HomeMy WebLinkAboutForm 806 - City of San Rafael 2012Agency Report of:
Public Official Appointments
A Public Document
1. Agency Name
CITY OF SAN RAFAEL
For Oficial Use 70nly
Division, Department, or Region (If Applicable)
SAN RAFAEL CITY COUNCIL
Designated Agency Contact (Name, Title)
NANCY MACKLE, CITY MANAGER
1 1
Date Posted:
Area Code/Phone Number
E-mail
I
Page of
(Month, Day, Year)
2. Appointments
Agency Boards and Name of Appointed Person A plat Date and Per Meeting/Annual Salary/Stipend
Commissions I I Length of Term I
San Rafael Sanitation
District
San Rafael Sanitation
District
ONa Phillips, Gary 12 / 19 / 11
(Last. First) Ajopt Data
McCullough, Andrew 1 year
Alternate, if any - 0
(Last, First) 1 Lar,grh of Tean
Heller, Barbara 12 / 19 / 11
►Name (Last First) Appt Data
Alternate, if any McCullough, Andrew 1 year
(L.., First) Length of term
► Name (Last First) 1 10 / Appt Date /
Alternate, if any (Last. First) 1 10
1, Per Meeting: $ 100.00
► Estimated Annual:
F1 $o-$1,000 F1 $2,00143,000
0$1,001-$2,000 ElOther
-
0 Per Meeting: $ 100.00
► Estimated Annual:
F1 $o-$1,000 ❑ $2,00143,000
nX $1.00142,000 ❑
Other
► Per Meeting: $
► Estimated Annual.
Length of Terro ❑ $0-$1,000 ❑ $2,00143,000
❑$1,00142,000 ❑
Orner
1,Name (Last First) 1 0 / Apt Data / _ I 1 Per Meeting: $
1, Estimated Annual:
Alternate, if any ► 0 $o-si.000 ❑ $2,001-$3.000
'Last 11,W) Length Of T-
❑ $1,00142,000 ❑
Other
3. Verification
have read and understand FPPC Regulation 16705.5. 1 have verified that the appointment and information identified above is true to the best of my information and belief.
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-71, jc4Nancy Mackle City Manager 10-15-2012
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Signature of Agency Head or Designee Perot Name Title
j4Aont1n Day, Year)
Comment'.
FPPC Form 806 (5/12)
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