05/16/2011
4 PENSION TRUSTEES AGENDA
Location: Council Chambers - City Hall
Date: 5/16/2011- 9:00 AM
1. Call to Order
2. Approval of Minutes
2.1 Approve the minutes of the April 18, 2011 Pension Trustees meeting as submitted in written summation
by the City Clerk.
Attachments
3. Pension Trustee Items
3.1 Accept the Actuary's Report for the Employees' Pension Plan for the plan year beginning January 1, 2011.
Attachments
3.2 Approve new hires for acceptance in the Pension Plan as listed.
Attachments
3.3 Recommend approval of the request of employee Eleanor Scharf, Library Department; Isaac Hinson,
Parks and Recreation Department; Thomas Madley, Customer Service Department; George Memmer,
Solid Waste/General Services Department; Jerry Absher, Solid Waste/General Services Department;
Thomas Glenn, Solid Waste/General Services Department; Eddie Adams, Engineering Department; Harry
Williams, Fire Department; and Michael Stewart, Police Department, for a regular pension as provided by
Sections 2.397 and 2.398 of the Employees' Pension Plan.
Attachments
3.4 Approve the request of employee Georgina Ata, Library Department, to vest her pension as provided by
Section 2.397 of the Employees' Pension Plan.
Attachments
4. Other Business
5. Adjourn
Meeting Date:5/16/2011
Pension Trustees Agenda
Council Chambers - City Hall
SUBJECT / RECOMMENDATION:
Approve the minutes of the April 18, 2011 Pension Trustees meeting as submitted in written summation by the City Clerk.
SUMMARY:
Review Approval:
Cover Memo
Item # 1
Attachment number 1
Page 1 of 4
TRUSTEES OF THE EMPLOYEES' PENSION FUND MEETING MINUTES
CITY OF CLEARWATER
Present: Chair/Trustee Frank Hibbard, Trustee George N. Cretekos, Trustee
John Doran, Trustee Paul Gibson, and Trustee Bill Jonson.
Also Present: William B. Horne II - City Manager, Jill S. Silverboard - Assistant City
Manager, Rod Irwin - Assistant City Manager, Pamela K. Akin - City
Attorney, Rosemarie Call - City Clerk, and Nicole Sprague - Official
Records and Legislative Services Coordinator.
To provide continuity for research, items are in agenda order although not
necessarily discussed in that order.
Draft
II t Order - Chair Frank Hibbard
The meeting was called to order at 9:10 a.m. at City Hall.
2. Approval of Minutes
2.1 Approve the minutes o the arch 15, 2011 Pension Trustees meeting as
submitted in written summation by the City Clerk.
Trustee Bill Jonson moved to approve the minutes of the March 15, 2011 Pension
Trustees meeting as submitted in written summation by the City Clerk. The motion was
duly seconded and carried unanimously.
3. Pension Trustee Items
.1 Approve new hires for acceptance in the Pension Plan as listed.
Name, Job. Class, & Dept./Div
David Pritchett, SCBA Maintenance Tech./Fire 2/14/11
Christopher Perrin, SWEquip. Oper/Solid Waste/Gen Ser. 2/14/11
Ricky Taylor, WWTP Operator Trainee/Public Utilities 2/14/11
Jean Louis, Sr. Systems Programmer/Information Tech. 2/14/11
Norton McGiffin, Parking Enforcement Specialist/Eng. 7/17/10
Julianne Maran, Parking Enforcement Specialist/Eng. 2/14/11
Pension
Hire Date Elig. Date
Pension Trustees 2011-04-18
2/14/11
2/14/11
2/14/11
2/14/11
2/14/11
2/14/11
1
Item # 1
Attachment number 1
Page 2 of 4
Richard Chapman, Network Analyst/Information Tech. 1/31/11 1/31/11
Amelia Adams, Accounting Clerk/Finance 1/31/11 1/31/11
*originally hired as part-time on 7/17/10; status changed to full-time and pension
eligible as of 2/14/11
Trustee John Doran moved to approve new hires for acceptance in the Pension Plan as
listed. The motion was duly seconded and carried unanimously.
3.2 Approve the request of employee Elizabeth Garrett, Parks Recreation
apartment, for a regular pension as provided by Sections 2.397 and 2.398 of
the Employees Pension Plan.
Elizabeth Garrett, Recreation Leader, II, Parks and Recreation Department, was
employed by the City on September 24, 1976, and her pension service credit is
effective on July 2, 1991. Her pension will be effective July 1, 2011.
Based on an average salary of approximately $37,765 per year over the past five
years, the formula for computing regular pensions, and Ms. Garrett's selection of
the Joint and Survivor Annuity, this pension will approximate $20,771 annually.
Section 2.397 provides for normal retirement eligibility when a participant has
completed thirty years of credited service, has reached age 55 and completed
twenty years of credited service, or has reached age 65 and completed ten years
of credited service. Ms. Garrett qualifies under the age 65 and ten years of service
criteria.
Trustee George N. Cretekos moved to approve the request of employee Elizabeth
Garrett, Parks & Recreation Department, for a regular pension as provided by Sections
2.397 and 2.398 of the Employees Pension Plan. The motion was duly seconded and
carried unanimously.
3.3 Review of the Employees Pension Plan investment performance for the veer
ended December 31. 2010.
This is the annual presentation on the investment performance of the Employees'
Pension Plan for calendar and plan year ending December 31, 2010.
For the last calendar year, the plan had a return of 17.73% versus a benchmark of
13.96%. This is an excess return of 3.77% over the benchmark and an excess
Pension Trustees 2011-04-18 2
Item # 1
Attachment number 1
Page 3 of 4
return of 5.53% over the median public pension plan, placing the plan in the 3rd
percentile of public pension plans per the Wilshire Public Plan Sponsor Universe.
For the last three calendar years, the plan has a return of 3.79% versus a
benchmark of 1.24%. This is an excess return of 2.55% and placed the plan in the
top 9th percentile of pension plan performance for public plans.
Calendar year 2010 money manager changes included the hiring of Multi
Employer Property Trust (MEPT) as a private real estate manager. Also,
Riverbridge Partners was hired to replace Lee Munder Capital Group as a small
cap equity manager, which terminates the investment vehicle we were utilizing.
All of the current managers in the pension plan have performed as expected.
Only one manager, Wellington Management, an international equity manager,
failed to beat its benchmark and underperformed the midpoint of its peer group.
The financial industry has changed dramatically over the past decade. The
pension plan has adapted and changed accordingly. The average length of
service of our current managers is just over five years. The plan has utilized the
services of one manager, ING, for over twenty-three years. All of the other
managers have been with the plan less than ten years, with most less than five
years.
The recently completed asset allocation study is being implemented. The two
timber managers have been hired and the plan is awaiting the funding notices.
The hedge fund of funds search is underway and should be presented to the
Trustees sometime this summer.
Trustee Paul Gibson moved to accept the Employees Pension Plan investment
performance for the year ended December 31, 2010. The motion was duly seconded
and carried unanimously.
3.4 Approve the recommended administrative expenditures budget for Fiscal Year
2011-12. totaling $335.500.
The Employees' Pension Plan does not have a legal requirement to have a
budget. The Trustees must approve all expenditures. The following are routine
expenditures that staff is requesting approval for the sake of efficiency.
Printing and binding is for the statutorily required annual information distribution to
the members of the pension plan. Postage is required mailings.
Pension Trustees 2011-04-18 3
Item # 1
Attachment number 1
Page 4 of 4
Membership dues are for the annual dues for the Florida Public Pension Trust
Association. Training and travel are for the estimated costs of training required by
state statute. This is a not-to-exceed amount since we do not know which
Trustees and Pension Advisory Committee members will elect to attend
conferences. The total paid for training and travel for Fiscal Year 2010 was $3,136
and for Fiscal Year 2011 year to date (YTD) is $576. Reimbursement to the
General Fund is for the cost of the oversight of the Plan and is recognized as
revenue to the General Fund. This reimbursement covers the services provided
by Human Resources, Payroll, and Finance.
Klausner and Kaufman is the Plan's pension attorney firm. Annual attorney's fees
also include medical bills that are for the medical services authorized by the
Pension Advisory Committee. Total paid in Fiscal Year 2010 was $71,942 and
Fiscal Year 2011 YTD is $60,166.At this time, staff is budgeting for a Referendum
next year. This referendum is for proposed changes to the pension plan.
Money manager, safekeeping, actuary, and pension administration fees are all set
by contracts approved by the Trustees and are not included in this budget.
Trustee Bill Jonson moved to approve the recommended administrative expenditures
budget for Fiscal Year 2011-12, totaling $335,500. The motion was duly seconded and
carried unanimously.
Other Business - None.
i urn
The meeting was adjourned at 9:16 a.m.
Attest
City Clerk
Pension Trustees 2011-04-18
Chair
Employee's Pension Plan Trustees
4
Item # 1
Meeting Date:5/16/2011
Pension Trustees Agenda
Council Chambers - City Hall
SUBJECT / RECOMMENDATION:
Accept the Actuary's Report for the Employees' Pension Plan for the plan year beginning January 1, 2011.
SUMMARY:
Per the January 1, 2011 actuary report for the Employees' Pension Plan, a minimum City employer contribution of
$18,886,567, or 24.69% of covered payroll, is required for fiscal year 2012. Though the dollar amount is a decrease
from the required fiscal 2011 contribution of $19.4 million, the contribution rate as a percentage of covered payroll, is
an increase from 24.07% for fiscal 2011.
The anomaly of a decrease in the required dollar contribution versus an increase in the required contribution rate is due
to a decline in the covered payroll from $80.4 million as of 12/31/09 to $76.5 million as of December 31, 2010. This
decrease is primarily due to the elimination of positions due to budget cuts.
The plan's investments realized a return of 17.5% for calendar 2010, which is well in excess of the plan's assumption
of 7.5%. However the actuarial return was 5.98%, which underperformed the 7.5% plan assumption. The actuarial
return is a five-year smoothing of investment returns and asset values, subject to a cap of 120% of the market value of
assets and a floor of 80% of the market value.
Also providing negative performance for calendar 2010 was a 17.7% increase in investment expenses. This increase
was primarily due to the corresponding 17.5% investment return and related increase in plan assets. Money manager
fees are typically a percentage of managed assets and an increase in assets due to investment performance will
normally translate to a similar increase in money manager fees.
The negative impact of actuarial investment performance below the assumed rate, along with the increase in
investment expenses, was partially offset by a gain due to actual salary increases of 1.27% versus an assumed rate of
6%.
The plan's credit balance, which reflects actual contributions in excess of actuarially required contributions for prior
years, decreased by $1.3 million during calendar 2010. The credit balance decreased from $8.4 million to $7.1 million
due to employer contributions that were $1.9 million less than required, partially offset by $0.6 million in interest
earnings on the credit balance.
Employer contributions were $1.9 million less than required due to the City's decline in covered payroll resulting from
staff reductions. The Plan's actuary calculated a required contribution rate of 24.07% per the January 1, 2010 actuarial
calculation, which assumed covered payroll at that date. However actual contributions to the plan occurred from
October 2010 thru March 2011 at 24.07% of payroll at that time. Due to the decrease in covered payroll from January
2010 to the actual payment period of October 2010 thru March 2011, the 24.07% rate resulted in a contribution
deficiency.
This deficiency is expected to continue in future years, resulting in similar use of the credit balance, as long as covered
payroll continues to decrease and the City continues to use the actuarially calculated contribution percentage.
Historically the credit balance has also been used to subsidize employer contributions during periods ofopwatlfity such
as investment market downturns.
Item # 2
The Plan's funded ratio is 97.2% versus 96.9% for the prior year. For comparability to other plans, the actuary notes in
his report that the current funded ratio is 96.2% based on the more commonly used Entry Age funding method.
The Market Value of Plan Assets exceeds the Actuarial Value of Assets by $23.4 million as of the valuation date. If
Market Value has been the basis for the valuation, rather than the Actuarial Value, the City's required contribution rate
for fiscal 2012 would have been 20.67% versus the calculated 24.69%, and the funded ratio would have been 100.7%.
In the absence of other gains and losses it is expected that the City's contribution rate will decrease to approximate this
20.7% level over the next several years.
Staff recommends funding the employer contribution at the actuarially required rate of 24.69% of covered payroll for
fiscal year 2012. Assuming a further decrease in covered payroll, this would again require the use of the credit balance
to subsidize the required employer contribution amount. Staff currently estimates that this deficiency will be
approximately $700,000 (versus the $1.9 million deficit for fiscal year 2011), and will be offset by approximately $530
thousand in interest earnings on the credit balance. This would decrease the credit balance from $7.1 million per the
current valuation to approximately $6.9 million.
Review Approval: 1) Office of Management and Budget 2) Legal 3) Clerk 4) Assistant City Manager 5) City Manager 6) Clerk
Cover Memo
Item # 2
Attachment number 1
Page 1 of 52
Gabriel Roeder Smith ay
GRSConsultants Actuaries
CITY OF CLEARWATER EMPLOYEES' PENSION PLAN
ACTUARIAL VALUATION REPORT AS OF JANUARY 1, 2011
ANNUAL EMPLOYER CONTRIBUTION FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2012
Item # 2
Attachment number 1
Page 2 of 52
GRS Item # 2
Attachment number 1
Page 3 of 52
April 25, 2011
Board of Trustees
City of Clearwater Employees' Pension Plan
Clearwater, Florida
Dear Board Members:
We are pleased to present our January 1, 2011 Actuarial Valuation Report for the Plan. The purpose of the
Report is to set forth required contribution levels, to disclose plan assets and actuarial liabilities, to comment
on funding progress and to provide supporting information regarding the operation of the Plan. This Report
is also designed to comply with requirements of the State.
The valuation was performed on the basis of employee, retiree and financial information supplied by the
City. Although we did not audit this information, it was reviewed for reasonableness and comparability to
prior years.
The benefits valued are outlined at the end of the Report. Actuarial assumptions and the actuarial cost
method are also described herein. Any changes in benefits, assumptions or methods are described in the
first section.
This actuarial valuation was prepared and completed by me or under my direct supervision, and I
acknowledge responsibility for the results. To the best of my knowledge, the results are complete and
accurate, and in my opinion, the techniques and assumptions used are reasonable and meet the requirements
and intent of Part VII, Chapter 112, Florida Statutes. There is no benefit or expense to be provided by the
plan and/or paid from the plan's assets for which liabilities or current costs have not been established or
otherwise taken into account in the valuation. All known events or trends which may require a material
increase in plan costs or required contribution rates have been taken into account in the valuation.
As indicated below, the undersigned is a Member of the American Academy of Actuaries (MAAA) and
meets the Qualification Standards of the Academy of Actuaries to render the actuarial opinion herein.
We will be pleased to answer any questions pertaining to the valuation and to meet with you to review this
Report.
Respectfully submitted,
GABRIEL, ROEDER, SMITH AND COMPANY
By
L Stephen Palmquist, ASA, MAAA, FCA
Enrolled Actuary No. 11-1560
Item # 2
Attachment number 1
Page 4 of 52
TABLE OF CONTENTS
Section Title Page
A Discussion of Valuation Results 1
B Valuation Results
1. Participant Data 4
2. Annual Required Contribution 5
3. Actuarial Value of Benefits and Assets 6
4. Calculation of Employer Normal Cost 7
5. Reconciliation of Credit Balance 8
6. Liquidation of the Unfunded Actuarial
Accrued Liability 9
7. Actuarial Gains and Losses 11
8. Recent History of Valuation Results 15
9. Recent History of Contributions 16
10. Actuarial Assumptions and Cost Method 17
11. Glossary of Terms 21
C Pension Fund Information
1. Statement of Plan Assets at Market Value 24
2. Reconciliation of Plan Assets 25
3. Development of Actuarial Value of Assets 26
4. Investment Rate of Return 27
D Financial Accounting Information
1. FASB No. 35 28
2. GASB No. 25 29
E Miscellaneous Information
1. Reconciliation of Membership Data 32
2. Active Participant Distribution 33
3. Inactive Participant Distribution 36
F Summary of Plan Provisions 37
GRS Item # 2
Attachment number 1
Page 5 of 52
SECTION A
DISCUSSION OF VALUATION RESULTS
GRS Item # 2
Attachment number 1
Page 6 of 52
1
DISCUSSION OF VALUATION RESULTS
Comparison of Required Employer Contributions
The required employer contribution developed in this year's valuation is compared below to last
year's results:
For FYE 9/30/2012
Based on
1/1/2011
Valuation For FYE 9/30/2011
Based on
1/1/2010
Valuation
Increase
(Decrease)
Required Employer/State Contribution $ 18,898,567 $ 19,373,992 $ (475,425)
As % of Covered Payroll 24.70 % 24.08 % 0.62 %
Estimated State Contribution 12,000 12,000 0
As % of Covered Payroll 0.01 % 0.01 % 0.00 %
Required Employer Contribution 18,886,567 19,361,992 (475,425)
As % of Covered Payroll 24.69 % 24.07 % 0.62 %
Credit Balance 7,112,283 8,414,390 (1,302,107)
The contribution has been adjusted for interest on the basis that payments are made uniformly
during the first two quarters of the City's fiscal year. The required employer contribution has been
computed under the assumption that the amount to be received from the State on behalf of police officers
and firefighters in 2011 will be $12,000. If the actual payment from the State falls below this amount, then
the City must increase its contribution by the difference.
The actual Employer and State contributions during the year ending December 31, 2010 were
$17,428,806 and $12,000, respectively, for a total of $17,440,806. After $1,933,186 of the credit balance is
included, the total is equal to the annual required contribution of $19,373,992 for that year.
The minimum required City contribution is 7%% of covered payroll.
GRS Item # 2
Attachment number 1
Page 7 of 52
2
Revisions in Benefits
There have been no revisions in benefits since the last valuation.
Revisions in Actuarial Assumptions or Methods
There have been no revisions in actuarial assumptions or methods since the last valuation.
Actuarial Experience
There was a net actuarial gain of $2,311,412 for the year which means that actual experience was
more favorable than expected. The gain is primarily due to average salary increases below the assumed
rate of 6%. The gain was partially offset by recognized investment return below the assumed rate of
7.5%. The investment return was 17.50% based on market value of assets and 5.98% based on actuarial
value of assets. The net actuarial gain has decreased the required employer contribution by 0.39% of
covered payroll.
Analysis of Change in Employer Contribution
The components of change in the required City contribution are as follows:
Contribution Rate Last Year 24.07 %
Change in Benefits 0.00
Change in Assumptions and Methods 0.00
Amortization Payment on UAAL 0.11
Experience Gain/Loss (0.39)
Change in Investment and Administrative Expenses 0.90
Change in State Revenue 0.00
Contribution Rate This Year 24.69
Funded Ratio
One measure of the Plan's funding progress is the ratio of the actuarial value of assets to the
actuarial accrued liability. The funded ratio is 97.2% this year compared to 96.9% last year. This year's
funded ratio is 96.2% based on the more commonly used Entry Age funding method.
GRS Item # 2
Attachment number 1
Page 8 of 52
3
Variability of Future Contribution Rates
The Actuarial Cost Method used to determine the contribution rate is intended to produce
contribution rates which are generally level as a percent of payroll. Even so, when experience differs
from the assumptions, as it often does, the employer's contribution rate can vary significantly from year-
to-year.
Over time, if the year-to-year gains and losses offset each other, the contribution rate would be
expected to return to the current level, but this does not always happen.
The Market Value of Assets exceeds the Actuarial Value of Assets by $23,383,214 as of the
valuation date (see Section Q. This difference will be gradually recognized in the absence of offsetting
losses. In turn, the computed employer contribution rate will decrease by approximately 4% of covered
payroll.
Relationship to Market Value
If Market Value had been the basis for the valuation, the City contribution rate would have been
20.67% and the funded ratio would have been 100.7%. In the absence of other gains and losses, the City
contribution rate should decrease to that level over the next several years.
Conclusion
The remainder of this Report includes detailed actuarial valuation results, financial information,
miscellaneous information and statistics, and a summary of plan provisions.
GRS Item # 2
Attachment number 1
Page 9 of 52
SECTION B
VALUATION RESULTS
GRS Item # 2
Attachment number 1
Page 10 of 52
4
PARTICIPANT DATA
January 1, 2011 January 1, 2010
ACTIVE MEMBERS
Number 1,508 1,567
Covered Annual Payroll $ 76,505,599 $ 80,443,199
Average Annual Payroll $ 50,733 $ 51,336
Average Age 44.2 44.1
Average Past Service 11.2 11.2
Average Age at Hire 33.0 32.9
RETIREES & BENEFICIARIES
Number 820 748
Annual Benefits $ 26,111,545 $ 22,852,220
Average Annual Benefit $ 31,843 $ 30,551
Average Age 64.6 64.8
DISABILITY RETIREES
Number 136 138
Annual Benefits $ 3,258,581 $ 3,219,689
Average Annual Benefit $ 23,960 $ 23,331
Average Age 61.9 61.3
TERMINATED VESTED MEMBERS
Number 68 69
Annual Benefits $ 1,360,868 $ 1,342,188
Average Annual Benefit $ 20,013 $ 19,452
Average Age 51.1 51.2
GRS Item # 2
Attachment number 1
Page 11 of 52
5
ANNUAL REQUIRED CONTRIBUTION (ARC)
A. Valuation Date
B. ARC to Be Paid During
Fiscal Year Ending
C. Assumed Date of Employer Contrib.
D. Annual Payment to Amortize
Unfunded Actuarial Liability
E. Employer Normal Cost
F. ARC if Paid on the Valuation
Date: D+E
G. ARC Adjusted for Frequency of
Payments
H. ARC as % of Covered Payroll
1. Assumed Rate of Increase in Covered
Payroll to Contribution Year
J. Covered Payroll for Contribution Year
K. ARC for Contribution Year: H x J
L. Estimate of State Revenue in
Contribution Year
M. Required Employer Contribution (REC)
in Contribution Year
N. REC as % of Covered Payroll in
Contribution Year: M - J
0. Credit Balance
January 1, 2011 January 1, 2010
9/30/2012 1 9/30/2011
Evenly during first Evenly during first
two quarters of two quarters of
fiscal year fiscal year
$ 2,118,337 $ 2,142,690
15,461,725 15,879,628
17,580,062 1 18,022,318
18,898,567 19,373,992
24.70 % 24.08 %
0.00 % 0.00 %
76,505,599 80,443,199
18,898,567 19,373,992
12,000
12,000
18,886,567 1 19,361,992
24.69 % 24.07 %
7,112,283 8,414,390
GRS Item # 2
Attachment number 1
Page 12 of 52
6
ACTUARIAL VALUE OF BENEFITS AND ASSETS
A. Valuation Date January 1, 2011 January 1, 2010
B. Actuarial Present Value of All Projected
Benefits for
1. Active Members
a. Service Retirement Benefits $ 347,256,186 $ 369,758,989
b. Vesting Benefits 46,868,241 45,703,435
c. Disability Benefits 21,929,222 23,087,437
d. Preretirement Death Benefits 6,182,268 6,603,545
e. Return of Member Contributions 2,893,978 3,025,792
f. Total 425,129,895 448,179,198
2. Inactive Members
a. Service Retirees & Beneficiaries 324,562,742 284,275,626
b. Disability Retirees 42,644,056 42,547,828
c. Terminated Vested Members 14,111,709 13,738,795
d. Total 381,318,507 340,562,249
3. Total for All Members 806,448,402 788,741,447
C. Actuarial Accrued (Past Service)
Liability per GASB No. 25 (FEA Method) 665,701,475 638,109,349
D. Actuarial Value of Accumulated Plan
Benefits per FASB No. 35 604,992,896 570,403,066
E. Plan Assets
1. Market Value 670,340,014 578,108,232
2. Actuarial Value 646,956,800 618,444,906
F. Actuarial Present Value of Projected
Covered Payroll 624,706,007 661,723,155
G. Actuarial Present Value of Projected
Member Contributions 49,976,479 52,937,853
GRS Item # 2
Attachment number 1
Page 13 of 52
7
CALCULATION OF EMPLOYER NORMAL COST
A. Valuation Date January 1, 2011 January 1, 2010
B. Actuarial Present Value of Projected
Benefits $ 806,448,402 $ 788,741,447
C. Credit Balance 7,112,283 8,414,390
D. Actuarial Value of Assets 646,956,800 618,444,906
E. Unfunded Actuarial Accrued Liability 18,744,675 19,664,443
F. Actuarial Present Value of Projected
Member Contributions 49,976,479 52,937,853
G. Actuarial Present Value of Projected
Employer Normal Costs: B+C-D-E-F 97,882,731 106,108,635
H. Actuarial Present Value of Projected
Covered Payroll 624,706,007 661,723,155
L Employer Normal Cost Rate: G/H 15.67 % 16.04%
J. Covered Annual Payroll 76,505,599 80,443,199
K. Employer Normal Cost: I x J 11,988,427 12,903,089
L. Assumed Amount of Expenses 3,473,298 2,976,539
% of Covered Payroll 4.54% 3.70%
M. Total Employer Normal Cost: K + L 15,461,725 15,879,628
N. Employer Normal Cost as % of
Covered Payroll 20.21 % 19.74%
GRS Item # 2
Attachment number 1
Page 14 of 52
8
Reconcilation of Credit Balance
Credit Balance at Beginning of Year $ 8,414,390
Required Employer Contribution - 19,361,992
Employer Contribution Made + 17,428,806
Interest on Credit Balance + 631,079
Credit Balance at End of Year 7,112,283
GRS Item # 2
Attachment number 1
Page 15 of 52
LIQUIDATION OF THE UNFUNDED ACTUARIAL ACCRUED LIABILITY
A. Derivation of the Current UAAL
1. Last Year's UAAL $ 19,664,443
2. Employer Normal Cost for Contribution Year 15,879,628
3. Last Year's Contributions 19,373,992
4. Interest at the Assumed Rate on:
a. 1 and 2 for one year 2,665,805
b. 3 from dates paid 91,209
c. a - b 2,574,596
5. This Year's UAAL Prior to Revision:
1 + 2 - 3 + 4c 18,744,675
6. Change in UAAL Due to Plan Amendments and/or
Changes in Actuarial Assumptions and Methods 0
7. This Year's Revised UAAL: 5 + 6 18,744,675
* Includes portion of credit balance used for year.
B. UAAL Amortization Period and Payments
Original UAAL Current UAAL
Date Years
Established Source Amount Remaining Amount Payment
1/1/1982 Supplemental FIL $ (4,521,985) 1 $ (295,175) $ (295,175)
1/1/1987 Supplemental FIL 1,519,142 6 576,091 114,170
1/1/1988 Supplemental FIL 1,673,738 7 719,406 126,348
1/1/1989 Supplemental FIL 2,177,772 8 1,038,989 165,008
1/1/1994 Method Change 3,724,296 13 2,496,694 285,817
1/1/1996 Plan Amendment 15,063,842 15 11,010,172 1,160,290
1/1/2000 Plan Amendment 52,921,724 19 43,901,576 4,100,648
1/1/2002 Assumption Changes (30,846,502) 21 (26,822,912) (2,396,081)
1/1/2007 Assumption Changes (14,695,526) 26 (13,880,166) (1,142,688)
27,016,501 18,744,675 2,118,337
GRS Item # 2
Attachment number 1
Page 16 of 52
10
C. Amortization Schedule
The UFAAL is being liquidated as a level dollar amount over the number of years remaining in the
amortization period. The expected amortization schedule is as follows:
Amortization Schedule
Year Expected UAAL
2011 $ 18,744,675
2012 17,873,306
2013 16,619,278
2014 15,271,199
2015 13,822,013
2016 12,264,139
2021 3,892,581
2026 (6,312,051)
2031 (8,161,953)
2036 (1,142,688)
2037 -
GRS Item # 2
Attachment number 1
Page 17 of 52
11
ACTUARIAL GAINS AND LOSSES
The assumptions used to anticipate mortality, employment turnover, investment income, expenses,
salary increases, and other factors have been based on long range trends and expectations. Actual experience
can vary from these expectations. The variance is measured by the gain and loss for the period involved. If
significant long term experience reveals consistent deviation from what has been expected and that deviation
is expected to continue, the assumptions should be modified. The net actuarial gain (loss) for the past year is
computed as follows:
A. Employer Normal Cost as a
Percentage of Covered Payroll
1. Last Valuation 16.04 %
2. Current Valuation 15.67
3. Difference: 1 - 2 0.37
B. Actuarial Present Value of
Projected Covered Payroll $ 624,706,007
C. Net Actuarial Gain (Loss): A3 x B 2,311,412
D. Gain (Loss) due to Investments 1 (8,838,750)
E. Gain (Loss) due to other sources 1 11,150,162
Gains (losses) in previous years have been as follows:
Year Ending Gain
12/31 (Loss)
2009 $32,358,262
2010 2,311,412
Change in
NC Rate
(4.89) %
(0.37)
GRS Item # 2
Attachment number 1
Page 18 of 52
12
The fund earnings and salary increase assumptions have considerable impact on the cost of the Plan so
it is important that they are in line with the actual experience. The following table shows the actual fund
earnings and salary increase rates compared to the assumed rates for the last few years:
Investment Return Salary Increases
Year Ending Actual Assumed Actual Assumed
12/31/1986 N/A 7.00 % 7.40 % 5.00 %
12/31/1987 N/A 7.00 5.90 5.00
12/31/1988 N/A 7.00 9.10 5.00
12/31/1989 N/A 7.00 8.70 5.00
12/31/1990 N/A 7.00 5.30 5.00
12/31/1991 N/A 7.00 6.10 5.00
12/31/1992 N/A 7.00 6.80 5.00
12/31/1993 7.42 % 7.00 1.20 5.00
12/31/1994 6.28 7.00 4.40 5.00
12/31/1995 9.14 7.00 6.40 5.00
12/31/1996 11.54 7.00 6.70 5.00
12/31/1997 13.74 7.00 5.60 5.00
12/31/1998 15.28 7.00 7.40 5.00
12/31/1999 17.96 7.00 4.20 5.00
12/31/2000 12.42 7.00 5.80 5.00
12/31/2001 7.40 7.00 5.90 5.00
12/31/2002 (1.85) 7.50 5.80 6.00
12/31/2003 7.45 7.50 6.40 6.00
12/31/2004 2.18 7.50 6.38 6.00
12/31/2005 4.58 7.50 5.49 6.00
12/31/2006 7.87 7.50 5.15 6.00
12/31/2007 10.68 7.50 6.62 6.00
12/31/2008 (10.61) 7.50 4.25 6.00
12/31/2009 16.53 7.50 3.29 6.00
12/31/2010 5.98 7.50 1.27 6.00
Averages 7.78 % --- 5.11 % The actual investment return rates shown above are based on the actuarial value of assets. The actual
salary increase rates shown above are the increases received by those active members who were included in
the actuarial valuations both at the beginning and the end of each year.
GRS Item # 2
Attachment number 1
Page 19 of 52
13
History of Investment Return Based on Actuarial Value of Assets
History of Salary Increases
GRS Item # 2
Attachment number 1
Page 20 of 52
14
Actual (A) Compared to Expected (E) Decrements
Among Active Employees
Number
Added Active
During Service Disability Terminations Members
Year Year Retirement Retirement Death Vested Other To tals End of
Ended A E A E A E A E A A A E Ye ar
12/31/2009 49 110 54 57 0 6 0 2 10 46 56 93 1,567
12/31/2010 78 137 68 51 2 6 3 2 15 49 64 85 1,508
12/31/2011 49 6 2 84
2 Yr Totals * 127 247 122 108 2 12 3 4 25 95 120 178
* Totals are through current Plan Year only.
Actual (A) Compared to Expected (E) Deaths
Among Retirees and Beneficiaries
Actual During Year Expected During Year
Year Annual Annual
Ended Number Pensions Number Pensions
12/31/2009 12 $ 142,606 16 $ 313,189
12/31/2010 12 139,508 18 363,242
12/31/2011 19 416,467
GRS Item # 2
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Attachment number 1
Page 23 of 52
17
ACTUARIAL ASSUMPTIONS AND COST METHOD
Valuation Methods
Actuarial Cost Method - Normal cost and the allocation of benefit values between service rendered
before and after the valuation date were determined using the Frozen Entry-Age Actuarial Cost
Method. The excess of the Actuarial Present Value of Projected Benefits of the group included in the
valuation, over the sum of the Actuarial Value of Assets, the Unfunded Frozen Actuarial Accrued Liability
and the Actuarial Present Value of Future Member Contributions (if any) is allocated as a level percentage
of earnings of the group between the valuation date and the assumed retirement age. This allocation is
performed for the group as a whole, not as a sum of individual allocations. The portion of this Actuarial
Present Value allocated to a specific year is called the Employer Normal Cost.
Under this method, actuarial gains (losses) reduce (increase) future Normal Costs.
Financing of Unfunded Actuarial Accrued Liabilities - Unfunded Actuarial Accrued Liabilities (full
funding credit if assets exceed liabilities) were amortized by level (principal & interest combined) dollar
amount contributions over a reasonable period of future years.
Actuarial Value of Assets - The Actuarial Value of Assets phase in the difference between the expected
and actual return on market value of assets at the rate of 20% per year. The Actuarial Value of Assets
will be further adjusted to the extent necessary to fall within the corridor whose lower limit is 80% of the
Market Value of plan assets and whose upper limit is 120% of the Market Value of plan assets. During
periods when investment performance exceeds the assumed rate, Actuarial Value of Assets will tend to be
less than Market Value. During periods when investment performance is less than assumed rate,
Actuarial Value of Assets will tend to be greater than Market Value.
Valuation Assumptions
The actuarial assumptions used in the valuation are shown in this Section.
Economic Assumptions
The investment return rate assumed in the valuations is 7.5% per year, compounded annually (gross rate
before investment expenses).
The Wage Inflation Rate assumed in this valuation was 3% per year. The Wage Inflation Rate is
defined to be the portion of total pay increases for an individual that are due to macro economic forces
including productivity, price inflation, and labor market conditions. The wage inflation rate does not
include pay changes related to individual merit and seniority effects.
The assumed real rate of return over wage inflation is defined to be the portion of total investment
return that is more than the assumed wage inflation rate. Considering other economic assumptions, the
7.5% investment return rate translates to an assumed real rate of return over wage inflation of 4.5%.
The rate of salary increase used for individual members is 6% per year. Part of the assumption is for
merit and/or seniority increase, and the other 3% recognizes wage inflation, including price inflation,
productivity increases, and other macroeconomic forces. This assumption is used to project a member's
current salary to the salaries upon which benefits will be based.
Demographic Assumptions
GRS Item # 2
Attachment number 1
Page 24 of 52
18
The mortality table was the RP 2000 Combined Healthy Mortality table for males and females. Mortality
improvements after 2000 are not incorporated into these rates.
Sample
Attained
Ages Probability of
Dying Next Year
Men Women Future Life
Expectancy (years)
Men Women
50 0.21 % 0.17% 30.84 33.64
55 0.36% 0.27% 26.22 28.95
60 0.67 % 0.51 % 21.78 24.42
65 1.27 % 0.97% 17.65 20.16
70 2.22% 1.67 % 13.92 16.27
75 3.78 % 2.81 % 10.61 12.78
80 6.44% 4.59% 7.79 9.72
This assumption is used to measure the probabilities of each benefit payment being made after retirement.
For active members, the probabilities of dying before retirement were based upon the same mortality table
as members dying after retirement. All deaths before retirement are assumed to be non-service connected.
The rates of retirement used to measure the probability of eligible members retiring under normal and
early retirement eligibility during the next year were as follows:
Hazardous Dutv Retirement
10 to 19 20 or More
Years of Years of
Age Service Service
45 N/A 15 %
50 20% 20
55 20 35
60+ 100 100
Non-Hazardous Dutv Retirement
10 to 19 20 to 29 30 or More
Years of Years of Years of
Age Service Service Service
50 N/A N/A 20%
55 N/A 30% 25
60 N/A 30 25
65 35 % 75 75
70+ 100 100 100
Rates of separation from active membership were as shown below (rates do not apply to members
eligible to retire and do not include separation on account of death or disability). This assumption
measures the probabilities of members remaining in employment.
GRS Item # 2
Attachment number 1
Page 25 of 52
19
Hazardous Duty Withdrawal
Sample % of Active Members
Ages Separating Within Next Year
20 7.5 %
25 7.5
30 3.0
35 3.0
40 3.0
45 3.0
50 3.0
55 0.0
Non-Hazardous Duty Withdrawal
Sample First Year Second Year Third Year More than 3
Ages of Service of Service of Service Years of Service
20 25.0% 25.0% 25.0% 20.0%
25 25.0 25.0 20.0 15.0
30 15.0 12.5 10.0 8.0
35 15.0 12.5 10.0 8.0
40 15.0 12.5 10.0 5.0
45 15.0 12.5 10.0 4.0
50 15.0 5.0 5.0 4.0
55 15.0 5.0 5.0 4.0
60 0.0 0.0 0.0 0.0
Rates of disability among active members (100% of disabilities are assumed to be service-connected).
Sample % of Active Members Becoming
Ages Disabled Within Next Year
20 0.17%
25 0.17
30 0.17
35 0.18
40 0.20
45 0.23
50 0.29
55 0.39
60 0.59
65 1.04
70 1.74
GRS Item # 2
Attachment number 1
Page 26 of 52
20
Miscellaneous and Technical Assumptions
Administrative & Investment The investment return assumption is intended to be the gross return
Expenses before investment expenses. Annual administrative and investment
expenses are assumed to be equal to the expenses of the previous year.
Assumed administrative and investment expenses are added to the
Normal Cost.
Benefit Service Exact fractional service is used to determine the amount of benefit
payable.
Cost of Living Increases The adjustment is 1.5% annually commencing on each April 1 for all
retirees and beneficiaries who have received at least 6 monthly benefit
payments.
Decrement Operation Disability and mortality decrements operate during retirement
eligibility.
Decrement Timing Decrements of all types are assumed to occur at the beginning of the
year.
Eligibility Testing Eligibility for benefits is determined based upon the age nearest
birthday and service nearest whole year on the date the decrement is
assumed to occur.
Forfeitures For vested separations from service, it is assumed that 0% of members
separating will withdraw their contributions and forfeit an employer
financed benefit. It was further assumed that the liability at
termination is the greater of the vested deferred benefit (if any) or the
member's accumulated contributions.
Incidence of Contributions Employer contributions are assumed to be made in equal installments
during the first two quarters of the fiscal year. Member contributions
are assumed to be received continuously throughout the year based
upon the computed percent of payroll shown in this report, and the
actual payroll payable at the time contributions are made.
Marriage Assumption 85% of males and 85% of females are assumed to be married for
purposes of death-in-service benefits. Male spouses are assumed to be
five years older than female spouses for active member valuation
purposes.
Normal Form of Benefit The normal form of benefit is a life annuity that includes a survivor
benefit where after the participant's death, 100% is payable to the
spouse for five years, after which the benefit is reduced to 50%.
Pay Increase Timing End of fiscal year. This is equivalent to assuming that reported pays
represent the annual rate of pay on the valuation date. The pay used
for the valuation is equal to the greater of the actual pay for the plan
year increased by 6% and the annual rate of pay on the valuation date.
Service Credit Accruals It is assumed that members accrue one year of service credit per year.
GRS Item # 2
Attachment number 1
Page 27 of 52
21
GLOSSARY
Actuarial Accrued Liability The difference between the Actuarial Present Value of Future Benefits,
(AAL) and the Actuarial Present Value of Future Normal Costs.
Actuarial Assumptions Assumptions about future plan experience that affect costs or liabilities,
such as: mortality, withdrawal, disablement, and retirement; future
increases in salary; future rates of investment earnings; future investment
and administrative expenses; characteristics of members not specified in
the data, such as marital status; characteristics of future members; future
elections made by members; and other items.
Actuarial Cost Method A procedure for allocating the Actuarial Present Value of Future Benefits
between the Actuarial Present Value of Future Normal Costs and the
Actuarial Accrued Liability.
Actuarial Equivalent Of equal Actuarial Present Value, determined as of a given date and based
on a given set of Actuarial Assumptions.
Actuarial Present Value The amount of funds required to provide a payment or series of payments
(APV) in the future. It is determined by discounting the future payments with an
assumed interest rate and with the assumed probability each payment will
be made.
Actuarial Present Value of The Actuarial Present Value of amounts which are expected to be paid at
Future Benefits (APVFB) various future times to active members, retired members, beneficiaries
receiving benefits, and inactive, nonretired members entitled to either a
refund or a future retirement benefit. Expressed another way, it is the
value that would have to be invested on the valuation date so that the
amount invested plus investment earnings would provide sufficient assets
to pay all projected benefits and expenses when due.
Actuarial Valuation The determination, as of a valuation date, of the Normal Cost, Actuarial
Accrued Liability, Actuarial Value of Assets, and related Actuarial
Present Values for a plan. An Actuarial Valuation for a governmental
retirement system typically also includes calculations of items needed for
compliance with GASB No. 25, such as the Funded Ratio and the Annual
Required Contribution (ARC).
Actuarial Value of Assets The value of the assets as of a given date, used by the actuary for
valuation purposes. This may be the market or fair value of plan assets
or a smoothed value in order to reduce the year-to-year volatility of
calculated results, such as the funded ratio and the actuarially required
contribution (ARC).
GD Q Item # 2
INJ
Attachment number 1
Page 28 of 52
22
Amortization Method A method for determining the Amortization Payment. The most common
methods used are level dollar and level percentage of payroll. Under the
Level Dollar method, the Amortization Payment is one of a stream of
payments, all equal, whose Actuarial Present Value is equal to the UAAL.
Under the Level Percentage of Pay method, the Amortization Payment is
one of a stream of increasing payments, whose Actuarial Present Value is
equal to the UAAL. Under the Level Percentage of Pay method, the
stream of payments increases at the rate at which total covered payroll of
all active members is assumed to increase.
Amortization Payment That portion of the plan contribution or ARC which is designed to pay
interest on and to amortize the Unfunded Actuarial Accrued Liability.
Amortization Period The period used in calculating the Amortization Payment.
Annual Required The employer's periodic required contributions, expressed as a dollar
Contribution (ARC) amount or a percentage of covered plan compensation, determined under
GASB No. 25. The ARC consists of the Employer Normal Cost and
Amortization Payment.
Closed Amortization Period A specific number of years that is reduced by one each year, and declines
to zero with the passage of time. For example if the amortization period is
initially set at 30 years, it is 29 years at the end of one year, 28 years at the
end of two years, etc.
Employer Normal Cost The portion of the Normal Cost to be paid by the employer. This is
equal to the Normal Cost less expected member contributions.
Equivalent Single For plans that do not establish separate amortization bases (separate
Amortization Period components of the UAAL), this is the same as the Amortization Period.
For plans that do establish separate amortization bases, this is the period
over which the UAAL would be amortized if all amortization bases were
combined upon the current UAAL payment.
Experience Gain/Loss A measure of the difference between the normal cost rate from last year
and the normal cost rate from this year.
Funded Ratio The ratio of the Actuarial Value of Assets to the Actuarial Accrued
Liability.
GASB Governmental Accounting Standards Board.
GASB No. 25 and These are the governmental accounting standards that set the accounting
GASB No. 27 rules for public retirement systems and the employers that sponsor or
contribute to them. Statement No. 27 sets the accounting rules for the
employers that sponsor or contribute to public retirement systems, while
Statement No. 25 sets the rules for the systems themselves.
GRS Item
Attachment number 1
Page 29 of 52
23
Normal Cost The annual cost assigned, under the Actuarial Cost Method, to the current
plan year.
Open Amortization Period An open amortization period is one which is used to determine the
Amortization Payment but which does not change over time. In other
words, if the initial period is set as 30 years, the same 30-year period is
used in determining the Amortization Period each year. In theory, if an
Open Amortization Period is used to amortize the Unfunded Actuarial
Accrued Liability, the UAAL will never completely disappear, but will
become smaller each year, either as a dollar amount or in relation to
covered payroll.
Unfunded Actuarial Accrued The difference between the Actuarial Accrued Liability and Actuarial
Liability Value of Assets.
Valuation Date The date as of which the Actuarial Present Value of Future Benefits are
determined. The benefits expected to be paid in the future are discounted
to this date.
GRS Item
Attachment number 1
Page 30 of 52
SECTION C
PENSION FUND INFORMATION
GRS Item # 2
Attachment number 1
Page 31 of 52
24
Item
Statement of Plan Assets at Market Value
December 31
2010
2009
A. Cash and Cash Equivalents (Operating Cash) $ - $ -
B. Receivables:
1. Member Contributions $ - $ -
2. Employer Contributions 8,169,925 7,394,536
3. Investment Income and Other Receivables 1,972,565 2,144,645
4. Total Receivables $ 10,142,490 $ 9,539,181
C. Investments
1. Short-Term Investments $ 30,944,675 $ 22,228,808
2. Domestic Equities 319,892,820 282,750,701
3. International Equities 116,185,673 73,545,229
4. Commodities 1,048,884 591,035
5. Domestic Fixed Income 172,034,846 190,219,675
6. International Fixed Income - -
7. Real Estate 20,941,363 -
8. Private Equity - -
9. Total Investments $ 661,048,261 $ 569,335,448
D. Liabilities
1. Benefits Payable $ - $ -
2. Accrued Expenses and Other Payables (850,737) (766,397)
3. Total Liabilities $ (850,737) $ (766,397)
E. Total Market Value of Assets Available for Benefits $ 670,340,014 $ 578,108,232
F. Allocation of Investments
1. Short-Term Investments 4.68% 3.90%
2. Domestic Equities 48.39% 49.67%
3. International Equities 17.58% 12.92%
4. Commodities 0.16% 0.10%
5. Domestic Fixed Income 26.02% 33.41%
6. International Fixed Income 0.00% 0.00%
7. Real Estate 3.17% 0.00%
8. Private Equity 0.00% 0.00%
9. Total Investments 100.00% 100.00%
GRS Item # 2
Attachment number 1
Page 32 of 52
25
Item
Reconciliation of Plan Assets
December 31
2010 2009
A. Market Value of Assets at Beginning of Year
B. Revenues and Expenditures
1. Contributions
a. Employee Contributions
b. Employer Contributions
c. State Contributions
d. Total
2. Investment Income
a. Interest, Dividends, and Other Income
b. Net Realized Gains/(Losses)
c. Net Unrealized Gains/(Losses)
d. Investment Expenses
e. Net Investment Income
3. Benefits and Refunds
a. Refunds
b. Regular Monthly Benefits
c. Partial Lump-Sum Benefits Paid
d. Total
4. Administrative and Miscellaneous Expenses
5. Transfers
C. Market Value of Assets at End of Year
$ 578,108,232 $ 447,362,061
$ 5,983,229 $ 6,215,439
17,428,806 15,886,314
12,000 12,000
$ 23,424,035 $ 22,113,753
$ 13,748,614 $ 17,114,158
30,548,884 (30,011,663)
56,174,223 150,230,294
(3,303,218) (2,806,007)
$ 97,168,503 $ 134,526,782
$ (777,382) $ (730,242)
(27,413,294) (24,993,590)
$ (28,190,676) $ (25,723,832)
$ (170,080) $ (170,532)
$ 670,340,014 $ 578,108,232
GRS Item # 2
26
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Attachment number 1
Page 34 of 52
27
Investment Rate of Return
Plan Year Ending
December 31 Market Actuarial
1986 13.21 % N/A
1987 10.78 N/A
1988 9.12 N/A
1989 20.84 N/A
1990 6.21 N/A
1991 28.52 N/A
1992 6.49 N/A
1993 9.29 7.42 %
1994 0.89 6.28
1995 23.36 9.14
1996 14.80 11.54
1997 17.49 13.74
1998 16.74 15.28
1999 18.61 17.96
2000 (3.43) 12.42
2001 (5.16) 7.40
2002 (8.83) (1.85)
2003 20.08 7.45
2004 9.73 2.18
2005 6.67 4.58
2006 11.80 7.87
2007 7.29 10.68
2008 (27.01) (10.61)
2009 30.93 16.53
2010 17.50 5.98
Average returns:
Last five years: 6.14 % 5.68 %
Last ten years: 5.05 % 4.78 %
All years: 9.49 % 7.78 %
The above rates are based on the retirement system's financial information reported to the actuary. They
may differ from figures that the investment consultant reports, in part because of differences in the handling
of administrative and investment expenses, and in part because of differences in the handling of cash flows.
GRS Item # 2
Attachment number 1
Page 35 of 52
SECTION D
FINANCIAL ACCOUNTING INFORMATION
GRS Item # 2
Attachment number 1
Page 36 of 52
28
FASB NO. 35 INFORMATION
A. Valuation Date January 1, 2011 January 1, 2010
B. Actuarial Present Value of Accumulated
Plan Benefits
1. Vested Benefits
a. Members Currently Receiving Payments $ 367,206,798 $ 326,823,454
b. Terminated Vested Members 14,111,709 13,738,795
c. Other Members 206,241,827 212,690,401
d. Total 587,560,334 553,252,650
2. Non-Vested Benefits 17,432,562 17,150,416
3. Total Actuarial Present Value of Accumulated
Plan Benefits: Id + 2 604,992,896 570,403,066
4. Accumulated Contributions of Active Members 53,322,108 54,147,862
C. Changes in the Actuarial Present Value of
Accumulated Plan Benefits
1. Total Value at Beginning of Year 570,403,066 511,915,925
2. Increase (Decrease) During the Period
Attributable to:
a. Plan Amendment 0 0
b. Change in Actuarial Assumptions 0 0
c. Latest Member Data, Benefits Accumulated
and Decrease in the Discount Period 62,780,506 84,210,973
d. Benefits Paid (28,190,676) (25,723,832)
e. Net Increase 34,589,830 58,487,141
3. Total Value at End of Period 604,992,896 570,403,066
D. Market Value of Assets 670,340,014 578,108,232
E. Actuarial Assumptions - See page entitled
Actuarial Assumptions and Methods
GRS Item # 2
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Attachment number 1
Page 38 of 52
30
SCHEDULE OF CONTRIBUTIONS FROM EMPLOYER
AND THE STATE OF FLORIDA
(GASB Statement No. 25)
Fiscal Year Ended
Se tember 30 Annual Required
Contribution Actual
Contribution Percentage
Contributed
2008 $ 12,532,399 $ 12,532,399 100.0%
2009 10,086,978 10,086,978 100.0
2010 23,960,586 23,960,586 100.0
2011 19,373,992 19,373,992 100.0
GRS Item # 2
Attachment number 1
Page 39 of 52
31
REQUIRED SUPPLEMENTARY INFORMATION
GASB Statement No. 25 and No. 27
The information presented in the required supplementary schedules was determined as part of the
actuarial valuations at the dates indicated. Additional information as of the latest actuarial valuation:
Valuation Date
Contribution Rates
Employer (and State)
Plan members
Actuarial Cost Method
Amortization Method
Remaining Amortization Period
Asset Valuation Method
January 1, 2011
24.70%
8.00%
Frozen Entry Age Normal
Level dollar, closed
26 years
Phase-in of 20% of difference
between actual and expected return on
market value of assets.
Actuarial Assumptions
Investment rate of return
Projected salary increases
Includes inflation and other general increases at
Cost of Living adjustments
7.50%
6.00%
3.00%
1.50% each year on April 1
GRS
Item # 2
Attachment number 1
Page 40 of 52
SECTION E
MISCELLANEOUS INFORMATION
GRS Item # 2
Attachment number 1
Page 41 of 52
32
RECONCILIATION OF MENIBERSIIP DATA
From 1/1/10 From 1/1/09
T01/1/11 T01/1/10
A. Active Members
1. Number Included in Last Valuation 1,567 1,628
2. New Members Included in Current Valuation 77 49
3. Non-Vested Employment Terminations (49) (46)
4. Vested Employment Terminations (15) (10)
5. Service Retirements (68) (54)
6. Disability Retirements (2) 0
7. Deaths (3) 0
8. Data Corrections /Rehired Members 1 0
9. Number Included in This Valuation 1,508 1,567
B. Terminated Vested Members
1. Number Included in Last Valuation 69 68
2. Additions fromActive Members 15 10
3. Lump Sum Payments/Refund of Contributions (6) (1)
4. Payments Commenced (9) (9)
5. Deaths 0 0
6. Conversion from Dis ability/Rehired Members (1) 1
7. Number Included in This Valuation 68 69
C. Service Retirees, Disability Retirees and Beneficiaries
1. Number Included in Last Valuation 886 835
2. Additions fromActive Members 70 54
3. Additions fromTerminated Vested Members 9 9
4. Deaths Resulting in No Further Payments (12) (11)
5. Deaths Resulting in New Survivor Benefits 3 0
6. End of Certain Period - No Further Payments 0 0
7. Data Correction/Waiver of Benefits 0 (1)
8. Number Included in This Valuation 956 886
GRS
Item # 2
Attachment number 1
Page 42 of 52
33
ACTIVE PARTICIPANT DISTRIBUTION
ALL ACTIVE MEMBERS
Years of Service to Valuation Date
Age Group 0-1 1-2 2-3 3-4 4-5 5-9 10-14 15-19 20-24 25-29 30-34 35+ Totals
20-24 NO. 11 10 5 7 6 I 0 0 0 0 0 0 40
TOT PAY 280.108 370.216 152.467 271.747 222.131 31.468 0 0 0 0 0 0 1.328.137
AVG PAY 25.464 37.022 30.493 38.821 37.022 31.468 0 0 0 0 0 0 33.203
25-29 NO. 10 9 l4 37 26 34 0 0 0 0 0 0 130
TOT PAY 283.583 322.446 516.873 1.674.760 1.140.624 1.403.333 0 0 0 0 0 0 5.341.619
AVG PAY 28.358 35.827 36.920 45.264 43.870 41.275 0 0 0 0 0 0 41.089
30-34 NO. 10 4 9 l8 l6 69 l5 0 0 0 0 0 141
TOT PAY 284.892 196.421 408.289 834.934 929.160 3.472.196 786.234 0 0 0 0 0 6912.126
AVG PAY 28.489 49.105 45.365 46.385 58.073 50.322 52.416 0 0 0 0 0 49.022
35-39 NO. l7 5 7 l7 l8 66 63 9 0 0 0 0 202
TOT PAY 551.335 167.414 257.591 668.330 835.304 3.311.382 4.139.473 587.090 0 0 0 0 10.517919
AVG PAY 32.431 33.483 36.799 39.314 46.406 50.172 65.706 65.232 0 0 0 0 52.069
40-44 NO. 7 6 7 5 l3 63 64 47 l5 0 0 0 227
TOT PAY 191912 214.288 295.144 175.504 601.632 3.348.937 3.928.445 3.422919 1.091.615 0 0 0 13.270.396
AVG PAY 27.416 35.715 42.163 35.101 46.279 53.158 61.382 72.828 72.774 0 0 0 58.460
45-49 NO. 8 6 10 l2 8 53 51 45 52 l4 0 0 259
TOT PAY 300.604 241.401 334.380 486.497 302.700 2.249.906 2.671.863 2.856.411 3.473.286 876.827 0 0 13.793.875
AVG PAY 37.576 40.234 33.438 40.541 37.838 42.451 52.389 63.476 66.794 62.631 0 0 53.258
50-54 NO. 7 2 2 5 8 49 38 38 49 35 4 0 237
TOT PAY 201.295 80.355 69.807 211.803 241.235 1.870.303 1.764.157 2.043.182 3.029.306 2.192.566 270.653 0 11.974.662
AVG PAY 28.756 40.178 34904 42.361 30.154 38.169 46.425 53.768 61.823 62.645 67.663 0 50.526
55-59 NO. 2 2 2 3 7 23 32 35 22 l9 6 0 153
TOT PAY 79.778 60.018 68.812 102.367 289.064 998.284 1.437.010 1.850.257 1.315.540 1.231.953 447.474 0 7.880.557
AVG PAY 39.889 30.009 34.406 34.122 41.295 43.404 44.907 52.864 59.797 64.840 74.579 0 51.507
60-64 NO. 4 0 I 3 2 23 l4 21 l8 7 I I 95
TOT PAY 111.924 0 29.805 132.131 64.896 897.658 642.093 1.030.044 1.068.188 418.266 48.933 44.553 4.488.491
AVG PAY 27.981 0 29.805 44.044 32.448 39.029 45.864 49.050 59.344 59.752 48.933 44.553 47.247
65+ NO. I 0 0 I 2 7 2 8 3 0 0 0 24
TOT PAY 21.325 0 0 30.794 84.032 216.419 81.567 404.866 158.814 0 0 0 997.817
AVG PAY 21.325 0 0 30.794 42.016 30.917 40.784 50.608 52.938 0 0 0 41.576
TOT NO. 77 44 57 108 106 388 279 203 159 75 II 1 1.508
TOT AMT 2.306.756 1.652.559 2.133.168 4.588.867 4.710.778 17.799.886 15.450.842 12.194.769 10.136.749 4.719.612 767.060 44.553 76.505.599
AVG AMT 29.958 37.558 37.424 42.490 44.441 45.876 55.379 60.073 63.753 62.928 69.733 44.553 50.733
GRS
Item # 2
Attachment number 1
Page 43 of 52
34
ACTIVE PARTICIPANT DISTRIBUTION
HAZARDOUS DUTY MEMBERS
Years of Service to Valuation Date
Age Group 0-1 1-2 2-3 3-4 4-5 5-9 10-14 15-19 20-24 25-29 30-34 35+ Totals
20-24 NO. 1 5 0 2 1 0 0 0 0 0 0 0 9
TOT PAY 44.471 234.595 0 105.130 56.067 0 0 0 0 0 0 0 440.263
AVG PAY 44.471 46.919 0 52.565 56.067 0 0 0 0 0 0 0 48.918
25-29 NO. 0 4 3 16 9 9 0 0 0 0 0 0 41
TOT PAY 0 184.290 167.788 940.955 560.143 586.145 0 0 0 0 0 0 2.439.321
AVG PAY 0 46.073 55.929 58.810 62.238 65.127 0 0 0 0 0 0 59.496
30-34 NO. 0 4 4 6 11 34 6 0 0 0 0 0 65
TOT PAY 0 196.421 220.332 343.066 696.291 2.148.723 442.418 0 0 0 0 0 4.047.251
AVG PAY 0 49.105 55.083 57.178 63.299 63.198 73.736 0 0 0 0 0 62.265
35-39 NO. 2 0 1 5 5 28 41 5 0 0 0 0 87
TOT PAY 93.500 0 46.695 287.112 305.096 1.859.758 3.146.478 397.355 0 0 0 0 6.135.994
AVG PAY 46.750 0 46.695 57.422 61.019 66.420 76.743 79.471 0 0 0 0 70.529
40-44 NO. 0 2 2 1 5 33 36 29 7 0 0 0 115
TOT PAY 0 86.972 121.232 57.298 311.953 2.184.369 2.697.084 2.504.148 632.108 0 0 0 8.595.164
AVG PAY 0 43.486 60.616 57.298 62.391 66.193 74.919 86.350 90.301 0 0 0 74.741
45-49 NO. 1 0 1 1 1 7 9 22 21 2 0 0 65
TOT PAY 103.000 0 56.025 67.939 51.569 428.514 728.853 1.753.365 1.783.009 191.161 0 0 5.163.435
AVG PAY 103.000 0 56.025 67.939 51.569 61.216 80.984 79.698 84.905 95.581 0 0 79.437
50-54 NO. 0 0 0 0 0 1 2 4 9 6 0 0 22
TOT PAY 0 0 0 0 0 76.385 142.078 328.748 815.039 547.489 0 0 1.909.739
AVG PAY 0 0 0 0 0 76.385 71.039 82.187 90.560 91.248 0 0 86.806
55-59 NO. 0 0 0 0 1 2 1 1 1 1 4 0 11
TOT PAY 0 0 0 0 68.983 143.107 76.470 86.241 80.630 68.216 358.704 0 882.351
AVG PAY 0 0 0 0 68.983 71.554 76.470 86.241 80.630 68.216 89.676 0 80.214
60-64 NO. 0 0 0 1 0 2 0 1 1 0 0 0 5
TOT PAY 0 0 0 62.837 0 139.327 0 90.368 78.043 0 0 0 370.575
AVG PAY 0 0 0 62.837 0 69.664 0 90.368 78.043 0 0 0 74.115
65+ NO. 0 0 0 0 0 0 0 0 0 0 0 0 0
TOT PAY 0 0 0 0 0 0 0 0 0 0 0 0 0
AVG PAY 0 0 0 0 0 0 0 0 0 0 0 0 0
TOT NO. 4 15 11 32 33 116 95 62 39 9 4 0 420
TOT AMT 240.971 702.278 612.072 1.864337 2.050.102 7.566328 7.233381 5.160.225 3.388.829 806.866 358.704 0 29.984.093
AVG AMT 60.243 46.819 55.643 58.261 62.124 65.227 76.141 83.229 86.893 89.652 89.676 0 71.391
GRS
Item # 2
Attachment number 1
Page 44 of 52
35
ACTIVE PARTICIPANT DISTRIBUTION
NON-HAZARDOUS DUTY MEMBERS
Years of Service to Valuation Date
Age Group 0-1 1-2 2-3 3-4 4-5 5-9 10-14 15-19 20-24 25-29 30-34 35+ Totals
20-24 NO. 10 5 5 5 5 I 0 0 0 0 0 0 31
TOT PAY 235.637 135.621 152.467 166.617 166.064 31.468 0 0 0 0 0 0 887.874
AVG PAY 23.564 27.124 30.493 33.323 33.213 31.468 0 0 0 0 0 0 28.641
25-29 NO. 10 5 11 21 17 25 0 0 0 0 0 0 89
TOT PAY 283.583 138.156 349.085 733.805 580.481 817.188 0 0 0 0 0 0 2.902.298
AVG PAY 28.358 27.631 31.735 34.943 34.146 32.688 0 0 0 0 0 0 32.610
30-34 NO. 10 0 5 12 5 35 9 0 0 0 0 0 76
TOT PAY 284.892 0 187.957 491.868 232.869 1.323.473 343.816 0 0 0 0 0 2.864.875
AVG PAY 28.489 0 37.591 40.989 46.574 37.814 38.202 0 0 0 0 0 37.696
35-39 NO. 15 5 6 12 13 38 22 4 0 0 0 0 115
TOT PAY 457.835 167.414 210.896 381.218 530.208 1.451.624 992.995 189.735 0 0 0 0 4.381.925
AVG PAY 30.522 33.483 35.149 31.768 40.785 38.201 45.136 47.434 0 0 0 0 38.104
40-44 NO. 7 4 5 4 8 30 28 18 8 0 0 0 112
TOT PAY 191.912 127.316 173.912 118.206 289.679 1.164.568 1.231.361 918.771 459.507 0 0 0 4.675.232
AVG PAY 27.416 31.829 34.782 29.552 36.210 38.819 43.977 51.043 57.438 0 0 0 41.743
45-49 NO. 7 6 9 11 7 46 42 23 31 12 0 0 194
TOT PAY 197.604 241.401 278.355 418.558 251.131 1.821.392 1.943.010 1.103.046 1.690.277 685.666 0 0 8.630.440
AVG PAY 28.229 40.234 30.928 38.051 35.876 39.595 46.262 47.959 54.525 57.139 0 0 44.487
50-54 NO. 7 2 2 5 8 48 36 34 40 29 4 0 215
TOT PAY 201.295 80.355 69.807 211.803 241.235 1.793.918 1.622.079 1.714.434 2.214.267 1.645.077 270.653 0 10.064.923
AVG PAY 28.756 40.178 34.904 42.361 30.154 37.373 45.058 50.425 55.357 56.727 67.663 0 46.814
55-59 NO. 2 2 2 3 6 21 31 34 21 18 2 0 142
TOT PAY 79.778 60.018 68.812 102.367 220.081 855.177 1.360.540 1.764.016 1.234910 1.163.737 88.770 0 6.998.206
AVG PAY 39.889 30.009 34.406 34.122 36.680 40.723 43.888 51.883 58.805 64.652 44.385 0 49.283
60-64 NO. 4 0 I 2 2 21 14 20 17 7 I I 90
TOT PAY 111.924 0 29.805 69.294 64.896 758.331 642.093 939.676 990.145 418.266 48.933 44.553 4.117916
AVG PAY 27.981 0 29.805 34.647 32.448 36.111 45.864 46.984 58.244 59.752 48.933 44.553 45.755
65+ NO. I 0 0 I 2 7 2 8 3 0 0 0 24
TOT PAY 21.325 0 0 30.794 84.032 216.419 81.567 404.866 158.814 0 0 0 997.817
AVG PAY 21.325 0 0 30.794 42.016 30.917 40.784 50.608 52.938 0 0 0 41.576
TOT NO. 73 29 46 76 73 272 184 141 120 66 7 I 1.088
TOT AMT 2.065.785 950.281 1.521.096 2.724.530 2.660.676 10.233.558 8.217.461 7.034.544 6.747.920 3.912.746 408.356 44.553 46.52:.506
AVG AMT 28.298 32.768 33.067 35.849 36.448 37.623 44.660 49.890 56.233 59.284 58.337 44.553 42.759
GRS
Item # 2
Attachment number 1
Page 45 of 52
36
INACTIVE PARTICIPANT DISTRIBUTION
Terminated Vested
Disabled
Retired Deceased with
Beneficiary
Total Total Total Total
Age Group Number Benefits Number Benefits Number Benefits Number Benefits
Under 20 - - - - - - 5 24,764
20-24 - - - - - - - -
25-29 - - - - - - - -
30-34 - - - - - - 1 28,319
35-39 5 82,516 1 31,436 - - - -
40-44 11 214,287 2 69,093 3 109,768 2 49,385
45-49 14 282,096 9 356,284 27 1,074,796 5 78,111
50-54 20 474,725 23 596,340 50 2,114,502 8 201,625
55-59 7 111,872 26 650,316 175 6,973,021 10 224,368
60-64 11 195,372 30 720,152 178 6,629,054 11 228,728
65-69 - - 17 331,546 115 3,738,281 10 163,438
70-74 - - 13 283,321 67 1,901,271 25 384,990
75-79 - - 9 152,276 39 968,508 14 154,952
80-84 - - 5 63,576 20 341,733 19 291,874
85-89 - - 1 4,241 19 323,686 10 73,813
90-94 - - - - 4 26,198 3 6,360
95-99 - - - - - - - -
100 & Over - - - - - - - -
Total 68 1,360,868 136 3,258,581 697 24,200,818 123 1,910,727
Average Age 51 62 64 68
GRS
Item # 2
Attachment number 1
Page 46 of 52
SECTION F
SUMMARY OF PLAN PROVISIONS
GRS
Item # 2
Attachment number 1
Page 47 of 52
37
SUMMARY OF PLAN PROVISIONS
A. Ordinances
The Plan was established under the Code of Ordinances for the City of Clearwater, Florida, Chapter 2,
Article V, Division 3 and was most recently amended under Ordinance No. 7466-05 passed and
adopted on March 14, 2006. The Plan is also governed by certain provisions of Part VII, Chapter 112,
Florida Statutes (ES.) and the Internal Revenue Code.
B. Effective Date
Restated Plan Effective Date: January 1, 1996.
C. Plan Year
January 1 through December 31.
D. Type of Plan
Qualified, governmental defined benefit retirement plan; for GASB purposes it is a single employer
plan.
E. Eligibility Requirements
All full-time permanent employees of the City are required to participate and become participants on
their date of hire.
F. Credited Service
Credited Service is measured as the total number of years and fractional parts of years from the date of
employment to the date of termination or retirement. No service is credited for any periods of
employment for which a participant received a refund of their contributions.
G. Compensation
The total compensation for services rendered to the City reportable on the participant's W-2 form, plus
all tax deferred, tax sheltered or tax exempt items of income derived from elective employee payroll
deductions or salary reductions, but excluding any lump sum payments of unused vacation and sick
leave, pay for off-duty employment, and clothing, car or meal allowances.
H. Average Monthly Compensation (AMC)
One-twelfth of the average of Compensation during the highest 5 years out of the last 10 years
preceding termination or retirement.
GRS Item # 2
Attachment number 1
Page 48 of 52
38
1. Normal Retirement
Eligibility: For Non-Hazardous Duty EMployment
A participant may retire on the first day of the month coincident with or next following
the earliest of:
(1) age 55 with 20 years of Credited Service, or
(2) 30 years of Credited Service regardless of age, or
(3) age 65 with 10 years of Credited Service.
For Hazardous Duty Employment-Police Officers and Firefighters
A participant may retire on the first day of the month coincident with or next following
the earlier of:
(1) age 55 with 10 years of Credited Service, or
(2) 20 years of Credited Service regardless of age.
Benefit: 2.75% of AMC multiplied by years of Credited Service.
Normal Form
of Benefit: A monthly annuity is paid for the life of the participant. After the participant's death,
100% of the Normal Retirement Benefit shall be paid as a survivor annuity to the
spouse for 5 years. After 5 years, such survivor annuity is reduced to 50% of the
original amount. The survivor annuity ceases upon death or remarriage of the spouse.
120 monthly payments are guaranteed for police officers and firefighters. Optional
forms of benefits are available.
COLA: 1.5% annually commencing on each April 1 for all retirees and beneficiaries who have
received at least 6 monthly benefit payments.
J. Early Retirement
Eligibility: Police Officers and Firefighters may elect to retire earlier than the Normal Retirement
Eligibility upon the attainment of age 50 with 10 years of Credited Service.
Benefit: The Normal Retirement Benefit is reduced by 3.0% for each year by which the Early
Retirement date precedes age 55.
Normal Form
of Benefit: A monthly annuity is paid for the life of the participant. After the participant's death,
100% of the Normal Retirement Benefit shall be paid as a survivor annuity to the
spouse for 5 years. After 5 years, such survivor annuity is reduced to 50% of the
original amount. The survivor annuity ceases upon death or remarriage of the spouse.
120 monthly payments are guaranteed for police officers and firefighters. Optional
forms of benefits are available.
COLA: 1.5% annually commencing on each April 1 for all retirees and beneficiaries who have
received at least 6 monthly benefit payments.
K. Delayed Retirement
GRS Item # 2
Attachment number 1
Page 49 of 52
39
Same as Normal Retirement taking into account Compensation earned and service credited until the
date of actual retirement.
L. Service Connected Disability
Eligibility: Any participant who becomes totally and permanently disabled due to an illness or
injury contracted in the line of duty and is deemed to be unable to perform useful and
efficient service to the City is immediately eligible for a disability benefit.
Benefit: Participant's accrued Normal Retirement Benefit taking into account Compensation
earned and service credited until the date of disability. Benefit is guaranteed to be no
less than 66 2/3% of the participant's AMC. Disability benefits, when combined with
Worker's Compensation benefits, cannot exceed and will be limited to 100% of the
participant's AMC on the date of disability.
Normal Form
of Benefit: A monthly annuity is paid for the life of the participant. After the participant's death,
100% of the Normal Retirement Benefit shall be paid as a survivor annuity to the
spouse for 5 years. After 5 years, such survivor annuity is reduced to 50% of the
original amount. The survivor annuity ceases upon death or remarriage of the spouse.
120 monthly payments are guaranteed for police officers and firefighters. Optional
forms of benefits are available.
COLA: 1.5% annually commencing on each April 1 for all retirees and beneficiaries who have
received at least 6 monthly benefit payments.
M. Non-Service Connected Disability
Eligibility: Any participant who has 10 or more years of Credited Service and becomes totally and
permanently disabled and is deemed to be unable to perform useful and efficient
service to the City is immediately eligible for a disability benefit.
Benefit: Participant's accrued Normal Retirement Benefit taking into account Compensation
earned and service credited until the date of disability. Disability benefits, when
combined with Worker's Compensation benefits, cannot exceed and will be limited to
100% of the participant's AMC on the date of disability.
Normal Form
of Benefit: A monthly annuity is paid for the life of the participant. After the participant's death,
100% of the Normal Retirement Benefit shall be paid as a survivor annuity to the
spouse for 5 years. After 5 years, such survivor annuity is reduced to 50% of the
original amount. The survivor annuity ceases upon death or remarriage of the spouse.
120 monthly payments are guaranteed for police officers and firefighters. Optional
forms of benefits are available.
COLA: 1.5% annually commencing on each April 1 for all retirees and beneficiaries who have
received at least 6 monthly benefit payments.
N. Death in the Line of Duty
Eligibility: Any participant whose employment is terminated by reason of death in the line of duty
is eligible for survivor benefits.
GRS Item # 2
Attachment number 1
Page 50 of 52
40
Benefit: Beneficiary will be paid the participant's accrued benefit based upon Credited Service
and AMC as of the date of death. Benefit is guaranteed to be no less than 66 2/3%% of
the participant's AMC.
Normal Form
of Benefit: 100% of the participant's accrued benefit shall be paid as a survivor annuity to the
spouse for 5 years. After 5 years, such survivor annuity is reduced to 50% of the
original amount. The survivor annuity ceases upon death or remarriage of the spouse.
120 monthly payments are guaranteed for police officers and firefighters.
COLA: 1.5% annually commencing on each April 1 for all retirees and beneficiaries who have
received at least 6 monthly benefit payments.
In lieu of the benefits described above, the participant's beneficiary can elect to receive a refund of
participant's accumulated contributions with interest.
0. Other Pre-Retirement Death
Eligibility: Any participant who dies with 10 or more years of Credited Service is eligible for
survivor benefits.
Benefit: Beneficiary will be paid the participant's accrued benefit based upon Credited Service
and AMC as of the date of death.
Normal Form
of Benefit: 100% of the participant's accrued benefit shall be paid as a survivor annuity to the
spouse for 5 years. After 5 years, such survivor annuity is reduced to 50% of the
original amount. The survivor annuity ceases upon death or remarriage of the spouse.
120 monthly payments are guaranteed for police officers and firefighters.
COLA: 1.5% annually commencing on each April 1 for all retirees and beneficiaries who have
received at least 6 monthly benefit payments.
In lieu of the benefits described above, a participant's beneficiary can elect to receive a refund of the
participant's accumulated contributions with interest. Accumulated contributions, plus interest, will
be refunded for all participant's with less than 10 years of Credited Service.
P. Post Retirement Death
Benefit determined by the form of benefit elected upon retirement.
GRS Item # 2
Attachment number 1
Page 51 of 52
41
Q. Optional Forms
In lieu of electing the Normal Form of benefit, the optional forms of benefits available to all retirees are
a Single Life Annuity, a 10 Year Certain and Life Annuity, or the 50%, 66 2/3% (for police officers and
firefighters), 75% or 100% Joint and Survivor options.
R. Vested Termination
Eligibility: A participant has earned a non-forfeitable right to Plan benefits after the completion of
10 years of Credited Service provided employee contributions are not refunded.
Vesting is determined in accordance with the following table.
% of Normal
Years of Credited Retirement
Service Benefits
Less Than 10 0%
10 or more 10010
Benefit:The participant's accrued Normal Retirement Benefit as of the date of termination. Benefit
begins on the member's Normal Retirement date. Alternatively, police officers and
firefighters may elect to receive an actuarially reduced Early Retirement Benefit any
time after age 50.
Normal Form
of Benefit: A monthly annuity is paid for the life of the participant. After the participant's death,
100% of the Normal Retirement Benefit shall be paid as a survivor annuity to the
spouse for 5 years. After 5 years, such survivor annuity is reduced to 50% of the
original amount. The survivor annuity ceases upon death or remarriage of the spouse.
120 monthly payments are guaranteed for police officers and firefighters. Optional
forms of benefits are available.
COLA: 1.5% annually commencing on each April 1 for all retirees and beneficiaries who have
received at least 6 monthly benefit payments.
Plan participants with less than 10 years of Credited Service will receive a refund of their own
accumulated contributions with interest.
S. Refunds
Eligibility: All participants terminating employment with less than 10 years of Credited Service
are eligible. Optionally, vested members (those with 10 or more years of credited
service) may elect a refund in lieu of the vested benefits otherwise due.
Benefit: Refund of the member's contributions with 5% simple interest paid in a single lump
sum.
GRS Item # 2
Attachment number 1
Page 52 of 52
42
T. Member Contributions
8% of Compensation
U. Employer Contributions
Each plan year, the Employer must contribute a minimum of 7%% of the Compensation of all employees
participating in the plan, plus any additional amount determined by the actuary needed to fund the plan
properly according to State laws.
V. Cost of Living Increases
1.5% annually commencing on each April 1 for all retirees and beneficiaries who have received at least
6 monthly benefit payments.
X.13`" Check
Not Applicable
Y. Deferred Retirement Option Plan
Not Applicable
Z. Other Ancillary Benefits
There are no ancillary retirement type benefits not required by statutes but which might be deemed a
City of Clearwater Employees' Pension Plan liability if continued beyond the availability of funding by
the current funding source.
AA. Changes from Previous Valuation
There have been no changed from the previous valuation.
GRS Item # 2
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Meeting Date:5/16/2011
Pension Trustees Agenda
Council Chambers - City Hall
SUBJECT / RECOMMENDATION:
Approve new hires for acceptance in the Pension Plan as listed.
SUMMARY:
Pension
Name, Job. Class, & Dept./Div. Hire Date Elig Date
Zachary Taylor, Wellness Specialist/Parks & Recreation 2/28/11 2/28/11
William Howard, WWTP Operator/Public Utilities 2/28/11 2/28/11
Kelli Dacey, Marine Facility Operator/Marine & Aviation 7/22/06 2/27/11
Matthew Holderness, Public Utilities Tech. I/Public Utilities 3/14/11 3/14/11
Christopher Bennett, Custodial Worker/Parks & Rec. 3/28/11 3/28/11
*originally hired as part-time on 7/22/06; changed to full-time and pension eligible as of 2/27/11
Review Approval: 1) Human Resources
Cover Memo
Item # 3
Meeting Date:5/16/2011
Pension Trustees Agenda
Council Chambers - City Hall
SUBJECT / RECOMMENDATION:
Recommend approval of the request of employee Eleanor Scharf, Library Department; Isaac Hinson, Parks and Recreation Department;
Thomas Madley, Customer Service Department; George Memmer, Solid Waste/General Services Department; Jerry Absher, Solid
Waste/General Services Department; Thomas Glenn, Solid Waste/General Services Department; Eddie Adams, Engineering
Department; Harry Williams, Fire Department; and Michael Stewart, Police Department, for a regular pension as provided by Sections
2.397 and 2.398 of the Employees' Pension Plan.
SUMMARY:
Eleanor Scharf, Library Assistant Director, Library Department, was employed by the City on April 14, 1981, and her pension service
credit is effective on that date. Her pension will be effective May 1, 2011.
Based on an average salary of approximately $64,190 per year over the past five years, the formula for computing regular pensions, and
Ms. Scharf's selection of the 50% Joint & Survivor Annuity, this pension will approximate $54,116 annually.
Isaac Hinson, Custodial Worker, Parks and Recreation Department, was employed by the City on June 12, 1989, and his pension service
credit is effective on April 22, 1991. His pension will be effective May 1, 2011.
Based on an average salary of approximately $31,824 per year over the past five years, the formula for computing regular pensions, and
Mr. Hinson's selection of the 100% Joint & Survivor Annuity, this pension will approximate $17,523 annually.
Thomas Madley, Senior Systems Analyst, Customer Service Department, was employed by the City on May 6, 1991, and his pension
service credit is effective on that date. His pension will be effective June 1, 2011.
Based on an average salary of approximately $65,818 per year over the past five years, the formula for computing regular pensions, and
Mr. Madley's selection of the Joint & Survivor Annuity, this pension will approximate $36,200 annually.
George Memmer, Tradesworker, Solid Waste/General Services Department, was employed by the City on February 11, 1991, and his
pension service credit is effective on that date. His pension will be effective June 1, 2011.
Based on an average salary of approximately $43,894 per year over the past five years, the formula for computing regular pensions, and
Mr. Memmer's selection of the 100% Joint & Survivor Annuity, this pension will approximate $23,619 annually.
Jerry Absher, Tradesworker, Solid Waste/General Services Department, was employed by the City on February 1, 1999, and his pension
service credit is effective on that date. His pension will be effective June 1, 2011.
Based on an average salary of approximately $31,679 per year over the past five years, the formula for computing regular pensions, and
Mr. Absher's selection of the Life Annuity, this pension will approximate $12,799 annually.
Thomas Glenn, Solid Waste Program Coordinator, Solid Waste/General Services Department, was employed by the City on October 19,
1987, and his pension service credit is effective on that date. His pension will be effective July 1, 2011.
Based on an average salary of approximately $55,464 per year over the past five years, the formula for computing regular pensions, and
Mr. Glenn's selection of the Joint & Survivor Annuity, this pension will approximate $36,145 annually.
on June 3, 1991 andr his pension
Eddie Adams, Drafting and Mapping Technician, Engineering Department, was employed by the City p
service credit is effective on that date. His pension will be effective July 1, 2011. Item # 4
Based on an average salary of approximately $44,619 per year over the past five years, the formula for computing regular pensions, and
Mr. Adams' selection of the Life Annuity, this pension will approximate $28,700 annually.
Harry Williams, Fire Lieutenant, Fire Department, was employed by the City on December 29, 1990, and his pension service credit is
effective on that date. His pension will be effective April 1, 2011.
Based on an average salary of approximately $70,811 per year over the past five years, the formula for computing regular pensions, and
Mr. Williams' selection of the 100% Joint & Survivor Annuity, this pension will approximate $38,599 annually.
Michael Stewart, Police Officer, Police Department, was employed by the City on September 24, 1990, and his pension service credit is
effective on that date. His pension will be effective June 1, 2011.
Based on an average salary of approximately $71,680 per year over the past five years, the formula for computing regular pensions, and
Mr. Stewart's selection of the 100% Joint & Survivor Annuity, this pension will approximate $40,411 annually.
Section 2.397 provides for normal retirement eligibility when a participant has completed thirty years of credited service, has reached
age 55 and completed twenty years of credited service, or has reached age 65 and completed ten years of credited service. Section 2.397
also provides for normal retirement eligibility when a participant has completed twenty years of credited service or has reached age 55
and completed ten years of credited service in a type of employment described as "hazardous duty" and further defines service as a Fire
Lieutenant and Police Officer as meeting the hazardous duty criteria. Ms. Scharf, Mr. Hinson, Mr. Madley, Mr. Memmer, Mr. Glenn,
and Mr. Adams qualify under the age 55 and twenty years of service criteria. Mr. Absher qualifies under the age 65 and ten years of
service criteria. Mr. Williams and Mr. Stewart qualify under the hazardous duty criteria.
Review Approval: 1) Office of Management and Budget 2) Clerk
Cover Memo
Item # 4
sick leave incentive, bonus clays tIT appncauie# anu ? i-L ui c3L-1 u uo V im-
the time of separation from the City. There will be no deduction for pension
from this lump sum payment nor will this amount count as earnings in the
calculation of the pension. The last day of work will be the termination date
and pension benefits will begin the following month.
PREFERENCE #2 Employee can extend termination date by part or all of the time due for
--- -vacatlonToating o I ay pay, slckrteave incenfive,--bonus ays C- apptcabte?,-
and 1 /2 of accrued sick leave. Employee may choose to run out this time in
any manner. Balance will be paid in a lump sum on employee's final paycheck.
Termination date will be the final day of extended time. Pension , jWkVr 1
begin the following month.
6 or
} an employee of the City of Clearwater, hereby apply f
r G vlpension benefits under the City's Employees' Pension Plan.
I hereby certify that I fully understand the preferences offered to me. I choose to retire using separation
pay preference # and wish my benefits to be calculated under this preference. Please use my
leave in the following manner:
Run Out vacation sick
Lump Sum e, YO I() vacation G -7L(, T"-/sick
floaters bonus hours
"t-? , floaters IlOZ' bonus hours
I understand that my preference cannot be changed once this form is signed and that my decision is
irrevocable. ,
EMPLOYEE'S SIGNATURE:
SOCIAL SECURITY #:
WITNESSES:
&-144-lyj -
Revised 1/02
Form #/9900-0008
ADDRESS: I a S I S ?\aWk 4e-
PHONE:
aVy'\
( ,? ?;s- ?c
3 3Ga
DATE: 02 `?- S
File Name: Employee Separation Pay Pref
I i r. 711110V_ a v- k -.
of Clearwater General Employees' Pension Plan.
Job Classification.
do hereby apply for retirement under the City
SSIS-0 V-)+
?P/'ec-4'd ? Sex: M D
Department: % t Division:
Benefits Date: I Y Date of Hire:
Date of Birth: 31 h _ Resignation Date:
Spouse's Name: LU odd
i^ I I CA $0\ Ci ? C? Sex: (9 F
Snni,se's Date of Birth:
Attachment number 1
The type of pension for which I am applying is (check only one):
Regular Pension based on years of service
Job-connected Disability Pension
Non-job-connected Disability Pension
The City of Clearwater Employees' Pension Plan provides multiple options to Plan Participants as to the manner of
the pension benefit payment. Option 1 below represents the standard or normal form of retirement benefit. The
other optional forms (#2 - #6) shall be computed to be the Actuarial Equivalent of the normal benefit.
Option 1 -Joint and Survivor Annuity
The normal form of retirement benefit shall be an annuity paid monthly for the life of the Participant, with a
100% survivor annuity paid monthly for a period of five years following the death of the Participant to the
beneficiary, provided that following such five year period the survivor annuity shall be reduced to 50% of the
original survivor annuity amount. [See section 2.397 (a) (3) (A)] The Participant's surviving spouse receives
the designated amount for the rest of his/her life or until he/she remarries. If no surviving spouse, dependent
children under the age of 18 shall be deemed to be the beneficiary and receive the designated amount until
the age of 18. [Section 2.397 (a) (3) and Section 2.398 (b) (1)]
Option 2 - Life Annuity
The Participant receives his/her pension as long as he/she lives. Upon the death of the Participant, benefits
cease. [Section 2.398 (b) (2) (a) (1)]
Option 3 -10 Year Certain & Life Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies before 120 monthly
payments have been made, the remaining payments up to the 120 payments are made to his/her beneficiary.
If payments to the beneficiary commence and he/she dies before the total of 120 payments has been made,
the remainder of the payments is paid to the beneficiary's estate. If the first beneficiary predeceases the
participant, he/she may designate a new beneficiary. If no beneficiary is alive at the time of the participant's
death, the participant's estate will be paid the balance of the 120 payments. [Section 2.398 (b) (2) (a) (2)]
Option 4 - 50% Joint & Survivor Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 50% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant continues to
receive 100% of his/her pension and upon his/her death, benefits cease. [Section 2.398 (b) (2) (a) (3)]
Option 5 - 75% Joint & Survivor Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 75% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant continues to
receive 100% of his/her pension and upon his/her death, benefits cease. [Section 2.398 (b) (2) (a) (3)]
1) and the various alternative optional benefit payment methods (Options z tnrougn n) uiiuei tluul FIC111 a 11W -
elected to receive my retirement benefits as indicated below. (Note: Option selection to be indicated both by
Number and Description.)
I understand that once my first pension check is received, my decision on this option is irrevocable.
If taking option 9 sign oeiow:
Option #: 1 Description: Joint and Survivor Annuity
Employee's Signature: Date:
Dependent children under the age of 18 and residing in my household are: Date of Birth
Child's Name Sex
umber 1
If taking option 2 sign below:
Option #: 2
Employee's Signature:
Description: Life Annuity
Date:
If taking Option 3, 4, 5, or 6 fill in beneficia information and si n below:
Y u, c"? <°I h u r4-
Description: So V U r tr ?
Option #:
My desi Hated
? o benefice?' as:
'
f Birth:
t
D
Sex9F
l
am ,G
Name: r e o
a b
Social Security Number:
k er:
Phone Num
d (
Address: lo?-S a'W
, Y
/ L ? 3
Employee's Signature: Date:
STATE OF FLORIDA The foreg ing instrument was knowledged bef ??e this
COUNTY OF PINELLAS of S111 by ?l"1 Cdr" TeA0P"? who is
personally known to me or who has provided
aside 'fecat' n and wh di /di n i*ae th.
Notary Public
igna re)
Name of Notary Printed
it c
My Commission expires'-,, -0-? rah
Rev. 4/08
Form #9900-0009 File Name: Pension Entitlement Option Form
Eleanor Scharf
LAST DATE PAID: 4/14/2011
BENEFITS DATE 4/14/1981
CREDITED SERVICE 30.0000
Prepared by: Deborah Ford
Date: 2/25/2011
GROSS
CALENDAR PENSION
YEAR EARNINGS
2006 $57,668.12
2007 $63,803.41
Attachment number 1
2008 $66,421.06 Page 4 of 44
2009 $66,528.02
2010 $66,528.02
$320,948.63 (5 Year Total)
5/ $64,189.73 (Yearly Avg)
12/ $5,349.14 (Monthly Avg)
x 0.0275 (Benefit Rate)
x 30.0000 (Yrs of Service)
$4,413.04 (Est Mtly Pension)
ESTIMATE c1ract01
Version:
Employee Name: Eleanor S charf 1-4-96
Employee Date of Birth: 3 16 1960
Marital Status: M
Spouse Date of Birth: 5 4 1958
Beneficiary Date of Birth: 5 4 1958
Benefit Commencement Date : 5 1 2011
Estimated Monthly Normal Retirement Benefit: $4,413.04
Option 1
Option 2
Option 3
Option 4
Option 5
Option 6
Actuarial Equivalent Adjustment Factors:
J&S Annuity 1.00000
Life Annuity 1.06061
10 Year Certain 1.05029
50% J&S
75% J&S
100% J&S
ESTIMATE
1.02190
1.00358
0.98592
Attachment number 1
Page 5 of 44
Estimated
Monthly
Benefit
$4,413.04
$4,680.50
$4,634.96
$4,509.68
$4,428.86
$4,350.88
the time of separation from the City. There will be no deduction for pension
from this lump sum payment nor will this amount count as earnings in the
calculation of the pension. The last day of work will be the termination date
and pension benefits will begin the following month.
PREFERENCE #2 Employee can extend termination date by part or all of the time due for
s (if a ica e , --
vacation, floating holiday ay, sic c eave mcee,-bonus d-aY pP
and 1 /2 of accrued sick leave. Employee may choose to run out this time in
any manner. Balance will be paid in a lump sum on employee's final paycheck.
Termination date will be the final day of extended time. Pension Abted"ttner hr 1
begin the following month. Page 6 of 44
?- Stec , nSo?1• an employee of
pension benefits under the City's Employees' Pension Plan.
the City of Clearwater, hereby apply for
I hereby certify that I fully understand the preferences offered to me. I choose to retire using separation
pay preference # and wish my benefits to be calculated under this preference. Please use my
leave in the following manner:
Run Out -? vacation // ((ff sick floaters bonus hours
Lump Sum vacation F-S?1?Tsick floaters Fr - (3_ bonus hours
I understand that my preference cannot be changed once this form is signed and .ha my, decision is
irrevocable.
EMPLOYEE'S SIGNATURE: i
SOCIAL SECURITY #: - .r
TNESSES: ADDRESS:
PHONE: 7 a-? ??{ ?? t ?• DATE: 11 g I (I
Revised 1102
Form #9900-0008 File Name: Employee Separation Pay Pref
S G`L-X- C ", GV) do nereoy
of Clearwater General Employees' Pension Plan.
Job Classifica
Department: _
Benefits Date:
Date of Birth:
?v1• Division: _
Date of Hire:
Resignation Date:
Spouse's Name: & O S U 0
Spouse's Date of Birth: 1 a- I o y q
Sex: Me
Attat?hmant n
The type of pension for which I am applying is (check only one): Page 7 of 44
Regular Pension based on years of service
Job-connected Disability Pension
Non-job-connected Disability Pension
The City of Clearwater Employees' Pension Plan provides multiple options to Plan Participants as to the manner of
the pension benefit payment. Option 1 below represents the standard or normal form of retirement benefit. The
other optional forms (#2 - #6) shall be computed to be the Actuarial Equivalent of the normal benefit.
Option 1 - Joint and Survivor Annuity
The normal form of retirement benefit shall be an annuity paid monthly for the life of the Participant, with a
100% survivor annuity paid monthly for a period of five years following the death of the Participant to the
beneficiary, provided that following such five year period the survivor annuity shall be reduced to 50% of the
original survivor annuity amount. [See section 2.397 (a) (3) (A)] The Participant's surviving spouse receives
the designated amount for the rest of his/her life or until he/she remarries. If no surviving spouse, dependent
children under the age of 18 shall be deemed to be the beneficiary and receive the designated amount until
the age of 18. [Section 2.397 (a) (3) and Section 2.398 (b) (1)]
Option 2 - Life Annuity
The Participant receives his/her pension as long as he/she lives. Upon the death of the Participant, benefits
cease. [Section 2.398 (b) (2) (a) (1)]
Option 3 -10 Year Certain & Life Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies before 120 monthly
payments have been made, the remaining payments up to the 120 payments are made to his/her beneficiary.
If payments to the beneficiary commence and he/she dies before the total of 120 payments has been made,
the remainder of the payments is paid to the beneficiary's estate. If the first beneficiary predeceases the
participant, he/she may designate a new beneficiary. If no beneficiary is alive at the time of the participant's
death, the participant's estate will be paid the balance of the 120 payments. [Section 2.398 (b) (2) (a) (2)]
Option 4 - 50% Joint & Survivor Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 50% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant continues to
receive 100% of his/her pension and upon his/her death, benefits cease. [Section 2.398 (b) (2) (a) (3)]
Option 5 - 75% Joint & Survivor Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 75% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant continues to
receive 100% of his/her pension and upon his/her death, benefits cease. [Section 2.398 (b) (2) (a) (3)]
r1
1) and the various alternative optional Denent payr11e11t 111t::L11UUZ1 k%_/NL1U < < y
elected to receive my retirement benefits as indicated below. (Note: Option selection to be indicated both by
Number and Description.)
I understand that once my first pension check is received, my decision on this option is irrevocable.
If taking Option 1 sign Deiow:
Option #: 1 Description: Joint and Survivor Annuity
Employee's Signature: Date:
Attachment
Dependent children under the age of 18 and residing in my household are: Page 8 of 44
Child's Name Sex Date of Birth
f taking Option 2 sign below:
iption #: 2 Description: Life Annuity
Employee's Signature: Date:
umber 1
If taking Option 3, 4, 6, or 6 fill in beneficiary information and sign below:
Option #: 4- Description: 100 --to r 'n 'i SuYvi-Vol An
My design ted benefi ary is:
Name: l nc eo_ 'n S oh. Date of Birth: /-I//O/L/9 Sex Wo
`? Y 3- 3 °Z 9 d
Social Security Number: // Phone Number: 17 ;L -7
Address: N' 94f n w o t'? A Aue,
GI Pprw w? ej , FL 33-75-S
Z 1.
Employee's Signature, Date: 31 / YI /
STATE OF FLORIDA The foregoing instrument was acknowledged bef re me this
COUNTY OF PINELLAS
by ? S Atli- L U who is
personally known to me or who has provided
as id ficat' n and who did/d n t take n oath.
Notary Public
(signature) /
/-CAA 0? Name of Notary Printed
My Commission expires:
NOTARY PUBLIC-STATE OF FLORIDA
Deborah L. Ford
Commission # DD763426
Expires: MAY 15, 2012
Rev. 4/08 BONDED THRII ATLANTIC BONDING CO., INC.
Form #9900-0009 File Name: Pension Entitlement Option Form
Isaac Hinson
GROSS
LAST DATE PAID:
BENEFITS DATE
CREDITED SERVICE
CALENDAR PENSION
YEAR EARNINGS
4/30/2011 2004 $30,590.62
4/22/1991 2005 $31,637.42
Attachment number 1
20.0222 2006 $32,719.87 Page 9 of 44
2007 $33,825.66
2009 $30,347.14
$159,120.71 (5 Year Total)
5/ $31,824.14 (Yearly Avg)
12/ $2,652.01 (Monthly Avg)
x 0.0275 (Benefit Rate)
x 20.0222 (Yrs of Service)
$1,460.23 (Est Mtly Pension)
Prepared by: Deborah Ford
Date: 3/14/11
ESTIMATE c1ract01
Version:
Employee Name: Isaac Hinson 1-4-96
Employee Date of Birth: 4 28 1950
Marital Status: m
Spouse Date of Birth: 12 10 1949
Beneficiary Date of Birth: 12 10 1949
Benefit Commencement Date : 5 1 2011
Attachment number 1
Estimated Monthly Normal Reti rement Benefit: $1,460.23
aa
Estima 6ff to of
Monthly
Actuarial Equivalent Adjustment Factors: Benefit
Option 1 J&S Annuity 1.00000 $1,460.23
Option 2 Life Annuity 1.10759 $1,617.33
Option 3 10 Year Certain 1.07634 $1,571.71
Option 4 50% J&S 1.03780 $1,515.43
Option 5 75% J&S 1.00611 $1,469.15
Option 6 100% J&S 0.97629 $1,425.61
ESTIMATE
.. . ..... ... .. ........ ...., .,. ,...?,. ?.,.?.. -ter .
the time of separation from the City. There will be no deduction for pension
from this lump sum payment nor will this amount count as earnings in the
calculation of the pension. The last day of work will be the termination date
and pension benefits will begin the following month.
PREFERENCE #2 Employee can extend termination date by part or all of the time due for
-- vacatiop-floating holiday pay, sick-leaveincen Ive, onus days Cif--app Ica e , -- ---
and 1 /2 of accrued sick leave. Employee may choose to run out this time in
any manner. Balance will be paid in a lump sum on employee's final paycheck.
Termination date will be the final day of extended time. Pen sionabawhefiA19,u? Wr 1
begin the following month. Page 11 of 44
_ _--8
1 00?) CcS CcCf eU , an employee of the City of Clearwater, hereby apply for
pension benefits under the City's Employees' Pension Plan.
I hereby certify that I fully understand the preferences offered to me. I choose to retire using separation
pay preference # a and wish my benefits to be calculated under this preference. Please use my
leave in the following manner:
Run Out (y o, O vacation sick c; a 5- floaters bonus hours
Lump Sum q O o . o vacation 4 (6$ 3e sick floaters bonus hours
I understand that my preference cannot be changed once this form is signed and that my decJon is
irrevocable.
TNESSES:
Revised 1/02
Form #9900-0008
EMPLOYEE'S SIGNATURE: X
SOCIAL SECURITY #:
ADDRESS:
o. hL, i k-kt,,o Awe , N
a,j-eqr-L.Aj c,-
PHONE: -7 a' -7 1'I 3 ` S8'21DATE: 3 /1 `f 1 L l
File Name: Employee Separation Pay Pref
I, q S 1 1 of llC do hereby apply for retirement under the Gity
of Clearwater General Employees' Pens n Plan.
c:_ ._ .? __i _ r A _ t
Job Classificati
Department: _
Benefits Date:
Date of Birth:
Spouse's Name:
Spouse's Date of Birth:
• vivision:
Date of Hire: 5
Resignation Date: 5
Sex: M F
The type of pension for which I am applying is (check only one):
Regular Pension based on years of service
Job-connected Disability Pension
Non-job-connected Disability Pension
The City of Clearwater Employees' Pension Plan provides multiple options to Plan Participants as to the manner of
the pension benefit payment. Option 1 below represents the standard or normal form of retirement benefit. The
other optional forms (#2 - #6) shall be computed to be the Actuarial Equivalent of the normal benefit.
Option 1 -Joint and Survivor Annuity
The normal form of retirement benefit shall be an annuity paid monthly for the life of the Participant, with a
100% survivor annuity paid monthly for a period of five years following the death of the Participant to the
beneficiary, provided that following such five year period the survivor annuity shall be reduced to 50% of the
original survivor annuity amount. [See section 2.397 (a) (3) (A)] The Participant's surviving spouse receives
the designated amount for the rest of his/her life or until he/she remarries. If no surviving spouse, dependent
children under the age of 18 shall be deemed to be the beneficiary and receive the designated amount until
the age of 18. [Section 2.397 (a) (3) and Section 2.398 (b) (1)]
Option 2 - Life Annuity
The Participant receives his/her pension as long as he/she lives. Upon the death of the Participant, benefits
cease. [Section 2.398 (b) (2) (a) (1)]
Option 3 -10 Year Certain & Life Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies before 120 monthly
payments have been made, the remaining payments up to the 120 payments are made to his/her beneficiary.
If payments to the beneficiary commence and he/she dies before the total of 120 payments has been made,
the remainder of the payments is paid to the beneficiary's estate. If the first beneficiary predeceases the
participant, he/she may designate a new beneficiary. If no beneficiary is alive at the time of the participant's
death, the participant's estate will be paid the balance of the 120 payments. [Section 2.398 (b) (2) (a) (2)]
Option 4 - 50% Joint & Survivor Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 50% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant continues to
receive 100% of his/her pension and upon his/her death, benefits cease. [Section 2.398 (b) (2) (a) (3)]
Option 5 - 75% Joint & Survivor Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 75% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant continues to
receive 100% of his/her pension and upon his/her death, benefits cease. [Section 2.398 (b) (2) (a) (3)]
r1
1 ai ais vaiivua antiIIauvc vNuViiw -icnL Nay111c11L 1 icu IWU? wNuvi- a-uyil v/ ui- -1 1 -11 aiw IisVc
elected to receive my retirement benefits as indicated below. (Note: Option selection to be indicated both by
Number and Description.)
I understand that once my first pension check is received, my decision on this option is irrevocable.
If taking Option 1 sign below:
Option #: 1
X *,_?A A I, De ription: i and Survivor Annuity
Date: -3 `
Employee's Signature: Ms 44
? '4l Attachment r
Dependent children under the age of 18 and siding in my househ Id are: Page 13 of 4
Child's Name Sex Date of Birth
If taking Option 2 sign below:
Option #: 2 Description: Life Annuity
Employee's Signature: Date:
it taKmg uption 3, 4, 5, or b nu in Denenciary intormation ana
Option #: Description:
My designated beneficiary is:
Name:
Social Security Number: _
Address:
Deiow:
Sex M F
Phone Number:
Employee's Signature:
Date:
STATE OF FLORIDA The foregoin instrument was acknowledged before me this
COUNTY OF PINELLAS _ f J I _ by "T? 0Y'Y'1Cg5_
e.,,-4 who is
personally known to me or who has provided
as f id/ d t ai w Notary Public
( ignaa/iure) _
4 d ? C@e?1 ' - I`'0 r CA Name of Notary Printed
My Commission expires:
NOTARY PUBLIC-STATE OF FLORIDA
Deborah L. Ford
Commission # DD763426
Expires: MAY 15, 2012
Rev. 4/08 BONDED THRU ATLANTIC BOND
IN CU, INC.
Form #9900-0009 File Name: Pension Entitlement Option Form
Date of Birth:
r1
Thomas Madley
GROSS
LAST DATE PAID:
BENEFITS DATE
CREDITED SERVICE
CALENDAR PENSION
YEAR EARNINGS
5/6/2011 2006 $62,485.26
5/6/1991 2007 $64,420.58
Attachment number 1
20.0000 2008 $66,305.44 Page 14 of 44
2009 $68,777.25
2010 $67,099.76
$329,088.29 (5 Year Total)
5/ $65,817.66 (Yearly Avg)
12/ $5,484.81 (Monthly Avg)
x 0.0275 (Benefit Rate)
x 20.0000 (Yrs of Service)
$3,016.65 (Est Mtly Pension)
Prepared by: Deborah Ford
Date: 3/14/11
sick leave incentive, bonus days (if applicable), and 1 /2 of accrued sick leave at
the time of separation from the City. There will be no deduction for pension
from this lump sum payment nor will this amount count as earnings in the
calculation of the pension. The last day of work will be the termination date
and pension benefits will begin the following month.
PREFERENCE #2 Employee can extend termination date by part or all of the time due for
-- -- -------- - - - vacation, floating o I ay pay, sick-leave incen vf- e; bonu"s mays (if- apptic- abtel - -
and 1 /2 of accrued sick leave. Employee may choose to run out this time in
any manner. Balance will be paid in a lump sum on employee's finAq1afaY nPne miser 1
Termination date will be the final day of extended time. Pension PbgnE4i1fst4wiII
begin the following month.
i, an employee of the City of Clearwater, hereby apply for
pension benefits under the City's Employees' Pension Plan.
I hereby certify that I fully understand the preferences offered to me. I choose to retire using separation
pay preference # f and wish my benefits to be calculated under this preference. Please use my
leave in the following manner:
Run Out vacation sick floaters
Lump Sum ONO, 6 vacation 3G?' y7 sick floaters
bonus hours
bonus hours
I understand that my preference cannot be changed once this form is signed and that my decision is
irrevocable.
EMPLOYEE'S SIGNATURE:
SOCIAL SECURITY #:
TNESSES:
Revised 1/02
Form #9900-0008
ADDRESS:
Uci ), FG 3Y67-dc-
PHONE: -7)--7 /-7 3 7OZ DATE:
File Name: Employee Separation Pay Pref
I,
of Clearwater
Job Classifica
Department:
Benefits Date:
Date of Birth:
ral Employees' Pension Plan.
Spouse's Name:
Spouse's Date of Birth: /0// U
do hereby apply for retirement under the City
i 0;/ lC? d
PrG P?_ Division:
Date of Hire:
Resignation Date:
Mev,x'71 ev-
Sex: ( M) F
/Iff _/
Sex: M(?)
number 1
Page 16 af-4
The type of pension for which I am applying is (check only one):
_ Regular Pension based on years of service
Job-connected Disability Pension
Non-job-connected Disability Pension
The City of Clearwater Employees' Pension Plan provides multiple options to Plan Participants as to the manner of
the pension benefit payment. Option 1 below represents the standard or normal form of retirement benefit. The
other optional forms (#2 - #6) shall be computed to be the Actuarial Equivalent of the normal benefit.
Option 1 - Joint and Survivor Annuity
The normal form of retirement benefit shall be an annuity paid monthly for the life of the Participant, with a
100% survivor annuity paid monthly for a period of five years following the death of the Participant to the
beneficiary, provided that following such five year period the survivor annuity shall be reduced to 50% of the
original survivor annuity amount. [See section 2.397 (a) (3) (A)] The Participant's surviving spouse receives
the designated amount for the rest of his/her life or until he/she remarries. If no surviving spouse, dependent
children under the age of 18 shall be deemed to be the beneficiary and receive the designated amount until
the age of 18. [Section 2.397 (a) (3) and Section 2.398 (b) (1)]
Option 2 - Life Annuity
The Participant receives his/her pension as long as he/she lives. Upon the death of the Participant, benefits
cease. [Section 2.398 (b) (2) (a) (1)]
Option 3 -10 Year Certain & Life Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies before 120 monthly
payments have been made, the remaining payments up to the 120 payments are made to his/her beneficiary.
If payments to the beneficiary commence and he/she dies before the total of 120 payments has been made,
the remainder of the payments is paid to the beneficiary's estate. If the first beneficiary predeceases the
participant, he/she may designate a new beneficiary. If no beneficiary is alive at the time of the participant's
death, the participant's estate will be paid the balance of the 120 payments. [Section 2.398 (b) (2) (a) (2)]
Option 4 - 50% Joint & Survivor Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 50% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant continues to
receive 100% of his/her pension and upon his/her death, benefits cease. [Section 2.398 (b) (2) (a) (3)]
Option 5 - 75% Joint & Survivor Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 75% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant continues to
receive 100% of his/her pension and upon his/her death, benefits cease. [Section 2.398 (b) (2) (a) (3)]
1) and the various alternative optional benefit payment methods (Options 2 through 6) under such Plan and have
elected to receive my retirement benefits as indicated below. (Note: Option selection to be indicated both by
Number and Description.)
I understand that once my first pension check is received, my decision on this option is irrevocable.
If taking Option 1 sign below:
Option #: 1 Description: Joint and Survivor Annuity
Employee's Signature: Date:
Dependent children under the age of 18 and residing in my household are:
Child's Name Sex Date of Birth
Attachment n tuber 1
Page 17 of 4
f taking Option 2 sign below:
Dption #: 2 Description: Life Annuity
mployee's Signature: Date:
If taking Option 3, 4, 5, or 6 fill in beneficiary information and sign below:
Option #: (o Description: 0-U X Jvk'yI liode)r7 uj 9-<j
My desi nated beneficiary is:
Name: ?, l?rrn r+`? ?• Date of Birth: % 0 l7 0 S3 Sex
Social Security Number: - Phone Number: 7?? 7 3 3 ??
Address: S a --, 6 v
Employee's Signature: Date:
STATE OF FLORIDA The foreg ing in trument was acknowledged before me this
COUNTY OF PINELLAS
13 o2 / by L 4 e- n 1W t, ° who is
personally ihas pro Ided
as ide iand who d /di k n oath.
Notary Public
z 7J I-W Name of Notary Printed
? a C1 .'
My Commission expires: NOTARY PUBLIC-STATE OFFLORIDA
Deborah L Ford
Commission #DD763426
)expires; MAY 15, 2012
110NDED THRU ATI,AN"TIC BONDING CO., INC,
Rev. 4/08
Form #9900-0009 File Name: Pension Entitlement Option Form
George Memmer
GROSS
LAST DATE PAID:
BENEFITS DATE
CREDITED SERVICE
CALENDAR PENSION
YEAR EARNINGS
4/29/2011 2006 $40,610.79
2/11/1991 2007 $42,912.37 Attachment number 1
Page 18 of 44
20.2167 2008 $44,127.19
2009 $46,436.66
2010 $45,383.68
$219,470.69 (5 Year Total)
5/ $43,894.14 (Yearly Avg)
12/ $3,657.85 (Monthly Avg)
x 0.0275 (Benefit Rate)
x 20.2167 (Yrs of Service)
$2,033.61 (Est Mtly Pension)
Prepared by: Deborah Ford
Date: 3/21/11
ESTIMATE 17111
clract01
Version:
Employee Name: George Memmer 1-4-96
Employee Date of Birth: 5 13 1948
Marital Status: m
Spouse Date of Birth: 10 10 1953
Beneficiary Date of Birth: 10 10 1953
Benefit Commencement Date : 5 1 2011
Attachment number 1
Page 19 of 44
Estimated Monthly Normal Retirement Benefit: $2,033.61 Estimated
Monthly
Actuarial Equivalent Adjustment Factors: Benefit
Option 1 J&S Annuity 1.00000 $2,033.61
Option 2 Life Annuity 1.15315 $2,345.06
Option 3 10 Year Certain 1.11153 $2,260.43
Option 4 50% J&S 1.05241 $2,140.20
Option 5 75% J&S 1.00837 $2,050.63
Option 6 100% J&S 0.96786 $1,968.26
ESTIMATE
W UN IGCIVC II IL:CIILIVC, uunus nays Jir appiicaoie), ana 11Z of accruea sick leave at
the time of separation from the City. There will be no deduction for pension
from this lump sum payment nor will this amount count as earnings in the
calculation of the pension. The last day of work will be the termination date
and pension benefits will begin the following month.
PREFERENCE #2 Employee can extend termination date by part or all of the time due for
vacation;- oTf-ating-ho I ay pay, sic eave Incentive -bonus- ays (i-- apptica-bte7- -
and 1 /2 of accrued sick leave. Employee may choose to run out this time in
any manner. Balance will be paid in a lump sum on employee's final pa?chec
Termination date will be the final day of extended time. Pension Afi &Q 1W? i ler 1
begin the following month.
an employee of the City of Clearwater, hereby a
t PPIY for
pension benefits under the City's Employees' Pension Plan.
I hereby certify that I fully understand the preferences offered to me. I choose to retire using separation
pay preference # and wish my benefits to be calculated under this preference. Please use my
leave in the following manner:
Run Out vacation sick floaters bonus hours
Lump Sum '5 s / vacation ?'?sick floaters bonus hours
I understand that my preference cannot be changed once this form is signed and that my decision is
irrevocable. ??++
EMPLOYEE'S SIGNATURE: 3tL
SOCIAL SECURITY #:
W NESSES: ADDRESS
/+7S, ( SA,,, /e,,
-.R-`GU, 1`C ?---?, 7V
PHONE: 717/ 79l9. DATE: 13 <,2 3 ??•
Revised 1/02
Form #9900-0008 File Name: Employee Separation Pay Pref
I, Q e?? do hereby apply for retirement under the City
of Clearwater General mployees' Pension Plan.
Job Classification:
Department: of t
Benefits Date: 1_9
Date of Birth:
Spouse's Name:
Spouse's Date of Birth: -7
;wayrk.ev,
????, Cv• Division: _
_ Date of Hire:
Resignation Date:
Sex: M " F
Z MG.a`vt enG-) ce
r 1. rr
Sex: <E??
Attachment number 1 Page 2 1 OT-4
The type of pension for which I am applying is (check only one):
X Regular Pension based on years of service
Job-connected Disability Pension
Non-job-connected Disability Pension
The City of Clearwater Employees' Pension Plan provides multiple options to Plan Participants as to the manner of
the pension benefit payment. Option 1 below represents the standard or normal form of retirement benefit. The
other optional forms (#2 - #6) shall be computed to be the Actuarial Equivalent of the normal benefit.
Option 1 -Joint and Survivor Annuity
The normal form of retirement benefit shall be an annuity paid monthly for the life of the Participant, with a
100% survivor annuity paid monthly for a period of five years following the death of the Participant to the
beneficiary, provided that following such five year period the survivor annuity shall be reduced to 50% of the
original survivor annuity amount. [See section 2.397 (a) (3) (A)] The Participant's surviving spouse receives
the designated amount for the rest of his/her life or until he/she remarries. If no surviving spouse, dependent
children under the age of 18 shall be deemed to be the beneficiary and receive the designated amount until
the age of 18. [Section 2.397 (a) (3) and Section 2.398 (b) (1)]
Option 2 - Life Annuity
The Participant receives his/her pension as long as he/she lives. Upon the death of the Participant, benefits
cease. [Section 2.398 (b) (2) (a) (1)]
Option 3 -10 Year Certain & Life Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies before 120 monthly
payments have been made, the remaining payments up to the 120 payments are made to his/her beneficiary.
If payments to the beneficiary commence and he/she dies before the total of 120 payments has been made,
the remainder of the payments is paid to the beneficiary's estate. If the first beneficiary predeceases the
participant, he/she may designate a new beneficiary. If no beneficiary is alive at the time of the participant's
death, the participant's estate will be paid the balance of the 120 payments. [Section 2.398 (b) (2) (a) (2)]
Option 4 - 50% Joint & Survivor Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 50% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant continues to
receive 100% of his/her pension and upon his/her death, benefits cease. [Section 2.398 (b) (2) (a) (3)]
Option 5 - 75% Joint & Survivor Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 75% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant continues to
receive 100% of his/her pension and upon his/her death, benefits cease. [Section 2.398 (b) (2) (a) (3)]
1) and the various alternative optional benetlt payment methods (Uptlons z tnrougn b) under sucn Dian and nave
elected to receive my retirement benefits as indicated below. (Note: Option selection to be indicated both by
Number and Description.)
I understand that once my first pension check is received, my decision on this option is irrevocable.
It taKlna UDtIOn 7 Sian Deiow:
Option #: 1 Description: Joint and Survivor Annuity
Employee's Signature: Date:
Dependent children under the age of 18 and residing in my household are:
Child's Name Sex Date of Birth
n beneficiar
Description:
If taking Option 2 sign below.
Option #: 2 Description: Life Annuity J
Employee's Signature: Y_ ?)Yul" 0 1?wx, Date: /
If taking Option 3, 4, 5, or 6
Option #:
My designated beneficiary is:
Name:
Social Security Number:
Address:
Employee's Signature:
Date:
STATE OF FLORIDA
COUNTY OF PINELLAS
Rev. 4/08
Form #9900-0009
information and sign oeiow:
Date of Birth:
Sex M F
Phone Number:
The foregL?nnstrument was a=wledged before me this
111 by ???/ 14 S?eO: who is
personally known to me or who has provided
as identi tion ajnd who did/slid not t*e(arl4ath. r,
Notary Public
1')Aolla natur )I rw
//? Name of Notary Printed
My Commission expiresNOTARY PUt Lfe-STATE OF FLORIDA
Deborah L. Ford
Commission # DD763426
•' Expires: MAY 15, 2012
BONDED THEU ATLANTIC BONDING CO., INC.
File Name: Pension Entitlement Option Form
amber 1
Jerry Absher
GROSS
LAST DATE PAID:
BENEFITS DATE
CREDITED SERVICE
CALENDAR PENSION
YEAR EARNINGS
5/31/2011 2006 $28,999.16
2/1/1999 2007 $30,273.96
Attachment number 1
12.3333 2008 $31,811.31 Page 23 of 44
2009 $33,020.92
2010 $34,287.40
$158,392.75 (5 Year Total)
5/ $31,678.55 (Yearly Avg)
12/ $2,639.88 (Monthly Avg)
x 0.0275 (Benefit Rate)
x 12.3333 (Yrs of Service)
$895.36 (Est Mtly Pension)
Prepared by: Deborah Ford
Date: 3/23/11
ESTIMATE clract01
Version:
Employee Name: Jerry Absher 1-4-96
Employee Date of Birth: 9 10 1943
Marital Status: m
Spouse Date of Birth: 7 24 1952
Beneficiary Date of Birth: 8 4 1963
Benefit Commencement Date : 8 1 2007
Attachment number 1
Estimated Monthly Normal Reti
rement Benefit: $895.36 Page 24 of 44
Estimated
Monthly
Actuarial Equivalent Adjustment Factors: Benefit
Option 1 J&S Annuity 1.00000 $895.36
Option 2 Life Annuity 1.19125 $1,066.59
Option 3 10 Year Certain 1.14254 $1,022.98
Option 4 50% J&S 1.02320 $916.13
Option 5 75% J&S 0.95578 $855.77
Option 6 100% J&S 0.89670 $802.87
ESTIMATE
the time of separation from the City. There will be no deduction for pension
from this lump sum payment nor will this amount count as earnings in the
calculation of the pension. The last day of work will be the termination date
and pension benefits will begin the following month.
PREFERENCE #2 Employee can extend termination date by part or all of the time due for
vacation, floating o i ay pay, sick eave incentive;--bonusdays--(if-app Ica e , ----
and 1 /2 of accrued sick leave. Employee may choose to run out this time in
any manner. Balance will be paid in a lump sum on employee's final paycheck.
Termination date will be the final day of extended time. Pensionaltiwb" mnwflbr 1
begin the following month. Page 25 of as
an employ e of the City of Clearwater, hereby apply for
I,
pension benefits under the City's Employees' Pension Plan.
I hereby certify that I fully understand the preferences offered to me. I choose to retire using separation
pay preference # - and wish my benefits to be calculated under this preference. Please use my
leave in the following manner:
Run Out vacation sic floaters onus ours
Lump Sum a$9^5i vacation l3 J O ,sick floaters (Is-' 0 bonus hours
I understand that my preference cannot be changed once this form is signed and that my decision is
irrevocable.
EMPLOYEE'S SIGNATURE: tc.--.----,>
SOCIAL SECURITY #:
W NESSES: ADDRESS:
SAC
0(
PHONE: 1?7d?Z/73Y 09-zo DATE: 24sll,,
Revised 1/02
Form #9900-0008 File Name: Employee Separation Pay Pref
1, / r ! 0 rri Q_? L," eP9 do hereby apply for retirement under the City
of Clearwater General Employees' Pension Plan.
Job Classificati : .) o I'
Department: ./ice
Benefits Date: I
Date of Birth: 5-
Spouse's Name:
Spouse's Date of Birth:
0)
r?,e?? (2 ,T'c,,-
Sex: N<_P)
Attachment number 1
The type of pension for which I am applying is (check only one):
Regular Pension based on years of service
Job-connected Disability Pension
Non-job-connected Disability Pension
The City of Clearwater Employees' Pension Plan provides multiple options to Plan Participants as to the manner of
the pension benefit payment. Option 1 below represents the standard or normal form of retirement benefit. The
other optional forms (#2 - #6) shall be computed to be the Actuarial Equivalent of the normal benefit.
Option 1 - Joint and Survivor Annuity
The normal form of retirement benefit shall be an annuity paid monthly for the life of the Participant, with a
100% survivor annuity paid monthly for a period of five years following the death of the Participant to the
beneficiary, provided that following such five year period the survivor annuity shall be reduced to 50% of the
-surviving spoll-se receives
the designated amount for the rest of his/her life or until he/she remarries. If no surviving spouse, dependent
children under the age of 18 shall be deemed to be the beneficiary and receive the designated amount until
the age of 18. [Section 2.397 (a) (3) and Section 2.398 (b) (1)]
Option 2 - Life Annuity
The Participant receives his/her pension as long as he/she lives. Upon the death of the Participant, benefits
cease. [Section 2.398 (b) (2) (a) (1)]
Option 3 -10 Year Certain & Life Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies before 120 monthly
payments have been made, the remaining payments up to the 120 payments are made to his/her beneficiary.
If payments to the beneficiary commence and he/she dies before the total of 120 payments has been made,
the remainder of the payments is paid to the beneficiary's estate. If the first beneficiary predeceases the
participant, he/she may designate a new beneficiary. If no beneficiary is alive at the time of the participant's
death, the participant's estate will be paid the balance of the 120 payments. [Section 2.398 (b) (2) (a) (2)]
Option 4 - 50% Joint & Survivor Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 50% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant continues to
receive 100% of his/her pension and upon his/her death, benefits cease. [Section 2.398 (b) (2) (a) (3)]
Option 5 - 75% Joint & Survivor Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 75% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant continues to
receive 100% of his/her pension and upon his/her death, benefits cease. [Section 2.398 (b) (2) (a) (3)]
Sex:0 F
C'Y". Division:
Date of Hire: ! 0 / 9
Resignation Date: O"
1) and the various alternative optional Denent payment meinous wPuvi ib < LI II UU91 1 U/ u OUr11 1 a u u -
elected to receive my retirement benefits as indicated below. (Note: Option selection to be indicated both by
Number and Description.)
I understand that once my first pension check is received, my decision on this option is irrevocable.
Iftakina Option 1 sign below: _-
Option #: 1 escription: Joint and Survivor Annuity
Employee's Signature: Date: 3 IQ S/ r r
Attachment n mber 1
Dependent children under the age of 18 and LeZing in my household are: Page 27 of a
Child's Name Sex Date of Birth
If taking Option 2 sign below:
Option #: 2 Description: Life Annuity
Employee's Signature: Date:
If taking
Option #:
or 6 fill in beneficiary information and sign below:
Description:
My designated beneficiary is:
Name: vale U1 D11 U 1. -CIA rvI r
Social Security Number: Phone Number:
Address:
Employee's Signature: Date:
STATE OF FLORIDA The foreg Ing ins ument was acknowledged before me this
COUNTY OF PINELLAS by -71 0 ol1q' S ?") j 1-7 who is -7 i pe-rson?ally known to me or who has provided
as ide i ca nand who id/ id of t ke n oath.
Notary Public
)
(Signature
a /- - / Name of Notary Printed
My Commission expirRb*
Deborah L. Ford
f
Commission #DD763426
-` Expires: MAY 15, 2012
Rev. 4/08 BONDED THRU ATLANTIC BOJ1DINC, Co., INC.
Form #9900-0009 File Name: Pension Entitlement Option Form
Thomas Glenn
LAST DATE PAID:
BENEFITS DATE
CREDITED SERVICE
GROSS
CALENDAR PENSION
YEAR EARNINGS
6/30/2011 2006 $22,992.96 12 pays times $1916.08
10/19/1987 2007 $50,862.17
Attachment number 1
23.6972 2008 $55,787.30 Page 28 of 44
2009 $57,654.35
2010 $58,516.12
2011 $31,508.68 14 pays times $2250.62
$277,321.58 (5 Year Total)
5/ $55,464.32 (Yearly Avg)
12/ $4,622.03 (Monthly Avg)
x 0.0275 (Benefit Rate)
x 23.6972 (Yrs of Service)
$3,012.05 (Est Mtly Pension)
Prepared by: Deborah Ford
Date: 9/20/2010
ESTIMATE clract01
Version:
Employee Name: Thomas Glenn 1-4-96
Employee Date of Birth: 11 18 1948
Marital Status: m
Spouse Date of Birth: 2 22 1946
Beneficiary Date of Birth: 2 22 1946
Benefit Commencement Date : 7 1 2011
Attachment number 1
Estimated Monthly Normal Reti rement Benefit: $3,012.05 Estimafd@r 29 of 44
Monthly
Actuarial Equivalent Adjustment Factors: Benefit
Option 1 J&S Annuity 1.00000 $3,012.05
Option 2 Life Annuity 1.10511 $3,328.64
Option 3 10 Year Certain 1.06522 $3,208.51
Option 4 50% J&S 1.03699 $3,123.45
Option 5 75% $3,030.06
Option 6 100% J&S 0.97677 $2,942.09
ESTIMATE
the time of separation from the City. There will be no deduction for pension
from this lump sum payment nor will this amount count as earnings in the
calculation of the pension. The last day of work will be the termination date
and pension benefits will begin the following month.
PREFERENCE #2 Employee can extend termination date by part or all of the time due for
---- vacation, ffoating o-liclay pay, sick leave Incen ive, bonus-ays -(if-appticabt?
and 1 /2 of accrued sick leave. Employee may choose to run out this time in
any manner. Balance will be paid in a lump sum on employee's final paycheck.
Termination date will be the final day of extended time. Pension P ge 80'044 ?er 1
begin the following month.
Vt•'1S . an employee of the City of Clearwater, hereby apply for
pension benefits under the City's Employees' Pension Plan.
I hereby certify that I fully understand the preferences offered to me. I choose to retire using separation
pay preference # and wish my benefits to be calculated under this preference. Please use my
leave in the following manner:
Run Out vacation sick floaters bonus hours
Lump Sum 591 91 vacation y' sick floaters bonus hours
I understand that my preference cannot be changed once this form is signed and that my decision is
irrevocable.
s
EMPLOYEE'S SIGNATURE: )?,- Z
SOCIAL SECURITY #:
WI ESSES: ADDRESS
X(? /y- 4,u ?,
/ . d0-0 P, S04r-? .46'C.
v: FL 3 3 7
PHONE: 7 -)-7 1-2 W-1 - 3 3° DATE: V/ V /l t
Revised 1/02
Form #9900-0008 File Name: Employee Separation Pay Pref
1, C oLct4 c ,N 0(C4 6111J do hereby apply for retirement under the city
of Clearwater General Employees' Pension Plan.
Job Classification: `-
Department:
Benefits Date: /r 39 1
Date of Birth: / y
Spouse's Name: ?J vl 1C
Spouse's Date of Birth: o? .S.
? q tChtl C i'Q IV
Sex-.& F
`J Division:
Date of Hire: 1q-1
Resignation Date: It :z It /.
Sex: M 0
Attachment number 1
The type of pension for which I am applying is (check only one): age 31 o z
+ Regular Pension based on years of service
Job-connected Disability Pension
Non-job-connected Disability Pension
The City of Clearwater Employees' Pension Plan provides multiple options to Plan Participants as to the manner of
the pension benefit payment. Option 1 below represents the standard or normal form of retirement benefit. The
other optional forms (#2 - #6) shall be computed to be the Actuarial Equivalent of the normal benefit.
Option 1 - Joint and Survivor Annuity
The normal form of retirement benefit shall be an annuity paid monthly for the life of the Participant, with a
100% survivor annuity paid monthly for a period of five years following the death of the Participant to the
beneficiary, provided that following such five year period the survivor annuity shall be reduced to 50% of the
original survivor annuity amount. [See section 2.397 (a) (3) (A)] The Participant's surviving spouse receives
the designated amount for the rest of his/her life or until he/she remarries. If no surviving spouse, dependent
children under the age of 18 shall be deemed to be the beneficiary and receive the designated amount until
the age of 18. [Section 2.397 (a) (3) and Section 2.398 (b) (1)]
Option 2 - Life Annuity
The Participant receives his/her pension as long as he/she lives. Upon the death of the Participant, benefits
cease. [Section 2.398 (b) (2) (a) (1)]
Option 3 -10 Year Certain & Life Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies before 120 monthly
payments have been made, the remaining payments up to the 120 payments are made to his/her beneficiary.
If payments to the beneficiary commence and he/she dies before the total of 120 payments has been made,
the remainder of the payments is paid to the beneficiary's estate. If the first beneficiary predeceases the
participant, he/she may designate a new beneficiary. If no beneficiary is alive at the time of the participant's
death, the participant's estate will be paid the balance of the 120 payments. [Section 2.398 (b) (2) (a) (2)]
Option 4 - 50% Joint & Survivor Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 50% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant continues to
receive 100% of his/her pension and upon his/her death, benefits cease. [Section 2.398 (b) (2) (a) (3)]
Option 5 - 75% Joint & Survivor Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 75% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant continues to
receive 100% of his/her pension and upon his/her death, benefits cease. [Section 2.398 (b) (2) (a) (3)]
r' ) +.--- 1 wv11-11 IA UCDI 1IQIGU VII ans rulrti a5 V tlon
1) and the various alternative optional benefit payment methods (Options 2 through 6) under such Plan and have
elected to receive my retirement benefits as indicated below. (Note: Option selection to be indicated both by
Number and Description.)
I understand that once my first pension check is received, my decision on this option is irrevocable.
IT taKin v tion 1 sign below:
Option #: 1
Employee's Signature:
Dependent children under the age of
Child's Name i?
Description: Joint and Survivor Annuity
Date:
?`'/ II
esiding in my usehold are:.
Sex Date of Birth
dent nr
Page 32 of 44
If taking Option 2 sign below:
Dption #: 2 Description: Life Annuity
r 4/-4)
Employee's Signature: L Date: rr taKin u tton 3, 4, 5, or ti fill in beneficia information and sign below:
Option #: Description:
My designated beneficiary is:
Name:
Social Security Number:
Address:
Date of Birth:
Sex M F
Phone Number:
Employee's Signature:
Date:
STATE OF FLORIDA The foreg ing 'nstrument was acknowledged before a this
COUNTY OF PINELLAS Y 1 by ?
cif CX.? e s 4 ?J'?.l who is
personally known to me or who has provided
as iden ' ' atio and who id/did of to an o h.
Notary Public
.d !. innate vol
yl((Abcj`? L I V -CV Name of Notary Printec
My Commission expires:
OF FLORIDA
Deborah L. Ford
Commission # DD763426
Expires: MAY 15, 2012
Rev. 4/08 iiONVFO THRU ATLANTIC BONDING CO., INC.
Form #9900-0009 File Name: Pension Entitlement Option Form
r1
Eddie Adams
GROSS
LAST DATE PAID:
BENEFITS DATE
CREDITED SERVICE
CALENDAR PENSION
YEAR EARNINGS
6/18/2011 2006 $22,400.45
6/3/1991 2007 $43,673.64
Attachment number 1
20.0417 2008 $44,144.50 Page 33 of 44
2009 $45,383.21
2010 $45,046.85
2011 $22,448.04
$223,096.69 (5 Year Total)
5/ $44,619.34 (Yearly Avg)
12/ $3,718.28 (Monthly Avg)
x 0.0275 (Benefit Rate)
x 20.0417 (Yrs of Service)
$2,049.31 (Est Wily Pension)
Prepared by: Deborah Ford
Date: 3/21/11
clract01
Version:
01-04-96
Employee Name:
Employee Date of Birth:
Marital Status:
Spouse Date of Birth:
Beneficiary Date of Birth:
Benefit Commencement Date :
Eddie Adams
6 16 1948
m<
2 22 1955
2 22 1955
7 1 2011
Estimated Monthly Normal Retirement Benefit: $ 2,049.31
.........................................
Actuarial Equivalent Adjustment Factors:
Normal Form 1.00000
Life Annuity
10 Year Certain
50% J&S
75% J&S
100% J&S
1.16704
1.12492
1.05672
1.00903
0.96545
Attachment number 1
Page 34 of 44
Estimated
Monthly
Benefit
$2,049.31
$2,391.64
$2,305.32
$2,165.55
$2,067.81
$1,978.52
slcK leave incentive, bonus days (if applicable), and 1 /2 of accrued sick leave at
the time of separation from the City. There will be no deduction for pension
from this lump sum payment nor will this amount count as earnings in the
calculation of the pension. The last day of work will be the termination date
and pension benefits will begin the following month.
PREFERENCE #2
Employee can extend termination date by part or all of the time due for
vacation, oating o aay pay, s--ick--leave Incen Ive; bonus--days Cf appClca e and 1 /2 of accrued sick leave. Employee may choose to run out this time in
any manner. Balance will be paid in a lump sum on employee's finAla eCh? z?r 1
Termination date will be the final day of extended time. Pension Fbgflzfitrs4Mvill
begin the following month.
i, -- Lky- I )t I,O yY1 S , an employee of the City of Clearwater, hereby apply for
pension benefits under the City's Employees' Pension Plan.
I hereby certify that I fully understand the preferences offered to me. I choose to retire using separation
pay preference # l and wish my benefits to be calculated under this preference. Please use my
leave in the following manner:
Run Out vacation sick floaters bonus hours
Lump Sum vacation 2.3 sick floaters bonus hours
I understand that my preference cannot be changed once this form is signed and that my decision is
irrevocable. ?
r
EMPLOYEE'S SIGNATURE:
SOCIAL SECURITY #:
WITNESSES: ADDRESS:
,? v - - -
PHONE: - -- DATE:
Revised 1/02
Form #9900-0008
File Name: Employee Separation Pay Pref
Job Classification:
Department:
Benefits Date:
Date of Birth:
Spouse's Name:
Spouse's Date of Birth:
D
?W41 WIII10VnS
Sex: Q F
Division:
Date of Hire: 71, r.)_ 9 o
Resignation Date: 31171il
Sex: M V
The_type of pension for which I am applying is (check only one):
Regular Pension based on years of service based on years of service
Job-connected Disability Pension
Non-job-connected Disability Pension
Early Retirement
Attachment n tuber 1
Page 36 of 4
The City of Clearwater Employees' Pension Plan provides multiple options to Plan Participants as to the manner of
the pension benefit payment. Option 1 below represents the standard or normal form of retirement benefit. The
other optional forms (#2 - #7) shall be computed to be the Actuarial Equivalent of the normal benefit.
Option 1 - Joint and Survivor Annuity
The normal form of retirement benefit shall be an annuity paid monthly for the life of the Participant, with a
100% survivor annuity paid monthly for a period of five years following the death of the Participant to the
beneficiary, provided that following such five-year period the survivor annuity shall be reduced to 50% of the
original survivor annuity amount, except that, if greater for police officers and firefighters, the normal form of
benefit shall be an annuity paid monthly for the life of the participant with 120 payments guaranteed. [See
section 2.397 (a) (3) (A)] The Participant's surviving spouse receives the designated amount for the rest of
his/her life or until he/she remarries. If no surviving spouse, dependent children under the age of 18 shall be
deemed to be the beneficiary and receive the designated amount until the age of 18. [Section 2.397 (a) (3)
and Section 2.398 (b) (1)]
Option 2 - Life Annuity
r
The Participant receives his/her pension as long as he/she lives. Upon the death of the Participant, benefits
cease. [Section 2.398 (b) (2) (a) (1)]
- (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies before 120 monthly
payments have been made, the remaining payments up to the 120 payments are made to his/her beneficiary.
If payments to the beneficiary commence and he/she dies before the total of 120 payments has been made,
the remainder of the payments is paid to the beneficiary's estate. If the first beneficiary predeceases the
participant, he/she may designate a new beneficiary. If no beneficiary is alive at the time of the participant's
death, the participant's estate will be paid the balance of the 120 payments. [Section 2.398 (b) (2) (a) (2)]
Option 4 - 50% Joint P. Survivor Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 50% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant continues to
receive 100% of his/her pension and upon his/her death, benefits cease. The beneficiary can be changed at
any time. [Section 2.398 (b) (2) (a) (3)]
Option 5 - 75% Joint & Survivor Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 75% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant continues to
receive 100% of his/her pension and upon his/her death, benefits cease. The beneficiary can be changed at
any time. [Section 2.398 (b) (2) (a) (3)]
Option 7- 66 213% Joint & Survivor AnnuitT -(must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 66 2/3% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant
continues to receive 100% of his/her pension and upon his/her death, benefits cease. The beneficiary can be
changed at any time. [Section 2.398 (b) (2) (a) (3)]
I have considered the normal form of benefit payment under such Plan (which is designated on this Form as Option
1) and the various alternative optional benefit payment methods (Options 2 through 7) under such Plan and have
elected to receive my retirement benefits as indicated below. (Note: Option selection to be indicated both by
Number and Description.)
I understand that once my first pension check is received, my decision on this option is irrevocabIPAttachment number 1
Page 37 of 44
Option #: 2
Employee's Signature:
Description: Joint and Survivor Annuity
Dependent children under the age of 18 and residing in my household are:
Child's Name Sex
Date:
Date of Birth
If taking Option 2 sign below:
Option #: 2 Description: Life Annuity
Employee's Signature: Date:
If takin O tion 3 4 5 6 or 7 fill in beneticia intor non ang si n oeiv
Option #: Description: d-0 v o; ill X vv v? ?o? gnu,
My designated bengficiary is:
Name: Mask, W i ? p rn Date of Birth: a I i S (°I Sex MU
Social Security Number: _ Phone Number:
Address:
Employee's Signature.
z)- Date: 3 I 1
STATE OF FLORIDA e forego ing iy? strument was ac, n-owledged before me this
COUNTY OF PINELLAS 311 '7 / I I by 717C4 !f!2!1 UP ??r qk"-s who is
personally known to me or who has provided
Rev. 4/08
Form #9900-0053
as ident' is do n who di did no e o th.
Notary Public
(Sign ure)
d ? ?, ?Z moo( Name of Notary Printed
.. PE 0? FL fUUA
My Commission expires: Deborah L. Ford
'Commission # DD763426
Expires: IMAY 15, 2012
BONDED THRU ATLANTIC BOLDING CO., INC,
File Name: Pension Entitlement Option Form Police & Fire
Harry Williams
LAST DATE PAID: 3/17/2011
BENEFITS DATE 12/29/1990
CREDITED SERVICE 20.2167
Prepared by: Deborah Ford
Date: 3/16/2011
GROSS
CALENDAR PENSION
YEAR EARNINGS
2005 $63,887.53
2006 $68,866.91
Attachment number 1
Page 38 of 44
2007 $73,942.81
2008 $73,763.94
2009 $73,594.86
$354,056.05 (5 Year Total)
5/ $70,811.21 (Yearly Avg)
12/ $5,900.93 (Monthly Avg)
x 0.0275 (Benefit Rate)
x 20.2167 (Yrs of Service)
$3,280.67 (Est Mtly Pension)
clract03
Version:
August 9, 2000
Employee Name: Harry Williams
Employee Date of Birth: 7 19 1956
Marital Status: m
Spouse Date of Birth: 2 15 1961
Beneficiary Date of Birth: 2 15 1961
Benefit Commencement Date : 4 1 2011 Attachment number 1
Page 39 of 44
Estimated Monthly Normal Retirement Benefit: $3,280.67 Estimated
...................... ................. Monthly
Actuarial Equivalent Adjustment Factors: Benefit
J&S Annuity 1.00000 $3,280.67
Life Annuity 1.10302 $3,618.65
10 Year Certain 1.08712 $3,566.47
50% J&S 1.03814 $3,405.81
67% J&S 1.01818 $3,340.32
75% J&S 1.00849 $3,308.51
100% J&S 0.98047 $3,216.61
the time of separation from the City. There will be no deduction for pension
from this lump sum payment nor will this amount count as earnings in the
calculation of the pension. The last day of work will be the termination date
and pension benefits will begin the following month.
PREFERENCE #2 Employee can extend termination date by part or all of the time due for
- - vacation, floating holiday pay, sick--leaveincen ive, onus days (if app Ica e ,
and 1 /2 of accrued sick leave. Employee may choose to run out this time in
any manner. Balance will be paid in a lump sum on employee's final paycheck.
Termination date will be the final day of extended time. Pension &fi&,$nw A6r 1
begin the following month. Page 40 of 44
(AC, SA--cu,)ar an employee of the City of Clearwater, hereby apply for
i,
pension benefits under the City's Employees' Pension Plan.
I hereby certify that I fully understand the preferences offered to me. I choose to retire using separation
pay preference # t and wish my benefits to be calculated under this preference. Please use my
leave in the following manner:
Run Out vacation sick floaters bonus hours
Lump Sum p?U vacation c2 / - V3 sick 2V-, floaters bonus hours
I understand that my preference cannot be changed once this form is signed and that my decision is
irrevocable.
EMPLOYEE'S SIGNATURE:
SOCIAL SECURITY #:
ITNESSES: ADDRESS: i
PHONE:
Revised 1102
Form #9900-0008
1
DATE: y/ ////
File Name: Employee Separation Pay Pref
Job Classification:
Department:
Benefits Date: _
Date of Birth:
:7??o t ic.c-
0
Sex:`'J° F
Division:
Date of Hire: ? Agd
Resignation Date: S 31 /(
Spouse's Name: Al /+ Sex: M F
Spouse's Date of Birth:
The type of pension for which I am applying is (check only one): Attachment nu E
Regular Pension based on years of service Page 41 of 44
Job-connected Disability Pension
Non-job-connected Disability Pension
Early Retirement
The City of Clearwater Employees' Pension Plan provides multiple options to Plan Participants as to the manner of
the pension benefit payment. Option 1 below represents the standard or normal form of retirement benefit. The
other optional forms (#2 - #7) shall be computed to be the Actuarial Equivalent of the normal benefit.
Option 1 - Joint and Survivor Annuity
The normal form of retirement benefit shall be an annuity paid monthly for the life of the Participant, with a
100% survivor annuity paid monthly for a period of five years following the death of the Participant to the
beneficiary, provided that following such five-year period the survivor annuity shall be reduced to 50% of the
original survivor annuity amount, except that, if greater for police officers and firefighters, the normal form of
benefit shall be an annuity paid monthly for the life of the participant with 120 payments guaranteed. [See
section 2.397 (a) (3) (A)] The Participant's surviving spouse receives the designated amount for the rest of
his/her life or until he/she remarries. If no surviving spouse, dependent children under the age of 18 shall be
deemed to be the beneficiary and receive the designated amount until the age of 18. [Section 2.397 (a) (3)
and Section 2.398 (b) (1)]
Option 2 - Life Annuity
The Participant receives his/her pension as long as he/she lives. Upon the death of the Participant, benefits
cease. [Section 2.398 (b) (2) (a) (1)]
- (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies before 120 monthly
payments have been made, the remaining payments up to the 120 payments are made to his/her beneficiary.
If payments to the beneficiary commence and he/she dies before the total of 120 payments has been made,
the remainder of the payments is paid to the beneficiary's estate. If the first beneficiary predeceases the
participant, he/she may designate a new beneficiary. If no beneficiary is alive at the time of the participant's
death, the participant's estate will be paid the balance of the 120 payments. [Section 2.398 (b) (2) (a) (2)]
Option 4 - 50% Joint P. Survivor Annuity - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 50% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant continues to
receive 100% of his/her pension and upon his/her death, benefits cease. The beneficiary can be changed at
any time. [Section 2.398 (b) (2) (a) (3)]
Option 5 - 75% Joint P. Rurviv_ or Annuity! - (must designate a beneficiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 75% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant continues to
receive 100% of hislher pension and upon his/her death, benefits cease. The beneficiary can be changed at
any time. [Section 2.398 (b) (2) (a) (3)]
r1
Option 7- 66 2/3% Joint & survivor Annuity -(must designate a beneticiary)
The Participant receives his/her pension as long as he/she lives. If the Participant dies first, the beneficiary
receives 66 2/3% of the pension for the rest of his/her life. If the beneficiary dies first, the Participant
continues to receive 100% of his/her pension and upon his/her death, benefits cease. The beneficiary can be
changed at any time. [Section 2.398 (b) (2) (a) (3)1
I have considered the normal form of benefit payment under such Plan (which is designated on this Form as Option
1) and the various alternative optional benefit payment methods (Options 2 through 7) under such Plan and have
elected to receive my retirement benefits as indicated below. (Note: Option selection to be indicated both by
Number and Description.)
I understand that once my first pension check is received, my decision on this option is irrevocableAttachment number 1
Page 42 of 44
Option #: 1
Employee's Signature:
Date:
Dependent children under the age of 18 and residing in my household are:
Child's Name Sex Date of Birth
If taking Option 2 sign below:
Option #: -2- Description: Life Annuity
Employee's Signature: Date:
If taking Option 3 4 5 6 or 7 fill in benefici
Option #: (1? Description:
d
My desi nated benefici ry is:
Name: -i"r o??n rrv?AezM Date of Birth: i I Sex M o
Social Security Number: Phone Number:
Address:
Employee's Signature: y_ Date: Ilt
STATE OF FLORIDA
COUNTY OF PINELLAS
Description: Joint and Survivor Annuity
The forepoi g instrument was a nowedged b fe me this
of , /I by a I'CJII who is
personally known to me or who has provided
as identific ti r1,ag bhp d},d/.4d n a e,(tp?
Notary Public
Rev. 4/08
Form #9900-0053
Dc-to /C,-L' ?- /?lvC( Name of Notary Printed
NOTARY PUBLIC-STATE OF FLORIDA.
My Commission gacpi Qs: Deborah E. Fbz d
Commission #DD763426
`?•.,, ,,, -` Expires: MAY 15, 2012
BONDED THRU ATLAIY NC BONDING CO., INC.
File Name: Pension Entitlement Option Form Police & Fire
Michael Stewart
GROSS
LAST DATE PAID:
BENEFITS DATE
CREDITED SERVICE
CALENDAR PENSION
YEAR EARNINGS
5/31/2011 2006 $64,337.46
9/24/1990 2007 $69,009.29
Attachment number 1
20.6861 2008 $71,609.58 Page 43 of 44
2009 $75,830.37
2010 $77,615.01
$358,401.71 (5 Year Total)
5/ $71,680.34 (Yearly Avg)
12/ $5,973.36 (Monthly Avg)
x 0.0275 (Benefit Rate)
x 20.6861 (Yrs of Service)
$3,398.05 (Est Mtly Pension)
Prepared by: Deborah Ford
Date: 4/4/11
ciract03
Version:
August 9, 2000
Employee Name: Michael Stewart
Employee Date of Birth: 7 7 1968
Marital Status:
Spouse Date of Birth: 2 15 1966
Beneficiary Date of Birth: 2 15 1966
Benefit Commencement Date : 6 1 2011 Attachment number 1
Page 44 of 44
Estimated Monthly Normal Retirement Benefit: $3,398.05 Estimated
................... .................... Monthly
Actuarial Equivalent Adjustment Factors: Benefit
Normal Form 1.00000 $3,398.05
Life Annuity 1.04116 $3,537.92
10 Year Certain 1.03696 $3,523.63
50% J&S 1.01548 $3,450.65
67% J&S 1.00720 $3,422.51
75% J&S 1.00311 $3,408.62
100% J&S 0.99104 $3,367.59 - WrJ216`?
Meeting Date:5/16/2011
Pension Trustees Agenda
Council Chambers - City Hall
SUBJECT / RECOMMENDATION:
Approve the request of employee Georgina Ata, Library Department, to vest her pension as provided by Section 2.397 of the
Employees' Pension Plan.
SUMMARY:
Georgina Ata, Librarian III, Library Department, was employed by the City on October 3, 1993, and began participating in the
Pension Plan on that date. Ms. Ata will terminate from City employment on June 2, 2011.
The Employees' Pension Plan provides that should an employee cease to be an employee of the City of Clearwater or change status
from full-time to part-time after completing ten or more years of creditable service (pension participation), such employee shall acquire
a vested interest in the retirement benefits. Vested pension payments commence on the first of the month following the month in which
the employee normally would have been eligible for retirement.
Section 2.397) provides for normal retirement eligibility when a participant has reached age 55 and completed twenty years of credited
service, has completed 30 years of credited service, or has reached age 65 and completed ten years of credited service. Ms. Ata would
have completed at least 10 years of service and reached age 65 on December 6, 2013. Her pension will be effective January 1, 2014.
Review Approval:
Cover Memo
Item # 5
Attachment number 1
Page 1 of 1
APPLICATION FOR VESTED RIGHTS PENSION
e 0 C l'v'1 C"-- being a person leaving employment with the
City of Clea ter, Florida, and having completed ten (10) or more years of credited service,
uch service having occurred during the period from (date of entry into Pension Plan)
c-,- c.V 3 (9 01q. to (date of resignation or change of status) C?uy gc-
a ao 1 I ,
hereby makes application to receive the vested rights pension provided for by the City Code of
Ordinances. As such former employee, I understand the pension requested will be computed
pursuant to the provisions of the City Code of Ordinance in effect on the date of resignation.
I hereby further certify that my date of birth is )--UC vn I er (o I q
The date I will begin to receive my pension will be 77Q Ac)Cxyc. l , Q-Uf y
Further, I additionally certify that I have made no application seeking to obtain a return of the
contributions that I paid into the Pension Fund during the period of my employment set forth
above, I have not been convicted of a felony during my period of employment, and I have not
received any other type of ension from the City.
Signature Social Security Number
I I; >L4ear
Depa ent/Division
?A ?I'& h
Job Classification
3ts1 S1r)7-
0S'- .5-4 '
Street Address
1:?77L 3 3 7 ?`
City, State, Zip Code
STATE OF FLORIDA The foregoing instrument was acknowledged before
COUNTY OF PINELLAS me this q day of rt' , 20 l 1
by f Sz I'n o?-Ci
who is personally know to me or who has provided
as identification
and who did/did not take an oath.
Notary Public
i"O rl' )-, Co Name of Notary Printed
My commission eXpir"" Rt rnzrrn cTaTr: nr,,n ,
Deborah L. Ford
Commission # DD763426
•` Expires: MAY 15, 2012
BONDED THRU ATLANTIC BONDING CO., INC.
Rev. 4/09 Vested Pension'For 5