Amelia National Community Development District
12051 Corporate Boulevard, Orlando, FL 32817, PHONE 407-723-5900, FAX 407-723-5901
www.amelianationalcdd.com

The meeting of the Board of Supervisors of Amelia National Community Development District will be held Thursday, November 19, 2020 at 11:30 a.m. at 910 South 8th Street, Suite 100, Fernandina Beach, FL 32034. The following is the agenda for this meeting.

Call in number: 1-844-621-3956 (New) Passcode: 790 562 990 # (New)

 BOARD OF SUPERVISORS’ MEETING AGENDA

Organizational Matters
Call to Order
Roll Call
Public Comment Period [for any members of the public desiring to speak on any proposition before the Board]

Administration of the Oath of Office to New Members of the Board of Supervisors
Overview of the Florida “Government in the Sunshine” Regulations and other Board Member Responsibilities
Statement of Financial Interest, Form 1
Board Member Compensation

General Business Matters
Consideration of Minutes of the August 13, 2020 Board of Supervisors’ Meeting
Review & Acceptance Grau & Associates Audit FY 2020 Engagement Letter
Consideration of Resolution 2021-01, Electing District Officers
Consideration of Resolution 2021-02, Authorizing Disbursements of Funds
Consideration of Resolution 2021-03, Annual Appropriations and Adopting the Revised Budget for Fiscal Year 2020.
Discussion Regarding Material on the District Website
Update of Bond Restructuring Options
Pond update from The Lake Doctors
Pond Aeration update from Leland Management
Ratification of Payment Authorizations 2020-67—2020-74
Review of District Financial Statements

Other Business
Staff Reports
District Counsel
District Engineer

District Manager
Audience Comments
Supervisors Requests

Adjournment

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT

Administration of the Oath of Office to New Members of the Board of Supervisors

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT
BOARD OF SUPERVISORS OATH OF OFFICE

I,	 	, A CITIZEN OF THE STATE OF FLORIDA AND OF THE
UNITED STATES OF AMERICA, AND BEING EMPLOYED BY OR AN OFFICER OF THE AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT AND A RECIPIENT OF PUBLIC FUNDS AS SUCH EMPLOYEE OR OFFICER, DO HEREBY SOLEMNLY SWEAR OR AFFIRM THAT I WILL SUPPORT THE CONSTITUTION OF THE UNITED STATES AND OF THE STATE OF FLORIDA.

_______________________________________ Board Supervisor

ACKNOWLEDGMENT OF OATH BEING TAKEN

STATE OF FLORIDA COUNTY OF NASSAU

The foregoing oath was administered before me this ___ day of ___	, 2020,

by  ______ 	_,  who   personally  appeared  before   me,   and is
personally known to me or has produced ___ 	as identification, and is the person described in and who took the aforementioned oath as a Member of the Board of Supervisors of The Amelia National Community Development District and acknowledged to and before me that he/she took said oath for the purposes therein expressed.

(NOTARY SEAL)

_________________________________________ Notary Public, State of Florida

Print Name: ______ 		_ Commission No.: ____ 	_ Expires: __ 		

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT

Overview of the Florida “Government in the Sunshine” Regulations and other Board Member Responsibilities

Supervisor Welcome Package

Introduction to Community Development Districts

Frequently Asked Questions Regarding the Role of the Board of Supervisors

Role of Community Development District Staff

Florida Commission on Ethics Guide to the Sunshine Amendment

Oath of Office

Financial Disclosure Form

IRS Form W-9

Introduction to Community Development Districts

INTRODUCTION

A community development district (CDD) is created under the Uniform Community Development Act of 1980, Chapter 190 of the Florida Statutes, as amended. It provides a mechanism to finance, construct and maintain community or subdivision infrastructure improvements. A CDD is organized as a special-purpose unit of local government and operates as an independent taxing district.

Because a CDD is an independent special district, its governing body establishes its own budget and operates independently of the local governmental entity within the scope of its specific and very limited powers. A CDD does not have police powers and cannot regulate land use or issue development orders; those powers reside with the local general-purpose government (city of county).

The primary function of a CDD is to issue tax-exempt bonds to construct subdivision infrastructure, e.g., road, water and sewer lines, recreational facilities, etc. Thus, new growth within a CDD pays for itself and the cost of the growth is allocated proportionately by levying special assessments on the landowners who receive the benefits.

A CDD gives the developer an efficient mechanism to finance front-end capital expenditures at a lower interest rate and usually on a non-recourse basis, while maintaining control of the district for a period of years that extends beyond the build-out of the development. A CDD also provides a more efficient method of paying the operation and maintenance expense of subdivision infrastructure and related services.

For the local general-purpose government, the creation of a CDD results in an expansion of the tax base and additional fund revenues. Because of the structure and limited powers of a CDD, as defined in the enabling legislation, the comprehensive planning effort is also enhanced. Furthermore, Florida law has provisions which guard against the proliferation, duplication and fragmentation of municipal or county services by providing mechanisms for termination, annexation, or transfer of all or part of the CDD services to the affected county of municipality.

Overview of Community Development Districts

What is a Community Development District? (CDD)

A CDD is a governmental unit created to serve the long-term specific needs of its community. Created pursuant to Chapter 190, Florida Statutes, A CDD’s main powers are to plan, finance, construct, operate and maintain community-wide infrastructure and services specifically for the benefit of the District.

What will the CDD do?

Through a CDD, the District can offer its residents a broad range of community-related services and infrastructure to help ensure the highest quality of life possible. Responsibilities of a CDD may include storm water management, potable and non-portable water supply, sewer and wastewater management, landscaping, street lighting, and recreational amenities.

How does a CDD operate?

A CDD is governed by its Board of Supervisors. A District Board is elected initially by the landowners, eventually transitioning to residents of the CDD after six to eight years of operation, depending on the district. Similar to all municipal, county, state, and national elections, the Office of the Supervisor of Elections oversees the vote, and CDD Supervisors are subject to state ethics and financial disclosure laws.

What is the CDD’s relationship with the Home Owner’s Association?

Community Development Districts compliment the responsibilities of a community home owner’s association (HOA’s). A CDD typically provides and maintains public facilities and infrastructure for a community whereas a HOA is effective in the coordination and management of privately held properties within the district or community. Therefore, many of the maintenance functions handled by CDD’s in other communities may be handled by these associations provided these facilities are either owned by the HOA or agreements exists between the HOA and CDD regarding the maintenance of said facilities. However, the associations have other key responsibilities including the enforcement of the deed restrictions and other quality standards regarding privately held properties. For example, a CDD may contract with the Master Home Owners Association of a community to perform maintenance functions.

What are the benefits to residents?

Residents within a CDD may expect to receive three major classes of benefits:

The CDD may provide landowners with higher levels of public facilities and services managed and financed through self-imposed fees and assessments.
The CDD ensures that these community development facilities and services will be completed concurrently with other parts of the development.
The CDD landowners and electors choose the Board of Supervisors, which is able to determine the levels of service of CDD facilities.

Other similarities are realized because a CDD is subject to the same laws and regulations that apply to other government entities. The CDD is able to borrow money to finance its facilities at lower, tax- exempt interest rates, similar to cities and counties. Additionally, many contracts for goods and services, including annually negotiated maintenance contracts, are subject to publicly advertised competitive bidding.

Landowners and subsequently the 5 member elected CDD Board sets the standards of quality within a District. For example, a CD can provide perpetual maintenance of environmental conservation areas within a community. This consistent, quality-controlled method of management ultimately helps protect the long term property values in a community.

What is the cost to operate a CDD?

The cost to operate a CDD is borne by those who benefit from its services. Property owners in the CDD are subject to a non-ad valorem assessment, which appears on their annual property tax bill from the county tax collector as a CDD assessment. This bulk assessment consists of two parts – an annual assessment for operations and maintenance, which can fluctuate from year to year – and an annual capital assessment to repay bonds sold by the CDD to finance community infrastructure and facilities. Annual capital assessments are generally fixed and do not vary for the term of the bonds. Because cost and levels of services vary depending upon the needs of an individual CDD, the operations and maintenance assessment will vary within each District year to year.

How are CDD’s financed?

The CDD issues Bonds to finance community infrastructure. Generally, CDD’s assess each property owner a yearly capital debt service assessment to pay back those bonds.

In addition, to maintain the facilities of the community and administer the CDD, the CDD conducts a public hearing each year where it adopts an Operating and Maintenance budget. The funding of this budget is levied as an Operating and Maintenance assessment on individual properties by the Board of Supervisors. All residents pay for a share of the maintenance of the CDD improvements through this annual assessment.

What are the responsibilities of a Community Development District?

A CDD may provide the following publicly owned elements:

-	Off-site roadway improvements, street signage and/or street lighting		
-	Water management, (including but not limited to) main line irrigation, lake and pond construction,	
	and water control structures		
-	Conservation areas		
-	Water and sewer facilities, which may be transferred to the appropriate franchised utility	or	
	municipality with jurisdiction responsibility		
-	Landscaping and entry features		

Frequently Asked Questions Regarding the Role of the Board of Supervisors

Questions Regarding the Role of the Board of Supervisors

What is a Board of Supervisors?

A Community Development District has a Board-Manager form of government with the Board formulating public policy and the Manager carrying it out. The Board consists of five members called Supervisors. The Board serves as the governing body of the District and sets public policies implemented by the staff. Based upon board consideration these Supervisors may receive compensation or reimbursement for their participation in Board activities.

How is the Board established?

Initially Supervisors are appointed by the landowner in the formative petition filed with the local government entity. Later they are elected by the landowners and appointed to various terms of office based on the number of votes cast, either two or four year terms. Eventually, within six to eight years of establishment, Board members are elected by State registered voters that reside in the district in a general election conducted by the Office of the Supervisor of Elections in that county.

What are the responsibilities of the Board?

The Board receives its power from Chapter 190, Florida Statutes, which governs community development districts. The Board is responsible for the everyday operation and the future of the district and its residents. A summary of these duties includes, but is not limited to the following;
-	Complete all forms required by the State of Florida as a Public Officer	
-	Comply to and understand the Sunshine Amendment and Code of Ethics for Public Officers	
-	Governing of the District, its staff, residents and facilities	
-	The annual budget and financing of the district, including operations and maintenance fees and	
	general oversight of the District	
-	Holding and attending board meetings for the District	
-	Maintaining the current standing of the district up to code and compliance with the state of	
	Florida and other local governmental entities	
-	Planning for the future growth and maintenance of the District.	

What are the terms of office for the Supervisors?

Initial Supervisors appointed by the landowner are in office for 90 days until a landowner election can be noticed and held. After the initial landowner election is held, the two supervisors with the highest votes serve a four year term; the remaining supervisors serve two year terms. All supervisors elected at the six year period receive four year terms. This eventually will result in every member on the board serving a staggering four year term.

What if a Supervisor resigns his/her office during term?

If a supervisor resigns his/her office mid-term, the board will accept their letter of resignation and then appoint a new supervisor to serve the remaining term. However, should it be a board consisting of terms elected after the sixth year of the district, the board will only be able to appoint a qualified voter registered in the State of Florida that resides in the district to serve the balance of the term. The resigning supervisor must complete the required forms as per the State of Florida within 60 days of departure of office and return it to the Supervisor of Elections office in the county in which they reside.

Role of Community Development District Staff

Community Development District Staff Positions

District Manager

The district manager acts as the ‘City Manager/County Administrator’ of the district and works with the elected board of supervisors to serve the district and its residents. The direct responsibilities of the district manager include the following but are not limited to: Preserving and maintaining district improvements and facilities, overseeing and coordinating the planning, financing, purchasing, staffing, and compliance of the district, and any other such duties, as prescribed by the board.

District Counsel

The district counsel acts as the chief legal counsel to the district and is responsible for ensuring that the district conducts its business according to the legal standards placed upon it, both by the actions of the district/board and Statute.

In this capacity, the district counsel reviews all district documents, including resolutions, contracts, and agreements, assists district manager in drafting of same and negotiations on behalf of the district. Counsel ensures compliance with all necessary laws including the Sunshine Amendment, and assists with securing public financing.

District Engineer

The district engineer provides professional and technical services to the district in support of the planning, design, permitting, construction, financing, operation and maintenance of the district infrastructure.

The district engineer also provides the Engineer’s Report for bond financing and can provide direct consultation for such items as: Bidding, contractor selection standards, master planning of infrastructure and construction phase operation.

Florida Commission on Ethics Guide to the Sunshine Amendment

FLORIDA COMMISSION ON ETHICS

GUIDE
to the SUNSHINE AMENDMENT
and
CODE of ETHICS
for Public Officers and Employees

2020

State of Florida COMMISSION ON ETHICS
Kimberly Bonder Rezanka, Chair
Cocoa

Daniel Brady, PH.D., Vice Chair
Miami Shores

Jason David Berger
Palm City

Antonio Carvajal
Tallahassee

Glenton “Glen” Gilzean, JR.
Orlando

John Grant
Tampa

Joanne Leznoff
Fernandina Beach

F. Shields McManus
Stuart

William “Willie” N. Meggs
Tallahassee

C. Christopher Anderson
Executive Director
P.O. Drawer 15709 Tallahassee, FL 32317‐5709
www.ethics.state.fl.us (850) 488‐7864*
*Please direct all requests for information to this number.

TABLE OF CONTENTS
HISTORY OF FLORIDA’S ETHICS LAWS	1
ROLE OF THE COMMISSION ON ETHICS	2
THE ETHICS LAWS	2
PROHIBITED ACTIONS OR CONDUCT	3
Solicitation or Acceptance of Gifts	3
Unauthorized Compensation	3
Misuse of Public Position	4
Disclosure or Use of Certain Information	4
Solicitation or Acceptance of Honoraria	4
PROHIBITED EMPLOYMENT AND  .. BUSINESS RELATIONSHIPS.	5
Doing Business With One’s Agency	5
Conflicting Employment or Contractual Relationship	5
Exemptions	5
Additional Exemption	6
Lobbying State Agencies by Legislators	7
Employees Holding Office	7
Professional & Occupational Licensing Board Members	7
Contractual Services: Prohibited Employment	7
Local Government Attorneys	7
Dual Public Employment	7
RESTRICTIONS ON APPOINTING, EMPLOYING, AND CONTRACTING
WITH RELATIVES	8
Anti‐Nepotism Law	8
Additional Restrictions	8
POST OFFICEHOLDING & EMPLOYMENT (REVOLVING DOOR) RESTRICTIONS	8
Lobbying By Former Legislators, Statewide Elected Officers,
and Appointed State Officers	8
Lobbying By Former State Employees	8
Additional Restrictions on Former State Employees	9
Lobbying By Former Local Government Officers and Employees	10
VOTING CONFLICTS OF INTEREST	10

DISCLOSURES	11
Form 1 ‐ Limited Financial Disclosure	11
Form 1F ‐ Final Form 1	14
Form 2 ‐ Quarterly Client Disclosure	15
Form 6 ‐ Full and Public Disclosure	15
Form 6F ‐ Final Form 6	16
Form 9 ‐ Quarterly Gift Disclosure	16
Form 10 ‐ Annual Disclosure of Gifts from Governmental Entities and
Direct Support Organizations and Honorarium Event‐Related Expenses	16
Form 30 ‐ Donor’s Quarterly Gift Disclosure	17
Forms 1X and 6X – Amendments	18
AVAILABILITY OF FORMS	18
PENALTIES	19
For Violations of the Code of Ethics	19
For Violations by Candidates	19
For Violations by Former Officers and Employees	19
For Lobbyists and Others	19
Felony Convictions: Forfeiture of Retirement Benefits	20
Automatic Penalties for Failure to File Annual Disclosure	20
ADVISORY OPINIONS	20
Who Can Request an Opinion	20
How to Request an Opinion	20
How to Obtain Published Opinions	21
COMPLAINTS	21
Citizen Involvement	21
Referrals	21
Confidentiality	21
How the Complaint Process Works	22
Dismissal of Complaint at Any Stage of Disposition	23
Statute of Limitations	23
EXECUTIVE BRANCH LOBBYING	23
WHISTLE‐BLOWER’S ACT	24
ADDITIONAL INFORMATION	24
ONLINE TRAINING	25

HISTORY OF FLORIDA’S ETHICS LAWS

Florida has been a leader among the states  in  establishing ethics standards for  public officials and recognizing the right of citizens to protect the public trust against abuse. Our state Constitution was revised in 1968 to require a code of ethics, prescribed by law, for all state employees and non‐ judicial officers prohibiting conflict between public duty and private interests.

Florida’s first successful constitutional initiative resulted in the adoption of the Sunshine Amendment in 1976, providing additional constitutional guarantees concerning ethics in government. In the area of enforcement, the Sunshine Amendment requires that there be an independent commission (the Commission on Ethics) to investigate complaints concerning breaches of public trust by public officers and employees other than judges.

The Code of Ethics for Public Officers and Employees is found in Chapter 112 (Part III) of the Florida Statutes. Foremost among the goals of the Code is to promote the public interest and maintain the respect of the people for their government. The Code is also intended to ensure that public officials conduct themselves independently and impartially, not using their offices for private gain other than compensation provided by law. While seeking to protect the integrity of government, the Code also seeks to avoid the creation of unnecessary barriers to public service.

Criminal penalties, which initially applied to violations of the Code, were eliminated in 1974 in favor of administrative enforcement. The Legislature created the Commission on Ethics that year “to serve as guardian of the standards of conduct” for public officials, state and local. Five of the Commission’s nine members are appointed by the Governor, and two each are appointed by the President of the Senate and Speaker of the House of Representatives. No more than five Commission members may be members of the same political party, and none may be lobbyists, or hold any public employment during their two‐year terms of office. A chair is selected from among the members to serve a one‐year term and may not succeed himself or herself.

In 2018, Florida’s Constitutional Revision Commission proposed, and the voters adopted, changes to Article II, Section 8. The earliest of the changes will take effect December 31, 2020, and will prohibit officials from abusing their position to obtain a disproportionate benefit for themselves or their spouse, child, or employer, or for a business with which the official contracts or is an officer, partner, director, sole proprietor, or in which the official owns an interest. Other changes made to the Constitution place restrictions on lobbying by certain officeholders and employees, and put additional limits on lobbying by former public officers and employees. These changes will become effective December 31, 2022.

ROLE OF THE COMMISSION ON ETHICS

In addition to its constitutional duties regarding the investigation of complaints, the Commission:

Renders advisory opinions to public officials;
Prescribes forms for public disclosure;
Prepares mailing lists of public officials subject to financial disclosure for use by Supervisors of Elections and the Commission in distributing forms and notifying delinquent filers;
Makes recommendations to disciplinary officials when appropriate for violations of ethics and disclosure laws, since it does not impose penalties;
Administers the Executive Branch Lobbyist Registration and Reporting Law;
Maintains financial disclosure filings of constitutional officers and state officers and employees; and,
Administers automatic fines for public officers and employees who fail to timely file required annual financial disclosure.
THE ETHICS LAWS

The ethics laws generally consist of two types of provisions, those prohibiting certain actions or conduct and those requiring that certain disclosures be made to the public. The following descriptions of these laws have been simplified in an effort to provide notice of their requirements. Therefore, we suggest that you also review the wording of the actual law. Citations to the appropriate laws are in brackets.

The laws summarized below apply generally to all public officers and employees, state and local, including members of advisory bodies. The principal exception to this broad coverage is the exclusion of judges, as they fall within the jurisdiction of the Judicial Qualifications Commission.

Public Service Commission (PSC) members and employees, as well as members of the PSC Nominating Council, are subject to additional ethics standards that are enforced by the Commission on Ethics under Chapter 350, Florida Statutes. Further, members of the governing boards of charter schools are subject to some of the provisions of the Code of Ethics [Sec. 1002.33(26), Fla. Stat.], as are the officers, directors, chief executive officers and some employees of business entities that serve as the chief administrative or executive officer or employee of a political subdivision. [Sec. 112.3136, Fla. Stat.].

PROHIBITED ACTIONS OR CONDUCT

Solicitation and Acceptance of Gifts

Public officers, employees, local government attorneys, and candidates are prohibited from soliciting or accepting anything of value, such as a gift, loan, reward, promise of future employment, favor, or service, that is based on an understanding that their vote, official action, or judgment would be influenced by such gift. [Sec. 112.313(2), Fla. Stat.]

Persons required to file financial disclosure FORM 1 or FORM 6 (see Part III F of this brochure), and state procurement employees, are prohibited from soliciting any gift from a political committee, lobbyist who has lobbied the official or his or her agency within the past 12 months, or the partner, firm, employer, or principal of such a lobbyist or from a vendor doing business with the official’s agency. [Sec. 112.3148, Fla. Stat.]

Persons required to file FORM 1 or FORM 6, and state procurement employees are prohibited from directly or indirectly accepting a gift worth more than $100 from such a lobbyist, from a partner, firm, employer, or principal of the lobbyist, or from a political committee or vendor doing business with their agency. [Sec.112.3148, Fla. Stat.]

However, notwithstanding Sec. 112.3148, Fla. Stat., no Executive Branch lobbyist or principal shall make, directly or indirectly, and no Executive Branch agency official who files FORM 1 or FORM 6 shall knowingly accept, directly or indirectly, any expenditure made for the purpose of lobbying. [Sec. 112.3215, Fla. Stat.] Typically, this would include gifts valued at less than $100 that formerly were permitted under Section 112.3148, Fla. Stat. Similar rules apply to members and employees of the Legislature. However, these laws are not administered by the Commission on Ethics. [Sec. 11.045, Fla. Stat.]

Also, persons required to file Form 1 or Form 6, and state procurement employees and members of their immediate families, are prohibited from accepting any gift from a political committee. [Sec. 112.31485, Fla. Stat.]

Unauthorized Compensation

Public officers or employees, local government attorneys, and their spouses and minor children are prohibited from accepting any compensation, payment, or thing of value when they know, or with the exercise of reasonable care should know, that it is given to influence a vote or other official action. [Sec. 112.313(4), Fla. Stat.]

Misuse of Public Position

Public officers and employees, and local government attorneys are prohibited from corruptly using or attempting to use their official positions or the resources thereof to obtain a special privilege or benefit for themselves or others. [Sec. 112.313(6), Fla. Stat.]

Disclosure or Use of Certain Information

Public officers and employees and local government attorneys are prohibited from disclosing or using information not available to the public and obtained by reason of their public position, for the personal benefit of themselves or others. [Sec. 112.313(8), Fla. Stat.]

Solicitation or Acceptance of Honoraria

Persons required to file financial disclosure FORM 1 or FORM 6 (see Part III F of this brochure), and state procurement employees, are prohibited from soliciting honoraria related to their public offices or duties. [Sec. 112.3149, Fla. Stat.]

Persons required to file FORM 1 or FORM 6, and state procurement employees, are prohibited from knowingly accepting an honorarium from a political committee, lobbyist who has lobbied the person’s agency within the past 12 months, or the partner, firm, employer, or principal of such a lobbyist, or from a vendor doing business with the official’s agency. However, they may accept the payment of expenses related to an honorarium event from such individuals or entities, provided that the expenses are disclosed. See Part III F of this brochure. [Sec. 112.3149, Fla. Stat.]

Lobbyists and their partners, firms, employers, and principals, as well as political committees and vendors, are prohibited from giving an honorarium to persons required to file FORM 1 or FORM 6 and to state procurement employees. Violations of this law may result in fines of up to $5,000 and prohibitions against lobbying for up to two years. [Sec. 112.3149, Fla. Stat.]

However, notwithstanding Sec. 112.3149, Fla. Stat., no Executive Branch or legislative lobbyist or principal shall make, directly or indirectly, and no Executive Branch agency official who files FORM 1  or FORM 6 shall knowingly accept, directly or indirectly, any expenditure made for the purpose of lobbying. [Sec. 112.3215, Fla. Stat.] This may include honorarium event related expenses that formerly were permitted under Sec. 112.3149, Fla. Stat. Similar rules apply to members and employees of the Legislature. However, these laws are not administered by the Commission on Ethics. [Sec. 11.045, Fla. Stat.]

PROHIBITED EMPLOYMENT AND BUSINESS RELATIONSHIPS

Doing Business With One’s Agency

A public employee acting as a purchasing agent, or public officer acting in an official capacity, is prohibited from purchasing, renting, or leasing any realty, goods, or services for his or her agency from a business entity in which the officer or employee or his or her spouse or child owns more than    a 5% interest. [Sec. 112.313(3), Fla. Stat.]

A public officer or employee, acting in a private capacity, also is prohibited from renting, leasing, or selling any realty, goods, or services to his or her own agency if the officer or employee is a state officer or employee, or, if he or she is an officer or employee of a political subdivision, to that subdivision or any of its agencies. [Sec. 112.313(3), Fla. Stat.]

Conflicting Employment or Contractual Relationship

A public officer or employee is prohibited from holding any employment or contract with any business entity or agency regulated by or doing business with his or her public agency. [Sec. 112.313(7), Fla. Stat.]

A public officer or employee also is prohibited from holding any employment or having a contractual relationship which will pose a frequently recurring conflict between the official’s private interests and public duties or which will impede the full and faithful discharge of the official’s public duties. [Sec. 112.313(7), Fla. Stat.]

Limited exceptions to this prohibition have been created in the law for legislative bodies, certain special tax districts, drainage districts, and persons whose professions or occupations qualify them to hold their public positions. [Sec. 112.313(7)(a) and (b), Fla. Stat.]

Exemptions—Pursuant to Sec. 112.313(12), Fla. Stat., the prohibitions against doing business with one’s agency and having conflicting employment may not apply:

When the business is rotated among all qualified suppliers in a city or county.

When the business is awarded by sealed, competitive bidding and neither the official nor his or her spouse or child have attempted to persuade agency personnel to enter the contract. NOTE: Disclosure of the interest of the official, spouse, or child and the nature of the business must be filed prior to or at the time of submission of the bid on Commission FORM 3A with the Commission on Ethics or Supervisor of Elections, depending on whether the official serves at the state or local level.

When the purchase or sale is for legal advertising, utilities service, or for passage on a common carrier.

When an emergency purchase must be made to protect the public health, safety, or welfare.

When the business entity is the only source of supply within the political subdivision and there is full disclosure of the official’s interest to the governing body on Commission FORM 4A.

When the aggregate of any such transactions does not exceed $500 in a calendar year.

When the business transacted is the deposit of agency funds in a bank of which a county, city, or district official is an officer, director, or stockholder, so long as agency records show that the governing body has determined that the member did not favor his or her bank over other qualified banks.

When the prohibitions are waived in the case of ADVISORY BOARD MEMBERS by the appointing person or by a two‐thirds vote of the appointing body (after disclosure on Commission FORM 4A).

When the public officer or employee purchases in a private capacity goods or services, at a price and upon terms available to similarly situated members of the general public, from a business  entity which is doing business with his or her agency.

When the public officer or employee in a private capacity purchases goods or services from a business entity which is subject to the regulation of his or her agency where the price and terms of the transaction are available to similarly situated members of the general public and the officer or employee makes full disclosure of the relationship to the agency head or governing body prior to the transaction.

Additional Exemptions

No elected public officer is in violation of the conflicting employment prohibition when employed by a tax exempt organization contracting with his or her agency so long as the officer is not directly or indirectly compensated as a result of the contract, does not participate in any way in the decision to enter into the contract, abstains from voting on any matter involving the employer, and makes certain disclosures. [Sec. 112.313(15), Fla. Stat.]

Legislators Lobbying State Agencies

A member of the Legislature is prohibited from representing another person or entity for compensation during his or her term of office before any state agency other than judicial tribunals. [Art. II, Sec. 8(e), Fla. Const., and Sec. 112.313(9), Fla. Stat.]

Employees Holding Office

A public employee is prohibited from being a member of the governing body which serves as his or her employer. [Sec. 112.313(10), Fla. Stat.]

Professional and Occupational Licensing Board Members

An officer, director, or administrator of a state, county, or regional professional or occupational organization or association, while holding such position, may not serve as a member of a state examining or licensing board for the profession or occupation. [Sec. 112.313(11), Fla. Stat.]

Contractual Services: Prohibited Employment

A state employee of the executive or judicial branch who participates in the decision‐making process involving a purchase request, who influences the content of any specification or procurement standard, or who renders advice, investigation, or auditing, regarding his or her agency’s contract for services, is prohibited from being employed with a person holding such a contract with his or her agency. [Sec. 112.3185(2), Fla. Stat.]

Local Government Attorneys

Local government attorneys, such as the city attorney or county attorney, and their law firms are prohibited from representing private individuals and entities before the unit of local government  which they serve. A local government attorney cannot recommend or otherwise refer to his or her  firm legal work involving the local government unit unless the attorney’s contract authorizes or mandates the use of that firm. [Sec. 112.313(16), Fla. Stat.]

Dual Public Employment

Candidates and elected officers are prohibited from accepting public employment if they know or should know it is being offered for the purpose of influence. Further, public employment may not be accepted unless the position was already in existence or was created without the anticipation of the official’s interest, was publicly advertised, and the officer had to meet the same qualifications and go through the same hiring process as other applicants. For elected public officers already holding public

employment, no promotion given for the purpose of influence may be accepted, nor may promotions that are inconsistent with those given other similarly situated employees. [Sec. 112.3125, Fla. Stat.]

RESTRICTIONS ON APPOINTING, EMPLOYING, AND CONTRACTING WITH RELATIVES

Anti‐Nepotism Law

A public official is prohibited from seeking for a relative any appointment, employment, promotion, or advancement in the agency in which he or she is serving or over which the official exercises jurisdiction or control. No person may be appointed, employed, promoted, or advanced in or to a position in an agency if such action has been advocated by a related public official who is serving in or exercising jurisdiction or control over the agency; this includes relatives of members of collegial government bodies. NOTE: This prohibition does not apply to school districts (except as provided in Sec. 1012.23, Fla. Stat.), community colleges and state universities, or to appointments of boards, other than those with land‐planning or zoning responsibilities, in municipalities of fewer than 35,000 residents. Also, the approval of budgets does not constitute “jurisdiction or control” for the purposes of this prohibition. This provision does not apply to volunteer emergency medical, firefighting, or police service providers. [Sec. 112.3135, Fla. Stat.]

Additional Restrictions

A state employee of the executive or judicial branch or the PSC is prohibited from directly or indirectly procuring contractual services for his or her agency from a business entity of which a relative is an officer, partner, director, or proprietor, or in which the employee, or his or her spouse, or children own more than a 5% interest. [Sec. 112.3185(6), Fla. Stat.]

POST OFFICE HOLDING AND EMPLOYMENT (REVOLVING DOOR) RESTRICTIONS

Lobbying by Former Legislators, Statewide Elected Officers, and Appointed State Officers

A member of the Legislature or a statewide elected or appointed state official is prohibited for two years following vacation of office from representing another person or entity for compensation before the government body or agency of which the individual was an officer or member. Former members  of the Legislature are also prohibited for two years from lobbying the executive branch. [Art. II, Sec. 8(e), Fla. Const. and Sec. 112.313(9), Fla. Stat.]

Lobbying by Former State Employees

Certain employees of the executive and legislative branches of state government are prohibited from personally representing another person or entity for compensation before the agency with which

they were employed for a period of two years after leaving their positions, unless employed by another agency of state government. [Sec. 112.313(9), Fla. Stat.] These employees include the following:

Executive and legislative branch employees serving in the Senior Management Service and Selected Exempt Service, as well as any person employed by the Department of the Lottery having authority over policy or procurement.

Persons serving in the following position classifications: the Auditor General; the director of the Office of Program Policy Analysis and Government Accountability (OPPAGA); the Sergeant at Arms and Secretary of the Senate; the Sergeant at Arms and Clerk of the House of Representatives; the executive director and deputy executive director of the Commission on Ethics; an executive director, staff director, or deputy staff director of each joint committee, standing committee, or select committee of the Legislature; an executive director, staff director, executive assistant, legislative analyst, or attorney serving in the Office of the President of the Senate, the Office of the Speaker of the House of Representatives, the Senate Majority Party Office, the Senate Minority Party Office, the House Majority Party Office, or the House Minority Party Office; the Chancellor and Vice‐Chancellors of the State University System; the general counsel to the Board of Regents; the president, vice presidents, and deans of each state university; any person hired on a contractual basis and having the power normally conferred upon such persons, by whatever title; and any person having the power normally conferred upon the above positions.

This prohibition does not apply to a person who was employed by the Legislature or other agency prior to July 1, 1989; who was a defined employee of the State University System or the Public Service Commission who held such employment on December 31, 1994; or who reached normal retirement age and retired by July 1, 1991. It does apply to OPS employees.

PENALTIES: Persons found in violation of this section are subject to the penalties contained in the Code (see PENALTIES, Part V) as well as a civil penalty in an amount equal to the compensation which the person received for the prohibited conduct. [Sec. 112.313(9)(a)5, Fla. Stat.]

Additional Restrictions on Former State Employees

A former executive or judicial branch employee or PSC employee is prohibited from having employment or a contractual relationship, at any time after retirement or termination of employment, with any business entity (other than a public agency) in connection with a contract in which the employee participated personally and substantially by recommendation or decision while a public employee. [Sec. 112.3185(3), Fla. Stat.]

A former executive or judicial branch employee or PSC employee who has retired or terminated employment is prohibited from having any employment or contractual relationship for two years with

any business entity (other than a public agency) in connection with a contract for services which was within his or her responsibility while serving as a state employee. [Sec.112.3185(4), Fla. Stat.]

Unless waived by the agency head, a former executive or judicial branch employee or PSC employee may not be paid more for contractual services provided by him or her to the former agency during the first year after leaving the agency than his or her annual salary before leaving. [Sec. 112.3185(5), Fla. Stat.]

These prohibitions do not apply to PSC employees who were so employed on or before Dec. 31, 1994.

Lobbying by Former Local Government Officers and Employees

A person elected to county, municipal, school district, or special district office is prohibited from representing another person or entity for compensation before the government body or agency of which he or she was an officer for two years after leaving office. Appointed officers and employees of counties, municipalities, school districts, and special districts may be subject to a similar restriction by local ordinance or resolution. [Sec. 112.313(13) and (14), Fla. Stat.]

VOTING CONFLICTS OF INTEREST

State public officers are prohibited from voting in an official capacity on any measure which they know would inure to their own special private gain or loss. A state public officer who abstains, or who votes on a measure which the officer knows would inure to the special private gain or loss of any principal by whom he or she is retained, of the parent organization or subsidiary or sibling of a corporate principal by which he or she is retained, of a relative, or of a business associate, must make every reasonable effort to file a memorandum of voting conflict with the recording secretary in advance of the vote. If that is not possible, it must be filed within 15 days after the vote occurs. The memorandum must disclose the nature of the officer’s interest in the matter.

No county, municipal, or other local public officer shall vote in an official capacity upon any measure which would inure to his or her special private gain or loss, or which the officer knows would inure to the special private gain or loss of any principal by whom he or she is retained, of the parent organization or subsidiary or sibling of a corporate principal by which he or she is retained, of a relative, or of a business associate. The officer must publicly announce the nature of his or her interest before the vote and must file a memorandum of voting conflict on Commission Form 8B with the meeting’s recording officer within 15 days after the vote occurs disclosing the nature of his or her interest in the matter. However, members of community redevelopment agencies and district officers elected on a one‐acre, one‐vote basis are not required to abstain when voting in that capacity.

No appointed state or local officer shall participate in any matter which would inure to the officer’s special private gain or loss, the special private gain or loss of any principal by whom he or she is retained, of the parent organization or subsidiary or sibling of a corporate principal by which he or she is retained, of a relative, or of a business associate, without first disclosing the nature of his or her interest in the matter. The memorandum of voting conflict (Commission Form 8A or 8B) must be filed with the meeting’s recording officer, be provided to the other members of the agency, and be read publicly at the next meeting.

If the conflict is unknown or not disclosed prior to the meeting, the appointed official must orally disclose the conflict at the meeting when the conflict becomes known. Also, a written memorandum of voting conflict must be filed with the meeting’s recording officer within 15 days of the disclosure being made and must be provided to the other members of the agency, with the disclosure being read publicly at the next scheduled meeting. [Sec. 112.3143, Fla. Stat.]

DISCLOSURES

Conflicts of interest may occur when public officials are in a position to make decisions that affect their personal financial interests. This is why public officers and employees, as well as candidates who run for public office, are required to publicly disclose their financial interests. The disclosure process serves to remind officials of their obligation to put the public interest above personal considerations.  It also helps citizens to monitor the considerations of those who spend their tax dollars and participate in public policy decisions or administration.

All public officials and candidates do not file the same degree of disclosure; nor do they all file at the same time or place. Thus, care must be taken to determine which disclosure forms a particular official or candidate is required to file.

The following forms are described below to set forth the requirements of the various disclosures and the steps for correctly providing the information in a timely manner.

FORM 1 ‐ Limited Financial Disclosure

Who Must File:

Persons required to file FORM 1 include all state officers, local officers, candidates for local elective office, and specified state employees as defined below (other than those officers who are required by law to file FORM 6).

STATE OFFICERS include:

Elected public officials not serving in a political subdivision of the state and any person appointed to fill a vacancy in such office, unless required to file full disclosure on Form 6.

Appointed members of each board, commission, authority, or council having statewide jurisdiction, excluding members of solely advisory bodies; but including judicial nominating commission members; directors of Enterprise Florida, Scripps Florida Funding Corporation, and CareerSource Florida, and members of the Council on the Social Status of Black Men and Boys; the Executive Director, governors, and senior managers of Citizens Property Insurance Corporation; governors and senior managers of Florida Workers’ Compensation Joint Underwriting Association, board members of the Northeast Florida Regional Transportation Commission, and members of the board of Triumph Gulf Coast, Inc.; members of the board of Florida is for Veterans, Inc.; and members of the Technology Advisory Council within the Agency for State Technology.

The Commissioner of Education, members of the State Board of Education, the Board of Governors, local boards of trustees and presidents of state universities, and members of the Florida Prepaid College Board.

LOCAL OFFICERS include:

Persons elected to office in any political subdivision (such as municipalities, counties, and special districts) and any person appointed to fill a vacancy in such office, unless required to file full disclosure on Form 6.

Appointed members of the following boards, councils, commissions, authorities, or other bodies of any county, municipality, school district, independent special district, or other political subdivision: the governing body of the subdivision; a community college or junior college district board of trustees; a board having the power to enforce local code provisions; a planning or zoning board, board of adjustments or appeals, community redevelopment agency board, or other board having the power to recommend, create, or modify land planning or zoning within the political subdivision, except for citizen advisory committees, technical coordinating committees, and similar groups who only have the power to make recommendations to planning or zoning boards, except for representatives of a military installation acting on behalf of all military installations within that jurisdiction; a pension board or retirement board empowered to invest pension or retirement funds or to determine entitlement to or amount of a pension or other retirement benefit.

Any other appointed member of a local government board who is required to file a statement of financial interests by the appointing authority or the enabling legislation, ordinance, or resolution creating the board.

Persons holding any of these positions in local government: mayor; county or city manager; chief administrative employee or finance director of a county, municipality, or other political subdivision; county or municipal attorney; chief county or municipal building inspector; county or municipal water resources coordinator; county or municipal pollution control director; county or municipal environmental control director; county or municipal administrator with power to grant or deny a land development permit; chief of police; fire chief; municipal clerk;  appointed  district  school  superintendent; community  college president; district medical examiner; purchasing agent (regardless of title) having the authority to make any purchase exceeding $35,000 for the local governmental unit.

Members of governing boards of charter schools operated by a city or other public entity.

The officers, directors, and chief executive officer of a corporation, partnership, or other business entity that is serving as the chief administrative or executive officer or employee of a political subdivision, and any business entity employee who is acting as the chief administrative or executive officer or employee of the political subdivision. [Sec. 112.3136, Fla. Stat.]

SPECIFIED STATE EMPLOYEE includes:

Employees in the Office of the Governor or of a Cabinet member who are exempt from the Career Service System, excluding secretarial, clerical, and similar positions.

The following positions in each state department, commission, board, or council: secretary or state surgeon general, assistant or deputy secretary, executive director, assistant or deputy executive director, and anyone having the power normally conferred upon such persons, regardless of title.

The following positions in each state department or division: director, assistant or deputy director, bureau chief, assistant bureau chief, and any person having the power normally conferred upon such persons, regardless of title.

Assistant state attorneys, assistant public defenders, criminal conflict and civil regional counsel, assistant criminal conflict and civil regional counsel, public counsel, full‐time state employees serving as counsel or assistant counsel to a state agency, judges of compensation claims, administrative law judges, and hearing officers.

The superintendent or director of a state mental health institute established for training and research in the mental health field, or any major state institution or facility established for corrections, training, treatment, or rehabilitation.

State agency business managers, finance and accounting directors, personnel officers, grant coordinators, and purchasing agents (regardless of title) with power to make a purchase exceeding
$35,000.

The following positions in legislative branch agencies: each employee (other than those employed in maintenance, clerical, secretarial, or similar positions and legislative assistants exempted by the presiding officer of their house); and each employee of the Commission on Ethics.

What Must Be Disclosed:

FORM 1 requirements are set forth fully on the form. In general, this includes the reporting person’s sources and types of financial interests, such as the names of employers and addresses of real property holdings. NO DOLLAR VALUES ARE REQUIRED TO BE LISTED. In addition, the form requires the disclosure of certain relationships with, and ownership interests in, specified types of businesses such as banks, savings and loans, insurance companies, and utility companies.

When to File:

CANDIDATES for elected local office must file FORM 1 together with and at the same time they file their qualifying papers.

STATE and LOCAL OFFICERS and SPECIFIED STATE EMPLOYEES are required to file disclosure by July 1 of each year. They also must file within thirty days from the date of appointment or the beginning of employment. Those appointees requiring Senate confirmation must file prior to confirmation.

Where to File:

Each LOCAL OFFICER files FORM 1 with the Supervisor of Elections in the county in which he or she permanently resides.

A STATE OFFICER or SPECIFIED STATE EMPLOYEE files with the Commission on Ethics. [Sec.
112.3145, Fla. Stat.]

FORM 1F ‐ Final Form 1 Limited Financial Disclosure

FORM 1F is the disclosure form required to be filed within 60 days after a public officer or employee required to file FORM 1 leaves his or her public position. The form covers the disclosure period between January 1 and the last day of office or employment within that year.

FORM 2 ‐ Quarterly Client Disclosure

The state officers, local officers, and specified state employees listed above, as well as elected constitutional officers, must file a FORM 2 if they or a partner or associate of their professional firm represent a client for compensation before an agency at their level of government.

A FORM 2 disclosure includes the names of clients represented by the reporting person or by any partner or associate of his or her professional firm for a fee or commission before agencies at the reporting person’s level of government. Such representations do not include appearances in ministerial matters, appearances before judges of compensation claims, or representations on behalf of one’s agency in one’s official capacity. Nor does the term include the preparation and filing of forms and applications merely for the purpose of obtaining or transferring a license, so long as the issuance of the license does not require a variance, special consideration, or a certificate of public convenience and necessity.

When to File:

This disclosure should be filed quarterly, by the end of the calendar quarter following the calendar quarter during which a reportable representation was made. FORM 2 need not be filed merely to indicate that no reportable representations occurred during the preceding quarter; it should be filed
ONLY when reportable representations were made during the quarter. Where To File:
LOCAL OFFICERS file with the Supervisor of Elections of the county in which they permanently reside.

STATE OFFICERS and SPECIFIED STATE EMPLOYEES file with the Commission on Ethics. [Sec.
112.3145(4), Fla. Stat.]

FORM 6 ‐ Full and Public Disclosure

Who Must File:

Persons required by law to file FORM 6 include all elected constitutional officers and candidates for such office; the mayor and members of the city council and candidates for these offices in Jacksonville; the Duval County Superintendent of Schools; judges of compensation claims (pursuant to Sec. 440.442, Fla. Stat.); members of the Florida Housing Finance Corporation Board and members of expressway authorities, transportation authorities (except the Jacksonville Transportation Authority), bridge authority, or toll authorities created pursuant to Ch. 348 or 343, or 349, or other general law.

What Must be Disclosed:

FORM 6 is a detailed disclosure of assets, liabilities, and sources of income over $1,000 and their values, as well as net worth. Officials may opt to file their most recent income tax return in lieu of listing sources of income but still must disclose their assets, liabilities, and net worth. In addition, the form requires the disclosure of certain relationships with, and ownership interests in, specified types of businesses such as banks, savings and loans, insurance companies, and utility companies.

When and Where To File:

Incumbent officials must file FORM 6 annually by July 1 with the Commission on Ethics.
CANDIDATES must file with the officer before whom they qualify at the time of qualifying. [Art. II, Sec. 8(a) and (i), Fla. Const., and Sec. 112.3144, Fla. Stat.]

FORM 6F ‐ Final Form 6 Full and Public Disclosure

This is the disclosure form required to be filed within 60 days after a public officer or employee required to file FORM 6 leaves his or her public position. The form covers the disclosure period between January 1 and the last day of office or employment within that year.

FORM 9 ‐ Quarterly Gift Disclosure

Each person required to file FORM 1 or FORM 6, and each state procurement employee, must file a FORM 9, Quarterly Gift Disclosure, with the Commission on Ethics on the last day of any calendar quarter following the calendar quarter in which he or she received a gift worth more than $100, other than gifts from relatives, gifts prohibited from being accepted, gifts primarily associated with his or her business or employment, and gifts otherwise required to be disclosed. FORM 9 NEED NOT BE FILED if no such gift was received during the calendar quarter.

Information to be disclosed includes a description of the gift and its value, the name and address of the donor, the date of the gift, and a copy of any receipt for the gift provided by the donor. [Sec. 112.3148, Fla. Stat.]

FORM 10 ‐ Annual Disclosure of Gifts from Government Agencies and Direct‐Support Organizations and Honorarium Event Related Expenses

State government entities, airport authorities, counties, municipalities, school boards, water management districts, and the South Florida Regional Transportation Authority, may give a gift worth more than $100 to a person required to file FORM 1 or FORM 6, and to state procurement employees, if a public purpose can be shown for the gift. Also, a direct‐support organization for a governmental entity

may give such a gift to a person who is an officer or employee of that entity. These gifts are to be reported on FORM 10, to be filed by July 1.

The governmental entity or direct‐support organization giving the gift must provide the officer or employee with a statement about the gift no later than March 1 of the following year. The officer or employee then must disclose this information by filing a statement by July 1 with his or her annual financial disclosure that describes the gift and lists the donor, the date of the gift, and the value of the total gifts provided during the calendar year. State procurement employees file their statements with the Commission on Ethics. [Sec. 112.3148, Fla. Stat.]

In addition, a person required to file FORM 1 or FORM 6, or a state procurement employee, who receives expenses or payment of expenses related to an honorarium event from someone who is prohibited from giving him or her an honorarium, must disclose annually the name, address, and affiliation of the donor, the amount of the expenses, the date of the event, a description of the expenses paid or provided, and the total value of the expenses on FORM 10. The donor paying the expenses must provide the officer or employee with a statement about the expenses within 60 days   of the honorarium event.

The disclosure must be filed by July 1, for expenses received during the previous calendar year, with the officer’s or employee’s FORM 1 or FORM 6. State procurement employees file their statements with the Commission on Ethics. [Sec. 112.3149, Fla. Stat.]

However, notwithstanding Sec. 112.3149, Fla. Stat., no executive branch or legislative lobbyist or principal shall make, directly or indirectly, and no executive branch agency official or employee who files FORM 1 or FORM 6 shall knowingly accept, directly or indirectly, any expenditure made for the purpose of lobbying. This may include gifts or honorarium event related expenses that formerly were permitted under Sections 112.3148 and 112.3149. [Sec. 112.3215, Fla. Stat.] Similar prohibitions apply to legislative officials and employees. However, these laws are not administered by the Commission on Ethics. [Sec. 11.045, Fla. Stat.] In addition, gifts, which include anything not primarily related to political activities authorized under ch. 106, are prohibited from political committees. [Sec. 112.31485 Fla. Stat.]

FORM 30 ‐ Donor’s Quarterly Gift Disclosure

As mentioned above, the following persons and entities generally are prohibited from giving a gift worth more than $100 to a reporting individual (a person required to file FORM 1 or FORM 6) or to a state procurement employee: a political committee; a lobbyist who lobbies the reporting individual’s or procurement employee’s agency, and the partner, firm, employer, or principal of such a lobbyist; and vendors. If such person or entity makes a gift worth between $25 and $100 to a reporting individual or state procurement employee (that is not accepted in behalf of a governmental entity or charitable

organization), the gift should be reported on FORM 30. The donor also must notify the recipient at the time the gift is made that it will be reported.

The FORM 30 should be filed by the last day of the calendar quarter following the calendar quarter in which the gift was made. If the gift was made to an individual in the legislative branch, FORM 30 should be filed with the Lobbyist Registrar. [See page 35 for address.] If the gift was to any other reporting  individual or state procurement employee, FORM 30 should be filed with the Commission on Ethics.

However, notwithstanding Section 112.3148, Fla. Stat., no executive branch lobbyist or principal shall make, directly or indirectly, and no executive branch agency official or employee who files FORM 1 or FORM 6 shall knowingly accept, directly or indirectly, any expenditure made for the purpose of lobbying. This may include gifts that formerly were permitted under Section 112.3148. [Sec. 112.3215, Fla. Stat.] Similar prohibitions apply to legislative officials and employees. However, these laws are not administered by the Commission on Ethics. [Sec. 11.045, Fla. Stat.] In addition, gifts from political committees are prohibited. [Sec. 112.31485, Fla. Stat.]

FORM 1X AND FORM 6X ‐ Amendments to Form 1 and Form 6

These forms are provided for officers or employees to amend their previously filed Form 1 or Form
6.

AVAILABILITY OF FORMS

LOCAL OFFICERS and EMPLOYEES who must file FORM 1 annually will be sent the form by mail from the Supervisor of Elections in the county in which they permanently reside not later than JUNE 1 of each year. Newly elected and appointed officials or employees should contact the heads of their agencies for copies of the form or download it from www.ethics.state.fl.us, as should those persons who are required to file their final disclosure statements within 60 days of leaving office or employment.

ELECTED CONSTITUTIONAL OFFICERS, OTHER STATE OFFICERS, and SPECIFIED STATE EMPLOYEES who
must file annually FORM 1 or 6 will be sent these forms by mail from the Commission on Ethics by JUNE 1 of each year. Newly elected and appointed officers and employees should contact the heads of their agencies or the Commission on Ethics for copies of the form or download it from www.ethics.state.fl.us, as should those persons who are required to file their final disclosure statements within 60 days of leaving office or employment.

Any person needing one or more of the other forms described here may also obtain them from a Supervisor of Elections or from the Commission on Ethics, P.O. Drawer 15709, Tallahassee, Florida 32317‐ 5709. They are also available on the Commission’s website: www.ethics.state.fl.us.

PENALTIES

Non‐criminal Penalties for Violation of the Sunshine Amendment and the Code of Ethics

There are no criminal penalties for violation of the Sunshine Amendment and the Code of Ethics. Penalties for violation of these laws may include: impeachment, removal from office or employment, suspension, public censure, reprimand, demotion, reduction in salary level, forfeiture of no more than one‐third salary per month for no more than twelve months, a civil penalty not to exceed $10,000, and restitution of any pecuniary benefits received, and triple the value of a gift from a political committee.

Penalties for Candidates

CANDIDATES for public office who are found in violation of the Sunshine Amendment or the Code of Ethics may be subject to one or more of the following penalties: disqualification from being on the ballot, public censure, reprimand, or a civil penalty not to exceed $10,000, and triple the value of a gift received from a political committee.

Penalties for Former Officers and Employees

FORMER PUBLIC OFFICERS or EMPLOYEES who are found in violation of a provision applicable to former officers or employees or whose violation occurred prior to such officer’s or employee’s leaving public office or employment may be subject to one or more of the following penalties: public censure and reprimand, a civil penalty not to exceed $10,000, and restitution of any pecuniary benefits received, and triple the value of a gift received from a political committee.

Penalties for Lobbyists and Others

An executive branch lobbyist who has failed to comply with the Executive Branch Lobbying Registration law (see Part VIII) may be fined up to $5,000, reprimanded, censured, or prohibited from lobbying executive branch agencies for up to two years. Lobbyists, their employers, principals, partners, and firms, and political committees and committees of continuous existence who give a prohibited gift or honorarium or fail to comply with the gift reporting requirements for gifts worth between $25 and $100, may be penalized by a fine of not more than $5,000 and a prohibition on lobbying, or employing a lobbyist to lobby, before the agency of the public officer or employee to whom the gift was given for up to two years. Any agent or person

acting on behalf of a political committee giving a prohibited gift is personally liable for a civil penalty of up to triple the value of the gift.

Executive Branch lobbying firms that fail to timely file their quarterly compensation reports may be fined
$50 per day per report for each day the report is late, up to a maximum fine of $5,000 per report.

Felony Convictions: Forfeiture of Retirement Benefits

Public officers and employees are subject to forfeiture of all rights and benefits under the retirement system to which they belong if convicted of certain offenses. The offenses include embezzlement or theft of public funds; bribery; felonies specified in Chapter 838, Florida Statutes; impeachable offenses; and felonies committed with intent to defraud the public or their public agency. [Sec. 112.3173, Fla. Stat.]

Automatic Penalties for Failure to File Annual Disclosure

Public officers and employees required to file either Form 1 or Form 6 annual financial disclosure are subject to automatic fines of $25 for each day late the form is filed after September 1, up to a maximum penalty of $1,500. [Sec. 112.3144 and 112.3145, Fla. Stat.]

ADVISORY OPINIONS

Conflicts of interest may be avoided by greater awareness of the ethics laws on the part of public officials and employees through advisory assistance from the Commission on Ethics.

Who Can Request an Opinion

Any public officer, candidate for public office, or public employee in Florida who is in doubt about the applicability of the standards of conduct or disclosure laws to himself or herself, or anyone who has the power to hire or terminate another public employee, may seek an advisory opinion from the Commission about himself or herself or that employee.

How to Request an Opinion

Opinions may be requested by letter presenting a question based on a real situation and including a detailed description of the situation. Opinions are issued by the Commission and are binding on the conduct of the person who is the subject of the opinion, unless material facts were omitted or misstated in the request for the opinion. Published opinions will not bear the name of the persons involved unless they consent to the use of their names; however, the request and all information pertaining to it is a

public record, made available to the Commission and to members of the public in advance of the Commission’s consideration of the question.

How to Obtain Published Opinions

All of the Commission’s opinions are available for viewing or download at its website: www.ethics.state.fl.us.

COMPLAINTS

Citizen Involvement

The Commission on Ethics cannot conduct investigations of alleged violations of the Sunshine Amendment or the Code of Ethics unless a person files a sworn complaint with the Commission alleging such violation has occurred, or a referral is received, as discussed below.

If you have knowledge that a person in government has violated the standards of conduct or disclosure laws described above, you may report these violations to the Commission by filing a sworn complaint on the form prescribed by the Commission and available for download at www.ethics.state.fl.us. The Commission is unable to take action based on learning of such misdeeds through newspaper reports, telephone calls, or letters.

You can obtain a complaint form (FORM 50), by contacting the Commission office at the address   or phone number shown on the inside front cover of this booklet, or you can download it from the Commission’s website:
www.ethics.state.fl.us.

Referrals

The Commission may accept referrals from: the Governor, the Florida Department of Law Enforcement, a State Attorney, or a U.S. Attorney. A vote of six of the Commission’s nine members is required to proceed on such a referral.

Confidentiality

The complaint or referral, as well as all proceedings and records relating thereto, is confidential until the accused requests that such records be made public or until the matter reaches a stage in the Commission’s proceedings where it becomes public. This means that unless the Commission receives  a written waiver of confidentiality from the accused, the Commission is not free to release any

documents or to comment on a complaint or referral to members of the public or press, so long as the complaint or referral remains in a confidential stage.

A COMPLAINT OR REFERRAL MAY NOT BE FILED WITH RESPECT TO A CANDIDATE ON THE DAY OF THE ELECTION, OR WITHIN THE 30 CALENDAR DAYS PRECEDING THE ELECTION DATE, UNLESS IT IS BASED  ON PERSONAL INFORMATION OR INFORMATION OTHER THAN HEARSAY.

How the Complaint Process Works

Complaints which allege a matter within the Commission’s jurisdiction are assigned a tracking number and Commission staff forwards a copy of the original sworn complaint to the accused within  five working days of its receipt. Any subsequent sworn amendments to the complaint also are transmitted within five working days of their receipt.

Once a complaint is filed, it goes through three procedural stages under the Commission’s rules. The first stage is a determination of whether the allegations of the complaint are legally sufficient: that is, whether they indicate a possible violation of any law over which the Commission has jurisdiction. If the complaint is found not to be legally sufficient, the Commission will order that the complaint be dismissed without investigation, and all records relating to the complaint will become public at that time.

In cases of very minor financial disclosure violations, the official will be allowed an opportunity to correct or amend his or her disclosure form. Otherwise, if the complaint is found to be legally sufficient, a preliminary investigation will be undertaken by the investigative staff of the Commission. The second stage of the Commission’s proceedings involves this preliminary investigation and a decision by the Commission as to whether there is probable cause to believe that there has been a violation of any of the ethics laws. If the Commission finds no probable cause to believe there has been a violation of the ethics laws, the complaint will be dismissed and will become a matter of public record. If the Commission finds probable cause to believe there has been a violation of the ethics laws, the complaint becomes public and usually enters the third stage of proceedings. This stage requires the Commission to decide whether the law was actually violated and, if so, whether a penalty should be recommended. At this stage, the accused has the right to request a public hearing (trial) at which evidence is presented, or the Commission may order that such a hearing be held. Public hearings usually are held in or near the area where the alleged violation occurred.

When the Commission concludes that a violation has been committed, it issues a public report of its findings and may recommend one or more penalties to the appropriate disciplinary body or official.

When the Commission determines that a person has filed a complaint with knowledge that the  complaint contains one or more false allegations or with reckless disregard for whether the complaint contains false allegations, the complainant will be liable for costs plus reasonable attorney’s fees

incurred by the person complained against. The Department of Legal Affairs may bring a civil action to recover such fees and costs, if they are not paid voluntarily within 30 days.

Dismissal of Complaints At Any Stage of Disposition

The Commission may, at its discretion, dismiss any complaint at any stage of disposition should it determine that the public interest would not be served by proceeding further, in which case the Commission will issue a public report stating with particularity its reasons for the dismissal. [Sec. 112.324(12), Fla. Stat.]

Statute of Limitations

All sworn complaints alleging a violation of the Sunshine Amendment or the Code of Ethics must be filed with the Commission within five years of the alleged violation or other breach of the public trust. Time starts to run on the day AFTER the violation or breach of public trust is committed. The statute of limitations is tolled on the day a sworn complaint is filed with the Commission. If a complaint is filed and the statute of limitations has run, the complaint will be dismissed. [Sec. 112.3231, Fla. Stat.]

EXECUTIVE BRANCH LOBBYING

Any person who, for compensation and on behalf of another, lobbies an agency of the executive branch of state government with respect to a decision in the area of policy or procurement may be required to register as an executive branch lobbyist. Registration is required before lobbying an agency and is renewable annually. In addition, each lobbying firm must file a compensation report with the Commission for each calendar quarter during any portion of which one or more of the firm’s lobbyists were registered to represent a principal. As noted above, no executive branch lobbyist or principal can make, directly or indirectly, and no executive branch agency official or employee who files FORM 1 or FORM 6 can knowingly accept, directly or indirectly, any expenditure made for the purpose of lobbying. [Sec. 112.3215, Fla. Stat.]

Paying an executive branch lobbyist a contingency fee based upon the outcome of any specific executive branch action, and receiving such a fee, is prohibited. A violation of this prohibition is a first degree misdemeanor, and the amount received is subject to forfeiture. This does not prohibit sales people from receiving a commission. [Sec. 112.3217, Fla. Stat.]

Executive branch departments, state universities, community colleges, and water management districts are prohibited from using public funds to retain an executive branch (or legislative branch) lobbyist, although these agencies may use full‐time employees as lobbyists. [Sec. 11.062, Fla. Stat.]

Online registration and filing is available at www.floridalobbyist.gov. Additional information about the executive branch lobbyist registration system may be obtained by contacting the Lobbyist Registrar at the following address:

Executive Branch Lobbyist Registration Room G‐68, Claude Pepper Building 111 W. Madison Street
Tallahassee, FL 32399‐1425 Phone: 850/922‐4987

WHISTLE‐BLOWER’S ACT

In 1986, the Legislature enacted a “Whistle‐blower’s Act” to protect employees of agencies and government contractors from adverse personnel actions in retaliation for disclosing information in a sworn complaint alleging certain types of improper activities. Since then, the Legislature has revised this law to afford greater protection to these employees.
While this language is contained within the Code of Ethics, the Commission has no jurisdiction or authority to proceed against persons who violate this Act. Therefore, a person who has disclosed information alleging improper conduct governed by this law and who may suffer adverse consequences as a result should contact one or more of the following: the Office of the Chief Inspector General in the Executive Office of the Governor; the Department of Legal Affairs; the Florida Commission on Human Relations; or a private attorney. [Sec. 112.3187 ‐ 112.31895, Fla.  Stat.]

ADDITIONAL INFORMATION

As mentioned above, we suggest that you review the language used in each law for a more detailed understanding of Florida’s ethics laws. The “Sunshine Amendment” is Article II, Section 8, of the Florida Constitution. The Code of Ethics for Public Officers and Employees is  contained in Part III   of Chapter 112, Florida Statutes.

Additional information about the Commission’s functions and interpretations of these laws may be found in Chapter 34 of the Florida Administrative Code, where the Commission’s rules are published, and in The Florida Administrative Law Reports, which until 2005 published many of the Commission’s final orders. The Commission’s rules, orders, and opinions also are available at www.ethics.state.fl.us.

If you are a public officer or employee concerned about your obligations under these laws, the staff of the Commission will be happy to respond to oral and written inquiries by providing information about the law, the Commission’s interpretations of the law, and the Commission’s procedures.

TRAINING

Constitutional officers, elected municipal officers, and commissioners of community redevelopment agencies (CRAs) are required to receive a total of four hours training, per calendar year, in the area of ethics, public records, and open meetings. The Commission on Ethics does not track compliance or certify providers.

Visit the training page on the Commission’s website for up‐to‐date rules, opinions, audio/video training, and opportunities for live training conducted by Commission staff. A comprehensive online training course addressing Florida’s Code of Ethics, as well as Sunshine Law, and Public Records Act is available via a link on the Commission’s homepage.

Oath of Office

COMMUNITY DEVELOPMENT DISTRICT BOARD OF SUPERVISORS
OATH OF OFFICE

I, 	, A CITIZEN OF THE STATE OF FLORIDA AND OF THE UNITED STATES OF AMERICA, AND BEING EMPLOYED BY OR AN OFFICER OF
 	   COMMUNITY DEVELOPMENT DISTRICT AND A RECIPIENT OF PUBLIC FUNDS AS SUCH EMPLOYEE OR OFFICER, DO HEREBY SOLEMNLY SWEAR OR AFFIRM THAT I WILL SUPPORT THE CONSTITUTION OF THE UNITED STATES AND OF THE STATE OF FLORIDA.

Board Supervisor
ACKNOWLEDGMENT OF OATH BEING TAKEN STATE OF FLORIDA
COUNTY OF  	

The foregoing oath was administered before me this 	day of 	, 20        , by 		, who personally appeared before me, and is personally known to me or has produced 			as identification, and is the person described in and who took the aforementioned oath as a Member of the Board of Supervisors of 	Community Development District and acknowledged to and before me that he/she took said oath for the purposes therein expressed.

(NOTARY SEAL)

Notary Public, State of Florida

Print Name:  	

Commission No.: 	Expires:  	

Financial Disclosure Form 1

FORM 1		STATEMENT OF			2019	
Please print or type your name, mailing address, agency name, and position below:	FINANCIAL INTERESTS	FOR OFFICE USE ONLY:	
LAST NAME -- FIRST NAME -- MIDDLE NAME :		
MAILING ADDRESS :		
		
CITY :	ZIP :	COUNTY :		
NAME OF AGENCY :		
NAME OF OFFICE OR POSITION HELD OR SOUGHT :		
CHECK ONLY IF  CANDIDATE	OR	 NEW EMPLOYEE OR APPOINTEE		
**** THIS SECTION MUST BE COMPLETED ****
DISCLOSURE PERIOD:
THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31, 2019.

MANNER OF CALCULATING REPORTABLE INTERESTS:
FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES
(see instructions for further details). CHECK THE ONE YOU ARE USING (must check one):
COMPARATIVE (PERCENTAGE) THRESHOLDS	OR	DOLLAR VALUE THRESHOLDS	
PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] ( If you have nothing to report, write "none" or "n/a")	
NAME OF SOURCE
OF INCOME	SOURCE'S
ADDRESS	DESCRIPTION OF THE SOURCE'S
PRINCIPAL BUSINESS ACTIVITY	

			
			
PART B -- SECONDARY SOURCES OF INCOME
[Major customers, clients, and other sources of income to businesses owned by the reporting person - See instructions] ( If you have nothing to report, write "none" or "n/a")
NAME OF	NAME OF MAJOR SOURCES	ADDRESS	PRINCIPAL BUSINESS	
BUSINESS ENTITY	OF BUSINESS' INCOME	OF SOURCE	ACTIVITY OF SOURCE	

				
PART C -- REAL PROPERTY [Land, buildings owned by the reporting person - See instructions]
(If you have nothing to report, write "none" or "n/a")	You are not limited to the space on the lines on this form. Attach additional sheets, if necessary.
FILING  INSTRUCTIONS  for when
and where to file this form are located at  the  bottom of  page 2.

INSTRUCTIONS on who must file this form and how to fill it out begin on page 3.	

		





CE FORM 1 - Effective: January 1, 2020	(Continued on reverse side)	PAGE 1

PART D — INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc. - See instructions]
(If you have nothing to report, write "none" or "n/a")	
TYPE OF INTANGIBLE	BUSINESS ENTITY TO WHICH THE PROPERTY RELATES	

PART E — LIABILITIES [Major debts - See instructions]
(If you have nothing to report, write "none" or "n/a")	
NAME OF CREDITOR	ADDRESS OF CREDITOR	

PART F — INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report, write "none" or "n/a")
BUSINESS ENTITY # 1	BUSINESS ENTITY # 2	
		
NAME OF BUSINESS ENTITY			
ADDRESS OF BUSINESS ENTITY			
PRINCIPAL BUSINESS ACTIVITY			
POSITION HELD WITH ENTITY			
I OWN MORE THAN A 5% INTEREST IN THE BUSINESS			
NATURE OF MY OWNERSHIP INTEREST			
PART G — TRAINING
For elected municipal officers required to complete annual ethics training pursuant to section 112.3142, F.S.
	I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING.	
IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE 	
SIGNATURE OF FILER:
Signature:

Date Signed:	CPA or ATTORNEY SIGNATURE ONLY
If a certified public accountant licensed under Chapter 473, or attorney in good standing with the Florida Bar prepared this form for you, he or she must complete the following statement:
I, 	, prepared the CE Form 1 in accordance with Section 112.3145, Florida Statutes, and the instructions to the form. Upon my reasonable knowledge and belief, the disclosure herein is true and correct.

CPA/Attorney Signature:         	

Date Signed:   		
FILING INSTRUCTIONS:
If you were mailed the form by the Commission on Ethics or a County Candidates file this form together with their filing papers.
Supervisor of Elections for your annual disclosure filing, return the MULTIPLE FILING UNNECESSARY: A candidate who files a Form form to that location. To determine what category your position falls 1 with a qualifying officer is not required to file with the Commission under, see page 3 of instructions.	or Supervisor of Elections.
Local officers/employees file  with  the  Supervisor  of  Elections  WHEN TO FILE: Initially, each local officer/employee, state officer,  of the county in which they permanently reside. (If you do not and specified state employee must file within  30  days  of  the permanently reside in Florida, file with the Supervisor of the county date of his or her appointment or of the beginning of employment. where your agency has its headquarters.) Form 1 filers who file with   Appointees who must be confirmed by the Senate must file prior to
the Supervisor of Elections may file by mail or email. Contact your   confirmation, even if that is less than 30 days from the date of their
Supervisor of Elections for the mailing address or email address to appointment.
use. Do not email your form to the Commission on Ethics, it will be
returned.	Candidates must file at the same time they file their qualifying
State officers or specified state employees who file with the papers.
Commission on Ethics may file by mail or email. To file by mail,  Thereafter, file by July 1 following each calendar year in which they  send the completed form to P.O. Drawer 15709, Tallahassee, FL hold their positions.
32317-5709; physical address: 325 John Knox Rd, Bldg E, Ste 200, Finally, file a final disclosure form (Form 1F) within 60 days of Tallahassee, FL 32303. To file with the Commission by email, scan leaving office or employment. Filing a CE Form 1F (Final Statement your completed form and any attachments as a pdf (do not use any of Financial Interests) does not relieve the filer of filing a CE Form 1
other format), send it to CEForm1@leg.state.fl.us and retain a copy if the filer was in his or her position on December 31, 2019.
for your records. Do not file by both mail and email. Choose only one filing method. Form 6s will not be accepted via email.	
CE FORM 1 - Effective: January 1, 2020.	PAGE 2

NOTICE
Annual Statements of Financial Interests are due July 1. If the annual form is not filed or postmarked by September 1, an automatic fine of $25 for each day late will be imposed, up to a maximum penalty of $1,500. Failure to file also can result in removal from public office or employment. [s. 112.3145, F.S.]
In addition, failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following: disqualification from being on the ballot, impeachment, removal or suspension from office or employment, demotion, reduction in salary, reprimand, or a civil penalty not exceeding $10,000. [s. 112.317, F.S.]

WHO MUST FILE FORM 1:	
Elected public officials not serving in a political subdivision of the director of a county, municipality, or other political subdivision; county state and any person appointed to fill a vacancy in such office, unless or municipal attorney; chief county or municipal building inspector; required to file full disclosure on Form 6.	county or municipal water resources coordinator; county or municipal
Appointed members of each board, commission, authority,  pollution control director; county or municipal environmental control  or council having statewide jurisdiction, excluding members of solely director; county or municipal administrator with power to grant or deny advisory bodies, but including judicial nominating commission members; a land development permit; chief of police; fire chief; municipal clerk; Directors of Enterprise Florida, Scripps Florida Funding Corporation, appointed district school superintendent; community college president; and Career Source Florida; and members of the Council on the Social district medical examiner; purchasing agent (regardless of title) having Status of Black Men and Boys; the Executive Director, Governors, the authority to make any purchase exceeding $35,000 for the local and senior managers of Citizens Property Insurance Corporation; governmental unit.
Governors and senior managers of Florida Workers' Compensation Joint		8)	Officers and employees of entities serving as chief administrative Underwriting Association; board members of the Northeast Fla. Regional	officer of a political subdivision.
Transportation Commission; board members of Triumph Gulf Coast, Inc;		9)	Members of governing boards of charter schools operated by a board members of Florida Is For Veterans, Inc.; and members of the	city or other public entity.
Technology Advisory Council within the Agency for State Technology.	10) Employees in the office of the Governor or of a Cabinet member
The Commissioner of Education, members of the State Board	who are exempt from the Career Service System, excluding secretarial, of Education, the Board of Governors, the local Boards of Trustees and	clerical, and similar positions.
Presidents of state universities, and the Florida Prepaid College Board.	11) The following positions in each state department, commission,
Persons elected to office in any political subdivision (such as board, or council: Secretary, Assistant or Deputy Secretary, Executive municipalities, counties, and special districts) and any person appointed Director, Assistant or Deputy Executive Director, and anyone having the to fill a vacancy in such office, unless required to file Form 6.	power normally conferred upon such persons, regardless of title.
Appointed  members  of  the  following  boards,  councils,	12) The following positions in each state department or division: commissions, authorities, or other bodies of county, municipality, school Director, Assistant or Deputy Director, Bureau Chief, and any person district, independent special district, or other political subdivision: the having the power normally conferred upon such persons, regardless of governing body of the subdivision; community college or junior college title.
district boards of trustees; boards having the power to enforce local code	13) Assistant State Attorneys, Assistant Public Defenders, criminal provisions; boards of adjustment; community redevelopment agencies; conflict and civil regional counsel, and assistant criminal conflict and civil planning or zoning boards having the power to recommend, create, or regional counsel, Public Counsel, full-time state employees serving as modify land planning or zoning within a political subdivision, except for counsel or assistant counsel to a state agency, administrative law judges, citizen advisory committees, technical coordinating committees, and and hearing officers.
similar groups who only have the power to make recommendations	14) The Superintendent or Director of a state mental health institute
to planning or zoning boards, and except for representatives of a established for training and research in the mental health field, or any military installation acting on behalf of all military installations within that  major state institution or facility established for corrections, training,
jurisdiction; pension or retirement boards empowered to invest pension treatment, or rehabilitation.
or retirement funds or determine entitlement to or amount of pensions or		15) State agency Business Managers, Finance and Accounting other retirement benefits, and the Pinellas County Construction Licensing Directors, Personnel Officers, Grant Coordinators, and purchasing Board.	agents (regardless of title) with power to make a purchase exceeding
Any appointed member of a local government board who $35,000.
is required to file a statement of financial interests by the appointing		16) The following positions in legislative branch agencies: each authority or the enabling legislation, ordinance, or resolution creating the employee (other than those employed in maintenance, clerical, board.	secretarial, or similar positions and legislative assistants exempted
Persons holding any of these positions in local government: by the presiding officer of their house); and each employee of the mayor; county or city manager; chief administrative employee or finance Commission on Ethics.	
INSTRUCTIONS FOR COMPLETING FORM 1:	
INTRODUCTORY INFORMATION (Top of Form): If your OFFICE OR POSITION HELD OR SOUGHT: The title of
name, mailing address, public agency, and position are already the office or position you hold, are seeking, or held during the printed on the form, you do not need to provide this information disclosure period even if you have since left that position. If you unless it should be changed. To change any of this information, are a candidate for office or are a new employee or appointee, write the correct information on the form, and contact your check the appropriate box.
agency's financial disclosure coordinator. You can find your PUBLIC RECORD: The disclosure form and  everything  coordinator on the Commission on Ethics website: www.ethics. attached to it is a public record. Your Social Security Number state.fl.us.	is not required and you should redact it from any documents
NAME  OF AGENCY:  The  name  of  the  governmental  unit     you file. If you are an active or former officer or employee listed
which you serve or served, by which you are or were employed,  in Section 119.071, F.S., whose home address is exempt from or for which you are a candidate.	disclosure, the Commission will maintain that confidentiality if DISCLOSURE PERIOD: The “disclosure period” for your you submit a written request.
report is the calendar year ending December 31, 2019.	
CE FORM 1 - Effective: January 1, 2020. Incorporated by reference in Rule 34-8.202, F.A.C.	PAGE 3

MANNER OF CALCULATING REPORTABLE INTEREST
Filers have the option of reporting based on either thresholds that are comparative (usually, based on percentage values) or thresholds that are based on absolute dollar values. The instructions on the following pages specifically describe the different thresholds. Check the box that reflects the choice you have made. You must use the type of threshold you have chosen for each part of the form. In other words, if you choose to report based on absolute dollar value thresholds, you cannot use a percentage threshold on any part of the form.
IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS
THE FOLLOWING INSTRUCTIONS APPLY	
PART A — PRIMARY SOURCES OF INCOME	(1) You owned (either directly or indirectly in the form of an equitable [Required by s. 112.3145(3)(b)1, F.S.]	or beneficial interest) more than 5% of the total assets or capital
stock of a business entity (a corporation, partnership, LLC, limited
Part A is intended to require the disclosure of your principal	partnership, proprietorship, joint venture, trust, firm, etc., doing sources of income during the disclosure period. You do not have to	business in Florida); and,
disclose any public salary or public position(s). The income of your	(2) You received more than $5,000 of your gross income during the spouse need not be disclosed; however, if there is joint income to	disclosure period from that business entity.
you and your spouse from property you own jointly (such as interest
or dividends from a bank account or stocks), you should disclose the If your interests and gross income exceeded these thresholds, then for that source of that income if it exceeded the threshold.	business entity you must list every source of income to the business entity
which exceeded 10% of the business entity’s gross income (computed on
Please list in this part of the form the name, address, and the basis of the business entity's most recently completed fiscal year), the principal business activity of each source of your income which source’s address, and the source's principal business activity.
exceeded $2,500 of gross income received by you in your own name
or by any other person for your use or benefit.	Examples:
"Gross income" means the same as it does for income tax	— You are the sole proprietor of a dry cleaning business, from which purposes, even if the income is not actually taxable, such as interest	you received more than $5,000. If only one customer, a uniform rental on tax-free bonds. Examples include: compensation for services,	company, provided more than 10% of your dry cleaning business, you income from business, gains from property dealings, interest, rents,	must list the name of the uniform rental company, its address, and its dividends,  pensions,  IRA distributions,  social security, distributive	principal business activity (uniform rentals).
share of partnership gross income, and alimony, but not child support.	— You are a 20% partner in a partnership that owns a shopping mall
Examples:		and your partnership income exceeded the above thresholds. List each tenant of the mall that provided more than 10% of the partnership's
If  you  were  employed  by  a  company that manufactures	gross income and the tenant's address and principal business activity. computers and received more than $2,500, list the name of the
company, its address, and its principal business activity (computer PART C — REAL PROPERTY
manufacturing).	[Required by s. 112.3145(3)(b)3, F.S.]
If you were a partner in a law firm and your distributive share		In this part, list the location or description of all real property in Florida of partnership gross income exceeded $2,500, list the name of in which you owned directly or indirectly at any time during the disclosure the firm, its address, and its principal business activity (practice of period in excess of 5% of the property’s value. You are not required to list law).	your residences. You should list any vacation homes if you derive income
If you were the sole proprietor of a retail gift business and your from them.
gross income from the business exceeded $2,500, list the name		Indirect ownership includes situations where you are a beneficiary of a of the business, its address, and its principal business activity trust that owns the property, as well as situations where you own more than (retail gift sales).	5% of a partnership or corporation that owns the property. The value of the
If you received income from investments in stocks and bonds, property may be determined by the most recently assessed value for tax
list each individual company from which you derived more than purposes, in the absence of a more current appraisal.
$2,500. Do not aggregate all of your investment income.	The location or description of the property should be sufficient to
If more than $2,500 of your gross income was gain from the enable anyone who looks at the form to identify the property. A street sale of property (not just the selling price), list as a source of address should be used, if one exists.
income the purchaser’s name, address and principal business
activity. If the purchaser’s identity is unknown, such as where PART D — INTANGIBLE PERSONAL PROPERTY
securities listed on an exchange are sold through a brokerage	[Required by s. 112.3145(3)(b)3, F.S.]
firm, the source of income should be listed as "sale of (name of		Describe any intangible personal property that, at any time during the company) stock," for example.	disclosure period, was worth more than $10,000 and state the business
If more than $2,500 of your gross income was in the form	entity to which the property related. Intangible personal property includes
of interest from one particular financial institution (aggregating	things such as cash on hand, stocks, bonds, certificates of deposit, vehicle interest from all CD’s, accounts, etc., at that institution), list the	leases, interests in businesses, beneficial interests in trusts, money owed name of the institution, its address, and its principal business	you, Deferred Retirement Option Program (DROP) accounts, the Florida activity.	Prepaid College Plan, and bank accounts. Intangible personal property also includes investment products held in IRAs, brokerage accounts, and
PART B — SECONDARY SOURCES OF INCOME	the Florida College Investment Plan. Note that the product contained in
[Required by s. 112.3145(3)(b)2, F.S.]		a brokerage account, IRA, or the Florida College Investment Plan is your asset—not the account or plan itself. Things like automobiles and houses
This part is intended to require the disclosure of major customers, you own, jewelry, and paintings are not intangible property. Intangibles clients, and other sources of income to businesses in which you own an relating to the same business entity may be aggregated; for example, CDs interest. It is not for reporting income from second jobs. That kind of income and savings accounts with the same bank. Property owned as tenants by should be reported in Part A "Primary Sources of Income," if it meets the the entirety or as joint tenants with right of survivorship should be valued at reporting threshold. You will not have anything to report unless, during the 100%. The value of a leased vehicle is the vehicle’s present value minus disclosure period:	the lease residual (a number found on the lease document).	
CE FORM 1 - Effective: January 1, 2020. Incorporated by reference in Rule 34-8.202, F.A.C..	PAGE 4

PART E — LIABILITIES
[Required by s. 112.3145(3)(b)4, F.S.]
List the name and address of each creditor to whom you owed more than $10,000 at any time during the disclosure period. The amount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments. You are not required to list the amount of any debt. You do not have to disclose credit card and retail installment accounts, taxes owed (unless reduced to a judgment), indebtedness on a life insurance policy owed to the company of issuance, or contingent liabilities. A “contingent liability” is one that will become an actual liability only when one or more future events occur or fail to occur, such as where you are liable only as a guarantor, surety, or endorser on a promissory note. If you are a “co-maker” and are jointly liable or jointly and severally liable, then it is not a contingent liability.
PART F — INTERESTS IN SPECIFIED BUSINESSES
[Required by s. 112.3145(6), F.S.]
The types of businesses covered in this disclosure include: state and federally chartered banks; state and federal savings and loan associations; cemetery companies; insurance companies; mortgage companies; credit unions; small loan companies; alcoholic beverage licensees; pari-mutuel wagering companies, utility companies, entities controlled by the Public Service Commission; and entities granted a franchise to operate by either a city or a county government.

Disclose in this part the fact that you owned during the disclosure period an interest in, or held any of certain positions with the types of businesses listed above. You must make this disclosure if you own or owned (either directly or indirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5% of the total assets or capital stock of one of the types of business entities listed above. You also must complete this part of the form for each of these types of businesses for which you are, or were at any time during the disclosure period, an officer, director, partner, proprietor, or agent (other than a resident agent solely for service of process).
If you have or held such a position or ownership interest in one of these types of businesses, list the name of the business, its address and principal business activity, and the position held with the business (if any). If you own(ed) more than a 5% interest in the business, indicate that fact and describe the nature of your interest.
PART G — TRAINING CERTIFICATION
[Required by s. 112.3142, F.S.]
If you are a Constitutional or elected municipal officer whose service began before March 31 of the year for which you are filing, you are required to complete four hours of ethics training which addresses Article II, Section 8 of the Florida Constitution, the Code of Ethics for Public Officers and Employees, and the public records and open meetings laws of the state. You are required to certify on this form that you have taken such training.
(End of Dollar Value Thresholds Instructions.)

IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY	
PART A — PRIMARY SOURCES OF INCOME	more than 5% of your gross income. Do not aggregate all of [Required by s. 112.3145(3)(a)1, F.S.]	your investment income.
Part A is intended to require the disclosure of your principal	— If more than 5% of your gross income was gain from the sale sources of income during the disclosure period. You do not have	of property (not just the selling price), list as a source of income
to disclose any public salary or public position(s), but income from	the purchaser’s name, address, and principal business activity.
these public sources should be included when calculating your gross	If the purchaser's identity is unknown, such as where securities income for the disclosure period. The income of your spouse need	listed on an exchange are sold through a brokerage firm, the not be disclosed; however, if there is joint income to you and your	source of income should be listed as "sale of (name of company) spouse from property you own jointly (such as interest or dividends	stock," for example.
from a bank account or stocks), you should include all of that income	— If more than 5% of your gross income was in the form of
when calculating your gross income and disclose the source of that		interest from one particular financial institution (aggregating income if it exceeded the threshold.		interest from all CD’s, accounts, etc., at that institution), list the Please list in this part of the form the name, address, and	name of the institution, its address, and its principal business
principal business activity of each source of your income which	activity.
exceeded 5% of the gross income received by you in your own name PART B — SECONDARY SOURCES OF INCOME
or by any other person for your benefit or use during the disclosure
period.	[Required by s. 112.3145(3)(a)2, F.S.]
"Gross income" means the same as it does for income tax	This part is intended to require the disclosure of major customers, purposes, even if the income is not actually taxable, such as interest clients, and other sources of income to businesses in which you own on tax-free bonds. Examples include: compensation for services, an interest. It is not for reporting income from second jobs. That kind income from business, gains from property dealings, interest, rents, of income should be reported in Part A, "Primary Sources of Income," dividends, pensions, IRA distributions, social security, distributive if it meets the reporting threshold. You will not have anything to report share of partnership gross income, and alimony, but not child support. unless during the disclosure period:
Examples:	(1)  You owned (either directly or indirectly in the form of an
If  you  were  employed  by  a  company that manufactures	equitable or beneficial interest) more than 5% of the total assets computers and received more than 5% of your gross income	or capital stock of a business entity (a corporation, partnership, from the company,  list the name of the company,  its address,	LLC, limited partnership, proprietorship, joint venture, trust, firm,
and its principal business activity (computer manufacturing).	etc., doing business in Florida); and,
(2) You received more than 10% of your gross income from that
If you were a partner in a law firm and your distributive share	business entity; and,
of partnership gross income exceeded 5% of your gross income,	(3) You received more than $1,500 in gross income from that then list the name of the firm, its address, and its principal	business entity.
business activity (practice of law).
If you were the sole proprietor of a retail gift business and If your interests and gross income exceeded these thresholds, then your gross income from the business exceeded 5% of your  for that business entity you must list every source of income to the total gross income, list the name of the business, its address, business entity which exceeded 10% of the business entity’s gross and its principal business activity (retail gift sales).	income (computed on the basis of the business entity’s most recently
completed  fiscal  year),  the  source’s  address,  and  the source’s
If you received income from investments in stocks and	principal business activity. bonds, list each individual company from which you derived	

Examples:	PART E — LIABILITIES
— You are the sole proprietor of a dry cleaning business, from	[Required by s. 112.3145(3)(b)4, F.S.]
which you received more than 10% of your gross income—an	List the name and address of each creditor to whom you owed amount that was more than $1,500. If only one customer, a any amount that, at any time during the disclosure period, exceeded uniform rental company, provided more than 10% of your dry your net worth. You are not required to list the amount of any debt cleaning business, you must list the name of the uniform rental  or your net worth. You do not have to disclose: credit card and retail
company, its address, and its principal business activity (uniform  installment accounts, taxes owed (unless reduced to a judgment),
rentals).	indebtedness on a life insurance policy owed to the company of
— You are a 20% partner in a partnership that owns a shopping issuance, or contingent liabilities. A “contingent liability” is one mall and your partnership income exceeded the  thresholds  that will become an actual liability only when one or more future  listed above. You should list each tenant of the mall that events occur or fail to occur, such as where you are liable only as provided more than 10% of the partnership’s gross income, and a guarantor, surety, or endorser on a promissory note. If you are a the tenant’s address and principal business activity.	“co-maker” and are jointly liable or jointly and severally liable, it is not
a contingent liability.
PART C — REAL PROPERTY		Calculations: To determine whether the debt exceeds your [Required by s. 112.3145(3)(a)3, F.S.]	net worth, total all of your liabilities (including promissory notes,

In this part, list the location or description of all real property in Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5% of the property’s value. You are not required to list your residences. You should list any vacation homes, if you derive income from them.
Indirect ownership includes situations where you are a beneficiary of a trust that owns the property, as well as situations where you own more than 5% of a partnership or corporation that owns the property. The value of the property may be determined by the most recently assessed value for tax purposes, in the absence of a more current appraisal.
The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property. A street address should be used, if one exists.

mortgages, credit card debts, judgments against you, etc.). The
amount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments. Subtract the sum total of your liabilities from the value of all your assets   as calculated above for Part D. This is your “net worth.” List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts, etc.). Joint liabilities with others for which you are “jointly and severally liable,” meaning that you may be liable for either your part or the whole of the obligation, should be included in your calculations at 100% of the amount owed.
Example: You owe $15,000 to a bank for student loans, $5,000 for credit card debts, and $60,000 (with spouse) to a savings and loan for a home mortgage. Your home (owned by you and your spouse) is worth $80,000 and your other property is worth

PART D — INTANGIBLE PERSONAL PROPERTY	$20,000. Since your net worth is $20,000 ($100,000 minus

[Required by s. 112.3145(3)(a)3, F.S.]
Describe any intangible personal property that, at any time

$80,000), you must report only the name and address of the savings and loan.

during the disclosure period, was worth more than 10% of your PART F — INTERESTS IN SPECIFIED BUSINESSES
total assets, and state the business entity to which the property	[Required by s. 112.3145, F.S.] related. Intangible personal property includes things such as cash
on hand, stocks, bonds, certificates of deposit, vehicle leases,	The types of businesses covered in this disclosure include: interests in businesses, beneficial interests in trusts, money owed state and federally chartered banks; state and federal savings and you, Deferred  Retirement  Option  Program  (DROP)  accounts,  loan  associations;  cemetery  companies;  insurance  companies; the Florida Prepaid College Plan, and bank accounts. Intangible mortgage companies; credit unions; small loan companies; alcoholic personal property also includes investment products held in IRAs, beverage licensees; pari-mutuel wagering companies, utility brokerage accounts, and the Florida College  Investment  Plan.  companies, entities controlled by the Public Service Commission; Note that the product contained in a brokerage account, IRA, or the and entities granted a franchise to operate by either a city or a Florida College Investment Plan is your asset—not the account or county government.
plan itself. Things like automobiles and houses you own, jewelry,	Disclose  in  this  part  the  fact  that  you  owned  during the
and paintings are not intangible property. Intangibles relating to the disclosure period an interest in, or held any of certain positions same business entity may be aggregated; for example, CD’s and with, the types of businesses listed above.  You  are  required savings accounts with the same bank.	to make this disclosure if you own or owned (either directly or
Calculations: To determine whether the intangible property indirectly in the form of an equitable or beneficial interest) at any exceeds 10% of your total assets, total the fair market value of   time during the disclosure period more than 5% of the total assets    all of your assets (including real property, intangible property, and or capital stock of one of the types of business entities listed above. tangible personal property such as jewelry, furniture, etc.). When You also must complete this part of the form for each of these types making this calculation, do not subtract any liabilities (debts) that  of businesses for which you are, or were at any time during the   may relate to the property. Multiply the total figure by 10% to arrive disclosure period, an officer, director, partner, proprietor, or agent at the disclosure threshold. List only the intangibles that exceed (other than a resident agent solely for service of process).
this threshold amount. The value of a leased vehicle is the vehicle’s	If you have or held such a position or ownership interest in
present value minus the lease residual (a number which can be one of these types of businesses, list the name of the business, its found on the lease document). Property that is only jointly owned address and principal business activity, and the position held with property should be valued according to the percentage of your the business (if any). If you own(ed) more than a 5% interest in the  joint ownership. Property owned as tenants by the entirety or as business, indicate that fact and describe the nature of your interest. joint tenants with right of survivorship should be valued at 100%.
None of your calculations or the value of the property have to be PART G — TRAINING CERTIFICATION
disclosed on the form.

Example: You own 50% of the stock of a small corporation

[Required by s. 112.3142, F.S.]

that is worth $100,000, the estimated fair market value of	If you are a Constitutional or elected municipal officer whose your home and other property (bank accounts, automobile, service began before March 31 of the year for which you are filing, furniture,  etc.)  is  $200,000. As  your  total  assets  are  worth     you are required to complete four hours of ethics training  which
$250,000, you must disclose intangibles worth over $25,000.  addresses Article II, Section 8 of the Florida Constitution, the Code
Since the value of the stock exceeds this threshold, you of Ethics for Public Officers and Employees, and the public records should list “stock” and the name of the corporation. If your and open meetings laws of the state. You are required to certify on accounts with a particular bank exceed $25,000, you should this form that you have taken such training.
list “bank accounts” and bank’s name.	End of Percentage Thresholds Instructions.)

IRS Form W-9

Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service	Request for Taxpayer Identification Number and Certification
a Go to www.irs.gov/FormW9 for instructions and the latest information.				
Giv req sen	
e Form to the uester. Do not d to the IRS.	
1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.	
2 Business name/disregarded entity name, if different from above	
Print or type.
See Specific Instructions on page 3.	3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes.

Individual/sole proprietor or	C Corporation	S Corporation	Partnership	Trust/estate single-member LLC

Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a  	
Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner.
Other (see instructions) a	4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):

Exempt payee code (if any)

Exemption from FATCA reporting code (if any)

(Applies to accounts maintained outside the U.S.)	
	5 Address (number, street, and apt. or suite no.) See instructions.	Requester’s name and address (optional)	
6 City, state, and ZIP code	
7 List account number(s) here (optional)	
Part I	Taxpayer Identification Number (TIN)								
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a	Social security number	
			–			–	

	Employer identification number		
			–									
  Part II 	Certification												

TIN, later.	or
Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter.

Under penalties of perjury, I certify that:
The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and
I am a U.S. citizen or other U.S. person (defined below); and
The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

Sign Here

Signature of
U.S. person a

Date a

General Instructions
Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following.
Form 1099-INT (interest earned or paid)

Form 1099-DIV (dividends, including those from stocks or mutual funds)
Form 1099-MISC (various types of income, prizes, awards, or gross proceeds)
Form 1099-B (stock or mutual fund sales and certain other transactions by brokers)
Form 1099-S (proceeds from real estate transactions)
Form 1099-K (merchant card and third party network transactions)
Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition)
Form 1099-C (canceled debt)
Form 1099-A (acquisition or abandonment of secured property)
Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN.
If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later.

Cat. No. 10231X	Form W-9 (Rev. 10-2018)

Form W-9 (Rev. 10-2018)	Page 2

By signing the filled-out form, you:
Certify that the TIN you are giving is correct (or you are waiting for a number to be issued),
Certify that you are not subject to backup withholding, or
Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income, and
Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting, later, for further information.
Note: If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9.
Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are:
An individual who is a U.S. citizen or U.S. resident alien;
A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States;
An estate (other than a foreign estate); or
A domestic trust (as defined in Regulations section 301.7701-7).
Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners’ share of effectively connected taxable income from such business. Further, in certain cases where a Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner is a foreign person, and pay the section 1446 withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your
U.S. status and avoid section 1446 withholding on your share of partnership income.
In the cases below, the following person must give Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on its allocable share of net income from the partnership conducting a trade or business in the United States.
In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the entity;
In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the trust; and
In the case of a U.S. trust (other than a grantor trust), the U.S. trust (other than a grantor trust) and not the beneficiaries of the trust.
Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person, do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities).
Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a “saving clause.” Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes.
If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items.
The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien.
The treaty article addressing the income.
The article number (or location) in the tax treaty that contains the saving clause and its exceptions.
The type and amount of income that qualifies for the exemption from tax.
Sufficient facts to justify the exemption from tax under the terms of the treaty article.

Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if his or her stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first protocol) and is relying on this exception to claim an exemption from tax on his or her scholarship or fellowship income would attach to Form
W-9 a statement that includes the information described above to support that exemption.
If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233.
Backup Withholding
What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 24% of such payments. This is called “backup withholding.” Payments that may be subject to backup withholding include interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding.
You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return.
Payments you receive will be subject to backup withholding if:
You do not furnish your TIN to the requester,
You do not certify your TIN when required (see the instructions for Part II for details),
The IRS tells the requester that you furnished an incorrect TIN,
The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only), or
You do not certify to the requester that you are not subject to backup withholding under 4 above (for reportable interest and dividend accounts opened after 1983 only).
Certain payees and payments are exempt from backup withholding. See Exempt payee code, later, and the separate Instructions for the Requester of Form W-9 for more information.
Also see Special rules for partnerships, earlier.
What is FATCA Reporting?
The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all United States account holders that are specified United States persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and the Instructions for the Requester of Form
W-9 for more information.
Updating Your Information
You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you no longer are tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account; for example, if the grantor of a grantor trust dies.
Penalties
Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect.
Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty.

IF the entity/person on line 1 is a(n) . . .	THEN check the box for . . .	
Corporation	Corporation	
Individual
Sole proprietorship, or
Single-member limited liability company (LLC) owned by an individual and disregarded for U.S. federal tax purposes.	Individual/sole proprietor or single- member LLC	
LLC treated as a partnership for
U.S. federal tax purposes,
LLC that has filed Form 8832 or 2553 to be taxed as a corporation, or
LLC that is disregarded as an entity separate from its owner but the owner is another LLC that is not disregarded for U.S. federal tax purposes.	Limited liability company and enter the appropriate tax classification. (P= Partnership; C= C corporation; or S= S corporation)	
Partnership	Partnership	
Trust/estate	Trust/estate	

Form W-9 (Rev. 10-2018)	Page 3
Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment.
Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties.
Specific Instructions
Line 1
You must enter one of the following on this line; do not leave this line blank. The name should match the name on your tax return.
If this Form W-9 is for a joint account (other than an account maintained by a foreign financial institution (FFI)), list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9. If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U.S. person must provide a Form W-9.
Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name.
Note: ITIN applicant: Enter your individual name as it was entered on your Form W-7 application, line 1a. This should also be the same as the

name you entered on the Form 1040/1040A/1040EZ you filed with your application.
Sole proprietor or single-member LLC. Enter your individual name as shown on your 1040/1040A/1040EZ on line 1. You may enter your business, trade, or “doing business as” (DBA) name on line 2.
Partnership, LLC that is not a single-member LLC, C corporation, or S corporation. Enter the entity's name as shown on the entity's tax return on line 1 and any business, trade, or DBA name on  line 2.
Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. You may enter any business, trade, or DBA name on line 2.
Disregarded entity. For U.S. federal tax purposes, an entity that is disregarded as an entity separate from its owner is treated as a “disregarded entity.” See Regulations section 301.7701-2(c)(2)(iii). Enter the owner's name on line 1. The name of the entity entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner's name is required to be provided on line 1. If  the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity's name on line 2, “Business name/disregarded entity name.” If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN.
Line 2
If you have a business name, trade name, DBA name, or disregarded entity name, you may enter it on line 2.
Line 3
Check the appropriate box on line 3 for the U.S. federal tax  classification of the person whose name is entered on line 1. Check only one box on line 3.

Line 4, Exemptions
If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space on line 4 any code(s) that may apply to you.
Exempt payee code.
Generally, individuals (including sole proprietors) are not exempt from backup withholding.
Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends.
Corporations are not exempt from backup withholding for payments made in settlement of payment card or third party network transactions.
Corporations are not exempt from backup withholding with respect to attorneys’ fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC.
The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space in line 4.
1—An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2)
2—The United States or any of its agencies or instrumentalities 3—A state, the District of Columbia, a U.S. commonwealth or
possession, or any of their political subdivisions or instrumentalities
4—A foreign government or any of its political subdivisions, agencies, or instrumentalities
5—A corporation
6—A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or possession
7—A futures commission merchant registered with the Commodity Futures Trading Commission
8—A real estate investment trust
9—An entity registered at all times during the tax year under the Investment Company Act of 1940
10—A common trust fund operated by a bank under section 584(a) 11—A financial institution
12—A middleman known in the investment community as a nominee or custodian
13—A trust exempt from tax under section 664 or described in section 4947

Form W-9 (Rev. 10-2018)	Page 4

IF the payment is for . . .	THEN the payment is exempt for . . .	
Interest and dividend payments	All exempt payees except for 7	
Broker transactions	Exempt payees 1 through 4 and 6 through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012.	
Barter exchange transactions and patronage dividends	Exempt payees 1 through 4	
Payments over $600 required to be reported and direct sales over
$5,0001	Generally, exempt payees 1 through 52	
Payments made in settlement of payment card or third party network transactions	Exempt payees 1 through 4	

The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13.

1 See Form 1099-MISC, Miscellaneous Income, and its instructions.
2 However, the following payments made to a corporation and reportable on Form 1099-MISC are not exempt from backup
withholding: medical and health care payments, attorneys’ fees, gross proceeds paid to an attorney reportable under section 6045(f), and payments for services paid by a federal executive agency.
Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside   of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9 with “Not Applicable” (or any similar indication) written or printed on the line for a FATCA exemption code.
A—An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37)
B—The United States or any of its agencies or instrumentalities C—A state, the District of Columbia, a U.S. commonwealth or
possession, or any of their political subdivisions or instrumentalities
D—A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(c)(1)(i)
E—A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(c)(1)(i)
F—A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state
G—A real estate investment trust
H—A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940
I—A common trust fund as defined in section 584(a) J—A bank as defined in section 581
K—A broker
L—A trust exempt from tax under section 664 or described in section 4947(a)(1)

M—A tax exempt trust under a section 403(b) plan or section 457(g) plan
Note: You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed.
Line 5
Enter your address (number, street, and apartment or suite number). This is where the requester of this Form W-9 will mail your information returns. If this address differs from the one the requester already has on file, write NEW at the top. If a new address is provided, there is still a chance the old address will be used until the payor changes your address in their records.
Line 6
Enter your city, state, and ZIP code.
Part I. Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. If you are a resident alien and you do not have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer identification number (ITIN). Enter it in the social security number box. If you do not have an ITIN, see How to get a TIN below.
If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN.
If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner’s SSN (or EIN, if the owner has one). Do not enter the disregarded entity’s EIN. If the LLC is classified as a corporation or partnership, enter the entity’s EIN.
Note: See What Name and Number To Give the Requester, later, for further clarification of name and TIN combinations.
How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local SSA office or get this form online at www.SSA.gov. You may also get this form by calling 1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/Businesses and clicking on Employer Identification Number (EIN) under Starting a Business. Go to www.irs.gov/Forms to view, download, or print Form W-7 and/or Form SS-4. Or, you can go to www.irs.gov/OrderForms to place an order and have Form W-7 and/or SS-4 mailed to you within 10 business days.
If you are asked to complete Form W-9 but do not have a TIN, apply for a TIN and write “Applied For” in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, generally you will have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until  you provide your TIN to the requester.
Note: Entering “Applied For” means that you have already applied for a TIN or that you intend to apply for one soon.
Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-8.
Part II. Certification
To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, 4, or 5 below indicates otherwise.
For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier.
Signature requirements. Complete the certification as indicated in items 1 through 5 below.

For this type of account:	Give name and EIN of:	
14. Account with the Department of	The public entity	
Agriculture in the name of a public		
entity (such as a state or local		
government, school district, or		
prison) that receives agricultural		
program payments		
15. Grantor trust filing under the Form	The trust	
1041 Filing Method or the Optional		
Form 1099 Filing Method 2 (see		
Regulations section 1.671-4(b)(2)(i)(B))		

Form W-9 (Rev. 10-2018)	Page 5
Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certification.
Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing  your correct TIN to the requester, you must cross out item 2 in the certification before signing the form.
Real estate transactions. You must sign the certification. You may cross out item 2 of the certification.

Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. “Other payments” include payments made in the course of the requester’s trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations).
Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), ABLE accounts (under section 529A), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification.

For this type of account:	Give name and SSN of:	
1. Individual	The individual	
2. Two or more individuals (joint account) other than an account maintained by an FFI	The actual owner of the account or, if combined funds, the first individual on
the account1	
3. Two or more U.S. persons
(joint account maintained by an FFI)	Each holder of the account	
4. Custodial account of a minor (Uniform Gift to Minors Act)	The minor2	
5. a. The usual revocable savings trust (grantor is also trustee)
b. So-called trust account that is not a legal or valid trust under state law	The grantor-trustee1 The actual owner1	
6. Sole proprietorship or disregarded entity owned by an individual	The owner3	
7. Grantor trust filing under Optional Form 1099 Filing Method 1 (see Regulations section 1.671-4(b)(2)(i) (A))	The grantor*	
For this type of account:	Give name and EIN of:	
Disregarded entity not owned by an individual
A valid trust, estate, or pension trust
Corporation or LLC electing corporate status on Form 8832 or Form 2553
Association, club, religious, charitable, educational, or other tax- exempt organization
Partnership or multi-member LLC
A broker or registered nominee	The owner	
	Legal entity4	
	The corporation	
	
The organization	
	
The partnership	
	The broker or nominee	

What Name and Number To Give the Requester

1 List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person’s number must be furnished.
2 Circle the minor’s name and furnish the minor’s SSN.
3 You must show your individual name and you may also enter your business or DBA name on the “Business name/disregarded entity”   name line. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN.
4 List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) Also see Special rules for partnerships, earlier.
*Note: The grantor also must provide a Form W-9 to trustee of trust.
Note: If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed.
Secure Your Tax Records From Identity Theft
Identity theft occurs when someone uses your personal information such as your name, SSN, or other identifying information, without your permission, to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund.
To reduce your risk:
Protect your SSN,
Ensure your employer is protecting your SSN, and
Be careful when choosing a tax preparer.
If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter.
If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity or credit report, contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit Form 14039.
For more information, see Pub. 5027, Identity Theft Information for Taxpayers.
Victims of identity theft who are experiencing economic harm or a systemic problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD 1-800-829-4059.
Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft.

Form W-9 (Rev. 10-2018)	Page 6

The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts.
If you receive an unsolicited email claiming to be from the IRS,  forward this message to phishing@irs.gov. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 1-800-366-4484. You can forward suspicious emails to the Federal Trade Commission at spam@uce.gov or report them at www.ftc.gov/complaint. You can contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT (877-438-4338). If you have been the victim of identity theft, see www.IdentityTheft.gov and Pub. 5027.
Visit www.irs.gov/IdentityTheft to learn more about identity theft and how to reduce your risk.

Privacy Act Notice
Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information.
Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or   not you are required to file a tax return. Under section 3406, payers  must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for providing false or fraudulent information.

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT

Consideration of Minutes of the August 13, 2020 Board of Supervisors’ Meeting

MINUTES OF MEETING

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT BOARD OF SUPERVISORS MEETING MINUTES
Thursday, August 13, 2020
11:30 AM
Via conference call due to the COVID-19 Executive Order 20-179

Board Members present via phone:

John Calkins	Chairperson	(via phone)	
Stephen Kearney	Vice Chairperson	(via phone)	
Kelly McCarrick	Assistant Secretary	(via phone)	

Also present via phone:

Vivian Carvalho	District Manager- PFM Group Consulting, LLC	(via phone)	
Venessa Ripoll	Assistant DM- PFM Group Consulting, LLC	(via phone)	
Katie Buchanan	District Counsel- Hopping Green & Sams	(via phone)	
Cheryl Graham	Leland Management, Inc.	(via phone)	
Mike Veazey	ICI Homes	(via phone)	

FIRST ORDER OF BUSINESS	Organizational Matters Call to Order and Roll Call
Ms. Ripoll called to order at 11:36 a.m. the Amelia National CDD Board of Supervisors’
meeting in which roll call was initiated. Those in attendance are listed above.

Public Comment Period

There were no public comments at this time.

Discussion Regarding Executive Orders 20-179

A discussion took place regarding Executive Order 20-179. District staff received noticed that this Executive Order is being extended again through October 1, 2020. District staff will provide a resolution once the Board reconvenes in person in order to ratify all the actions taken during the telephonic meetings.

SECOND ORDER OF BUSINESS	General Business Matters

Consideration of the Minutes of the July 9, 2020 Board of Supervisors’ Meeting

The Board reviewed the Minutes from the July 9, 2020 Board of Supervisors’ Meeting.

Mr. Calkins requested the tax roll question that Mr. Kearney asked on page 5 of the minutes to be put on the next agenda. Ms. Ripoll will work on that and send it to the Board and make sure it is on the next agenda. Ms. Buchanan will check the plats during the meeting and asked for the missing lot numbers. Mr. Calkins stated they are not listed on the minutes and they are not accessible to him. Ms. Buchanan will look on the tax  role and noted that those lots might not have been platted yet . Ms. Ripoll requested a motion to approve the July 9, 2020 Board of Supervisors’ Meeting Minutes.

On MOTION by Mr. Calkins, seconded by Mr. Kearney, with all in favor, the Board approved the Minutes from the July 9, 2020 Board of Supervisors’ Meeting, as amended.

Review & Acceptance of Arbitrage Rebate Calculation Report Series 2004A

Ms. Ripoll requested a motion from the Board to accept the Arbitrage Rebate Calculation Report for the record.

On MOTION by Mr. Calkins, seconded by Mr. Kearney, with all in favor, the Board accepted the Arbitrage Rebate Calculation Report Series 2004A for the Record.

Mr. Calkins asked if all the Bond payments are pre-scheduled and pre-structured and handled by the Management Company. Ms. Ripoll replied that is correct.

Review and Consideration of Lake Doctors Quarterly Maintenance Aerator Proposal

Mr. Calkins previously reviewed the proposal and signed off on it but has not mailed it to the PFM yet. He commented on the status of the ponds and it is important that Lake Doctors address the ponds instantaneously. Ms. Graham stated ponds 6 & 7 were treated in July and they returned on Monday and she is waiting for Eric’s report on the treatment and noted they are staying on top of it and staying in communication. Mr. Calkins added he asked Ms. Graham to talk to the experts to see if there is anything that

can be evaluated within the content of the ponds. He will make a proposal to aerate additional ponds and he is trying to prioritize which ponds are in the worse shape and there will be additional costs involved in doing that analysis. Ms. Ripoll asked Ms. Graham to notify Lake Doctors that this will be approved, and District staff will send this to them by the end of the week. Ms. Graham agreed.

Mr. Kearney stated this is a quarterly contract and he thought the District engaged them for a year. Mr. Calkins stated this is just for the aeration and the regular treatments f rom Lake Doctors are done on a monthly basis or as needed with invoices following each degree of service provided. There is a special contract for treatment and a special contract for aeration.

On MOTION by Mr. Kearney, seconded by Mr. Calkins, with all in favor, the Board approved the Lake Doctors Quarterly Maintenance Aerator Proposal.

Ratification	of	A	Plus Construction Services, Inc.

Ms. Ripoll explained this was brought to District staff last week. Ms. Graham explained along Amelia National Parkway the CDD property on the exit side leading to Amelia Concourse has sections of concrete that are broken. She had A Plus Concrete do measurements on the area that needed to be replaced after it was evaluated by another contractor and they are doing the same thing on the homeowners side of  Amelia  National Parkway as well as on Bermuda Drive and  A  Plus is scheduled to have  the work done on August 31, 2020. The amount is $1,890.00 for the CDD portion.

There was another proposal sent to the Association that the Board has approved for areas of Amelia National Parkway as well as Bermuda Drive. Mr. Calkin asked if the amount the CDD is being charged is proportionally equal to the cost that is going everywhere else. Ms. Graham stated it is a separate cost and the amount is the same transfer square foot. The Property Owners Association cost is $4,500.00 f or the work being done. A lengthy discussion took place. The pricing was the same but it is split according to responsibility. Work will start on August 31, 2020. Mr. Kearney asked if grinding would be taking place. Ms. Graham stated they will do some grinding when they are on site at no additional cost.

On MOTION by Mr. Calkins, seconded by Mr. Kearney, with all in favor, the Board ratified A Plus Construction Services, Inc. proposal.

Ratification	of	Payment Authorization 2020-64 - 2020-66

The Board reviewed Payment Authorizations 2020-64 - 2020-66. These are contr actual obligations and they are signed by the Chair and just need to be ratified by the Board.

On MOTION by Ms. McCarrick, seconded by Mr. Calkins, with all in favor, the Board ratified Payment Authorization 2020-64 - 2020-66

Review	of	District	Financial Statements

The Board reviewed the District Financial Statements as of July 31, 2020. No questions or comments were discussed by the Board pertaining the Financials.

On MOTION by Mr. Calkins, seconded by Ms. McCarrick, with all in favor, the Board approved the District Financial Statements.

THIRD ORDER OF BUSINESS	Other Business Staff Reports
District Counsel –	No Report

District Engineer – Not Present

District Manager – Ms. Ripoll noted the next meeting is scheduled for November 19, 2020. She will include the newly Elected Board Members on the emails as well.

Audience Comments and Supervisor Requests

Ms. McCarrick looked at the Tax Roll for the District and the information is correct and reflects the correct information there was no follow-up necessary to bring back at the next Board Meeting pertaining to this item.

Mr. Kearney asked if there was an update about the refinancing of the 2004 Bond Issuance. A discussion took place about refinancing the bonds. Mr. Calkins asked Management to get an update from Mr. Plenzler on the refinancing of the bonds and provide an update to the Board at the next meeting.

FOURTH ORDER OF BUSINESS	Adjournment

There was no additional business to be discussed. Ms. Ripoll requested a motion to adjourn.

On MOTION by Mr. Calkins, seconded by Mr. Kearney, with all in favor, the August 13, 2020 Board of Supervisors meeting of the Amelia National CDD was adjourned at 12:01 p.m.

__________________________	___________________________
Secretary/Assistant Secretary	Chairperson/Vice Chairperson

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT

Review & Acceptance Grau & Associates Audit FY 2020 Engagement Letter

September 3, 2020

To Board of Supervisors
Amelia National Community Development District 12051 Corporate Blvd.
Orlando, FL 32817

951 Yamato Road ▪ Suite 280 Boca Raton, Florida  33431 (561) 994-9299 ▪ (800) 299-4728
Fax (561) 994-5823
www.graucpa.com

We are pleased to confirm our understanding of the services we are to provide Amelia National Community Development District, Nassau County, Florida (“the District”) for the fiscal year ended September 30, 2020, with an option for one one-year renewal. We will audit the financial statements of the governmental activities and each major fund, including the related notes to the financial statements, which collectively comprise the basic financial statements of Amelia National Community Development District as of and for the fiscal year ended September 30, 2020, with an option for one one-year renewal. In addition, we will examine the District’s compliance with the requirements of Section 218.415 Florida Statutes.
Accounting standards generally accepted in the United States of America provide for certain required supplementary information (RSI), such as management’s discussion and analysis (MD&A), to supplement the District’s basic financial statements. Such information, although not a part of the basic financial statements, is required by the Governmental Accounting Standards Board who considers it to be an essential part of financial reporting for placing the basic financial statements in an appropriate operational, economic, or historical context. As part of our engagement, we will apply certain limited procedures to the District’s RSI in accordance with auditing standards generally accepted in the United States of America. These limited procedures will consist of inquiries of management regarding the methods of preparing the information and comparing the information for consistency with management’s responses to our inquiries, the basic financial statements, and other knowledge we obtained during our audit of the basic financial statements. We will not express an opinion or provide any assurance on the information because the limited procedures do not provide us with sufficient evidence to express an opinion or provide any assurance.
The following RSI is required by generally accepted accounting principles and will be subjected to certain limited procedures, but will not be audited:
Management’s Discussion and Analysis.
Budgetary comparison schedule
Audit Objectives
The objective of our audit is the expression of opinions as to whether your financial statements are fairly presented, in all material respects, in conformity with U.S. generally accepted accounting principles and to report on the fairness of the supplementary information referred to in the second paragraph when considered in relation to the financial statements as a whole. Our audit will be conducted in accordance with auditing standards generally accepted in the United States of America and the standards for financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States, and will include tests of the accounting records of the District and other procedures we consider necessary to enable us to express such opinions. We will issue a written report upon completion of our audit of the District’s financial statements. We cannot provide assurance that an unmodified opinion will be expressed. Circumstances may arise in which it is necessary for us to modify our opinion or add emphasis-of-matter or other-matter paragraphs. If our opinion on the financial statements is other than unmodified, we will discuss the reasons with you in advance. If, for any reason, we are unable to complete the audit or are unable to form or have not formed an opinion, we may decline to express an opinion or issue a report, or may withdraw from this engagement.
We will also provide a report (that does not include an opinion) on internal control related to the financial statements and compliance with the provisions of laws, regulations, contracts, and grant agreements, noncompliance with which could have a material effect on the financial statements as required by Government Auditing Standards. The report on internal control and on compliance and other matters will include a paragraph that states (1) that the purpose of the report is solely to describe the scope of testing of internal control and compliance, and the results of that testing, and not to provide an opinion on the effectiveness of the District’s internal control on compliance, and (2) that the report is an integral part of an audit performed in accordance with Government Auditing Standards in considering the District’s internal control and compliance. The paragraph will also state that the report is not suitable for any other purpose. If during our audit we become aware that the District is subject to an audit requirement that is not encompassed in the terms of this engagement, we will communicate to management and those charged with governance that an audit in accordance with U.S. generally accepted auditing standards and the standards for financial audits contained in Government Auditing Standards may not satisfy the relevant legal, regulatory, or contractual requirements.

Amelia National Community Development District	2

Examination Objective
The objective of our examination is the expression of an opinion as to whether the District is in compliance with Florida Statute
218.415 in accordance with Rule 10.556(10) of the Auditor General of the State of Florida. Our examination will be conducted in accordance with attestation standards established by the American Institute of Certified Public Accountants and will include tests of your records and other procedures we consider necessary to enable us to express such an opinion. We will issue a written report upon completion of our examination of the District’s compliance. The report will include a statement that the report is intended solely for the information and use of management, those charged with governance, and the Florida Auditor General, and is not intended to be and should not be used by anyone other than these specified parties. We cannot provide assurance that an unmodified opinion will be expressed. Circumstances may arise in which it is necessary for us to modify our opinion or add emphasis-of-matter or other-matter paragraphs. If our opinion on the District’s compliance is other than unmodified, we will discuss the reasons with you in advance. If, for any reason, we are unable to complete the examination or are unable to form or have not formed an opinion, we may decline to express an opinion or issue a report, or may withdraw from this engagement.
Other Services
We will assist in preparing the financial statements and related notes of the District in conformity with U.S. generally accepted accounting principles based on information provided by you. These nonaudit services do not constitute an audit under Government Auditing Standards and such services will not be conducted in accordance with Government Auditing Standards. The other services are limited to the financial statement services previously defined. We, in our sole professional judgment, reserve the right to refuse to perform any procedure or take any action that could be construed as assuming management responsibilities.
Management Responsibilities
Management is responsible for compliance with Florida Statute 218.415 and will provide us with the information required for the examination. The accuracy and completeness of such information is also management’s responsibility. You agree to assume all management responsibilities relating to the financial statements and related notes and any other nonaudit services we provide. You will be required to acknowledge in the management representation letter our assistance with preparation of the financial statements and related notes and that you have reviewed and approved the financial statements and related notes prior to their issuance and have accepted responsibility for them. In addition, you will be required to make certain representations regarding compliance with Florida Statute 218.415 in the management representation letter. Further, you agree to oversee the nonaudit services by designating an individual, preferably from senior management, who possesses suitable skill, knowledge, or experience; evaluate the adequacy and results of those services; and accept responsibility for them.
Management is responsible for designing, implementing and maintaining effective internal controls, including evaluating and monitoring ongoing activities, to help ensure that appropriate goals and objectives are met; following laws and regulations; and ensuring that management and financial information is reliable and properly reported. Management is also responsible for implementing systems designed to achieve compliance with applicable laws, regulations, contracts, and grant agreements. You are also responsible for the selection and application of accounting principles, for the preparation and fair presentation of the financial statements and all accompanying information in conformity with U.S. generally accepted accounting principles, and for compliance with applicable laws and regulations and the provisions of contracts and grant agreements.
Management is also responsible for making all financial records and related information available to us and for the accuracy and completeness of that information. You are also responsible for providing us with (1) access to all information of which you are aware that is relevant to the preparation and fair presentation of the financial statements, (2) additional information that we may request for the purpose of the audit, and (3) unrestricted access to persons within the government from whom we determine it necessary to obtain audit evidence.
Your responsibilities include adjusting the financial statements to correct material misstatements and for confirming to us in the written representation letter that the effects of any uncorrected misstatements aggregated by us during the current engagement and pertaining to the latest period presented are immaterial, both individually and in the aggregate, to the financial statements taken as a whole.
You are responsible for the design and implementation of programs and controls to prevent and detect fraud, and for informing us about all known or suspected fraud affecting the government involving (1) management, (2) employees who have significant roles in internal control, and (3) others where the fraud could have a material effect on the financial statements. Your responsibilities include informing us of your knowledge of any allegations of fraud or suspected fraud affecting the government received in communications from employees, former employees, grantors, regulators, or others. In addition, you are responsible for identifying and ensuring that the government complies with applicable laws, regulations, contracts, agreements, and grants and for taking timely and appropriate steps to remedy fraud and noncompliance with provisions of laws, regulations, contracts or grant agreements, or abuse that we report.
Management is responsible for establishing and maintaining a process for tracking the status of audit findings and recommendations. Management is also responsible for identifying and providing report copies of previous financial audits, attestation engagements, performance audits or other studies related to the objectives discussed in the Audit Objectives section of this letter. This responsibility includes relaying to us corrective actions taken to address significant findings and recommendations resulting from those audits, attestation engagements, performance audits, or other studies. You are also responsible for providing management’s views on our current findings, conclusions, and recommendations, as well as your planned corrective actions, for the report, and for the timing and format for providing that information.

Amelia National Community Development District	3

With regard to including the auditor’s report in an exempt offering document, you agree that the aforementioned auditor’s report will not be included in any such offering document without our prior permission or consent. Any agreement to perform work in connection with an exempt offering document, including an agreement to provide permission or consent, will be a separate engagement.

With regard to the electronic dissemination of audited financial statements, including financial statements published electronically on your website, you understand that electronic sites are a means to distribute information and, therefore, we are not required to read the information contained in these sites or to consider the consistency of other information in the electronic site with the original document.
Audit Procedures—General
An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements; therefore, our audit will involve judgment about the number of transactions to be examined and the areas to be tested. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluating the overall presentation of the financial statements. We will plan and perform the audit to obtain reasonable rather than absolute assurance about whether the financial statements are free of material misstatement, whether from (1) errors, (2) fraudulent financial reporting, (3) misappropriation of assets, or (4) violations of laws or governmental regulations that are attributable to the government or to acts by management or employees acting on behalf of the government. Because the determination of abuse is subjective, Government Auditing Standards do not expect auditors to provide reasonable assurance of detecting abuse.
Because of the inherent limitations of an audit, combined with the inherent limitations of internal control, and because we will not perform a detailed examination of all transactions, there is a risk that material misstatements may exist and not be detected by us, even though the audit is properly planned and performed in accordance with U.S. generally accepted auditing standards and Government Auditing Standards. In addition, an audit is not designed to detect immaterial misstatements or violations of laws or governmental regulations that do not have a direct and material effect on the financial statements. Our responsibility as auditors is limited to the period covered by our audit and does not extend to later periods for which we are not engaged as auditors.
Our procedures will include tests of documentary evidence supporting the transactions recorded in the accounts, and may include tests of the physical existence of inventories, and direct confirmation of receivables and certain other assets and liabilities by correspondence with selected individuals, funding sources, creditors, and financial institutions. We will request written representations from your attorneys as part of the engagement, and they may bill you for responding to this inquiry. At the conclusion of our audit, we will require certain written representations from you about your responsibilities for the financial statements; compliance with laws, regulations, contracts, and grant agreements; and other responsibilities required by generally accepted auditing standards.
Audit Procedures—Internal Control
Our audit will include obtaining an understanding of the government and its environment, including internal control, sufficient to assess the risks of material misstatement of the financial statements and to design the nature, timing, and extent of further audit procedures. Tests of controls may be performed to test the effectiveness of certain controls that we consider relevant to preventing and detecting errors and fraud that are material to the financial statements and to preventing and detecting misstatements resulting from illegal acts and other noncompliance matters that have a direct and material effect on the financial statements. Our tests, if performed, will be less in scope than would be necessary to render an opinion on internal control and, accordingly, no opinion will be expressed in our report on internal control issued pursuant to Government Auditing Standards.
An audit is not designed to provide assurance on internal control or to identify significant deficiencies or material weaknesses. However, during the audit, we will communicate to management and those charged with governance internal control related matters that are required to be communicated under AICPA professional standards and Government Auditing Standards.
Audit Procedures—Compliance
As part of obtaining reasonable assurance about whether the financial statements are free of material misstatement, we will perform tests of the District’s compliance with the provisions of applicable laws, regulations, contracts, agreements, and grants. However, the objective of our audit will not be to provide an opinion on overall compliance and we will not express such an opinion in our report on compliance issued pursuant to Government Auditing Standards.
Engagement Administration, Fees, and Other
We understand that your employees will prepare all confirmations we request and will locate any documents selected by us for testing.
The audit documentation for this engagement is the property of Grau & Associates and constitutes confidential information. However, subject to applicable laws and regulations, audit documentation and appropriate individuals will be made available upon request and in a timely manner to a cognizant or oversight agency or its designee, a federal agency providing direct or indirect funding, or the U.S. Government Accountability Office for purposes of a quality review of the audit, to resolve audit findings, or to carry out oversight responsibilities. We will notify you of any such request. If requested, access to such audit documentation will be provided under the supervision of Grau & Associates personnel. Furthermore, upon request, we may provide copies of selected audit documentation to the aforementioned parties. These parties may intend, or decide, to distribute

Amelia National Community Development District	4

the copies or information contained therein to others, including other governmental agencies. Notwithstanding the foregoing, the parties acknowledge that various documents reviewed or produced during the conduct of the audit may be public records under Florida law. The District agrees to notify Grau & Associates of any public record request it receives that involves audit documentation.

The auditor agrees and understands that Chapter 119, Florida Statutes, may be applicable to documents prepared in connection with the services provided hereunder and agrees to cooperate with public record requests made thereunder. In connection with this Agreement, the auditor agrees to comply with all provisions of Florida’s public records laws, including but not limited to Section 119.0701, Florida Statutes, the terms of which are incorporated herein. Among other requirements, the auditor must:

Keep and maintain public records required by the District to perform the service.
Upon request from the District’s custodian of public records, provide the District with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in Chapter 119, Florida Statutes or as otherwise provided by law.
Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and following completion of the Agreement if the auditor does not transfer the records to the District.
Upon completion of this Agreement, transfer, at no cost, to the District all public records in possession of the auditor or keep and maintain public records required by the District to perform the service. If the auditor transfers all public records to the District upon completion of this Agreement, the auditor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the auditor keeps and maintains public records upon completion of the Agreement, the auditor shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to the District, upon request from the District’s custodian of public records, in a format that is compatible with the information technology systems of the District.

IF THE AUDITOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE AUDITOR’S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS, JENNIFER WALDEN, C/O PFM GROUP CONSULTING, LLC., 12051 CORPORATE BLVD., ORLANDO,
FL 32817, 407-382-3256, waldenj@pfm.com.

This agreement provides for a contract period of one (1) year with the option of one (1) additional, one-year renewal upon the written consent of both parties. Our fee for these services will not exceed $4,600 for the September 30, 2020 audit. The fee for fiscal year 2021 will not exceed $4,700 unless there is a change in activity by the District which results in additional audit work or if additional Bonds are issued.

We will complete the audit within prescribed statutory deadlines, with the understanding that your employees will provide information needed to perform the audit on a timely basis.

The audit documentation for this engagement will be retained for a minimum of five years after the report release date. If we are aware that a federal awarding agency or auditee is contesting an audit finding, we will contact the party(ies) contesting the audit finding for guidance prior to destroying the audit documentation.

Our invoices for these fees will be rendered each month as work progresses and are payable on presentation. Invoices will be submitted in sufficient detail to demonstrate compliance with the terms of this agreement. In accordance with our firm policies, work may be suspended if your account becomes 60 days or more overdue and may not be resumed until your account is paid in full. If we elect to terminate our services for nonpayment, our engagement will be deemed to have been completed upon written notification of termination, even if we have not completed our report. You will be obligated to compensate us for all time expended and to reimburse us for all out-of-pocket costs through the date of termination. The above fee is based on anticipated cooperation from your personnel and the assumption that unexpected circumstances will not be encountered during the audit. If significant additional time is necessary, we will discuss it with you and arrive at a new fee estimate.

This agreement may be renewed each year thereafter subject to the mutual agreement by both parties to all terms and fees. The fee for each annual renewal will be agreed upon separately.

The District has the option to terminate this agreement with or without cause by providing thirty (30) days written notice of termination to Grau & Associates. Upon any termination of this agreement, Grau & Associates shall be entitled to payment of all work and/or services rendered up until the effective termination of this agreement, subject to whatever claims or off-sets the District may have against Grau & Associates.

We will provide you with a copy of our most recent external peer review report and any letter of comment, and any subsequent peer review reports and letters of comment received during the period of the contract. Our 2019 peer review report accompanies this letter.

Amelia National Community Development District	5

We appreciate the opportunity to be of service to Amelia National Community Development District and believe this letter accurately summarizes the significant terms of our engagement. If you have any questions, please let us know. If you agree with the terms of our engagement as described in this letter, please sign the enclosed copy and return it to us.

Very truly yours, Grau & Associates

Antonio J. Grau

RESPONSE:
This letter correctly sets forth the understanding of Amelia National Community Development District.

By:	 Title:	 Date:   	

Amelia National Community Development District	6

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT

Consideration of Resolution 2021-01, Electing District Officers

RESOLUTION 2021-01

A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT ELECTING THE OFFICERS OF THE DISTRICT, AND PROVIDING FOR AN EFFECTIVE DATE

WHEREAS, the AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT
(hereinafter the “District”) is a local unit of special-purpose government created and existing pursuant to Chapter 190, Florida Statutes; and

WHEREAS, pursuant to Section 190.006(6), Florida Statutes, as soon as practicable after each election or appointment to the Board of Supervisors (the “Board”), the Board shall organize by electing one of its members as chair and by electing a secretary, and such other officers as the Board may deem necessary.

NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF SUPERVISORS OF THE AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT:

Section 1.	is elected Chairman.

Section 2.	is elected Vice Chairman.

Section 3.	Vivian Carvalho	is elected Secretary.

__________________________ is elected Assistant Secretary.
__________________________ is elected Assistant Secretary.
___________________________is elected Assistant Secretary. Venessa Ripoll	is elected Assistant Secretary.

Section 4.	Jennifer Glasgow		is elected Treasurer.

Section 5.	Amanda Lane		is elected as Assistant Treasurer.

Section 6.	All resolutions or parts of Resolutions in conflict herewith are hereby repealed to the extent of such conflict.

Section 7.	This Resolution shall become effective immediately upon its adoption.

PASSED AND ADOPTED THIS 18th DAY of NOVEMBER, 2020

AMELIA NATIONAL COMMUNITY DEVELOPMENT
ATTEST:	DISTRICT

__________________    _    _ 	_	_________    _   _   _______ 	_ Secretary/Assistant Secretary			Chairman/Vice-Chairman

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT

Consideration of Resolution 2021-02, Authorizing Disbursements of Funds

RESOLUTION 2021-02

A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT AUTHORIZING THE DISBURSEMENT OF FUNDS FOR PAYMENT OF CERTAIN CONTINUING EXPENSES WITHOUT PRIOR APPROVAL OF THE BOARD OF SUPERVISORS; AUTHORIZING THE DISBURSEMENT OF FUNDS FOR PAYMENT OF CERTAIN NON-CONTINUING EXPENSES WITHOUT PRIOR APPROVAL OF THE BOARD OF SUPERVISORS; PROVIDING FOR A MONETARY THRESHOLD; AND PROVIDING FOR AN EFFECTIVE DATE

WHEREAS, the Amelia National Community Development District (“District”) is a local unit of special-purpose government created and existing pursuant to Chapter 190, Florida Statutes, being situated in Nassau County, Florida; and

WHEREAS, Section 190.011(5), Florida Statutes, authorizesthe Districttoadopt resolutions which may be necessary for the conduct of District business; and

WHEREAS, the District’s Board of Supervisors (“Board”) meets as necessary to conduct the business of the District, including authorizing the payment of District operating and ma intenance expenses; and

WHEREAS, the Board may establish monthly, quarterly or other meeting dates, or may cancel scheduled meetings from time to time; and

WHEREAS, to conduct the business of the District in an efficient manner, recurring, non-recurring and other disbursements for goods and services must be processed and paid in a timely manner; and

WHEREAS, the Board determines this Resolution is in the best interest of the District and is necessary for the efficient conduct of District business; the health, safety, and welfare of the residents within the District; and the preservation of District assets or facilities.

NOW, THEREFORE, BE IT RESOLVED BYTHE BOARD OFSUPERVISORS OF THE AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT:

CONTINUING EXPENSES. The Board hereby authorizes the payment of invoices of continuing expenses, which meet the following requirements:

The invoices must be due on or before the next scheduled meeting of the Board.
The invoice must be pursuant to a contract or agreement authorized by the Board.
The total amount paid under such contract or agreement, including the current invoice, must be equal to or less than the amount specified in the contract or agreement.
The invoice amount will not cause payments to exceed the adopted budget of the District.

NON-CONTINUING EXPENSES. The Board hereby authorizes the disbursement of funds for payment of invoices of non-continuing expenses which are (i) required to provide for the health, safety, and welfare of the residents within the District; or (ii) required to repair, control, or maintain a District facility or asset beyond the normal, usual, or customary maintenance required for such facility or assets,

1

or (iii) are necessary to avoid an unnecessary expense that may be imposed on the District in connection with a District project; or (iv) are for routine services performed on an annual basis and the amount of such services is reflected in the District’s annual budget, or (v) are otherwise for an emergency circumstance, pursuant to the following schedule:

Non-Continuing Expenses Not Exceeding $5,000 - with approval of the District Manager; and
Non-Continuing Expenses Exceeding $5,000 - with approval of the District Manager and Chairperson of the Board (or Vice Chairpersonin the Chairperson’s absence).

BOARD RATIFICATION. Any payment made pursuant to the Resolution shall be submitted to the Board at the next scheduled meeting for approval and ratification.

EFFECTIVE DATE. This Resolution shall become effective immediately upon its adoption.

PASSED AND ADOPTED THIS 18TH DAY OF NOVEMBER 2020.

ATTEST:	AMELIA NATIONALCOMMUNTYDEVELOPMENT DISTRICT

Secretary
Chairperson

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT

Consideration of Resolution 2021-03, Annual Appropriations and Adopting the Revised Budget for Fiscal Year 2020

RESOLUTION 2021-04

THE REVISED ANNUAL APPROPRIATION RESOLUTION OF AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT (THE “DISTRICT”) RELATING TO THE REVISED ANNUAL APPROPRIATIONS AND ADOPTING THE REVISED BUDGET FOR THE FISCAL YEAR BEGINNING OCTOBER 1, 2019, AND ENDING SEPTEMBER 30, 2020

WHEREAS, the Amelia National Community Development District Board of Supervisors (the “Board”) previously approved and adopted an annual budget for the fiscal year beginning October 1, 2019 and ending September 30, 20 20 , pursuant to the provisions of Section 190.008(2)(a), Florida Statutes; and

WHEREAS, the Board now desires to revise the annual budget for the fiscal year beginning October 1, 2019 and ending September 30, 2020; and

WHEREAS, Section 190.008(2)(a), Florida Statutes, requires that the District Board by passage of the Annual Appropriation Resolution shall adopt a budget for the each fiscal year and appropriate such sums of money as the Board deems necessary to defray all expenditures of the District during the ensuing fiscal year; and

WHEREAS, the District Manager has prepared a Proposed Budget, whereby the Proposed Budget projects the cash receipts and disbursements anticipated during a given time period, including reserves for contingencies for emergency or other u nanticipated expenditures during the fiscal year.

NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF SUPERVISORS OF AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT;

Section 1.	Budget

That the Board of Supervisors has reviewed the District Manager’s Proposed Budgets, a copy of which is on file with the office of the District Manager and at the District’s Records Office, and hereby approves certain amendments thereto, as shown in Section 2 below.

That the District Manager’s Proposed Budgets, attached hereto as Exhibit
 “A,” are hereby adopted in accordance with the provisions of Section 190.008(2)(a), Florida Statutes, and incorporated herein by reference; provided, however, that the comparative figures contained in the adopted budget may be subsequently revised as deemed necessary by the District Manager to reflect actual revenues and expenditures for fiscal year 2019- 2020.

That the adopted budget shall be maintained in the office of the District Manager and at the District’s Records Office and identified as “The Revised Budget for the Amelia National Community Development District for the Fiscal Year Beginning October 1, 2019 and Ending September 30, 2020", as adopted by the Board of Supervisors on July 11, 2019.

Section 2.	Appropriations

There is hereby appropriated out of the revenues of the Amelia National Community Development District, for the  fiscal  year  beginning  October  1,  2019, and ending September 30, 2020, the sum of money to be raised by the levy of assessments and otherwise, which sum is deemed by the Board of Supervisors to be necessary to defray all expenditures of the District during said budget year, to be divided and appropriated in the following fashion:

TOTAL GENERAL FUND	$______________

TOTAL ALL FUNDS	$ 	 	

Section 3.	Supplemental Appropriations

The Board may authorize by resolution, supplemental appropriations or revenue changes for any lawful purpose from funds on hand or estimated to be received within the fiscal year as follows:

Board may authorize a transfer of the unexpended balance or portion thereof of any appropriation item.

Board may authorize an appropriation from the unappropriated balance of any fund.

Board may increase any revenue or income budget amount to reflect receipt of any additional unbudgeted monies and make the corresponding change to appropriations or the unappropriated balance.

The District Manager and Treasurer shall have the power within a given f und to authorize the transfer of any unexpected balance of any appropriation item or any portion thereof, provided such transfers do not exceed Ten Thousand ($10,000) Dollars or have the effect of causing more than 10% of the total appropriation of a given program or project to be transferred previously approved transfers included. Such transfer shall not have the effect of causing a more than $10,000 or 10% increase, previously approved transfers included, to the original budget appropriation for the receiving program. Transfers within a program or project may be approved by the Board of Supervisors.  The District Manager or Treasurer must establish administrative procedures which require information on the request forms proving that such transfer requests comply with this section.

Introduced, considered favorably, and adopted this ___ _ day of November, 2020.

ATTEST:	AMELIA NATIOANL COMMUNITY DEVELOPMENT DISTRICT

Secretary

By:	 Its: 	

EXHIBIT A
Amelia National Community Development District
Proposed Fiscal Year 2020 Annual Operational & Maintenance Budget

Adopted FY 2019	Proposed FY 2020	Proposed Revised	
Budget	Budget	FY 2020 Budget	

Revenues
Assessments - Tax Collector & Direct Bill Carry Forward Surplus

Net Revenues	
$

$	
95,425.00
80,000.00

175,425.00			

$	
$210,725.00

210,725.00		

$	
$210,725.00

210,725.00	

Expenditures										
Engineering Fees		1,500.00				1,500.00			1,500.00	
Supervisor Fees		3,200.00				3,200.00			5,000.00	
Trustee Fees		7,500.00				7,500.00			7,500.00	
District Counsel		2,500.00				2,500.00			15,000.00	
Arbitrage		1,000.00				1,000.00			1,000.00	
Audit Fees		6,500.00				6,500.00			6,500.00	
Dissemination Agent		6,000.00				6,000.00			6,000.00	
Assessment Administration		5,000.00				5,000.00			5,000.00	
District Management Fees		10,000.00				10,000.00			22,000.00	
Management Fees - Field		7,800.00				7,800.00			7,800.00	
Property Appraiser Fee		5,800.00				5,800.00			5,800.00	
Electric		2,000.00				2,000.00			2,000.00	
Office Misc		250.00				250.00			500.00	
Reamortization Schedule		0.00				500.00			500.00	
General Insurance		3,800.00				3,800.00			3,800.00	
Public Official Insurance		2,900.00				2,900.00			2,900.00	
Legal Advertising		2,000.00				1,500.00			7,000.00	
Bank Fees		100.00				100.00			100.00	
Dues, Licenses & Fees		175.00				175.00			175.00	
Landscape Maintenance		35,000.00				35,000.00			35,000.00	
Landscape Improvement		8,000.00				8,000.00			12,500.00	
Repairs & Maintenance - Irrigation		3,000.00				3,000.00			5,000.00	
Repairs & Maintenance - Entry		3,500.00				5,000.00			6,000.00	
Lake Maintenance		30,000.00				30,000.00			32,500.00	
Entry Decorations		2,000.00				2,000.00			2,500.00	
Website Maintenance		900.00				1,200.00			2,400.00	
Contingency/Miscellaneous		25,000.00				58,500.00			14,750.00	
Operating & Maintenance	$	175,425.00			$	210,725.00		$	210,725.00	
Expenditures										
750	Total Units										
Per Unit
Assessment Net	$	127.23			$	280.97				
Per Unit Assessment Gross	$	135.35			$	298.90				

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT

Discussion Regarding Material on the District Website

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT

Update of Bond Restructuring Options

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT

Pond update from The Lake Doctors

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT

Pond Aeration update from Leland Management

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT

Ratification of Payment Authorizations 2020-67—2020-74

Aug 11 20 01:53p	CALKINS	9044916226	p.1

AMELIA NATIONAL
COMMUNITY	DEVELOPMENT	DISTRICT

Payment Authorization 67
8/6/2020

Item
No.

Payee	Invoice#

FY20
General
Fund

FPL (paid online>
Acct: 29680-15020; 06/18/20 - 07/20/20 Acct: 83521-45521; 06/18/20 - 07/20/2.0

The Lake Doctors, Inc.
Water Management SVs Aug. 2020	523019
Subtotal for FY

 	<?' I\	Z.o
on/ Vice Chairperson

Total

$	73.24
$	50.04

$	2,500.00

$	2,623.28

$2,623.28

Secretary/Assistant Secretary

/	27	3413296801502074237000000

FPL
GENERAL MAIL FACILITY MIAMI FL 33188-0001

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT
12051 CORPORATE BLVD
ORLANDO FL 32817-1450

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT:
Here’s what you owe for this billing period.

Amount of your last bill	$69.03	
Payments	-$69.03	
New charges due by Aug 10, 2020	$73.24	
Total amount you owe	$73.24	

Amount of your last bill	
69.03	
Payment received - Thank you	−69.03	
Balance before new charges	$0.00	
NEW CHARGES
Rate: GS-1 GENERAL SVC NON-DEMAND / BUSINESS		

Jul 20, 2020 Electric Bill

For: Jun 18, 2020 to Jul 20, 2020 (32 days)
Service Address
95440 BERMUDA DR # PUMP FERNANDINA BEACH, FL 32034 CHAMPAGNEA@PFM.COM
Account Number 29680-15020

Questions? Contact Us
Reliable energy is affordable energy.
Learn how we save you money at fpl.com/savings

Meter Summary
Meter reading - Meter ACD6771 Next meter reading Aug 19, 2020
Current reading		04532	
Previous reading		-03897	
kWh used		635	
Energy Usage Comparison			
This Month	Last Month		
Service to	Jul 20, 2020	Jun 18, 2020		
kWh Used	635	597		
Service days	32	30		
kWh/day	20	20		
Amount	$73.24	$69.56		

Customer charge:
Non-fuel:   ($0.065270 per kWh)
Fuel:	($0.022160 per kWh)
Electric service amount

$10.62
$41.45
$14.07
66.14

Gross receipts tax Florida sales tax
Discretionary sales surtax
Taxes and charges

1.70
4.72
0.68
7.10

Total new charges

$73.24

Total amount you owe

$73.24

Energy Usage History
750 kWh  	
600 kWh  	
450 kWh  	
300 kWh  	
150 kWh  	

0 kWh	N	D	J	F	M	A	M	J	J
2019	2020

Keep In Mind
Payments received after August 10, 2020 are considered late; a late payment charge, the greater of $5.00 or 1.5% of your past due balance will apply. Your account may also be billed a deposit adjustment.

Dollars and Sense	Save $150 on a new A/C	We’re here to help	
Find ways to cut energy costs and help your business save money. View your usage to track and learn how your business uses energy.
Analyze now	Don’t sweat it! Breeze through summer with a $150 A/C rebate and start saving money on your energy bill.
See if you qualify	If you’re experiencing hardship as a result of the coronavirus (COVID-19) and need help with your bill, there are resources available.
Learn more	
Useful Links
Billing and service details Energy News
View back of the bill	Important Numbers	Customer Service: Outside Florida:
To report power outages:
Hearing/speech impaired:	1-800-375-2434
1-800-226-3545
1-800-4OUTAGE (468-8243)
711 (Relay Service)	

Your payment was made on Aug 5, 2020 03:07 PM EST.
An email of your payment has been sent to champagnea@pfm.com

Total Payment Amount	$73.24
Electric Payment	$73.24
Payment Date	Aug 10, 2020
Bank Account	********9799
Confirmation Number	2181507

You authorize FPL to make a withdrawal from your bank account to pay the FPL bill for the account listed above.
You are the bank account holder or an authorized agent for the bank account listed above.
Your bank account is with a U.S. bank, and you understand that your bank may charge for this service.
Your payment will be debited from your bank account on or about the same day you make your payment online.

/	27	3413835214552104005000000

FPL
GENERAL MAIL FACILITY MIAMI FL 33188-0001

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT
12051 CORPORATE BLVD
ORLANDO FL 32817-1450

Hello Amelia National Community Development District, Here’s what you owe for this billing period.

Amount of your last bill		$50.83	
Payments		-$50.83	
New charges due by Aug 10, 2020		$50.04	
Total amount you owe		$50.04	

Amount of your last bill Payment received - Thank you		
50.83
−50.83	
Balance before new charges		$0.00	
NEW CHARGES
Rate: RS-1 RESIDENTIAL SERVICE
Customer charge:	

$8.34		
Non-fuel: (First 1000 kWh at $0.066840)	$31.56		

Jul 20, 2020 Electric Bill

For: Jun 18, 2020 to Jul 20, 2020 (32 days)
Service Address
95005 AMELIA NATIONAL PKWY # ENTRANCE FERNANDINA BEACH, FL 32034 CHAMPAGNEA@PFM.COM
Account Number 83521-45521

Questions? Contact Us
Reliable energy is affordable energy.
Learn how we save you money at fpl.com/savings

Meter Summary
Meter reading - Meter ACD3605 Next meter reading Aug 19, 2020
Current reading		77395	
Previous reading		-76923	
kWh used		472	
Energy Usage Comparison			
This Month	Last Month	Last Year	
Service to	Jul 20, 2020	Jun 18, 2020	Jul 18, 2019	
kWh Used	472	481	535	
Service days	32	30	30	
kWh/day	15	16	18	
Amount	$50.04	$50.83	$58.12	

Fuel:

(Over 1000 kWh at $0.077460)
(First 1000 kWh at $0.018840) (Over 1000 kWh at $0.028840)

$8.89

Electric service amount

48.79

Gross receipts tax
Taxes and charges

1.25
1.25

Total new charges

$50.04

Total amount you owe

$50.04

Energy Usage History
850 kWh  	
680 kWh  	
510 kWh  	
340 kWh  	
170 kWh  	

0 kWh	J   A   S   O  N D  J	F   M  A  M  J	J
2019	2020

Keep In Mind
Payments received after August 10, 2020 are considered late; a late payment charge, the greater of $5.00 or 1.5% of your past due balance will apply. Your account may also be billed a deposit adjustment.

Keep bills low this summer	Save $150 on a new A/C	We’re here to help	
As temperatures rise, the FPL Energy Analyzer can help you save energy and money with personalized tips.
Analyze my home	Don’t sweat it! Breeze through summer with a $150 A/C rebate and start saving money on your energy bill.
See if you qualify	If you’re experiencing hardship as a result of the coronavirus (COVID-19) and need help with your bill, there are resources available.
Learn more	
Useful Links
Billing and service details Energy News
View back of the bill	Important Numbers	Customer Service: Outside Florida:
To report power outages:
Hearing/speech impaired:	1-800-226-3545
1-800-226-3545
1-800-4OUTAGE (468-8243)
711 (Relay Service)	

Your payment was made on Aug 5, 2020 03:09 PM EST.
An email of your payment has been sent to champagnea@pfm.com

Total Payment Amount	$50.04
Electric Payment	$50.04
Payment Date	Aug 10, 2020
Bank Account	********9799
Confirmation Number	2181509

You authorize FPL to make a withdrawal from your bank account to pay the FPL bill for the account listed above.
You are the bank account holder or an authorized agent for the bank account listed above.
Your bank account is with a U.S. bank, and you understand that your bank may charge for this service.
Your payment will be debited from your bank account on or about the same day you make your payment online.

The Lake Doctors, Inc.

Aquatic Management services '"

3543 State Road 419, Winter Springs, FL 32708

Purchase Order Number	Terms	
Invoice Date Reflects Month of Service Provided	
	NET 10 DAYS		
Item	Description	Amount	
	Monthly Water Management Service

r ECEIVEO AUG 0 3 2020
Customer Total Balance $2,500.00I	2,500.00	
Please confirm your bank bill payer amount matches your invoice amount if you use a bank bill	Total Invoice
payer service. Thank you!	$2,500.00	
To help ensure prompt and accurate credit to your account, please include your account number and invoice number on your check and always include your remittance stub with your payment.

Please visit www.lakedoctors.com for your local office contact information.		

PH: 800-666-5253

AMELIA NATIONAL CDD
PFM GROUP CONSULTING LLC 12051 CORPORATE BLVD
ORLANDO, FLORIDA 32817

Bill To

PLEASE DETACH & RETURN THIS PORTION WITH PAYMENT

INVOICE

Invoice#	523019	
Account#	726587	
Invoice Date	8/1/2020	
Due Date	8/11/2020	
Rep	MAS	

Invoice Questions: Lakes@lakedoctors.com Payment Questions: Payments@lakedoctors.com	

Amount Enclosed

Invoice#	523019	
Account#	726587	
Date	8/l /2020	

AMELIA NATIONAL CDD
PFM GROUP CONSULTING LLC 12051 CORPORATE BLVD
ORLANDO, FLORIDA 32817

Bill To

For address and contact updates, please email us at Frontdesk(a?lakedoctors.com.
The Lake Doctors, Inc. 3543 State Road 419 Winter Springs, FL 32708
O	CJ

Go Green! Contact us at Payments@lakedoctors.com to have your invoices emailed.

IF PAYING BY CREDIT CARD, FILL OUT BELOW
Mastercard	Visa	 American Express Card_#	_ _ _ _ _ _ _ _ _ _ _ _ _
Card Verification#  _   _   _   _   _   _   _   _   _ _
Exp. Date# _ _ _ _ _ _ _ _ _ _ _ _ _
Print Name _ _ _ _ _ _ _ _ _ _ _ _ _
Billing Address: 	Check box if same as above	
		
Signature _	_	_	_	_	_	_	_	_	_	_	_	_	_		

Aug 18 20 02:55p	CALKINS	9044916226	p.1

AMELIA NATIONAL
COMMUNITY	DEVELOPMENT	DISTRICT

Payment Authorization 68
8/13/2020

Item
No.

Payee	Invoice#

FY20
General Fund

Hopping Green & Sams
District Counsel thru 06/30/20	116350	$	915.79

Martex Services
Irrigation Repair T & M	11597	$	15.00
Maintenance Contract Renewal Aug. 2020	11688	$	2,231.00

Supervisor Fees: Meeting 08/13/2020
Stephen Kearney	$	200.00
John C. Calkins	$	200 .00

Subtotal for FY	$	3,561.79

Total	$3,661.79

2.o

Secretary/Assistant Secretary	rson/ Vice Chairperson

Attorneys and Counselors

119 S. Monroe Street, Ste. 300
P.O. Box 6526 Tallahassee, FL 32314
850.222.7500	Received via email Aug 11 2020
=================================	STATEMENT =================================

July 31, 2020
Amelia National Community Development District		Bill Number 116350 12051 Corporate Blvd.	Billed through  06/30/2020
Orlando , FL 32817

General Counsel
AMENAT	00001	KSB

FOR PROFESSIONAL SERVICES RENDERED
06/05/20	SSW	Research physical quorum and public comment requirements and guidance pursuant to Governor’s Executive Order and Task Force Report for Phase 2 Re-opening.	0.10 hrs	
06/08/20	KSB	Review annual financial statement.	1.00 hrs	
06/09/20	KSB	Review audit revisions.	0.30 hrs	
06/15/20	KEM	Review budget notice.	0.10 hrs	
06/17/20	KEM	Research qualified candidates and uncontested winners.	0.10 hrs	
06/23/20	KSB	Confer with district manager and Veazey regarding election; distribute correspondence regarding extension of virtual meetings.	0.40 hrs	
06/23/20	KEM	Prepare letters to uncontested supervisors regarding sunshine laws.	0.40 hrs	
06/26/20	KSB	Review tentative agenda and confer with Plenzler.	0.40 hrs	
06/26/20	SSW	Review Executive Order 20-150 regarding extension of waiver of physical quorum requirement for local government public meetings; prepare and circulate correspondence to District Managers regarding same.	0.10 hrs	
06/30/20	MKR	Review current management agreement and VGlobalTech proposal regarding website services; prepare correspondence regarding same.	0.70 hrs	
	Total fees for this matter	$904.50	

MATTER SUMMARY

Ibarra, Katherine E. - Paralegal	0.60 hrs	130	/hr	$78.00	
Buchanan, Katie S.	2.10 hrs	290	/hr	$609.00	
Rigoni, Michelle K.	0.70 hrs	235	/hr	$164.50	
Warren, Sarah S.	0.20 hrs	265	/hr	$53.00	

TOTAL FEES	$904.50
INTEREST CHARGE ON PAST DUE BALANCE	$11.29

Amelia National CDD - General	Bill No. 116350	Page  2
=======================================================================================

TOTAL CHARGES FOR THIS MATTER	$915.79 BILLING SUMMARY
Ibarra, Katherine E. - Paralegal	0.60 hrs	130	/hr	$78.00	
Buchanan, Katie S.	2.10 hrs	290	/hr	$609.00	
Rigoni, Michelle K.	0.70 hrs	235	/hr	$164.50	
Warren, Sarah S.	0.20 hrs	265	/hr	$53.00	
TOTAL FEES				$904.50	
INTEREST CHARGE ON PAST DUE BALANCE				$11.29	
TOTAL CHARGES FOR THIS BILL				$915.79	

Please include the bill number with your payment.

INVOICE

Amelia National COD Amelia National COD Fernandina Beach, FL

PFM Group Consulting 12051 Corporate Blvd.
Orlando, FL 32817

PROPERTY

Please detach top portion and return with your payment.

.	QTY.   ITE ·,. -  -:-  ·i	.·	, · 1	UNIT PRICE	EXT PRICE	LINE TOTAL

#8874 - Irrigation Repair T & M		$15.00	
Irrigation Repair		$15.00	
Miscellaneous Irrigation Parts (Material)	$15.00		
Total		$15.00	
Credits/Payments Applied		$0.00	
Balance Due		$15.00	

Irrigation Repair :

Cracked 21/2" zone line at the entrance corner. Work completed

RECEIVED AUG 0 7 2020

e 1LL   TO	I

INVOICE

PROPERTY

PFM Group Consulting 12051 Corporate Blvd . Orlando, FL 32817

Amelia National CDD Amelia National CDD Fernandina Beach, FL

$2 ,2 31.00

r:4,1Mil,i••J•i·,-m1+1+

Please detach top portion and return with your payment.

QTY  ITEM	UNIT PRICE	EXT PRICE	LINE TOTAL
#7238 - Maintenance  Contract RENEWAL RENEWAL August 2020	$2,231.00

Total
Credits/Payments Applied Balance Due

$2,231.00
$0.00
$2,231.00

RECEIVED AUG 1 0 2020

By Amy Champagne at 3:24 pm, Aug 13, 2020

Amelia National COMMUNITY DEVELOPMENT DISTRICT

Date of Meeting: 8/13/20

Board Members:	

($200.00 per Supervisor per Meeting)

Present	Absent	

Fee	

Kelly McCarrick Stephen Kearney Anna Jowers Laura Dubberly John C. Calkins	
X X

X	

X X	

$200.00

$200.00	
		
Total:	
$400.00	
		
Approved For Payment:	
		Venessa Ripoll	
Secretary / Assistant Secretary

August 13, 2020

Date	

Aug 31 20 02:55p	CALKINS	9044916226	p.1

AMELIA NATIONAL
COMMUNITY	DEVELOPMENT	DISTRICT

Payment Authorization 69
8/20/2020

Item	Payee
No.

Invoice#

FY20
General Fund

1		PFM Group Consulting LLC District Management Fee: Aug. 2020 Website Fee: Aug. 2020

DM-08-2020-0001 DM-08-2020-0002

$   2,083.33
$	100 .00

Secretary/Assistant Secretary

Subtotal for FY	$ 2,183.33 Total		$2,183.33

 	 	
Date	Invoice Number	
August 6, 2020	DM-08-2020-0001	
Payment Terms	Due Date	
Upon Receipt	August 6, 2020	

Amelia National CDD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

Bill To:

1735 Market Street 43rd Floor Philadelphia, PA 19103
+1 (215) 567-6100

Federal Tax ID: 81-1642478

Company Address:

Via ACH (preferred):

Via Wire:

Via Mail: 

Remittance Options:

RE:	District Management Fee: August 2020

Professional Fees	$2,083.33
Total Amount Due	$2,083.33

Date	Invoice Number	
August 6, 2020	DM-08-2020-0002	
Payment Terms	Due Date	
Upon Receipt	August 6, 2020	

Amelia National CDD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

Bill To:

1735 Market Street 43rd Floor Philadelphia, PA 19103
+1 (215) 567-6100

Federal Tax ID: 81-1642478

Company Address:

Via ACH (preferred):

Via Wire:

Via Mail: 

Remittance Options:

RE:	Website Fee - August 2020

Professional Fees	$100.00
Total Amount Due	$100.00

Sep 02 20 03:44p	CALKINS	9044916226	p.1

AMELIA NATIONAL
COMMUNITY	DEVELOPMENT	DISTRICT

Payment Authorization 70
8/27/2020

Item	Payee
No.

FY20
Invoice#	General Fund

1	Leland Management
Management Fee: Jul. 2020	$	650.00

Subtotal for FY	$	650.00

Total	$s!i0.00

�f.-t	�	h,.(2-v

Secretary/Assistant Secretary

/chairperson/ Vice Chairperson
.

-

(_

By Amy Champagne at 9:57 am, Aug 28, 2020

Leland Management, Inc. 6972 Lake Gloria Blvd Orlando FL 32809-3200
407-447-9955

Statement of Account as of 07/22/20
Re: 1 AMELIA NATIONAL CDD	Account # :	305
Lot # :	JAX-30

AMELIA NATIONAL CDD C/O FISHKIND & ASSOC 12051 CORPORATE BLVD
ORLANDO FL 32817

Bill Period:	Mgmt Fees - Jul 2020 Payment Due: 07/31/20
Amount Due:	$1,300.00

Date	Description	Charges	Credits	Balance	
07/19/20

07/20/20	Balance Forward MANAGEMENT FEE	

650.00		$650.00	
	New Balance -			$1,300.00	

Make Checks Payable to: Leland Management, Inc.

Re: 1 AMELIA NATIONAL CDD
AMELIA NATIONAL CDD C/O FISHKIND & ASSOC 12051 CORPORATE BLVD
ORLANDO FL 32817

Account # : Lot # :
Bill Period: Payment Due:

305
JAX-30
Mgmt Fees - Jul 202 07/31/20

Leland Management, Inc. 6972 Lake Gloria Blvd Orlando FL 32809-3200

Amount Due:	$1,300.00

Messages

23

892070000000000000000305110000088648199900001300004

Sep   11 20 06:07a	CALKINS	9044916226	p.1

AMELlA NATIONAL
COMMUNITY	DEVELOPMENT	DISTRICT

Payment Authorization 71
9/3/2020

Item
No.

Payee	Invoice#

FY20
General Fund

1	FPL (paid online)		
Acct: 29680-15020; 07/20/20 - 08/19/20		$	68.30	
Acct: 83521-45521; 07/20/20 - 08/19/20		$	51.70	
2	The Lake Doctors, Inc.			
Water Management Svs Sep. 2020	529289	$ 2,500.00	
3	Martex Services
Irrigation Repair T & M	
12001	
$ 1,500.83	
Irrigation Repair T & M	12002	$ 1,077.00	
	Subtotal for FY	$ 5,197.83	
	Total	$5,197.83	

Secretary/Assistant Secretary

Chairpetson/ Vice Chairperson  9A1/2

�

O

/	27	3413296801502050386000000

FPL
GENERAL MAIL FACILITY MIAMI FL 33188-0001

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT
12051 CORPORATE BLVD
ORLANDO FL 32817-1450

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT:
Here’s what you owe for this billing period.

Amount of your last bill	$73.24	
Payments	-$73.24	
New charges due by Sep 9, 2020	$68.30	
Total amount you owe	$68.30	

Amount of your last bill	
73.24	
Payment received - Thank you	−73.24	
Balance before new charges	$0.00	
NEW CHARGES
Rate: GS-1 GENERAL SVC NON-DEMAND / BUSINESS		

Aug 19, 2020 Electric Bill

For: Jul 20, 2020 to Aug 19, 2020 (30 days)
Service Address
95440 BERMUDA DR # PUMP FERNANDINA BEACH, FL 32034 CHAMPAGNEA@PFM.COM
Account Number 29680-15020

Questions? Contact Us
Reliable energy is affordable energy.
Learn how we save you money at fpl.com/savings

Meter Summary
Meter reading - Meter ACD6771 Next meter reading Sep 18, 2020
Current reading		05116	
Previous reading		-04532	
kWh used		584	
Energy Usage Comparison			
This Month	Last Month		
Service to	Aug 19, 2020	Jul 20, 2020		
kWh Used	584	635		
Service days	30	32		
kWh/day	19	20		
Amount	$68.30	$73.24		

Customer charge:
Non-fuel:   ($0.065270 per kWh)
Fuel:	($0.022160 per kWh)
Electric service amount

$10.62
$38.12
$12.94
61.68

Gross receipts tax Florida sales tax
Discretionary sales surtax
Taxes and charges

1.58
4.40
0.64
6.62

Total new charges

$68.30

Total amount you owe

$68.30

Energy Usage History
750 kWh  	
600 kWh  	
450 kWh  	
300 kWh  	
150 kWh  	

N	D	J	F	M	A	M	J	J	A	
2019									2020	

0 kWh

Keep In Mind
Payments received after September 09, 2020 are considered late; a late payment charge, the greater of $5.00 or 1.5% of your past due balance will apply. Your account may also be billed a deposit adjustment.

By M. Magar at 4:33 pm, Sep 01, 2020

We’re here to help	Help your neighbors	Let’s save, together	
If you’re experiencing hardship as a result of the coronavirus (COVID-19) and need help with your bill, there are resources available.
Learn more	Contribute to Care to Share and help a neighbor in need during this challenging time.
Donate today	Take advantage of useful tools, such as the FPL Business Energy Manager to help save energy and money.
Start saving	
Useful Links
Billing and service details Energy News
View back of the bill	Important Numbers	Customer Service: Outside Florida:
To report power outages:
Hearing/speech impaired:	1-800-375-2434
1-800-226-3545
1-800-4OUTAGE (468-8243)
711 (Relay Service)	

9 /1/2020	Pay Online

Thank you for scheduling your payment!
Your payment was made on Sep 1, 2020 04:34 PM EST.
An email of your payment has been sent to champagnea@pfm.com

Total Payment Amount Electric Payment Payment Date
Bank Account Confirmation Number

$68.30
$68.30
Sep 9, 2020
********9799 2451634

Payment Terms & Conditions
You authorize FPL to make a withdrawal from your bank account to pay the FPL bill for the account listed above.
You are the bank account holder or an authorized agent for the bank account listed above.
Your bank account is with a U.S. bank, and you understand that your bank may charge for this service.
Your payment will be debited from your bank account on or about the same day you make your payment online.

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;;,;;

h  ttps://www.fpl.com/my-accounUpay-online.html#paymentConfirmation	1/1

/	27	3413835214552110715000000

FPL
GENERAL MAIL FACILITY MIAMI FL 33188-0001

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT
12051 CORPORATE BLVD
ORLANDO FL 32817-1450

Hello Amelia National Community Development District, Here’s what you owe for this billing period.

Amount of your last bill		$50.04	
Payments		-$50.04	
New charges due by Sep 9, 2020		$51.70	
Total amount you owe		$51.70	

Amount of your last bill Payment received - Thank you		
50.04
−50.04	
Balance before new charges		$0.00	
NEW CHARGES
Rate: RS-1 RESIDENTIAL SERVICE
Customer charge:	

$8.34		
Non-fuel: (First 1000 kWh at $0.066840)	$32.82		

Aug 19, 2020 Electric Bill

For: Jul 20, 2020 to Aug 19, 2020 (30 days)
Service Address
95005 AMELIA NATIONAL PKWY # ENTRANCE FERNANDINA BEACH, FL 32034 CHAMPAGNEA@PFM.COM
Account Number 83521-45521

Questions? Contact Us
Reliable energy is affordable energy.
Learn how we save you money at fpl.com/savings

Meter Summary
Meter reading - Meter ACD3605 Next meter reading Sep 18, 2020
Current reading		77886	
Previous reading		-77395	
kWh used		491	
Energy Usage Comparison			
This Month	Last Month	Last Year	
Service to	Aug 19, 2020	Jul 20, 2020	Aug 19, 2019	
kWh Used	491	472	580	
Service days	30	32	32	
kWh/day	16	15	18	
Amount	$51.70	$50.04	$61.51	

Fuel:

(Over 1000 kWh at $0.077460)
(First 1000 kWh at $0.018840) (Over 1000 kWh at $0.028840)

$9.25

Electric service amount

50.41

Gross receipts tax
Taxes and charges

1.29
1.29

Total new charges

$51.70

Total amount you owe

$51.70

Energy Usage History
850 kWh  	
680 kWh  	
510 kWh  	
340 kWh  	
170 kWh  	

0 kWh	A   S   O  N D  J	F   M  A  M  J	J  A
2019	2020

Keep In Mind

By M. Magar at 4:37 pm, Sep 01, 2020

Payments received after September 09, 2020 are considered late; a late payment charge, the greater of $5.00 or 1.5% of your past due balance will apply. Your account may also be billed a deposit adjustment.

We’re here to help	Help your neighbors	Save together	
If you’re experiencing hardship as a result of the coronavirus (COVID-19) and need help with your bill, there are resources available.
Learn more	Contribute to Care to Share and help a neighbor in need during this challenging time.
Donate today	See how your whole family can help save up to $300 a year when you activate the FPL Energy Analyzer.
Analyze my home	
Useful Links
Billing and service details Energy News
View back of the bill	Important Numbers	Customer Service: Outside Florida:
To report power outages:
Hearing/speech impaired:	1-800-226-3545
1-800-226-3545
1-800-4OUTAGE (468-8243)
711 (Relay Service)	

9/1/2020	Pay Online

Thank you for scheduling your payment!
Your payment was made on Sep 1, 2020 04:38 PM EST.
An email of your payment has been sent to champagnea@pfm.com

Total Payment Amount Electric Payment Payment Date
Bank Account Confirmation Number

$51.70
$51.70
Sep 9, 2020
********9799 2451638

Payment Terms & Conditions
You authorize FPL to make a withdrawal from your bank account to pay the FPL bill for the account listed above.
You are the bank account holder or an authorized agent for the bank account listed above.
Your bank account is with a U.S. bank, and you understand that your bank may charge for this service.
Your payment will be debited from your bank account on or about the same day you make your payment online.

"Tl
m m 0
OJ
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0
;;,;;

h  ttps://www.fpl.com/my-accounUpay-online.html#paymentConfirmation	1/1

The Lake Doctors, Inc.

Aquatic Management Services �

3543 State Road 419, Winter Springs, FL 32708

Purchase Order Number	Terms	
Invoice Date Reflects Month of Service Provided	
	NET  IO DAYS		
Item	Description	Amount	
	Monthly Water Management Service

RECEIVED SEP 0 3 2020

Customer Total Balance $2,500.00I	2,500.00	
Please confirm  your  bank bill  payer amount  matches your  invoice amount  if you  use a bank bill	Total lnvoice
payer service. Thank you!	$2,500.00	
To help ensure prompt and accurate credit to your account, please include your account number and invoice number on your check and always include your remittance stub with your payment.

Please visit www.lakedoctors.com for your local office contact information.		

PH: 800-666-5253

AMELIA NATIONAL CDD
PFM GROUP CONSULTING LLC 12051 CORPORATE BLVD
ORLANDO, FLORIDA 32817

Bill To

PLEASE DETACH & RETURN THIS PORTION WITH PAYMENT

INVOICE

Invoice#	529289	
Account#	726587	
Invoice Date	9/1/2020	
Due Date	9/11/2020	
Rep	MAS	
	
Invoice Questions: Lakes@lakedoctors.com Payment Questions: Payments@lakedoctors.com	

Amount Enclosed

Invoice#	529289	
Account#	726587	
Date	9/1/2020	

AMELIA NATIONAL CDD
PFM GROUP CONSULTING LLC 12051 CORPORATE BLVD
ORLANDO, FLORIDA 32817

Bill To

For address and contact updates, please email us at Frontdesk@Jlakedoctors.com.
The Lake Doctors, Inc. 3543 State Road 419 Winter Springs, FL 32708

D

Go Green! Contact us at Payments@lakedoctors.com to have your invoices emailed.

lF PAYING BY CREDIT CARD, FILL OUT BELOW
Mastercard	Visa	 	American Express Card# _ _ _ _ _ _ _ _ _ _ _ _ _ _
Card Verification# _ _ _ _ _ _ _ _ _ _
Exp. Date# _ _ _ _ _ _ _ _ _ _ _ _ _
Print Name _ _ _ _ _ _ _ _ _ _ _ _ _
Billing Address: 	Check box if same as above	
		
Signature _	_	_	_	_	_	_	_	_	_	_	_	_	_		

BILL TO

INVOICE

PROPERTY

PFM Group Consulting 12051 Corporate Blvd.
Orlando, FL 32817

Amelia National COD Amelia National COD Fernandina Beach, FL

$1,500.83	I

■L, N t·i'hii• ®

!#triii+U·

Please detach top portion and return with your payment.		
. QTY ITEM	.	UNIT PRICE	EXT PRICE	LINE TOTAL	
#9416 - Irrigation Repair T & M		$1,500.83	
Irrigation Repair		$1,500.83	
Labor - 07/22/20	$559.20		
Labor - 07/23/20	$837.60		
6.00 3" pipe Sched. 40 (Material)	
$1.89	
$11.34		
1.00 3" Elbow (Material)	$8.84	$8.84		
Miscellaneous Irrigation Parts (Material)		$15.00		
1.00 3" Slip Fix (Material)	$43.44	$43.44		
4.00 3" Coupling (Material)	$3.27	$13.08		
1.00 3" Tee (Material)	$12.33	$12.33		
Total			$1,500.83	
Credits/Payments Applied			$0.00	
Balance Due			$1,500.83	

Irrigation Repair:

Repaired 3" main line on exit side of road across from guard house. Cracked because of old age. Work completed

Helped Albert with 3" mainline front entrance labor only Repaired 3" mainline Had to revisit same 3" main as Wednesday. Must wait to let dry over night. Not complete

1417 Avery Road

RECEIVED SEP 0 3 2020

PFM Group Consulting 12051 Corporate Blvd.
Orlando, FL 32817

Amelia National CDD Amelia National CDD Fernandina Beach, FL

INVOICE

i-N,M@i•J1i·
$1,077.00

LI=tmi1+14·lllj
I

Please detach top portion and return with your payment.

	UNIT PRICE	EXT PRICE	LINE TOTAL	
#9438 - Irrigation Repair T & M			$1,077.00	
Irrigation Repair			$1,077.00	
Labor - 07/25/20		$165.00		
Labor - 07/24/20		$912.00		
Total			$1,077.00	
Credits/Payments Applied			$0.00	
Balance Due			$1,077.00	

Irrigation Repair:

Main line section blowout. 3 inch main line

1417 Avery Road

RECEIVED SEP O 3 2020

Sep 21 20 02:45p	CALKINS

9044916226	p.1

AMELIA NATIONAL
COMMUNITY	DEVELOPMENT	DISTRICT

Payment	Authorization 72		
9/14/2020			
			FY20	
Item	Payee	Invoice#	General	
No.			Fund	

1	
Egis Insurance Advisors, LLC
Renew Policy	

11667	

$ 6,503.00	
2	Hopping Green & Sams			
	District Counsel thru 07/31/20	116981	$ 1,799.00	
3	The Lake Doctors, Inc.			
	Fountain Service- Quarterly	529593	$	150.00	
4	PFM Group Consulting LLC
Tax Roll FY 2021	
FY21-TR-0001	
$ 5,000.00	
5	Vglobal Tech			
	Website Maintenance	1918	$	100.00	
		Subtotal for FY	$13,552.00	
		Total	$13,552.00	

Secretary/Assistant Secretary

By Amy Champagne at 12:57 pm, Sep 09, 2020

Amelia National Community Development District c/o PFM Group Consulting, LLC
12051 Corporate Blvd
Orlando, FL 32817

INVOICE

Customer

Acct #	Amelia National Community Development District
169	
Date	09/02/2020	
Customer	
Charisse Bitner	
Service		
Page	1 of 1	

Payment Information	
Invoice Summary	$	6,503.00	
Payment Amount		
Payment for:	Invoice#11667	
100110116	
Thank You

Customer: Amelia National Community Development District

Please detach and return with payment

Invoice	Effective	Transaction	Description	Amount	

11667	

10/01/2020	

Renew policy	Policy #100110116 10/01/2020-10/01/2021
Florida Insurance Alliance POL,EPLI,EBL,Herb & Pest - Renew policy Due Date: 9/2/2020	

6,503.00	
	Total	
	$	6,503.00	
	Thank You	
FOR PAYMENTS SENT OVERNIGHT :
Egis Insurance Advisors LLC, Fifth Third Wholesale Lockbox, Lockbox #234021, 4900 W. 95th St Oaklawn, IL 60453		

Remit Payment To: Egis Insurance Advisors, LLC
Lockbox 234021 PO Box 84021
Chicago, IL 60689-4002	(321)233-9939

sclimer@egisadvisors.com	Date	
		09/02/2020	

Attorneys and Counselors

119 S. Monroe Street, Ste. 300
P.O. Box 6526 Tallahassee, FL 32314
850.222.7500

=================================	STATEMENT =================================

August 31, 2020
Amelia National Community Development District		Bill Number 116981 12051 Corporate Blvd.	Billed through  07/31/2020
Orlando , FL 32817

General Counsel
AMENAT	00001	KSB

FOR PROFESSIONAL SERVICES RENDERED
07/01/20	KSB	Review proposed budget; prepare appropriation and assessment resolution.	1.20 hrs	
07/01/20	KEM	Prepare appropriation resolution and assessment resolution.	0.30 hrs	
07/02/20	KEM	Prepare letter to uncontested supervisor regarding sunshine laws.	0.10 hrs	
07/08/20	KSB	Review agenda package and prepare budget resolutions; confer with district manager; confer with Renfroe.	1.30 hrs	
07/09/20	KSB	Prepare for and attend board meeting.	3.00 hrs	
07/09/20	KEM	Research license agreement; prepare lake access map.	0.40 hrs	
07/10/20	MKR	Finalize VGlobalTech addendum for maintenance services.	0.20 hrs	
07/16/20	SSW	Conduct ongoing research regarding compliance with public meeting requirements for district meetings held remotely using communications media technology; review executive orders issued by Executive Office of the Governor regarding conducting local government public meetings; correspond with representatives of Attorney General’s Office and research questions regarding potential extension of waiver of physical quorum requirement for district meetings, manner of conducting district meetings in the event of expiration of same, and meeting and public hearing notice requirements related to same.	0.20 hrs	

Total fees for this matter	$1,799.00

MATTER SUMMARY

Ibarra, Katherine E. - Paralegal		0.80 hrs	130	/hr	$104.00	
Buchanan, Katie S.		5.50 hrs	290	/hr	$1,595.00	
Rigoni, Michelle K.		0.20 hrs	235	/hr	$47.00	
Warren, Sarah S.		0.20 hrs	265	/hr	$53.00	
	TOTAL FEES				$1,799.00	

TOTAL CHARGES FOR THIS MATTER	$1,799.00 BILLING SUMMARY
Ibarra, Katherine E. - Paralegal	0.80 hrs	130	/hr	$104.00	
Buchanan, Katie S.	5.50 hrs	290	/hr	$1,595.00	

Amelia National CDD - General	Bill No. 116981	Page  2
=======================================================================================

Rigoni, Michelle K.		0.20 hrs	235	/hr	$47.00	
Warren, Sarah S.		0.20 hrs	265	/hr	$53.00	
	TOTAL FEES				$1,799.00	

TOTAL CHARGES FOR THIS BILL	$1,799.00

Please include the bill number with your payment.

The Lake Doctors, Inc.
Aquatic Management Services    •

Invoice#	52959	
Account#	72692	
Invoice Date	9/3/2020	
	-	
Due Date	9/1 3/20	
Rep	MAS	

INVOICE
3

3543 State Road 419, Winter Springs, FL 32708

AMELIA NATIONAL CDD/FTNCLN
PFM GROUP CONSULTING LLC AND LELAND MANAG 12051 CORPORATE BLVD
ORLANDO, FLORIDA 32817

Bill To

Purchase Order Number	Terms	
Invoice Date Reflects Month of Service Provided	
	NET 10 DAYS		
Item	Description	Amount

150.00	
	Fountain Service-Quarterly

RECEIVED SEP O 8 2020

Customer Total Balance   $150.00I		
Please confirm your bank bill payer amount matches your invoice amount if you use a bank bill	Total Invoice
paver service. Thank vou!	$150.00	
To help ensure prompt and accurate credit to your account, please include your account number and invoice number on your check and always include your remittance stub with your payment .

Please visit www.lakedoctors.com for your local office contact information.	

PH: 800-666-5253	20

Invoice Questions: Lakes@lakedoctors.com Payment Questions: Payments@lakedoctors.com

-

Amount Enclosed

Invoice#	529593	
Account#	726921	
Date	9/3/2020	

AMELIA NATIONAL CDD/FTNCLN
PFM GROUP CONSULTING LLC AND LELAND MANAG 12051 CORPORATE BLVD
ORLANDO, FLORIDA 32817

Bill To

PLEASE DETACH & RETURN THIS PORTION WITH PAYMENT

Go Green! Contact us at Payments@ lakedoct ors.com to have your invoic es emailed.

IF PAYING BY CREDIT CARD, FILL OUT BELOW
Mastercard	Visa

Card # _   _    _    _    _    _    _ _
Card Verification#  _   _   _ _

         American Express
_ _ _ _ _ _
_ _ _ _ _ _

Exp. Date# _ _ _ _ _ _ _ _ _ _ _ _ _
Prin t Name _ _ _ _ _ _ _ _ _ _ _ _ _
Billing Address: Check box if same as above

Signature _ _ _ _ _ _ _ _ _ _ _ _ _ _

For address and contact updates, please email us at Frontdesk(a?lakedoctors.com.
The Lake Doctors, Inc. 3543 State Road 419 Winter Springs, FL 32708
D r®J

Date	Invoice Number	
September 8, 2020	FY21-TR-0001	
Payment Terms	Due Date	
Upon Receipt	September 8, 2020	

Amelia National CDD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

Bill To:

1735 Market Street 43rd Floor Philadelphia, PA 19103
+1 (215) 567-6100

Federal Tax ID: 81-1642478

Company Address:

Via ACH (preferred):

Via Wire:

Via Mail: 

Remittance Options:

RE:	For the preparation and submission of the FY 2021 Tax Roll.

Professional Fees	$5,000.00
Total Amount Due	$5,000.00

1	of	1

VGlobalTech
636 Fanning Drive
Winter Springs, FL 32708 US contact@vglobaltech.com www.vglobaltech.com

INVOICE
BILL TO
Amelia National CDD 1735 Market St FL 43
Philadelphia, PA 191037502 USA

INVOICE # 1918
DATE 09/01/2020
DUE DATE 09/01/2020
TERMS Due on receipt

DATE	ACTIVITY	QTY	RATE	AMOUNT	
Web Maintenance:ADA Website Maintenance
Ongoing website maintenance for
ADA and WCAG Compliance	1	100.00	100.00	

Please make check payable to VGlobalTech.	BALANCE DUE	$100.00

Sep 24 20 05:36p	CALKINS

9044916226

p.1

AMELIA NATIONAL
COMMUNITY	DEVELOPMENT	DISTRICT

Payment Authorization 73
9/17/2020
FY20
Jtem	Payee	Invoice#	General
No.	Fund

1	Martex Services		
Installed Seasonal Flowers	11490	$ 2,513.67	
Maintenance Contract Renewal Sep. 2020	12020	$ 2,231.00	
2	PFM Group Consulting LLC			
Billable Expenses: Jul. 2020	111320	$	461.10	
District Management Fee: Sept. 2020	DM-09-2020-0001	$ 2,083.37	
Postage/FedEx: Mar 2020	OE-EXP-00768	$	8.91	
Postage/FedEx: Apr 2020	OE-EXP-00819	$	52.38	
Postage/FedEx: May 2020	OE-EXP-00880	$	8.03	
Postage/FedEx: Jun 2020	OE-EXP-00934	$	15.65	
Postage/FedEx: Jul 2020	OE-EXP-00992	$	9.12	
Postage/FedEx: Aug 2020	OE-EXP-01047	$	82.07	
	Subtotal for FY	$ 7,465.30	
	Total	$7,465.30	

q/2v/20

Secretary/Assistant Secretary

INVOICE

Amelia National COD Amelia National CDD Fernandina Beach, FL

PFM Group Consulting 12051 Corporate Blvd.
Orlando, FL 32817

PROPERTY

r

41,M11,ii•)li·lljll'=GAt·H4' 
 	 $2,513.67

Please detach top portion and return with your payment.

l E_  ,  !t....	:	; ,i	UNIT PRICE	EXT PRICE	LINE TOTAL

#7238 - Maintenance Contract RENEWAL RENEWAL
Seasonal flowers installed

Total
Cred its/P2y ments Applied
Balance Due

$2,513.67
$2,513.67
$2,513.67
$0.00
$2,513.67

RECEIVED SEP 1 4 2020

BILL TO

INVOICE

r-.,	PROPERTY

PFM Group Consulting 12051 Corporate Blvd.
Orlando, FL 32817

Amelia National COD Amelia National COD Fernandina Beach, FL

Please detach top portion and return with your payment.

QTY  ITEM	-	-	:--  --  ··  u NI T·PRICE-	EXT P.RICE	LINE TOTAL
'. 
#7238 - Maintenance Contract RENEWAL RENEWAL September 2020	$2,231.00

Total
Credits/Payments Applied Balance Due

$2,231.00
$0.00
$2,231.00

RECEIVED SEP 1 4 2020

Date	Invoice Number	
September 8, 2020	111320	
Payment Terms	Due Date	
Upon Receipt	September 8, 2020	

Amelia National CDD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

Bill To:

1735 Market Street 43rd Floor Philadelphia, PA 19103
+1 (215) 567-6100

Federal Tax ID: 81-1642478

Company Address:

Via ACH (preferred):

Via Wire:

Via Mail: 

Remittance Options:

RE:	Billable expenses.

Expenses	$461.10
Total Amount Due	$461.10

Date	Invoice Number	
September 8, 2020	111320	
Payment Terms	Due Date	
Upon Receipt	September 8, 2020	

Expense Supporting Detail	
Category	Worker	Transaction Date	Amount Billed	
Advertising	Jennifer Walden	07/31/20	$461.10
Advertising  $461.10	
			Total Expenses: $461.10	

1|	Memo Bill Period

2|

Advertiser/Client Name

1	07/30/20

74543

CANDY.

74543

7|	Advertiser/Client Number

6|	Billed Account Number

Memo Bill Date

5|

4| Page Number

.00

.00

.00

.00

Over 90 Days

60 Days

22|	30 Days

21|	Current Net Amount Due

461.10

3|	Terms of Payment

*Unapplied Amount

23|	Total Amount Due

AMELIA NATIONAL CDD

08/2020

NEWS-LEADER
P.O. Box 16766
Fernandina Beach FL 32035
(904) 261-3696
Fax(904) 261-3698

Advertising Memo Bill

8|	Billed Account Name and Address
AMELIA NATIONAL CDD 12051 CORPORATE BLVD
ORLANDO FL 32817

Amount Paid: Comments:
Ad #:	591314

Please Return Upper Portion With Payment
10|	Date	11| Newspaper Reference	12|13|14|	Description-Other Comments/Charges	15|		SAU Size 16|	Billed Units	17| Times Run 18|	Rate	19| Gross Amount	|20| Net Amount	
08/05/20	591314
ROPLD

AFFRD	AN MEETING NOTICE EMERGENCY DUE TO COVID 08/05
FNL
AFFIDAVIT RETAIL DISPL	3.0X 6.00
18.00	1
24.95

12.00	461.10	461.10	

21|  Current Net Amount Due	22|

30 Days

60 Days

Over 90 Days

*Unapplied Amount	23|	Total Amount Due

Statement of Account	- Aging of Past Due Amounts

0.00	0.00	0.00	0.00		461.10	

NEWS-LEADER

24| Invoice

25|

Advertiser Information

(904) 261-3696	* UNAPPLIED AMOUNTS ARE INCLUDED IN TOTAL AMOUNT DUE

591314	1|	Billing Period	6|	Billed Account Number	7| Advertiser/Client Number	2|	Advertiser/Client Name		
	08/2020	74543	74543	AMELIA NATIONAL CDD		

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT PUBLIC MEETING HELD DURING
PUBLIC HEALTH EMERGENCY DUE TO COVID-19
Notice is hereby given that the Board of Supervisors (“Board”) of the Amelia National Community Development District (“District”) will hold a meeting of the Board of Supervisors on August 13, 2020 at 11:30 a.m. to be conducted by the following means of communications media technology, such as telephonic conferencing, pursuant to Executive Orders 20-52, 20-69, 20-112 and 20-114 issued
by Governor DeSantis on March 9, 2020, March 20, 2020, April 29, 2020 and May 8, 2020 respectively, and pursuant to Section 120.54(5)(b)2., Florida Statutes. The meeting is being held for the necessary public purpose of considering essential Board of Supervisors items that includes but not limited to Minutes and Resolution Regarding Amending the District’s Boundaries. At such time the Board is so authorized and may consider any business that may properly come before it.
While it is necessary to hold the above referenced meeting of the District’s Board of Supervisors utilizing communications media technology due to the current COVID-19 public health emergency, the District fully encourages public participation in a safe and efficient manner. Toward that end, anyone wishing to listen and participate in the meeting can do so telephonically at 1-844-621-3956, Participant Code: 790 562 990#. Additionally, participants are encouraged to submit questions and comments to the District Manager in advance at carvalhov@pfm.com to facilitate the Board’s consideration of such questions and comments during the meeting.
A copy of the agenda may be obtained at the offices  of the District Manager,  c/o PFM  Group Consulting, LLC, 12051 Corporate Blvd., Orlando, Florida 32817 (407) 723-5900, carvalhov@pfm.com (“District Manager’s Office”) during normal business hours.
The meeting is open to the public and will be conducted in accordance with the provisions of Florida law for community development districts. The meeting may be continued to a date, time, and place to be specified on the record at such meeting. There may be occasions when Board Supervisors or District Staff may participate by speaker telephone.
Any person requiring special accommodations at the meeting because of a disability or phys- ical impairment should contact the District Manager’s Office at least forty-eight (48) hours prior to the meeting. If you are hearing or speech impaired, please contact the Florida Relay Service by dialing 7-1-1, or 1-800-955-8771 (TTY) / 1-800-955-8770 (Voice), for aid in contacting the District Manager’s Office.
Each person who decides to appeal any decision made by the Board with respect to any mat- ter considered at the meeting is advised that person will need a record of proceedings and that accordingly, the person may need to ensure that a verbatim record of the proceedings is made, including the testimony and evidence upon which such appeal is to be based.
Vivian Carvalho District Manager

Date	Invoice Number	
September 8, 2020	DM-09-2020-0001	
Payment Terms	Due Date	
Upon Receipt	September 8, 2020	

Amelia National CDD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

Bill To:

1735 Market Street 43rd Floor Philadelphia, PA 19103
+1 (215) 567-6100

Federal Tax ID: 81-1642478

Company Address:

Via ACH (preferred):

Via Wire:

Via Mail: 

Remittance Options:

RE:	District Management Fee: September 2020

Professional Fees	$2,083.37
Total Amount Due	$2,083.37

Date	Invoice Number	
September 14, 2020	OE-EXP-00768	
Payment Terms	Due Date	
Upon Receipt	September 14, 2020	

Amelia National CDD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

Bill To:

1735 Market Street 43rd Floor Philadelphia, PA 19103
+1 (215) 567-6100

Federal Tax ID: 81-1642478

Company Address:

Via ACH (preferred):

Via Wire:

Via Mail: 

Remittance Options:

RE:	March 2020 FedEx

Expenses	$8.91
Total Amount Due	$8.91

Date	Invoice Number	
September 16, 2020	OE-EXP-00819	
Payment Terms	Due Date	
Upon Receipt	September 16, 2020	

Amelia National CDD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

Bill To:

1735 Market Street 43rd Floor Philadelphia, PA 19103
+1 (215) 567-6100

Federal Tax ID: 81-1642478

Company Address:

Via ACH (preferred):

Via Wire:

Via Mail: 

Remittance Options:

RE:	April 2020 FedEx

Expenses	$52.38
Total Amount Due	$52.38

Date	Invoice Number	
September 16, 2020	OE-EXP-00880	
Payment Terms	Due Date	
Upon Receipt	September 16, 2020	

Amelia National CDD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

Bill To:

1735 Market Street 43rd Floor Philadelphia, PA 19103
+1 (215) 567-6100

Federal Tax ID: 81-1642478

Company Address:

Via ACH (preferred):

Via Wire:

Via Mail: 

Remittance Options:

RE:	May 2020 FedEx

Expenses	$8.03
Total Amount Due	$8.03

Date	Invoice Number	
September 16, 2020	OE-EXP-00934	
Payment Terms	Due Date	
Upon Receipt	September 16, 2020	

Amelia National CDD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

Bill To:

1735 Market Street 43rd Floor Philadelphia, PA 19103
+1 (215) 567-6100

Federal Tax ID: 81-1642478

Company Address:

Via ACH (preferred):

Via Wire:

Via Mail: 

Remittance Options:

RE:	June 2020 FedEx

Expenses	$15.65
Total Amount Due	$15.65

Date	Invoice Number	
September 16, 2020	OE-EXP-00992	
Payment Terms	Due Date	
Upon Receipt	September 16, 2020	

Amelia National CDD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

Bill To:

1735 Market Street 43rd Floor Philadelphia, PA 19103
+1 (215) 567-6100

Federal Tax ID: 81-1642478

Company Address:

Via ACH (preferred):

Via Wire:

Via Mail: 

Remittance Options:

RE:	July 2020 Postage $5.50 and FedEx $3.62

Expenses	$9.12
Total Amount Due	$9.12

Date	Invoice Number	
September 16, 2020	OE-EXP-01047	
Payment Terms	Due Date	
Upon Receipt	September 16, 2020	

Amelia National CDD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

Bill To:

1735 Market Street 43rd Floor Philadelphia, PA 19103
+1 (215) 567-6100

Federal Tax ID: 81-1642478

Company Address:

Via ACH (preferred):

Via Wire:

Via Mail: 

Remittance Options:

RE:	August 2020 Postage $13.65 and FedEx $68.42

Expenses	$82.07
Total Amount Due	$82.07

Oct 14 20 01:28p	CALKINS	9044916226	p.1

AMELIA NATIONAL
COMMUNITY	DEVELOPMENT	DISTRICT

Payment	Authorization 74		
10/9/2020			

Item	
Payee	
Invoice#	FY20
General	FY21
General	
No.			Fund	Fund	

1	
FPL (paid online)				
	Acct 29680-15020; 08/19/20 - 09/18/20		$	68.39		
	Acct: 83521-45521; 08/19/20 - 09/18/20		$	52.67		
2	Hopping Green & Sams				
	District Counsel thru 08/31/20	117545	$ 1,326.00		
3	The Lake Doctors, Inc.
Water Management Svs Oct. 2020	
535565		
$	2,500.00	
4	Martex Services				
	Maintenance Contract Renewal Oct. 2020	12289		$	2,231.00	
5	PFM Group Consulting LLC				
	Postage/FedEx : Sep 2020	OE-EXP-01106	$	14.21		
6	Vglobal Tech				
	Quarterly Website Audits	1943	$	300.00		
	Website Maintenance	2031		$	100.00	
		Subtotal for FY	$ 1,761.27	$	4,831.00	

Total

$6,592.27

Secretary/Assistant Secretary

/	27	34132968015020 9386000000

FPL
GENERAL MAIL FACILITY MIAMI FL 33188-0001

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT
12051 CORPORATE BLVD
ORLANDO	FL 32817

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT:
Here’s what you owe for this billing period.

Amount of your last bill	$68.30	
Payments	-$68.30	
New charges due by Oct 9, 2020	$68.39	
Total amount you owe	$68.39	

Amount of your last bill	
68.30	
Payment received - Thank you	−68.30	
Balance before new charges	$0.00	
NEW CHARGES
Rate: GS-1 GENERAL SVC NON-DEMAND / BUSINESS		

Sep 18, 2020 Electric Bill

For: Aug 19, 2020 to Sep 18, 2020 (30 days)
Service Address
95440 BERMUDA DR # PUMP FERNANDINA BEACH, FL 32034 CHAMPAGNEA@PFM.COM
Account Number 29680-15020

Questions? Contact Us
Reliable energy is affordable energy.
Learn how we save you money at fpl.com/savings

Meter Summary
Meter reading - Meter ACD6771 Next meter reading Oct 19, 2020
Current reading		05701	
Previous reading		-05116	
kWh used		585	
Energy Usage Comparison			
This Month	Last Month		
Service to	Sep 18, 2020	Aug 19, 2020		
kWh Used	585	584		
Service days	30	30		
kWh/day	20	19		
Amount	$68.39	$68.30		

Customer charge:
Non-fuel:   ($0.065270 per kWh)
Fuel:	($0.022160 per kWh)
Electric service amount

$10.62
$38.19
$12.96
61.77

Gross receipts tax Florida sales tax
Discretionary sales surtax
Taxes and charges

1.58
4.41
0.63
6.62

Total new charges

$68.39

Total amount you owe

$68.39

Energy Usage History
750 kWh  	
600 kWh  	
450 kWh  	
300 kWh  	
150 kWh  	

N	D	J	F	M	A	M	J	J	A	S	
2019					2020	

0 kWh

Keep In Mind
Payments received after October 09, 2020 are considered late; a late payment charge, the greater of $5.00 or 1.5% of your past due balance will apply. Your account may also be billed a deposit adjustment.

Thank you for scheduling your payment!
Your payment was made on Oct 7, 2020 10:45 AM EST.
An email of your payment has been sent to champagnea@pfm.com

Total Payment Amount Electric Payment Payment Date
Bank Account Confirmation Number

$68.39
$68.39
Oct 9, 2020
********9799 2811045

Payment Terms & Conditions
You authorize FPL to make a withdrawal from your bank account to pay the FPL bill for the account listed above.
You are the bank account holder or an authorized agent for the bank account listed above.
Your bank account is with a U.S. bank, and you understand that your bank may charge for this service.
Your payment will be debited from your bank account on or about the same day you make your payment online.

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/	27	3413835214552187625000000

FPL
GENERAL MAIL FACILITY MIAMI FL 33188-0001

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT
12051 CORPORATE BLVD
ORLANDO	FL 32817

Hello Amelia National Community Development District, Here’s what you owe for this billing period.

Amount of your last bill		$51.70	
Payments		-$51.70	
New charges due by Oct 9, 2020		$52.67	
Total amount you owe		$52.67	

Amount of your last bill Payment received - Thank you		
51.70
−51.70	
Balance before new charges		$0.00	
NEW CHARGES
Rate: RS-1 RESIDENTIAL SERVICE
Customer charge:	

$8.34		
Non-fuel: (First 1000 kWh at $0.066840)	$33.55		

Sep 18, 2020 Electric Bill

For: Aug 19, 2020 to Sep 18, 2020 (30 days)
Service Address
95005 AMELIA NATIONAL PKWY # ENTRANCE FERNANDINA BEACH, FL 32034 CHAMPAGNEA@PFM.COM
Account Number 83521-45521

Questions? Contact Us
Reliable energy is affordable energy.
Learn how we save you money at fpl.com/savings

Meter Summary
Meter reading - Meter ACD3605 Next meter reading Oct 19, 2020
Current reading		78388	
Previous reading		-77886	
kWh used		502	
Energy Usage Comparison			
This Month	Last Month	Last Year	
Service to	Sep 18, 2020	Aug 19, 2020	Sep 18, 2019	
kWh Used	502	491	555	
Service days	30	30	30	
kWh/day	17	16	19	
Amount	$52.67	$51.70	$59.21	

Fuel:

(Over 1000 kWh at $0.077460)
(First 1000 kWh at $0.018840) (Over 1000 kWh at $0.028840)

$9.46

Electric service amount

51.35

Gross receipts tax
Taxes and charges

1.32
1.32

Total new charges

$52.67

Total amount you owe

$52.67

Energy Usage History
850 kWh  	
680 kWh  	
510 kWh  	
340 kWh  	
170 kWh  	

0 kWh	S   O  N D  J	F   M  A  M  J	J  A  S
2019	2020

Keep In Mind
Payments received after October 09, 2020 are considered late; a late payment charge, the greater of $5.00 or 1.5% of your past due balance will apply. Your account may also be billed a deposit adjustment.

Thank you for scheduling your payment!
Your payment was made on Oct 7, 2020 10:47 AM EST.
An email of your payment has been sent to champagnea@pfm.com

Total Payment Amount Electric Payment Payment Date
Bank Account Confirmation Number

$52.67
$52.67
Oct 9, 2020
********9799 2811047

Payment Terms & Conditions
You authorize FPL to make a withdrawal from your bank account to pay the FPL bill for the account listed above.
You are the bank account holder or an authorized agent for the bank account listed above.
Your bank account is with a U.S. bank, and you understand that your bank may charge for this service.
Your payment will be debited from your bank account on or about the same day you make your payment online.

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Attorneys and Counselors

119 S. Monroe Street, Ste. 300
P.O. Box 6526 Tallahassee, FL 32314
850.222.7500

=================================	STATEMENT =================================

September 30, 2020
Amelia National Community Development District		Bill Number 117545 12051 Corporate Blvd.	Billed through  08/31/2020
Orlando , FL 32817

General Counsel
AMENAT	00001	KSB

FOR PROFESSIONAL SERVICES RENDERED
08/10/20	SSW	Monitor and review executive orders regarding requirements for budget and	0.20 hrs	
		assessment hearings and waiver of physical quorum requirement for conducting		
		same due to COVID-19 public health emergency; research and respond to		
		questions regarding same; monitor and review executive orders extending		

08/12/20	
KSB	waiver of physical quorum requirement for local government public meetings.

Prepare real property due diligence file and circulate to board members.	
1.20 hrs	
08/12/20	KEM	Research status of license agreement.	0.20 hrs	
08/13/20	KSB	Prepare for and attend board meeting.	2.40 hrs	
08/14/20	KSB	Confer with chairman regarding potential refinancing.	0.20 hrs	
08/20/20	KSB	Confer with chairman and underwriter.	0.50 hrs	

Total fees for this matter	$1,326.00

MATTER SUMMARY

Ibarra, Katherine E. - Paralegal		0.20 hrs	130	/hr	$26.00	
Buchanan, Katie S.		4.30 hrs	290	/hr	$1,247.00	
Warren, Sarah S.		0.20 hrs	265	/hr	$53.00	
	TOTAL FEES				$1,326.00	

TOTAL CHARGES FOR THIS MATTER	$1,326.00 BILLING SUMMARY
Ibarra, Katherine E. - Paralegal	0.20 hrs	130	/hr	$26.00	
Buchanan, Katie S.	4.30 hrs	290	/hr	$1,247.00	
Warren, Sarah S.	0.20 hrs	265	/hr	$53.00	

TOTAL FEES	$1,326.00

Amelia National CDD - General	Bill No. 117545	Page  2
=======================================================================================
TOTAL CHARGES FOR THIS BILL	$1,326.00

Please include the bill number with your payment.

f /

=

-,,.	The Lake Doctors, Inc.
Aquatic Management Services '"

INVOICE

Invoice#	535565	
Account#	726587	
Invoice Date	10/1/2020	
Due Date	10/11/2020	
Rep	MAS	

3543 State Road 419, Winter Springs, FL 32708
PH: 800-666-5253

AMELIA NATIONAL CDD
PPM GROUP CONSULTING LLC 12051 CORPORATE BLVD
ORLANDO, FLORIDA 32817

Bill To

Invoice Questions: Lakes@lakedoctors.com Payment Questions: Payments@lakedoctors.com

Purchase Order Number	Terms	
Invoice Date Reflects Month of Service Provided	
	NET 10 DAYS		
Item	Description	Amount	
	Monthly Water Management Service

RECEIVED OCT O 5 2020

Customer Total Balance $2,500.00	2,500,00	
Please confirm  your bank  bill  payer amount matches your invoice amount  if you  use a  bank bill j	Total Invoice
payer service. Thank you!	$2,500.00	
To help ensure prompt and accurate credit to your account, please include your account number and invoice number on your check and always include your remittance stub with your payment.

Please visit www.lakedoctors.com for your local office contact information,		

Amount Enclosed

Invoice#	535565	
Account#	726587	
Date	10/1/2020	

AMELIA NATIONAL CDD
PFM GROUP CONSULTING LLC 12051 CORPORATE BLVD
ORLANDO, FLORIDA 32817

Bill To

PLEASE DETACH & RETURN THIS PORTION WITH PAYMENT
Go Green! Contact us at Payments@lakedoctors.com to have your invoices emailed.

IF PAYING BY CREDIT CARD, FILL OUT BELOW
Mastercard	Visa	 American Express Card# _ _ _ _ _ _ _ _ _ _ _ _ _ _
Card Verification# 	_
Exp. Date# _  _  _  _  _  _  _  _  _  _  _  _  _
Print Name _   _   _   _   _   _   _   _   _   _   _   _   _
Billing Address: 	Check box if same as above

Signature 	_

For address and contact updates, please email us at Frontdesk lakedoctors.com.
The Lake Doctors, Inc. 3543 State Road 419 Winter Springs, FL 32708
D

BILL TO

INVOICE

PROPERTY

PFM Group Consulting 12051 Corporate Blvd.
Orlando, FL 32817

Amelia National CDD Amelia National COD Fernandina Beach, FL

Please detach top portion and return with your payment.

QTY ITEM	UNIT PRICE	EXT PRICE	LINE TOTAL
#7238 - Maintenance Contract RENEWAL RENEWAL October 2020	$2,231.00

Total
Credits/Payments Applied Balance Due

$2,231.00
$0.00
$2,231.00

RECEIVED OCT O 5 2020

1417 Avery Road  Fernandina Beach, FL 32034

www.martexlandscape.com

Date	Invoice Number	
October 7, 2020	OE-EXP-01106	
Payment Terms	Due Date	
Upon Receipt	October 7, 2020	

Amelia National CDD
c/o PFM Group Consulting District Accounting Department
12051 Corporate Blvd
Orlando, FL 32817 United States of America

Bill To:

1735 Market Street 43rd Floor Philadelphia, PA 19103
+1 (215) 567-6100

Federal Tax ID: 81-1642478

Company Address:

Via ACH (preferred):

Via Wire:

Via Mail: 

Remittance Options:

RE:	September 2020 Postage $5.50 and FedEx $8.71

Expenses	$14.21
Total Amount Due	$14.21

1	of	1

VGlobalTech
636 Fanning Drive
Winter Springs, FL 32708 US contact@vglobaltech.com www.vglobaltech.com

INVOICE
BILL TO
Amelia National CDD 1735 Market St FL 43
Philadelphia, PA 191037502 USA

INVOICE # 1943
DATE 09/30/2020
DUE DATE 09/30/2020
TERMS Due on receipt

DATE	ACTIVITY	QTY	RATE	AMOUNT	
Audits:Quarterly ADA & WCAG	1	300.00	300.00	
Audits		
Quarterly ADA & WCAG Audits		
for all new content and document		
conversions for the website.		

Invoice for Quarter 3 ADA Audit.	BALANCE DUE	$300.00
Please make check payable to VGlobalTech.

VGlobalTech
636 Fanning Drive
Winter Springs, FL 32708 US contact@vglobaltech.com www.vglobaltech.com

INVOICE
BILL TO
Amelia National CDD 1735 Market St FL 43
Philadelphia, PA 191037502 USA

INVOICE # 2031
DATE 10/01/2020
DUE DATE 10/01/2020
TERMS Due on receipt

DATE	ACTIVITY	QTY	RATE	AMOUNT	
Web Maintenance:ADA Website Maintenance
Ongoing website maintenance for
ADA and WCAG Compliance	1	100.00	100.00	

Please make check payable to VGlobalTech.	BALANCE DUE	$100.00

AMELIA NATIONAL COMMUNITY DEVELOPMENT DISTRICT

Review of District Financial Statements

Amelia National CDD Statement of Financial Position As of 10/31/2020

Debt Service Fund	Debt Service Fund	
- 2004 A	- 2006A	

Assets		

Construction Fund	Long Term Debt
Group		Total	

$59,997.83	
			5,898.58	
			182,698.14	
			11,503.00	
			588,196.04	
			1,568.98	
			427,784.84	
			359,846.98	
			280,036.53	
			350,459.38	
			263,643.72	
			10,930.41	
			104,678.13	
			2,699.47	
$37,931.42			37,931.42	
163,189.91			163,189.91	
176,228.19			176,228.19	
$377,349.52	$0.00		$3,027,291.55	

$1,449,620.08		

$1,449,620.08	
	8,265,379.92		8,265,379.92	
$0.00	$9,715,000.00		$9,715,000.00	

$377,349.52	
$9,715,000.00		
$12,742,291.55	

$11,512.48	
		182,698.14	
		588,196.04	

General Fund

Current Assets
General Checking - CNB State Board of Administration Assessments Receivable Prepaid Expenses Assessments Receivable Due From Other Funds
Debt Service Reserve - 2004A Revenue - 2004A
Prepayment 2004A Assessments  Receivable Debt Service Reserve - 2006A Revenue - 2006A
Interest 2006A Prepayment 2006A
Acquisition/Construction - 2006A Deferred Cost - 2004A
Deferred Cost - 2006A Total Current Assets

Investments
Amount Available in Debt Service Funds Amount To Be Provided
Total Investments

Total Assets

$59,997.83 5,898.58
182,698.14

$588,196.04			
1,568.98			
427,784.84			
359,846.98			
280,036.53			
		$350,459.38	
		263,643.72	
		10,930.41	
		104,678.13	
		2,699.47	
$260,097.55	$1,657,433.37		$732,411.11	
$0.00		$0.00	
$260,097.55	$1,657,433.37		$732,411.11	

Liabilities and Net Ass	

et	

s	

11,503.00

 	  	

 	  	

Current Liabilities			
Accounts Payable	$11,512.48		
Deferred Revenue	182,698.14		
Deferred Revenue		$588,196.04	

Amelia National CDD Statement of Financial Position As of 10/31/2020

Deferred Revenue
Total Current Liabilities

Long Term Liabilities
Revenue Bonds Payable - Long-Term Total Long Term Liabilities

Total Liabilities

Net Assets

Net Assets, Unrestricted
Current Year Net Assets, Unrestricted

Net Assets, Unrestricted
Current Year Net Assets, Unrestricted

Net Assets, Unrestricted
Current Year Net Assets, Unrestricted

Net Assets, Unrestricted

Total Net Assets	$65,886.93		$1,069,237.33		$381,951.73	
						
Total Liabilities and Net Assets	$260,097.55		$1,657,433.37		$732,411.11	

Current Year Net Assets, Unrestricted Net Assets - General Government

General Fund

$194,210.62

$194,210.62

Debt Service Fund
- 2004 A

$588,196.04

$0.00

$588,196.04

Net Assets, Unrestricted	$207,923.54	
Net Assets - General Government	(156,590.43)	
Current Year Net Assets - General Government	14,553.82	

$1,043,002.41
26,234.92

Debt Service Fund

Construction Fund

$0.00		Long Term Debt
Group

$0.00		Total

350,459.38
$1,132,866.04	

$0.00		

$9,715,000.00
$9,715,000.00		

$9,715,000.00
$9,715,000.00	
$0.00		$9,715,000.00		$10,847,866.04	

$377,349.54
0.00

(0.02)
$377,349.52		

$377,349.54
0.00

$377,349.54		

$207,923.54 (156,590.43)
14,553.82

1,043,002.41
26,234.92

381,951.73
0.00

377,349.54
0.00

377,349.54
0.00

(0.02)
$2,271,775.05	
					
$377,349.52		$9,715,000.00		$12,742,291.55	

- 2006A

$350,459.38

$350,459.38

$0.00

$350,459.38

$381,951.73
0.00

 	 	 

Revenues

Off-Roll Assessments Other Assessments
Total Revenues

Expenses

Management Field Management Legal Advertising
Web Site Maintenance Lake Maintenance
Landscaping Maintenance & Material Landscape Improvements
Entry Decorations Total Expenses
Other Revenues (Expenses) & Gains (Losses)

Interest Income
Total Other Revenues (Expenses) & Gains (Losses)

Change In Net Assets

Net Assets At Beginning Of Period

Amelia National CDD
Statement of Activities

General Fund	Debt Service Fund -	Debt Service Fund -	Construction Fund	Long Term Debt 2004 A		2006A			Group		Total	

$28,026.36		

$26,234.92								
$28,026.36 26,234.92	
$28,026.36		$26,234.92		$0.00		$0.00		$0.00		$54,261.28	

$2,500.00										
$2,500.00	
800.00										800.00	
471.00										471.00	
100.00										100.00	
2,500.00										2,500.00	
2,231.00										2,231.00	
2,500.00										2,500.00	
2,372.50										2,372.50	
$13,474.50		$0.00		$0.00		$0.00		$0.00		$13,474.50	

$1.96
$1.96

$14,553.82		

$0.00

$26,234.92		

$0.00

$0.00		

$0.00

$0.00		

$0.00

$0.00		
$1.96
$1.96

$40,788.74	

$51,333.11		
$1,043,002.41		
$381,951.73		
$377,349.52		
$377,349.52		
$2,230,986.29	

For the period of 10/1/2020 through 10/31/2020

Net Assets At End Of Period

$65,886.93

$1,069,237.33

$381,951.73

$377,349.52

$377,349.52	$2,271,775.03

Amelia National CDD
Budget to Actual
For the Month Ended 10/31/2020

Revenues

Actual

Year To Date

Variance		Adopted FY 2020 Budget	

$10,465.94
$10,465.94		
$210,725.00
$210,725.00	

-$500.00
-625.00
-333.33
-83.33
-541.67
-500.00
-416.67
0.00
0.00
-483.33
-166.67
-20.83
-41.67
-320.83
-246.83
346.00
-8.33
-14.58
-685.67
1,833.33
-666.67
-416.67
0.00
2,189.17
-100.00
-2,282.33
-$4,085.92		
$6,000.00 7,500.00
4,000.00
1,000.00
6,500.00
6,000.00
5,000.00
30,000.00
9,600.00
5,800.00
2,000.00
250.00
500.00
3,850.00
2,962.00
1,500.00
100.00
175.00
35,000.00
8,000.00
8,000.00
5,000.00
30,000.00
2,200.00
2,400.00
27,388.00
$210,725.00	
$14,551.86		$0.00	

$1.96
$1.96		
$0.00
$0.00	
$14,553.82		$0.00	

Budget

Assessments	$28,026.36		$17,560.42	
Net Revenues	$28,026.36		$17,560.42	

 	 

Supervisor Fees	$0.00		$500.00	
Trustee Fees	0.00		625.00	
District Counsel	0.00		333.33	
Arbitrage	0.00		83.33	
Audit Fees	0.00		541.67	
Dissemination Agent	0.00		500.00	
Assessment Administration	0.00		416.67	
District Management Fees	2,500.00		2,500.00	
Management Fees - Field	800.00		800.00	
Property Appraiser Fee	0.00		483.33	
Electric	0.00		166.67	
Office Misc (Phone/Postage/Copies/Supplies/etc)	0.00		20.83	
Reamortization Schedule	0.00		41.67	
General Insurance	0.00		320.83	
Public Official Insurance	0.00		246.83	
Legal Advertising	471.00		125.00	
Bank Fees	0.00		8.33	
Dues, Licenses & Fees	0.00		14.58	
Landscape Maintenance	2,231.00		2,916.67	
Landscape Improvement	2,500.00		666.67	
Repairs & Maintenance - Irrigation	0.00		666.67	
Repairs & Maintenance - Entry	0.00		416.67	
Lake Maintenance	2,500.00		2,500.00	
Entry Decorations	2,372.50		183.33	
Website Maintenance	100.00		200.00	
Contingency/Miscellaneous	0.00		2,282.33	
Total General & Administrative Expenses	$13,474.50		$17,560.42	
Income (Loss) from Operations	$14,551.86		$0.00	

her Income (Expense)
Interest Income	

$1.96		

$0.00	
Total Other Income (Expense)	$1.96		$0.00	
Net Income (Loss)	$14,553.82		$0.00	

General & Administrative Expenses

Ot