R-66-10 Res. Approving Signors Illinois FundsRESOLUTION R - ( CD ' (0
A RESOULTION APPROVING SIGNORS WITH THE ILLINOIS
FUNDS INVESTMENT POOL
WHEREAS, the Village of Lemont is a member - participant in the Illinois Funds; and
WHEREAS, the Illinois Funds has been designated as a depositary in which the funds of
the Village of Lemont can be deposited by its officers, agents and employees; and
WHEREAS, it is in the best interest of the Village of Lemont to designate four authorized
Village personnel, and require endorsement by two of the designated individuals on each check,
draft or order
NOW, THEREFORE BE IT RESOLVED by the Village President and Board of Trustees
of the Village of Lemont that effective with the passage of this Resolution, the Village
President, Village Administrator, Assistant Village Administrator, and Account Analyst are
hereby designated and authorized to sign any and all checks, drafts and orders against any
funds on deposit with the Illinois Funds.
The Village Clerk of the Village of Lemont shall certify to the adoption of this
Resolution and cause the same to be published in pamphlet form.
PASSED AND APPROVED BY THE PRESIDENT AND BOARD OF TRUSTEES
OF THE VILLAGE OF LEMONT, COOK, WILL AND DU PAGE COUNTIES ILLINOIS
on this 8-Wt Day of Iiio vkApAl j / , 2010.
Debby Blatzer
Paul Chialdikas
Clifford Miklos
Rick Sniegowski
Ronald Stapleton
Jeanette Virgilio
Attest:
AYES NAYS PASSED ABSENT
BRIAN K. REAV
CHARLENE SMOLLEN, Village Clerk
Village President
MONEY MARKET FUND
RAPID REVENUE
LLiNQiS
Funds
Mail to: State Treasurer Alexi Giannoulias
The Illinois Funds
400 W Monroe, Suite 401
Springfield, IL 62704
APPLICATION AND AGREEMENT TO PARTICIPATE IN THE ILLINOIS FUNDS, MONEY MARKET FUND
❑ New Account Application '4 Change of Information Account # 007139107879 Date 11/01/2010
The Public Agency listed below, ( "Participant "), seeks to participate in the Money Market Fund within The Illinois Funds,
established pursuant to Section 17 of the State Treasurer Act (15 ILCS 505/17), which authorizes the Treasurer to establish a
Public Treasurers' Investment Pool.
1. Village of Lemont 36- 6005968
(Name of Public Agency) (FEIN /TIN Number)
General Funds Is this a Bond Proceeds Account? El Yes ❑✓ No
(Subtitle of Account)
Theodore F Friedley / Account Analyst
418 Main Street
(Street Address)
(630) 243 -2708
(Telephone Number)
(Contact Person/Title)
Lemont
(City)
(630) 257 -1598
(FAX Number)
Cook
(County)
60439
(Zip Code)
triedley a(�lemont.il.us
(Email)
2. Electronic withdrawal(s) from the Fund shall be transferred to: (If more than 1 path, submit separate sheet).
Bank: MB Financial For credit to account # 301005313
ABA (Routing) # 071001737 Attention:
3. RAPID REVENUE PROGRAM: Participant hereby requests Direct Deposit of the following State of Illinois distributive funds:
Dept. of Revenue: 0 Income Tax Illinois Student Assistance Commission:
0
0
Sales Tax
Personal Property Tax
Gaming Funds
Dept. of Transportation:
❑ Motor Fuel Tax
Dept. of Aging:
❑ AAA Payment
State Board of Education:
❑ All School Payment
Illinois Community College Board:
❑ Funds
4. Request standard business checks: ❑
Secretary of State:
Dept. of Public Aid:
Imprest Funds:
State Universities:
Dept. of Veterans' Affairs:
Other:
Other:
Other:
AU State Payments:
0
❑ Library/Library Systems
0
n
n Property Tax
n
5. T .following per (s) is (are) authorized to execute transfers and/or sign checks, as indicated: (if more than five, submit separate sheet)
• -
horize . ignat
v
ure Printed Name
Brian K Reaves
Benjamin P Wehmeier
George J Schafer
Theodore F Friedley
Electronic Transfer Sign Checks
6. Comments: Two signatures required
7. Participant accepts the terms and conditions of the administration of The Illinois Funds as outlined by the State Treasurer with the
understanding that there will be no changes to this agreement and the information contained herein without prior written notice.
8. The undersigned certifies that he /she has been authorized by Participant's governing body or by statutory authority to execute this
Application Agreement on of the Participant.
Signatu . Position/Title: Village President
Privacy Act Notice: You previously provided your Taxpayer Identification Number (TIN), i.e. your Federal employer identification number (FEIN), to
the State of Illinois upon becoming a State of Illinois payee. Section 6109 of the Internal Revenue Code requires you to give your TIN to persons,
such as the State of Illinois, who must file information returns with the IRS to report interest, dividends, and certain other income paid to you. The
Illinois State Treasurer's Office, as administrator of The Illinois Funds Direct Deposit program, requests verification of your TIN on the Application
for Direct Deposit of Payments. Your TIN verification enables proper payee identification and corresponding direction of payments as specified on
your completed Application for Direct Deposit of Payments. While not mandatory, failure to provide your TIN on the Application precludes your
participation in The Illinois Funds Direct Deposit program.
Payment of interest may be available if the State fails to comply with the State Prompt Payment Act [30 ILCS 540]. (Application Revised 11/09)
MONEY MARKET FUND
RAPID REVENUE
The
LLINO1
Funds
Mail to: State Treasurer Alexi Giannoulias
The Illinois Funds
400 W Monroe, Suite 401
Springfield, IL 62704
APPLICATION AND AGREEMENT TO PARTICIPATE IN THE ILLINOIS FUNDS, MONEY MARKET FUND
New Account Application IN Change of Information Account # 007139107861 Date 11/01/2010
The Public Agency listed below, ( "Participant "), seeks to participate in the Money Market Fund within The Illinois Funds,
established pursuant to Section 17 of the State Treasurer Act (15 ILCS 505/17), which authorizes the Treasurer to establish a
Public Treasurers' Investment Pool.
1. Village of Lemont
(Name of Public Agency)
Motor Fuel Tax
(Subtitle of Account)
Theodore F Friedley / Account Analyst
418 Main Street
(Street Address)
(630) 243 -2708
(Telephone Number)
36- 6005968
(FEIN /TIN Number)
Is this a Bond Proceeds Account? El Yes ❑✓ No
(Contact Person/Title)
Lemont
(City)
(630) 257 -1598
(FAX Number)
Cook
(County)
60439
(Zip Code)
tfriedley(cr�.Iemont.il.us
(Email)
2. Electronic withdrawal(s) from the Fund shall be transferred to: (If more than 1 path, submit separate sheet).
Bank: MB Financial For credit to account # 301005313
ABA (Routing) # 071001737 Attention:
3. RAPID REVENUE PROGRAM: Participant hereby requests Direct Deposit of the following State of Illinois distributive funds:
Dept. of Revenue: ❑Income Tax
['Sales Tax
O Personal Property Tax
❑ Gaming Funds
Dept. of Transportation:
Motor Fuel Tax
Dept. of Aging:
❑ AAA Payment
State Board of Education:
❑ All School Payment
Illinois Community College Board:
❑ Funds
4. Request standard business checks: ❑
5. Th
lowing person
rized Si. • re
f,�^�r
-! 0,,1
Illinois Student Assistance Commission:
0
Secretary of State: ❑ Library/Library Systems
Dept. of Public Aid:
Imprest Funds:
State Universities:
Dept. of Veterans' Affairs:
Other:
Other:
Other:
All State Payments:
n
s (are) authorized to execute transfers and /or sign checks, as indicated: (f more than five, submit separate sheet)
Printed Name
Brian K Reaves
Benjamin P Wehmeier
George J Schafer
Theodore F Friedley
Electronic Transfer
Sign Checks
6. Comments: Two signatures required
7. Participant accepts the terms and conditions of the administration of The Illinois Funds as outlined by the State Treasurer with the
understanding that there will be no changes to this agreement and the information contained herein without prior written notice.
8. The undersigned certifies that he /she
Application and
Signature:
'reement on be
/4
been authorized by Participant's governing body or by statutory authority to execute this
of the Participant.
Position/Title: Village President
Privacy Act Notice: You previously provided your Taxpayer Identification Number (TIN), i.e. your Federal employer identification number (FEIN), to
the State of Illinois upon becoming a State of Illinois payee. Section 6109 of the Internal Revenue Code requires you to give your TIN to persons,
such as the State of Illinois, who must file information returns with the IRS to report interest, dividends, and certain other income paid to you. The
Illinois State Treasurer's Office, as administrator of The Illinois Funds Direct Deposit program, requests verification of your TIN on the Application
for Direct Deposit of Payments. Your TIN verification enables proper payee identification and corresponding direction of payments as specified on
your completed Application for Direct Deposit of Payments. While not mandatory, failure to provide your TIN on the Application precludes your
participation in The Illinois Funds Direct Deposit program.
Payment of interest may be available if the State fails to comply with the State Prompt Payment Act [30 ILCS 540]. (Application Revised 11/09)
MONEY MARKET FUND
RAPID REVENUE
The
LLINQIS
Funds
Mail to: State Treasurer Alexi Giannoulias
The Illinois Funds
400 W Monroe, Suite 401
Springfield, IL 62704
APPLICATION AND AGREEMENT TO PARTICIPATE IN THE ILLINOIS FUNDS, MONEY MARKET FUND
❑ New Account Application Change of Information Account # 151600220702 Date 11/01/2010
The Public Agency listed below, ( "Participant "), seeks to participate in the Money Market Fund within The Illinois Funds,
established pursuant to Section 17 of the State Treasurer Act (15 ILCS 505/17), which authorizes the Treasurer to establish a
Public Treasurers' Investment Pool.
1. Village of Lemont 36- 6005968
(Name of Public Agency) (FEIN /TIN Number)
SSA No. 1 Bond Fund Is this a Bond Proceeds Account? fYes ❑ No
(Subtitle of Account)
Theodore F Friedley / Account Analyst
0
418 Main Street
(Street Address)
(630) 243 -2708
(Telephone Number)
(Contact Person /Title)
Lemont
(City)
(630) 257 -1598
(FAX Number)
Cook
(County)
60439
(Zip Code)
tfriedley(a,lemont.il.us
(Email)
2. Electronic withdrawal(s) from the Fund shall be transferred to: (If more than 1 path, submit separate sheet).
Bank: MB Financial For credit to account # 301005313
ABA (Routing) # 071001737 Attention:
3. RAPID REVENUE PROGRAM: Participant hereby requests Direct Deposit of the following State of Illinois distributive funds:
Dept. of Revenue: ❑Income Tax Illinois Student Assistance Commission:
❑Sales Tax
❑Personal Property Tax
❑ Gaming Funds
Dept. of Transportation:
❑ Motor Fuel Tax
Dept. of Aging:
❑ AAA Payment
State Board of Education:
❑ All School Payment
Illinois Community College Board:
❑ Funds
4. Request standard business checks: ❑
Secretary of State: U Library/Library Systems
Dept. of Public Aid: n
Imprest Funds: ❑
State Universities:
Dept. of Veterans' Affairs:
Other: n Bond Proceeds
Other: n
Other:
All State Payments:
n
5. Tt: Following perso is (are) authorized to execute transfers and /or sign checks, as indicated: (f more than five, submit separate sheet)
thorized ,,r ature Printed Name Electronic Transfer Sign Checks
K Reaves 0
= Benjamin P Wehmeier 0
_Mr George J Schafer ■ 0
11MA�1!IlI Theodore F Friedley 0
• •
6. Comments: Two signatures required
7. Participant accepts the terms and conditions of the administration of The Illinois Funds as outlined by the State Treasurer with the
understanding that there will be no changes to this agreement and the information contained herein without prior written notice.
8. The undersigne•1' ertifies that he /she has been authorized by Participant's governing body or by statutory authority to execute this
Application an ' greement on behalf articipant.
Signature:
Position/Title: Village President
Privacy Act Notice: You previously provided your Taxpayer Identification Number (TIN), i.e. your Federal employer identification number (FEIN), to
the State of Illinois upon becoming a State of Illinois payee. Section 6109 of the Internal Revenue Code requires you to give your TIN to persons,
such as the State of Illinois, who must file information returns with the IRS to report interest, dividends, and certain other income paid to you. The
Illinois State Treasurer's Office, as administrator of The Illinois Funds Direct Deposit program, requests verification of your TIN on the Application
for Direct Deposit of Payments. Your TIN verification enables proper payee identification and corresponding direction of payments as specified on
your completed Application for Direct Deposit of Payments. While not mandatory, failure to provide your TIN on the Application precludes your
participation in The Illinois Funds Direct Deposit program.
Payment of interest may be available if the State fails to comply with the State Prompt Payment Act [30 ILCS 540]. (Application Revised 11/09)
MONEY MARKET FUND
RAPID REVENUE
The
LLINQIS
FFmcis
Mail to: State Treasurer Alexi Giannoulias
The Illinois Funds
400 W Monroe, Suite 401
Springfield, IL 62704
APPLICATION AND AGREEMENT TO PARTICIPATE IN THE ILLINOIS FUNDS, MONEY MARKET FUND
❑ New Account Application Change of Information Account # 151600221593 Date 11/01/2010
The Public Agency listed below, ( "Participant "), seeks to participate in the Money Market Fund within The Illinois Funds,
established pursuant to Section 17 of the State Treasurer Act (15 ILCS 505/17), which authorizes the Treasurer to establish a
Public Treasurers' Investment Pool.
1. Village of Lemont 36- 6005968
(Name of Public Agency) (FEIN /TIN Number)
E -Pay Clearing Account Is this a Bond Proceeds Account? ❑Yes n No
(Subtitle of Account)
Theodore F Friedley / Account Analyst
418 Main Street
(Street Address)
(630) 243 -2708
(Telephone Number)
(Contact Person /Title)
Lemont
(City)
(630) 257 -1598
(FAX Number)
Cook
(County)
60439
(Zip Code)
tfriedleyalemont. il. us
(Email)
2. Electronic withdrawal(s) from the Fund shall be transferred to: (If more than 1 path, submit separate sheet).
Bank: MB Financial For credit to account # 301005313
ABA (Routing) # 071001737 Attention:
3. RAPID REVENUE PROGRAM: Participant hereby requests Direct Deposit of the following State of Illinois distributive funds:
Dept. of Revenue: ❑Income Tax Illinois Student Assistance Commission:
['Sales Tax
['Personal Property Tax Secretary of State: 11 Library/Library Systems
❑ Gaming Funds Dept. of Public Aid: �]
Dept. of Transportation: Imprest Funds: ❑
❑ Motor Fuel Tax State Universities:
Dept. of Aging: Dept. of Veterans' Affairs:
❑ AAA Payment Other: n credit card receipts
State Board of Education: Other:
❑ All School Payment Other:
Illinois Community College Board:
❑ Funds
4. Requ- % standard business checks: ❑
5. T a
- llowing perso is (are) authorized to execute transfers and /or sign checks, as indicated: (f more than five, submit separate sheet)
orized Si
n
All State Payments:
n
n
n
ature Printed Name Electronic Transfer Sign Checks
Brian K Reaves
Benjamin P Wehmeier
George J Schafer
Theodore F Friedley
6. Comments: Two signatures required
7. Participant accepts the terms and conditions of the administration of The Illinois Funds as outlined by the State Treasurer with the
understanding that there will be no changes to this agreement and the information contained herein without prior written notice.
8. The undersigned certifies that he /she h. been authorized by Participant's governing body or by statutory authority to execute this
Application and : a'-ement on beh -.. he Participant.
Signature: and
Position /Title: Village President
Privacy Act Notice: You previously provided your Taxpayer Identification Number (TIN), i.e. your Federal employer identification number (FEIN), to
the State of Illinois upon becoming a State of Illinois payee. Section 6109 of the Internal Revenue Code requires you to give your TIN to persons,
such as the State of Illinois, who must file information returns with the IRS to report interest, dividends, and certain other income paid to you. The
Illinois State Treasurer's Office, as administrator of The Illinois Funds Direct Deposit program, requests verification of your TIN on the Application
for Direct Deposit of Payments. Your TIN verification enables proper payee identification and corresponding direction of payments as specified on
your completed Application for Direct Deposit of Payments. While not mandatory, failure to provide your TIN on the Application precludes your
participation in The Illinois Funds Direct Deposit program.
Payment of interest may be available if the State fails to comply with the State Prompt Payment Act [30 ILCS 540]. (Application Revised 11/09)
MONEY MARKET FUND
RAPID REVENUE
The
LLINOIS
Funds
Mail to: State Treasurer Alexi Giannoulias
The Illinois Funds
400 W Monroe, Suite 401
Springfield, IL 62704
APPLICATION AND AGREEMENT TO PARTICIPATE IN THE ILLINOIS FUNDS, MONEY MARKET FUND
❑ New Account Application 0 Change of Information Account # 151600220751 Date 11/01/2010
The Public Agency listed below, ( "Participant "), seeks to participate in the Money Market Fund within The Illinois Funds,
established pursuant to Section 17 of the State Treasurer Act (15 ILCS 505/17), which authorizes the Treasurer to establish a
Public Treasurers' Investment Pool.
1. Village of Lemont 36- 6005968
(Name of Public Agency) (FEIN /TIN Number)
SSA No. 1 Project Fund Is this a Bond Proceeds Account? IIYes n No
(Subtitle of Account)
Theodore F Friedley / Account Analyst
418 Main Street
(Street Address)
(630) 243 -2708
(Telephone Number)
(Contact Person/Title)
Lemont
(City)
(630) 257 -1598
(FAX Number)
Cook
(County)
60439
(Zip Code)
tfriedley(lmont.il.us
(Email)
2. Electronic withdrawal(s) from the Fund shall be transferred to: (If more than 1 path, submit separate sheet).
Bank: MB Financial For credit to account # 301005313
ABA (Routing) # 071001737 Attention:
3. RAPID REVENUE PROGRAM: Participant hereby requests Direct Deposit of the following State of Illinois distributive funds:
Dept. of Revenue: ❑Income Tax Illinois Student Assistance Commission:
❑ Sales Tax
▪ Personal Property Tax
❑ Gaming Funds
Dept. of Transportation:
❑ Motor Fuel Tax
Dept. of Aging:
❑ AAA Payment
State Board of Education:
❑ All School Payment
Illinois Community College Board:
❑ Funds
4. Request standard business checks: ❑
5. T following perso ) is (are) authorized to execute transfers and /or sign checks, as indicated: (f more than five, submit separate sheet)
Secretary of State: U Library /Library Systems
Dept. of Public Aid:
Imprest Funds: ❑
State Universities:
Dept. of Veterans' Affairs: n
Other:
Other:
Other:
All State Payments:
n Property Tax
n
Aothorized,..�," ature
e---At
Printed Name
- rian K Reaves
Benjamin P Wehmeier
George J Schafer
Theodore F Friedley
Electronic Transfer
Sign Checks
6. Comments: Two signatures required
7. Participant accepts the terms and conditions of the administration of The Illinois Funds as outlined by the State Treasurer with the
understanding that there will be no changes to this agreement and the information contained herein without prior written notice.
8. The undersign ./ ertifies that he /sh- -- s been authorized by Participant's governing body or by statutory authority to execute this
Application a �_ reement on b- - of the Participant.
Signatur ��� Position/Title: Village President
Privacy Act Notice: You previously provided your Taxpayer Identification Number (TIN), i.e. your Federal employer identification number (FEIN), to
the State of Illinois upon becoming a State of Illinois payee. Section 6109 of the Internal Revenue Code requires you to give your TIN to persons,
such as the State of Illinois, who must file information returns with the IRS to report interest, dividends, and certain other income paid to you. The
Illinois State Treasurer's Office, as administrator of The Illinois Funds Direct Deposit program, requests verification of your TIN on the Application
for Direct Deposit of Payments. Your TIN verification enables proper payee identification and corresponding direction of payments as specified on
your completed Application for Direct Deposit of Payments. While not mandatory, failure to provide your TIN on the Application precludes your
participation in The Illinois Funds Direct Deposit program.
Payment of interest may be available if the State fails to comply with the State Prompt Payment Act [30 ILCS 540]. (Application Revised 11/09)