Zoom Meeting Participation Form

** When your name is called, identify yourself by name.

Must be filled out and turned in by 12:00 Noon on Monday, May 11, 2026. Statements are limited to 3 minutes.

Meeting Date*

Date

Your Name*

First NameLast Name

Zoom Name/User Name*

Your Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Zoom name (user name) MUST match the name used when submitting this form!

Do you live in Columbia County?*

YesNo

Public Hearing – Final Budget Hearing – FY 2025-2026 Budget

Please select topic(s) on the May 11, 2026 Meeting Agenda you would like to address:

Discussion and Possible Action – Disposition of 12 lots declared surplus (west of LSHA Administrative Building)Discussion and Possible Action – Parcel (32-3S-17-13120-001) - Consists of 11.2 acres located east of the parcels included in the proposed Meridian lease. The parcel is accessed by NE Lake Drive.Request for Approval – Renewal of U.S. Treasury Notes re: LSHA Surplus Funds Investment (final interest rate(s) TBD –May, 2026)Discussion and approval – BA2026-3 – quarterly amendment (Building Administration Fund April 2026 – May 2026)Mr. Todd Kennon, Attorney – Comments regarding conveyance of the former Lake Shore Hospital to Meridian Healthcare, Inc.Discussion and Possible Action – Lake Shore Hospital Building – Disposition of Assets Classified as Furniture, Fixtures, and Equipment (FFE) – Approval to hire temporary laborDiscussion and Possible Action – Medical Assistance Plan Amendment

If you selected, "Next Steps for LSHA" which topic would you like to discuss*

1.) Medical Assistance Plan2.) Indigent Care Trust Fund3.) Other

New Business

Update, Discussion and Approval – Renewal of U.S. Treasury Notes re: LSHA Surplus Funds Investment (final interest rate(s) TBD – July 2025 – Philip Moses, Jr., Raymond JamesDiscussion and Possible Action – Approval of Survey and Deed of Conveyance to Florida Gateway College regarding 2 story Women’s Building

* Limit 3 Minutes Per Person *

Reason*

LSHA Administrative Building -

Discussion and Possible Action – Approval (if necessary) to declare the Lake Shore Hospital Administrative Building (00-00-00-12071-000) as surplus property.Discussion and Possible Action – Approval (if necessary) to request “Toys for Tots” and Partnership for Strong Families (requires 30 days written notice) to vacate Suite 101 of the LSHA Administrative Building.

LSHA Records Storage Building -

Discussion and Possible Action – Approve one of two options: 1.) Approve an extension of the current lease with Columbia County (The current lease is for 12 months from the date of occupation, September 2024.) or 2.) Transfer ownership of the property to Columbia County.Discussion and Possible Action – Approve (if necessary) to declare parcel No. 00-00-00-12071-002 as surplus property. Please note the parking lot north of the Administrative Office Building and east of the tower site is included in this parcel.

LSHA Maintenance Building (NE Corner of Campus) -

Discussion and Possible Action - Approve a specific time frame for Columbia EMS to execute the proposed lease or forfeit the lease opportunity.

LSHA Vacant Lots -

Discussion and Possible Action – Approval (if necessary) to declare any of the following lots as surplus property: 1.) Parcels (00-00-00-12016-000), (00-00-00-12017-000), and (00-00-00-12018-000). Consists of 1 city block located between Marion Street and Hernando Street and north of Franklin Street. 2.) Parcel (00-00-00-12019-000). Consists of a partial city block located between Marion Street and Hernando Street and south of Franklin Street. 3.) Parcels (00-00-00-12032-000), (00-00-00-12033-000), (00-00-00-12034-000), (00-00-00-12035-000), and (00-00-00-12037-000). Consists of 1 city block located between Hernando Street and Calhoun Street and south of Washington Street. 4.) Parcels (00-00-00-12027-000), (00-00-00-12028-000), and (00-00-00-12029-000). Consists of a partial city block located between Hernando Street and Calhoun Street and north of Franklin Street. 5.) Parcel (00-00-00-12061-000). Consists of ½ of a city block located between Calhoun Street and Taylor Street and north of Leon. 6.) Parcels (00-00-00-12072-000) and (00-00-00-12073-000). Consists of 1 city block located between Taylor Street and Davis Street and north of Leon Street. 7.) Parcel (00-00-00-12069-000). Consists of 1/3 of a city block. The parcel is located south of Franklin Street and east of Wilson Park. The parcel is currently marked for parking. 8.) Parcel (32-3S-17-13120-001). Consists of 11.2 acres located east of the parcels included in the proposed Meridian lease. The parcel is accessed by NE Lake Drive.

Community Health Needs Assistance (CHNA) -

Update – Responses to the “Request for Proposals” regarding a Community Health Needs Assessment will be discussed at the February 10, 2025, LSHA Regular Trustee Meeting.