Backup Documents 06/08/2010 Item #16J1l6J I
MEMORANDUM
Date: June 8, 2010
To: Bonnie Baer, Assistant General Operations Manager
Clerk's Finance & Accounting
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Application for Revenue Sharing for
State Fiscal Year 2010 -2011
Attached please find an original of the document referenced above, (Agenda
Item #16J1), which was approved by the Board of County Commissioners on
Tuesday, June 8, 2010.
If you have any questions, please call me at 252 -7240.
Thank you.
Enclosure
Caunty of Collier
CLERK OF TIFF✓ CIRCUIT
Dwight E. Brock COLLIER 3301 3301 TAMIAMI COLINTY TAIL ETAT L
Clerk of Courts P.O. BOX 41 +044
NAPLES, FLORIDA''3101 -304
Y
May 28, 2010
MEMORANDUM
To: Ian Mitchell, Supervisor, BCC Office Operations
From: Bonnie L. Baer, Assistant General Operations Manager
Clerk's Finance & Accounting
COURT
Subject: Application for Revenue Sharing for State Fiscal Year 2010 -2011
16J 1
Clerk of Courts
Accountant
Auditor
Custodian of County Funds
Each year an application is prepared, reviewed by recipient departments and legal sufficiency approval
by the County Attorney
then presented by executive summary for the Board's approval. The executive summary is scheduled
for the 6 /W10 agenda and I have attached the original application for Chairman Coyle's signature.
Please notify me (ext. 5435) or bonnie.baer @collierclerk.com so that I can pick -up the executed
application to be forwarded to the State prior to the deadline of June 30, 2010.
Thank you in advance for your assistance.
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441 to
Phone - (239) 732 -2646 Fax - (239) 775 -2755
Website: www.clerk.collierfl_us Email: collierclerk(a clerk.collier.fl.us
16J 1
Application for Revenue Sharing 2010 -2011 State Fiscal Year
(Chapter 218, Part II Florida Statutes)
01- ��,�tnu�
Application deadline is June 30, 2010
Mail completed original application to:
Department of Revenue
Revenue Accounting Subprocess
P. O. Box 6609
Tallahassee, FL 32314 -6609
(850) 487 -1150
Please TYPE or PRINT
Name of County: Collier OR
Name of Municipality: County:
Telephone Number: 239.252.6299
Fax Telephone Number: 239,252.2096
Mayor or Chairman of Governing Body: Fred W. Coyle, Chairman, Collier Board of County Commissioners
Chief Fiscal Officer: Dwight E. Brock, Clerk of the Circuit Court of Collier
E -mail Address: Crystal.Kinzel @collierclerk.com
Official Mailing Address: 3301 Tamiami Trail E., Naples, FL 34112
0 Check here if the address represents a change from the previous applications.
Federal Employer I.D. Number
(required for new participants only).
DR- 700218
R 01/10
Please complete the questions below to determine your eligibility to participate in Revenue Sharing for this fiscal year.
1. Have you submitted your financial statements for fiscal year ending 09/30/08 to the Department of Financial Services
as required by s. 218.32, F.S.? Co Yes (-, No
2. Have you made provisions for annual postaudits of your financial accounts as provided by s. 11.45, F.S.?
(: Yes (No
2/10/2010
Date of Audit Report
09/30/2009
Fiscal Year -End
16J 1
DR- 700218
R. 01/10
Page 2
3. Have you reported on your most recent financial statement revenues equivalent to three mills calculated based on
your 1973 taxable values? This revenue should be net of debt service or special millages approved by the voters.
The revenue can be generated by a combination of ad valorem tax, utility tax, occupational license tax, or a payment
from the county as allowed by s. 125.01, F.S.
DYes ONO
4. If you have a law enforcement department, answer the question below: (If you have a contracted or strictly
volunteer department, skip to question 5)
A. Have your law enforcement officers, as defined by s. 943. 10(l), F.S. met the qualifications for employment as
established by the Criminal Justice Standards and Training Commission, and do you compensate them at an
annual salary rate of six thousand dollars ($6,000.) or more?
DYes CNo
B. Does the salary structure and salary plans for law enforcement officers meet the requirements of Chapter 943 F.S.?
DYes ONO
5. If you have a fire department, answer the questions below: (If you have a contracted or strictly volunteer
department, skip to question 6)
A. Have your firefighters, as defined by s. 633.30(1), F. S., met the requirements stated in s. 633.34, 633.35, and
633.382, F.S.?
DYes ONO
B. Does your fire department employ any full -time firefighters, who currently have either a bachelor's degree or
associate degree from a college or university which is applicable to fire department duties, if the degree is not a
requirement for their current position?
DYes ONO
C. If so, are these firefighters currently receiving supplemental compensation for those degrees?
DYes ONO
6. Are dependent special districts budgeted separately from the general budget of your government? Do you meet the
provisions for annual postaudit of their financial accounts in as provided by s. 11.45(3) F.S.?
DYes ONO 0 Does Not Apply
Have you met the requirements of s. 200.065, F.S., if applicable? (The annual certification must be within 30 days of
adoption of an ordinance or resolution establishing a final property tax levy, or if no property tax is levied, not later
than November 1.)
0Yes No
The portion of revenue sharing funds which, according to Part II, Chapter 218, F.S.. would otherwise be distributed to a
unit of local government which has not certified compliance or has otherwise failed to meet the requirements of
s. 200.065. F.S., shall be deposited in the General Revenue Fund for the 12 months following a determination of
noncompliance by the department.
16J 1
DR- 700218
R. 01/10
Page 3
I certify that all the information is accurate and true to the best of my knowledge. I further certify that I will promptly report
to the Department of Revenue any changes in the above information. I also realize that failure to provide timely
information required, allows the Department to utilize the best information available. If no such information is available,
the Department will take necessary action including disqualification, either partial or entire, and you will waive your right
to challenge the determination of the Department to your share of funds, if any, beyond your minimum entitlement,
according to the privilege of receiving shared revenues from the Revenue Sharing Trust Funds.
Do you believe that you have complied with all eligibility requirements as listed above?
OeYes CNo
If the answer to question above is (NO), please provide an attachment of the revenue necessary to meet your obligations
because of pledges or assignments or trusts entered into which obligated funds received from revenue sharing.
Signed:
Chief Fiscal Officer Dwight E
Signed: j- W
Mayor or Chairman of Governing Body Fred W
Date S _1� - r(D
Brock, Collier County Clerk of the Circuit Court
Z Date ( O$ 1p
e, Chairman, Collier County
Board of County Commissioners
Mail completed original application to address shown below:
Department of Revenue
Revenue Accounting Subprocess
P. O. Box 6609
Tallahassee, FL 32314 -6609
.App Ytvc-'S'Intey Norm & legal sufficiency
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