HomeMy Public PortalAboutResolution 1458 r ,
RESOLUTION NO. 14 5 s
A RESOLUTION APPOINTING JOAN ZELINSKI AS AUTHORIZED AGENT OF
THE VILLAGE'FOR THE ILLINOIS MUNICIPAL RETIREMENT FUND.
BE IT .RESOLVED by the President and Board of Trustees of the Village of
Plainfield in meeting lawfully assembled that Joan Zelinski is hereby appointed
Authorized Agent for the Village of Plainfield to the Illinois Municipal Retirement Fund.
IT IS FURTHER RESOLVED that all powers and duties authorized by law are
hereby delegated to said Authorized Agent.
BE IT FURTHER RESOLVED that the Illinois Municipal Retirement Fund is to
be notified of this appointment and of the powers and duties hereby delegated.
Passed this 1 s day of April, 200--- -
,(,~~y~Village Clerk ~ ---
Approved this 18 day of April, 2005. //
r ~ // ~/ /
J
resident
INSTRUCTIONS
• Appointment of an Authorized Agent is to be made by adoption of a resolution by the governing body.
• The clerk or secretary of the governing body must certify the appointment (see Certification below).
• Mail the completed form to the Illinois Municipal Retirement Fund.
• A copy of the completed form should be retained by the employer.
• If you have an Employer Access. account through IMRF ~nfine, you will need to update the account profile to reflect
this change.
mployer Name Employer IMRF LD. Number
VILLAGE OF PLAINFIELD 0285
.~
NgTICE qF APPgINTM~NT aF AUTHORIZED AGENT
- IMRF Form 2.20 (Rev. 6/02)
Authorized Agent s First Name Middle Initial Last Jr., Sr., II, etc. Social Security .Numb®r
Mr./Mrs.
prJMs. JOAN M. ZELTNSKI 217 _ 68~, 6780_x„
Type of governing body
MUNICIPALT'IY
Date appointment made Effective date of appointment Position Title
4/1$/05 5/2/05 IRECTOR OF HUMAN RESOURC
Powers and duties delegated to Authorized Agent pursuant to Sec. 7-136 of tlainois Pension Code by goveming body (the Authorized
Agent must be a participant fn fMFIF to file a petition or cast a ballot):
To file Petition for Nominations of an Executive Trustee of IMRF ~ Yes p No
To c a~ B~Ilot for Eiection of an Executive Trustee of IMRF ~ Yes 0 No f'
Si azure of Authorized Age Date
Certi ication
I, MTCHELF;E GTB,~.8 , do hereby certify that I am °D~PUTY 'CLERK
(Name) (Clerk or Secretary)
of the T
(Name of Employer)
a~.d me keeper of its books and records and the foregoing appointrn~ent and del ation were mad® by resolution duly adopted vn the
rate indicated. ' ~ ~ ~ `~
STr.AL
Signature of Clerk or Secretary
Business address All comes ndence and communications with file Authorized A ent are to pe addressed as follows:
Name (if different from above) Position Title
MrJMrs:
DrJMs.
Business Address Telephone (include area code) + Ext.
City State and Zip ~+ 4 FAX (include area code)
5.,...
Illinois Municipal Retirement Fund
2211 York Road, Suite 500, Oak Brook Illinois 60523-2337
IMRF Form 2.20 (Rev. 6/02) Service Representatives 800/ASK-IMRF
www.rmrf.org