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HomeMy WebLinkAboutlansing michigan form 4887 2-1-13 filing executed (2) Michigan Department or Treasury 4887(08-12) Economic Vitality Incentive Program/County Incentive Program Certification of Consolidation of Services Issued under authority of 2012 Public Act 200.Filing is mandatory to qualify for payments. Each city/village/township/county applying for Consolidation of Services payments must: 1. Certify to the Michigan Department of Treasury (Treasury) that the local unit listed below has produced and made readily available to the public, a consolidation plan as required by 2012 Public Act 200. The plan shall be made available for public viewing in the clerk's office or posted on a publicly accessible Internet site. 2. Submit to Treasury a consolidation plan. City/village/township: This certification, along with a consolidation plan, must be received by February 1, 2013 to receive the February and April payments or on or before March 31,2013 to receive the April payment. Post mark dates will not be considered. For questions, call (517) 373-2697. County: This certification, along with a consolidation plan, must be received by February 1, 2013 (or the first day of a payment month) in order to qualify for that month's payment. Post mark dates will not be considered. For questions, call (517) 373-2697. PART 1: LOCAL UNIT INFORMATION Local Unit Name Local Unit County Name City of Lansing Ingham Local Unit Code Contact E-Mail Address 332020 chad.gamble@lansingmi.gov Contact Name Contact Title Contact Telephone Number Chad Gamble Chief Operating Officer (517) 483-4146 Website Address,if plan is available online www.lansingmi.gov PART 2:CERTIFICATION In accordance with 2012 Public Act 200, the undersigned hereby certifies to Treasury that the above mentioned local unit has produced a consolidation plan and has made the plan available for public viewing in the city, village, township, or county clerk's office or has posted the plan on a publicly accessible Intemet site. The consolidation plan is attached to this signed certification. Chief Administrative Officer Sjgrfure(as defined in MCL 141.422b) Printed Name of Chief Administrative Officer(as defined in MCL 141.422b) Virg Bernero Title Date Mayor I I S� Completed and signed form (including required attachment) should be e-mailed to: TreasRevenueSharing@michigan.gov If you are unable to submit via e-mail, mail the completed form and required attachment to: Michigan Department of Treasury Office of Revenue and Tax Analysis PO Box 30722 Lansing MI 48909 TREASURY USE ONLY EVIP/CIP Certification Received EVIP/CIP Notes Y N Final Certification Plan Received 1 st C/P Submission Y N