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Fiscal Year Financial Report
Fiscal Year Financial Report
Incorporated Name of Fair & City Location
(Required)
Estimated Attendance
(Required)
Carnival (Name If Applies)
Grounds Admission
(Required)
Paid
Free
Grandstand Admission
(Required)
Paid
Free
Financial Report for Fiscal Year (Start Date)
MM slash DD slash YYYY
Financial Report for Fiscal Year (End Date)
MM slash DD slash YYYY
Summary Of Receipts And Expenses
Receipts
Fair Income
(Required)
Non-Fair Income
(Required)
County Funding
(Required)
Grants (Community & Private Grants, & Others)
(Required)
State Funding
(Required)
Money Borrowed
(Required)
Total Receipts
Expenses
Fair Expenses
(Required)
Non-Fair Expenses
(Required)
Capitol Improvements
(Required)
Equipment Purchases
(Required)
Payments To Debts
(Required)
Total Expenses
Simple Cash Reconciliation
Beginning Cash Balance
(Required)
(First Day Of Fiscal Year)
Plus Total Receipts
(Required)
Less Total Expenses
(Required)
Ending Cash Balance
(Required)
(Last Day Of Fiscal Year)
Total Indebtedness
(Required)
(Balance Of Loans Payable)
Net Ending Cash Standing
(As Of Last Day Of Fiscal Year)
Premiums Paid Affidavit
Incorporated Name of Fair
Days of Your Fair
List the days your fair was active (Ex. July 15, 16, 17, 18)
City of Your Fair
Affidavit Approval
(Required)
Checking this box approves the below message with your fair’s information.
We, The Undersigned President, Secretary And Treasurer Of The Above Stated Fair, Being Duly Sworn On Oath Depose And Say The Said Association/Society, Being Duly Incorporated Under The Laws Of The State Of Iowa Held A Fair Known As The
On These Days Of
, In Or Near The City Of
, And Said Fair Consists Of A True Exhibition Of Livestock, Together With Agricultural Products And Farm Implements As Contemplated By Law (Either Section 174.1 Or 174.10).
We Further Depose And Say That The Following Is A Statement Of The Actual Amount Paid In Cash Premiums By The Association/Society For The Current Year, This Statement Corresponds With The Published Offer Of Premiums, And That No Deductions Have Been Made For Entry Fees, Stall Or Pen Rent. We Further Depose And Say That No Part Of The Below Statement Was Paid For Speed Events Or To Secure Games Or Amusements. We Further Depose And Say That State Appropriated Funds Received Were Used For Infrastructure Purposes Only.
Statement of Cash Premiums
4-H & FFA Departments
Beef
(Required)
Dairy
(Required)
Dog
(Required)
Goats
(Required)
Horse
(Required)
Poultry
(Required)
Rabbit
(Required)
Sheep
(Required)
Swine
(Required)
Other Livestock
(Required)
Static Exhibits (Building Projects)
(Required)
4-H & FFA Departments Total
Open Class Departments
Livestock
Beef
(Required)
Dairy
(Required)
Sheep
(Required)
Swine
(Required)
Other Livestock
(Required)
Non-Livestock
Arts & Crafts, Textiles, & Related
(Required)
Culinary & Related
(Required)
Flowers / Plants
(Required)
Other Non-Livestock
(Required)
Open Class Departments Total
Number Of Exhibitors And Exhibits
Livestock Exhibtors
(Required)
4-H & FFA
Open Class
Livestock Exhibits
(Required)
4-H & FFA
Open Class
Non-Livestock Exhibitors
(Required)
4-H & FFA
Open Class
Non-Livestock Exhibits
(Required)
4-H & FFA
Open Class
Verification & Signature
Agree to E-Sign
(Required)
My E-Signature Verifies this Document
By Signing This Document, I Do Verify I Have Been Designated As Authorized Signatory Of The Board Of Directors Of The Fair Submitting This Financial Report.
As Authorized Signatory, I Am Signing This Document For And On Behalf Of The Fair Submitting This Financial Report.
As Per Iowa Code, Failure To Complete This Report In Its Entirety And Submit It To The AIF Office By November 15 Will Result In
Forfeiture Of State Funding. Submit Proof Of Publication Of This Report In A Local Newspaper (Required).
Printed Name of Authorized Signatory
(Required)
Position on Board of Directors
(Required)
Signature
(Required)
Δ
Interested in becoming a Fair Member?
Fill out the form below or call us at
(563) 547-4996
Phone
This field is for validation purposes and should be left unchanged.
Name
(Required)
First
Last
Fair Name
(Required)
Phone
(Required)
Email
(Required)
Message
Δ
