STATE OF COLORADO COLORADO DIVISION OF BANKING PUBLIC DEPOSIT PROTECTION ACT

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STATE OF COLORADO COLORADO DIVISION OF BANKING PUBLIC DEPOSIT PROTECTION ACT Instructions for Application for Assignment of PDPA Number for Public Funds Deposited in Banks Purpose of Application. The Colorado Public Deposit Protection Act (PDPA), Section 11-10.5-101, et seq., C.R.S., has as its purpose the preservation and protection of all public funds held on deposit by a bank that are either not insured by or are in excess of the insured limits of Federal Deposit Insurance Corporation (FDIC) insurance, and the expedited repayment of those funds in the event of default and subsequent liquidation of a bank that holds those deposits. Section 11-10.5-102, C.R.S., states, briefly, that the PDPA requires banks in Colorado that are eligible depositories of public funds to pledge eligible collateral having a market value in excess of 102% of their aggregate uninsured deposits to secure uninsured public funds on deposit with the banks. Thus, the PDPA provides protection of public deposits beyond FDIC insurance. In order to achieve the purposes of the Act, PDPA places specific responsibilities on the Colorado State Banking Board (Banking Board), on banks that are eligible public depositories, and on official custodians of public funds. Colorado State Banking Board. The revised PDPA requires the Banking Board to establish an account numbering system to be used universally by all official custodians of public funds who deposit funds in banks. The numbering system designates unique numbers for accounts that are established by each official custodian so that the amount of public funds subject to FDIC insurance and the amount of public funds subject to the collateral requirements of the PDPA may be readily and more accurately determined. Official Custodians. The revised PDPA requires each official custodian of public deposits to make application to the Banking Board for the assignment of the PDPA numbers. It is important to each Colorado public entity and to each entity's official custodian that the required application be made to the Banking Board. Failure of an official custodian to secure the required PDPA numbers may result in the inapplicability of the Act's protections to the uninsured public funds under the control of the official custodian. The PDPA also provides in Section 11-10.5-111(4)(b), C.R.S., that any official custodian found to have violated the provisions of the PDPA is subject to fine (which may not be reimbursed or paid by the public unit) and removal from office. The Application by Official Custodian for Assignment of Public Deposit Protection Act (PDPA) Number(s) for Public Funds Deposited in Banks constitutes the PDPA number application required of the official custodian. The official custodian is generally defined in the PDPA, Section 11-10.5-103(9), C.R.S., as a designee, with plenary authority, including "control" over public funds of a public unit or other public entity described in Section 11-10.5-103(9), C.R.S. "Control" of public funds includes possession as well as the authority to establish accounts for the public funds in banks and to make deposits, withdrawals, or disbursements of the public funds. If the exercise of such authority requires the action or consent of two or more putative official custodians, they are treated as one official custodian with respect to those public funds. The PDPA imposes other obligations on official custodians; the official custodian may wish to seek advice from the public entity attorney on these other obligations. Banks. The PDPA imposes a number of obligations on banks that are eligible public depositories, including use of the PDPA number system that has been developed by the Banking Board. The PDPA imposes various penalties on banks and banking officials for any violation of the PDPA.

INSTRUCTIONS FOR COMPLETION OF THE APPLICATION Because of the legal nature of the requirements set out in the PDPA and in the FDIC laws, and the potential adverse consequences for failure to understand those requirements, the official custodian may wish to obtain the advice of the public entity attorney in completing the application. The Banking Board does not separately determine whether the applicant is an official custodian or verify the accuracy of the determination that the entity is or is not a "public unit." [An incorrect determination by the applicant can affect the adequacy of the amount of collateral that the bank pledges to secure the public funds it holds.] Correct completion of the application is dependent upon an understanding of the definitions of various words and requirements appearing in the application, the PDPA, and FDIC laws and regulations. Included with these instructions are certain of the current FDIC regulations and summaries of certain advisory, non-binding, opinions issued by counsel for the FDIC or the Colorado Attorney General, which may assist the applicant in completing the application. The completed application should be returned to: Public Deposit Protection Program Colorado Division of Banking State of Colorado 1560 Broadway, Suite 975 Denver, CO 80202 Please allow up to two (2) weeks to receive your number. Complete a separate application for each public unit and each other entity described in Section 11-10.5-103(9)(b), C.R.S., for which the applicant is an official custodian. The following comments relate to specific lettered paragraphs of the application: A. Name the public unit or other entity for which the applicant is an official custodian of public funds, and include the statutory citation under which the public unit or entity was formed. The name should be the complete legal name of the entity. A separate application must be filled out for each public unit or other entity for which the applicant serves as an official custodian. B. Because the FDIC insures official custodians of public units differently from official custodians of other entities, it is important to know whether the applicant is an official custodian for a public unit. The definition of public unit appears in Paragraph (B) of the application. 1. If the entity named in Paragraph (A) is a public unit, mark "yes" in the appropriate space and check the applicable category of public unit. If the entity is not a public unit, but is an entity described in Section 11-10.5-103(9)(b), C.R.S., which citation is included with these instructions, mark "no" in the appropriate space and go to Paragraph (B)(2). 2. If the entity named in Paragraph (B) is not a public unit but is an entity described in Section 11-10.5-103(9)(b), C.R.S., mark the one category listed in Paragraph (B)(2) that most specifically describes the legal status of the named entity. The categories of entities listed in Paragraph (B)(2) are the same as those listed in Section 11-10.5-103(9)(b), C.R.S., excluding the public units listed in that subsection. If more than one category accurately describes the entity, select and mark the one that most specifically describes the entity. If the applicant has answered "no" to Paragraph (B)(1) and Paragraph (B)(2), the applicant is not an official custodian under the PDPA and does not need to complete or return this application; the entity named in Paragraph (A) may be a subordinate unit (but not a political subdivision) of the State, or a county or municipality. If so, the applicant is not entitled to a separate number. However, if the applicant has public funds in the applicant's possession, the applicant should contact an attorney for advice on who the official custodian of the funds is. The PDPA number of that official custodian should be used when the funds are deposited in a bank. Pdpanumberapplicationinstructions Page 2 of 7

The FDIC provides separate insurance coverage for certain types of public funds held by an official custodian. Paragraphs (C), (D), and (E) describe these types of public funds. Because of the separate FDIC insurance provided, the PDPA numbering system will assign different PDPA numbers to each of these different types of public funds. Thus, the applicant must identify whether any of the public funds under his or her control fall within the described categories. The entity's attorney may need to assist in making these determinations. Advisory opinions from the FDIC (included with these instructions) may be of assistance. C. C.1. Answer this question only if the applicant has stated in Paragraph (B)(1) that the entity named in Paragraph (A) is a public unit. C.2. C.3. C.4. Answer this question if the entity named in Paragraph (A) is a public unity or an entity. Answer this question if the entity named in Paragraph (A) is a public unit or an entity. Answer this question if the entity named in Paragraph (A) is a public unit or entity. D. Answer this question only if the applicant has stated in Paragraph (B)(1) that the entity named in Paragraph (A) is a public unit. E. Answer this question only if the applicant has stated in Paragraph (B)(1) that the entity named in Paragraph (A) is a public unit. F. In completing the "Title/Name" blocks, include the position title, and not the name, if a particular position (such as "Treasurer") constitutes the official custodian. Include both the title and name if a particular named individual constitutes the official custodian. If two or more positions/individuals constitute one official custodian as provided in the definition of official custodian described above and in Section 11-10.5-103(9), C.R.S., include the titles/names and titles of all such positions/persons. (9) "Official custodian" means: DEFINITIONS FROM PUBLIC DEPOSIT PROTECTION ACT Section 11-10.5-103 (a) A designee with plenary authority, including control over public funds of a public unit which the official custodian is appointed to serve. For purposes of this paragraph (a), "control" includes possession of public funds, as well as the authority to establish accounts for such public funds in banks and to make deposits, withdrawals, or disbursements of such public funds. If the exercise of plenary authority over the public funds of a public unit requires action by or the consent of two or more putative official custodians, then such official custodian shall be treated as one official custodian with respect to such public funds. (b) A designee, other than a designee described in paragraph (a) of this subsection (9), with authority, including control, over public funds of an entity, including the state of Colorado; any institution, agency, instrumentality, authority, county, municipality, city and county, school district, special district, or other political subdivision of the State of Colorado, including any institution of higher education; any institution, department, agency, instrumentality, or authority of any of the foregoing, including any county or municipal housing authority; any local government investment pool organized pursuant to part 7 of article 75 of title 24, C.R.S.; any public entity insurance pool organized pursuant to state statute; any public body corporate created or established under the constitution of the state of Colorado or any state statute; and any other entity, organization, or corporation formed by intergovernmental agreement or other contract between or among any of the foregoing. For purposes of this paragraph (b), "control" includes possession of public funds, as well as the authority to establish accounts for such public funds in banks and to make deposits, withdrawals, or disbursement of such public funds. If the exercise of authority over such public funds requires action by or the consent of two or more putative official custodians, then such official custodians shall be treated as one official custodian with respect to such public funds. Pdpanumberapplicationinstructions Page 3 of 7

SUMMARIES OF SELECTED FDIC AND COLORADO ATTORNEY GENERAL OPINIONS CONCERNING INSURANCE OF PUBLIC DEPOSITS 1 Accounts Demand deposits owned by a public unit and deposited by the same official custodian in an insured bank within the state in which the public unit is located are aggregated and insured to a maximum of $100,000. 11/28/86, 2 4/4/88, 6/27/88. w accounts and money market accounts are savings accounts for purposes of 21 C.F.R. Section 330.8(a)(1). 11/28/86. Time and savings accounts owned by a public unit and deposited by the same official custodian in an insured bank within the state in which the public unit is located are aggregated and insured to a maximum of $100,000. 11/28/86, 4/4/88, 6/27/88. Bonds Where an official custodian is required to pay funds to holders of bonds issued by the public unit, the official custodian is deemed trustee of the bondholders and each bondholder is insured separately from other funds owned by the public unit if recordkeeping requirements are met. 9/19/85, 9/28/88. Bond interest and redemption funds maintained by a city is considered a trust fund and is insured separately up to $100,000 per beneficial bondholder if recordkeeping requirements are met. 9/18/78. Compensation Plans Qualified deferred compensation plans (per 26 U.S.C. Section 457) are not entitled to pass-through insurance for employee participants. FDIC Advisory Opinion 85-24 (October 27, 1985). Custodians "Official custodian" is an officer, employee, or agent of a public unit having official custody and control over public funds and lawfully depositing the funds in an FDIC bank. Control of public funds includes possession, as well as the authority to establish accounts for such funds and to make deposits, withdrawals and disbursements. If control over funds requires action or consent of two or more putative official custodians, they are regarded as one "official custodian." 11/28/86. Each official custodian is insured up to the FDIC limit. If a public unit has more than one "official custodian," each is a separately insured depositor. One individual official custodian for more than one public unit is separately insured up to the limit with respect to public funds of each such unit deposited by that individual. 9/19/85 FDIC, 10/6/86 A.G. FDIC insurance runs to the "official custodian" rather than the public unit. 5/12/83, 6/27/88. Counties, cities, towns and school districts may appoint multiple "official custodian." In establishing accounts using multiple custodians, each custodian should be officially designated. 5/25/78, 5/12/83 FDIC; 5/17/78 A.G. In establishing accounts using multiple custodians, each custodian should be officially designated. 5/12/83. The governing boards of the state institutions of higher education are political subdivisions and autonomous bodies within the Department of Higher Education entitled to separate insurance coverage. State Treasurer should be deemed official custodian of state college and university funds received by him in accord with state statutes and fiscal rules promulgated by the controller. Each of the governing boards of state universities and colleges, with the exception of the State Board of Agriculture, should be deemed official custodian of its respective funds. FDIC Advisory Opinion 88/38 (4/18/89). 1 These summaries are of opinions interpreting laws and regulations in existence prior to July 29, 1990, the effective date of recent amendments to the Deposit Insurance Coverage Regulations (Regulations) of the Federal Deposit Insurance Corporation (FDIC). opinion is expressed as to the applicability of the summaries to the Regulations as amended effective July 29, 1990, although the 1990 amendments to the public deposit portion of the Regulations appear to be relatively limited in scope. 2 Dates reflect dates of letters or opinions issued by the FDIC or Colorado Attorney General. Any date not otherwise identified relates to letters or opinions issued by the FDIC. Pdpanumberapplicationinstructions Page 4 of 7

Demand Deposits Demand Deposits owned by a public unit and deposited by the same official custodian in an insured bank within the state in which the public unit is located are aggregated and insured to a maximum of $100,000. 11/28/86. Funds City funds created for budgetary or accounting purposes are fiscal or accounting entities and are not recognized as separate principal departments or autonomous political subdivisions under FDIC regulations. For example, General Fund, Highway Users Fund, County Road and Bridge Fund, Special Assessment Fund, Utility Fund, Town Capital Improvement Fund, Investment Fund, and Utility Accounts Receivable Fund. 12 C.F.R. Section 330.8(c). 8/24/87, 11/28/86. City Meter Deposit Fund held on behalf of utility customers is entitled to separate FDIC insurance if recordkeeping requirements are met. 7/28/88. City Police Court Bond Fund held on behalf of persons who have posted bond with the court is entitled to separate FDIC insurance if recordkeeping requirements are met. 7/28/88. Deposits of the clerk of municipal or county court consisting of funds held on behalf of litigants in pending litigation are regarded as held by the clerk in a custodial capacity for the benefit of the litigants. The funds of litigants are insured separately and apart from the other funds of the public unit if recordkeeping requirements are met. 12/12/86. County Capital Improvement Trust Fund is not a political subdivision entitled to separate FDIC insurance coverage. 9/16/85. Pension funds (such as police and fire pension funds) are considered trust funds and the fund account is separately insured up to $100,000 per beneficiary if recordkeeping requirements are met and providing the valuation of each participant's interest can be determined without the evaluation of contingencies. 5/12/83, 6/27/88. Public School Income Fund; the State Board of Education constitutes a "principal department" or "political subdivision" of the state with respect to monies in this fund. 4/10/78 A.G. State Compensation Insurance Fund is not a political subdivision or public unit. 3/19/85. State Department of Local Affairs is a political subdivision. All Department of Local Affairs funds, including the Mineral Leasing Fund and the Local Government Severance Tax Fund, deposited in the same bank will be aggregated and insured to $100,000 for combined time and savings accounts and for demand accounts. 7/17/85 FDIC; 4/10/78 A.G. Colorado Water Conservation Board is a political subdivision or public unit. The CWCB Construction Fund is not a political subdivision and it will be aggregated with other CWCB funds held in the same bank and insured to $100,000. 7/17/85. Improvement Districts Improvement districts are political subdivisions entitled to separate FDIC insurance coverage. 9/16/86. Interest A qualified deposit is insured up to $100,000, a ceiling that includes principal and interest. 3/19/85. Money Market Accounts NOW accounts and money market accounts are savings accounts for purposes of 12 C.F.R. Section 330.14. 11/28/86. Municipal Bonds See Bonds. NOW Accounts NOW accounts and money market accounts are savings accounts for purposes of 12 C.F.R. Section 330.4. 11/28/86. Pdpanumberapplicationinstructions Page 5 of 7

Pension Funds Pension funds (such as police and fire pension funds) held on behalf of city employees are considered trust funds and the fund account is separately insured up to $100,000 per beneficiary if recordkeeping requirements are met. 5/12/83, 7/28/88. Political Subdivisions Political subdivisions are organizational units of government. 8/24/87. Funds created for budgetary or accounting purposes are fiscal or accounting entities and are not recognized as separate principal departments or autonomous political subdivisions under FDIC regulations. 12 C.F.R. Section 330.14. 8/24/87. See also: Funds. Improvement districts are political subdivisions entitled to separate FDIC insurance coverage. 9/16/86 Colorado Water Conservation Board is a political subdivision or public unit. The CWCB Construction Fund is not a political subdivision, and it will be aggregated with other CWCB funds held in the same bank and insured to $100,000. 7/17/85. Colorado Water Resources and Power Development Authority is a political subdivision entitled to FDIC insurance separate and apart from other state funds on deposit in the same bank. 7/17/85. The State Board of Education constitutes a "principal department" or "political subdivision" of the state with respect to monies in the Public School Income Fund. 4/10/78 A.G. State Compensation Insurance Fund is not a political subdivision or public unit. 3/19/85. State Department of Labor and Employment is a political subdivision of the state. All time and savings deposits held by the state treasurer as official custodian in an insured Colorado bank will be aggregated and insured to $100,000. All demand deposits will be similarly aggregated and insured to $100,000. 7/17/85. State Department of Local Affairs is a political subdivision. All Department of Local Affairs funds, including the Mineral Leasing Fund and the Local Government Severance Tax Fund, deposited in the same bank will be aggregated and insured to $100,000 for combined time and savings accounts and for demand accounts. 7/17/85 FDIC; 4/10/78 A.G. The governing boards of the state institutions of higher education are political subdivisions and autonomous bodies within the Department of Higher Education entitled to separate insurance coverage. The State Treasurer should be deemed official custodian of state college and university funds received by in accordance with state statutes and fiscal rules promulgated by the controller. Each of the governing boards of state universities and colleges, with the exception of the State Board of Agriculture, should be deemed official custodian of its respective funds. FDIC Advisory Opinion 88-38 (May 19, 1988). State College and University Funds; the state treasurer is the official custodian of all state college and university governing boards with the possible exception of certain "special funds." 10/6/86 A.G. The Colorado Commission on Higher Education does not qualify as a political subdivision and is not entitled to separate FDIC insurance coverage. FDIC Advisory Opinion 88--38 (May 19, 1988). Public Unit See Political Subdivision. Recordkeeping Requirements for Bonds, Trusts, Pension Funds, etc. FDIC recordkeeping requirements can be satisfied so as to provide pass-through insurance coverage of up to $100,000 per bond owner for beneficial owners of deposit-backed municipal bonds if the bank deposit account records expressly indicate that a custodial relationship exists and the records, maintained in good faith and in the regular course of business, expressly indicate the names of the true beneficial owners of the bonds, or in the alternative, if the bank deposit account records expressly indicate the depositor is acting as trustee for the registered bondholders and the trustee's records indicate that the registered bondholders may be holding the bonds in a fiduciary capacity on behalf of others and the records of the registered bondholders, maintained in good faith and in the regular course of business, expressly indicate the names and interests of the true beneficial owners of the bonds. Interpreting 12 C.F.R. Section 330.4. 9/28/88. Pdpanumberapplicationinstructions Page 6 of 7

Recordkeeping requirements pertaining to trust accounts require that the deposit records of the bank must disclose that a custodial relationship exists, and the details of the deposit relationship and the interests of the parties in the account must be ascertainable from the records of the bank or the records of the depositor maintained in good faith and in the regular course of business. 9/19/85. Road and Bridge Fund County Road and Bridge Fund created for budgetary and accounting purposes, is not an autonomous political subdivision. 11/28/86. Time and Savings Accounts Time and savings accounts owned by a public unit and deposited by the same official custodian in an insured bank within the state in which the public unit is located are aggregated and insured to a maximum of $100,000. 11/28/86. A qualified deposit is insured up to $100,000, a ceiling that includes principal and interest. 3/19/85. Trust Accounts See also: Recordkeeping. Deposits owned by several public units and managed by an investment advisor pursuant to a custodial agreement receive pass-through insurance and are separately insured as to each public unit, if recordkeeping requirements are met. 11/30/84 Bond interest and redemption fund maintained by a city is considered a trust fund and is insured separately up to $100,000 per beneficial bondholder, if recordkeeping requirements are met. 9/18/78. Colorado Local Government Liquid Asset Trust; each participant is separately insured, however, any certificate of deposit purchased by a custodian of a public unit having only one official custodian at an insured bank also holding a certificate of deposit purchased by the trustee for the trust, will be aggregated for insurance purposes with that participant's pro-rata beneficial interest in the Liquid Asset Trust certificate of deposit. 11/30/84. Pension Funds (such as police and fire pension funds) held on behalf of city employees are considered trust funds and the fund account is separately insured up to $100,000 per beneficiary if recordkeeping requirements are met. 5/12/83, 7/28/88. Deposits of the clerk of municipal or county court consisting of funds held on behalf of litigants in pending litigation are regarded as held by the clerk in a custodial capacity for the benefit of the litigants. The interests of the litigants would be insured separately and apart from the other funds of the public unit if recordkeeping requirements are met. 12/12/86. Pdpanumberapplicationinstructions Page 7 of 7

STATE OF COLORADO COLORADO DIVISION OF BANKING PUBLIC DEPOSIT PROTECTION ACT Application by Official Custodian for Assignment of PDPA Number for Public Funds Deposited in Banks Complete a separate application that identifies an "official custodian" of public funds deposited in a bank for each "public unit," as defined below, or other entity mentioned in Section 11-10.5-103(9)(b), C.R.S. Please refer to the accompanying instructions for information on completing the application. The definition of an official custodian appears in Section 11-10.5-103(9), C.R.S., a copy of which is included with the instructions. As discussed further in the instructions, failure to complete this application, or errors in the completion of this application, may result in the loss of protections otherwise applicable to public funds and/or official custodians. Please note that this application does not apply to funds deposited in a savings and loan institution, credit union, or other exceptions. After receipt and processing of the completed application, PDPA number(s) will be assigned and the official custodian will be notified of the number(s). Please allow up to two (2) weeks to receive your number. Official custodians must notify the banker(s) in writing of the original PDPA number(s). Return the completed application to: Public Deposit Protection Program Colorado Division of Banking State of Colorado 1560 Broadway, Suite 975 Denver, CO 80202 PLEASE TYPE OR PRINT ALL INFORMATION A. Name of public unit or other entity: Statutory citation under which the public unity or entity was created: B. Identify the type of public unit or other entity named in paragraph (A). 1. Is the entity named in Paragraph (A) a public unit that, for the purposes of this application, includes only the State of Colorado, or a county, municipality, or political subdivision (defined below) thereof? "The term 'political subdivision' includes drainage, irrigation, navigation, improvement, levee, sanitary, school or power districts, bridge or port authorities, and other special districts created by state statute or compacts between the states. It also includes any subdivision of... [the State, county or municipality] or any principal department of... [the State, county, or municipality]: (1) The creation of which subdivision or department has been expressly authorized by the law of such public unit; (2) To which some functions of government have been delegated by such law, and (3) Which is empowered to exercise exclusive control over funds for its exclusive use." Pdpanumberapplicationinstructions Page 8 of 7

If no, move to Paragraph (B)(2). If yes, check the one category of the following that most specifically describes the type of public unit named and then move to Paragraph (C). If one of the categories is checked below, do not check any categories of Paragraph (B)(2). a. State of Colorado g. District formed by compact between Colorado and other state(s) b. County h. Other "political subdivision" (refer to definition above) of the State of Colorado c. City or town (statutory, home rule, or territorial charter) i. "Political subdivision" (refer to definition above of a county d. City and county (combined) j. "Political subdivision" (refer to definition above) of a municipality e. School district k. County housing authority f. Special district created by or pursuant to state statute (not including a special improvement district) l. Municipal housing authority 2. If the entity named is not a public unit, is it an "entity" as described in Section 11-10.5-103(9)(b), C.R.S.? Paragraphs (B)(2)(a) through (f) below list each entity, as described in Section 11-10.5-103(9)(b), C.R.S., that is not a public unit. If yes, check the one category below that most specifically describes the type of entity named. a. Institution of higher education d. Public entity insurance pool organized pursuant to Colorado statute b. Institution, department, agency, e. Public body corporate created under instrumentality, or authority of any of the Colorado statute or constitution foregoing described in Paragraph (B)(1) or Paragraph (B)(2)(a) Identify the statute or other legal authority under which such institution, department, agency, instrumentality or authority is organized: Identify the statute or constitutional provision under which such public body corporate is organized: c. Local government investment pool organized pursuant to Section 24-75- 701, C.R.S., et. seq. f. Other entity, organization, or corporation formed by intergovernmental agreement or other contract between or among any of the foregoing described in Paragraph (B)(1) and Paragraph (B)(2) If Paragraph (B)(1) and Paragraph (B)(2) were answered no, the official custodian designation does not apply under the PDPA. Do not complete or return this application. If the entity named is a subordinate unit of a public unit named in Paragraph (B)(1), but is not a political subdivision as defined above, identify that public unit: (Insert Name of Public Unit). A separate PDPA number will not be issued. Under these circumstances, if an individual is in possession of public funds, the official custodian of the parent public unit should be contacted. The PDPA number of that "official custodian" should be used when depositing funds in a bank. Pdpanumberapplicationinstructions Page 9 of 7

C. What public funds are in custody? 1. If a public unit was named in Paragraph (A), do you have custody of any public funds of the named public unit that by law, or under a bond indenture, are required to be set aside to discharge a debt owed to the holders of notes or bonds issued by the public unit, as provided in Section 12 C.F.R. 330 15(c). A link to that site is also available on the Division of Banking Web Site. If yes, identify each such fund or bond issue by the complete name(s) or descriptive title(s): 2. If a public unit or entity was named in Paragraph (A), do you have custody of any pension funds or other employee benefit retirement plan funds of the public unit or other entity named in Paragraph (A)? If yes, identify the name(s) or descriptive title(s) of each such separate retirement fund: 3. If a public unit or entity was named in Paragraph (A), do you have custody of any other funds of the public unit or entity named that are not described in Paragraph (C)(1) or Paragraph (C)(2), but are held in trust for others under a written trust agreement or by statute, as provided in 12 C.F.R. Section 330.11. A link to that site is also available on the Division of Banking Web Site. If yes, identify the name(s) or descriptive title(s) of each such separate trust fund, and describe the persons for whom the funds are held in trust (attach supplemental sheets to identify each such fund): 4. If a public unit or entity was named in Paragraph (A), do you have custody of any funds of the public unit or entity that are commingled with the funds of any other public unit or entity, but that are not held in trust for others? If yes, identify the name(s) or descriptive title(s) of the commingled fund(s) and name the other public unit(s) or entity(ies) whose funds are commingled with those of the public unit or entity named in Paragraph (A). Pdpanumberapplicationinstructions Page 10 of 7

D. If a public unit was named in Paragraph (A), will funds of the named public unit be placed in a bank time or savings deposit account (including a NOW account, that is, a checking account that earns interest, or a money market deposit account)? E. If a public unit was named in Paragraph (A), will funds of the named public unit be placed in a bank demand (non-interest bearing) account, such as a non interest-bearing checking account? F. Identify an official custodian. 1. Identify an official custodian. An official custodian may be a designated position such as "Treasurer," or the official custodian may be a named person. Reapplication will not be necessary in the future if a particular position is designated the official custodian rather than a named person. If POSITION(S) constitute(s) the official custodian: Position Title (Print) (Optional) Other or Second Position Title (Print) OR if named PERSON(S) constitute the official custodian: Name and Title (Print) (Optional) Other or Second Name and Title(Print) 2. Signature(s) (of each person who is making this application on behalf of a position, or each person whose position name/title was named in Paragraph (F)(1)). Signature Print or Type Signature Date Signature Print or Type Signature Date 3. Mailing address and telephone number and FAX number of public unit or other entity named in Paragraph (A). Address City State, ZIP Code Area Code/Telephone Number Area Code/FAX Number 4. Mailing address and telephone number and FAX number of official custodian(s) (to be provided only if different from those of public unit or other entity named in Paragraph (A)). Address City State, ZIP Code Area Code/Telephone Number Area Code/FAX Number Pdpanumberapplicationinstructions Page 11 of 7

STATE OF COLORADO COLORADO DIVISION OF BANKING PUBLIC DEPOSIT PROTECTION ACT Application by Official Custodian for Assignment of PDPA Number for Public Funds Deposited in Banks Complete a separate application that identifies an "official custodian" of public funds deposited in a bank for each "public unit," as defined below, or other entity mentioned in Section 11-10.5-103(9)(b), C.R.S. Please refer to the accompanying instructions for information on completing the application. The definition of an official custodian appears in Section 11-10.5-103(9), C.R.S., a copy of which is included with the instructions. As discussed further in the instructions, failure to complete this application, or errors in the completion of this application, may result in the loss of protections otherwise applicable to public funds and/or official custodians. Please note that this application does not apply to funds deposited in a savings and loan institution, credit union, or other exceptions. After receipt and processing of the completed application, PDPA number(s) will be assigned and the official custodian will be notified of the number(s). Please allow up to two (2) weeks to receive your number. Official custodians must notify the banker(s) in writing of the original PDPA number(s). Return the completed application to: Public Deposit Protection Program Colorado Division of Banking State of Colorado 1560 Broadway, Suite 975 Denver, CO 80202 PLEASE TYPE OR PRINT ALL INFORMATION A. Name of public unit or other entity: Eagle County Charter Academy (In Eagle County School District) Statutory citation under which the public unity or entity was created: 22-30.5-101 CRS B. Identify the type of public unit or other entity named in paragraph (A). 1. Is the entity named in Paragraph (A) a public unit that, for the purposes of this application, includes only the State of Colorado, or a county, municipality, or political subdivision (defined below) thereof? X "The term 'political subdivision' includes drainage, irrigation, navigation, improvement, levee, sanitary, school or power districts, bridge or port authorities, and other special districts created by state statute or compacts between the states. It also includes any subdivision of... [the State, county or municipality] or any principal department of... [the State, county, or municipality]: (1) The creation of which subdivision or department has been expressly authorized by the law of such public unit; (2) To which some functions of government have been delegated by such law, and (3) Which is empowered to exercise exclusive control over funds for its exclusive use." Pdpanumberapplicationinstructions Page 12 of 7

If no, move to Paragraph (B)(2). If yes, check the one category of the following that most specifically describes the type of public unit named and then move to Paragraph (C). If one of the categories is checked below, do not check any categories of Paragraph (B)(2). a. State of Colorado g. District formed by compact between Colorado and other state(s) b. County h. Other "political subdivision" (refer to definition above) of the State of Colorado c. City or town (statutory, home rule, or territorial charter) i. "Political subdivision" (refer to definition above of a county d. City and county (combined) j. "Political subdivision" (refer to definition above) of a municipality e. School district X k. County housing authority f. Special district created by or pursuant to state statute (not including a special improvement district) l. Municipal housing authority 2. If the entity named is not a public unit, is it an "entity" as described in Section 11-10.5-103(9)(b), C.R.S.? Paragraphs (B)(2)(a) through (f) below list each entity, as described in Section 11-10.5-103(9)(b), C.R.S., that is not a public unit. If yes, check the one category below that most specifically describes the type of entity named. a. Institution of higher education d. Public entity insurance pool organized pursuant to Colorado statute b. Institution, department, agency, e. Public body corporate created under instrumentality, or authority of any of the Colorado statute or constitution foregoing described in Paragraph (B)(1) or Paragraph (B)(2)(a) Identify the statute or other legal authority under which such institution, department, agency, instrumentality or authority is organized: Identify the statute or constitutional provision under which such public body corporate is organized: c. Local government investment pool organized pursuant to Section 24-75- 701, C.R.S., et. seq. f. Other entity, organization, or corporation formed by intergovernmental agreement or other contract between or among any of the foregoing described in Paragraph (B)(1) and Paragraph (B)(2) If Paragraph (B)(1) and Paragraph (B)(2) were answered no, the official custodian designation does not apply under the PDPA. Do not complete or return this application. If the entity named is a subordinate unit of a public unit named in Paragraph (B)(1), but is not a political subdivision as defined above, identify that public unit: (Insert Name of Public Unit). A separate PDPA number will not be issued. Under these circumstances, if an individual is in possession of public funds, the official custodian of the parent public unit should be contacted. The PDPA number of that "official custodian" should be used when depositing funds in a bank. Pdpanumberapplicationinstructions Page 13 of 7

C. What public funds are in custody? 1. If a public unit was named in Paragraph (A), do you have custody of any public funds of the named public unit that by law, or under a bond indenture, are required to be set aside to discharge a debt owed to the holders of notes or bonds issued by the public unit, as provided in Section 12 C.F.R. 330 15(c). A link to that site is also available on the Division of Banking Web Site. X If yes, identify each such fund or bond issue by the complete name(s) or descriptive title(s): 2. If a public unit or entity was named in Paragraph (A), do you have custody of any pension funds or other employee benefit retirement plan funds of the public unit or other entity named in Paragraph (A)? X If yes, identify the name(s) or descriptive title(s) of each such separate retirement fund: 3. If a public unit or entity was named in Paragraph (A), do you have custody of any other funds of the public unit or entity named that are not described in Paragraph (C)(1) or Paragraph (C)(2), but are held in trust for others under a written trust agreement or by statute, as provided in 12 C.F.R. Section 330.11. A link to that site is also available on the Division of Banking Web Site. X If yes, identify the name(s) or descriptive title(s) of each such separate trust fund, and describe the persons for whom the funds are held in trust (attach supplemental sheets to identify each such fund): 4. If a public unit or entity was named in Paragraph (A), do you have custody of any funds of the public unit or entity that are commingled with the funds of any other public unit or entity, but that are not held in trust for others? X If yes, identify the name(s) or descriptive title(s) of the commingled fund(s) and name the other public unit(s) or entity(ies) whose funds are commingled with those of the public unit or entity named in Paragraph (A). Pdpanumberapplicationinstructions Page 14 of 7

D. If a public unit was named in Paragraph (A), will funds of the named public unit be placed in a bank time or savings deposit account (including a NOW account, that is, a checking account that earns interest, or a money market deposit account)? X E. If a public unit was named in Paragraph (A), will funds of the named public unit be placed in a bank demand (non-interest bearing) account, such as a non interest-bearing checking account? X F. Identify an official custodian. 1. Identify an official custodian. An official custodian may be a designated position such as "Treasurer," or the official custodian may be a named person. Reapplication will not be necessary in the future if a particular position is designated the official custodian rather than a named person. If POSITION(S) constitute(s) the official custodian: Treasurer Position Title (Print) (Optional) Other or Second Position Title (Print) OR if named PERSON(S) constitute the official custodian: Name and Title (Print) (Optional) Other or Second Name and Title(Print) 2. Signature(s) (of each person who is making this application on behalf of a position, or each person whose position name/title was named in Paragraph (F)(1)). Signature Dave Jaffe Print or Type Signature October 18, 2010 Date Signature Print or Type Signature Date 3. Mailing address and telephone number and FAX number of public unit or other entity named in Paragraph (A). Address PO Box 169 City State, ZIP Code Wolcott, CO 81655 Area Code/Telephone Number 970-926-0656 Area Code/FAX Number 970-926-0786 4. Mailing address and telephone number and FAX number of official custodian(s) (to be provided only if different from those of public unit or other entity named in Paragraph (A)). Address City State, ZIP Code Area Code/Telephone Number Area Code/FAX Number Pdpanumberapplicationinstructions Page 15 of 7

Extra notes: Suggest using other political subdivision for type of public entity (rather than school district ). If schools have bonds but use the state intercept program then they do not have to indicate that they are holding public funds that are under bond indenture. TABOR funds are not held in trust. The Official Custodian should probably be the administrative head of school (e.g. Principal), rather than a Board member. Pdpanumberapplicationinstructions Page 16 of 7