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Community How To Guide On...SELF SUFFICIENCY – APPENDIX 4 EARMARKED PUBLIC FUNDS INVENTORY FORM 1. Does any organization in my community currently receive funding from fines? If yes, what is the organization _________________________________________________________________ What is the amount of the fine ________________________________________________________________ No organization currently receives funding from fines_______________________________________________ 2. Does any organization in my community currently receive funding from fees? If yes, what is the organization _________________________________________________________________ What is the fee ____________________________________________________________________________ No organization currently receives funding from fees________________________________________________ 3. Does any organization in my community currently receive funding from assessments/dedicated taxes or surcharges? If yes, what is the organization _________________________________________________________________ What is the amount ________________________________________________________________________ No organization currently receives funding from these sources_________________________________________ 4. Does state law provide for earmarked funding, and if so, where does the money go? ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Places To Research Contact law enforcement agencies, courts, state highway safety agency, state health department, non-profit organizations. Source: Financial Self-Sufficiency Study and Guidelines, Volume 1, U.S. Department of Transportation, National Highway Traffic Safety Administration. DOT HS # 808 240, 1995 Underage Drinking Prevention Project xv