HomeMy WebLinkAbout2000-05-25 - Agendas - Final SPECIAL MEETING
OF THE
POLICE PENSION AND RELIEF FUND BOARD
AGENDA
MAY 25, 2000
A special meeting of the Fayetteville Police Pension and Relief Fund Board will be held on May
25, 2000 at 1 : 30 p.m. in Room 313 of the City Administration Building located at 113 West
Mountain Street, Fayetteville, Arkansas.
1 . Angela Munson- Medical Retirement
2 . Tim Helder- Washington County Sheriffs Department Time
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Diplomats of the American Board
of Onhopeedc Surgeons'
FeOws of the American Academy
of Orthopaedic Surgeons+
Co aylor, M.D.
19wa f0ZMK
Tom Phillip Coker, M.D. '+ ORTHOPAEDIC AND SPORTS MEDICINE
Sports Medicine CLINIC' LTD.
Trauma
Reconstructive Surgery .
of the Knee. Ankle & Foot
James F Moore, M.D. ' +
Surgery of the Hand
W. Duke Harris, M.D. *+
Sports Medicine
Surgery of the Hip & Knee
Arthroscopy
Peter R. Heinzelmann, M.D. '+ -
Surgery of the Upper
Extremity and the Hand April 26th , 2000
General Onhopaedic Surgery
John P. Park. M.D. •+
_ _ . . . ....__._.r..s:. .,.
Arthroscopy
Sports Medicine ._
Surgery of the Shoulder & Knee RE : Angela K . MUNSON ; DOB : 09 / 28 / 50
Tom Patrick Coker, M.D. •+
Trauma & Fracture Surgery To Whom It May Concern :
Sports Medicine
John D. Mertz, M.D. •+ '
Sports Medicine Angela is a patient of mine who ' s had significant AC
Arthroscopy arthrosis involving the right shoulder . She underwent
Orthopaedic Surgery
surgery for this on 10 / 07 / 99 where she underwent partial
B. Rayec urgery M.D. •a claviculectomy , acromio-plasty in an a
( the Spine ttempt to
ce decompress the shoulder and take pressure off the rotator
Spine
acuff . She had a very thickened bursa along with . dorsal
il M. Hendrick, M.D. •+
Conservative Spine Care surface abrasions on the, rotator cuff .
General Orthopaedics
Scott S. Cooper, M.D. •+ I think it best for her to consider changing occupational
General Orthopaedics status or cessation of her present status because of
Sports Medicine chronic rotator cuff symptoms that have much higher
Mark M. Afford, M.D. •+ chance of recurrence especially with any type of sudden
Fractures or forced upper extremity usage which can occur in police
Sports Medicine
Total Joint Replacement work .
James P. McAnally
Administrator
Sincerely ,
3317 N. Wimberly JXhP ark , M . DNorth Hills Medical Park
P.O. Box 1608 Jr -
Fayetteville. All 72703
(5011521-2752
180019052752
Fax: (501) 444 6942
101 North 37th Street
Rogers, AR 72756
(5011636 9607
FA 63 7
F 1;9607 830
1G7 W. Jefferson. Suite D
Siloam Springs, AR 72761
(501) 524 61SS
• APPLICATION FOR PENSION PURPOSES
DATE May 01 , 2000 , 19
Board of Trustees
Police Pension and Relief Fund
Fayetteville , Arkansas
Gentlemen :
I , Angela K . Munson have been employed by the Police Department of
the city of Fayetteville , Arkansas from June 1st 1981
I hereby request all of the benefits due me from the police Pension and
Relief Fund as of May 28 2000
My beneficiary is
My reasons for retirement are medical
SignatureIAg
' 40 9 W s:
Subsc to before me this S� day of api ` via
NOTA ) f
M_ . 1OUgLIG .°er Notary Public �/ •
My co B+ Fn i ` .. day of �� •
City Treasurer ' s Office
The monthly salary of the above applicant for pension purposes is :
a $
101,07 Computation of Retirement Benefits
axemhwtf- of applicant ' s salary - - - - - - - - - - - - - - - - -- = - - - - -- - - - - - $
Additional benefits per Arkansas Act 396 of 1987 - - - ---- - - - - - $
Total Retirement benefits - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - $
City Treasurer
Subscribed and sworn to before me this day of , 19
Notary Public
Sy commission expires : day of , 19_
KENNETH MCKEE
t+911ER/fp P .
Washington County Sheriff
114 N. COLLEGE • FAYMEVILLE, ARKANSAS 72701
PHONE: (501) 4441850 • FAX: (501) 444-1859
May 25, 2000
Re: Timothy T. Helder
DOB 01 - 14-59, SSN 431 - 17-3572
To Whom It May Concern:
This is to verify that Timothy T. Helder was employed by the Washington County Sheriff's
Office as a certified Patrolman from July 1 , 1980, until his termination of employment on
February 15, 1982. He first was hired as a Dispatcher on August 13, 1979, then was promoted to
NPatrolman after attending Basic Training.
If additional information is required, please do not hesitate to contact me.
Kenneth McKee, Sheriff
KMc:sh
cc
Subscribed and Sworn to me, a Notary Public, on this a � day of May, 2000.
My commission expires:
,_. SNIRLbV n . H1NO5
NOTARY PUBLIC — ARKANSAS
. ` ; EXPIRES. 1l 212001
MY COMM.
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I
Personnel 0 Employment
Change Notice - ❑ Termination
_ _- �Change
~� L ' Effective Date . — — gL.00;
a paaL Fre4 Nkldle) / Soc Sm Dlp LDJ--"I Gate DroDered
rep (CiIY) (aM1le) -
' ..
imp Code) P Pkom rA .
Employment ❑ New Hire ❑ Re-Instate ❑ Replacement For:
❑ Re-Hire ❑ Addition
Brm D.b Sea Mvilal SLwe anDloyee ShWv b4 Cave
bgepe Ci,e, SM1iX
4el f Ntludiny
Termination '(ewe Reasons In Remarks) Der Waked pay. Up To ft k M
❑ Voluntary ❑Involuntary , _ ❑ Yes ❑ No -
anpwrrnpe Dal, - Wnuon Auru,d Soren Pay omen
Change 111ppprrr Leave of Absence Period of Absence
11`Promotion . . ❑ Military . , ❑ Sick Leave C] Layoff --.
t4 /Salary Change /❑ Transfer' ❑ Maternity ❑ Vacation ❑ Peisoriai :From Thru
L hle New bdrpa/Pkona Na - . . .
Status Job Title Department " Shift Location Rate/Salary .
New � //���d�PE' ✓� ♦ � ��- / y3 7
4
• 6-0c . .
Present
3. r�
Remarks , .
� 1� P�// T � ����e r{./„- -r 1./✓LL,/M1�/ a�.rl�C` �' �f+CiS./ L . !
Approval , mu,
Orb ' 4 By
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Personnel ❑ Employment
Change Notice ❑ Termination
® Change
Effective Date 10/ 1 / 80
Nar..e fWt
Fiat. Middle) soc. Sec. No. LD:Sales Date Repared
;detder , Timothy- T . 431 - 17 - 3572 79034 12 / 5 / 80
Address !Step icry :state) Zia Code) Phone bx
Routel2 , Box 434 - A Weat for- {c , L• ^ . . . . 72774. 839 - 0104
Employment ❑ New Hire ❑ Re-Instate ❑ Replacement For:
❑ Re-Hire ❑ Addition
5tlb Date Sex i1i Stilus rm>toyne status lob 0698 6- nae Criss.
Laxi Da - Worked Pay up iD Q Inclodnp, I Re Hire
Termination (Give Reasons In Remarks)
❑ voluntary ❑lnvoluntary
❑ vas D No
FTptormenr oats C'F. Ae:ruue se.e..npx PBr other
I
Change Leave of Absence Period of Absence
❑ Promotion ; ❑ Military ❑ Sick Leave ''DLayoff
.e/Salary Change D Transfer ❑ Maternity ❑ Vacation ❑ Personal From Thru
nployment Date New AtldnxelPM1one No.
8 / 13/ 79
Status Job Title Department Shift Location t Sela ry
�5; . .
New Patrolman 441 . . . . .
i
Present
Patrolman Trainee . . . . ] , . .441 _ . . . . , . .
Remarks
?lake retroactive to.
Approval
Avatars 'B, ` Dare
`�
I. y _ r f to Approved By _ _ Date
❑ Employment ~
Personnel
Chan e' .., Notice ❑ Termination
9 Change
Effective Date 7Wai=
e UK Fm% wdnei - soc Sec No LD./W" Date, Repand
MUMMt" TDOW,?. -17-3572 1--27-81
bdreee (SneeU - IGtyl ' ISutel QV Oodal f - DMne Np
Borate 2 Hoz 434A West fork Arkansas 72774 839-8104
Employment : . r . ❑ New Hire ❑ Re-Instate
., ❑ Repiacemenf For:
❑ Re-Hire -❑ Addition
OR Date Sea W W ftwx 6npwyee SNWa bh Oaea . ' 6penee qua Shia
. a . . •. Le My vbeed Pry Up To 6 Nd inS Re Km . .
Termination (Give:Reasons in Remarks) .
❑ 'Voluntary ❑Involuntary - t . . - s C] Yes Cl No
6nPla"a t Data r. l� :. . vacation Ac W _ sevennoo Pry Other. . ,
Change - '. - Leave of Absence Period of Absence
. 11
Promotion 0 .Military. .. . ❑ .Sick Leave- - ❑ Layoff.
to/Salary Change , ,�, ' }'Transfer . . ❑ Matamity ❑ tiacatlon ❑ Persbnaf ' From
gFnem Dat . ' New bdreee/Plwne No.
$tatUS ; Job Ttle Department Shift Location Rale/Salary
VIA
New Yatsvl Offie�r 441 $452.25
Present r s 3'atrol Officer . 441 ,4413. 88:
c
RemarksP'.
t rh
Lst
w
17
G .
Approval d1 bo� ed ..
Personnel ❑ Employment :
Change Notic El Termination
xW Change
Effective Date
Nal Fret, wee) Sac Sec. Flo Le./Saks Date Raw"
Helde : Tbiathy T. 431-17-3572 4-10-81
Address Mtmetl ;; l : ,.-, IGty) - (statO . . P+p Cade) Pnona Fb.
Route`" 2` Bos 434A West Pork At 72774 . 8394104
Employment ❑ New Hire ❑ Re-Instate
❑ Replacement For:
❑ Re-Hire ❑ Addition
Birth Data Sax - WWW shove anployee Shins bb fineExpense Chea , Shill
Wt Def PbrL'ed NY Up To A Induding ae.tgre
Termination (Give Reasons in Remarks)
❑ Voluntary ' ❑Involuntary - ❑ Yes ❑ No
anpldyment Date Membra Accrued severance Ry
Change Leave of Absence Period of Absence
❑ Promotion ❑ Military ❑ Sick Leave C] Layoff:
e/Sala Chane ❑ Matemit
Salary g ❑ Transfer . . y : .. ❑ Vacation _ ❑Personal ' From' Thru
OWI Date Nsw Adarees/Pliom Na - -
8-13-79 "
statUS ' Job Title Department Shift Loca4lon Rate/Salary
�. .' New Patrolman 441 5466. 00
Present Patro2aaa 441 $452 .25
Remarks
. . .. .. .. . .
O if
at
Approval Awaveodl
4-10-81Adak .
. Data , ACpmeed By Dere .
Please complete all applicable sections.
Personnel El Employment .
Change Notice 19 Termination
❑ Change
Effective Date 2-15-82
M Mot First Mddlel sac Sac IN I.D. No. Dare AeperW
Helder , Timothy T . 431-17-3572 79034
Addrest areet) CCJryI (Stere)
Q+V Cove) Prom tAa
Route 2 %lest Fork AR 72744 839-8104
Employment ❑ New Hire
❑ Re-Instate ❑ Replacement For:
❑ Re-Hire ❑ Addition
Binh Data Set MedW Slow emEpbyee 9Mew YA Qus SM No. Stint
O Promtsm '• pert Time
• Permanent ❑ Fun Time
❑ Temporary
Wt Day W d Pay Up To A Ndudinp Would yep r=No
Terminatl0n (Glue Reasons in Remarks)Voluntary ❑Involuntary 1-31-82. ' 2-15-82 Ye
anployment Date Vautbn Aaarved Seeereme NY Omer
8-13-79 10edays
(Give rmsem m Rema.ks) - Leave of Absence Period of Absence
1! ❑ Promotion ❑ Military ❑ Sick Leave Layoff
Rete/Salary Change ❑ Transfer Cl Maternity ❑ Vacation ❑Personal From Toru
EWareent Date New Addrss✓Mme Nd
Status Job Title Department Grade Step se�ry
Semi-monthly
Present Patrolman 441 VI 5 9495 . 17
New
Remarks
• DEMOTION Left for Employment at the Fayetteville Policd/Department
• MERIT INCREASE
• PROBATIONARY PERIOD COMPLETED
• LENGTH OF SERVICE INCREASE -
• RE-EVALUATION OF EXISTING JOB
• RETIREMENT
• LAYOFF
• OTHER GIVE REASONS -
Appmaed by Elecbd ONkMI Deet
MMaed
by (Personnel Officer) Deft
y
.' `AW k,0 DEPARTMENT OF PUBLIC SAFETY
r
ARKANSAS LAW ENFORCEMENT TRAINING ACADEMY
Cr` y
• \ l P P. O. Box 3106
Aq.,`�p6F EAST CAMDEN, ARKANSAS 71701
^•�Mp AGr
Telephone 501-574-1810
May 8 , 1980
Deputy Tim Helder
Route 2 Box 434 A
West Fork, Arkansas 72774
Dear Deputy Helder :
Congratulations on your Graduation May 2 , 1980 , from the Arkansas
Law Enforcement Training Academy (ALETA) Basic Police Training
Course , Class 80-C . Your overall grade was 91 . 70 percent . Your
firearps qualifications score was 97 . 66 percent .
We look forward to a continuing association with you and to your
participation in future ALETA Police Training Courses .
Best wishesl
Sincerely ,
P1j.4e- ? a -
Philip Hannant
Director
PH : sw
/cc: Captain Ray Ward , Under Sheriff
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