Backup Documents 06/12/2012 Item #16J 416J4
MEMORANDUM
To: Ian Mitchell
From: Robin Tooma, Assistant General Operations Manager//
Clerk's Finance and Accounting
RE: Application for Revenue Sharing Fiscal Year 2012 — 2013
Date: May 25, 2012
Each year, an application is prepared, reviewed and signed off by recipient departments and
legal sufficiency approval by the County Attorney. The application is then signed by Dwight
Brock, Clerk of the Circuit Court.
The application is then presented by Executive Summary for the Board's approval. The
Executive Summary, attached, is scheduled for the June 12 consent agenda. I have also
attached the original application for Chairman Coyle's signature.
Please notify me (X 8438 or robin.tooma @collierclerk.com ) so that I may pick up the executed
application to be forwarded to the State prior to the deadline of June 30, 2012.
Thank you in advance for your assistance.
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16J4
MEMORANDUM
Date: June 14, 2012
To: Robin Tooma, Assistant General Operations Manager
Clerk's Finance and Accounting
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Application for Revenue Sharing Fiscal Year 2012 -2013
Attached for your records is the original document as referenced above, (Item #16J4)
adopted by the Board of County Commissioners on Tuesday, June 12, 2012.
If you have any questions, please feel free to contact me at 252 -8411.
Thank you.
Attachment
16,4
EXECUTIVE SUMMARY
To present to the Board of County Commissioners the 2012 — 2013 State Revenue
Sharing Application for approval by the Board, and to obtain the Chairman's signature on
the application.
OBJECTIVE: To present to the Board of County Commissioners the 2012 — 2013 State
Revenue Sharing Application for approval by the Board, and to obtain the Chairman's signature
on the application.
CONSIDERATIONS: Each unit of local government is required to file an application in order to
be considered for any funds to be distributed under the Revenue Sharing Act. The application
requires the signatures of the Chief Fiscal Officer and Chairman of the Governing Body. This
application must be submitted annually by June 30.
GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with
this Executive Summary.
FISCAL IMPACT: Proper submittal of the application will enable the County to continue to
receive funds under the State Revenue Sharing Act.
LEGAL CONSIDERATIONS: This executive summary has been reviewed by the County
Attorney's office, requires majority vote and is legally sufficient for Board action.
RECOMMENDATION: That the Board of County Commissioners approves the application and
authorizes the Chairman to sign on behalf of the County.
PREPARED BY: 44�m DATE:��'�{
Constance Murray
General Operations Manager
Application for Revenue Sharing 2012 -2013 State Fiscal Year
(Chapter 218, Part II Florida Statutes)
;)I: PAK fW N
(If' Rf`,,rvt.r
Please TYPE or PRINT
Name of County POLLIER
Application deadline is June 30, 2012
Mail completed original application to:
Department of Revenue
Revenue Accounting Subprocess
P.O. Box 6609
Tallahassee, FL 32314 -6609
850 - 617 -8586
REVENUEACCOUNTING @dor.state.fl.us
Me—
16J4
Name of Municipality I Icounty
Telephone Number 1 (239) 252 -8438
Fax Telephone Number 1 (239) 252 -6179
Mayor or Chairman of Governing Body rred W Coyle, Chairman, Collier County Board of County Commissioners
Chief Fiscal Officer IDwight E Brock, Clerk of the Circuit Court of Collier County
E -mail Address rystal.Kinzel @collierclerk.com
Official Mailing Address 0299 Tamiami Trail E, Ste 403, Naples, FL 34112
Check here if the address represents a change from the previous application.
Federal Employer I.D. Number 1 7 (required for new participants only).
R-700218
R. 03/12
Please complete the questions below to determine your eligibility to participate in Revenue Sharing for this fiscal
year.
Have you submitted your financial statements for fiscal year ending 09/30/10 to the Department of Financial Services
as required by s. 218.32, F.S.?
0 Yes
Have you made provisions for annual postaudits of your financial accounts as provided by
s. 11.45, F.S.?
Yes F
I AI No
2/29/2012
Date of Audit Report
9/30/2011
Fiscal Year -End
Have you reported on your most recent financial statement revenues equivalent to three mills calculated based on Page 2
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, Florida Statutes.
Yes
■
4. If you have a law enforcement department, answer the questions below: (If you have a contracted or strictly
volunteer department, skip to question 5)
(A) Have your law enforcement officers, as defined by s. 943.1 0(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?
Yes
(B) Does the salary structure and salary plans for law enforcement officers meet the requirements of
Chapter 943 F.S.?
ZYes
No
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.
1/\1
Yes
(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?
Yes
❑ No
(C) If so, are these firefighters currently receiving supplemental compensation for those degrees?
1Yes
No
6. Are dependent special districts budgeted separately from the general budget of your government? Do they meet the
provisions for annual postaudit of their financial accounts in as provided by s. 11.45(3), F.S.?
ayes F-1 No ❑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
Yes
FEE
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.)
6J4
DR- 700218
R. 03/12
Have you reported on your most recent financial statement revenues equivalent to three mills calculated based on Page 2
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, Florida Statutes.
Yes
■
4. If you have a law enforcement department, answer the questions below: (If you have a contracted or strictly
volunteer department, skip to question 5)
(A) Have your law enforcement officers, as defined by s. 943.1 0(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?
Yes
(B) Does the salary structure and salary plans for law enforcement officers meet the requirements of
Chapter 943 F.S.?
ZYes
No
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.
1/\1
Yes
(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?
Yes
❑ No
(C) If so, are these firefighters currently receiving supplemental compensation for those degrees?
1Yes
No
6. Are dependent special districts budgeted separately from the general budget of your government? Do they meet the
provisions for annual postaudit of their financial accounts in as provided by s. 11.45(3), F.S.?
ayes F-1 No ❑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
Yes
FEE
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.)
16J4
DR- 700218
R. 03/12
Page 3
I certify that all 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?
Yes No
I/N F1
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:
Date:
Chief Fiscal Official
Dwigh E. Brock, Collier County Clerk of Circuit Court
Signed: Date: CP I 12
Mayor or Chairman of Governing Body
Fred W. Coyle, Chairman, Collier County Board of County Commissioners
Mail completed original application to address shown below.
Florida Department of Revenue
Revenue Accounting Subprocess
PO Box 6609
Tallahassee, FL 32314 -6609
850- 617 -8586
REVENUEACCOUNTING@dor.state.fl.us
Appr�ve s to form
and e iciency
Jeffr� \Klatzkow
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