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Okaloosa County BOCC — May 5, 2015 — LETF 05.05.2015 request — reading text

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Asl ,&ia[oa sa County SF " Headquarters: 50 224 Street, Shalimar Florida 32579-1234 Phone: (850) 651-7410, Email: Sheriff@sheriff-okaloosa org April 27, 2015 Agenda request: LETF disbursement request; May 5th, 2015 To: Mr. John Hofstad, County Administrator From: Sean T. Lynch, Inspector, OCSO Re: Law Enforcement Trust Fund Request board consideration of trust fund disbursement in support of: 1. Okaloosa County Sheriff’s Office, Crime Prevention; $800.00 Total disbursement request: $800.00 The Okaloosa County Sheriff’s Office is accredited by the Commission for Florida Law Enforcement Accreditation - “The Okaloosa County Sheriff’s Office provides equal access and equal opportunity in employment and services and does not discriminate” o OKALOOSA COUNTY LETF APPLICATION PROGRAM INFORMATION Program Title: Crime Prevention Name/ Title of Contact: |SeanT. Lynch Address: 50 2nd Street Phone: 850-651-7410 City « Zip Code: Shalimar, 32579 Fax: 850-609-3048 Total Program Budget: |N/A E-mail: slynch@sheriff-okaloosa.org . New Renewal | Amount Program is: E Requested: 800.00 If renewal, circle number of years this program has been funded thru LETF? 1 Year ] APPLICANT AGENCY INFORMATION Applicant Agency Legal Name: Okaloosa County Sheriff's Office Program Name: Crime Prevention Main Administrative Address: 50 2nd Street Uk A (e Yoo City & State: Shalimar, FL Zip Code: 32579 Telephone Number: 850-651-7410 Fax Number: 850-609-3048 Website: www, sheriff-okaloosa.org CEO/Executive Director: Sheriff Larry R. Ashley Office Phone Number: 850-651-7410 E-mail Address: sheriff@sheriff-okaloosa.org Federal Identification Number: N/A LETF CATEGORY (Place an “X” to the left of one program area for which you Intend to Apply): Houd 1. Crime Prevention 2. Drug Abuse Prevention/Education 3. Safe Neighborhood 4. School Resource Officer 5. Other Law Enforcement Purpose (specify below) PROPOSED PROGRAM INFORMATION o215 Program Summary (1-3 sentences): Provide an overview of program services. The Crime Prevention program is designed and utilized to anticipate, recognize, and assess, crime risk and to initiate action to remove or reduce the crime through public education. The program has general safety programs, youth programs, and programs for the elderly. 2. Program Purpose (1-3 sentences): Please identify the services, target population and how many will be served while completing the foliowing statement. The purpose of this program is... The program has general safety programs, youth programs, and programs for the elderly, targeted at the entire community of Okaloosa County. 3. Proposed use of LETF proceeds: Please identify the proposed use(s) of LETF proceeds and specify how it fulfills the statutorily authorized uses set forth in Section 932.7055, Florida Statutes. These proceeds shall not be utilized to meet normal operating needs of the applicant agency/organization. With the requested $800.00, we intend to partner with the United Way of Okaloosa & Walton Counties to produce an informational, community-based, video that will be distributed and shown throughout the community raising awareness for a variety of causes, fo include elderly abuse. 4. Has your agency received funding from LETF within the last three (3) years? (If yes, identify the source of that funding, when it was received and the dollar amount that the agency has received). YES 5. Have you applied for funding for this program from any other entity or agency? (If yes, identify the source from which the funding was sought, the dollar amount requested from the source and provide the outcome of that application). N/A - Upon completing this apphcatwn in its entirety please read the followmg statement and affix your ~signature accordingly. - : e e I have read, fully understand and agree to be bound by Okaloosa County’s Operating Procedures for Law Enforcement Trust Fund and applicable state statutes. I have completed this application fully and accurately and have not misrepresented any information contained herein. I certify that the requested funds will be used for the purposes set forth in this application and in conformity with Florida law. I agree to submit proper supporting documentation within ninety (90) days of expending the LETF proceeds, which establishes that such proceeds were expended for the purposes they were approved and in conformity with Florida law. I further agree that should I fail to provide such documentation within the specified time period, I will be responsible for reimbursing Okaloosa County for the amounts received. i 4|22 ’I S CS'ign 'Gf’A/%l(icant Date of A‘pplication SEANT Lrtaes Print Name of Applicant OFFICIAL USE ONLY I, Larry R. Ashley, do hereby certify that the aforementioned request for LETF proceeds is in compliance with Section 932.7055, Florida Statutes. Sheriff Larr}/fi Ashley y Board of County Commissioners: Approved/Disapproved Date: Amount approved: $ United Way Of Okaloosa & Walton Counties DATE: April 22,2015 2015 Campaign Video 112 Tupelo Avenue FOR: Sponsorship Fort Walton Beach, FL 32548 850-243-0315 Bill To: Seal Lynch Okaloosa Sheriff's Office 1250 N. Eglin Parkway Shalimar, FL 32579 DESCRIPTION AMOUNT United Way of Okaloosa 2015 Campaign Video Sponsorship Tax ID 59-0972293 Thank you for your support! $ 800.00 TOTAL $ 800.00 Make all checks payable to United Way of Okaloosa & Walton Counties If you have any questions concerning this invoice, contact Ronda Davenport at 243-0315 or e-mail: rondad@united-way.org LIVE UNITED... Be Someone’s Hero...Give Today THANK YOU FOR YOUR COMMITMENT TO UNITED WAY!

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