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2015
____________________________
(name)
Housing Authority Budget
__________________________________________
(Authority Web Address)
Division of Local Government Services
2015 HOUSING AUTHORITY BUDGET
Certification Section 2015
____________________
(Name)
HOUSING AUTHORITY BUDGET
FISCAL YEAR: FROM ___________________ TO ___________________
For Division Use Only
CERTIFICATION OF APPROVED BUDGET
It is hereby certified that the approved Budget made a part hereof complies with the requirements of law and the rules and regulations of the Local Finance Board, and approval is given pursuant to N.J.S.A. 40A:5A-11.
State of New Jersey
Department of Community Affairs
Director of the Division of Local Government Services
By: _________________________________________ Date: ______________
CERTIFICATION OF ADOPTED BUDGET
It is hereby certified that the adopted Budget made a part hereof has been compared with the approved Budget previously certified by the Division, and any amendments made thereto. This adopted Budget is certified with respect to such amendments and comparisons only.
State of New Jersey
Department of Community Affairs
Director of the Division of Local Government Services
By: _________________________________________ Date: ______________
Page C-1
2015 PREPARER'S CERTIFICATION
____________________
(Name)
HOUSING AUTHORITY BUDGET
FISCAL YEAR:FROM: TO:
It is hereby certified that the Housing Authority Budget, including both the Annual Budget and the Capital Budget/Program annexed hereto, represents the members of the governing body's resolve with respect to statute in that: all estimates of revenue are reasonable, accurate and correctly stated; all items of appropriation are properly set forth; and in itemization, form and content, the budget will permit the exercise of the comptroller function within the Housing Authority.
It is further certified that all proposed budgeted amounts and totals are correct. Also, I hereby provide reasonable assurance that all assertions contained herein are accurate and all required schedules are completed and attached.
Preparers Signature:Name:Title:Address:Phone Number:Fax Number:E-mail address
Page C-2 2015 APPROVAL CERTIFICATION
____________________
(Name)
HOUSING AUTHORITY BUDGET
FISCAL YEAR:FROM: TO:
It is hereby certified that the Housing Authority Budget, including all schedules appended hereto, are a true copy of the Annual Budget and Capital Budget/Program approved by resolution by the governing body of the _______________ Housing Authority, at an open public meeting held pursuant to N.J.A.C. 5:31-2.3, on the day of , ______.
It is further certified that the recorded vote appearing in the resolution represents not less than a majority of the full membership of the governing body thereof.
Officers Signature:Name:Title:Address:Phone Number:Fax Number:E-mail address
Page C-3
INTERNET WEBSITE CERTIFICATION
Authoritys Web Address:All authorities shall maintain either an Internet website or a webpage on the municipality's or county's Internet website. The purpose of the website or webpage shall be to provide increased public access to the authority's operations and activities. N.J.S.A. 40A:5A-17.1 requires the following items to be included on the Authoritys website at a minimum for public disclosure. Check the boxes below to certify the Authoritys compliance with N.J.S.A. 40A:5A-17.1.
FORMCHECKBOX A description of the Authority's mission and responsibilities
FORMCHECKBOX Commencing with 2013, the budgets for the current fiscal year and immediately preceding two prior years
FORMCHECKBOX The most recent Comprehensive Annual Financial Report (Unaudited) or similar financial information
FORMCHECKBOX Commencing with 2012, the complete annual audits of the most recent fiscal year and immediately two prior years
FORMCHECKBOX The Authoritys rules, regulations and official policy statements deemed relevant by the governing body of the authority to the interests of the residents within the authority's service area or jurisdiction
FORMCHECKBOX Notice posted pursuant to the Open Public Meetings Act for each meeting of the Authority, setting forth the time, date, location and agenda of each meeting
FORMCHECKBOX Beginning January 1, 2013, the approved minutes of each meeting of the Authority including all resolutions of the board and their committees, for at least three consecutive fiscal years
FORMCHECKBOX The name, mailing address, electronic mail address and phone number of every person who exercises day-to-day supervision or management over some or all of the operations of the Authority
FORMCHECKBOX A list of attorneys, advisors, consultants and any other person, firm, business, partnership, corporation or other organization which received any remuneration of $17,500 or more during the preceding fiscal year for any service whatsoever rendered to the Authority.
It is hereby certified by the below authorized representative of the Authority that the Authoritys website or webpage as identified above complies with the minimum statutory requirements of N.J.S.A. 40A:5A-17.1 as listed above. A check in each of the above boxes signifies compliance.
Name of Officer Certifying compliance _________________________
Title of Officer Certifying compliance _________________________
Signature _________________________
Page C-4
2015 HOUSING AUTHORITY BUDGET RESOLUTION
____________________
(Name)
FISCAL YEAR:FROM: TO:
WHEREAS, the Annual Budget and Capital Budget for the ____________________ Housing Authority for the fiscal year beginning, _______ and ending, __________ has been presented before the governing body of the _________________ Housing Authority at its open public meeting of _______________; and
WHEREAS, the Annual Budget as introduced reflects Total Revenues of $ ______________ , Total Appropriations, including any Accumulated Deficit if any, of $ ___________________ and Total Unrestricted Net Position utilized of ___________________________; and
WHEREAS, the Capital Budget as introduced reflects Total Capital Appropriations of $__________ and Total Unrestricted Net Position planned to be utilized as funding thereof, of $________________; and
WHEREAS, the schedule of rents, fees and other charges in effect will produce sufficient revenues, together with all other anticipated revenues to satisfy all obligations to the holders of bonds of the Authority, to meet operating expenses, capital outlays, debt service requirements, and to provide for such reserves, all as may be required by law, regulation or terms of contracts and agreements; and
WHEREAS, the Capital Budget/Program, pursuant to N.J.A.C. 5:31-2, does not confer any authorization to raise or expend funds; rather it is a document to be used as part of the said Authority's planning and management objectives. Specific authorization to expend funds for the purposes described in this section of the budget, must be granted elsewhere; by bond resolution, by a project financing agreement, by resolution appropriating funds from the Renewal and Replacement Reserve or other means provided by law.
NOW, THEREFORE BE IT RESOLVED, by the governing body of the ___________________ Housing Authority, at an open public meeting held on ___________________ that the Annual Budget, including all related schedules, and the Capital Budget/Program of the _________________ Housing Authority for the fiscal year beginning, _____ and ending, ______ is hereby approved; and
BE IT FURTHER RESOLVED, that the anticipated revenues as reflected in the Annual Budget are of sufficient amount to meet all proposed expenditures/expenses and all covenants, terms and provisions as stipulated in the said Housing Authority's outstanding debt obligations, capital lease arrangements, service contracts, and other pledged agreements; and
BE IT FURTHER RESOLVED, that the governing body of the ____________________ Housing Authority will consider the Annual Budget and Capital Budget/Program for adoption on ________________________.
_________________________________________ __________________
(Secretarys Signature) (Date)
Governing Body Recorded Vote
Member: Aye Nay Abstain Absent
Page C-5
2015 ADOPTION CERTIFICATION
____________________
(Name)
HOUSING AUTHORITY BUDGET
FISCAL YEAR:FROM: TO:
It is hereby certified that the Housing Authority Budget and Capital Budget/Program annexed hereto is a true copy of the Budget adopted by the governing body of the ___________________ Housing Authority, pursuant to N.J.A.C. 5:31-2.3, on the ___ day of, ______________, ________.
Officers Signature:Name:Title:Address:Phone Number:Fax Number:E-mail address
Page C-6 2015 ADOPTED BUDGET RESOLUTION
____________________
(Name)
HOUSING AUTHORITY
FISCAL YEAR:FROM: TO:
WHEREAS, the Annual Budget and Capital Budget/Program for the ________________ Housing Authority for the fiscal year beginning ______________, _____ and ending, _____________ has been presented for adoption before the governing body of the _______________Housing Authority at its open public meeting of __________; and
WHEREAS, the Annual Budget and Capital Budget as presented for adoption reflects each item of revenue and appropriation in the same amount and title as set forth in the introduced and approved budget, including all amendments thereto, if any, which have been approved by the Director of the Division of Local Government Services; and
WHEREAS, the Annual Budget as presented for adoption reflects Total Revenues of $ _____________, Total Appropriations, including any Accumulated Deficit, if any, of $__________________ and Total Unrestricted Net Position utilized of $__________________; and
WHEREAS, the Capital Budget as presented for adoption reflects Total Capital Appropriations of $__________ and Total Unrestricted Net Position planned to be utilized of $____________; and
NOW, THEREFORE BE IT RESOLVED, by the governing body of __________________ Housing Authority, at an open public meeting held on _____________________ that the Annual Budget and Capital Budget/Program of the __________________ Housing Authority for the fiscal year beginning, _________ and, ending, __________ is hereby adopted and shall constitute appropriations for the purposes stated; and
BE IT FURTHER RESOLVED, that the Annual Budget and Capital Budget/Program as presented for adoption reflects each item of revenue and appropriation in the same amount and title as set forth in the introduced and approved budget, including all amendments thereto, if any, which have been approved by the Director of the Division of Local Government Services.
_________________________________________ __________________
(Secretarys Signature) (Date)
Governing Body Recorded Vote
Member: Aye Nay Abstain Absent
Page C-7
2015 HOUSING AUTHORITY BUDGET
Narrative and Information Section 2015 HOUSING AUTHORITY Budget Message & ANALYSIS
__________________
(Name)
AUTHORITY BUDGET
FISCAL YEAR:FROM: TO:
Answer all questions below. Attach additional pages and schedules as needed.
1. Complete a brief statement on the 2015 proposed Annual Budget and make comparison to the 2014 adopted budget. Explain any variances over +/-10% for each line item. Explanations of variances should include a description of the reason for the increase/decrease in the budgeted line item, not just an indication of the amount and percent of the change. Attach any supporting documentation that will help to explain the reason for the increase/decrease in the budgeted line item. For example, if the anticipated HUD Operating Subsidy has increased 15%, provide documentation that supports the increased HUD Operating Subsidy to the Housing Authority.
2. Complete a brief statement on the impact the proposed Annual Budget will have on Anticipated Revenues, especially service charges, and on the general purpose/component unit financial statements. Explain significant increases or decreases, if any. An increase or decrease is considered significant if it is over +/-10% from the current year adopted budget.
3. Describe the state of the local/regional economy and how it may impact the proposed Annual Budget, including the planned Capital Budget/Program.
4. Describe the reasons for utilizing Unrestricted Net Position in the proposed Annual Budget, i.e. rate stabilization, debt service reduction, to balance the budget, etc. If the Authoritys budget anticipates a use of Unrestricted Net Position, this question must be answered.
5. Is the Authority required to implement project-based budgeting and asset management under HUD rules and regulations? If yes, has the Authoritys governing body adopted a project-based budget?
6. The proposed budget must not reflect an anticipated deficit from 2015 operations. If there exists an accumulated deficit from prior years' budgets (and funding is included in the proposed budget as a result of a prior deficit) explain the funding plan to eliminate said deficit (N.J.S.A. 40A:5A-12). If the Authority has a net deficit reported in its most recent audit, it must provide a deficit reduction plan in response to this question.
7. Attach a schedule of the Authoritys existing rate structure (rent, maintenance/utilities, etc.) and a schedule of the proposed rate structure for the upcoming fiscal year. Explain any proposed changes in the rate structure and attach the resolution approving the change in the rate structure, if applicable.
8. Attach a copy of the Authoritys most recent Annual Operating Data submission to the Municipal Securities Rulemaking Boards Electronic Municipal Marketplace Access (EMMA) under the Authoritys Continuing Disclosure Agreements for any debt issuances outstanding. Examples of Annual Operating Data may include rents and collections; number of tenants; number of available housing units; etc. See Local Finance Notice 2014-9 for more information.
Page N-1
HOUSING AUTHORITY CONTACT INFORMATION
2015
Please complete the following information regarding this Housing Authority. All information requested below must be completed.
Name of Authority:Address:
City, State, Zip:Phone: (ext.)Fax:Preparers Name:Preparers Address:
City, State, Zip:Phone: (ext.)Fax:E-mail:
Chief Executive Officer:Phone: (ext.)Fax:E-mail:
Chief Financial Officer:Phone: (ext.)Fax:E-mail:
Name of Auditor:Name of Firm:Address:
City, State, Zip:Phone: (ext.)Fax:E-mail:
Page N-2
HOUSING AUTHORITY INFORMATIONAL QUESTIONNAIRE
_________________
(Name)
FISCAL YEAR:FROM: TO:
Answer all questions below completely and attach additional information as required.
Provide the number of individuals employed in calendar year 2013 as reported on the Authoritys Form W-3, Transmittal of Wage and Tax Statements: __________
Provide the amount of total salaries and wages for calendar year 2013 as reported on the Authoritys Form W-3, Transmittal of Wage and Tax Statements: __________
Provide the number of regular voting members of the governing body: __________
Provide the number of alternate voting members of the governing body: __________
Did any person listed on Page N-4 have a family or business relationship with any other person listed on Page N-4 during the current fiscal year? ________ If yes, attach a description of the relationship including the names of the individuals involved and their positions at the Authority.
Did all individuals that were required to file a Financial Disclosure Statement for the current fiscal year because of their relationship with the Authority file the form as required? __________ If no, provide a list of those individuals who failed to file a Financial Disclosure Statement and an explanation as to the reason for their failure to file.
Does the Authority have any amounts receivable from current or former commissioners, officers, key employees or highest compensated employees? __________ If yes, attach a list of those individuals, their position, the amount receivable, and a description of the amount due to the Authority.
Was the Authority a party to a business transaction with one of the following parties:
A current or former commissioner, officer, key employee, or highest compensated employee? ________
A family member of a current or former commissioner, officer, key employee, or highest compensated employee? ________
An entity of which a current or former commissioner, officer, key employee, or highest compensated employee (or family member thereof) was an officer or direct or indirect owner? __________
If the answer to any of the above is yes, attach a description of the transaction including the name of the commissioner, officer, key employee, or highest compensated employee (or family member thereof) of the Authority; the name of the entity and relationship to the individual or family member; the amount paid; and whether the transaction was subject to a competitive bid process.
Did the Authority during the most recent fiscal year pay premiums, directly or indirectly, on a personal benefit contract? A personal benefit contract is generally any life insurance, annuity, or endowment contract that benefits, directly or indirectly, the transferor, a member of the transferors family, or any other person designated by the transferor. _________ If yes, attach a description of the arrangement, the premiums paid, and indicate the beneficiary of the contract.
Explain the Authoritys process for determining compensation for all persons listed on Page N-4. Include whether the Authoritys process includes any of the following: 1) review and approval by the commissioners or a committee thereof; 2) study or survey of compensation data for comparable positions in similarly sized entities; 3) annual or periodic performance evaluation; 4) independent compensation consultant; and/or 5) written employment contract. Attach narrative.
Did the Authority pay for meals or catering during the current fiscal year? ________ If yes, attach a detailed list of all meals and/or catering invoices for the current fiscal year and provide an explanation for each expenditure listed.
Did the Authority pay for travel expenses for any employee or individual listed on Page N-4? _________ If yes, attach a detailed list of all travel expenses for the current fiscal year and provide an explanation for each expenditure listed.
Page N-3 (1 of 2)
HOUSING AUTHORITY INFORMATIONAL QUESTIONNAIRE (CONTINUED)
__________________
(Name)
FISCAL YEAR:FROM: TO:
Did the Authority provide any of the following to or for a person listed on Page N-4 or any other employee of the Authority:
First class or charter travel __________
Travel for companions _________
Tax indemnification and gross-up payments __________
Discretionary spending account ________
Housing allowance or residence for personal use ___________
Payments for business use of personal residence __________
Vehicle/auto allowance or vehicle for personal use ___________
Health or social club dues or initiation fees _____________
Personal services (i.e.: maid, chauffeur, chef) __________
If the answer to any of the above is yes, attach a description of the transaction including the name and position of the individual and the amount expended.
Did the Authority follow a written policy regarding payment or reimbursement for expenses incurred by employees and/or commissioners during the course of Authority business and does that policy require substantiation of expenses through receipts or invoices prior to reimbursement? ________ If no, attach an explanation of the Authoritys process for reimbursing employees and commissioners for expenses.
Did the Authority make any payments to current or former commissioners or employees for severance or termination? ___________ If yes, attach explanation including amount paid.
Did the Authority make any payments to current or former commissioners or employees that were contingent upon the performance of the Authority or that were considered discretionary bonuses? ________ If yes, attach explanation including amount paid.
Did the Authority comply with its Continuing Disclosure Agreements for all debt issuances outstanding by submitting its audited annual financial statements, annual operating data, and notice of material events to the Municipal Securities Rulemaking Boards Electronic Municipal Marketplace Access (EMMA) as required? _________ If no, attach a description of the Authoritys plan to ensure compliance with its Continuing Disclosure Agreements in the future.
Did the Authority receive any notices from the Department of Housing and Urban Development or any other entity regarding maintenance or repairs required to the Authoritys facilities to bring them into compliance with current regulations and standards that it has not yet taken action to remediate? _________ If yes, attach explanation as to why the Authority has not yet undertaken the required maintenance or repairs and describe the Authoritys plan to address the conditions identified.
Did the Authority receive any notices of fines or assessments from the Department of Housing and Urban Development or any other entity due to noncompliance with current regulations ? _________ If yes, attach a description of the event or condition that resulted in the fine or assessment and indicate the amount of the fine or assessment.
Has the Authority been deemed troubled by the Department of Housing and Urban Development? ________ If yes, attach an explanation of the reason the Authority was deemed troubled and describe the Authoritys plan to address the conditions identified.
Page N-3 (2 of 2)
AUTHORITY SCHEDULE OF COMMISSIONERS, OFFICERS, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES AND INDEPENDENT CONTRACTORS
__________________
(Name)
FISCAL YEAR:FROM: TO:
Complete the attached table for all persons required to be listed per #1-4 below.
List all of the Authoritys current commissioners and officers and amount of compensation from the Authority and any other public entities as defined below. Enter zero if no compensation was paid.
List all of the Authoritys key employees and highest compensated employees other than a commissioner or officer as defined below and amount of compensation from the Authority and any other public entities.
List all of the Authoritys former officers, key employees and highest compensated employees who received more than $100,000 in reportable compensation from the Authority and any other public entities during the most recent fiscal year completed.
List all of the Authoritys former commissioners who received more than $10,000 in reportable compensation from the Authority and any other public entities during the most recent fiscal year completed.
Commissioner: A member of the governing body of the authority with voting rights. Include alternates for purposes of this schedule.
Officer: A person elected or appointed to manage the authoritys daily operations at any time during the year, such as the chairperson, vice-chairperson, secretary, or treasurer. For the purposes of this schedule, treat the authoritys top management official and top financial official as officers. A member of the governing body may be both a commissioner and an officer for the purposes of this schedule.
Key employee: An employee or independent contractor of the authority (other than a commissioner or officer) who meets both of the following criteria:
The individual received reportable compensation from the authority and all other public entities in excess of $150,000 for the most recent fiscal year completed; and
The individual has responsibilities or influence over the authority as a whole or has power to control or determine 10% or more of the authoritys capital expenditures or operating budget.
Highest compensated employee: One of the five highest compensated employees or independent contractors of the authority other than current commissioners, officers, or key employees whose aggregate reportable compensation from the authority and other public entities is greater than $100,000 for the most recent fiscal year completed.
Compensation: All forms of cash and non-cash payments or benefits provided in exchange for services, including salaries and wages, bonuses, severance payments, deferred payments, retirement benefits, fringe benefits, and other financial arrangements or transactions such as personal vehicles, meals, housing, personal and family education benefits, below-market loans, payment of personal or family travel, entertainment, and personal use of the Authoritys property. Compensation includes payments and other benefits provided to both employees and independent contractors in exchange for services.
Reportable compensation: The aggregate compensation that is reported (or is required to be reported) on Form W-2, box 1 or 5, whichever amount is greater, and/or Form 1099-MISC, box 7, for the most recent calendar year ended 60 days before the start of the proposed budget year. For example, for fiscal years ending December 31, 2015, the calendar year 2013 W-2 and 1099 should be used (60 days prior to start of budget year is November 1, 2014, with 2013 being the most recent calendar year ended), and for fiscal years ending June 30, 2016, the calendar year 2014 W-2 and 1099 should be used (60 days prior to start of budget year is May 1, 2015, with 2014 being the most recent calendar year ended).
Other Public Entity: Any municipality, county, local authority, fire district, or other government unit, regardless of whether it is related in any way to the Authority either by function or by physical location.
Page N-4 (1 of 2)
2015 HOUSING AUTHORITY BUDGET
Financial Schedules Section 2015
______________
(Name)
HOUSING AUTHORITY
CAPITAL
BUDGET/
PROGRAM
2015 CERTIFICATION OF HOUSING AUTHORITY CAPITAL BUDGET/PROGRAM
________________________
(Name)
FISCAL YEAR:FROM: TO:
[ ] It is hereby certified that the Housing Authority Capital Budget/Program annexed hereto is a true copy of the Capital Budget/Program approved, pursuant to N.J.A.C. 5:31-2.2, along with the Annual Budget, by the governing body of the ________________ Housing Authority, on the __________ day of _______________, _____________.
OR
[ ] It is hereby certified that the governing body of the __________ Housing Authority have elected NOT to adopt a Capital Budget /Program for the aforesaid fiscal year, pursuant to N.J.A.C. 5:31-2.2 for the following reason(s): __________________________________________ ______________________________________________________________________________________________________________________________________________________________________
Officers Signature:Name:Title:Address:Phone Number:Fax Number:E-mail address
Page CB-1
2015 CAPITAL BUDGET/PROGRAM MESSAGE
____________________ Housing Authority
(Name)
FISCAL YEAR:FROM: TO:
This section is included in the Capital Budget pursuant to N.J.A.C. 5:31-2. It does not in itself confer any authorization to raise or expend funds. Rather, it is a document used as part of the Housing Authority's planning and management system. Specific authorization to spend funds for purposes described in this section must be granted elsewhere, by a separate financing agreement, security agreement, by resolution appropriating funds from the Renewal and Replacement Reserve, or other lawful means.
Has the Capital Budget/Program been prepared in consultation with or reviewed by, the local and county planning board(s), governing body(ies), or other affected governmental entity(ies) of the jurisdiction(s) served by the Housing Authority?
Has each capital project/project financing been developed from a specific plan or report and have the full life cycle costs of each been calculated?
Has the Housing Authority prepared a long-term (10-20 years) infrastructure needs assessment?
Are any of the capital projects/project financings being undertaken in a community that has a State Plan designated center? If so, please describe the relationship of same to the center's goals and objectives.
Describe the impact on the schedule of rents and/or user charges if the proposed capital projects are undertaken. Indicate the impact on current and future year's schedules.
Have the projects been reviewed and approved by HUD?
Add additional sheets if necessary.
Page CB-2
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