TEXAS CRIME STOPPERS COUNCIL 2015 Annual Probation Fee and Repayment Report (PFRR)

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Melvyn Richard
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1 TEXAS CRIME STOPPERS COUNCIL 2015 Annual Probation Fee and Repayment Report (PFRR) Chapter (a), of the Texas Government Code legislatively mandates the annual submission of this report by all certified Crime Stoppers organizations no later than January 31, SECTION 1: ORGANIZATION INFORMATION Organization Name: Tip Line Number: ( ) Administrative Number: ( ) Mailing Address: Website: Facebook: Y / N Twitter: Y / N Instagram: Y / N Other: Has this organization changed names in the past year? Y / N If yes, previous name: Has this organization merged with another crime stoppers organization in the past year? Y / N Jurisdiction of this organization (City, County, etc.): Population of this organization s jurisdiction: Court(s) and/or Community Supervision and Corrections Division(s) providing restricted funds to this organization (Attach additional page(s) if necessary.): Name: Address: Page 1 of 5

SECTION 1: ORGANIZATION INFORMATION Organization Name: Tip Line Number: ( ) Administrative Number: ( ) Mailing Address: Website: http://www.

2 UMBRELLA CAMPUS PROGRAM(S) (Attach additional page(s) if necessary) School Name(s): Total student enrollment of umbrella campus programs: ORGANIZATION OPERATIONS Does the organization maintain duplicate records located in separate locations? Does the organization have a policy identifying authorized check signers Does the organization have a policy indicating the number of signatures required on checks in excess of specified dollar amounts? Does the membership of your board currently include any persons who are peace officers (other than law enforcement coordinators), as defined by Article 2.12, Texas Code of Criminal Procedure or any other individual who may have a personal or professional conflict of interest? Does the organization permit a voting member of the Board of Directors to maintain a non-business relationship with the organization s law enforcement coordinator or executive director? Does the board of directors regularly review, determine, and vote on the amount of each reward? Does the organization have a procedure for paying rewards to anonymous callers without a law enforcement officer handling cash and without any member of the organization (Board member or law enforcement officer) having in-person contact with the caller? Does the organization use a call service to answer the tip hotline? Does the organization have an annual financial audit by an independent accounting firm? Does the organization have new board member orientation which includes the organization mission, bylaws, policies, board member roles and responsibilities? Does the organization allow multiple members of the same family to serve as voting members of the Board of Directors? Do the board members of the organization serve without payment unless the organization has a policy identifying reimbursable out-of-pocket expenses? How many board members and law enforcement coordinators have completed a 16-hr. Basic Crime Stoppers Course in the previous 2 years? Please indicate the number of times per year the board of directors meet. Please indicate the number of fundraisers the organization held in Page 2 of 5

Does the organization have a policy identifying authorized check signers Does the organization have a policy indicating the number of signatures required on checks in excess of specified dollar

3 SECTION 2: PROBATION FEE AND REPAYMENT REPORT (PFRR) Check this box if the organization does not have and has not received court ordered funds. 1. RESTRICTED FUNDS BANK ACCOUNT BALANCE AS OF JANUARY 1, 2015 Enter the January 1 st bank account balance of the report year. If this amount does not match the ending balance of the prior year s PFRR ending balance, a memo explaining the difference must be attached. 2. COURT ORDERED RESTRICTED FUNDS RECEIVED (January 1 st through December 31 st ) (1) $ (2) $ 3. RESTRICTED FUNDS RECEIVED FROM ANOTHER CERTIFIED CRIME STOPPERS (3) $ ORGANIZATION If funds were received from another certified crime stoppers organization, enter the amount received and attach the Memorandum of Understanding/Agreement or detailed explanation of the funds that includes the name of the organization that provided the funds. Funds received in accordance with a Memorandum of Understanding (MOU) or agreement. (Attach a copy of the MOU or agreement for each organization from which funds were received.) Funds received for other reason(s). (Attach a memo listing the organization(s) which provided the funds, reason(s) the funds were received, and dollar amount received from each organization.) 4. AMOUNT OF INTEREST RECEIVED ON ACCOUNT(S) (4) $ 5. AMOUNT OF FUNDS DISPERSED TO ANOTHER CERTIFIED CRIME STOPPERS (5) $ ORGANIZATION. If funds were dispersed to another certified crime stoppers organization, enter the amount received and attach the Memorandum of Understanding/Agreement or detailed explanation of the funds that includes the name of the organization that recieved the funds. Funds disbursed in accordance with a Memorandum of Understanding (MOU) or agreement. (Attach a copy of the MOU or agreement for each organization from which funds were provided.) Funds disbursed for other reason(s). (Attach a memo listing the organization(s) which received the funds, reason(s) the funds were dispersed, and dollar amount disbursed to each organization.) 6. AMOUNT OF FUNDS TRANSFERRED TO ADMINISTRATIVE/OPERATIONS ACCOUNT (6) $ 7. AMOUNT OF FUNDS TRANSFERRED TO AN EXCESS FUNDS ACCOUNT (7) $ Enter the amount of excess funds transferred from the restricted funds account to the excess funds account. (If your organization has an excess funds account, Section 4: Excess Funds Account must be completed.) 8. AMOUNT OF BOARD APPROVED REWARDS PAID FROM THE RESTRICTED FUNDS ACCOUNT. Enter the amount of rewards paid from the restricted account. Do not include rewards paid from donations or fundraising. If a reward was authorized, but not picked up by the tipster, the money should still be in the account and should not be counted as part of the total rewards paid. (8) $ 9. BANK FEES PAID FROM RESTRICTED ACCOUNT (9) $ 10. RESTRICTED FUNDS BANK ACCOUNT BALANCE AS OF DECEMBER 31, 2015 (Attach a copy of the bank statement indicating the December 31, 2015 account balance.) (10) $ 11. AMOUNT OF BOARD APPROVED REWARDS UNCLAIMED (11) $ 12. AMOUNT OF REWARDS PAID FROM ADMINISTRATIVE/OPERATIONS ACCOUNT Enter the dollar amount of rewards paid from the operational/administrative account(s). Do not include rewards paid from the restricted funds account (Line 8) on this line. (12) $ Page 3 of 5

If this amount does not match the ending balance of the prior year s PFRR ending balance, a memo explaining the difference must be attached. 2.

4 SECTION 3: EXCESS FUNDS Check this box if the organization does not have an excess funds account. 1. EXCESS FUNDS BANK ACCOUNT BALANCE AS OF JANUARY 1, (If this amount does not match the ending balance of the prior year s excess funds account ending balance, a memo must be provided which explains the difference in the amounts) 2. RESTRICTED FUNDS TRANSFERRED TO EXCESS FUNDS ACCOUNT (This amount must match Line 7 of the PFRR.) (1) $ (2) $ 3. AMOUNT OF INTEREST RECEIVED ON EXCESS FUNDS ACCOUNT (3) $ 4. AMOUNT OF INTEREST RECEIVED ON EXCESS FUNDS ACCOUNT TRANSFERRED TO ADMINISTRATIVE/OPERATIONS ACCOUNT (4) $ ITEMIZED EXPENDATURES FROM EXCESS FUNDS ACCOUNT (Attach additional page(s) if necessary) Item Description Amount (A) (B) (C) (D) (E) (F) (G) (H) (I) (J) 5. TOTAL EXCESS FUNDS EXPENDED ( (Sum of lines A-J) (5) $ 6. EXCESS FUNDS ACCOUNT BANK FEES PAID (6) $ 7. DECEMBER 31 st EXCESS FUNDS BANK ACCOUNT BALANCE (Attach a copy of the bank statement indicating the December 31, 2015 account balance. If the amount on line 7 does not match the December 31, 2015 account balance, a memo must be provided which explains the difference in the amounts) (7) $ Page 4 of 5

RESTRICTED FUNDS TRANSFERRED TO EXCESS FUNDS ACCOUNT (This amount must match Line 7 of the PFRR.) (1) $ (2) $ 3. AMOUNT OF INTEREST RECEIVED ON EXCESS FUNDS ACCOUNT (3) $ 4.

5 SECTION 4: ATTACHMENTS AND SUPPORTING DOCUMENT CHECKLIST Organization Name: Y Y Current Board of Directors list is attached. (Must include the name, phone number(s), mailing address, address, occupation, and board position of each member of the board of directors and law enforcement coordinator(s). Attach documentation from the Community Supervision and Corrections Department (CSCD) and/or clerk of the court which states the amount of probation and restitution/repayment fees disbursed to the organization for January 1 st through December 31 st (This information must be presented on CSCD and/or clerk of the court letterhead with date and the signature of the chief probation officer and/or clerk of the court.) Please indicate supporting documents attached: Y N This organization received probation fees or restitution payments. (If yes, attach a copy of the December 31 st restricted funds account bank statement) Y N The beginning balance of the PFRR matches the ending balance of the previous report. (If these amounts do not match, a memo which explains the difference in amounts must be attached.) Y N This organization received restricted funds from another Crime Stoppers organization. (If yes, attach a Memorandum of Understanding (MOU) or memo which explains the source of these funds) Y N This organization disbursed funds to another Crime Stoppers organization. (If yes, attach a Memorandum of Understanding (MOU) or memo which explains the source of these funds) Y N This organization has an excess funds account. (If yes, attach a copy of the December 31 st excess funds account bank statement) Y N The beginning balance of the PFRR matches the ending balance of the previous report. (If these amounts do not match, a memo which explains the difference in amounts must be attached.) Y N Other Attachments (please describe): Signature of Chair/President Date Signed /Phone Signature of Financial Officer/Treasurer Date Signed /Phone This form, along with all supporting documents may be submitted by mail, or fax no later than January 31, 2015 to: Mail:, P.O. Box 12428, Austin, TX txcrimestoppers@gov.texas.gov Fax: (512) Page 5 of 5

Attach documentation from the Community Supervision and Corrections Department (CSCD) and/or clerk of the court which states the amount of probation and restitution/repayment fees disbursed to the

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