Exh 4CCITY OF ATLANTIC BEACH
CITY COMMISSION MEETING
STAFF REPORT
AGENDA ITEM: Authorize Mayor to sign transmittal form for the; 1.) Annual Local
Government Financial Report and: 2.) The Application for Revenue
Sharing 2000-2001 State Fiscal Year.
SUBMITTED BY: Nelson Van Liere, Finance Director
DATE: May 14, 2000
BACKGROUND: 1.) The State of Florida Annual Local Government Financial
Report for Fiscal Year 1998-1999 is required to be filed to the
Office of the Comptroller, Department of Banking and Finance of
the State of Florida. The report is required by Section 218.32 of
the Florida Statutes. The report is a representation of the City's
Annual Audit Report compiled in a computerized format for
electronic filing. The report does require the Mayor as Chairman
of the Government Board to sign the transmittal document.
2.) The Application for Revenue Sharing 2000-2001 State Fiscal
Year is required by Section 218 of the Florida Statutes in order to
be eligible to participate in revenue Sharing. This application
certifies that the City has fulfilled certain requirements set forth in
Section 218.23 which includes the signatures of the appropriate
officials.
BUDGET: No budget impact.
RECOMMENDATION: The City Commission authorize the Mayor to sign both the Annual
Local Government Financial Report transmittal form and the
Application for Revenue Sharing 2000-2001.
ATTACHMENTS: 1.) Annual Local Government Financial Report transmittal form
2.) Application for Revenue Sharing 2000-2001
'' REVIEWED BY CITY MANAGG,~R:..~---
vnn iv anu rvamn:
Financia! Officer P
Financial Officer Title:
Mailing Address:.
Cfty Address:
State:
Zip Code:
Email Address:
.Phone Number:
Phone Extension:
Contact Person's Name:
Contact's Phone Number.
Contad's F-xtension:
FAX Number:
W86 R@~f0•-s.C~l1~ ~6CTt'OI1N:lf~~~l7
~~~~ Fredrik N. Van Liege --l ~ ®No
' Finance Director If yes iadicate method:
800 Seminole~Road ~p
Atlantic Beach ®1)hskette
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Ini' Date
AFR Tracked
Audit Tracked
Rev/Exp
Complete -
State of Florida
Fl Annual Local Government Financial Report
32233-5445 Fiscal Year 19981999
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CERTIFICATION
We the unders/fined certify, to the best of our knowledge, that the inlbrma6on
reported herein or submitted electronically is accurate and complete.
Chairman of Government Board
John S. Meserve
Name
Mayor
Title
Signature
-~ ,~
Signature of Chief Financial Officer
FORM DBF-AA-401(Rev. 10/29!98) Fiscal Year Ended: 1999
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Application For Revenue Sharing 2000-2001 Sta#e Fiscal Year
(Chapter 218, Part 11 Florida Statutes)
DEPARTMENT
OF REVENUE Application must be received by the Department of Revenue
prior to June 30 preceding the beginning of the state fiscal year 2000-2001
P{ease TYPE or PRINT all entries. except those requiring a signature.
P ne
Name of County
4C
22, ?~Q~o2,e
A. 03/00
OR
Name of Municipality City of Atlantic Beach County Duval
Telephone Number (904 247-5800
Fax Telephone Number (904 247-5877
Mayor or Chairman of Governing Body Mayor John S: Meserve
Chief Ftscal Ofiycer Fredrik N. Van Liere, Finance Director
official Mailing Address 800 Seminole Road, Atlantic Beach, FL 32233
Check here if the address represents a change from the previous application.
Federa{ Employer I.D. Number (required for new participants only).
To be eligible to participate in Revenue Sharing beyond the minimum entittement as defined in s. 218.21(7), FS., for any
fiscal year, a unit of local government is required to have fuifi8ed certain requirements set forth in s. 218:23, F.S., including
certification requirements. Signatures by the appropriate official in the signature blocks, where applicable, shall constitute
fulfillment of the certification requirements set forth in s. 218.23, FS.
Consistent with the requirements of s. 218.23, F.S., has the applicant:
1. Reported its finances for its most .recently completed fiscal year to the Department of Banking and
Finance, pursuant to s. 218.32, F.S.?
Yes ® No
2. Made provisions for annual postaudits of its financial accounts in accordance with s. 11.45, F.S.?
Yes ® No ~ January 11, 2000
Date of Audit Report
4~
May 22, ~~9~2, a
R. 03/OG.
Page 2
3. Levied, as shown on t#s most recent financial report, pursuant to s. 218.32, FS., ad valorem taxes,
exclusive of taxes levied for debt service or other special millages authorized by the voters, to produce
the revenue equivalent to a tnillage rate of three (3) mills on the dollar based on the 1973 taxable values .
as certified. by the property appraiser, pursuant to s. 193.122(2}, 1= S.,
Yes ® No [~
OR, in order to produce revenue equivalent to that which would. otherwise be produced by such a three (3) mill
ad valorem #ax:
(A) to have received a remittance from the county pursuant #o s. 125.01(6)(a),F.S.;
(B) collected an occupational license tax;
(C) collected a utility tax;
(D) levied an ad valorem tax;
(E) received revenue ftom any combination of-th~Iese four sources?
Yes ~ No [J
4. Certified that:
(A) Law enforcement officers, as defined. in s. 943.10(1), F.S., employed by this Unit meet the
quaycations for employment as established by the Criminal .fustice Standards and Training
Commission?
Yes ® No
{B) The salary structure and salary plans for law enforcement officers meet the provisions of Chapter
943, F.S.?
Yes ® No
{C) Alt law enforcement officers, as defined in s. 943.10(1), FS:, are compensated at an annual
salary rate of six thousand dollars ($6,000) or more?
Yes ® Na
[If the answer to (C) above is (NO), please state in an addendum to this application. any reason
you may have for waiver of such requirement (one of which must be that you are levying ten (i0)
mills of ad valorem taxes).]
Signed: d ~ Date: z.
A r ___~-/~~~
pp opnate Law En cement Officer
[lf you have no police department, etc., please check the block to the left side.]
~f'~
May 22, ~g~z~a
A. 03/00
. Page 3
5. Certified that persons in its employ as firefighters, as defined in s. 633.30(1), F.S., meet the qualification
far employment as established by the Division of State Fire Marshal pursuant to the provisions of ss.
633.34 and 633.35, FS., and that the provisions of s. 633.382, FS. are met?
Yes ~ No
Additionally, please answer the following:
(A) Does the addressed unit of govemment employ any full-#ime firefighters which currently possess
either a bachelor's degree or associate degree from a college or university which is applicable to
fire department duties, provided that degree is not required for their current position?
Yes [~ No
(B) If so, are these #irefighters currently receiving supplemental compensation for #hose degrees?
Yes ~ No ~ Does Not Apply
Signed: Date:
Appropriate Fire Official
[If you have no fire department or if you have a strictly volunteer fire department, etc., please check the
box to the left side.]
6. Certfied that each dependent special district that is budgeted separately from the general budget of the
local governing authority has met the provisions for annual postaudit of its financial accounts in
accordance with the provisions of s. 11.45(3), F.S.?
Yes [~ No ~ Does Not Apply
Signed:~z' yT f,~~+-e ~ix-c~ Date: ~ ~~~ C~ ~
(Chief Fiscal Officer)
7. Certified to the Departmen# of Revenue that the requirements of s. 200.065, 1= S., ifi applicable, were met?
(The cert~catian shall be made annually 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. The
portion of revenue sharing funds which, pursuant to this part, would otherwise be distributed to a unit of
local government wrhich has.not certified.compliance or has othenaise failed to meet the requirements of
s. 200.065, F.S., shall be deposited in the General Revenue Fund for the l2 months following a
determination of noncompliance by the department.)
Signed: ~ ~! ~ (~~ ~G~*-c.~ ~ Date: .f"~ ~ o e~
(Chief Fiscal Officerl
~~
P r-
may zz, zo oo021g
R. 03/00
...Page 4
i hereby certify that ail of the foregoing information is accurate and true to the best of my knowledge. !further certify that 1
will promptly report to the Department of Revenue any changes in the above information. I also realize tha# failure to
provide timely information required; pursuant to the administration. of this Act stiali, by such action, authorize the
Department to utilize the best information available or, if no such information is available, to take necessary action
including D3SQUALIF3CATION, EITHER PARTIAL OR ENTIRE, and shall further, by such action, waive any right to
challenge the determination of the Department to its share of funds, if any, beyond its minimum entitlement, pursuant 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 set forth above?
Yes ® No
if the answer to the above question is (NO), please provide as an attachment to this form the amount of revenue
necessary to meet your obligations as a result of pledges or assignments or trusts entered into which obligated funds
received from revenue sharing.
Signed: /t"n ~- /. ~~,~-, c~'`'~~' Date: ~`" ~l /~ "4'
l' .-
(Chief Fiscal Officer)
Sianed~
.-
(Mayor or Chairman of Governing Body)
Date:
INlail compig;eclf Qriainai ap,Flication to address shown blow.
Department of Revenue
Revenue Accounting Section
RO. Box 6609
Tallahassee, Florida 32399-6609