Ill. Admin. Code tit. 83, § 755.EXHIBIT D
| Line | Description | Year Ended 12/31/__ | Amount | |
| (A) | (B) | (C) | (D) | |
| 1 | Revenues: | |||
| 2 | Line Charge and Assessment | |||
| 3 | Investment Income | |||
| 4 | TRS | |||
| 5 | Other Income: | |||
| 6 | TOTAL REVENUES | |||
| 7 | Expenses: | |||
| 8 | TRS | |||
| 9 | Administration | |||
| 10 | Equipment Distribution & Maintenance | |||
| 11 | Legal | |||
| 12 | Accounting and Consulting | |||
| 13 | Depreciation | |||
| 14 | (Gain)/Loss on Property and Equipment Retirements | |||
| 15 | Other Expenses: | |||
| 16 | TOTAL EXPENSES | |||
| 17 | Revenue Over/(Under) Expenses |
(Source: Amended at 41 Ill. Reg. 5401, effective May 5, 2017)