ANNUAL REPORT

CLASS "C" WATER AND/OR WASTEWATER UTILITIES

(Gross Revenue of Less Than $200,000 Each)

ANNUAL REPORT

OF

WU921-15-tAR

Sandra s. 'Wesson

Pine HarbourWater Utilities LLC

P.O.Box447

'

Fruitland Park, FL. 34731-0447

Submitted To The

STATE OF FLORIDA

FOR THE

rEAR ENDED DECEMBER 31,

Form PSC/AFD 006-W (Rev. 12/99)

2015

FINANCIAL SECTION

-

~~~~~

-~~

~~~

--

REPORT OF

Pine Harbour Water Utilities LLC (EXACT NAME OF UTILITY)

P. 0. Box 447 Fruitland Park, FL 34731 Mailing Address

101 Satellite Ct. Leesbur , FL 34748

Street Address

County

Telephone Number

352-787-2944

Date Utility First Organized

12/9/1986

Fax Number

352-787-3196

E-mail Address pineharbourwater@

Sunshine State One-Call of Florida, Inc. Member No.

PH-1849

Check the business entity of the utility as filed with the Internal Revenue Service:

0 Individual

lxx I Sub Chapter S Corporation

0

1120 Corporation

0

Partnership

Name, Address and phone where records are located: Plant Technicians Inc.

101 Satellite Court Leesburg FL 34748

352-787-294-4-~~~--~--~---------------------------------

Name of subdivisions where services are provided:

Pine Harbour Subdivision

Name Person to send correspondence:

Sandra Wesson

Person who prepared this report: Sandra Wesson

Officers and Managers: Madeline LiE!sk~ Sandra Wesson Robert Stewart

CONTACTS:

Title Sr. Vice President

Principal Business Address

P. 0. Box447

Fruitland Park, FL 34731

Salary Charged

Utility

Sr Vice President

Same As Above

President Sr Vice President Sr Vice President

Same As Above Same As Above Same As Above

$

0

$

0

$

0

$

$

Report every corporation or person owning or holding directly or indirectly 5 percent or more of the voting securities of the reporting utility:

Name Madeline LiE!sk~ Sandra Wesson Robert Stewart

Percent Ownership in

Utility 331/3 331/3 331/3

Principal Business Address Same As Above Same As Above Same As Above

Salary

Charged

Utility

$

0

$

0

$

0

$

$

$

$

F-2

UTILITY NAME: Pine Harbour Water Utilities LLC

INCOME STATEMENT

Account Name

Ref. Page

Water

Wastewater

Gross Revenue:

- Residential ------CInodmusmtreiarcl_ia_l-_-_-_-_-_-_-_-

Multiple Family_ _____ Guaranteed Revenues__ Other (Specify)_ _____

$

22,395 $

Total Gross Revenue___

$

22,395 $

Operation Expense (Must tie to pages W-3 and S-3)

Depreciation Expense____

W-3 8-3 $

F-5

19,128 $ 1,829

CIAC Amortization Expense_ F-8

0

Taxes Other Than Income__ F-7 Income Taxes_________ F-7

1,367

Total Operating Expense

$

22,324

Net Operating Income (Loss)

$

71 $

Other Income:

Nonutility Income_____

$

$

YEAR OF REPORT

DECEMBER 31,

2015

Other

Total Company

$

$

22,395

$

$

22,395

$

$

19,128

1,829

0

1,367

$

22,324

$

$

71

$

$

Other Deductions:

Miscellaneous Nonutility

Expenses________

$

$

$

$

Interest Expense_____

Net Income (Loss)

$

71 $

$

F-3

$

71

UTILITY NAME Pine Harbour Water Utilities LLC

Plant Accounts: (101 - 107) inclusive

GROSS UTILITY PLANT

Water

Wastewater

YEAR OF REPORT

DECEMBER 31,

2015

Plant other Than

Reporting Systems

Total

Utility Plant in Service (101) $

94445 $

$

$

94445

Construction Work in Progress (105)_ ----------Other (Specify) _______

Total Utility Plant______

$

94445 $

$

$

94445

ACCUMULATED DEPRECIATION (AID) AND AMORTIZATION OF UTILITY PLANT

Other Than

Account 108

Water

Wastewater

Reporting

Systems

Balance First of Year_____ $

92557 $

$

$

Add Credits During Year:

1829

Accruals charged to

depreciation account___ $

$

$

$

Salvage____________

I Other Credits (specify)_ __

Total Credits_________ $

1829 $

$

$

Deduct Debits During Year:

Book cost of plant

retired____________ $

$

$

$

Cost of removal_______

Other debits (specify)

Total Debits__________ $

$

$

$

Balance End of Year______ $

94386 $

$

$

Total 92557 1829 1829

94386

F-5

UTILITY NAME: Pine Harbour Water Utilities LLC

CAPITAL STOCK ( 201-204)

Par or stated value per share__________________________ Shares authorized_______________________________ Shares issued and outstanding_________________________ Total par value of stock issued_________________________ Dividends declared per share for year_____________________

YEAR OF REPORT

DECEMBER 31,

2015

Common Stock

Preferred Stock

RETAINED EARNINGS ( 215)

Appropriated Balance first of year_______________________________ $ Changes during the year (Specify):

UnAppropriated

$

Balance end of year_______________________________ $

$

PROPRIETARY CAPITAL ( 218)

Proprietor Or Partner

Partner

Balance first of year_______________________________ $ Changes during the year (Specify): Profit I {Loss}

$ I

5995 71

Balance end of year_______________________________ $

$

6066

LONG TERM DEBT ( 224 }

Description of Obligation (Including Date of Issue and Date of Maturity):

Interest Rate #of

Pymts

Principal per Balance Sheet Date $

- Total -------------------------------------

$

F-6

UTILITY NAME: Pine Harbour Water Utilities LLC

_ial

Income Taxes: Federal income tax_______ $ State income Tax________

Taxes Other Than Income: State ad valorem tax_______ Local property tax________ Regulatory assessment fee___ Other (Specify)_ ________

TAX EXPENSE

Water (b)

Wastewater (c)

$

298 1069

YEAR OF REPORT DECEMBER 31,

2015

Other (d)

$

Total (e)

$

298 1069

Total Tax Expense________ $

1367 $

$

$

1367

PAYMENTS FOR SERVICES RENDERED BY OTHER THAN EMPLOYEES

Report all information concerning outside rate, management, construction, advertising, labor relations, public relations, or other similiar professional services rendered the respondent for which aggregate payments during the year to any corporation, partnership, individual, or organization of any kind whatever amounting to $500 or more.

Name of Recipient

Utili!l Technicians Custom Controls & Pumes Brown & Brown of Florida Duke Energ~ Richard Schultheis Plant Technicians Inc Plant Technicians Inc. Rhonda Allen

Water

Wastewater

Amount

$

561

$

$

1058 $

$

936 $

$

985 $

$

650 $

$

9000 $

$

2080 $

$

2835 $

$

$

$

$

$

$

Description of Service

Reeairs Chemicals Insurance Electric Federal Tax Return Plant Monitoring Comeliance Testing Lawncare

0

F-7

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