S-143 - 09/12/1967 - AGREEMENT - Ordinances FORM SS-4
JM XX= =ORDINANCE NO. S-143
BE IT Ordained by the Board of Trustees
RESOLVED or ORDAINED) (Governing Body)
of the Village of Oak Brook Illinois•
(Name of Political Subdivision)
SECTION 1. It is hereby declared to be the policy and purpose of the
Board of Trustees of the Village of Oak Brook Illinois, to extend to
the eligible employees thereof, effective as of October L , 196 7 ,
the benefits of the Federal Old Age, Survivors, and Disability Insurance provisions
of the Federal Social Security Act and amendments thereto. In pursuance of said
policy, and for that purpose,. the Village President of the
(Head of Governing Body - Show Title Only)
. Village of Oak Brook shall take such action as may
(Name of Political Subdivision
be required by applicable State and Federal laws or regulations.
SECTION 2. The Village President of the Village of Oak Brook
Head of Governing Body)
Illinois, is hereby authorized and directed to execute an agreement with the Social
Security Unit of the State Employees' Retirement System of Illinois to secure
coverage of eligible employees as provided in Section 1 hereof.
SECTION 3. withholdings from salaries or wages of employees for the purpose
provided in Section 1 hereof, are hereby authorized to be made in the amounts and
at such times as may be required by applicable State and Federal laws or regulations,
and shall be paid over to the STATE AGENCY in such amounts and at such times as are
designated by State laws or regulations.
SECTION 4. Employer contributions and administrative expense shall be paid
to the STATE AGENCY in accordance with applicable State laws and regulations from
amounts appropriated for such purposes.
SECTION 5. The V111gAd Clerk shall maintain such records and
Title of Official)
submit such reports as may be required by applicable State and Federal laws or
regulations.
SECTION 6. This Ordinance S-L43 shall take effect and be in
(Resolution or Ordinance
full force from and after its passage (and approval).
Passed (and approved) this 12th day of September 196_7 .
Sf Samuel E. Dean
(Signature - Head of Governing Body)
SEAL Title: Village President
ATTEST: S/ Lorraine E . Fricek
(By Custodian of Records) '
Title: Village Clerk
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3
33
(Certification on reverse side must be executed by Custodian of Records.)
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R11T(" THTS COM
FORM SS-3 TO STATE AGENCY
SOCIAL SECURITY COVERAGE AGREEMENT
By action of the governing body in the adoption of a Resolution or Ordinance
(certified copy attached), and in accordance with authority vested in it by the
State of Illinois, the Village of Oak Brook , Illinois,
hereafter designated as the Political Subdivision, enters into this agreement with
the Social Security Unit of the State Employees' Retirement System of Illinois,
hereafter designated as the State Agency, for the purpose of extending to its
employees, the benefits of the Federal Old ilge, Survivors, and Disability Insurance
provisions of the Federal Social Security Act.
THE POLITICAL SUBDIVISION HEREBY AGREES:
(1) To be bound by all applicable provisions with respect to social security
coverage as are contained in the Federal Social Security Act, Title II, as amended;
the Social Security Enabling Act of the State of Illinois, as amended; the present
Rules and Regulations of the State Agency or those hereafter promulgated; and the
Resolution or Ordinance of the governing body. The foregoing shall be a part of q
this agreement as if set forth in their entirety herein.
(2) That all employees of the Political Subdivision are included in the plan
of coverage except those performing se�vices which are specifically excluded by
applicable Federal and State statutes, and except all members of such classes of
elected or appointed officials as are designated by the governing body, namely:
ELECTED CLASSES: (a) a e X (b)' - Iagi sla ge X (c) c 2 APPLY
FEE BASIS (Elected or Appo ed : (This refers to reward or recompense to a
public officer for official services rendered to the public and does not mean fees
paid to an em��pplopee by the employer.. ) All full.-time policesaen And firemen positions,
submit to 18s8E 111 Rev. State., Ch. 1081, Arts. 3 & A are excluded from coverage.
(3) The approximate total number of employees to be covered by this agree-
ment is 8 (This figure must include all appointed full-time and part-time
employees and officials, except all members of those classes specifically excluded
in clause (2) above.) Upon request to the State Agency this plan of coverage may
be modified to cover classes of officials or positions not now included.
}
(4) Coverage under this agreement shall be effective with the calendar
quarter beginning October_ Lst , 1987 . (Insert January 1, April 1,
July 1, or October 1 of the year coverage is to become effective. See Section I
of the Resolution or Ordinance as adopted by the Political Subdivision. )
(5) To pay to the State Agency, at the times specified, for deposit in the
Social Security Contribution Fund, an amount equivalent to employer and employee
contributions due as determined on the basis of quarterly reports of total wages
paid to covered employees and filed with the State Agency.
(6) To reimburse the State Agency, for the benefit of the State Treasury,
its pro rata share of the total annual administrative expenses as determined by
the State agency.
(7) That the following fund will be drawn upon to meet the financial obliga-
tions incurred under this agreement , and assures that this source will be adequate
for such purposes: General Corporate Pund
(Insert the title of the fund from which social security contributions and pro rata
administrative expenses are to be paid.)
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(8) That in accordance with Section 5 of its Resolution or Ordinance, the
following official, as a part of his duties, shall be responsible to the State
Agency for receipt , execution, and submission of the quarterly wage reports and
payment of contributions at the times specified.
Lorraine E, Frieek trk -
(Name) (Official Title)
Oak Brook and Spring Roads 654-2 20
Address) _ Telephone Number)
(The State Agency shall be notified immediately of any change to name or address. )
(9) To establish such internal wage disbursement, record keeping, payroll
accounting practices, and other matters relating to administration of the plan as
may be found by the State Agency to be necessary for proper and efficient adminis-
tration of the plan, and to make -reports in such form and containing such information
as the State Agency or the Secretary of the Department of Health, Education, and
Welfare of the United States may from time to time find necessary to assure correct-
ness and verification of such reports.
(10) If the State Agency finds the Political Subdivision has failed to comply
substantially with any provisions contained in such plan, it may terminate this
agreement in its entirety as set forth in Section 6 of the Social Security Enabling
Act of the State of Illinois.
Upon signatures of the respective officials being affixed hereto, the State
Agency accepts the proposed agreement for inclusion in a modification of the agree-
ment between the State of Illinois and the Department of Health, Education, and
Welfare. The agreement shall not operate to vest the Political Subdivision with
legal authority to withhold social security contributions from wages of covered
employees until it receives official potice of approval by the State Agency and an
employer identification number issued by the Federal Authority.
STATE EMPLOYEES' RE"T'IREMENT SYSTEM
Village of Oak Brook OF ILLINOIS - SOCIAL SECURITY UNIT
(Name of Political Subdivision) (State Agency)
S1 Samuel E. Dean DY:
(Signature - Head of Governing Body) Executive Officer
Title: President
j
SEAL
(Date modification of Federal-State
` agreement executed by State Agency)
ATTEST: S1 Lorraine E. Fricek
(Hy Custodian of Records)
Title: V111age Clerk
(A certified copy of the Resolution or Ordinance shall be attached to this document.)