Ill. Admin. Code tit. 83, pt. 755, subpt. F, exh. D

Current through Register Vol. 49, No. 2, January 10, 2025

Exhibit D - Prior Calendar Year Actual Revenues Over/(Under) Expenses (Schedule A-4)

Line	Description			Year Ended 12/31/__	Amount
(A)	(B)			(C)	(D)


1	Revenues:

2			Line Charge and Assessment	_________

3			Investment Income	_________

4			TRS	_________

5			Other Income:	_________

6	TOTAL REVENUES	_________

7	Expenses:			_________

8			TRS	_________

9			Administration	_________

10			Equipment Distribution & Maintenance	_________

11					Legal	_________

12			Accounting and Consulting	_________

13			Depreciation	_________

14			(Gain)/Loss on Property and Equipment Retirements	_________

15					Other Expenses:	_________

16	TOTAL EXPENSES	_________

17	Revenue Over/(Under) Expenses			_________

Amended at 36 Ill. Reg. 15058, effective October 1, 2012

Amended at 41 Ill. Reg. 5401, effective 5/5/2017