Instructions for Completing the Annual Financial Statement
All entities except for Public Schools must submit the Annual Financial Statement (AFS) on line by July 15
th
of each year.
Claims will not be paid for those entities that do not submit the AFS until that report is submitted.
Section 1: Reporting Annual, School Name, Town, and Agreement Number: Self-explanatory.
Item 1. Cash Income
1A Opening Cash Balance – Enter the closing cash balance from the previous year. Must reconcile to bank statements. For
entities that do not have a separate bank account for the lunch program and the total income received is less than the total
expenditures (2G), the Opening Cash Balance should be entered as zero (0).
1B Federal Reimbursement – All of the reimbursement received from the Nebraska Department of Education are federal funds.
Enter the amount of reimbursement received from NDE.
1C State Reimbursement - Leave blank.
1D Child Payments – Enter the total amount of payments received from students.
1E Adult Payments – Enter the total amount of payments received from adults.
1F School District Contributions – Enter the amount of funds transferred from another fund into the Lunch Account. . For
entities that do not have a separate bank account for the lunch program and the total income received is less than the total
expenditures, the School District Contributions shall be the difference between the income received
(1B+1D+1E+1G+1H+1
I) and the total cash expenditures (2G). As a result the
closing cash balance (3A) will be zero (0).
1G Transfe
r From Savings – Enter the amount of funds transferred from the lunch program savings account to the lunch
program
1H Loans – Enter the amount received from a loan that was deposited in the lunch account.
1I All Other – Enter the amount received from all other sources.
1J Total - Enter the total amount of cash income (1A+1B+1C+1D+1E+1F+1G+1H+1I)
Item 2. Cash Expenditures
2A Food – Enter the amount of expenditures spent on food.
2B Labor – Enter the amount of expenditures spent of labor. If your entity has a separate lunch program bank account but
labor is paid for by a fund other than the lunch account, include the amount of lunch labor costs expended from the other
account. Also include this amount in 1F School District Contributions.
2C Repayment of Loan – Enter the amount of expenditures from a school lunch program loan
2D Transfer to Savings – Enter the amount of funds transferred from the lunch checking account to a lunch savings account.
2E Equipment – Enter the expenditures for equipment purchased.
2F All Other – Enter the expenditures for all other purchases (napkins, straws, cleaning supplies, etc)
2G Total Cash Expenditures – Enter the sum of all the expenditures (2A+2B+2C+2E+2F)
Item 3. Cash Available
3A Closing Cash Balance – Enter the difference between Total Cash Income and Total Cash Expenditures (1J – 2G). Must
reconcile with you lunch program account.
3B Savings Account – Enter the cash balance of your entities school lunch program savings account.
3C Cash Due Program – Enter the amount of Federal reimbursement that has been earned for the time period but not been
deposited.
3D Other Cash Assets – Enter any other types of cash assets.
3E Total Cash Available – Enter the sum of items 3A+3B+3C+3D.
Item 4. Cash Payable
4A Unpaid Bills: Food - Enter the amount of any unpaid food bills
4B Unpaid Bills: Non-Expendable Equipment - Enter the amount of any unpaid equipment (acquisition cost of $1500 or more
and a life expectancy of greater than 3 years)
4C Unpaid Bill: Other – Enter the amount of any other unpaid food service bills.
4D Due Other Fund – Enter the amount the lunch program account owes any other fund.
4E Total Cash Payable – Enter the sum of 4A+4B+4C+4D
Item 5. Net Cash Resource
5 Enter the difference between the Total Cash Available and Total Cash Payable (3E – 4E)
