Item 4DAGENDA ITEM # 4D
APRIL 26, 2010
CITY OF ATLANTIC BEACH
CITY COMMISSION
STAFF REPORT
AGENDA ITEM: Authorize the Mayor to sign the Application for Revenue
Sharing 2010-2011
DATE: Apri15, 2010
SUBMITTED BY: Nelson Van Liere, Finance Director
BACKGROUND: The submittal for the Application for Revenue Sharing
2010-2011 State Fiscal Year is required by Sec. 218 of the
Florida Statutes in order to be eligible to participate in
revenue sharing. Section 218 of the Florida Statutes states:
"It shall be the duty of each agency and unit of local
government required to submit certified information to the
Department pursuant to the administration of this part to
file timely information. Any unit of local government
failing to provide timely information required pursuant to
the administration of this part shall, by such action,
authorize the Department to utilize the best information
available or, if no such information is available, to take any
necessary action, including disqualification, either partial or
entire, and shall further, by such action, waive any right to
challenge the determination of the Department as to its
share, if any, pursuant to the privilege or receiving shared
revenues under this part."
This application certifies that the City has fulfilled certain
administrative requirements set forth in the statutes and
includes signatures of the appropriate officials.
BUDGET:
No Impact.
RECOMMENDATION: The staff recommends that the City Commission authorize
the Mayor to sign the Application for Revenue Sharing for
2010-2011.
ATTACHMENT: Application for Revenue Sharing 2010-2011
Reviewed by the City Mana er:
s'
~f ~.
Please TYPE or PRINT
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
reven ueaccounting@dor.sta te. fl, us
Name of County: OR
Name of Municipality: City of Atlantic Beach County: Duval
Telephone Number: 904-247-5807
Fax Telephone Number: 904-247-5819
Mayor or Chairman of Governing Body: Mayor Louis "Mike" Borno
Chief Fiscal Officer: Nelson Van Liere, Finance Director
AGENDA ITEM # 4D
APRIL 26, 2010
Application for Revenue Sharing 2010-2011 State Fiscal Year
(Chapter 218, Part II Florida Statutes)
DR-700218
R. 01110
E-mail Address: nvanliere@coab.us
Official Mailing Address: 800 Seminole Road, Atlantic Beach, FL 32233
^ Check here if the address represents a change from the previous applications.
Federal Employer I.D. Number
(required for new participants only).
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 09/30/08 to the Department of Financial Services
as required by s. 218.32, F.S.? QYes QNo
2• Have you made provisions for annual postaudits of your financial accounts as provided by s. 11.45, F.S.?
QYes QNo
03/03/2009
Date of Audit Report
09/30/2008
Fiscal Year-End
AGENDA ITEM # 4D
APRIL 26, 2010
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 QNo
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(1), 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 QNo
B. Does the salary structure and salary plans for law enforcement officers meet the requirements of Chapter 943 F.S.?
DYes QNo
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.?
QYes QNo
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?
QYes QNo
C. If so, are these firefighters currently receiving supplemental compensation for those degrees?
QYes QNo
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.?
QYes QNo 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.)
DYes Q 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.
AGENDA ITEM # 4D
APRIL 26, 2010
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?
QYes ~No
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: ""C'~~ ~C~~ ~ ~ Date ~
Chief Fiscal Officer
Signed
Date
Mayor or Chairman of Governing Body
Mail completed original application to address shown below:
Department of Revenue
Revenue Accounting Subprocess
P. O. Box 6609
Tallahassee, FL 32314-6609
revenueaccounting@dor.state. fl.us