ANNUAL LSM SUMMARY REPORTING FORM
ANNUAL REPORTING FORM
for MEASURE J LOCAL STREET MAINTENANCE AND IMPROVEMENTS (LSM) FUNDS (18% LSM FUNDS & 2.09% ADDITIONAL FUNDS)
FOR ELIGIBLE EXPENDITURES DURING FISCAL YEAR 2022-23
Jurisdiction: ______________________________________
If you have any questions regarding this form, please contact Matt Kelly at CCTA, [email protected].
Please return the form to CCTA, along with the LSM Audit Reporting Form spreadsheet, Attn: Jackie Reyes (at address listed below or [email protected])
Total for FY 2022-23
Starting Balance as of July 1, 2022
18% + 2.09% Funds Received during FY 2022-23 (actual, not accrued) LSM Eligible Expenditures (Please describe all expenditures in excess of $10,000 on the LSM Audit Reporting spreadsheet)
Local Street and Roads
Growth Management Planning and Compliance
Transit Capital and Operations
Trails
Parking Facilities
Transportation Demand Management/Transportation Systems Management
Total LSM Expenditures during FY 2022-23
Funds Remaining
Interest Earned
Ending Balance as of June 30, 2023
Form prepared by: ______________________________ Phone: _______________________ Email: _______________________
Title: _________________________________________
Date: ________________