GULF COAST CHAPTER of the Florida Government Finance Officers Association Membership Application Form July 1, 2015 to June 30, 2016 FY 2015-2016 OFFICERS: President SUSAN BASS PLEASE CHECK MEMBERSHIP TYPE and COMPLETE THE INFORMATION BELOW. Financial & Budget Analyst City of Tarpon Springs sbass@ctsfl.us 727-943-1151 _____ Active Membership includes any duly acting finance, accounting, budget, audit or administrative related employee, whether elective or appointed, in a public jurisdiction of the State of Florida. _____ Retiree Membership includes any retired members. Fee is Waived. President-Elect ANNE LAWLER Financial Accounting Manager Pinellas County Clerk of the Circuit Court alawler@pinellascounty.org 727-464-8311 Secretary _____ Associate Membership includes any other person not eligible for active membership, but who is interested in the principles and practices of government finance, and who subscribes to the purposes of the Association. Name: _________________________________________________ Title: __________________________________________________ LINDA BENOIT Budget Manager Entity: _________________________________________________ Pinellas County Office of Management &Budget Address: ________________________________________________ lbenoit@pinellascounty.org 727-464-4326 City: ___________________________ State: _____ ZIP: _________ Treasurer E-Mail:_________________________________________________ CINDY NENNO Finance Administrator City of Oldsmar cnenno@myoldsmar.com 813-749-1109 Work Phone: ____________________________________________ President-ExOfficio SUE WALTERICK Retired Finance Director Juvenile Welfare Board of Pinellas County Please provide your recommendations for topics and/or speakers for future Chapter meetings, fall seminar and winter seminar: ________________________________________________________ ________________________________________________________ DUES: $20.00 PER PERSON FROM 7/1/15 TO 6/30/16 AND ARE NONTRANSFERABLE. DIRECTORS: AMY RATLIFF Accounting Supervisor City of Oldsmar aratliff@myoldsmar.com 813-749-1105 LYNN DE LA TORRE Accounting Manager Juvenile Welfare Board of Pinellas County ldelatorre@jwbpinellas.org JOE CIURRO Assistant Finance Director City of Largo jciurro@largo.com 727-586-7443 Please make check payable to: Gulf Coast Chapter FGFOA Send check and this Application to: City of Oldsmar Cindy Nenno, Treasurer, GC FGFOA 100 State Street West Oldsmar, FL 34677 FGFOA (State Level) ANNUAL MEMBERSHIP RENEWAL AND APPLICATION ARE AVAILABLE ON-LINE: WWW.FGFOA.ORG (Note: This is a separate professional membership)