u.s. dept. of comm. - central michigan university...andrews hooper pavlik plc 5300 gratiot saginaw...
TRANSCRIPT
NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION
NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION NOT FOR SUBMISSION
Data Collection Form for Reporting on AUDITS OF STATES, LOCAL GOVERNMENTS, AND NON-PROFIT ORGANIZATIONS
for Fiscal Year Ending Dates in 2010, 2011, or 2012
FORM SF-SAC(5-18-2010)
U.S. DEPT. OF COMM.– Econ. and Stat. Admin.– U.S. CENSUS BUREAU
GENERAL INFORMATION (To be completed by auditee, except for Items 6, 7, and 8)
Fiscal period ending date for this submission Type of Circular A-133 audit Audit period covered
Program-specific auditAnnual Other – MonthsBiennial
PART I
5.
2. 3.
Yesb. No
AUDITEE INFORMATION 6.
Primary auditor contact telephone
Primary auditor contact FAX
Primary auditor contact E-mail
Name
Title
City
ZIP + 4 Code
// 2
1
2
3
1 2
Month Day Year
Complete this form, as required by OMB Circular A-133, "Audits of States, Local Governments, and Non-Profit Organizations."
OMB No. 0348-0057
b.
d.
e.
f.
Auditee namea.
Auditee address
Auditee contactc.
Auditee contact telephone
Name
Title
(Number and street)
City
State
b.
d.
e.
f.
( ) –
( ) –
( ) –
4. Auditee Identification Numbers
ACTING AS COLLECTING AGENT FOR OFFICE OF MANAGEMENT AND BUDGET
g. g.
Single audit
_ZIP + 4 Code _
_d. Data Universal Numbering System (DUNS) Number
1
__ _Primary Employer Identification Number (EIN)a.
Yese. No1 2
c. f.
Base prints black SF-SAC, page 1, Pantone 100 Yellow, 20% tone
AUDITOR STATEMENT – The data elements and informationincluded in this form are limited to those prescribed by OMBCircular A-133. The information included in Parts II and III of theform, except for Part III, Items 7, 8, and 9a-9g, was transferredfrom the auditor’s report(s) for the period described in Part I, Items1 and 3, and is not a substitute for such reports. The auditorhas not performed any auditing procedures since the date of theauditor’s report(s). A copy of the reporting package required byOMB Circular A-133, which includes the complete auditor’sreport(s), is available in its entirety from the auditee at the addressprovided in Part I of this form. As required by OMB Circular A-133,the information in Parts II and III of this form was entered in thisform by the auditor based on information included in the reportingpackage. The auditor has not performed any additional auditingprocedures in connection with the completion of this form.
Are multiple EINs covered in this report?
If Part I, Item 4b = "Yes," complete Part I, Item 4c on the continuation sheet on Page 4.
AUDITEE CERTIFICATION STATEMENT – This isto certify that, to the best of my knowledge and belief, theauditee has: (1) engaged an auditor to perform an auditin accordance with the provisions of OMB Circular A-133for the period described in Part I, Items 1 and 3; (2) theauditor has completed such audit and presented a signedaudit report which states that the audit was conducted inaccordance with the provisions of the Circular; and, (3)the information included in Parts I, II, and III of thisdata collection form is accurate and complete. I declarethat the foregoing is true and correct.
Auditee contact E-mail
Auditee contact FAX
Primary auditor contact
State
Primary auditor address (Number and street)
Primary auditor name
PRIMARY AUDITOR INFORMATION (To be completed by auditor)
If Part I, Item 4e = "Yes," complete Part I, Item 4f on the continuation sheet on Page 4.
Are multiple DUNS covered in this report?
a.
c.
1.
( ) –
7a. Add Secondary auditor information? (Optional)
Yes No1 2
b. If "Yes," complete Part I, Item 8 on the continuation sheet on page 5.
Auditee certification
Name of certifying official
Title of certifying official Auditor certification Date
Date
06 30 2011X X
3 8 6 0 0 4 4 4 7
X
0 5 4 7 7 0 4 7 4
X
CENTRAL MICHIGAN UNIVERSITY
WARRINER HALL 104
MOUNT PLEASANT
MI 4 8 8 5 9
BARRIE WILKES
ASSOC VP FINANCIAL SERVICES & REPOR
989 774 3331
989 774 3019
ANDREWS HOOPER PAVLIK PLC
5300 GRATIOT
SAGINAW
MI 4 8 6 3 8
TRACI MOON
PARTNER
989 497 5300
989 497 5353
XELECTRONICALLY CERTIFIED 3/29/2012
BARRIE J. WILKES
ASSOCIATE VP FINANCIAL SERVICES AND REPORTING ELECTRONICALLY CERTIFIED 3/27/2012
SUBMITTED DATA
Is a significant deficiency disclosed for any major program? (§ ___ .510(a)(1))
Page 2 FORM SF-SAC (5-18-2010)
Type of audit report
Unqualified opinion OR
Qualified opinion
1.
Adverse opinion Disclaimer of opinion
Is a significant deficiency disclosed? Yes No3.
Is a material weakness disclosed? Yes4.
Is a material noncompliance disclosed? Yes No5. 1
1
1
1
Primary EIN:
43
2
2
No2
PART II FINANCIAL STATEMENTS (To be completed by auditor)
2
Is a "going concern" explanatory paragraph included in the audit report? Yes2. 1 No2
Indicate which Federal agency(ies) have current year audit findings related to direct funding or prior audit findings shownin the Summary Schedule of Prior Audit Findings related to direct funding. (Mark (X) all that apply or None)
8.
Agriculture
Commerce
DefenseEducationEnergyEnvironmental Protection Agency
Health and Human Services
Housing and UrbanDevelopment
InteriorJusticeLabor
National Science Foundation
Social SecurityAdministration
U.S. Department of StateTransportationTreasury
Veterans Affairs
98
43
Small BusinessAdministration
National Endowment for the Arts
National Aeronautics andSpace Administration
Corporation for Nationaland Community Service
17
64
16
15
14
93
66
81
84
12
94
11
10 05
47
59
96
19
20
21
Institute of Museum andLibrary Services
03
Office of National DrugControl Policy
07
89 National Archives andRecords Administration
General Services Administration39
National Endowment for the Humanities
06
Other – Specify:
Did the auditee qualify as a low-risk auditee? (§___ .530) Yes No3. 1 2
Were Prior Audit Findings related to direct funding shown in the Summary Schedule of Prior Audit Findings? (§___.315(b))
7.Yes No1 2
$2. What is the dollar threshold to distinguish Type A and Type B programs? (OMB Circular A-133 §___ .520(b))
PART III FEDERAL PROGRAMS (To be completed by auditor)
Are any known questioned costs reported? (§ ___ .510(a)(3) or (4)) Yes No6. 1 2
Is a material weakness disclosed for any major program? (§ ___ .510(a)(1))5. 1 Yes 2 No
4. 1 Yes 2 No
1. Does the auditor’s report include a statement that the auditee’s financialstatements include departments, agencies, or other organizational unitsexpending $500,000 or more in Federal awards that have separate A-133audits which are not included in this audit? (AICPA Audit Guide, Chapter 13) Yes No1 2
None00
U.S. Agency for Inter-national Development
Appalachian RegionalCommission
23
Legal Services Corporation09
_
Homeland Security97
Base prints black SF-SAC, page 2, Pantone 100 Yellow, 20% tone
Mark either:
any combination of:
3 8 6 0 0 4 4 4 7
X
X
X
X
X
X
300,000
X
X
X
X
X
X
SUBMITTED DATA
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Base prints black SF-SAC, page 3, Pantone 100 Yellow, 20% tone
A3
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A3
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nter
the
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all t
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93
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FORM SF-SAC (5-18-2010) Page 3
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F.
Equ
ipm
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and
real
pro
pert
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10
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Dire
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Non
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Num
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6 N
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or N
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dix
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inst
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genc
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. . . . . . . . . .
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Base prints black SF-SAC, page 3, Pantone 100 Yellow, 20% tone
A3
(d) Y N
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Y N1 2
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Y N1 2
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it re
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nk.
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mer
ican
Rec
over
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RR
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If ye
s, ty
pe
of a
udit
repo
rt 4
Maj
or p
rogr
am
3 8
6 0
0
4
4
4 7
(Pag
e 3
- #9
of 1
6)
81
049
XX
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Typ
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r(s)
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FORM SF-SAC (5-18-2010) Page 3
1 2
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Ass
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mbe
r is
not
ava
ilabl
e. (
See
Ins
truc
tions
)
5 E
nter
the
lette
r(s)
of
all t
ype(
s) o
f co
mpl
ianc
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fort
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stan
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Equ
ipm
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real
pro
pert
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10
.
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:
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ctaw
ard
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AU
DIT
FIN
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Non
eO
ther
CF
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Num
ber
Ext
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on 2
6 N
/A f
or N
ON
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1 S
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ppen
dix
1 of
inst
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for
val
id F
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genc
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o-di
git
pref
ixes
.
. . . . . . . . . .
_
(a)
(h)
(i)
Base prints black SF-SAC, page 3, Pantone 100 Yellow, 20% tone
A3
(d) Y N
1 2
Y N1 2
Y N1 2
Y N1 2
Y N1 2
Y N1 2
Y N1 2
Y N1 2
Y N1 2
A R R
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4 If
maj
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x. I
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pe o
f aud
it re
port
box
bla
nk.
3 A
mer
ican
Rec
over
y an
d R
einv
estm
ent
Act
of
2009
(A
RR
A).
If ye
s, ty
pe
of a
udit
repo
rt 4
Maj
or p
rogr
am
3 8
6 0
0
4
4
4 7
(Pag
e 3
- #10
of 1
6)
15
817
XX
AR
RA
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SEN
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J. K.
F.
Equ
ipm
ent
and
real
pro
pert
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anag
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10
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Y N1 2
Y N1 2
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Base prints black SF-SAC, page 3, Pantone 100 Yellow, 20% tone
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(d) Y N
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FORM SF-SAC (5-18-2010) Page 3
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real
pro
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anag
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Non
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CF
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Num
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. . . . . . . . . .
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(h)
(i)
Base prints black SF-SAC, page 3, Pantone 100 Yellow, 20% tone
A3
(d) Y N
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Y N1 2
Y N1 2
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nk.
3 A
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ican
Rec
over
y an
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Act
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RR
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If ye
s, ty
pe
of a
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repo
rt 4
Maj
or p
rogr
am
3 8
6 0
0
4
4
4 7
(Pag
e 3
- #14
of 1
6)
84
184
XX
SOC
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1(b
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Typ
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of
com
plia
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requ
irem
ent(
s)5
(a)
Y N
Aud
it fin
ding
refe
renc
enu
mbe
r(s)
6N
ame
of F
eder
alpr
ogra
m
(e)
(f)
$
Am
ount
ex
pend
ed
(g)
FORM SF-SAC (5-18-2010) Page 3
1 2
Y N$
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alog
of
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Dom
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Ass
ista
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(CF
DA
) nu
mbe
r is
not
ava
ilabl
e. (
See
Ins
truc
tions
)
5 E
nter
the
lette
r(s)
of
all t
ype(
s) o
f co
mpl
ianc
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t(s)
tha
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to a
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findi
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(i.e.
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plia
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sig
nific
ant d
efic
ienc
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clud
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mat
eria
l wea
knes
ses)
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estio
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d ot
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port
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rocu
rem
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and
susp
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onan
d de
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com
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ndre
loca
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stan
ce
J. K.
F.
Equ
ipm
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and
real
pro
pert
y m
anag
emen
t
10
.
Prim
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EIN
:
Dire
ctaw
ard
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Y N1 2
Y N1 2
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Y N1 2
Y N1 2
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AU
DIT
FIN
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P.
Non
eO
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CF
DA
Num
ber
Ext
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on 2
6 N
/A f
or N
ON
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1 S
ee A
ppen
dix
1 of
inst
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for
val
id F
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genc
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o-di
git
pref
ixes
.
. . . . . . . . . .
_
(a)
(h)
(i)
Base prints black SF-SAC, page 3, Pantone 100 Yellow, 20% tone
A3
(d) Y N
1 2
Y N1 2
Y N1 2
Y N1 2
Y N1 2
Y N1 2
Y N1 2
Y N1 2
Y N1 2
A R R
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4 If
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x. I
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it re
port
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bla
nk.
3 A
mer
ican
Rec
over
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d R
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of
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RR
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If ye
s, ty
pe
of a
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repo
rt 4
Maj
or p
rogr
am
3 8
6 0
0
4
4
4 7
(Pag
e 3
- #15
of 1
6)
47
076
XX
ALL
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ount
ex
pend
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FORM SF-SAC (5-18-2010) Page 3
1 2
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5 E
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Base prints black SF-SAC, page 3, Pantone 100 Yellow, 20% tone
A3
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3 8
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(Pag
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- #16
of 1
6)
10
558
XX
CH
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AN
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10
558
XX
CH
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241,
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mul
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Em
ploy
er I
dent
ifica
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Num
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(E
INs)
cov
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in t
his
repo
rt.
FORM SF-SAC (5-18-2010)Page 4
c.
Prim
ary
EIN
:
1 2 3 4 5 6 7 8 9 10
11
12
13
14
15
f.Li
st t
he m
ultip
le D
UN
S c
over
ed in
the
rep
ort.
_ _ _ _ _ _ _
_
Base print black SF-SAC, page 4, Pantone 100 Yellow, 20% tone
16
18
19
20
17
_ __ _ _ _ _ _ _ _ _ _ _ _
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
38
39
40
37
_ _ _ _ _ _ __ __ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ __ __ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ __ __ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ __ __ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ __ __ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ __ __ _ _ _ _ _ _ _ _ _ _ _
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
58
59
60
57
1 2 3 4 5 6 7 8 9 10
11
12
13
14
15
16
18
19
20
17
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
38
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N
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SUB
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– C
on
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Par
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8, S
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Aud
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tact
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st th
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dary
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tact
info
rmat
ion)
FORM SF-SAC (5-18-2010) Page 5
8.
Prim
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:_
Base prints black SF-SAC, page 3, Pantone 100 Yellow, 20% tone
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3 8
6 0
0
4
4
4 7
(pag
e 5
- #1
of 1
)
N
/ A SU
BM
ITTE
D D
ATA
FAC DETERMINED DATA
* FAC DETERMINED TYPE OF ENTITY: * FAC DETERMINED CURRENT YEAR DIRECT FINDINGS: * FAC DETERMINED COGNIZANT (C) OR OVERSIGHT (O) AGENCY*: (Please refer to the FAQ’s for definitions) * FAC DETERMINED COGNIZANT OR OVERSIGHT AGENCY FEDERAL AGENCY PREFIX: * FAC DETERMINED TYPE OF AUDIT REPORT ON MAJOR PROGRAM COMPLIANCE BASED ON 1997 – 2003 SF-SAC FORM INSTRUCTIONS: * The items above are not reported on the Form SF-SAC, but are determined by the FAC
State-Dependent Institution of Higher Education
NO
C
84
U