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-:. • ~ • ic; : ; -· j ~ •1 Kittit3s Cou n tv 3heriff s Office --·-·"' .. ------ <br />:; . 3': 3 j ✓ ! J 2015 ----·--- <br />D arre n Higas h iya ma Commande r (509) 962-7057 <br />STEP 1 I -------------------'---o....a'--'----'._;,.-----"y""'E"""s;.;.__ -_-s'-T-O_P_, -no_fu_rt,._h_e_r ---;,----------- <br />Is your grant agr-eemer.t :ess ,han $25,000 ? <br />YES <br />analysis needed, <br />GO toStap 6 <br />GO to Step 2 <br />NO STOP , no further Jn your preceding fiscal year, did your <br />organization receive 80% or mor-e of its annuai <br />1 gross revenues from federal funding? • I GO to STEP 3 ! ✓ j · analysis needed, GO to <br />Step 6 , ... , STEP . <br />In your preceding fiscal year, did your <br />organization receive $25,000,000 or more in <br />federal funding? <br />YES • · GO to STEP 4 <br />NO . STOP, no further • : analysis needed , GO io <br />Step 6 <br />I <br />Does the public have :1ccess to information about <br />the total compensat ion• of senior executives in <br />your organization? I <br />'STEP 4 <br />YES • <br />: : I <br />Ul 0 <br />STOP, 110 further NO <br />analysis needed, I • : GO lo STEP 5 <br />,...0 to steo ~ "--~ ,.. , . ...,. ----,_:!-'._ .STEP:5 . ,'· . -l i;;;l,' . --. ---· - <br />Executive #1 Name : <br />Tota! Compensa ti on amount s <br />Executive #2 Name: <br />Totai Compensation amount: $ <br />Executiv e #3 <br />Name; <br />Total Compensation am o unt $ <br />E:cecutive #4 <br />Name: <br />Totai Compensation amount $ I Executive #5 <br />Name: <br />Total Ccmpensation amount$ <br />• ,i -,. -1:.··-,. ~--:~ -•• . ..,.. .• _.,.§:rEP 6 . ~ .~ :-. ;:;,-~~~~ ~ -. r---~ --• .. •·. --:-"'' ... <br />if your organization does not meet these criteria, specificany· ident[f'J bejow -~act} criteria that is not met for your <br />organization: For Examole: "Our organ lzati0n received less than $25,000.~ <br />We did not receive over 80% or more of its annua J grnss r2Nenues from federal funds <br />Date: 10/06/ 15 <br />• Total compensation refers to: <br />• Salary and bonuses <br />• Awards of stock, stock options, and stock appreciation rights <br />Other compensation including, but not limit-ad to, saverancg and termination payments <br />• life insurance value paid on behalf of the employee <br />Additional Resources: <br />http :/lwww.whltehol,lse .gov/omb/open <br />http://www.hrsa.gov/grantsl ffatahtml . <br />hrtp ://www.goo .gov/fdsys/pkg/FR-2010-09-14/odf/2010-22705. pelt <br />http1//www.9rants.go11/ <br />Pag,e t of 3 <br />_'?,! <br />-~- <br />.