Agenda 01-27-17 ' . Jess
POLICE I PENSION FUN
�
Florida 2100 North
Florida West Palm Beach,
Telephone: 954.636.7170 Toll Free Fax: 866.769.0678
AGENDA
CITY OF BOYNTON BEACH POLICE OFFICERS' PENSION FUND
loo E. Boynton Beach Blvd
(Boynton Beach City Commission Chambers)
Boynton Beach, Florida 33425
January 27, 2017 at moo A. M.
i. CALL TO ORDER
2. ROLL CALL
3. PUBLIC DISCUSSION
4. CONSENT AGENDA
a. Minutes from 11 -30 -16 Meeting
b. Minutes from io -16 -i6 Meeting
c. Warrant Ratifications / Approvals
5. NEW / UNFINISHED BUSINESS
a. Ronald Davis Disability Order
6. DISABIIX]rY HEARING -
a. Robert Kellman
7. ATTORNEY'S REPORT
8. PLAN ADMINISTRATOR'S REPORT
a. Audit- Update
b. Death Checks
9. OPEN DISCUSSION
io. ADJOURNMENT
ii. NEXT MEETING DATE: February '7, 2017 at io A.M.
IN COMPLIANCE OF STATE LAW, THE BOARD OF TRUSTEES FINDS THAT A PROPER AND LEGITIMATE PURPOSE IS SERVED WHEN
MEMBERS OF THE PUBLIC HAVE BEEN GIVEN A REASONABLE OPPORTUNITY TO BE HEARD ON A MATTER BEFORE THE BOARD.
THEREFORE, THE BOARD OF TRUSTEES HAVE DETERMINED AND DECLARED THAT THEY WILL A LOT FIFTEEN (15) MINUTES IN TOTAL
FOR THIS PURPOSE; HOWEVER EACH PERSON IS LIMITED TO NO MORE THAN THREEWMINUTES TO COMMENT AT EACH MEETING.
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,POLICE OFFICERS" PENSION FUND
2100 North Florida Mango Road
West Palm Beach, Florida 33409
Telephone: 954.636.7170 Toll Free Fax: 866.769.0678
AGENDA
CITY OF BOYNTON BEACH POLICE OFFICERS' PENSION FUND
loo E. Boynton Beach Blvd
(Boynton Beach City Commission Chambers)
Boynton Beach, Florida 334
January 27, 2017 at li :oo A. M.
1. CALL TO ORDER
2. ROLL CALL
3. PUBLIC DISCUSSION'
4. CONSENT AGENDA
a. Minutes from 11 -3o -16 Meeting
b. Minutes from 10 -16 -16 Meeting
c. Warrant Ratifications / Approvals
5. NEW / UNFINISHED BUSINESS
a. Ronald Davis Disability Order
6. DISABILITY HEARING -
a. Robert Kellman
7. ATTORNEY'S REPORT
8. PLAN ADMINISTRATOR'S REPORT
a. Audit- Update
b. Death Checks
9. OPEN DISCUSSION
io. ADJOURNMENT
11. NEXT MEETING DATE: February 7, 2017 at 10 A.M.
IN COMPLIANCE OF STATE LAW, THE BOARD OF TRUSTEES FINDS THAT A PROPER AND LEGITIMATE PURPOSE IS SERVED WHEN
MEMBERS OF THE PUBLIC HAVE BEEN GIVEN A REASONABLE OPPORTUNITY TO BE HEARD ON A MATTER BEFORE THE BOARD.
THEREFORE, THE BOARD OF TRUSTEES HAVE DETERMINED AND DECLARED THAT THEY WILL A LOT FIFTEEN (15) MINUTES IN TOTAL
FOR THIS PURPOSE; HOWEVER EACH PERSON IS LIMITED TO NO MORE THAN THREE(3)MINUTES TO COMMENT AT EACH MEETING.
Cl TY OF BOYNTON BEACH „ .
POLICE OFFICERS' PENSION FUND:
2100 North Florida Mango Road x
West Palm Beach, Florida 33409
Telephone: 954.636.7170 Toll Free Fax: 866.769.0678
AGENDA
CITY OF BOYNTON BEACH POLICE OFFICERS' PENSION FUND
ioo E. Boynton Beach Blvd
(Boynton Beach City Commission Chambers)
Boynton Beach, Florida 334
January 27, 2017 at ii: oo A. M.
i. CALL TO ORDER
2. ROLL CALL
3. PUBLIC DISCUSSION
4. CONSENT AGENDA
a. Minutes from 11 -16 -16 Meeting
b. Warrant Ratifications / Approvals
5. NEW / UNFINISHED BUSINESS
6. DISABILITY HEARING -
a. Robert Kellman
7. ATTORNEY'S REPORT
8. PLAN ADMINISTRATOR'S REPORT
a. Audit- Update
b. Death Checks
9. OPEN DISCUSSION
io. ADJOURNMENT
11. NEXT MEETING DATE: February 7, 2016 at io A.M.
IN COMPLIANCE OF STATE LAW, THE BOARD OF TRUSTEES FINDS THAT A PROPER AND LEGITIMATE PURPOSE IS SERVED WHEN
MEMBERS OF THE PUBLIC HAVE BEEN GIVEN A REASONABLE OPPORTUNITY TO BE HEARD ON A MATTER BEFORE THE BOARD.
THEREFORE, THE BOARD OF TRUSTEES HAVE DETERMINED AND DECLARED THAT THEY WILL A LOT FIFTEEN (15) MINUTES IN TOTAL
FOR THIS PURPOSE; HOWEVER EACH PERSON IS LIMITED TO NO MORE THAN THREE(3)MINUTES TO COMMENT AT EACH MEETING.
0-9 7 - V tnC
POLICE OFFICERS 'PENSION FUND
- - Minutes
November 30, 2016
1:00 P.M.
The regular meeting of the Board of Trustees of the City of Boynton Beach Police
Officers' Pension Fund was called to order at 1:oo P.M. on behalf of the Board of
Trustees by the Plan Administrator, Mr. Bob Dorn on November 30, 2016, at 2100
North Florida Mango Road, West Palm Beach, Florida.
TRUST EE PRESENT:
Mr. Toby Athol — Chairman; Mr. Jason Llopis — Secretary; Mr. Russell Faine — Trustee;
Mr. Scott Caudell — Trustee.
USTEE ABSENT
Mr. Joseph DeGiulio — Trustee.
OTHERS PRESENT
Ms. Bonni Jensen, Board Attorney - Klausner, Kaufman, Jensen & Levinson; Mr. Bob
Dorn, Plan Administrator- Precision Pension Administration, Inc.; Mr. Ronald Davis -
Member.
It should be noted that there was a quorum for the Board to have an official meeting.
PUBLIC DISCUSSION
No public comments were presented.
CONSENT AGENDA
APPROVAL OF THE MI NUTES:
The Board of Trustees reviewed the minutes for the November 16, 2016 meeting. A Motion was
made by Mr. Llopis to approve the minutes. The Motion was seconded by Mr. Faine. The
Motion passed 4 -0.
APPROVAI, OF T
Mr. Dorn presented Warrants 54 - 55 to the Board and then read each Warrant for the
record. Attached to all Warrants were invoices from the various vendors. The Board
reviewed each of the Warrants. Mr. Caudell made a Motion to approval all Warrants as
outlined. Mr. Faine seconded the Motion. The Motion passed 4 -0.
CITY OF BOYNTON BEACH POLICE OFFICERS' PENSION FUND — Page 2
November 30, 2016
MINUTES
ME A — RRANT tia
This Warrant is to SunTrust Bank for credit card expenses. The amount of this Warrant
is for $2,229.68.
WARRANTM
This Warrant is to Oakwater Technologies, Inc for the conversion of old pension data
from the old system to the new pension program. The amount of this Warrant is for
$2,000.00
NEW /UNFINISHED BUSINESS
Ms. Jensen advised that the disability hearing has been properly noticed for November
30, 2016 at the informal hearing application of Ronald Davis for service connected
disability benefit. All medical records, the application and related documents, including
the IME (independent medical examination) report of Dr. Jeffrey Worth, M.D. were sent
to the Plan Administrator and Trustees for their review. The Board of Trustees
acknowledged that they did receive all of the aforementioned documents for their review
in this case.
Ms. Jensen reviewed the incident with the Trustees that Mr. Davis claimed to have
caused his injury. On March 22, 2014, Mr. Davis was working on duty and working as a
full -time police officer for the City of Boynton Beach Police Department. Mr. Davis was
involved in a vehicle traffic accident on the aforementioned date. Mr. Davis was driving
a city police vehicle and was stopped when he was rear -ended by another vehicle. Mr.
Davis claimed to have incurred an injury to his back and neck area. Mr. Davis advised
that he also began having numbness in his left hand. Mr. Davis was cleated at the
hospital and released. Mr. Davis received physical therapy, work modification and anti -
inflammatory medications based upon his medical records. None of these medical
procedures worked for Mr. Davis. Mr. Davis then had spinal surgery on May 28, 2014.
Following the surgery, Mr. Davis returned to light duty with the Police Department and
eventually returned to full- active duty as a police officer. Mr. Davis was working active
full -time policy duty when he began to experience back pain and upper left leg pain as a
result of wearing his gun belt and being in a patrol car for extended periods of time. The
pains and the injury to his back led to a second spinal surgery. Mr. Davis was then
placed on light duty by the Police Department. Mr. Davis did receive more physical
therapy along with various medications.
The City's medical doctor, Dr. David Campbell determined that Mr. Davis was at MMI
(maximum medical improvement) on April 17, 2016. Dr. Campbell concluded that Mr.
Davis had a permanent imparting rating of 18% of both the cervical and lumbar
restrictions. Dr. Campbell also determined that Mr. Davis' work restrictions were
permanent and he was no longer physically able to return to full -time police duty.
Mr. Davis then applied for an in- service pension disability. Mr. Davis was sent to an
IME by the Pension Fund. The IME was Dr. Worth. Dr. Worth made the following
CITY OF BOYNTON BEACH POLICE OFFICE ' PENSION FUND - Page 3
November 30, 2016
MINUTES
conclusions based upon the previous medical records and his examination of Mr. Davis:
Mr. Davis still exhibits significant restrictions in both cervical and lumbar motion with
residual weakness of the lower extremity, along with chronic neck and back pain. While
he has a long history of chronic lower lumbar spinal issues, there is no significant
history of prior cervical spine issues. The work related accident on 3/22/2014 certainly
exacerbated a longstanding lumbar spine condition leading to subsequent surgeries.
While Mr. Davis' MRI scan of the cervical spine in 2014 did show significant preexisting
disease, the injury was responsible for the trauma to his cervical spine and cervical
nerve roots resulting in significant pain. Left arm weakness and numbness. The
subsequent cervical fusion and decompression have alleviated a significant amount of
his pain; however, he remains uncomfortable with demanding activities. All things
considered, Mr. Davis is unable to perform the duties of a police officer. Mr. Worth
stated that he would conclude that his cervical disability is completely related to his
injuries he sustained in the line of duty during the traffic accident on 3/22/2014.
The City of Boynton Beach notified Mr. Davis that on 9/30/2016 he would be
terminated because they did not have a position for him and that he could no longer be a
full -time police officer for the City of Boynton Beach.
The Board discussed the facts of the case and the'medical records. The Board reviewed
the record in this case and .did not find any disqualifying events to Mr. Davis not to
receive an in -line duty disability. Mr. Caudell made . a Motion that the injuries that Mr.
Davis received occurred in the line of duty. The Motion was seconded by Mr. Faine. The
Motion passed 4 -0. Mr.' Caudell made a Motion that Mr. Davis is permanently and
totally disabled from further service with the City of Boynton Beach Police Department
as a police officer and 'to granted Mr. Davis a service related disability retirement
pension. The Motion was seconded by Mr. Faine. The Motion passed 4 -0.
Mr. Jensen advised the Board that pursuant to Section 18- 169(c)(1), Mr. Davis is
entitled to a duty disability pension beginning December 1, 2016 which is the first day of
the month following both the Board's date of approval and the date the Applicant
applied for both Worker's Compensation and social security benefits. Mr. Davis stated
for the record that has not received any settlement from Worker's Compensation and
has not received any social security benefits. Ms. Jensen stated that Mr. Davis is subject
to periodic review to determine if he can return to active duty from disability retirement
in accordance with Section 18- 169(c)(4). Ms. Jensen advised that Mr. Davis' pension
benefit is subject to offsets such and any amounts paid from Worker's Compensation
and Federal Social Security to the extent that these two off sets exceed 100% of Mr.
Davis basic rate of earnings on the date of disability and in no case will Mr. Davis'
pension benefit be reduced below 42% of the average final compensation.
Mr. Dorn advised that he will conduct an estimated benefit calculation and send the
calculation to the actuary for verification purposes. The Board directed Mr. Dorn to pay
Mr. Davis the benefit payment(s) once the actuary reviews and approves the calculation.
Mr. Dorn acknowledged this direction from the Board.
Ms. Davis reviewed with the Board and Mr. Davis the appeal procedures in case the
applicant wanted to appeal this decision.
CITY OF BOYNTON BEACH POLICE ICE ' PENSION FUND — Page 4
November go, 2oi6
MINUTES
ELAN ADMINISTRATORIR T
Mr. Dorn advised that the audit is still in progress.
Mr. Dorn advised that death checks were completed and no new reported deaths were
found on the data base.
OPEN DISCUSSION
No topics were discussed for Open Discussion.
ADJOURN:
Mr. Caudell made a Motion to adjourn the meeting. Mr. Faine seconded the Motion. The
Motion passed 4 -0. The meeting was adjourned at 2:10 P.M.
Mr. Toby Athol, Chairman
FOR THE BOARD
MINUTES OF THE BOYNTON BEACH POLICE OFFICERS' PENSION
MEETING QUARTERLY BOARD 11, 2016
AT 1 ., AT BOYNTON BEACH CITY ,
1 FL OR I DA
Toby Athol, Chair Bonni Jensen, Board Counsel
Jason Llopis, Secretary Robert Dorn, Pension Administrator
Scott Caudell
Russell Faine
Joe DeGuilio
1. CALL TO ORDER
Chair Athol called the meeting to order at 11:06 a.m.
2. LL CALL
Roll call established a quorum was present.
. PUBLIC DISCUSSION
None.
CONSENT AGENDA
a. Minutes from 7 -26 -16 Meeting
The minutes were not available.
b. Warrant Ratifications / Approvals
Mr. Dorn reviewed each warrant to be approved.
Motion
Mr. Llopis moved to approve. Mr. Faine seconded the motion that unanimously passed.
The members discussed the SunTrust Bank account must be held open for credit cards.
Mr. Dorn spoke with the branch manager, Chair Athol and Barbara LaDue, former Plan
Administrator. The Bank's Legal Department wanted the Chair to fill out and approve
an account signature card and the two custodian certifications for the Chair and Mr.
Dorn. The Legal Department is sending a corporate resolution, similar to one they
Meeting Minutes
Police Pension Board
B oynton Beach, Florida October 10, 2016
signed previously with the SunTrust Logo on it. Mr. Dorn requested a motion to execute
the documents and he would circulate the documents to the members during the
meeting for signature.
Chair Athol explained the Board was having problems with SunTrust switching over the
paperwork. They originally wanted minutes when each Board member and the Chair
were approved to switch the address. Mr. Dorn had ordered the credit cards which
came to him, but they did not send the bills to his address. It is a paperwork mess.
Motion
Mr. Caudell moved to execute the documents. Mr. Llopis seconded the motion that
unanimously passed.
Mr. Dorn noted William Gailbraith passed away September 16 and he is survived by
his wife. There is an annuity benefit, and it will be reduced for the October payment.
The wife is not doing well and the daughter has legal guardianship. The second page of
the documents showed the amount the payment will be reduced to.
Motion
Mr. Llopis moved to approve. Mr. DeGuilio seconded the motion that unanimously
passed.
Mr. Llopis added a discussion of 185 monies, due to legislation, that he spoke to the HR
Director, to item 8, open discussion as contract update.
5. NEW 1 UNFINISHED BUSINESS
a. Robert Kellman Disability Hearing
Mr. Dorn reviewed Mr. Kellman's disability request. Attorney Jensen explained they
received information from Mr. Kellman who had applied for a Duty Disability Benefit.
There have been two determinations as a fitness for duty evaluation from the City of
Boynton Beach who determined he was unable to perform his functions. The Board
also received the Workers' Compensation reports based on the records. He was sent
to a doctor for an Independent Medical Evaluation which is part of the record and it
provides a good review of all the records sent. The doctor determined he is unable to
perform his functions as a police officer, and it is a not job related disability based on
Mr. Kellman's personal physician and from the fitness for duty evaluations.
Attorney Jensen advised the members received information from Attorney Kelley on
behalf of Mr. Kellman before the meeting which Attorney Kelley, who was present,
reviewed. Attorney Kelley explained Mr. Kellman filed for a Line of Duty (LOD) disability
benefit because the City sent him for fitness for duty evaluation and Workers
2
Meeting Minutes
Police Pension Board
Boynton Beach, Florida October 10, 2016
Compensation filed a notice of injury on June 11 2015. Based on that, it was
assumed it would be a line of disability pension. When Attorney Kelley received the
records, there was no indication he discussed work related conditions and problems.
Mr. Kellman was requesting the Board to allow him to amend his application from a
LOD disability to a non -LOD disability.
Attorney Kelley reviewed more specific information relating to Mr. Kellman's application
reviewing various physician notes. The City had terminated Mr. Kellman's employment
as not fit for duty and he last worked October 24, 2015. It was his opinion, the evidence
before the Board supports a finding of a non -LOD Disability and he requested the Board
make the same determination.
Mr. Dorn asked if the change was within the required time frame. Attorney Jensen
thought it met the requirements of the plan. The non - service application just requires an
application, but the process is no different. It would have to be documented that the
request is changed from a duty related to a non -duty disability application. If he had to
file a new application, he would no longer be eligible, and Attorney Jensen thought the
change could be made.
Attorney Jensen noted the duty disability application requires they file for Workers
Comp and Social Security Disability. It is not the same requirement for non -duty
disability. To -date, a Social Security Disability application has not been filed, but
Worker's Comp filed a denial of the application. When Mr. Kellman spoke with Ms.
LaDue, neither he nor Ms. LaDue was certain which application to file. Mr. Kellman filed
it as service connected and Ms. LaDue advised it could be changed later. Workers
Comp was filed and notice of injury has to be done shortly thereafter and then
information was received from physicians and was denied. Attorney Kelley advised
they will more than likely withdraw the service connected application.
Chair Athol asked if there is a current Workers' Comp application. The question was if
the injury was compensable or work related. There were prior issues which were not
documented. The Workers Comp application still lists it as work related, but it has not
been pursued. Attorney Jensen pointed out one doctor's concern regarding the timing of
the disability and she noted the fitness for duty evaluations occurred before termination.
Chair Athol inquired, now that the application is changed, if there was anything else that
is required differently. Attorney Jensen explained it is not a different procedure. The
only different requirement for non - service incurred is on Exhibit C.9. Effective October
1, 2000, anyone with 10 years of service who receives a non - service injury, illness,
disease or disability that totally and permanently disables them to the extent of the
opinion of the Board of Trustees, that he or she is wholly prevented from rendering
useful and efficient service as a police officer, shall receive from the fund, in equal
monthly installments, an amount equal to 3.5% of his or her average final
compensation.
3
Meeting Minutes
Police Pension Board
Boynton Beach, Florida October 10, 2016
Attorney Jensen explained it has to be at least 25% of the Average Final Compensation
and shall not exceed 60 %. The disability has to have existed for three months. She
explained the same exclusions apply and all of the other provisions of the Ordinance
apply, except for the requirement that they apply for Workers Comp and Social Security
which applies to service related disability. Chair Athol asked if there was any further
documentation needed they have not received. Attorney Jensen responded they need a
statement from the applicant that he is converting his application to a non -duty disability
benefit. Chair Athol asked, in regard to physical exams, if there was anything to
segregate post termination and pre - termination treatment as it pertained to the
disability. Attorney Jensen explained they can contact the doctor for a follow -up.
Attorney Kelley agreed, noting two physicians had treated him before termination. He
further clarified Mr. Kellman was withdrawing any claim of any condition that was not
diagnosed during the pendency of his employment and that was why they were
changing the application to a non - service connected disability. Attorney Jensen
explained the application is basically the same. The only question not asked on the
non -duty related disability is the proof that it is job - related. She favored approaching the
physician as a result of the change in the application process.
Mr. Llopis inquired about the diagnosis. Attorney Kelley reviewed the documents
pointing out the information. Follow up questions were about diagnosis and claim of
injury disease or conditions with a comparison and contrast of the doctor's narrative, an
answer to question eight, the last page of the Functional Capacity Examination. Why a
suggestion as to the condition occurring after termination of employment was
questionable.
Attorney Kelley noted case law indicates a Pension Board has to find a total disability
and then questions turn to permanency. He thought if the City terminated him as not fit
for duty, the Board is bound by that determination. The only question is if there is
treatment so he could return to duty and he thought the doctors had answered that.
Attorney Jensen thought the follow up questions could inquire about other types of
disabilities. Attorney Kelley commented the treating physician had addressed that
question and thought there was redundancy. The outstanding question is if it is service
or non - service connected. Mr. Llopis explained they have to cover their bases to make
a decision. Attorney Kelley agreed, but thought there was sufficient information from
the City regarding the basis of the termination and sufficient information from the
doctors why he was unfit for duty and supporting evidence. He thought it was clear
what happened and why it was there. Mr. Llopis wanted to wait for the doctor's
information and wanted Attorney Jensen to follow up. Attorney Jensen agreed to
request a narrative letter.
Mr. Kellman offered to hand carry the questions to the doctor, but learned hand carrying
the letter was not a procedure they used in the past. The Board has to conduct due
diligence. Chair Athol thought the questions were a minor request and pointed out they
would call a special meeting in an effort to expedite the matter.
4
Meeting Minutes
Police Pension Board
B oynton Beach Florida O ct o ber 10, 2 016
ATTORNEY'S 6. T
7. PLAN ADMINISTRATOR'S
a. Audit- Update
DISCUSSION S. OPEN
Mr. Llopis commented during contract negotiations, the City opened up discussions
regarding Senate Bill 172 pertaining to the 185 money, which passed into law 2015 -39.
He spoke with Attorney Jensen and Julie Oldbury, Director, Human Resources,
regarding the funds and after discussion they came to an understanding for 2017. The
City is not going to collect any funds from 185, and in 2018 and 2019, the City would
receive $30K per year. For the three -year contract, the City would receive $60,000.
There was some discussion about the Bill, mostly the creation of a new benefit. Attorney
Jensen sent a letter to Sarah Carr, Division of Retirement in Tallahassee seeking a
determination if the plan is a Supplemental Plan and has not received a response. Mr.
Llopis advised he alerted the City to the letter. Attorney Jensen explained she was led
to believe it is a Supplemental Plan, but needed written confirmation.
Mr. DeGiulio noted the City is changing vesting from 5 to 10 years in the contract. Chair
Athol understood the discussion was it pertained to people hired after a certain date or
taking effect on a certain date. It would not affect current workers. Chair Athol explained
he will see the language when they tentatively agree to the contract. Mr. Dorn
explained this is contained in other plans and Boynton Beach was one of the few plans
with five year vesting. Other plans had moved from eight to ten years. Chair Athol
thought there would be a reopener in 2018/2019 in the last year of contract.
Mr. Llopis explained the Union received the last contract at their meeting last week and
a meeting with the members was scheduled for October 12, 2016. The 185 funds will
be filtered back to the fund to pay down only the unfunded liability. The rest of the
funds will still be used to fund the existing benefit and distributed as is currently
distributed.
Mr. Dorn explained the Board had approved an item to give to Ms. LaDue upon her
retirement. He spoke to two people who were having a holiday dinner and they would
like to present it to her there, but Ms. LaDue was not going. Tom Dettman, the Chief in
Sebring and others would go to her house and present it to her. There would also be an
expense to get a nice badge and have all sign it. He will obtain it, have it signed by the
members and give it to the Chairman to present. He thought presenting it to her at a
later time would be better.
Mr. Dorn explained there has been a slow down with issuing the Deferred Retirement
Option Plan (DROP) statements and calculations. Previously they worked with the
Pension Resource Center regarding other plans, but the problem was every time they
5
Meeting Minutes i
Police Pension Board
Boynton Beach, Florida October 10, 2016
get an update, the software froze the line of code and they get a new code. The issue
is linking all together to get a history. It stops at a certain point and he has to reconnect
to other points. He has been working on this for two months and hoped to distribute it
today to DROP participants.
Mr. Dorn also explained State Street has many cutoff times. With other plans Mr. Dorn
handles, if there are no changes, they do not have to approve anything. This system
requires approval within a set time frame and then it locks him out and he cannot issue
a DROP or emergency check. Chair Athol noted the Board pays for State Street to
issue checks. He questioned what the payment per transaction fee was from State
Street as opposed to other vendors. When something changes at State Street, it is
difficult.
The process is there is an Order for the Board to pay a certain amount of money to an
ex- spouse. The check is divided up and sent to Tallahassee to a distribution center
designed to distribute support checks. Last year, the Board went through this issue
three times and a hard check was sent to Ms. LaDue. She sent the check back and it
took two months to straighten it out. This year, there are two retirees with the same
situation. Mr. Dorn explained State Street is looking into the matter and did not know if
they are set up to handle what needs to be done for a retirement aspect. State Street
charges just under $2 to write a check. Attorney Jensen inquired if SunTrust could
issue the checks. It was noted Ms. LaDue used to write a lot of checks to the vendor. It
was just a matter of transferring the money over.
Attorney Jensen thought the actuary or auditor can help the Board determine a cash
flow. The Board is allowed to keep money that is not productive in the checking account
as it is operational and thought even Burgess Chambers could promulgate the best way
to do so. Operationally, the Board is spending a lot of time and energy on State Street.
The Board does not have a choice but to have them as custodian, but the Board has a
choice regarding who writes the check. As long as they had a RD account at State
Street, the money can be transferred to another vehicle which would allow the Board
the opportunity to write the check. Mr. Dorn explained the Board needs a processing
center and he would see if SunTrust has one. Once a system is set up, the only contact
he has with them is once a year for benefit changes or deposits taken out for DROP
distributions. A retiree asked for funds and it took 15 days. Mr. Dorn commented when
a payment is cancelled, it stops there, but during the last three days of the month, once
it is in the system, they cannot stop it with State Street. Other systems are not like that
and there should not be a drop in service. The service provided for retirees is not up to
the standards with other plans and Ms. LaDue had issues with them. It was noted most
banks charge just under $5 a check; State Street charges just under $2, but the service
provided was lacking.
Attorney Jensen commented SunTrust acts as custodian for several of her clients.
Rather than using State Street as the payor, the Board uses them as custodian for the
assets and transfers a bulk amount of money out to establish something elsewhere.
6
Meeting Minutes
Police Pension Board
B oynton Beach Florida October 10, 2016
She was cautious transferring the custodian to Fiduciary Trust would result in
unnecessary costs because they perform other services the Board would not use. Mr.
Dorn agreed to look into it for the next meeting. She thought SunTrust should have
some way to make these payments. There is $3,900 in the account and there is no
charge to keep the checking account open with a $2,500 minimum.
9. ADJOURNMENT
There being no further business to discuss, the meeting was adjourned at 12:19 p.m.
10. NEXT MEETING : November 16, 2016 at 10 A.M.
Catherine Chery
Minutes Specialist.
7
i ,
4r _
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.:
_... - NU - MBER: ---- - - 0 &6
For Payment from the City of Boynton Beach Police Officers' Pension Fund Pursuant to
§18 -167 of the City Of Boynton Beach Ordinance.
TO: Russell Investments
You are hereby authorized by the Board of Trustees of the City of Boynton Beach Police
Officers' Pension Fund to pay the amount(s) listed below for services rendered to the
Board of Trustees and /or pay the person /entity named below, hereby certified by the
Board of Trustees.
PENSION BENEFITS, SERVICES RENDERED OR OBLIGATION
NAME: AMOUNT
Burgess Chambers & Associates $6,250.00
315 E. Robinson Street, Suite 690
Orlando, FL 32801
i
Re: This Warrant is for monitor fees for the 4th quarter of 2016. Invoice is attached and
the invoice number is 16 -362.
r & Requested by: Warrant Date: 12/02/16
Rob t orn, Plan Administrator
AP OVED BY:
Chairman of the Board or Designee Trustee Secretary of the Board or Designee Trustee
Date Transmitted: W - 0\ - 1 Transmitted By: ,s Mode Transmitted: E-Mail V
Fax: US Mail
. Date Entered into System: Entered By:
Zw
n BURGESS CHAMBERS A ASSOCIATES INC. ■
INVESTMENT ADVISO r
R,
r M V NO
F .t S.E.C. REGISTERED �� ��`,� ' Ta. -. ;: ss �k
"
315 E. Robinson Street, Suite 690 Date Invoice #
Orlando, Florida 32801
12/112016 16.362
j
Bill To
Boynton Beach Police Officers Pension
C/o Precision Pension Administration, Inc
2100 N Florida Mango Rd
West Palm Beach, florida 33409
I
Description Amount
Fourth Quarter 2016 Investment and Performance Monitoring and Advisory Fee per Contract 6,250.00
i
I
I
i
Total $6,250.00
Phone # Fax #
4078021200 (407) 644 -0694
ARRAWI -
■ f ARRANT NUI - ----
I
For Payment from the City of Boynton Beach Police Officers' Pension Fund Pursuant to
§18 -167 of the City Of Boynton Beach Ordinance.
TO: Russell Investments
You are hereby authorized by the Board of Trustees of the City of Boynton Beach Police
Officers' Pension Fund to pay the amount(s) listed below for services rendered to the
Board of Trustees and /or pay the person /entity named below, hereby certified by the
Board of Trustees.
PENSION BENEFITS, SERVICES RENDERED OR OBLIGATION
NAME: AMOUNT
Klausner, Kaufman, Jensen & Levinson $3,308.89
7o8o NW 4* Street
Plantation, Florida 33317
Re: This Warrant is for legal fees rendered through 9/3o/16. Invoice number 18864
pared & Requested by: Warrant Date: 12/15/16
obe Dorn Plan Administrator
BY:
Chairman of the Board or Designee Trustee Secretary of the Board or Designee Trustee
I
Date Transmitted: -)L- V 1 Transmitted By: , Mode Transmitted: E- Mail_
Fax: US Mail
Date Entered into System: Entered By:
1
usner, Kaufman, r `en & vine
A Partnership of Professional'Associa" one
_ Attorneys At Law
7080 N.W. 4th Street -...
- Plantation, Florida 33317
Tel. (954) 916 -1202 www.tsobertdklausner coin
Fax (954) 916.1232 Tax LD.: 454083636
I
BOYNTON BEACH POLICE OFFICERS' PENSION FUND September 30, 2016
Attn: C/O PRECISION PENSION ADMINISTRATION, Bill # 18854
INC.
2100 NORTH FLORIDA MANGO ROAD
WEST PALM BEACH, FL 33409
For Legal Services Rendered Through 09/30/16
CLIENT: BOYNTON BEACH POLICE OFFICERS' PENSION FUND : BBPOL" BSJ
MATTER: BOYNTON BEACH POLICE OFFICERS' PENSION FUND :150046
Professional Fees
Date Attorney Description Hours Amount
08/31/16 BSJ REVIEW EMAILAND REVISED 0.30 67.50
ADDENDUM TO THE RUSSELL
CONTRACT; EMAIL TO JACKIE PEDRAZA
08/31/16 BSJ REVIEW EMAIL REGARDING DATE OF 0.20 45.00
KELLMAN INFORMAL HEARING; EMAIL
TO PAUL KELLEY REGARDING
J CONFIRMATION OF DATE AND
PROVIDE NOTICE AND AGENDA
09/01/16 BSJ REVIEW EMAIL FROM JACKIE 0.10 22.50
i PEDRAZAAT RUSSELLATTACHING
REVISED AMENDMENT; EMAIL TO BOB
DORN TO CHECK THE FEES
09/01/16 BSJ FOLLOW UP REGARDING RECORDS 0.20 45.00
FOR DAVIS AND SETTING OF IME
09/05/16 BSJ TELEPHONE CALL WITH TOBY ATHOL 0.30 67.50
REGARDING MUTUAL CONSENT
09/07/16 BSJ TELEPHONE CALL WITH RON DAVIS 0.10 22.50
09/09/16 BSJ REVIEW EMAILS REGARDING 0.30 67.50
- - -- --- KEL-L-MAN- INFORMAL - HEARING;- - - - - --
TELEPHONE CALL WITH BOB DORN
09/15/16 BSJ PREPARATION OF MEDICAL RECORDS 0.60 135.00
FOR DR. JEFFREY WORTH M.D.
REVIEW FOR IME APPOINTMENTON
RONALD DAMS.
Continued
Client: OQYNTON BEACH POLICE OFFICERS' PENSION FUND_ _ ,September 30, 2018 -
3 BOYNTON BEACH SCE p CERS' P Page 2 —
Professional Fees Con
Date ;. Attorney Description - Hours Amount
DAFT C ORRESPONDENCff - TO - DR: - 0.50 112.50
JEFFREY WORTH M.D. FOR IME - - ----------
APPOINTMENT WITH MEDICAL FORM
FOR DISABILITY.
09/28116 BSJ TELEPHONE CALL WITH TOBYATHOL 0.20 45.00
09/28/16 BSJ TELEPHONE CALL WITH TOBYATHOL 0.30 67.50
REGARDING SUPPLEMENTAL BENEFIT
09129/16 BSJ TELEPHONE CALL WITH JASON LLOPIS 0.70 157.50
REGARDING MUTUAL CONSENT;
REVIEW LETTER TO STATE
REGARDING SUPPLEMENTAL BENEFIT,
TELEPHONE CALL WITH SARAH CARR
09/29/16 BSJ REVIEW PROPOSED CBA LANGUAGE; 2.00 450.00
DRAFT STATUS QUO LANGUAGE FOR
j MONTHLY SUPPLEMENTAL BENEFIT;
REVIEW CURRENT PLAN; EMAIL TO
JASON LLOPIS
Total for Services 5.80 $1,305.00
i
Costs
Date Description Amount
09/14/16 MISCELLANEOUS [ME FEE TO JEFFREY WORTH, M.D. 1 1 600.00
RE DAVIS
09/16/16 FEDEX TO DR. JEFFREY WORTH RE DAVIS 27.64
PHOTOCOPIES thru 09/30/16 376.25
Total Costs 400389
CURRENT BILL TOTAL AMOUNT DUE . $ 3,308.89
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j For Payment from the City of Boynton Beach Police Officers' Pension Fund Pursuant to
§18 -167 of the City Of Boynton Beach Ordinance.
TO: Russell Investments
You are hereby authorized by the Board of Trustees of the City of Boynton Beach Police
Officers' Pension Fund to pay the amount(s) listed below for services rendered to the
Board of Trustees and /or pay the person /entity named below, hereby certified by the
Board of Trustees.
PENSION BENEFITS, SERVICES RENDERED OR OBLIGATION
NAME: AMOUNT
Klausner, Kaufman, Jensen & Levinson $3,805.05
7080 NW 4th Street
Plantation, Florida 33317
i
Re: This Warrant is for legal fees rendered through 10/31/16. Invoice number 19005
Z d ZRequested by: Warrant Date: 12/15/16
Robe orn, Plan Administrator
I �
{ AP OVED BY:
Chairman of the Board or Designee Trustee Secretary of the Board or Designee Trustee
Date Transmitted: la ' iS-1 , Transmitted By: s Mode Transmitted: E -Mail V
Fax: US Mail
Date Entered into System: Entered By:
I _
L
Mausner, Kai e X a. _ on
AP = _
Attorneys AtT.aw
10$6 N.W 4di ct
Plantation, Florida 33317
Tel. (954) 916 -12x2 www.robexWklausnercom -----
Fax (954) 9I6 -1232 Tax I.D.: 45- 4083636
BOYNTON BEACH POLICE OFFICERS' PENSION FUND October 31, 2016
Attn: C/O PRECISION PENSION ADMINISTRATION, BIII # 19005
INC.
2100 NORTH FLORIDA MANGO ROAD
WEST PALM BEACH, FL 33409
For Legal Services Rendered Through 10/31/16
CLIENT: BOYNTON BEACH POLICE OFFICERS' PENSION FUND : BBPOLBSJ
MATTER: BOYNTON BEACH POLICE OFFICERS' PENSION FUND :150046
Professional Fees
Date Attorney Description Hours Amount
10109/16 BSJ REVIEW KELLMAN FILE IN 1.00 225.00
PREPARATION FOR INFORMAL
HEARING
10/11116 BSJ REVIEW IME REPORT; DISCUSSION 1.00 225.00
WITH PAUL KELLEY; REVIEW PAUL
KELLEY PACKET OF INFORMATION
10/11/16 BSJ ATTEND MEETING 1.50 337.50
10/11/16 BSJ DISCUSS MEETING TO DOS WITH BOB 0.50 112.50
DORN
10/11/16 BSJ TELEPHONE CALL WITH JASON 0.50 112.50
LLOPIS; RESEARCH PRIOR REQUESTS
FOR DOCUMENTS SENT
10112/16 BSJ EMAIL TO TOBY ATHOL AND JASON 0.10 0.00
LLOPIS STATUS OF DAVIS CASE
10/12/15 BSJ TELEPHONE CALL WITH TOBY ATHOL 0.20 45.00
10/12/16 BSJ REVIEW KELLMAN FILE; DRAFT 2.30 517.50
LETTERS TO DR. KURLANDER, DR.
STOCK, AND DR. BRANNON; EMAIL TO
JULIE OLDBURY REGARDING
REASONS FOR TERMINATION OF
KELLMAN
10/13/16 BSJ DRAFT AFFIDAVIT FOR ROBERT 1.00 225.00
KELLMAN TO CHANGE DUTY
DISABILITY TO NONDUTY DISABILITY;
EMAIL TO PAUL KELL
Continued .. .
Chant BOYNTON BEACH. POLICE OFFICERS PENSION FUND October 31, 2016
r 150046 - BO YVT N DEACH POLIC FFI ERS' PENSION Page 2
' Professional Fees ontinued... m
Date Attorney Description Hours Amount -
BSS REVIEW E11�i�iL -JASON LLOPIS; 1.00 -225A0
REVISE LANGU D TO
-- --
I QUESTIONS
10/13/16 AKP REVIEW OF CREDIT CARD POLICY 0.30 67.50
j 10/13116 BSJ REVIEW AND REVISE CREDIT CARD 0.10 22.50
j POLICY
10/14/16 AKP CORRESPONDENCE TO BOB DORN - 0.10 22.50
CREDIT CARD POLICY
10/14/16 BSJ TELEPHONE CALL WITH JASON LLOPIS 0.20 45.00
10/14/16 AKP DRAFTING OF BUYBACK CONTRACT 1.20 270.00
10/18116 AKP CORRESPONDENCE TO JULIE 0.50 112.50
j OLDBURY - KELLMAN MEDICAL
RECORDS
10118/16 BSJ FOLLOW UP ON KELLMAN MEDICAL 0.10 22.50
RECORDS FROM THE CITY
10!21116 BSJ REVIEW OF ADDITIONAL RECORDS 0.10 22.50
FROM DR. CAMPBELL REGARDING
RECENT SURGERY ON RONALD DAVIS.
10121/16 BSJ REVIEW OF CORRESPONDENCE 0.10 22.50
REGARDING PROPOSED SETTLEMENT
DOCUMENTS.
10/21/16 BSJ TELEPHONE CALL WITH TOBY ATHOL 0.10 22.50
REGARDING ROLLOVERS
10/24/16 BSJ REVIEW MEDICAL RECORDS FROM 0.70 157.50
JULIE OLDBURY ON KELLMAN
10/24/16 BSJ REVIEW AND RESPOND TO EMAIL 1.00 225.00
` FROM TOBY ATHOL REGARDING
BUYBACK; REVIEW PENSION PLAN
AND STATE LAW
10/25/16 BSJ REVIEW FILES AND EMAIL TO BOB 0.50 112.50
DORN REGARDING CRAIG HANNING
10/27/16 BSJ TEXTS WITH TOBY ATHOCREGARDING 0.40 90.00
STATUS OF DAVIS AND KELLMAN;
FOLLOW UP ON STATUS
10/27/16 BSJ TELEPHONE CALL WITH TOBY ATHOL 0.10 0.00
REGARDING MILEAGE
REIMBURSEMENT RATE
10/29/16 BSJ REVIEW AND RESPOND TO EMAILS 0.30 67.50
FROM BARBARA KELLEY REGARDING
KELLMAN
10131116 BSJ REVIEW EMAIL FROM JULIE OLDBURY 0.40 90.00
AND ATTACHED COLLECTIVE
BARGAINING AGREEMENTS (3); EMAIL
TO BOB DORN
Total for Services 95.30 $3,397.50
Continued . , .
x
.Client: PENSION BOYNTO[�LBEACH POLICE OFFICl$' FUND October 31; 2016
.. , Matter. 160134611W.- FICERS' PENSION Page 3
_.. Date De scription - Amain
' 09/30/16 FEDEX TO KELLEY LAW GROUP RE K LLMAN x'830
i PHOTOCOPIES thru 10/31116 388,25
Total Costs $447.65
CURRENT BILL TOTAL AMOUNT DUE C f3,80 � 6-06
Past Due Balance 3,308.89
AMOUNT DUE
$7,113.94
I
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I
VARRAN lgmw
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For Payment from the City of Boynton Beach Police Officers' Pension Fund Pursuant to
§18 -167 of the City Of Boynton Beach Ordinance.
TO: Russell Investments
You are hereby authorized by the Board of Trustees of the City of Boynton Beach Police
Officers' Pension Fund to pay the amount(s) listed below for services rendered to the
Board of Trustees and /or pay the person /entity named below, hereby certified by the
Board of Trustees.
PENSION BENEFITS, SERVICES RENDERED OR OBLIGATION
NAME: AMOUNT
Klausner, Kaufman, Jensen & Levinson $4,605.00
708o NW 4th Street
Plantation, Florida 333
Re: This Warrant is for legal fees rendered through 11/30/16. Invoice number 19168
SD0 rn , ed Requested by: Warrant Date: 12/15/16
Plan Administrator
VED BY:
Chairman of the Board or Designee Trustee Secretary of the Board or Designee Trustee
i
Date Transmitted: 1 1 " (G Transmitted By: -'V3 Mode Transmitted: E-Mail
Fax: US Mail
Date Entered into System: Entered By:
,
i rn en & Levixiso� -
I Us
M "p,
..' up '
SSOClatl0l13
A
�. -�teSB
` tonal A .,�
ttonneys At Law _
''7a$O N.. V. 4th Street
Piantatio% Florida 33317 -
TeL (9S4) 916 -1202 �n .... i Usaiercom
Fax (954) 916 -1232 Tax 1•D.: 45- 4083636
I
BOYNTON BEACH POLICE OFFICERS' PENSION FUND November 30, 2016
Attn: CIO PRECISION PENSION ADMINISTRATION, Bill # 19168
INC.
2100 NORTH FLORIDA MANGO ROAD
WEST PALM BEACH, FL 33409
For Legal Services Rendered Through 11/30/16
CLIENT. BOYNTON BEACH POLICE OFFICERS' PENSION FUND : BBPOLBSJ
MATTER. BOYNTON BEACH POLICE OFFICERS' PENSION FUND :150046
Professional Fees
Date Attorney Description Hours Amount
11/02116 BSJ REVIEW RECORDS FROM CITY OF 0.70 157.50
BOYNTON BEACH REGARDING
KELLMAN
11/02/16 BSJ FINALIZE FOLLOW UP LETTERS TO DR. 0.40 90.00
KURLANDER, DR. STOCK AND DR.
BRANNON WITH REPORTS
11/02/16 BSJ REVIEW DR. WORTH IME REPORT 0.50 112.50
11 /02/16 BSJ REVIEW OF CORRESPONDENCE FROM 0.10 22.50
DR, WORTH REGARDING RONALD
DAVIS
11/03/16 BSJ DRAFT BUYBACK AGREEMENT FOR 0.50 112.50
PRIOR POLICE SERVICE
11/04/16 BSJ TELEPHONE CALL WITH BOB DORN 0.20 45.00
11/04116 BSJ DRAFT CONTRACT FOR THE 1.00 225.00
PURCHASE OF PRIOR SERVICE;
REVIEW PLAN; EMAIL TO BOB DORN
11/04/16 BSJ REVIEW DR. KURLANDER LETTER AND 0.20 45.00
INVOICE
11/08/16 BSJ REVIEW DRAFT PROPOSED 0.70 157.50
CONTRACT; TELEPHONE CALL WITH
PETE STRONG; REVIEW AND
RESPOND TO EMAIL FROM PETE
STRING REGARDING CONTRACT
11/09/16 BSJ PREPARATION OF MEETING 0.20 45.00
MATERIALS FOR UPCOMING MEETING.
Continued ...
Js
Client -- BOYNTON BEACH POLICE OFFICERS' PENSION FUND November 30, 20 -16,' ..;
Matter. H POLICE OFFICERS' P Page: x
Professlonal Fees Continued...
R •sy
Date Attorney► - Descriptlon Hours Amount
� a /10/1$ SST
-- ~— REVIEW AN D RESPOND TO EMAIL- 4 :00
FROM BARBARA KELLEY; R
1 ATTACHED REPORT FROM DR.
LAPOINTE
11/10116 BSJ TELEPHONE CONFERENCE WITH DR. 0.30 67.50
STOCK; REVIEW EMAIL FROM DR.
STOCK; FORWARD EMAIL TO BOB
DORN AND BARBARA KELLEY
11113116 BSJ REVIEW FINAL CONTRACT DRAFT 0.50 112.50
WITH GRS; EMAIL AGREEMENT TO
BOB DORN
11115/16 BSJ REVIEW PENSION PLAN DOCUMENT 0.30 67.50
FOR 415 PROVISIONS; EMAIL TO BOB
DORN
11/15116 BSJ REVIEW REPORT FROM DR. 0.50 112.50
KURLANDER REGARDING KELLMAN;
FORWARD TO ADMINISTRATOR AND
PAUL KELLEY
11115/16 BSJ REVIEW LETTER FROM DR. 0.40 90.00
KURLANDER AND FORWARD TO
ADMINISTRATOR WITH COPY TO
ATTORNEY FOR KELLMAN
11/15/16 BSJ DRAFTAMENDMENTTO PLAN FOR 2,00 450.00
RE- EMPLOYMENTAFTER RETIREMENT
AND NORMAL RETIREMENT AGE;
DRAFT MUTUAL CONSENT
AMENDMENT
11/15/16 BSJ REVIEW AGENDA, BACKUP AND 0.50 112.50
OTHER MEETING MATERIALS
11116116. AKP REVISIONS TO BUY BACK CONTRACT 0.20 45.00
11/16/16 AKP CORRESPONDENCE TO BOB DORN - 0.10 22.50
BUY BACK CONTRACT
11/16/16 BSJ ATTEND MEETING 2.50 562.50
11/18/16 BSJ TELEPHONE CALL WITH DR. 0.50 112.50
BRANNON; REVIEW IME REPORT WITH
HIGHLIGHTED INFORMATION; EMAIL
TO TRUSTEES; EMAIL TO PAUL KELLEY
1'1/21116 BSJ REVIEW OF CORRESPONDENCE FROM 0.20 45.00
DOCTOR JOHN LAPOINTE WITH
UPDATED RECORDS ON ROBERT
KELLMAN.
11/22/16 BSJ TELEPHONE CALL WITH TAX 0.30 67.50
ATTORNEY REGARDING TRANSFERS
OF ACCUMULATED LEAVE AND
ROLLOVERS
11/23116 BSJ PREPARATION OF MEETING 0.30 67.50
MATERIALS FOR UPCOMING MEETING.
Continued
Client: BOYNTON °BEACH POLICE OFFICERS' PENSION FUND.. November 30, 2016
MteG 5004 = = BEACH POLICE OFFIG, N - e 3
r� p
a & r ..man #? ,
rs�
Professlonal Fees Continued... = _.:..._. _._ '
4 .
Date Attorney Description lHours Amount
- _...
— - - EAAAfL DR. L APOI NT E REGARDING - 67 .50
REQUEST FOR MEDICAL RECORD ......... ... --
11129/16 BSJ REVIEW DAVIS MEDICAL RECORDS; 1.50 337.50
PREPARE FOR MEETING
11/30/16 BSJ REVIEW AND REVISE MUTUAL 1.00 225.00
CONSENT AND REHIRE AFTER
i RETIREMENT/NORMAL RETIREMENT
AGE AMENDMENT; EMAIL TO LORI
LAVERRIERE
11/30/16 BSJ ATTEND MEETING; DISCUSSION WITH 1.70 382.50
ADMINISTRATOR
Total for Services 17.80 $4,005.00
Costs
Date Description Amount
11/07/16 MISCELLANEOUS REVIEW OF RECORDS & 500.00
RESPONSE - DR. KURLANDER FEE RE KELLMAN
Total Costs $500.00
CURRENT BILL TOTAL AMOUNT DUE $ 4,605.00
Past Due Balance 7,113.94
AMOUNTDUE $11,618.94
i
WARRANT
WARRANT NUMBER: 060
For Payment from the City of Boynton Beach Police Officers' Pension Fund Pursuant to
§18 -167 of the City Of Boynton Beach Ordinance.
TO: Russell Investments
You are hereby authorized by the Board of Trustees of the City of Boynton Beach Police
Officers' Pension Fund to pay the amount(s) listed below for ser%4ces rendered to the
Board of Trustees and /or pay the person /entity named below, hereby certified by the
Board of Trustees.
PENSION BENEFITS, SERVICES RENDERED OR OBLIGATION
NAME:
Daniel Griswold $15,000.00
Re: This Warrant is for Daniel Griswold for a one -time partial DROP disbursement of
$15,000.00. Mr. Griswold requested 20% tax on his gross total prior to disbursement so
he would have a net DROP disbursement of $12,000.00. Mr. Griswold has completed all
his necessary disbursement forms. As of 12/1/2016, Mr. Griswold had $396,528.10 in
his DROP account.
ared & Requested by: Warrant Date: 01 -12 -2017
L N
oh rt rn, Plan Administrator
OVED BY:
Chairman of the Board or Designee Trustee Secretary of the Board or Designee Trustee
Date Transmitted: Transmitted Bv: Mode Transmitted; E -Mail
Fax: US Mail
Date Entered into System: __ ,_ Entered By:
City of Boynton Beach Police Officers' Pension Fund
RE TURN OF CONTRIBUTIONS — ELECTION OF BENEFITS –
A. ABOUT YOU (Please Print)
Last name
Having received an estimate of my benefit under the City of Boynton Beach Police Officers' Pension Fund I elect to have
my 4ccount paid to me as follows:
1. Lump -Sum Payment $ r � r'�� My balance will be reduced by the amount I have chosen
to withdraw and a 20 tax withholding will apply. Other penalties in accordance to the Pension Protection Act 2006 may apply.
2. Total Rollover to a Qualified Plan $
3. Partial Lump -Sum $ My balance will be reduced by the amount I have chosen to
withdraw and a 20•/o tax withholding will apply. Other penalties in accordance to the Pension Protection Act 2006 may apply.
4. Partial Rollover to a Qualified Plan $
5. Monthly Re- Occurring DROP disbursement in the amount of $ Each month this amount
will be disbursed to you along with your monthly benefit payment. This amount will continue until you send written notice to the
Plan Administrator to stop this disbursement.
C. WHEN BE NEFIT is PAID
I elect to have my benefit begin as soon as administratively practicable following the Board of Trustee's receipt of this form.
A BENEFICIARY INFORMATION
I hereby designate the person(s) shown on the Beneficiary Designation form as my beneficiary to receive any benefits
which may be payable after my death.
E . FEDERAL INCOME TAX WYfM OLDING
The Board of Trustees is required to withhold federal income taxes from your payments unless you specifically request
otherwise on the accompanying' Withholding Election form. The amount withheld depends on the option you select in
Section B, above, and your choices on the attached Withholding Election form. You musr complete the Withholding
Election form and return it to the Board of Trustees along with this form.
F. YOUR SIGNATURE
I have read and understand the summary of the Davie Police Officers' Deferred Retirement Option Plan and agree to be
bound by the terms of the plan. I understand that the elections I make on this form supersede any and all such elections I
may have mad prior to the date of my signature below.
tgnature ate
SOCIAL SECURITY NUMBER COLLECTION DISCLOSURE E STATEMENT
Your social security number is requested for purposes of determining eligibility for retirement benefits as a plan member, retiree or beneficiary; for
processing of retirement benefits; for verification of retirement benefits; for income reporting; or for other notice or disclosures related to retirement benefits.
Your social security number will be used solely for one or more of these purposes. The collection and use of your social security number is authorized by
Section 119.071(5)(a)(2xa)(II), Florida Statutes.
Page 1 oft
I HAVE RECEIVED AND READ THE PRECEDING 9-PAGE
SPECIAL TAX r
■
D ate:
Parfidparts signature
Print a ' ° ant's Name
Naft. Ref m is 1wt page (numbeied 10 of 10)
L' BWtDn Beach, FL 33426
I
H "W K Tax Notice p M U MMM N M lg SpECIAL TAX NO ).uupd
Page 10 of 10
Retirement Benefit Payment Services
State Income Tax Withholding Election
Participant Name: 1�`�' t- ,` °S � +-.�
;�
Part 1 — Legal Residence
X My legal residence is the same as the mailing address printed above.
❑ My legal residence is as follows:
Part 2 — State Income Withholding Election Information contained here is subject to change and should be
used in conjunction with the applicable state tax laws. This document will not substitute for the advice
of a tax advisor. For the most current state tax information, consult your tax advisor or your state
revenue department.
®. a ,
Alaska (AK) State income tax withholding is not required nor allowed. Please
Florida (FL) sign form and return.
Hawaii (HI)
Nevada (N1)
New Hampshire (NH)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Washington (WA)
Wyoming (WY)
Pennsylvania (PA) PA state tax withholding is not offered. Please sign form and
return.
Delaware (DE) State income tax withholding is mandatory if you elect to have
Iowa (IA) federal income tax withheld. If you do not want state income tax
Kansas (KS) withheld, you must elect to have no federal tax withheld on Federal
Maine (ME) Tax Form W-41P.
Massachusetts (MA)
Nebraska (NE) YOUR ELECTION.
Oklahoma (OK) ❑ 1 do not want state income tax withheld and I have
elected not to have Federal Tax withheld.
❑ DE, KS, OK, MA: I elect to have state tax withheld as
follows:
Marital status: ❑ Married ❑ Single
Allowances:
Additional Amount: $
❑ IA: I elect to have 5 % withheld. I would also like additional
withholding of: $ . (Additional withholding is
optional.)
❑ ME, NE: State withholding is based on your federal tax
election. Check this box to have state tax withheld.
Arkansas (AR) State income tax withholding is mandatory unless you specifically
California (CA) elect to no withholding.
!Georgia (GA)
North Carolina (NC) • AR: Residents cannot elect out of mandatory 5% state tax
Oregon (OR) withholding if an eligible rollover distribution is not rolled over.
Vermont (VT) This is for non - periodic (eligible rollover distribution) distributions
Virginia (VA) only.
a VA Residents can only elect no withholding if (a) the same
choice was made for federal purposes, (b) recipient is a
nonresident, (c) recipient expects to have no tax liability, or (d)
recipient's adjusted gross income is less that $7,000 if single,
$14,000 if married. Residents cannot elect out of mandatory 4 %
state tax withholding if an eligible rollover distribution is not rolled
over.
YOUR ELECTION.
❑ 1 do not want state income tax withheld.
❑ I elect to have state tax withheld as follows:
Marital status: ❑ Married ❑ Single
Allowances:
Additional Amount: $
Part 4 — Authorization
t, the undersigned, hereby car* that my legal residence in Part 1 is accurate and t authorize state taxes to be withheld as indicated on
this form. t understand the information ' presented on this form is for informational purposes only and is not intended as tax advice.
i
Signature: 'L Date: 1 r
�`
WARRANT
WARRANT NUMBER: o61
For Payment from the City of Boynton Beach Police Officers' Pension Fund Pursuant to
§18 -167 of the City Of Boynton Beach Ordinance.
TO: Russell Investments
You are hereby authorized by the Board of Trustees of the City of Boynton Beach Police
Officers' Pension Fund to pay the amount(s) listed below for services rendered to the
Board of Trustees and /or pay the person /entity named below, hereby certified by the
Board of Trustees.
PENSION BENEFITS, SERVICES RENDERED OR OBLIGATION
NAME: AMOUNT
Russell Investments $145,031.00
Re: This Warrant is to Russell Investments for investment services provided to the Fund
during the 4th quarter. The invoice number is 55019
F rl�d & Requested by: Warrant Date: 01 -17 -2017
rn, Pla Administrator
VED BY:
Chairman of the Board or Designee Trustee Secretary of the Board or Designee Trustee
Date Transmitted: i'1 7 f - 7 Transmitted By: u Mode Transmitted: E -Mail
Fax: US Mad
Date Entered into System: Entered By:
[Q Russell Investments Invoice
Invoice for Invoice Number Russell Client ID Billing Period Ending
City of Boynton Beach Police Retirement 54332 C04616001 09/30/2016
2100 N. Florida Mango Road
West Palm Beach Invoice Date Payment Terms Total Amount Due
FL, 33409 10113J2016 Net 30 Days $140,758.00
Mail to:
City of Boynton Beach Police Retirement Specify Remittance Information
2100 N. Florida Mango Road
West Palm Beach ❑ Payment by check
FL, 33409 Make check payable to: Russell Investments
Check Amount $
Inllnrllnlulllurlrinurlll Request payment b 1 t bit
Authorized Signer
See additional 1 o e.
Please return upper portion with your check or direct debit request A-% • A ftd;" iKS1 .4
- - - -- — ----------------------------------- - - - - -- ------------------- -- - - - - --
The following is a summary of your account(s). For more information, please review the enclosed detail.
Direct Debit per
Description of Service Fee Amount Standing Instructions or Amount Due
Payments Received
Russell Investments
Investment Management Fees $ 140,758.00 $ 0.00 $140,758.00
Current Period Fees $140,758.00 $ 0.00 $140,758.00
Balance Forward 137,432.00 (137,432.00) 0.00
Total Amount Due $140,758.00
Invoice Number Invoice Date Russell Client ID Payment Terms BIIHng Period Ending
54332 10/1312016 C04616001 Net 30 Days 09/30/2016
Curtenl Period Over 30 Days Over 60 Days Over 90 Days Total Amount Due
$ 140 758.00 $ 0.04 $ 0.00 $ 0.00 $140758.00
Invoice for. City of Boynton Beach Police Retirement
2100 N. Florida Mango Road
West Palm Beach
FL, 33409
(See reverse side for additional information)
Invoice
Invoice Number. 54332
Billing Period Ending: 09/30/2016
Russell Investments - FEE DETAIL
Investment Management Fees
City of Boynton Beach Police
Retirement Fund
Boynton Beach Police Officers Retirement Trust Funds Investment Account
Account Number. QU7W
Fund Name Average Rate% Fee Amount
Market Value
Russell Multi -Asset Core Fund 33,125,121 0.23000 76,188.00
Russell Large Cap Defensive 22,060,691 0.16500 36,400.00
Equity Fund
Russell Multi- Manager Bond Fund 23,673,400 0.12250 29,000.00
Russell Real Estate Equity Fund 6,654,588 0.36250 24,123.00
Russell Short-Term Investment Fund 2,855 0.05500 2.00
Subtotal 85,516,655 $165,713.00
Russell Real Estate Equity Fund - Internal Fee
Paid (24,955.00)
Account Total $140,758.00
Total Investment Management Fees $140,758.00
Page 2
WARRANT
WARRANT NUMBER: o62
For Payment from the City of Boynton Beach Police Officers' Pension Fund Pursuant to
§18 -167 of the City Of Boynton Beach Ordinance.
TO: Russell Investments
You are hereby authorized by the Board of Trustees of the City of Boynton Beach Police
Officers' Pension Fund to pay the amount(s) listed below for services rendered to the
Board of Trustees and /or pay the person /entity named below, hereby certified by the
Board of Trustees.
PENSION BENEFITS, SERVICES RENDERED OR OBLIGATION
NAME: AMOUNT
SunTrust Bank $135.67
P.O.Box 791250
Baltimore, MD 21279 -1250
Re: This Warrant is for a credit card payment for the Plan's Account. There is a late
charge, and finance charge. The previous month's approval Warrant should have been
$2337.89 and the payment was $2,229.68. It was short by $1o8.21. Attached is the On-
Line balance -- There were no charges for the Month of December /2016
ared & Requested by: Warrant Date: 01 -19 -2017
Ro ert rn, Plan Administrator
A D BY:
Chairman of the Board or Designee Trustee Secretary of the Board or Designee Trustee
Date Transmitted: Transmitted By: Mode Transmitted: E- Mail,,,_,
Fax: US Mail
Date Entered into System: Entered By:
1119/2017 Accaatt Search
SUaWff
I
Administration
;Sign Out
Account Search ) Add Account Audit Report Change Password I Company Info
Search I View All
Account Number Cardholder Name Type Balance Credit Line Account Status
XXXX - XXXX -XXXX -8221 CONTROL ACCOUNT Control $135.67 $10,000 Open
XXXX - XXXX -XXXX -7578 ATHOL,TOBY Sub $0.00 $5,000 Open
XXXX - XXXX -XXXX -8302 CAUDELL,SCOTT Sub $0.00 $5,000 Open
XXXX - XXXX -XXXX -2173 LLOPIS,JASON P Sub $0.00 $5,000 Open
XXXX - XXXX -XXXX -2438 DEGIULIO,JOSEPH A Sub $0.00 $5,000 Open
XXXX- XXXX - XXXX - 4517 FAINE,RUSSELL Sub $0.00 $5,000 Open
XXXX- XXXX- XXXX4962 DORN,ROBERT Sub $0.00 $5,000 Open
Total Pages -1
htLpsJ/ suntrust .fdecs.comleCustSerAcs3lfecesbc tUmMeCS BackF_ nd/ commercialCard/ admirdstratiaJadminHomelcommercialCardAdminHome .xfdml 1/1
Vendor Payment Ru
To: Russell Investments Investm
Email: russelitrust @bostonfinancial.com
Fax; 855 - 886 -9869
Deadline: Market close one business day prior to wire date
Client Name City of Boynton Beach Police Retirement Fund
Vendor Name SunTrust Bank
Wire /Settle Date 01/23/2017 Vendor Tax ID TAX ID UNABLE TO OBTAIN
Vendor Address P.O. Box 791250
Baltimore, MD 21279 -1250
Wire Instructions:
Wire Payment Bank Name
City, State, Country
ABA #
Beneficiary Acct #
Account Name
For Further Credit
Check Mailing Instructions:
Q Check Payment Mailing Address SunTrust Bank
Q Include Invoice P.O. Box 791250
Q US Mail Baltimore, MD 21279 -1250
F1 Overnight Mail (Cannot mail to a PO Box.)
Check Text (30 character limit)
Account N Account Name Pian Transaction Amount Transaction Type Codes
Accountin d T e YP
QU7W Boynton Beach Police Officers Retirement Trust N/A 601 136,67 800 Actuarial Expense
801 Administrative Expense
802 Audit Expense
803 Consultant Expense
8D4 Director Expense
801 Legal Expense
809 PBGC Expense
810 Recordkeeping Expense
850 Reimbursement for
Expense
Total $ 1 35.67
Statement Text (30 character limit) C r e di t Card Expense
Authorized by �✓ / � n +
Authorized by (if eq)ir) Internal Use Only
ITRO30 (10115/12) ® SI ITR
VISA
04 SU1V mum Pepe 1 of 1
Your Business Credit Card Statement
BILLING CYCLE INFORMATION ACCOUNT SUMMARY
Previous Balance $2,337.99 Account Number XXXX XXXX XXXX 8221
Payments $2,229.60 Total Credit Limit $10,000.00
Credits $0.00 Available Credit $9,864.00
Purchases 9 Other Charges + $29.00 Avaftlo Cash :3,000.00
Cash Advances + $0.00 Amount Over Credit Unlit $0.00
FINANCE CHARGES + -$1.63 Amount Past Due $50.00
Now Balance $135.67 Days In Billing Cycle 31
CloabV Data 01111/2017 Minimum Payment Due $100.00
Payment Due Dale 02!0512017
Contact Intomutlon
Toll Free Outside U.S. (Call Collect) P.O. Box 4997
855 -574 -2423 407 - 762 -7102 Orlando, FL 32802 -4997
TOTAL *FINANCE CHARGE' PAID IN 2018 $12.44
YOUR ACCOUNT 18 CURRENTLY PAST DUE WE PRESUME
THIS WAS JUST AN OVERSIGHT. PLEASE CONTACT
CUSTOMER SERVICE AT 977.884 -0197 OPTION 3 FOR
ASSISTANCE IN RESOLVING THIS MATTER.
YOUR ACCOUNT 18 CURRENTLY ONE PAYMENT
BEHIND. IF YOU ARE LATE WITH YOUR
PAYMENT TWO TIMES IN A ROW, YOUR
STANDARD APR FOR PURCHASE AND CASH
WILL CHANGE TO THE PENALTY (DEFAULT)
APR, WHICH 18 23.99%.
TRANSACTIONS
Transa1 Amount
Date — Dare Relererce Rumber - -- Mei�lanthearrie or Transedw Cua3t CMuge
1246 12 -08 7422307PB010TGK10 PAYMENT • THANK YOU 2.229.66
12-06 12-08 'FINANCE CHARGE' PREV CYCLE PURCHASES 2.57
TOTAL XXXX)0=XXXX8221 62,232.26.
01 -11 01.11 " LATE CHARGE 28.00
01 -11 01.11 'FINANCE CHARGE' PURCHASES $0.94 CASH ADVANCE $0.00 0.94
Finance C e Avere9ge Dally Daily Periodic NAtVC C njg ANNUAL
Dotal Balance Rate m va C14ARG PER ENTAGERATE
Purchases 105.73 .02873% V 0.94 10.49%
Cash Advances 0.00 .05066% 1 V 0.00 18.49%
Combined Annual Percentage Rate for this Billing Cycle 0.00%
See reverse for additional Anlomallon.
6207 ZED 1 11 D 7 Papa 1 a1 1 4= 6500 VN69 MW 170111 OIAGM 037
VPL.EASE DETACH HERE AND RETURN BOTTOM PORTION WITH YOUR PAYMENT'/ '4qy
SUNSU11> MINIMUM PAYMENT ACCOUNT #
TRUST $100.00 XXXX XXXX XXXX 9221
CARDMEMBER SERVICES PAYMENT DUE DATE NEW BALANCE
PO BOX 305183 02 -05 2017 $135.67
NASHVILLE, TN 37230 -5183
AMOUNT ENCLOSED
Make check payable In
❑ Cho ge I Address? US. dollars b: $
Plrese da ox ds b and complete reverse skle SunTrust Bank
CONTROL ACCOUNT 837
BOYNTON BEACH CORP Nlot
2100 N FLORIDA MANGO RD
WEST PALM BEACH FL 33409 -6412
Erclose Us coupon v Alh your payment end mail im
111411 /hII "I'HlnHluh IrdlltlNllrrllrnhdallPlPulhllilp�Ir1111lunrullltu
SUNTRUST BANK
PO BOX 791250
BALTIMORE, MD 21279-1250
00013567 00010000 4223076510028221
r — —
MMIRTANT IN INOWATION
• lbu may pap all orparl d the New . Wn will
Balance at any the t Hmmm. you opal pair Mhhwm not rIpJ19y atdera a pry Otter
Paymer4 oath rnordh byme Psynreld Ibro bate. payment must n admd� prrrmera m fair (or other lenpisge to bdlwle lab
be made m us. Dobaro and be maven an� a ns US rd . eoup otWm. sat damn d Ore Ydebbdne A nrchpay.m Is losa Haan the tuo
® Pt6nrhents ro ax T N by oon 1ha I" 4P =roupon log m�no duo I signed by our a deoa .AN e
ra
® ceNed bdo 12A0 N ET, Ma Frld ael�oao
so
MM IhoAdays), d the ma®rp address as shoym on the horn woo hmrrhhnsntca6om regmdbg dhpuled chupaq badudbg ctwdw,
® be crembdto yourAoosunl as of the date of necelpt, ft wa accept money orders, or art' other owns sort as baymam In W of a
a Itapnwm reeeklel at mV other Whyllon, won no payrrerq coupon daputedatrhoct muse be sett to:
enclosed, or that doss not nonfarm to the prymerd Instructions
That payment maybe Weed 10 a day In credb it; of up SunTr sl Bards
r b days alter the date of tece>pl Paymerks bt5tled with a P.O. ON 2888
Customer WON repreoeMalke WIN be subject to the applicable Omaha, NE 66103
payment al on Ibnsa
® s - s Mrom9e Bane d your purcthaees In Case ol' sero w Oue�ns Abod Yom �
13WrOnhAedmmrn)aea =Gothic ernaeChadalend�lalloe
® belarce d your i urclneses or f Advances breach about a M& your bill IN hansiscum an �r bC, wFle us separate shoo at
® Phadmm or Cash Adumhmm (as of The Irwa adon dale), urpald the addtaw under Disputed Charon as soon as possible. We
Fllnrnce ChmOea other Cfnrgas and lees, and shhbfract PVmnerts must how from yw to later than 60 d" after we aaM you Ilw
r and cxedits. is glees ua tw daft' balance. Than. we add up afl the first bill on which the error or prabkrn appeared. You can daty bola mes brlhe =cycle (creml belanoee are ex and lelephom us, but doing so =not presam your rlgfde,
dMde the lintel by Iho mmr6er d days b One Be
D I s de cycle. e
es tl s Average ay' ktnce.•BlAlrg WW defined es the time In your Wier. gtve us the Ioflovtrg btormhdbrh:
Period born the closing date on your previous alinement sett the
dosingdate on this statement. . Your row and account nurnber
• The dobar amount of the error.
- Rrierce lot - Deeabe Ora loan and m�tl you can,
Putdwses and CashAdhrerhwa are r WmkAed sepa .. Fhwnee babeve twre N an error. you need more bon,
Chargestor Ptsclraees boon to aasua on tw karh "m dote and describe the item you are unwrae about.
m llgmed oy/ rMUPNY he applicable Daily Periodic Role by the
mga O An a Pwdnasee (bckrdrg Ghtrent herons) You do not have to pay any amount m gaesWn whoa we are
andtwrh dIt Oat anqurd by the number d days In Iles Wit; bxesllgattrg, bul you we SIM obligated to pay the pans d your but
cyder Rr ante for Cady Adwtaxs begin to moaue on the dial we not in question. White we hadlgate your oNeMWrh. wa
dote you oblah the Advance (or the transaction saction data elhotm on cannot report you m dallNuard err tali any action b hzlkct the
Yom mhudfdr didee"mid! for C Clocks ) and we lipredd amount you quodiom
Bolance� a (n( during tercet �Ym�cYs ardOon orre Win - 6Om Card Is used
maAplyi g tat sentient t by Ohs number d days m is bit qde and as trensa rte otwr thorn U.S. dean. the
adding the Tas h Advance Fear. The'Caelh Adverse Fee bean exchange mte between the bansadlon curveroy and to b®ng
additional FINANCE CHARGE osed a" v Pone you use an ATM, currency y used by Visa for proceeding such foreign transactions Is
the ems, or a Cwwerderhee Check Is obtain a CaenAdwAce. There either (a) a rate selected by Visa from the range of rates evdlable
Is a rrdht6ntim FINANCE CHARGE of 550. In wholesale can may mrarkele for vary rnn
the appl icable tra se
pmcassbV dale. which nde may vry
FOR CUSTOMER SERVICE INQUIRIES ORTO REPORit meek" or (b) the gwanomeal mandated rote in gifted fortes ON
LOST OR STOLEN CARDS CALL applicable ireroedion processing date. Increased by up to two
e55.5742423 OR 1 -407- 762 -7102 perm (3%). o a credit Is subsequently ghren for a transaction, It
will be decteawd by up to Iwo percent (3%). o the credo has a
dflerent Iraprocessing lon processing dine, Own tie axchange, mis of
One credit can be grederlWw than that of the otObul transaction.
The currency conversion role on the day before the Imnsaelbn
processing date may differ from the we in effect at the tlms of the
transaction or on the date the bemsecton Is posed on the
Account. The curaeded enhourd shelf be provided In US. dollam.
01A052W- 11 - 06r30113
#%I EME CHANGE MY BUSINESS'S ADDRESS ANDJOA PHONE NUMBER IN YOUR RECORDS TO:
STREET ADDRESS
STATE ZIP
SNSMESS PHONE ( )
E -MAIL
N YVU'ue MW 10 a RIPW eddmss, phone nusnbms or WIY6WII addrss , plants, attack the box In the upper Iut1
Varner of the fin at Intl% *Vaal mat to ensure pmW hmXNng.
I— SUNTRU VISA
Page 1 of 1
Your Business Credit Card Statement
BILLING CYCLE INFORMATION ACCOUNT SUMMARY
Previous Balance $2,229.66 Account Number XXXX XXXX XXxx 8221
Payments $500.00 Tolal Cram Umll $10,000.00
Credits $0.00 Available Credit $7,862.00
Purchases S. Other Charges + $586.33 Available Cash $3,000.00
Cash Advances + $0.00 Amount Over Credl UrnK $0.00
FINANCE CHARGES + $19.97 Amount Past Due $D.00
New Balance $2,337.98 Days In BOWng Cycle 30
Clostrtg Date 1211/2016 Minimmn Payment Due $50.00
Payment Due Dale 01/05/2017
Contact Information
Toll Free Outside U.S. (Call Collect) P.O. Box 4997
855.574- 2423 407- 762 -7102 Orlando, FL 32802 -4997
N
TRANSACTIONS
Trans Post
Date Dale Relwance Number Merchant Name or Transeclbn Description CreM Amo unt
11.18 11 -18 7422307NNOIC85YLD PAYMENT -THANK YOU 500.00
TOTAL XXXX $500.00-
11.16 11 -16 2476501NG2DYLTWZD FPPTA TALLAHASSEE FL 500.00
RUSSELL FAINE
TOTAL XXXXXXXXXXXX4517 $500.10
11 -18 11.20 24445MLOGDXOZOY LISPS P01130659278DAVIE FL _ 47.00
11 -26 11 -28 2444574NW2X9EFIWN OFFICE DEPOT #3254SUNRISEFl. 41.33
ROBERT DORN
TOTAL XXXXXXXKKX X4262 $8833
12.11 12.11 'FWANCE CHARGE' PURCHASES $19.97 CASH ADVANCE $0.00 19.87
Finance loge AvIp Dan Da Periodic FINANCE �apondin ANNUAL
Dolan Baranos Role may wary) CHARGE PERCENTA� RATE
Purchases 2,316.76 .02873% V 19.97 10.49%
Cash Advances 0.00 .05065% 1 V 0.00 18.A9%
Combined Annual Percentage Rate for title Bitting Cycle 10.49%
IMPORTANTNEWS
You may have rewards points that are going to expire at
midnight EST December 31, 2016. Donn mass ott.
Sign Into suntrustdmmlrewards to redeem today.
See reverse br adchMW Information.
5207 2w 1 11 7 Page I of 1 4552 6lxe VN66 at® 161211 OtAOSM $ 25
$PLEASE DETACH HERE AND RETURN BOTTOM PORTION WITH YOUR PAYMENT$
v SUZY l ltM MINIMUM PAYMENT ACCDUNTO
$50.00 XXXX XXXX XXXX 8221
CARD EMBER SERVICES PAYMENT DUE DATE NEW BALANCE
N TN 372W183 ` 01-05 -2017 $2,337.98
AMOUNT ENCLOSED
Make clapayable In
❑
C han g e of A
x U.S. dol lars tor:
Please check box end complete reverse skis SunTrust rusl B B ents $
CONTROL ACCOUNT 13 - 6 7 825
BOYNTON BEACH CORP mliz
2100 N FLORIDA MANGO RD
WEST PALM BEACH FL 33409 -6412
rytebae Oda coupon nldl your pttymem cunt mall to:
1111► Ilpplilrrlaprrr111rlpipPllnluirlldrPtll11 11 I Ir 1
SUNTRUST BANK
PO BOX 791250
BALTIMORE, MD 21279-1250
00233798 00005000 4223076510028221
IMPOKAW DMIRINaM
1bu may pay an or part of its New . IArs will
Haw" at any term. However. you trust pW tektnrruan rot erconsyo awamygerp�rne ems
Pa/ttettt each mordh by to Pgrnerd Due Dsm. Ferments must W*Amd In 1WP (ar ob�er m age to Nmctlold
6a made ion US. Dollars and the cormed bo drawn on a U.S, bpimuphoutlnoa numdlonof to ==) a such peymeM b leas titan the fun
recolived before 1200 Nit ET, n* =Oh Frpay and amount as�� c r diloar. An a
C bards MlichIM, at the me ft address as shown on the 1 wll tommuNalons disputed charges, Wising dean,
be «wiled to yea Acmunt as d the date d mo*t, n wo accept money ordee, or any otterttens seta ss'psi mard In W of a
a payee! recaved a curer location, with no Coupon od amoud met be send b:
enhdosad, a peat done not color, to the pyme aretrlmlone
provided. BW paytnerd may be to a dew In dadlUn® of up SunTnW Ban
b 5 days spar the date a ENUabd
Customer serrke representative will be N"W to the appnabte Omaha, NE 89103
C payment out of three
and Cash Achances @ Chec a Balance in Qeae a 6rara of OueaBps Al,eul View 9111
Tmmder Clbde) N calculated sepemlege Vfa No the bepttadrg n you think your Nn is wmr4L or d you need mom hAwmallon
balers of year Putdves or Cash Admums for each day, add now stout a aanmdlon on your Dill. sale us on a sepands steal at
C
purchases or Cash Advanas (as aMetnnsadbndale).urpold to address wider Disputed Charges, as soon aspossible. We
FmmCW dM Cho" o" and lees, and subtract Paynerdn met hear Irat you no Isla than 90 days slot we sod you 00 and Credls.THa pass usthe deny bwlerroa. Thwh we add up al fha Met bm on which the error a problam appeared. Vito can balances true cysts (Credlt balances we adu�dl ad telephone us, but doing m will riot nts t prese your rWO.
dblds the us the A �bythenu ddayslnthebift%do.Two
rape Daily Balante.'BMV Dyck' Is ddhW as the time In your boar. on us the following bdomelbn:
period frail the I np dale an your proatous statement urdl the
c" date an this statement. . libur nsme and amount number
to star.
wrrce C►atpes tar • Describe to sitar and 0you an, wty you
Purchases and Cash Achanrscare calculated separtlely. Finance belbva there k m
an error. you reed ac Won. I^
Charges for Purchases b moauo an tie trareadlmh date and describe the tan you are unsure about.
ere "Jud yy rMnplyl spplabta0a� P wrraerbdle Kato by to
Average �d1la PuadasasB d trermasdorte) You do net hale to pay any am ddk
asd In question w we are
endtwn doll the amount by the numbers des it la boo htip
wesei re ng, but you a 801 galpsted to pay the parts a your bill
CYda. F ru n= 1a Cash Adtaross boo b awsuson the that are not In question White we Irmollgale your queel m we
�a you obtabr the Adaarra (a Dm brwmdbn date shown on cannot report you as delnquaM or lake any action to cdlad the
yam ataemea br Canherdeua and sea 1prrproddyby amount you question.
muttplyb tCaasphpDowe D&IN PRG bole Boo fMby n used
Balance lor ion
rtandplysg oat amount by the m a dsysiin um b s Bn . gds and for transactions to a currency other then U.B. mount, to
tonal FINANCE R E Inposed One you se an ATM, see between r p transaction ch currency
forrelpnd to biting Inumactiors Is
tike Cad. ora C:onverde Chock to oW I s Camb Achancs. There ar(�a) a rae�=W=: from g oT evalkbie
Is a mlhamun FINANCE CHARGE a 850. in wholesale ar the y N trowadbn bell
FOR CUSTOMER SERVICE OMIRIES OR TO REPORT rreceivere� date. Vm govorn�memrnendntsd tae eff d br the
LOST OR STOLEN CARDS CALL api l treaedbn maeukl8y f data, Increased by kip to two
055.574.2423 OR 1407- 782.7102 percent (.99:). l w Credit N subsequently given for a bruea80m. h
nth be d= by IQ to Iwo Pens!, W,. 0 the aadn hm a
different hwedlor procsssing date. Man to miclrr" tae a
the aedll an be great rlema ton Beta the oigbW bareadbn.
The cu"arwy conversion rats on to day More the bamecdon
pmcesshg date mq Star Iwm the me In ~ at the urns of the
baaadlon or on the dale the tnrmadlon Is posted an to
Account. The corverled amount sMl be provided In U.S. dollar.
01AO6207. 11 - 0eld0r13
PLF.4 aE CHA14 NE MY BUSINE'SWS ADDRESS ANDIOR PHONE P I)MBER IN YOM MOMS TO.
STREETADDHIRSS
GlT Y STATE ZtP
BUSINESS PHONE { ;
"AL
N you've filled in a vtow eddiess, phone slumber or wf wh address, pieasa check the box of dw upper left
colder vA the fetes of this dMetr ant to ensure proper hauxlllsq,
e4g, SuAkU
Page 1 of 1
Your Business Credit Card Statement
BILLING CYCLE INFORMATION ACCOUNT SUMMARY
Previous Balance $0.00 Account Number XXXX )0= )O XX 4982
Payments $0.00 Total Credit Umft $5,000.00
Credits $0.00 Available Credit $5,000.00
Purchases 8 Other Charges + $0.00 Available Cash $0.00
Cash Advances + $0.00 Amount Over Credit Undt $0.00
FINANCE CHARGES + $0.00 Amount Past Due $0.00
New Balance a $0.00 Days In Billing Cycle 0
Closing Dale 12/11/2016 Mfnhnum Payment Due $0,00
Payment Due Date
Contact information
Toll Free Outside U.S. (Ca„ west) P.O. Box 4997
855.574- 2423 407 -762 -7102 Orlando, FL 32802.4997
TRANSACTIONS
Trans Poet Amount
Dale Dale Reference Number Merchant Name or Transaction DesmVilon Crecift Charge
11.18 11 -20 24445CONLODDXQZQY USPS PO 1130650278 DAVIE rL 47.00
11.28 11.211 2444574NW2X9EF1WN OFFICE DEPOT 03254 SUNRISE FL 41.33
12 -11 12-11 0000000000000MPC TOTAL PURCHASES $69.33 0,00
oge TOTAL $08.33 p E p I� g � �p
Finer ee grange Av Bd*no@ Rate mey vary) g1ARGE pE RATE L
Purchases 0.00 .01342% V 0.00 4.90%
Cash Advances 0.00 .01342% V 0.00 4.9D%
Combined Annuel Percentage Rate for this BIOhy Cycle 4.90%
See reverse lor additW Inlmmallan.
am 2E0 1 11 7 peps I et 1 4662 "M VNe9 00M 161211 01AQ6207 627
•PLEASE DETACH HERE AND RETURN BOTTOM PORTION NTH YOUR PAYMENTY
r
SUNTR MINIMUM PAYMENT ACCOUNT#
$0.00 XXXX XXXX XXXX 4982
CARDMEMBER SERVICES PAYMENT DUE DATE NEW BALANCE
PO BOX p5163
VI 3 TN 97230.6183 $0.00
AMOUNT ENCLOSED
Make shack payable In
Pl a check correlate reverse skle S nTr Bank $
ROBERT DORN 627
BOYNTON BEACH CORP W12
2100 N FLORIDA MANGO RD
WEST PALM BEACH FL 33409 -6412
Encbea Ode coupon with your payment end met ro:
r1 Ire111111e
SUNTRUST BANK
PO BOX 791250
BALTIMORE, MD 21279 -1250
00000000 00000000 4223076510614962
IMPOWANT MMFMATION
eau"ply an orp rt of the New we curl]
Balance at any time. However, you noel pay the M not mm or roy oumpymad Tans
PaynreM each trardh by the Paynhent Due Dade, hutlorh. must madoed eymra M hat' (orotlhra larhgtags b b+9rate taro
bs made m U.S. Do6are eed tea drewn on a U.S. Iret saibbcloh or the a
hoAdaya). a bdabbdrewf I Much p%gnwd la lase than the full t Paym 9 axompanbd by the due gmem eoYpOn and amourd due b Iu0 Mabbc Bann of Ur bdebla �leaa a ww by a
■® rooked bays). l the an" ET. ft am s o ho wn o n the (aseysdIV � �" � d �'
bbank d Man" ddress as swn n tins bent will
be aedibd to your Account as of the dale of mmgt. I we accept )Away orders, or any other Iowa seed ss yryarM b W all a
a payment eeeetred Y sty other loeallm with no payment coupon dlepobd amount anal to seed W.
enclosed. or that does not conbrrn to the n rd tr ahuglans
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PLEASE CHARGE MY BUSMSSS S ADDRESS ANDION PHONE NUMBER IN YOUR RECORDS TO;
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Page 1 of 1
Your Business Credit Card Statement
BILLING CYCLE INFORMATION ACCOUNT SUMMARY
Previous Balance $0,00 Account Number XXXX XXXX )0= 4517
Payments 50.00 Total Credit Limit $5,000.00
Credits $0.00 Avellahle Credit $6.000.00
Purchases 8 Other Charges + $0.00 Avail" Cash $0.00
Cash Advances + $0.00 Amount Over Crash Lunn $0.00
FINANCE CHARGES + $0.00 Amount Past Due $0.00
New Balance $0.00 Days M filling Cycle 0
Closing Date 12/1112016 Minimum Payment Due $0.00
Payment Due Dais
Contact InfomreUon
Toll Free Outside U.S. (Call Collect) P.O. Box 4987
855 - 574.2423 407- 762 -7102 Orlando, FL 328024997
TRANSACTIONS
Tines Pohl
Date Dam Reference Number Merchant Name a Tranudon Desciiptlai Gedt Amou
11 - 15 11.16 2476501NOWYLTWZD FPPTA TALLAHASSEE FL 500.00
12 -11 12 -11 00000000000000MPC TOTAL PURCHASES $500.00 6.00
TOTAL X500.00 rreapo rte
Finance � C harge Ave ►ag n. I, Rat. r vary) FIN C PERCEN " TA(iE RATE
Purchases 0.00 .02873% V 0.00 10.49%
Cash Advances 0.00 .05065% V 0.00 111.49%
Combined Annual Percentage Rate for this Billing Cycle 18A0%
See reverse to addidonal Imam don.
5107 2ED 1 It 7 Ps" 1 d 1 4652 6500 VN99 0003 161211 OI MON 626
,PLEASE DETACH HERE ANU RETURN BOTTOM PORTION WITH YOUR PAYMENTY T
N * SUN RUST MINIMUM PAYMENT ACOOUNT S
$0.00 XXXX XXXX XXXX 4617
9 RDMEMBER SERVICES PAYMENT DUE DATE NEW BALANCE
BOX 305183
NASHVILLE, TN 37230 -6183 $0.00
AMOUNT ENCLOSED
tvleke cheek payable In
❑ Change o1 Addmut U.S. do0era to:
Pleats check box and complete reverse side SunTrust Bards $
RUSSELL FAINE 826
BOYNTON BEACH CORP H3u
2100 N FLORIDA MANGO RD
WEST PALM BEACH FL 33409-6412
Enclose M coupon xdgh your payment and teed b:
rrlll'�I' III' ill' Ir ill�lll�l�ll�IIn11�rIIg1��IIlII '�I�I�'III��' � "1'lll���lill�'llll'll' 111' �I�IIIr�I�rrllrr�r111r�III1r�rlrlt�I
SUNTRUST BANK
PO BOX 791250
BALTIMORE, MO 21279-1250
00000000 00000000 4223076510614517
IMI INFO RMATION
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pmcmbV doh. vddc h fah may very tram 9w rate Mss beet
FOR CUSTOMER SERVICE INQUIRIES OR TO REPORT racehesor (b) do pow mrrr nda In dbd 1m the
LOST OR STOLEN CARDS CALL appBaso lroroadMn date, Imxnd ea by up h two
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OIA055207- 11- 08✓30f13
PLEASE CHARGE My BuSMSS•S ADDRESS ANDIOR PHONE NUMBER IN YOUR RECORDS TO:
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WARRANT
WARRANT NUMBER: o63
For Payment from the City of Boynton Beach Police Officers' Pension Fund Pursuant to
§18 -167 of the City Of Boynton Beach Ordinance.
TO: Russell Investments
You are hereby authorized by the Board of Trustees of the City of Boynton Beach Police
Officers' Pension Fund to pay the amount(s) listed below for services rendered to the
Board of Trustees and /or pay the person /entity named below, hereby certified by the
Board of Trustees.
PENSION BENEFITS, SERVICES RENDERED OR OBLIGATION
NAME: AMO
Gabriel, Roeder, Smith & Company $3,815.00
PO Box 7800
Detroit, Michigan 48278 -0009
Re: This Warrant is for Fund's actuary for services provided through 12/12/2o16. The
invoice number is 42616o. Invoice is attached.
-PTSpared & Requested by: Warrant Date: 01 -19 -2017
Bert orn, Plan Administrator
A OVED BY:
Chairman of the Board or Designee Trustee Secretary of the Board or Designee Trustee
Date Transmitted: ) '1 4 - I I Transmitted By: J 1� Mode Transmitted: E -Mail
Fax: US Mail
Date Entered into System: Entered By:
CP Gabriel, Roeder, Smith & Company
One East Broward Blvd.
Su ite 505 Ft. Lauderdale, Florida 33301-1804
(954) 527 -1616
a, . - ' E E war ,
12/12/2016 426160
Attention: Mr. Robert Dorn Dept. # 78009
Pension Administrator Gabriel, Roeder, Smith & Company
City of Boynton Beach Municipal Police Officers' Retirement Fund PO Box 78000
C/O Precision Pension Administrators, Inc. Detroit, Michigan 48278 -0009
2100 North Florida Mango Road
West Palm Beach, Florida 33409
38- 1691268
.
For professional actuarial services rendered for the Boynton Beach
Municipal Police Officers' Retirement Fund through 11/30/2016
Benefit calculation for Diaz 250.00
Buyback calculation for Hanning 450.00
Miscellaneous consulting charges (including production of Actuarial Equivalence factors 892.00
for benefit calculations and follow -up questions, including review of their use) during
September through November 2016
Preparation for and attendance by Pete Strong at Pension Board meeting held on 1239.00
November 16, 2016 '
Ch ar ges to .take for preparation cf the ]ni, nn1G
,.. .......,. ...� _ ...
charges to date equal $984 78 .11U
Amount Due $3,815
PLEASE INDICATE THE INVOICE NUMBER ON YOUR REMITTANCE. THANK YOU.
Page 1 of 1
Vendor Payment r Rus
To: Russell Investments Investments
Email: russelltrustgbostonfinancial.com
Fax: 855 - 866.9869
Deadline: Market close one business day prior to wire da
Client Name City of Boynton Beach Police Retirement Fund
Vendor Name Gabriel,Roeder,Smith & Company
Wire /Settle Date 01/23/2017 VendorTax ID 38- 1691268
Vendor Address One East Broward Blvd, Suite 505
Ft. Lauderdale, Florida 33301
Wire Instructions:
Q Wire Payment Bank Name
City, State, Country
ABA #
Beneficiary Acct #
Account Name
For Further Credit
Check Mailing Instructions:
® Check Payment Mailing Address Gabriel,Roeder,Smith & Company
® Include Invoice PO Box 78000
® US Mail Detroit, Michigan 48278 -0009
r] Overnight Mail (Cannot mail to a Po Box.)
Check Text (30 character limit)
Account # Account Name Plan Transaction aunt Transaction T y p e Codes
Aecountin T e YP
QU7W Boynton Beach Police Officers Retirement Trust NIA 800 $ 3,815 800 Actuarial Expense
801 Administrative Expense
802 Audit Expense
803 Consultant Expense
804 Director Expense
807 Legal Expense
809 PBGC Expense
810 Recordkeeping Expense
850 Reimbursement for
Expense
Total $ 3,815.00
Statement Text (30 character limit) Invoice number 426160
Authorized by t� LJ A J „,��
Authorized by (if r quire Internal Use only
ITRO30(10/15/12) EJ 51 -ITR
WARRANT
WARRANT NUMBER: 064
For Payment from the City of Boynton Beach Police Officers' Pension Fund Pursuant to
§18 -167 of the City Of Boynton Beach Ordinance.
TO: Russell Investments
You are hereby authorized by the Board of Trustees of the City of Boynton Beach Police
Officers' Pension Fund to pay the amount(s) listed below for services rendered to the
Board of Trustees and /or pay the person /entity named below, hereby certified by the
Board of Trustees.
PENSION BENEFITS, SERVICES RENDERED OR OBLIGATION
NAME: AMOUNT
Gabriel, Roeder, Smith & Company $1,054.00
PO Box 7800
Detroit, Michigan 48278 -0009
Re: This Warrant is for Fund's actuary for services provided through 01/04/2017. The
invoice number is 426870. Invoice is attached.
(F r - tNared & Requested by: Warrant Date: 01 - 19 - 2017
obe Dorn, Plan Administrator
A OVED BY:
Chairman of the Board or Designee Trustee Secretary of the Board or Designee Trustee
Date Transmitted: 1 17 Transmitted By: � Mode Transmitted: E -Mail V
Fax: US Mail
Date Entered into System: Entered By:
Vendor Payment Russell
To: Russell investments V1 ,0 1 Investments
Email: russelitrust@bostonfinancial.com
Fax: 855- 886 -9869
Deadline: Market close one business day prior to wire date
Client Name City of Boynton Beach Police Retirement Fund
Vendor Name Gabriel,Roeder,Smith & Company
Wire /Settle Date 01/23/2017 Vendor Tax ID 38- 1691268
Vendor Address One East Broward Blvd, Suite 505
Ft. Lauderdale, Florida 33301
Wire Instructions:
F] Wire Payment Bank Name
City, State, Country
ABA #
Beneficiary Acct #
Account Name
For Further Credit
Check Mailing Instructions:
Q Check Payment Mailing Address Gabriel,Roeder,Smith & Company
Q Include Invoice PO Box 78000
Q US Mail Detroit, Michigan 48278 -0009
Q Overnight Mail (Cannot mail to a PO Box.)
Check Text (30 character limit)
Account # Account Name Acc Plan # Transaction Amount Transaction Type Codes
QU7W Boynton Beach Police Office Retirement Trusl NIA 8 1,054.00 800 Actuarial Expense
801 Administrative Expense
802 Audit Expense
803 Consultant Expense
804 Director Expense
807 Legal Expense
809 P9GC Expense
810 Recordkeeping Expense
850 Reimbursement for
Expense
Tota 1,054.00
Statement Text character limit) Invoice number 426870 Authorized by i t , 5 cv) � °
Authorized by (if re iced
Internal Use Only
ITRO30 (10115/12) ® SHTR
Gabriel, Roeder, Smith & Company
One East Broward Blvd.
0ir Suite 505
' Ft. Lauderdale, Florida 33301 -1804 Invoice
(954) 527 -1616
MOM
114/2017 426870
Attention: Mr. Robert Dom Dept. # 78009
Pension Administrator Gabriel, Roeder, Smith & Company
City of Boynton Beach Municipal Police Officers' Retirement Fund PO Box 78000
C/O Precision Pension Administrators, Inc. Detroit, Michigan 48278 -0009
2100 North Florida Mango Road
West Palm Beach, Florida 33409
38- 1651268
For professional actuarial services rendered for the Boynton Beach
Municipal Police Officers' Retirement Fund through 12/31/2016
Benefit calculation for Ronald Davis 250.00
New buyback calculation for Hanning (dated 12116/2016) 450.00
Charges since 11/30/2016 for work in process on the 10/1/2016 Actuarial Valuation 354.00
Report; total charges to date equal $1,338
Amount Due $1,054
i
i
I
PLEASE INDICATE THE INVOICE NUMBER ON YOUR REMITTANCE. THANK YOU.
Page 1 of 1
WARRANT
WARRANT NUMBER: o6S
For Payment from the City of Boynton Beach Police Officers' Pension Fund Pursuant to
§18 -167 of the City Of Boynton Beach Ordinance.
TO: Russell Investments
You are hereby authorized by the Board of Trustees of the City of Boynton Beach Police
Officers' Pension Fund to pay the amount(s) listed below for services rendered to the
Board of Trustees and /or pay the person /entity named below, hereby certified by the
Board of Trustees.
PENSION BENEFITS, SERVICES RENDERED OR OBLIGATION
NAME. AMOUNT
Florida Public Pension Trustee Association $30.00
2946 Wellington Circle East
Tallahassee, FL 32309
Re: This Warrant is for FPPTA recertification fee for Trustee Jason Llopis for the
2016/2017 fiscal year. Invoice is attached.
epared & Requested by: Warrant Date: 01 -20 -2017
Ro it orn, Plan Administrator
A VED BY:
Chairman of the Board or Designee Trustee Secretary of the Board or Designee Trustee
Date Transmitted: I c)`° s 7 Transmitted By: _ Mode Transmitted: E -Mail
Fax: US Mail
Date Entered into System: Entered By:
� -V Dp
Florida Public Pension Trustees Association �� . 2016 CPPT Continuing Education Units Verii ication Form S7T
WE 1984
2016 Annual Re - Certi>ication Invoice (this form must be returned.) -% ys /oN TO . A
Designee Information:
Name; O
Company/Pension System: C 4�. 46 z A1cr_ s P voSluw Fuwt.
e � loc, ��4
Street Address: AAA r
City: We$A Nl State: _ _ Zip: 3 3
Phone: -mail: C P6+ & s4 J
CEU Information: Please indicate the programs you have attended.
You no longer have to mark FPPTA events because they are recorded
and counted by the FPPTA office.
5 Continuing Education Units
❑ NCPERS Annual Conference, May 15 -19, 2016, Hilton San Diego Bayfront, San Diego, CA
❑ State of Florida Police Officers & Firefighters Trustees School, May 16-18, 2016, Tallahassee, FL
❑ NCTR, October 8 -12, 2016, Omni Providence Hotel, Providence RI
❑ NPEA, October 22 -26, 2016, Hyatt Regency Newport Beach, Newport Beach, CA
❑ State of Florida Police Officers & Firefighters Trustees School, November 2-4,2016 Radisson Resort
Orlando - Celebration, Kissimmee, FL
❑ International Foundation of Employee Benefit Plans Annual Conference (various locations)
Designee Signature: Date: I-a 7. Nowl
Please mail this CEU form/invoice along with
your payment to: a u se only.
FPPTA Paid by check
2946 Wellington Circle East p Paid by credit card or Tele duck online
Tallahassee, FL 32309 Amountpaid: Op
Phone: 800 - 842 -4064 Da te paid: ! • 17
Fax: 850-668-8514 DBInvB DBPa
E -mail: fppta @fppta.org
$30 Re- Certification Fee for 2016. This Form Must Accompany Payment.
Payment Method: Check enclosed ❑ Check to follow
Due to federal compliance regulations, credit card payments must be made through our secure web site.
FPPTA will no longer accept credit card information on our forms.
- -. - , ,,, } �1,�'", �• '�'` ---='" . . � � Tom' ... ~ r .
La
�`' �, ` �} '�„ r ~� y � ! � r' i s Ym ,� Lam. j • �,L. _ 1 ' fti ' � -� .
Certified Public Pension Trustees Program
i
Post w i
CEU Requirements:
After completing the CPPT Certification Program everyone must complete ten (10) Continuing Education Units
(CEUs) and attend at least one (1) FPPTA educational function annually to maintain your CPPT Certification.
An FPPTA Trustee School and the Wall Street Program are worth ten (10) units and any other educational event
attended will be worth five (5) units either with the FPPTA or an approved outside educational conference. (See web -
site, www.fppta.org, for CEU forms). The Wall Street program may only be attended every third year.
We have presently approved participation in the NCTR, NPEA, NCPERS, and International Foundation of Employee
Benefit Plans also the Florida Division of Retirement including, Police and Firefighters Trustee's School and the
Orlando Conference. Each recipient will be monitored annually to insure that CPPT related education is, in fact,
continuing.
If a designee is behind earning CEUs for a minimum of two (2) years, and/or is behind at least two (2) re- certification fees,
certification will be suspended. Once certification is suspended designees are required to take and pass the advanced exam
and pay a $100 fee in order to reinstate their certification in addition to the school registration. We do not want to see
anyone lose their CPPT designation. Therefore, if a situation should arise, such as a medical emergency, FPPTA is willing to
work with the individual to keep him or her from losing their certification. Please contact us with a written request by email
or USPS mail so we have a record for your file.
You are refluired to attend at least one FPPTA educational function per year There also may be requirements
that you attend specific courses related to new investment or pension issues which will be determined by the FPPTA
Education Committee.
Post Certification Requirements will be monitored on a calendar year basis beginning the day you pass the advanced
exam.
If you are certified at the JanuarylFebruary school, your certification period will run •orn the date your are
certified through December 31" of that year. There are numerous educational opportunities to earn ten (10)
CEUs throughout the remainder of the year.
ff you are certified at the September /October school, your certification begins the date you are certified but you
do not have to begin earning Continuing Education Units until January 1' of the following year. If you attend
any fttnetions between your certification date and the end of the year, the credits will count. Your certification
period begins January P and ends December 3P
Re- Certification Fee:
There is an annual $30 re- certification fee, which is billed in arrears, due along with your CEU form . CEU forms
and re- certification fees are due by February 1 . For your convenience, FPPTA will forward a CEU form along with
the re- certification form in November. The forms are also available on our website, www.fppta,ora under
`Certification Program'.
If you have any questions please feel free to contact Stephanie Welirly at 800- 842 - 4064, ext.104 or by e -mail
steplianie@fppta.org.
YE
t
Vendor Payment "Russell
To: Russell Investments Investments
Email: russelitrustl@bostonfinancial .com
Fax: 855 - 886 -9869
Deadline: Market close one business day prior to wire date
Client Name City of Boynton Beach Police Retirement Fund
Vendor Name FPPTA
Wire /Settle Date 01/24/2017 VendorTax ID Unable to Obtain
Vendor Address 2946 Wellington Circle East
Tallahassee, FL 32309
Wire Instructions:
Wire Payment Bank Name
City, State, Country
ABA #
Beneficiary Acct #
Account Name
For Further Credit
Check Mailing Instructions:
Q Check Payment Mailing Address FPPTA
Q Include Invoice 2946 Wellington Circle East
Q US Mail Tallahassee, FL 32309
Overnight Mail (Cannot mail to a PO Box.)
Check Text (30 character limit) ReCert fee for Jason Llois
Account N Account Name Plan Transaction Amount Transaction Type Codes
Accountin T e Yp
QU7W Boynton Beach Police Officers Retirement Trust /A 801 $ 30,00 800 Actuarial Expense
801 Administrative Expense
802 Audit Expense
803 Consultant Expense
804 Director Expense
807 Legal Expense
809 PBGC Expense
810 Recordkeeping Expense
850 Reimbursement for
Expense
Total $ 30.00
Statement Text (30 character limit) Recert for Jason Llopis l
Authorized by v
Authorized by (if require internal use only
ITRO30 (10115112) 1-1 SI.)TR
WARRANT
WARRANT NUMBER: o66
For Payment from the City of Boynton Beach Police Officers' Pension Fund Pursuant to
§18 -167 of the City Of Boynton Beach Ordinance.
TO: Russell Investments
You are hereby authorized by the Board of Trustees of the City of Boynton Beach Police
Officers' Pension Fund to pay the amount(s) listed below for services rendered to the
Board of Trustees and /or pay the person /entity named below, hereby certified by the
Board of Trustees.
PENSION BENEFITS, SERVICES RENDERED OR OBLIGATION
NAME: aUNZ.
Steven Schoenfeld $10,000.00
4 Islington Place
Boynton Beach, Florida 33426
Re: This Warrant is for Retired Member Steven Schoenfeld for a one -time partial lump
sum DROP disbursement.
epared & Requested by: Warrant Date: 01 -25 -2017
t obe Dorn, Plan Administrator
OVED BY:
Chairman of the Board or Designee Trustee Secretary of the Board or Designee Trustee
Date Transmitted: Transmitted By: Mode Transmitted: E -Mail
Fax: US Mail
Date Entered into System: Entered By:
Jan. 25. 2017 9:56AM No. 0695 P. 1
Chy of Buvntou Beach b O-Mm B' PmM Fund
Rwrow of CurrrWBMON ELr=ON
A. Alyw3coumumm-
':laving received as eta of my burt haft Poe City of Boym n Daub Poli m Offio=' Pw*n Fund I elect io have
mpg anodime paid to nmo as iblbwx
My bdvice wM be reduced by the amotmt I have dmsen
to wItbdraw awed a wftbbolft vM ply. Other peaslties im m6da m to da Pesion Pueofion Act ZOOd may eppll .
p� 'Final R016M to a Oar dtW PTan S
O/O
4 3. PEW I.ump-'kmn S V ! Icy balsaoe re v4H be bwc d by dm �t I hava dwo= to
w al S 4 O ther erpem»a to d1° P°� P[o>:on Act 2W6 may ap*.
4. PwdW Raftwto a QuelfW Plan
S. RaUauwg, DROP dish mmM m the mm= of S Ea* m=6 this amount
+ill be dbbuaW toYOU along v thyour monthly bec,afRpgmea Itis amowmt co-nae US yousrnd wrItDm actioeto the
Plan AdmkidraortDoop this disbtusw=L
C. R�NBENP.F1y1r1pAIIw
I d= to have my benWh begin as soon as admWswfm* practicable Mowks &e Board of ltwmft seoespt of this fx.L
a dd � t s) on do D Dmi�on fcan as my benes&cimy to reodve MW bwe b
r. FZDZRAL IEM TAX w
zhe Bowed of'lmdm Is required to wi told fedaal iaoarae taxes from ym pgmeats w d = yon apeoi6mb
Oftmise OR the amOUIPOW VrAbboldimg Elec h m form. 'The mount whhheld depends on the apt= you select in
Seddon B, above; 'aad'yoit &clews im the dtashed WIMOI&g F.les:tioa Ib�'" You A�L`' oornpl� ffie Ffi>ilf3ti�og
ElaWoa fmm and rem ti to ftBoatd afTrUstees along witht * fc.
F. YMBmATORE
I have read and wmdwstmd the summary of the Davie Police O!$oeW Dehned Rdleawm Option Plan cad agree to be
bound bq the of the plan I nd that the males acct this film snperaede aw and all such deedons I
map pnortothe dgosanre
Your social xvidY comber is RgceMd tint pmpO= of ddc m bS eij . fa retbomaar t as a pin MMbff. *arena of
prooesaatgofsaiiema�bm�e�totvariGoaaieaofe�tne >tr !. it:
Yoic aoNat aecaeliy a
member � be vaed for iiroonie Q tat other watloe of Qisr�aaia+as cetaied m rotiaaime bm�.
yrz i 19A71t5)(el(i)(e� Fi = S � hr on of mom of Ow p�upases. The eoDactimi wd sae -fywv roaisl seaalty towbar b m>foriasd by
f�i atl
Jan. 25, 2017 9:56AM No. 4695 P. 2
mmd
STEM eCHOENFELD 409
a WRIGrori v< ea-� IMI loan
G. sovront BEAC a aa►e..,mea
� I
�,.
=�
p�
FOR-
'Abed east Am Paid to bw.. S
MontShr cmrrhgDROP Didmrsemest Ammmt to N bea: $
MIMAIRECr OF
-Z- 4 C4 da
Ow 24B,
street
ABA Routine Numb= Mftba Account Nmber;
2um XA )MMVGA, CHUN x+p ADD
Addws-
ftcoft:
All dlbb=mnemb will only be made out in the mmaw name.
L XML
I Lave reed and umd=bmdtw spmW tee notice and "to be bmmd by ft um ofallPmdonMm I Lave 9vaived atl
' - vaedw vested or i uudmmW that the deod= I maim on $pis fimn =mmdle my and A such
dectiow 1mayhMmailepriorto 0fvW ' below
U WAG M p l axam Su
Tw .om s mmber is Nqumbd ier pmp= of damft dWbW hr mftwd ti Wft as a glen mmft rW= or bftwficimr. far
'-^ a t er of Lorhmome NPm wfwal meePWWIo bexfits
ybw .oebd .eeminr mmAw alit be mg W* for = a mole of *6 Pmpo K The enIleatio n ad we of your MCM mom# aembar b; samind by
se�i m Its 071 (SXRW0.M Flu& &mm
adl
Cl TY OF 90 YN TON SEA CH
POLICE OFFICERS' PENSION FUND
'3
Florida 2100 North
Florida West Palm Beach,
Telephone: 954.636.7170 Toll Free Fax: 866.769.0678
DATE: PUBLIC NOTICE
CITY OF BOYNTON BEACH POLICE OFFICERS' PENSION FUND
BOARD OF TRUSTEES WILL BE MEETING
January 27, 2017
11:00 A.M.
LOCATION: 100 E. Boynton Beach Blvd,
(Boynton Beach City Chambers)
Boynton Beach, FL 33425
NOTICE IS HEREWITH GIVEN TO ALL INTERESTED PARTIES THAT IF ANY PERSON SHOULD
DECIDE TO APPEAL ANY DECISION MADE AT THE FORTHCOMING MEETING, SUCH PERSON
WILL NEED A RECORD OF THE PROCEEDINGS CONDUCTED AT SUCH MEETING, AND FOR
SUCH PURPOSE HE OR SHE MAY NEED TO ENSURE THAT A VERBATIM RECORD OF THE
PROCEEDINGS IS MADE, WHICH RECORD INCLUDES THE TESTIMONY UPON WHICH ANY
APPEAL MAY BE BASED.
ANY INDIVIDUAL WHO BELIEVES S /HE HAS A DISABILITY WHICH REQUIRES A REASONABLE
ACCOMMODATION IN ORDER TO PARTICIPATE FULLY AND EFFECTIVELY IN THE MEETING
SHOULD CONTACT CITY CLERK AT 561- 742 -6062 AT LEAST 72 HOURS BEFORE THE
MEETING.
IN COMPLIANCE OF STATE LAW, THE BOARD OF TRUSTEES FINDS THAT A PROPER AND
LEGITIMATE PURPOSE IS SERVED WHEN MEMBERS OF THE PUBLIC HAVE BEEN GIVEN A
REASONABLE OPPORTUNITY TO BE HEARD ON A MATTER BEFORE THE BOARD.
THEREFORE, THE BOARD OF TRUSTEES HAVE DETERMINED AND DECLARED THAT THEY
WILL ALLOT 15 MINUTES IN TOTAL FOR THIS PURPOSE; HOWEVER EACH PERSON IS
LIMITED TO NO MORE THAN (3) THREE MINUTES TO COMMENT AT EACH MEETING.