Single Audit Page 1Data Collection Form for Reporting onAUDITS OF STATES, LOCAL GOVERNMENTS, AND NON-PROFIT ORGANIZATIONSRETURN TO: Federal Audit Clearinghouse, 1201 E. 10th Street, Jeffersonville, IN 47132Form SF-SAC(1-15-2004) OMB #0348-0057 EIN : 930903782Part I: GENERAL INFORMATION1. Fiscal year ending date for this submission (mm/dd/2. Type of Circular A-133 yyyy) Single auditaudit12/31/2005FEDERAL 3. Audit period coveredGOVERNMENT 4. Date received by clearinghouse Annual USE ONLY5. Auditee Identification Numbers b. Are multiple EINS covered in this report? Noa. Primary Employer Identification Number (EIN) c. If Part I, Item 5b = "Yes," complete Part I, 930903782 Item 5c on the continuation sheet on Page4.b. Are multiple DUNS covered in this report? Nod. Data Universal Numbering System (DUNS) c. If Part I, Item 5e = "Yes," complete Part I, Number 161160445Item 5f on the continuation sheet on Page4.6.AUDITEE INFORMATION 7.AUDITOR INFORMATIONa.Auditee name CONFEDERATED TRIBES OF COOS, a.Auditor name LOWER UMPQUA AND SIUSLAW ISLER CPA, L.L.C.INDIANS b.Auditor address (Number and street) b.Auditee address (Number and street) 1976 GARDEN AVENUE1245 FULTON AVENUE City EUGENECity State Zip Code COOS BAYOR 97403 - State Zip Code OR 97420 - c.Auditor contact Name c.Auditee contact PATTY BOYNTONName Title CAROL JACOBS-KOSHTCPATitle TRIBAL ACCOUNTANT d.Auditor contact telephone ( 541 ) 342 - 5161 d.Auditee contact ...