06-21-2012 Police Pension Meeting Board of Trustees of the City of Clermont Police Officers Retirement Plan
MINUTES
Pension Board Meeting
June 21, 2012
The Board of Trustees of the City of Clermont Police Officers Retirement Plan met on June 21, 2012 in the
conference room at the Clermont Police Department. Board members present: Michael Scheller, John Baker,
Chuck Broadway, James Wynns, Scott Tufts. Also present were Joe Van Zile and Legal Counsel Scott
Christiansen.
CALL TO ORDER
Meeting was called to order at 4pm.
APPROVAL OF MINUTES
Moved-by J. Baker and Seconded by J. Wynns,the Minutes were approved from previous meeting March 22,
2012.
OLD BUSINESS
A. Retirement Trust Plan Summary Plan Description 5-8-2012 -motion by J. Baker, seconded by M.
Scheller, to approve plan of 5-8-12.
B. The Board reviewed The Police Officers Pension Adoption Agreement. No action taken.
C. Southern Actuarial Services report received, Board Chairman, M. Scheller, signed the impact
statement.
NEW BUSINESS
Police officers Investment Report- Quarter ending March 31, 2012. Reviewed and discussed by Board.
The next meeting will be held-September 20, 2012. The December Board meeting will be held at 4:00pm on
12-13-12 at the Clermont Police Station.
ATTORNEY REPORT
The Attorney and Board reported the death of Patrolman R. Rodriguez. Motion by M. Schiller and seconded
by S. Tufts, to pay monthly pension in the amount of$785.44 to his spouse. Attorney Christiansen will need
time to review the law on length of time that the spouse may draw said pension. See Attachment. Subject
tabled till the September meeting.
Legal Counsel discussed with Board about his attendance at future meetings. As an alternative to attending
every meeting, Counsel could attend twice per year. It was agreed that status quo would be maintained until
12/2012
BILLS AND EXPENSES FOR APPROVAL
A motion was made by M. Scheller, and seconded by C. Broadway, to approve expenses of$6,854.44 for the
period of 3/22/12 to 6/20/12. See Attachment.
ADJOURNMENT
John Baker, Secretary
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APPLICATION FOR RETIREMENT BENEFITS
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�gU. [CITY O� JF 1CLERRMn/ONT�PPOLICE�OFFICEERS' RETIREMENT PLAN
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C Nome e L- A) 1 v!�-t ,s- b L L1 1 Social Security# S'3I /4//075
Dote of Birth Si a/5/19'' Dale of Hire* I /o(W 011 Date of Entry I ao/oY
14
Address 1 170 3 Lii-r�2 S-kSAIJ (1,7IA e-� 3�7�r
City Q,L�ir�-MD/�f! Stale �L Zip Code Work Phone E-mail -�— Home Phone (35-s{ ,24� _Q q�
Other Phone ( 1
E-mail —�
Dote of Rep merit 4 / C���
p2r�+h
t•Int a Survivor Informs •n; IA
Jo I Annuitant -me Social Security#: I /
.e of Birth / / Relohonship
Addr:
City State Lip Code
Please check the type of Benefit to Calculate. ❑ Normal Retirement ❑,/Early Retirement
❑ Disability Benefit L�Deoth Benefit
Proposed Benefit Dote._J_J �`
A copy of the birth certificate and social security card for both the member and the Joint pensioner
must be submitted with this application
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(DOW Signed) (Sig oWreotP••Y,,,,pont t110aleWitnessed) (SI. .lur 'ot Mess Public)
C�CIIPTI_aQ��
301 S Bronough St P 0 Box 1757 Tallahassee 2302-1757 FM-PM? ,
1850)222.9684-Fax(850)222-3806 ` �1�^
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