colorado/ 1 DocuSign Envelope ID: 354653C1-840C-4D20-9BCE-38CBF30DE4CE Register and submit your Applications at our web portal! For faster processing the web portal is the preferred method for submission Proprietary Activity should be reported on the Cash or Budgetary Basis FILING METHODS IMPORTANT! Office of the State Auditor QUESTIONS? Governmental Activity should be reported on the Modified Accrual Basis Local Government Audit Division https://apps.leg.co.gov/osa/lg WEB PORTAL: 1525 Sherman St., 7th Floor Denver, CO 80203 Please Note: The OSA's email addresses have changed as of December 1, 2023. Please ensure you are using the email address noted below. Email: osa.lg@coleg.gov OR Phone: 303-869-3000 MAIL: Failure to file an application or denial of the request could cause the local government to lose its exemption from audit for that year and the ensuing year. In that event, AN AUDIT SHALL BE REQUIRED. All Applications for Exemption from Audit are subject to review and approval by the Office of the State Auditor. 2 DocuSign Envelope ID: 354653C1-840C-4D20-9BCE-38CBF30DE4CE ADDRESS Beth Johnston PART 1 - CERTIFICATION OF PREPARER NAME: I certify that I am skilled in governmental accounting and that the information in the application is complete and accurate, to the best of my knowledge. NAME OF GOVERNMENT ADDRESS Beth Johnston (970) 926-6060 c/o Marchetti & Weaver LLC 28 2nd St Unit 213 bethj@mwcpaa.com Edwards, CO 81632 SHORT FORM CONTACT PERSON PHONE EMAIL PREPARER (SIGNATURE REQUIRED) DATE PREPARED FIRM NAME (if applicable) PHONE TITLE Marchetti & Weaver, LLC For the Year Ended 12/31/23 APPLICATION FOR EXEMPTION FROM AUDIT or fiscal year ended: Timber Springs Metropolitan District (970) 926-6060 Account Manager 28 2nd St, Unit 213, Edwards, CO 81632 Please indicate whether the following financial information is recorded using Governmental or Proprietary fund types GOVERNMENTAL (MODIFIED ACCRUAL BASIS) PROPRIETARY (CASH OR BUDGETARY BASIS) 3/2/2024 3 DocuSign Envelope ID: 354653C1-840C-4D20-9BCE-38CBF30DE4CE Line# 2-1 Taxes: Property (report mills levied in Question 10-6) 2-2 Specific ownership 2-3 Sales and use 2-4 Other (specify): 2-5 2-6 Grants 2-7 Conservation Trust Funds (Lottery) 2-8 Highway Users Tax Funds (HUTF) 2-9 Other (specify): 2-10 2-11 2-12 2-13 2-14 2-15 Debt proceeds 2-16 2-17 Developer Advances received (should agree with line 4-4) 2-18 2-19 2-20 2-21 2-22 2-23 2-24 Line# 3-1 3-2 3-3 3-4 3-5 3-6 3-7 3-8 3-9 3-10 3-11 3-12 3-13 3-14 3-15 3-16 3-17 Debt service principal (should agree with Part 4) 3-18 3-19 Repayment of Developer Advance Principal (should agree with line 4-4) 3-20 3-21 Contribution to pension plan (should agree to line 7-2) 3-22 Contribution to Fire & Police Pension Assoc. (should agree to line 7-2) 3-23 3-24 3-25 3-26 Charges for services Investment income Special assessments Proceeds from sale of capital assets Other (specify): -$ -$ Salaries Payroll taxes Contract services -$ -$ -$ -$ -$ -$ -$ Repair and maintenance Supplies Public health Streets and highways -$ -$ Utilities and telephone Fire/Police -$ -$ Utility operations Culture and recreation -$ Licenses and permits -$ Intergovernmental: Fines and forfeits Employee benefits -$ Please use this space to provide any necessary explanations -$ Description (add lines 3-1 through 3-24) TOTAL EXPENDITURES/EXPENSES Debt service interest Other (specify): Insurance Accounting and legal fees Repayment of Developer Advance Interest If TOTAL REVENUE (Line 2-24) or TOTAL EXPENDITURES (Line 3-26) are GREATER than $100,000 - STOP. You may not use this form. Please use the "Application for Exemption from Audit - LONG FORM". Capital outlay PART 2 - REVENUE Description Round to nearest Dollar REVENUE: All revenues for all funds must be reflected in this section, including proceeds from the sale of the government's land, building, and equipment, and proceeds from debt or lease transactions. Financial information will not include fund equity information. Administrative -$ -$ -$ Round to nearest Dollar -$ Donations -$ -$ -$ -$ -$ -$ -$ 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. PART 3 - EXPENDITURES/EXPENSES Fire and police pension -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Charges for utility services (should agree with line 4-4, column 2) Lease proceeds (add lines 2-1 through 2-23) TOTAL REVENUE -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Please use this space to provide any necessary explanations 4 DocuSign Envelope ID: 354653C1-840C-4D20-9BCE-38CBF30DE4CE Yes No 4-1 4-2 4-3 4-4 -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ **Subscription Based Information Technology Arrangements *Must agree to prior year-end balance Yes No 4-5 4-6 If yes: 4-7 If yes: 4-8 Amount Total 5-1 -$ 5-2 -$ -$ -$ -$ -$ -$ -$ -$ Yes No N/A 5-4 5-5 Certificates of deposit Total Cash Deposits YEAR-END Total of ALL Checking and Savings Accounts Total Investments Total Cash and Investments Outstanding at year-end Outstanding at end of prior year* Please answer the following questions by marking the appropriate boxes. What is being leased? Issued during year Other (specify): Please provide the entity's cash deposit and investment balances. -$ What is the amount outstanding? -$ Investments (if investment is a mutual fund, please list underlying investments): PART 5 - CASH AND INVESTMENTS 5-3 If yes: Are the entity's deposits in an eligible (Public Deposit Protection Act) public depository (Section 11-10.5-101, et seq. C.R.S.)? If no, MUST use this space to provide any explanations: If yes: Please answer the following questions by marking the appropriate boxes. Does the entity have any authorized, but unissued, debt? How much? If Yes, please attach a copy of the entity's Debt Repayment Schedule. How much? -$ 2,000,000.00 $ General obligation bonds Revenue bonds Notes/Loans Lease & SBITA** Liabilities [GASB 87 & 96] Developer Advances Date the debt was authorized: Does the entity intend to issue debt within the next calendar year? Does the entity have any lease agreements? Does the entity have debt that has been refinanced that it is still responsible for? Number of years of lease? PART 4 - DEBT OUTSTANDING, ISSUED, AND RETIRED Retired during year TOTAL Are the entity's Investments legal in accordance with Section 24-75-601, et. seq., C.R.S.? What is the original date of the lease? 5/6/2014 Please answer the following questions by marking in the appropriate boxes Part 4 - Please use this space to provide any explanations/comments or attach separate documentation, if needed Please complete the following debt schedule, if applicable: (please only include principal amounts)(enter all amount as positive numbers) Is the debt repayment schedule attached? If no, MUST explain below: Does the entity have outstanding debt? What are the annual lease payments? Is the lease subject to annual appropriation? Is the entity current in its debt service payments? If no, MUST explain below: 5 DocuSign Envelope ID: 354653C1-840C-4D20-9BCE-38CBF30DE4CE Yes No 6-1 6-2 6-3 Balance - beginning of the year* Additions (Must be included in Part 3) Deletions Year-End Balance -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ *must tie to prior year ending balance Yes No 7-1 7-2 -$ -$ -$ -$ -$ Yes No N/A 8-1 8-2 If yes: Buildings Please answer the following questions by marking in the appropriate boxes. What is the monthly benefit paid for 20 years of service per retiree as of Jan 1? Does the entity have capital assets? Who administers the plan? Please answer the following questions by marking in the appropriate boxes. Machinery and equipment Furniture and fixtures Infrastructure Construction In Progress (CIP) Indicate the contributions from: Leased & SBITA Right-to-Use Assets State contribution amount: Other (gifts, donations, etc.): Part 6 - Please use this space to provide any explanations/comments or attach documentation, if needed: Part 7 - Please use this space to provide any explanations or comments: PART 8 - BUDGET INFORMATION If yes: Other (explain): TOTAL Does the entity have an "old hire" firefighters' pension plan? Total Appropriations By Fund -$ Please answer the following questions by marking in the appropriate boxes. Complete the following capital & right-to-use assets table: Land Has the entity performed an annual inventory of capital assets in accordance with Section 29-1-506, C.R.S.,? If no, MUST explain: Does the entity have a volunteer firefighters' pension plan? General Fund Budgeted Expenditures Did the entity file a budget with the Department of Local Affairs for the current year in accordance with Section 29-1-113 C.R.S.? If no, MUST explain: PART 6 - CAPITAL AND RIGHT-TO-USE ASSETS PART 7 - PENSION INFORMATION Accumulated Depreciation/Amortization (Please enter a negative, or credit, balance) Please indicate the amount budgeted for each fund for the year reported: Did the entity pass an appropriations resolution, in accordance with Section 29-1-108 C.R.S.? If no, MUST explain: Tax (property, SO, sales, etc.): Fund Name Governmental/Proprietary Fund Name TOTAL 6 DocuSign Envelope ID: 354653C1-840C-4D20-9BCE-38CBF30DE4CE Yes No 9-1 Yes No 10-1 If yes: Date of formation: 10-2 10-3 10-4 If yes: 10-5 If yes: 10-6 If yes: Yes No N/A 10-7 Has the entity changed its name in the past or current year? Has the district filed a Title 32, Article 1 Special District Notice of Inactive Status during If no, MUST explain: Please use this space to provide any additional explanations or comments not previously included: streets, traffic and safety controls, drainage, irrigation, design review & convenant enforcement PART 9 - TAXPAYER'S BILL OF RIGHTS (TABOR) Please indicate what services the entity provides: If yes: Please list the NEW name & PRIOR name: - Does the entity have an agreement with another government to provide services? Is the entity a metropolitan district? - Bond Redemption mills General/Other mills Total mills Please provide the following mills levied for the year reported (do not report $ amounts): PART 10 - GENERAL INFORMATION List the name of the other governmental entity and the services provided: Is this application for a newly formed governmental entity? Date Filed: Does the entity have a certified Mill Levy? - Please answer the following questions by marking in the appropriate boxes. Is the entity in compliance with all the provisions of TABOR [State Constitution, Article X, Section 20(5)]? Please answer the following question by marking in the appropriate box Note: An election to exempt the government from the spending limitations of TABOR does not exempt the government from the 3 percent emergency reserve requirement. All governments should determine if they meet this requirement of TABOR. NEW 2023! If the entity is a Title 32 Special District formed on or after 7/1/2000, has the entity filed its preceding year annual report with the State Auditor as required under SB 21-262 [Section 32-1-207 C.R.S.]? If NO, please explain. 7 DocuSign Envelope ID: 354653C1-840C-4D20-9BCE-38CBF30DE4CE YES NO 12-1 Print the names of ALL members of current governing body below. Please answer the following question by marking in the appropriate box If you plan to submit this form electronically, have you read the new Electronic Signature Policy? A MAJORITY of the members of the governing body must sign below. PART 11 - GOVERNING BODY APPROVAL Office of the State Auditor — Local Government Division - Exemption Form Electronic Signatures Policy and Procedure Policy - Requirements The Office of the State Auditor Local Government Audit Division may accept an electronic submission of an application for exemption from audit that includes governing board signatures obtained through a program such as Docusign or Echosign. Required elements and safeguards are as follows: • The preparer of the application is responsible for obtaining board signatures that comply with the requirement in Section 29-1-604 (3), C.R.S., that states the application shall be personally reviewed, approved, and signed by a majority of the members of the governing body. • The application must be accompanied by the signature history document created by the electronic signature software. The signature history document must show when the document was created and when the document was emailed to the various parties, and include the dates the individual board members signed the document. The signature history must also show the individuals' email addresses and IP address. • Office of the State Auditor staff will not coordinate obtaining signatures. The application for exemption from audit form created by our office includes a section for governing body approval. Local governing boards note their approval and submit the application through one of the following three methods: 1) Submit the application in hard copy via the US Mail including original signatures. 2) Submit the application electronically via email and either, a. Include a copy of an adopted resolution that documents formal approval by the Board, or b. Include electronic signatures obtained through a software program such as Docusign or Echosign in accordance with the requirements noted above. 8 DocuSign Envelope ID: 354653C1-840C-4D20-9BCE-38CBF30DE4CE Vacant Board Member 3 Board Member 6 Print Board Member's Name Print Board Member's Name I ______________________________ , attest I am a duly elected or appointed board member, and that I have personally reviewed and approve this application for exemption from audit. Signed__________________________________ Date:_____________________ My term Expires:______________________ Board Member 4 Vacant I ______________________________ , attest I am a duly elected or appointed board member, and that I have personally reviewed and approve this application for exemption from audit. Signed__________________________________ Date:_____________________ My term Expires:______________________ Vacant Print Board Member's Name Vacant Board Member 1 I ______________________________ , attest I am a duly elected or appointed board member, and that I have personally reviewed and approve this application for exemption from audit. Signed__________________________________ Date:_____________________ My term Expires:______________________ Print Board Member's Name Board Member 2 I ______________________________ , attest I am a duly elected or appointed board member, and that I have personally reviewed and approve this application for exemption from audit. Signed__________________________________ Date:_____________________ My term Expires:______________________ Print Board Member's Name I _Kenneth Marchetti___ , attest I am a duly elected or appointed board member, and that I have personally reviewed and approve this application for exemption from audit. Signed__________________________________ Date:_____________________ My term Expires:____May 2025___ Kenneth Marchetti I ______________________________ , attest I am a duly elected or appointed board member, and that I have personally reviewed and approve this application for exemption from audit. Signed__________________________________ Date:_____________________ My term Expires:______________________ Print Board Member's Name Board Member 7 Board Member 5 Print Board Member's Name I ______________________________ , attest I am a duly elected or appointed board member, and that I have personally reviewed and approve this application for exemption from audit. Signed__________________________________ Date:_____________________ My term Expires:______________________ 9 DocuSign Envelope ID: 354653C1-840C-4D20-9BCE-38CBF30DE4CE 3/10/2024