Financial and Statistical Report

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB
control number. The valid OMB control number for this information collection is 0572-0032. The time required to complete this information collection is estimated to average 16 hours per
response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

UNITED STATES DEPARTMENT OF AGRICULTURE
RURAL UTILITIES SERVICE

BORROWER DESIGNATION
PERIOD ENDED

FINANCIAL AND STATISTICAL REPORT
BORROWER NAME

INSTRUCTIONS - For detailed instructions, see RUS Bulletin 1717B-2.
This data will be used by RUS to review your financial situation. Your response is
required ( 7 U.S.C. 901 et. seq.) and may be confidential.

CERTIFICATION
We recognize that statements contained herein concern a matter within the jurisdiction of an agency of the United States and the making of a
false, fictitious or fraudulent statement may render the maker subject to prosecution under Title 18, United States Code Section 1001.
We hereby certify that the entries in this report are in accordance with the accounts and other records of the system and reflect the status of the system to
the best of our knowledge and belief.
ALL INSURANCE REQUIRED BY PART 1788 OF 7 CFR CHAPTER XVII, RUS, WAS IN FORCE DURING THE REPORTING PERIOD AND
RENEWALS HAVE BEEN OBTAINED FOR ALL POLICIES
DURING THE PERIOD COVERED BY THIS REPORT PURSUANT TO PART 1718 OF 7 CFR CHAPTER XVII
(check one of the following)

There has been a default in the fulfillment of the obligations
under the RUS loan documents. Said default(s) is/are
specifically described in Part D of this report.

All of the obligations under the RUS loan documents
have been fulfilled in all material respects.

DATE

PART A. STATEMENT OF OPERATIONS
YEAR-TO-DATE
ITEM

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.

Operating Revenue and Patronage Capital
Power Production Expense
Cost of Purchased Power
Transmission Expense
Distribution Expense - Operation
Distribution Expense - Maintenance
Customer Accounts Expense
Customer Service and Informational Expense
Sales Expense
Administrative and General Expense
Total Operation & Maintenance Expense (2 thru 10)
Depreciation and Amortization Expense
Tax Expense - Property & Gross Receipts
Tax Expense - Other
Interest on Long-Term Debt
Interest Charged to Construction - Credit
Interest Expense - Other
Other Deductions
Total Cost of Electric Service (11 thru 18)
Patronage Capital & Operating Margins (1 minus 19)
Non Operating Margins - Interest
Allowance for Funds Used During Construction
Income (Loss) from Equity Investments
Non Operating Margins - Other
Generation and Transmission Capital Credits
Other Capital Credits and Patronage Dividends
Extraordinary Items
Patronage Capital or Margins (20 thru 27)

RUS Form 7

LAST YEAR
(a)

THIS YEAR
(b)

BUDGET
(c)

THIS MONTH
(d)

USDA - RUS

BORROWER DESIGNATION

FINANCIAL AND STATISTICAL REPORT

PERIOD ENDED

INSTRUCTIONS - See RUS Bulletin 1717B-2

PART B. DATA ON TRANSMISSION AND DISTRIBUTION PLANT
YEAR-TO-DATE

LAST YEAR
(a)

ITEM

YEAR-TO-DATE

THIS YEAR
(b)

LAST YEAR
(a)

ITEM

1. New Services Connected

5. Miles Transmission

2. Services Retired

6. Miles Distribution Overhead

3. Total Services in Place

7. Miles Distribution Underground

4. Idle Services

8. Total Miles Energized

THIS YEAR
(b)

(5 + 6 + 7)

(Exclude Seasonals)

PART C. BALANCE SHEET
LIABILITIES AND OTHER CREDITS

ASSETS AND OTHER DEBITS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.

Total Utility Plant in Service .................................. ________________
Construction Work in Progress ............................... ________________
Total Utility Plant (1 + 2) .......................................________________
Accum. Provision for Depreciation and Amort ...... ________________
Net Utility Plant (3 - 4) ..........................................________________
Non-Utility Property (Net) .................................... ________________
Investments in Subsidiary Companies ................... ________________
Invest. in Assoc. Org. - Patronage Capital ............. ________________
Invest. in Assoc. Org. - Other - General Funds ...... ________________
Invest. in Assoc. Org. - Other - Nongeneral Funds.. ________________
Investments in Economic Development Projects .... ________________
Other Investments .................................................. ________________
Special Funds .......................................................... ________________
Total Other Property & Investments (6 thru 13) ... ________________
Cash - General Funds .............................................. ________________
Cash - Construction Funds - Trustee ..................... ________________
Special Deposits ..................................................... ________________
Temporary Investments ......................................... ________________
Notes Receivable (Net) ........................................... ________________
Accounts Receivable - Sales of Energy (Net) .......... ________________
Accounts Receivable - Other (Net) ........................ ________________
Materials and Supplies - Electric & Other ............. ________________
Prepayments ........................................................... ________________
Other Current and Accrued Assets ........................ ________________
Total Current and Accrued Assets (15 thru 24) ..... ________________
Regulatory Assets .................................................. ________________
Other Deferred Debits ............................................ ________________
Total Assets and Other Debits (5+14+25 thru 27)..________________

29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.

Memberships.............................................................. ________________
Patronage Capital........................................................ ________________
Operating Margins - Prior Years................................. ________________
Operating Margins - Current Year............................... ________________
Non-Operating Margins.............................................. ________________
Other Margins and Equities........................................ ________________
Total Margins & Equities (29 thru 34)....................... ________________
Long-Term Debt - RUS (Net)..................................... ________________
Long-Term Debt - FFB - RUS Guaranteed............... ________________
Long-Term Debt - Other - RUS Guaranteed.............. ________________
Long-Term Debt Other (Net).................................... ________________
Long-Term Debt - RUS - Econ. Devel. (Net)............ ________________
Payments - Unapplied................................................ ________________
Total Long-Term Debt (36 thru 40 - 41).................... ________________
Obligations Under Capital Leases - Noncurrent......... ________________
Accumulated Operating Provisions
and Asset Retirement Obligations.. ...................... ________________
Total Other Noncurrent Liabilities (43 + 44)............. ________________
Notes Payable............................................................. ________________
Accounts Payable....................................................... ________________
Consumers Deposits.................................................. ________________
Current Maturities Long-Term Debt.......................... ________________
Current Maturities Long-Term Debt
-Economic Development................................... ________________
Current Maturities Capital Leases............................. ________________
Other Current and Accrued Liabilities........................ ________________
Total Current & Accrued Liabilities (46 thru 52)....... ________________
Regulatory Liabilities.................................................. ________________
Other Deferred Credits............................................... ________________
Total Liabilities and Other Credits
(35+ 42 + 45 + 53 thru 55)........................................ ________________

PART D. NOTES TO FINANCIAL STATEMENTS
THIS SPACE IS PROVIDED FOR IMPORTANT DISCLOSURE NOTES TO THE FINANCIAL STATEMENTS CONTAINED IN THIS REPORT. (A SEPARATE
SHEET MAY BE USED IF ADDITIONAL SPACE IS NEEDED.)

RUS FORM 7

USDA - RUS

BORROWER DESIGNATION

FINANCIAL AND STATISTICAL REPORT

PERIOD ENDED

INSTRUCTIONS - See RUS Bulletin 1717B-2
PART E. CHANGES IN UTILITY PLANT
BALANCE
BEGINNING
OF YEAR
(a)

PLANT ITEM

ADDITIONS

ADJUSTMENTS
RETIREMENTS AND TRANSFER

(b)

(c)

(d)

BALANCE END
OF YEAR
(e)

1. Distribution Plant
2. General Plant
3. Headquarters Plant
4. Intangibles
5. Transmission Plant
6. All Other Utility Plant
7. Total Utility Plant in Service (1 thru 6)
8. Construction Work in Progress
9. TOTAL UTILITY PLANT (7 + 8)
PART F. MATERIALS AND SUPPLIES
ITEM

BALANCE
BEGINNING OF
YEAR
(a)

PURCHASED

SALVAGED

USED (NET)

(b)

(c)

(d)

SOLD

ADJUSTMENT

BALANCE
END OF YEAR

(e)

(f)

(g)

1. Electric
2. Other
PART G. SERVICE INTERRUPTIONS
ITEM

AVERAGE MINUTES PER CONSUMER BY CAUSE

POWER SUPPLIER
(a)

MAJOR EVENT
(b)

PLANNED
(c)

TOTAL
ALL OTHER
(d)

(e)

1. Present Year
2. Five-Year Average
PART H. EMPLOYEE-HOUR AND PAYROLL STATISTICS
1. Number of Full Time Employees

4. Payroll - Expensed

2. Employee - Hours Worked - Regular Time

5. Payroll - Capitalized

3. Employee - Hours Worked - Overtime

6. Payroll - Other
PART I. PATRONAGE CAPITAL

ITEM
1. Capital Credits Distributions
2. Capital Credits Received

THIS YEAR
(a)

DESCRIPTION

CUMULATIVE
(b)

a. General Retirements
b. Special Retirements
c. Total Retirements (a + b)
a. Cash Received From Retirement of Patronage Capital by Suppliers
of Electric Power
b. Cash Received From Retirement of Patronage Capital by Lenders
for Credit Extended to the Electric System
c. Total Cash Received (a + b)
PART J. DUE FROM CONSUMERS FOR ELECTRIC SERVICE

1. AMOUNT DUE OVER 60 DAYS $

RUS Form 7

2. AMOUNT WRITTEN OFF DURING YEAR

$

USDA - RUS

BORROWER DESIGNATION

FINANCIAL AND STATISTICAL REPORT

PERIOD ENDED

INSTRUCTIONS - See RUS Bulletin 1717B-2
PART K. kWh PURCHASED AND TOTAL COST
ITEM

RUS USE ONLY
SUPPLIER kWh PURCHASED
CODE

(a)

INCLUDED IN TOTAL COST
TOTAL COST

(c)

(b)

(d)

AVERAGE
COST
(Cents/kWh)
(e)

FUEL COST
ADJUSTMENT

WHEELING AND
OTHER CHARGES
(or Credits)

(f)

(g)

1.
2.
3.
4.
5. TOTAL
PART L. LONG-TERM LEASES
(If additional space is needed use separate sheet)
LIST BELOW ALL RESTRICTED PROPERTY HELD UNDER LONG-TERM LEASE. (If none, state “NONE”)
NAME OF LESSOR
TYPE OF PROPERTY
(a)
(b)

RENTAL
THIS YEAR
(c)

1.
2.
3. TOTAL
PART M. ANNUAL MEETING AND BOARD DATA
1. Date of Last Annual Meeting

2. Total Number of Members

3. Number of Members Present at
Meeting

4. Was Quorum Present?

5. Number of Members Voting by
Proxy or Mail

6. Total Number of Board Members

7. Total Amount of Fees and Expenses
for Board Members

8. Does Manager Have
Written Contract?

$
PART N. LONG-TERM DEBT AND DEBT SERVICE REQUIREMENTS
BALANCE
END OF YEAR
(a)

ITEM
1. Rural Utilities Service
(Excludes RUS - Economic Development Loans)

66

2. National Rural Utilities Cooperative Finance Corporation
3. Bank for Cooperatives
4. Federal Financing Bank
5. RUS - Economic Development Loans
6. Payments Unapplied
7. Other (List Separately)
8.
9.
10.
11.
12. TOTAL

RUS Form 7

BILLED THIS YEAR
INTEREST
(b)

PRINCIPAL
(c)

TOTAL
(d)

USDA - RUS

FINANCIAL AND STATISTICAL REPORT

BORROWER DESIGNATION
PERIOD ENDED

INSTRUCTIONS - See RUS Bulletin 1717B-2
PART O. POWER REQUIREMENTS DATA BASE - ANNUAL SUMMARY

CLASSIFICATION

CONSUMER SALES & REVENUE
DATA

DECEMBER
(a)

1. Residential Sales
(excluding
seasonal)

a. No. Consumers Served
b. kWh Sold
c. Revenue

2. Residential Sales - a. No. Consumers Served
Seasonal
b. kWh Sold
c. Revenue
3. Irrigation Sales

a. No. Consumers Served
b. kWh Sold
c. Revenue

4. Comm. and Ind.
1000 KVA or
Less

a. No. Consumers Served
b. kWh Sold
c. Revenue

5. Comm. and Ind.
Over 1000 KVA

a. No. Consumers Served
b. kWh Sold
c. Revenue

6. Public Street &
Highway
Lighting

a. No. Consumers Served
b. kWh Sold
c. Revenue

7. Other Sales to
Public Authorities

a. No. Consumers Served
b. kWh Sold
c. Revenue

8. Sales for Resale RUS Borrowers

a. No. Consumers Served
b. kwh Sold
c. Revenue

9. Sales for Resale Other

a. No. Consumers Served
b. kWh Sold
c. Revenue

10. TOTAL No. of Consumers (lines 1a thru 9a)
11. TOTAL kWh Sold (lines 1b thru 9b)
12. TOTAL Revenue Received From Sales of
Electric Energy (line 1c thru 9c)
13. Other Electric Revenue
14. kWh - Own Use
15. TOTAL kWh Purchased
16. TOTAL kWh Generated
17. Cost of Purchases and Generation
18. Interchange - kWh - Net
19. Peak - Sum All kW Input (Metered)
Non-coincident___ Coincident____
RUS Form 7

AVERAGE NO.
CONSUMERS SERVED
(b)

TOTAL
YEAR TO DATE
(c)

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control
number for this information collection is 0572-0032. The time required to complete this information is estimated to average 17 hours per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed and completing and reviewing the collection of information.

This data will be used by RUS to review your financial situation. Your response is required (7 U.S.C. 901 et seq.) and may be confidential.
BORROWER DESIGNATION
USDA - RUS

INVESTMENTS, LOAN GUARANTEES
AND LOANS - DISTRIBUTION

RUS USE ONLY

PERIOD ENDED

INSTRUCTIONS - Reporting of investments is required by 7 CFR 1717, Subpart N. Investment categories reported on this form correspond to Balance Sheet Items on RUS
Form 7, Part C. Identify all investments in Rural Development with “X” in column (e). Both “Included” and “Excluded” Investments must be reported. See Bulletin 1717B-2,
Guide for Preparing Financial and Statistical Reports, for complete instructions.

PART I. INVESTMENTS
(See Instructions for definitions of Income or Loss)

DESCRIPTION
(a)

EXCLUDED
($)
(c)

INCLUDED
($)
(b)

INCOME OR LOSS
RURAL
($)
DEVELOPMENT
(d)
(e)

1. NON-UTILITY PROPERTY (NET)
a.
b.
c.
d.
e. Totals
2. INVESTMENTS IN ASSOCIATED ORGANIZATIONS
a.
b.
c.

66

d.
e. Totals
3. INVESTMENTS IN ECONOMIC DEVELOPMENT PROJECTS
a.
b.
c.
d.
e. Totals
4. OTHER INVESTMENTS
a.
b.
c.
d.
e. Totals
5. SPECIAL FUNDS
a.
b.
c.
d.
e. Totals
6. CASH - GENERAL
a.
b.
c.
d.
e. Totals
7. SPECIAL DEPOSITS
a.
b.
c.
d.
e. Totals

RUS Form 7a (Rev. 9-01)

Page 1 of 2

BORROWER DESIGNATION

USDA - RUS

INVESTMENTS, LOAN GUARANTEES
AND LOANS - DISTRIBUTION

PERIOD ENDED

RUS USE ONLY

PART I. INVESTMENTS (Continued)
INCLUDED
($)
(b)

DESCRIPTION
(a)

EXCLUDED
($)
(c)

INCOME OR LOSS
($)
(d)

RURAL
DEVELOPMENT
(e)

ORIGINAL
AMOUNT
($)
(c)

LOAN BALANCE
($)
(d)

RURAL
DEVELOPMENT
(e)

8. TEMPORARY INVESTMENTS
a.
b.
c.
d.
e. Totals
9. ACCOUNTS & NOTES RECEIVABLE - NET
a.
b.
c.
d.
e. Totals
10. COMMITMENTS TO INVEST WITHIN 12 MONTHS BUT NOT
ACTUALLY PURCHASED
a.
b.
c.
d.
e. Totals
11. TOTAL INVESTMENTS (1 thru 10)

PART II. LOAN GUARANTEES

ORGANIZATION
(a)

MATURITY
DATE
(b)

1.
2.
3.
4. TOTALS
5. TOTAL (Include Loan Guarantees Only)

PART III. RATIO
RATIO OF INVESTMENTS AND LOAN GUARANTEES TO UTILITY PLANT
[Total of Included Investments
(Part I, 11b) and Loan Guarantees - Loan Balance (Part II, 5d) to Total Utility Plant (Form 7, Part C, Line 3)]

%

PART IV. LOANS

ORGANIZATION
(a)

MATURITY
DATE
(b)

ORIGINAL
AMOUNT
($)
(c)

LOAN BALANCE
($)
(d)

RURAL
DEVELOPMENT
(e)

1. Employees, Officers, Directors
2. Energy Resources Conservation Loans
3.
4.
5.
6.
7. TOTALS

RUS Form 7a (Rev. 9-01)

Page 2 of 2

USDA - RUS

INVESTMENTS, LOAN GUARANTEES
AND LOANS

BORROWER DESIGNATION

PERIOD ENDED

RUS USE ONLY

CONTINUATION SHEET

ITEM

PART

INVESTMENTS, LOAN GUARANTEES AND LOANS
INSTRUCTIONS - Reporting of Investments is required by 7 CFR 1717, Subpart N. Identify all investments in Rural Development with “X” in
column (e).

DESCRIPTION
(a)

RUS Form 7a (Rev. 9-01)

INCLUDED
($)
(b)

EXCLUDED
($)
(c)

CONTINUATION SHEET

RURAL
INCOME OR LOSS
DEVELOPMENT
($)
(e)
(d)

Page ____ of ____