Republic of the Philippines )Province of Agusan del Sur ) SSMunicipality of San Francisco )

We, Helario R. Amas and Rene E. Cogay, President and Treasurer, respectively of Boan Barangay Irrigation Association, Inc. with address at P-1 Boan, Brgy. Wasian Rosario, Agusan del Sur hereby depose and state that:

In compliance with Section 4 of SEC Memorandum Circular No. 8 dated June 22, 2006 and SEC Memorandum Circular No. 4 dated Mar. 7, 2013, we are stating the following information that relates to the preceding fiscal year 2013, to wit

Total Fund Balance , Beginning P 9,060,667.00Add: Sources for the Period Ref.Donations-Government Entities P 467,000.00Other income P 1,739,610.43

P 2,206,610.43 Total Sources for the Period P 11,267,277.43Less: Application of Funds:General Administrative and Operating Expenses P 2,061,903.84

TOTAL EXPENSES for the Period P 2,061,903.84 P 2,061,903.84Fund Balance, Ending P 9,205,373.59

Program/Activities Officer -in Address/Contact Project LocationP1 N/AP2 N/A

We hereby certify that this Sworn Statement with duly attached schedules is executed to attest to the truth of the foregoing and for whatever legal purposes it may serve.

In witness thereof, we have hereunto affixed our signature this _____ day of April, 2014, at San Francisco, Agusan del Sur, Philippines.

HELARIO R. AMAS RENE E. COGAY President / Chairman of the Board Chief Finance Officer / Treasurer

Subscribed and sworn to before me, a Notary Public for and in San Francisco, Agusan del Sur on April ________, 2014, affiants personally appeared, exhibiting their respective competent evidence of Identification card _____________________________ issued at _________________ on ______________________.

Doc. No. NOTARY PUBLICPage No.Book No.Series of __________

SWORN STATEMENT

STATEMENT OF SOURCES AND APPLICATION OF FUNDS (from

January 1 to December 31, 2013) S1