Annual Public Funds Management Certification "*" indicates required fields Step 1 of 7 14% Please use one of the following web browsers to complete this form: Google Chrome, Microsoft Edge, or Firefox.Identification, Classification, Collateralization, and Reporting of Mississippi Public Deposits As of* MM slash DD slash YYYY Legal Name of Institution*Institution's Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code SCHEDULE A - IDENTIFICATION OF MISSISSIPPI PUBLIC FUNDS DEPOSITS1. Are there prescribed questions posed to a depositor in order to determine if they are a governmental unit and if the deposit is a Mississippi public funds deposit?* Yes No 2. Is a governmental unit required to provide evidence of its legal existence and/or its requirement to have its funds collateralized?* Yes No 3. Is there a “government entity depository agreement” outlining the responsibilities of the banking institution and the governmental unit in different areas of the banking relationship?* Yes No If so, does it cover Mississippi public funds deposits?* Yes No 4. Is training provided in a timely manner to current and new employees regarding the identification of Mississippi public funds deposit accounts?* Yes No 5. Are there procedures in place for employees to resolve situations in which they are unable to determine if the deposit is a Mississippi public funds deposit?* Yes No SCHEDULE B - CLASSIFICATION OF MISSISSIPPI PUBLIC FUNDS DEPOSITS1. Does the computer system allow for the unique coding of Mississippi public funds deposit accounts?* Yes No 2. Can reports be generated which segregate Mississippi public funds deposit accounts?* Yes No 3. Can this report categorize Mississippi public funds deposits by account type?* Yes No 4. Is a daily Mississippi public funds deposit report produced and submitted for collateralization review?* Yes No SCHEDULE C - COLLATERALIZATION1. Is the collateralization area informed of new or additional Mississippi public funds deposit accounts?* Yes No 2. Is there a designated employee assigned for the daily review of Mississippi public funds deposits to make certain Mississippi public deposits that increase the average daily balance for the current month by 25% over the average daily balance for the previously reported month are collateralized within 48 hours?* Yes No Is there a backup employee assigned for any time periods the designated employee is unavailable?* Yes No 3. Is there a designated employee assigned to handle collateral transactions?* Yes No 4. Are these employees knowledgeable of eligible criteria and restrictions in the Mississippi Public Funds Collateral Program (MS Code Section 27-105-5)?* Yes No 5. Is there a process and timetable for reconciling collateral discrepancies between the records of your institution and the custodian concerning collateral pledged for the Mississippi Public Funds Collateral Program?* Yes No 6. Is there a process and timetable for reconciling collateral discrepancies between the records of your institution and the Public Depositors concerning collateral pledged for the Mississippi Public Funds Collateral Program?* Yes No SCHEDULE D - REPORTING1. Is there a designated employee assigned to complete and submit the Monthly Depository Report by the 15th day of each calendar month?* Yes No Is there a backup employee assigned for any time periods the designated employee is unavailable?* Yes No 2. Are these employees knowledgeable of FDIC insurance coverage for depository accounts (and able to assess the coverage applicable to deposits under the Mississippi Public Funds Collateral Program)?* Yes No 3. Is there a designated employee assigned to complete and submit the required Annual Report to all Public Depositors covered under the Mississippi Public Funds Collateral Program at each of their respective fiscal year end?* Yes No Is there a backup employee assigned for any time periods the designated employee is unavailable?* Yes No 4. Is there a designated employee assigned to complete and submit the required Qualified Public Funds Depository Annual Report to the Office of the State Treasurer at each of the Public Depositors respective fiscal year end?* Yes No Is there a backup employee assigned for any time periods the designated employee is unavailable?* Yes No SCHEDULE E - REVIEW OF THE ACCURACY AND RELIABILITY OF INFORMATION1. Are there internal or external audits that include a review of the adequacy of the procedures and practices concerning Mississippi public funds deposit accounts?* Yes No 2. Are audit reports and reliability tests concerning Mississippi public funds deposits available for staff and/or bank officer review?* Yes No 3. Will your institution contact any depositors identified by staff and/or bank officer review as potential unidentified public depositors to confirm account classification?* Yes No ELECTRONIC SIGNATURE REQUIRED* I VERIFY that I have examined this institution’s procedures and practices addressing the identification, classification, collateralization, and reporting of Mississippi Public Deposits and have found them satisfactory. The prior questions demonstrate these procedures and practices:Internal/External Auditor's Signature*This field is hidden when viewing the formDate*Title*Phone*Email*
