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PPD ES Certification 2012
PPD ES Certification 2012
PPD ES Certification 2012
Eipkei9a(KIfi14
Equitable Sharing
Agreement and
C e r t i fi c a t i o n
Police Department
City; Pbiladdphia
First Sabrinea
C o n t a c t ! Ti d e :
Zip;19106
Last Christian
PhonfllllHIH
Same as Preparer; First: Sabrinea
' Contact
Preparer: Pboni
Last Fiscal Year End: 06/30/2012 Agency Current Fiscal Year Budget; $553,186>243.00
O New Participant! Read the Equitable SharingAgreement (page 9) and sign theAffidavit (page 10)
Complete the Annual Certification Report, read the Equitable Sharing Agreement (page %
Revise the Annual Certification Report, read the Equitable Sharing Agreement (page 9).
and sign the Affidavit (page 10).
Treasury funds
$6:227,256.54
$1.163,51S.16
$1,422,073.05
$143,126.46
Other Income
$74.5.40
Non-Interest Bearing O
$2,916.09
$7,734,722.09
$1,309,560.71
$7,417,364.87 $1,309,499.21
September 2011
Va s i o n Z J B
(completeTablet page3)
Total WIndfallTransfers to Other Government Agendes
NaC/ORVTracldng Number
Agency Name
Agency Name:
NQC/ORI^racking Number
Agency Name:
Page2of10
September 2011
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Justica Funds
$10000.00
$204343.90
Justice O
Treasury Q
Race
697S84/Sproul, James
Color
r-> National
Q Disability Age
Race
Color
Disability Age
Race
Disability Age
Race
Color
Disability Age
Page 3 of 10
September 2011
VcfdonJ^O
Name of Case
FU
acdor
nssnder
1603356/Rouse. Calvin
Disability Q ^ge
Race
O & '-'Origin
to
DGBXte
11200768/Sambalino, John
QOisabiiity QAge
Race
Gcaor
aGender
10112807/AIIison, Cornelius
Disability QAge
Disability Age
I^Otfwr GvllRigte
Nationa)
* Race Color
Gender
08-CV-474S/Alers, Miguel
Disability Age
ElRace
ncolor
GGemlef
12-cv-2826/8oyef, Andre
Disability OAge
Other
11 -cv-1574/BucceronI, Emil
13 Disability Age
Race
Other
GColo,
GCender
10<v3551/ByrdKlmberiy
Disability Age
Race
Other Discrimination
Color
GCewter
11-CV-6715/DeStefeno, Orlando
^ Disability Age
Race
Color
12-01543/Fra2ler, Debra
Disability Age
[3 Race
Color
National
Origin
ll-cv-6773/Gallagher,John
1 l-cv-6673/Haybum, Christa
Disability Age
Race
'Odg
Color
g) Disability Age
Page 4 of 10
Gender
other
September 2011
V c d o n l fi
[Race
Color
l-.Nation3i {^Gender
LJOdgfo
Q
|D
sa
ib^fll
Age
Other
Color
P,Natfon3l Gender
|08<v-3912/Maloy. Valerie
^Race
12-cv-1309/MassUohn
Q Disability Age
!e
R
ca
1S3/MiddIeton, Gall
other
National
-'Origin
Disability Age
other
Race Color
Disability QAge
Other
Race Color
LJongin
13Disability Age
other
12-cv-00908/Norman, Renee
11-cv-6469/Rosiji,Rex
Race
I t
National
I S Gender
Gender
Gender
Color
11-cv-1183/RossiterJohn
g} Disability Age
Race
Otfier
Color
11<v-4197/White, Shanda
Disability Age
(3 Other Discrimination
Race Color
530*2012*02640/Brooks, Theresa
DisabilityAge
Age
Race Color
Color
Other Discrimination
p National Gender
'-'origin
Disability Age
Age
Race Color
Color
Other Discrimination
t70-200S-1319/DeVeaux, Curtis
Disability Age
Age
If
Other Discrimination
Race Color
Disability Age
Age
other
Race Color
Color
Gender
If
(^Gender
p.
LJNational
Origin
Gender
530-2012-01933/Johnson, Kelsha
Disability QAge
Age
Other
g| ilace Color
Color
lLJ
.Nati
Origoinnal Gender
Disability QAge
other
530-2009-01070/Mays, Shawn
Page 5 of 10
September 2011
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n Race Color
530-20090292t/McKenna, WHIIam
73LC12/Akil.Nashrd
Disability Age
Race Color
S" a'"""'
NOrigin
ationaJ
QOIsablHty QAge
other
Q Race Q Color
National
p-i/- j
Origin
200700767/Hmes^ Yolanda
846-2011-82621/Marshal!, Camilla
Disability QAge
Other Disclmlnatfon
Q Race Q Color
201105659/Patl,Amit
National
p-i ^ ,
Ortgin
Disability Age
Race Color
200805643/Precha,Elvera
Nati
onal r-,
Origin
September 2011
VmioaaJD
Q Race Q Color
201705373y?{osario, Franclne
Diiability Q Age
Q Race Q Color
201106020/fiosaU, Patrida
DisabJIIty QAge
Race Color
National
n-.
Ortgh
P Disability Age
Q Other
20100203$Ailmer,Kathy
201105S00/Young,Tonlniet3
m Disability QAge
Q Rate D
El 0095706/Brennan, Walter
Nl11152d/Cassdl,0avid
Q Other
Kry, National r-i ^
I^ortgln
Disability Q Age
Q Other
Race Color
^'^7'
Disability QAge
Nl 1051 S07/Cypress, Dawn
Q Race Q Color
NOriatgiomnal
Disability QAge
IS Other Discrbnination
Race Color
Ell055848/Marrero,Lee
Disability QAge
Race Q Color
E60$4779/Pottef, David
Disability QAge
Race Q Color
El009S70S/Quaintance, Oavid
10095707/Welch Jennifer
^ Other Discrinr^Son
N
ational ri
origin
Q Othe
National
Origin
Q Gender
Dlsabiliiy QAge
Q Other
Race Color
11 National t ^
Disability Age
origin
Race Cdor
23PS12/Reilly,Debra
Disability DAge
Race Color
(3 Other Discrimination
Kleendtr
15PSt2/You5g, Jasmine
Disability 'Age
Page 7 of 10
September 2011
VjJon2jt>
Under the Paperwork Reduction Ac^ a person is not requiied to respond to a collection of infoimation
\inless it displays a valid OMB control number. We try to create accurate and easily understood forms
that impose &e least possible burden on you to complete. Hie estimated average time to complete diis
form is 30 minutes. If you have comments regarding the accuracy of this estimate, or suggestions for
making this form simpler, please vnrite to the Asset Forfeiture and Money Laundering Section.
Program Operations Unit, 1400 New Yoik Avenue, N.W., Ten& Floor, Washington, DC 20005.
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September 2011
VceionU
enforcement agency ("Agency^, and (3) the governing body, sets forth the requirements for participation in the
federal equitable sharing program and the restrictions upon the use of federally forfeited cash, property, proceeds,
and any interest earned thereon, which are equitably shared with participating law enforcement agendes. By Its
signatures, the Agency agrees tfiat it wil be bound by the statutes and guidefines that regulate shared assets and the
following requirements for participation In the federal equitable sharing program. Receipt of the signed Equitable
Sharing Agreement and Certification (this 'Document*) is a prerequisite to receiving any ec^tabiy shared cash,
property, or proceeds.
1. Submission. This Document must be submined to aca.submit@usdci.gov within 60 days of the end of the
Agency's fiscal year. This Document must be submitted electronically with the Affidavit/Signature pageCpage 10)
submitted by fax. This will constitute submission to the Department of Justice and the Department of Treasury.
2. Signatories. This agreement must be signed by the head of the Agency and the head of the governing body.
Examples of Agency heads include police chief, sheriff, director, commissioner, supeilntendent acbninlstrator,
chairperson, secretary, city attorney, county attorney, district attorn^, prosecuting attorn^, state attorney,
commonwealth attorney, and attomey general. The goveming bod/s head is the person who allocatesfiinds or
approves the budget for the Agency. Examples of goverr^ng body heads indude city manager, mayor, city coundi
chairperson, county executive, county council chairperson, director, secretary, administrator, commissioner, and
g o v e r n o r.
3. Uses. Any shared asset shall be used for law enforcement purpo^ in accordance with the statutes and guidelines
that govern the federal Equitable Sharing Program as set forth In the cun-ent ecfitlon of the Department of Justice's
Guide to EquitableSharingfbrStateand Local Law Bnforcment (Justice Gt^de^, and the Department of the Treasury's
Guide fo Equitable Sharing for Foreign Countries and Federal, State, and Local Law Enforcement Agendes {Treasury Guide).
4. Transfers. Before the Agency transfers cash, property, or proceeds to other state or local law enforcement
agencies. It must first verify with the Department of Justice or the Department of Treasury, depereilng on the source
of the funds, that the receiving agency is a federal Equitable Sharing Program participant and has a current Equitable
Sharing Agreement and Certification on file.
5. Internal Controls. The Agency agrees to account separately for federal equitable sharing ftrnds revived from the
Department of Justice and the Department of the Treasury. Funds from state and local forfeitures and other sources
must not be commingled with federal equitable sharing funds. The Agency shall establish a separate revenue
account or accounting code for state, local. Department of Justice, and Department of the Treasu^ forfeiture ftinds.
Interest Income generated must be accounted for in the appropriate federal forfeiture fund account
The Agency agrees that such accounting will be subject to the stendard accounting requirements and practices
employed for other public monies as supplemented by requirements set forth In the current edition (rftheMlfce
Guide and the Treasury Guide, Including the requirement In the Justice Guldeto maintain relevant documents and
records for five years.
The misuse or misapplication of shared resources or the supplantation of existing resources with shared assets is
prohibited. Failure to comply with any provision of this agreement shall subject the recipient agency to the sanctions
stipulated In the cunrent edition of the7wsfifce or T/eoju/y Guide;, depending on the source of tiie funds/property.
6. Audit Report. Audits will be conducted as provided by the Single Audit Act Amendments of 1996 and 0MB
Circular A-133. The Department of Justice and Department of the Treasury reserve the right to conduct periodic
random audits.
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following laws and their Department of Justice implernenting regulations; Title W of the iS^ Aa of 1964 (42 U5.C
2000d et jeq.X "Htle IX of the Education Amendments of 1972 pO U5.C 1681 Section 504of the ltehal>ititation
Aa of 1973 (29 U5.C 794), and the Age Discrimination Act of 1975 (42 U^C 6101 ef se<jX which prohibit
discrimination on the basis of race, color, national origin, disatjility, or age in any federaSy assisted piogram or activity, or
on the basis of sex in any federally assisted education program or activiiy. The Agency agrees that it will comply with ail
federal statutes and regulations permiting federal investigators access to records and any othie^ sources of iniformation as
may be necessary to determine compliance with civil rights and other applicable statutes and regulations.
During the past fiscal year: (1) has any court or administrative agency issued any finding,
judgment or determination that the Agency discriminated againstany person or group in
violation of any of the federal civil rights statutes listed above; (2) has the Agency entered
into any settlement agreement with respect to any complaint filed with a court or
administrative agency alleging that the Agency discriminated ag^nst any person or group in
violation of any of the federal dvil rights statutes listed above? 0 q |^q
Signatufe:
ISignature;
Ti t l e : P o l i c e C o m m i s s i o n e r
Final Instructions:
FOR
AGENa
Entered
Entered
USE
by
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September 2011
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