VILLAGE OF ROUND LAKE BEACH ORGANIZATIONAL DESCRIPTION

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VILLAGE OF ROUND LAKE BEACH ORGANIZATIONAL DESCRIPTION Purpose of the Village The purse of the Village of Round Lake Beach is to provide public services to its residents in the form of police protection, maintenance of public streets, sanitation and water facilities and other services, which it is authorized to provide. The Village is committed to maintaining a safe and secure environment in which there is equal opportunity for everyone to prosper. Form of Government The Village of Round Lake Beach is a home rule community which operates under the Trustee- Village form of government. A six-member Board of Trustees, elected at large by Village residents, sets policy and determines local laws and ordinances. Village Employees The Village employs approximately 90 full time and part time employees and occasional seasonal employees depending on the needs of the village. Operating Budget The operating budget for the fiscal year of May 1, 2013 April 30, 2014 is $23,103,018.00 Location of Village Offices 1937 N. Municipal Way, Round Lake Beach, IL, 60073 Administration (847) 546-2351 Economic Department (847) 546-2351 Police Department 1947 N. Municipal Way, Round Lake Beach, IL 60073 (847) 546-2127 Public Works 911 N. Lotus, Round Lake Beach, IL 60073 (847) 546-8752 REQUESTS FOR PUBLIC RECORDS The Village of Round Lake Beach FOIA Officer is Village Administrator David Kilbane. You may submit a request for public records by email to: foia-requests@rlbeach.org All requests must be received in writing via personal delivery, mail, fax, or addressed to the email address above. The use of any other email address will not guarantee receipt of request. A FORM FOR REQUEST OF PUBLIC RECORDS IS AVAILABLE FOR THE CONVENIENCE OF THE GENERAL PUBLIC; THE VILLAGE WILL HONOR ANY LAWFULLY SUBMITTED WRITTEN REQUEST EVEN IF IT IS NOT SUBMITTED ON THE PREFFERRED FORM.

FUNCTIONAL SUBDIVISIONS OF THE VILLAGE OF ROUND LAKE BEACH Current Council Members: 2013 Mayor: Richard H. Hill Village Clerk: Margie Cleveland Village Trustees: Jerry Mattingly, Sue Butler, Larry Mount, Tom Smith Sr. Sylvia Valadez, Chuck Husk ADVISORY BOARDS, COMMISSIONS, AND COMMITTEES PUBLIC SAFTEY COMMITTEE Trustee Larry Mount Trustee Larry Sylvia Valadez Trustee Tom Smith ECONOMIC DEVELOPMENT COMMITTEE Sr. Trustee Jerry Mattingly Trustee Tom Smith Sr. Trustee Chuck Husk FINANCE COMMITTEE. Sr. Trustee Jerry Mattingly Trustee Larry Mount Trustee Sue Butler PUBLIC WORKS COMMITTEE Trustee Sylvia Valadez Trustee Sue Butler Trustee Chuck Husk BOARD OF POLICE COMISSIONERS Mitch Bienvenue Annmarie Pryde Ralph Unrath PLANNING & ZONING COMMISSION Mark Bailey Linette Benes Audrie Parker Patrick Vargo Steve Vaughn Hal Davis POLICE PENSION BOARD Ed Gueroult James Simoncelli Sandra Molidor Ryan Rodriguez Patrice Sutton Burger VILLAGE OF ROUND LAKE BEACH

REQUEST FOR PUBLIC RECORDS To: FOIA Officer Date: Village of Round Lake Beach 1937 N. Municipal Way Round Lake Beach, Illinois 60073 I. Request for Records Describe in detail the public records that you wish to inspect or to have copied or certified. Use a separate sheet if necessary. Indicate whether you wish only to inspect the public records at the Public Body Office or to have the public records copied or certified by checking the appropriate box to the right of each record described. I hereby request the right to inspect, or to obtain copies or certified copies of, the following public records of the Public Body: Records Requested inspect copied certified II. Agreement to Pay Fees By submitting this Request Form, you are agreeing to pay to the Public Body, in advance of receiving copies of any public records, the copying and certification fees set forth in Section II below. The fees set forth in Section II may be waived or reduced by the FOIA Officer only upon proof that the purpose of your request is primarily to benefit the general public and that you will receive no significant personal or commercial benefit from your request. If you wish to be considered for a waiver or reduction, you must complete and separately sign the statement set forth in Section B of Section II. A. Unless a waiver is requested and approved pursuant to Section B of this Section, I agree to pay the following fees for all public records copied or certified at my request: 1. Copies letter or legal -- $.15 per side. 2. Copies color or oversize -- Actual cost of reproduction. 3. Certification -- $1.00 per document plus copy cost. 4. Mailing -- Actual cost of postage. However, there will be no charge for the first 50 pages of letter or legal size black and white copies for a Requestor, except for Requests for commercial purposes. I further acknowledge and agree that, if the services of an outside vendor are required to copy any public record, I will pay the actual charges that the Public Body incurs in connection with such copying services. B. I request a waiver of the fees set forth in Section A of this Section, and, in support of such request, I certify and represent that I will gain no significant personal or commercial benefit from the records requested and that my principal purpose in making this request is to benefit the general public by disseminating information concerning the health, safety, welfare, or legal rights of the general public in the following specific manner:

III. Purpose of Request Indicate the purposes for which you are requesting the public records identified in Section I. I am requesting access to the public records identified in Section I for the following purpose: Noncommercial Purpose Commercial Purpose A commercial purpose is defined under the Act as the use of any part of a public record or records, or information derived from public records, in any form for sale, resale, or solicitation or advertisement for sales or services. Please be advised that misrepresentation of the purpose of a Request is a violation of the Act. IV. Request for Mail Delivery If you wish to request mailing of the requested records, you must complete and separately sign the statement set forth in Section IV. I request that the Public Body mail to me at the address set forth in Section V below copies of all public records responsive to this request. I understand that I will be required to, and do hereby agree to, pay the actual postage for such mailing before the records will be mailed. V. Identification of Requestor You must provide the information requested in Section V. A. Name of Requestor: B. Name of person for whom records are being requested (if not Requestor): C. Address for Responses, Decisions, and Communications: D. Telephone Numbers of Requestor: Day: Evening: VI. You must sign the statement set forth in Section VI. By signing this Request, I acknowledge and represent that I have reviewed and understood the Public Body s FOIA Policy and that all of the information provided in support of this request is true and accurate. Date

-------------------------------------------------------------------------------------------------------------------------------------------- The Public Body will disclose the public records requested on this Request Form within five working days after the receipt of this Request Form (or 21 days for a Commercial Purpose Request), unless the time period is extended as provided by law or the request is denied. All extensions and denials will be in writing and will state the reasons therefore. A denial may be appealed to the Public Access Counselor within 60 working days after the date of the Notice of Denial. Judicial review is available under Section 11 of the Illinois Freedom of Information Act, 5 ILCS 140/1 et seq. For more detailed information, please consult the Public Body FOIA Policy, which is available from the FOIA Officer. ----------------------------------------------------------------------------------------------------------------------------------------- FOR PUBLIC BODY USE ONLY Received by the Public Body: Date: Time: Response Due: (Five working days after day of receipt or 21 working days for commercial purpose) Method of Delivery: Personal Delivery Mail/Courier/Fax Delivery Email Other Public Body employee receiving request: Name: Title: Signature: