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FPPTA Florida Public Pension Trustees Association CPPT Continuing Education Verification Form For the Year 2005 Designee Information: Name: ______________________________________________________________________ Company/Pension System: ______________________________________________________ Street Address: _______________________________________________________________ City: __________________________________ State: ____________ Zip: ________________ Phone: _______________________ E-mail: ________________________________________ Please mark the programs you have attended: 10 CEU Units _____ FPPTA Trustees School, February 2005, Hilton, San Destin _____ FPPTA Trustees School, October 2005, World Golf Village, St. Augustine _____ FPPTA CPPT Continuing Education Trip to Stock Exchange, April 2005, NY 5 CEU Units _____ State of Florida Police Officers and Firefighters Trustees School, March 2005, Tallahassee, Florida _____ NCPERS Annual Conference, May 2005, Las Vegas, Nevada _____ FPPTA Annual Conference, June 2005, Boca Raton, Florida _____ State of Florida Police Officers and Firefighters Trustees School, December 2005, St. Petersburg, Florida _____ NCTR, October 2005, Tampa, Florida _____ NPEA, October 2005, San Antonio, Texas _____ International Foundation of Employee Benefit Plans Annual Conference (various locations) Designee Signature: __________________________________ Date: ________________________

CPPT Program Post Certification Requirements: After completing the CPPT Certification Program everyone must complete 10 Continuing Education Units annually or 30 Continuing Education Units over three years to maintain your CPPT Certification. An FPPTA Trustee School is worth 10 units and any other educational function attended is worth 5 units either with the FPPTA or an approved outside educational conference. We have presently approved participation in the NPEA, NCPERS, and the Florida Division of Retirement; “Police and Firefighters Trustee’s School”. Starting in 2002 the International Foundation of Employee Benefit Plans Annual Conference and the State of Florida Fire & Police School held in Orlando are on the approved list. Each recipient will be monitored yearly to insure that CPPT related education is in fact continuing. You are required to attend at least one FPPTA function per year. Post Certification Requirements will be monitored on a calendar year basis beginning in January 2000. Starting January 2006 there will be a $100 re-certification fee. This will be every three years starting after your first three years being certified. There will be no exam for re-certification. If you have any questions please feel free to contact Kim Ryals at 800-842-4064 or by e-mail Mail CEU form to: FPPTA 2946 Wellington Circle East Suite A Tallahassee, Fl 32309 Phone: 800-842-4064 Fax: 850-668-8514 E-mail: