annual financial report - ohio state auditor annual... · 1530 racing program ads 1540 speed fees...
TRANSCRIPT
ANNUAL FINANCIAL REPORT OF THE
__________________________
AGRICULTURAL SOCIETY
FOR THE FISCAL YEAR ENDING
NOVEMBER 30, 2019 MIKE DEWINE DOROTHY PELANDA GOVERNOR DIRECTOR
Submit one copy no later than January 3, 2020 Following the close of the fiscal year to:
THE OHIO DEPARTMENT OF AGRICULTURE
OFFICE OF FAIRS 8995 EAST MAIN STREET
REYNOLDSBURG, OHIO 43068
1
Due on or before January 3, 2020 Friday as prescribed by the Ohio Revised Code Section 901.06.
Instructions:
1. Fill in every blank. If not applicable, indicate "N/A".
2. Attach to the back of this report the following:
A) A notarized published abstract as required by Ohio Revised Code Section 1711.05.
B) A voided membership certificate (ticket).
C) A voided exhibitor’s ticket, if applicable.
D) A voided season ticket, if applicable.
E) Any other voided ticket used other than daily general admission ticket and any other tickets sold for special entertainment.
F) An additional copy or a revised copy of the Junior Fair Report filed before December 1st.
3. If making minor modifications in the questions would aid in completing this report, please modify the question in legible form.
4. If notations help to define your entries, please feel free to add such explanations. 5. For any questions regarding this report please contact the Fair Office at (614) 728-2620
or email Michael Vartorella at [email protected].
2
1. Date of annual election _____/_____/_____; Number of board members elected _____ 2. Election was held at _________________________. The number of votes cast was _________. 3. Date of annual meeting _____/_____/_____ Held at _________________________________ 4. Attendance at the annual meeting was _____________ 5. Date of approval of the 2019 annual report by the fair board _____/_____/_____ 6. Did your Society change its Constitution or By-Laws in the year covered by this report? ________ If yes, has a copy been mailed to ODA? _________ 7. List the names and address of the officers who will serve in 2020: Name Address City Zip President __________________________________________________________________ Vice Pres. __________________________________________________________________ Secretary __________________________________________________________________ Treasurer __________________________________________________________________ 8. President's home phone number (________)________-__________. His/her business number (________)________-__________. 9. Secretary's home phone number (________)________-__________. His/her business number (________)________-__________. 10. Is the secretary also the secretary/manager? ____Yes ____No If manager different than secretary, please list his/her name___________________________. 11. Total estimated attendance during your 2019 fair _________________ 12. General remarks and comments: ________________________________________________________________________ * If the phone number(s) should not be given out to the public, please indicate.
3
Names and addresses of the officers and directors that served during the reporting period (2019):
Name Address City Zip Code
President ________________________________________________________________ Vice Pres ________________________________________________________________ Secretary ________________________________________________________________ Treasurer ________________________________________________________________ Directors ________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
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Comparative Statement of Cash Receipts and Disbursements For the Years Ending November 30, 2019 and 2018
CASH RECEIPTS
Operating
Fund (1-1-___)
State & Local
(2-1-___)
Totals 2019
Totals 2018
1110 Pari-Mutual Tax 1190 Other Taxes
| ___________ | | ___________ |
-0- -0-
| _____________ | | _____________ |
| ___________ | | ___________ |
1100 Total Taxes
[ ___________ ]
-0-
[ _____________ ]
[ ___________ ]
1210 Exhibitors Tickets 1220 Season Tickets 1230 Admission Tickets 1240 Grandstand Tickets 1250 Student Tickets 1260 Privilege Tickets 1290 Other Tickets
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
-0- -0- -0- -0- -0- -0- -0-
| _____________ | | _____________ | | _____________ | | _____________ | | _____________ | | _____________ | | _____________ |
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
1200 Total Admissions
[ ___________ ]
-0-
[ _____________ ]
[ ___________ ]
1310 Concessions 1320 Building Space 1330 Buildings 1340 Ground Space 1350 Games & Novelties 1360 Rides 1390 Other Activities
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
-0- -0- -0- -0- -0- -0- -0-
| _____________ | | _____________ | | _____________ | | _____________ | | _____________ | | _____________ | | _____________ |
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
1300 Privilege Fees
[ ___________ ]
-0-
[ _____________ ]
[ ___________ ]
1410 Programs 1420 Clothing 1430 Glasses/Mugs 1440 Baked Goods 1490 Other Sales
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
-0- -0- -0- -0- -0-
| _____________ | | _____________ | | _____________ | | _____________ | | _____________ |
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
1400 Sales By Fair Board
[ ___________ ]
-0-
[ _____________ ]
[ ___________ ]
1510 Entry Fees 1520 Pari-mutuels 1530 Racing Program Ads 1540 Speed Fees 1550 Race Tax 1590 Other Race Receipts
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
-0- -0- -0- -0- -0- -0-
| _____________ | | _____________ | | _____________ | | _____________ | | _____________ | | _____________ |
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
1500 Total Racing
[ ___________ ]
-0-
[ _____________ ]
[ ___________ ]
5
Operating Fund (1-1-___)
State & Local
(2-1-___)
Totals 2019
Totals 2018
1610 Sale of Supplies 1690 Other Sales
| ___________ | | ___________ |
-0- -0-
| ___________ | | ___________ |
| ___________ | | ___________ |
1600 Sales Activity
[ ___________ ]
-0-
[ ___________ ]
[ ___________ ]
1710 Electricity 1720 Propane 1730 Water & Sewer 1740 Gas 1790 Other Utilities
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
-0- -0- -0- -0- -0-
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
1700 Total Utilities
[ ___________ ]
-0-
[ ___________ ]
[ ___________ ]
1810 Class Entry Fees 1820 Membership Fees 1830 Contest Fees 1890 Other Fees
| ___________ | | ___________ | | ___________ | | ___________ |
-0- -0- -0- -0-
| ___________ | | ___________ | | ___________ | | ___________ |
| ___________ | | ___________ | | ___________ | | ___________ |
1800 Total Fees
[ ___________ ]
-0-
[ ___________ ]
[ ___________ ]
1910 Ground Rentals 1920 Building Rentals 1930 Camp Sites 1940 Rental Supplies 1950 Stalls, Pens & Barns 1960 Storage 1990 Other Rental
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
-0- -0- -0- -0- -0- -0- -0-
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
1900 Total Rentals
[ ___________ ]
-0-
[ ___________ ]
[ ___________ ]
2110 General Operation 2130 Track Maintenance 2140 Stake Racing 2150 Jr. Fair Reimburse 2190 Other State Grants
-0- -0- -0- -0- -0-
__________ __________ __________ __________ __________
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
2100 State Support
-0-
__________
[ ___________ ]
[ ___________ ]
2210 County Sr. Fair 2220 Ind. Jr Fair Funds 2230 County Jr Fair Funds 2240 Capital Improvement 2250 County Bond Money 2260 Taxation Money 2270 General Operations 2290 Other Govt. Support
-0- -0- -0- -0- -0- -0- -0- -0-
__________ __________ __________ __________ __________ __________ __________ __________
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
2200 Total Local Govt.
-0-
__________
[ ___________ ]
[ ___________ ]
6
Operating Fund
(1-1-___)
State & Local
(2-1-___)
Totals 2019
Totals 2018
3110 Gifts & Donations 3120 Grants 3130 Sponsorships 3140 Promotions 3190 Other Support
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
-0- -0- -0- -0- -0-
| _____________ | | _____________ | | _____________ | | _____________ | | _____________ |
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
3100 Total Restricted
[ ___________ ]
-0-
[ _____________ ]
[ ___________ ]
3210 Gifts & Donations 3220 Grants 3230 Sponsorships 3240 Promotions 3290 Other Support
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
-0- -0- -0- -0- -0-
| _____________ | | _____________ | | _____________ | | _____________ | | _____________ |
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
3200 Total Unrestricted
[ ___________ ]
-0-
[ _____________ ]
[ ___________ ]
3300 Sale of Notes
[ ___________ ]
-0-
[ _____________ ]
[ ___________ ]
3600 Interest Received
[ ___________ ]
-0-
[ _____________ ]
[ ___________ ]
3700 Dividends
[ ___________ ]
-0-
[ _____________ ]
[ ___________ ]
3800 Mortgage
[ ___________ ]
-0-
[ _____________ ]
[ ___________ ]
3910 Sale of Real Property 3920 Personal Property 3990 Other Assets Sold
| ___________ | | ___________ | | ___________ |
-0- -0- -0-
| _____________ | | _____________ | | _____________ |
| ___________ | | ___________ | | ___________ |
3900 Total Asset Sales
[ ___________ ]
-0-
[ _____________ ]
[ ___________ ]
TOTAL CASH RECEIPTS
| | | ___________ |
________
| | | ______________ |
| | | ___________ |
CASH DISBURSEMENTS
Operating Fund (1-1-___)
State & Local
(2-1-___)
Totals 2019
Totals 2018
4010 Secretary’s Salary 4020 Director’s Wages 4030 Ground Maintenance 4040 Racing Salaries 4090 Other Wages
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
___________________________ __________________
| ______________ | ______________ | ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
4000 Total Wages
[ ___________ |
_________
| ______________
| ___________ ]
7
Operating Fund (1-1-___)
State & Local (2-1-___)
Totals 2019
Totals 2018
5010 Retirement 5020 Unemployment 5030 Worker’s Comp. 5040 Health Insurance 5050 Life Insurance 5060 Reimbursements 5070 Tuition 5080 Uniform 5090 Other Benefits
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
___________________________ __________________ __________________ __________________
| ______________ | ______________ | ______________ | ______________ | ______________ | ______________ | ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
5000 Total Benefits
[ ___________ |
_________
| ______________
| ___________ ]
6110 Directors’ Expenses 6120 Sec/Treas. Expenses 6130 Ground Maintenance 6140 Memberships 6190 Other Expenses
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
_________ __________________ __________________
| ______________ | ______________ | ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
6100 Total Adm. Expense
[ ___________ |
_________
| ______________
| ___________ ]
6210 Trophies & Blankets 6220 Track Supplies 6290 Other Race Expenses
| ___________ | | ___________ | | ___________ |
_________ __________________
| ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ |
6200 Total Race Expenses
[ ___________ |
_________
| ______________
| ___________ ]
6300 Supplies (Resale)
[ ___________ |
_________
| ______________
| ___________ ]
6410 Office Supplies 6420 Ground Maintenance 6490 Other Supplies
| ___________ | | ___________ | | ___________ |
_________ __________________
| ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ |
6400 Total Supplies
[ ___________ |
_________
| ______________
| ___________ ]
7110 Electricity 7120 Gas 7130 Propane 7140 Water 7150 Telephone 7160 Sewer 7190 Other Utilities
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
_________ __________________ __________________ __________________
| ______________ | ______________ | ______________ | ______________ | ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
7100 Total Utilities
[ ___________ |
_________
| ______________
| ___________ ]
8
Operating Fund (1-1-___)
State & Local (2-1-___)
Totals 2019
Totals 2018
7210 Race Tax 7220 Race Purses 7230 Starting Gate 7240 Photo Finish 7250 Track Maintenance 7260 Announcer & Judges 7290 Other Race Expenses
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
_________ __________________ __________________ __________________
| ______________ | ______________ | ______________ | ______________ | ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
7200 Total Race Expenses
[ ___________ |
_________
| ______________
| ___________ ]
7310 Legal Services 7320 Accounting Services 7330 Veterinary Services 7340 Entertainment 7350 Ride Co. Expense 7390 Other Services
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
__________________ __________________ __________________
| ______________ | ______________ | ______________ | ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
7300 Total Services Exp.
[ ___________ |
_________
| ______________
| ___________ ]
7410 Security Services 7420 Cable TV Services 7430 Computer Services 7440 Cleaning Services 7450 Grounds keeping 7460 Trash Hauling 7470 Sound System 7480 Taxes to Govt. 7490 Other Services
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
___________________________ __________________ __________________ __________________
| ______________ | ______________ | ______________ | ______________ | ______________ | ______________ | ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
7400 Total Property Exp.
[ ___________ |
_________
| ______________
| ___________ ]
7510 Legal Ads 7520 Newspaper Ads 7530 Radio & TV Ads 7540 Printing Fees 7550 Microfilming Fees 7590 Communication
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
__________________ __________________ __________________
| ______________ | ______________ | ______________ | ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
7500 Total Advertising
[ ___________ |
_________
| ______________
| ___________ ]
7610 Equipment Repair 7620 Motor Vehicle 7630 Building Repair 7690 Other Repairs
| ___________ | | ___________ | | ___________ | | ___________ |
__________________ __________________
| ______________ | ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ | | ___________ |
7600 Total Repairs
[ ___________ |
_________
| ______________
| ___________ ]
9
Operating Fund (1-1-___)
State & Local (2-1-___)
Totals 2019
Totals 2018
7710 Property 7720 Liability 7730 Motor Vehicle 7740 Fidelity Bonds 7790 Other Insurance
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
_________ __________________ __________________
| ______________ | ______________ | ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
7700 Total Insurance
[ ___________ |
_________
| ______________
| ___________ ]
7810 Software 7820 Land & Buildings 7830 Meeting Rooms 7840 Storage Rooms 7850 Motor Vehicles 7860 Exhibits & Displays 7870 Equipment, Supplies 7890 Other Rent/Lease
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
_________________ __________________ __________________ __________________
| ______________ | ______________ | ______________ | ______________ | ______________ | ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
7800 Total Rent/Lease
[ ___________ |
_________
| ______________
| ___________ ]
7910 Land 7920 Buildings 7930 Motor Vehicles 7940 Equipment 7990 Other Capital Exp.
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
_________ __________________ __________________
| ______________ | ______________ | ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
7900 Total Capital Outlay
[ ___________ |
_________
| ______________
| ___________ ]
8010 Principal/Notes 8020 Principal/Loans 8030 Mortgage Payments 8040 Interest Payments 8050 Trustee/Fiscal Agent 8090 Other Financing Fees
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
__________________ __________________ __________________
| ______________ | ______________ | ______________ | ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ | | ___________ | | ___________ | | ___________ |
8000 Total Debt Service
[ ___________ |
_________
| ______________
| ___________ ]
9110 Sr Judges Expenses 9120 Prem,Ribbon,Trophy 9190 Other Sr Expenses
| ___________ | | ___________ | | ___________ |
_________ __________________
| ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ |
9100 Senior Fair Expenses
[ ___________ |
_________
| ______________
| ___________ ]
9210 Contest Judges 9220 Prem,Ribbon,Trophy 9290 Other Contest Exp.
| ___________ | | ___________ | | ___________ |
_________ __________________
| ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ |
9200 Contest Expenses
[ ___________ |
_________
| ______________
| ___________ ]
10
Operating Fund (1-1-___)
State & Local (2-1-___)
Totals 2019
Totals 2018
9310 Jr Judges Expenses 9320 Prem,Ribbon,Trophy 9390 Other Jr Expenses
| ___________ | | ___________ | | ___________ |
_________ __________________
| ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ |
9300 Junior Fair Expenses
[ ___________ |
_________
| ______________
| ___________ ]
9410 Other Judges 9420 Prem,Ribbon,Trophy 9490 Other Fair Expenses
| ___________ | | ___________ | | ___________ |
_________ __________________
| ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ |
9400 Other Fair Expenses
[ ___________ |
_________
| ______________
| ___________ ]
9710 Check Write-offs 9720 Reimbursements 9730 Refunds 9790 Other Misc.Expenses
| ___________ | | ___________ | | ___________ | | ___________ |
__________________ __________________
| ______________ | ______________ | ______________ | ______________
| ___________ | | ___________ | | ___________ | | ___________ |
9700 Miscellaneous Exp.
[ ___________ |
_________
| ______________
| ___________ ]
TOTAL CASH DISBURSEMENTS
| | | ___________ |
________
| | | ______________ |
| | | ___________ |
Excess Cash Receipts over Cash Disbursements
| | | ___________ |
________
| | | ______________ |
| | | ___________ |
BEGINNING CASH BALANCE (12/1/18)
| | | ___________ |
________
| | | ______________ |
| | | ___________ |
ENDING CASH BALANCE (11/30/19)
| | | ___________ |
________
| | | ______________ |
| | | ___________ |
* Note: If the Society’s books included an inter-fund transfer or advance, enter the in the categories listed below. 3400 Transfer-In
| | | ___________ |
________
| | | ______________ |
| | | ___________ |
3500 Advance-In
| | | ___________ |
________
| | | ______________ |
| | | ___________ |
9500 Transfer-Out
| | | ___________ |
________
| | | ______________ |
| | | ___________ |
9600 Advance-Out
| ___________ |
________
| ______________ |
| ___________ |
11
CASH RECONCILIATION STATEMENT AS OF NOVEMBER 30, 2019 Subtotal Total Depository Balances (Checking Accounts) ____________________ ____________ ____________________ ____________ ____________________ ____________ ____________________ ____________ Total Depository Balances ____________ Investments (CDs & Savings Accounts) ____________________ ____________ ____________________ ____________ ____________________ ____________ ____________________ ____________ Total Investments ____________ Plus Other Factors Cash on Hand (if any) ____________ Plus Deposits in Transit ____________ Plus Other Reconciling Factors ____________ Total Other Factors ____________ Total Treasury Balance ____________ Less Outstanding Checks (___________) Less Other Reconciling Factors (___________) ____________________
TOTAL FUND BALANCE _______________*
* Note: The Total Fund Balance should match the end of the year total of the Cash Balance from the previous page. This figure should also equal the November 30, 2019 balance (ending balance of the fiscal year) of the society's cash journal.
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TWO YEAR OLD COLT PACE Ohio Fairs Fund base amount (Section 3769.082-A-3) $_____________ Ohio Fairs Fund added amount (Section 3769.082-A-3) $_____________ Agricultural society's contribution to purse $_____________ (Section 3769.082-A-3 requires at least $500.00) Horsemen's fees $_____________ Total purse for the race $_____________
TWO YEAR OLD COLT TROT Ohio Fairs Fund base amount (Section 3769.082-A-3) $_____________ Ohio Fairs Fund added amount (Section 3769.082-A-3) $_____________ Agricultural society's contribution to purse $_____________ (Section 3769.082-A-3 requires at least $500.00) Horsemen's fees $_____________ Total purse for the race $_____________
THREE YEAR OLD COLT PACE Ohio Fairs Fund base amount (Section 3769.082-A-3) $_____________ Ohio Fairs Fund added amount (Section 3769.082-A-3) $_____________ Agricultural society's contribution to purse $_____________ (Section 3769.082-A-3 requires at least $500.00) Horsemen's fees $_____________ Total purse for the race $_____________
THREE YEAR OLD COLT TROT Ohio Fairs Fund base amount (Section 3769.082-A-3) $_____________ Ohio Fairs Fund added amount (Section 3769.082-A-3) $_____________ Agricultural society's contribution to purse $_____________ (Section 3769.082-A-3 requires at least $500.00) Horsemen's fees $_____________ Total purse for the race $_____________
13
TWO YEAR OLD FILLY PACE Ohio Fairs Fund base amount (Section 3769.082-A-3) $_____________ Ohio Fairs Fund added amount (Section 3769.082-A-3) $_____________ Agricultural society's contribution to purse $_____________ (Section 3769.082-A-3 requires at least $500.00) Horsemen's fees $_____________ Total purse for the race $_____________
TWO YEAR OLD FILLY TROT Ohio Fairs Fund base amount (Section 3769.082-A-3) $_____________ Ohio Fairs Fund added amount (Section 3769.082-A-3) $_____________ Agricultural society's contribution to purse $_____________ (Section 3769.082-A-3 requires at least $500.00) Horsemen's fees $_____________ Total purse for the race $_____________
THREE YEAR OLD FILLY PACE Ohio Fairs Fund base amount (Section 3769.082-A-3) $_____________ Ohio Fairs Fund added amount (Section 3769.082-A-3) $_____________ Agricultural society's contribution to purse $_____________ (Section 3769.082-A-3 requires at least $500.00) Horsemen's fees $_____________ Total purse for the race $_____________
THREE YEAR OLD FILLY TROT Ohio Fairs Fund base amount (Section 3769.082-A-3) $_____________ Ohio Fairs Fund added amount (Section 3769.082-A-3) $_____________ Agricultural society's contribution to purse $_____________ (Section 3769.082-A-3 requires at least $500.00) Horsemen's fees $_____________ Total purse for the race $_____________
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STATE OF OHIO, COUNTY OF _______________________________: Before me, a Notary Public in and for the County of ________________________, State of Ohio, personally appeared ____________________________ and being duly sworn says that (he/she) is (Name of Secretary) the Secretary of the ____________________________ Agricultural Society and that the foregoing report was presented and approved at the meeting of the Board of Directors of the said Society, held at __________________________________________, Ohio, on ____________________, 2019. Approval by a majority of the Board of Directors as required by Department of Agriculture Rule 901-5-07 is recorded in the minutes of the meeting. (He/She) says the further that (he/she) verily believes that the foregoing report is a true and accurate statement of the financial condition of the said Society and that said Society is organized according to law, and that the business of the Society for the year 2019 was conducted in conformity with the application laws of the State of Ohio and with the rules of the Ohio Department of Agriculture. _______________________________________ (Signature of Society Secretary) Sworn to and subscribed in my presence this ___________ day of ________________, 2019 Affix Seal (Date) (Month) Here _______________________________________ (Signature of Notary Public) My commission expires ______________, _______ (Month/Date) (Year)
15
In accordance with Rule 901-5-10 of the Ohio Department of Agriculture, the following individuals were elected and fully authorized to represent the Society at the annual meeting with the Director of Agriculture. Delegate _____________________ Alternate ________________________ Signed ________________________________ (Secretary) ****************************************************************************** STATE OF OHIO, COUNTY OF ____________________: Before me, a Notary Public in and for the County of ____________, State of Ohio personally appeared _______________________________ (Name of Treasurer)
and being duly sworn says that (he/she) is the Treasurer of the ______________________
Agricultural Society, and that the foregoing report was presented and approved at the meeting of
the Board of Directors held at _________________________,Ohio on ________________,
2019. Approval by a majority of the Board of Directors as required by the Department of
Agriculture Rule 901-5-07 is recorded in the minutes of the meeting. (He/she) says further that
(he/she) verify believes that the foregoing report is true and an accurate statement of the financial
condition of the said Society and the said Society is organized according to law, and that the
business of the Society for the year 2019 was conducted in conformity with the applicable laws of
the State of Ohio and with the rules of the Ohio Department of Agriculture.
_________________________________ (Signature of the Treasurer) Sworn to subscribed in my presence this ______ day of _____________, 2019 (Date) (Month)
Affix Seal
Here _________________________________ (Signature of the Notary Public) My commission expires on _____________, _____ (Month/Date) (Year)
16