Currently Viewing 2019
STEP 1: ENTER CONTACT INFORMATION
Is the following information correct and complete? ______ Yes ______ No
|A. Contact Person (elected or appointed official responsible for filling out this form)||B. Chief Executive Officer (Enter your name here ONLY if you are the elected or appointed official responsible for the EXECUTIVE ADMINISTRATION, i.e. mayor, supervisor, or chairman. Your name will be listed with this responsibility on our website.)||C. Chief Financial Officer (Enter your name here ONLY if you are the elected or appointed official responsible for MAINTAINING THE GOVERNMENT'S FINANCIAL RECORDS. Your name will be listed with this responsibility on our website.)||D. Purchasing Agent (Enter the Purchasing Agent or if there is no Purchasing Agent, the name of the person responsible for oversight of all competitively bid contracts should be listed)|
|109 E. Olive St.||109 E. Olive St.||109 E. Olive St.||109 E. Olive St.|
|IL 61702-3157||IL 61702||IL 61702-3157||IL 61701|
|Phone: (309) 434-2336||Phone: (309) 434-2210||Phone: (309) 434-2336||Phone: (309) 434-2333|
|Fax: (309) 434-2463||Fax: (309) 434-2802||Fax: (309) 434-2463||Fax: (309) 434-2874|
|E-mail: firstname.lastname@example.org||E-mail: email@example.com||E-mail: firstname.lastname@example.org||E-mail: email@example.com|
|If the Chief Executive Officer and the Chief Financial Officer are the same person as the Contact Person, please check this box and skip to Step 2. If not, please do not leave columns B and C blank.|
*The contact person listed on the AFRs is for the current Fiscal Year. Previous fiscal years may have a different contact person. Please contact the Local Government Division at 877-304-3899 if you need the contact person for previous years.
*The Annual Financial Reports downloaded from this site may vary from the original report. Total on the downloaded form reflect the total of all sub accounts. Other changes may include the reported method of accounting.
|2019 Multi-Purpose Form - 1|