Reso 2005-803 - Laserfiche WebLink

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"",~o.".'>'~ "'\""~.... .-eaeral Annual Gertltlcation Report This report must be submitted within 60 days after the close of your fiscal year to the: Asset Forfeiture and Money Laundering Section U.S. Department of Justice 10th and Constitution Avenue, NW Bond Building. 10" Floor Washington. DC 20530 Fax: (202) 616-1344 E-mail address: ahnls.acat1llusdoi.gov Executive Office for Asset Forfeiture U.S. Department of the Treasury 740 15th Street, NW Suite 700 Washington. DC 20220 Fax: (202) 622-9610 E-mail address: treas.acat1llteoaf.treas.gov Law Enforcement Agency: o Police Department 0 Sheriffs Office/Department Contact Person: o Prosecutor's Office 0 Other o Task Force (attach list ofmembcrs) E-mail Address: (City) (State) (Zip Code) Mailing Address: (Street) Telephone Number: ~) Fax Number: ~) Agency Fiscal Year Ends on: (Month/Day/Year) NCIC/ORlITracking No.: Summary of Equitable Sharing Activity (Fiscal Year Ending ) I. 2. 3. 4. 5. 6. 7. 8. 9. Justice Funds (DEA, FBI, etc)1 $ $ $ $ $ $ $( $ $ Beginning Equitable Sharing Fund Balance (must match Ending Equitable Sharing Fund Balance from prior FY) . . Federal Sharing Funds Received from the Department of Justice and the Department of the Treasury. . . . . . . , . Federal Sharing Funds Received from Other Law Enforcement Agencies and Task Forces (complete attachment) Other Income ...................,.............,.............,............................. Interest Income Accrued (0 check if non-interest-bearing account) .......,........................... Total Equitable Sharing Funds (total ofhnes I - 5) .........."..,.,...,.,...............,...."... Federal Sharing Funds Spent (total ofhnes a - n) . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . , . . . . . . . , . . Ending Equitable Sharing Fund Balance (subtract line 7 from hne 6) ............,...,.........."...., Appraised Value of Other Assets Received ..........,.........,............,............,........ Summary of Shared Monies Spent Total spent on salaries for new, temporary, not to exceed I-year employees .......,...................,. $ Total spent on overtime. . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . , . . . . . . . . . . . , , . . . . . . . . . . . . . . . . , . . , .. $ Total spent on infonnant and "buy money" ,................,....,........,....................,. $ Total spent on travel and training .... . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ Total spent on communications and computers .........,................,..,..................... $ Total spent on fireanns and weapons .............................."....,...................... $ Total spent on body annor and protective gear. . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . , . . . . , . . . . . .. $ Total spent on electronic surveillance equipment. . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ Total spent on building and improvements.. . . . . . . . . , . . . . , . . . . . . . . . . . . . . . . . . , . . . . . . . . , . . , . . . . . . . .. $ Total spent on drug education and awareness programs . . . . . . . . . , . . . . . . . . , , . . . . , . . . . . . . . , . . . . . . . . . ,. $ Total spent on other law enforcement expenses (complete attachment) . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . .. $ Total transfers to other state and local law enforcement agencies (complete attachment) ................... $ m, Total permissible use transfers (complete attachment) . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . ,. $ Amount of line (m) used for drug abuse treatment and prevention programs ................. $ Total spent on matching grants (complete attachment) . . . . . . . , . . . . , . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ Your agency's budget for current fiscal year ........................................ $ Your jurisdiction's budget for current fiscal year. . . . . . . . . . . , . . . . . . . . . . . . . . . , . . . . . . . . . $ Your agency's budget for prior fiscal year ..............,...,....................... $ Your jurisdiction's budget for prior fiscal year. . . . , . . . . . . , . . . . , . , . . , . . . . . . . . . , . . , . . . . $ a. b. c. d. e. f. g. h. 1. J. k. I. n. 0, p. q. r. Treasury Funds (IRS, ICE, etc)2 $ $ $ $ $ $ $( $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Under the penalty ofpeJjury, the undersigned hereby certify that the information in this report is an accurate accounting of funds received and spent by the law enforcement agency under the federal equitable sharing program during this reporting period. Name (Print or Type) Law Enforcement Agency Head Date Name (print or Type) Governing Body Head Signature: Signature: Title: Title: Date This fonn is subject to the Freedom ofInfonnation Act and may be released WIder 5 U.S.c. ~ 552. See www.usdoi.l!ov/criminallafmIs.htl11l or www.treas.l!ov/officeslenforcementlteoafforadditional fonos. 'Include UDder Justice funds ,bared cash, proceeds. and property received from the Drug Enforcement Administration (DEA), Federal Bureau of Inve,tigation (FBI), U.S. Attorney', Office, U.S. Postal Inspection Service. Food and Drug Administration. and U.S. Department of Agriculture. 'Include UDder Treasury funds shared cash, proceeds. and property received from the Bureau of Alcohol. Tobacco. Fireanns and Explosives (ATF)", Internal Revenue Service (IRS). U.S. Immigration and Customs Enforcement (ICE). U.s. Customs and Border Protection. U.S. Secret Service. and U.S. Coast Guard. "The Bureau of Alcohol. Tobacco. Fireanns and Explosives is a component of the Department of Justice, hut ATF's equitable sbaring is currently processed by the Department of the Treasury, Until further notice, please deposit all equitably sbared casb and proceeds from A TF in your agency's Treasury fund. Apnl2005 ~IR