City of Thornton, City Clerk, Boards and Commissions
Firefighters’ Old Hire Pension Board Application

Firefighters’ Old Hire Pension Board

The Firefighters’ Old Hire Pension Fund covers firefighters hired on or before April 8, 1978. The composition and terms of the members of the Firefighters’ Old Hire Pension Fund Board of Trustees is set forth in Colorado Revised Statutes 31-30.5 Part 2. In 1985, the City authorized affiliation of the plan with the Fire and Police Pension Association (FPPA) and the assets of the plan were transferred to a trust fund under the management of FPPA. Section 31-31 Part 7 of the Colorado Revised Statutes sets forth the responsibilities of both FPPA and the local Old Hire Pension Board. The responsibilities of the Board include: 1) making an annual report to the City Council in August of the condition of the fund based on the Actuarial Study conducted every two years by FPPA and additional financial information that may be provided by FPPA; 2) making determinations regarding benefit or cost-of-living adjustments and submitting any recommendations for such adjustments to City Council; and 3) periodically certifying information required by FPPA to administer the plan. Any changes in the terms and provisions of the plan must be approved by City Council.

Board Membership and Qualifications

The Board consists of six members: the Mayor, Finance Director, a citizen appointee, and three retired firefighters elected by the retired old hire members of the fire department.

Name of Applicant (First, Middle, Last (include Sr., Jr., etc.)

Ward Number

Home Address (include City, State ZIP+4)

Address Line

Address Line 2

City

State

Zip

Phone Number

Alternate Phone Number

Do you have relatives presently working for the City of Thornton? If yes, please list below.

Yes No

Relatives presently working for Thornton

Tell us briefly what specific talents, expertise, experience, previous civic activities, and/or volunteer service you would bring to this board if appointed.

Current Employer

Position

Address of Employer

Please read the following, then type your name and date in the signature block below, and submit electronically, using the “Submit Application” button in order to complete the board application.

I certify that the facts and statements contained in this board application are true and correct. I further understand that false statements shall be sufficient cause for rejection of this application or for grounds to apply the penalty provisions of the Code of Ethics.
I understand that falsification, omission or misrepresentation will result in a rejection of this application. Any falsification, omission or misrepresentation is evidence of perjury in the second degree.

Signature Your typed name here constitutes your signature.

Date

City of Thornton, City Clerk, Boards and Commissions Firefighters’ Old Hire Pension Board Application

Firefighters’ Old Hire Pension Board

Board Membership and Qualifications

City of Thornton, City Clerk, Boards and Commissions
Firefighters’ Old Hire Pension Board Application