HomeMy WebLinkAboutForm 806 - City of San Rafael 2018Agency Report of:
Public Official Appointments
1. Agency Name
City of San Rafael
Division, Department, or Region (If Applicable)
San Rafael City Council
Designated Agency Contact (Name, Title)
Jim Schutz, City Manager
Area Code/Phone Number
415-485-3070
2. Appointments
Agency Boards and
Commissions
San Rafael Sanitation
District
San Rafael Sanitation
District
3. Verification
E-mail
city. manager@cityofsanrafael.org
Name of Appointed Person
Phillips, Gary
~Name ____________ ~~~ __________ _
(Last, Flrsl)
McCullough, Andrew
Alternate, If any ______ ---.,,........,-=-~----_
(Lasl, First)
Bushey, Maribeth
~Name _______ ~~~ _______ _
(Last, Flrsl)
McCullough, Andrew
Alternate, If any _______ ----:~-:::::~------_
(La>!, First)
~Name ___________ ~~~ __________ _
(Ls", FlrsQ
Alternate, If any ________ ---::--.--:::--:::--______ _
(Lasl, First)
~Name _________ ~~~ _______ __
(Last,Firsl)
Alternate, if any ________ ---::--:--=-::--_____ _
(Lasl,Flrst)
A Public Document
California 806
Form
For Official Use Only
Date Posted:
01/10/2018 Page 1 of 1 ------
~
~
Appt Date and
Length of Term
~~/~
ApplOsl.
1 year
Length of T8tm
1 year ~--........ -----Length 01 Term
~ _1_1-
ApplOsl.
~
Length of rann
~ __ 1 __ 1-
ApplOsl.
~
Length of Term
(Month, Day. Year)
Per Meetlng/Annual SalarylStlpend
~ Per Meeting: $
100.00
~ Estimated Annual:
0$0-$1,000 0$2,001-$3,000
181 $1,001-$2,000 0
Other
100.00 ~ Per Meeting: $ ------
~ Estimated Annual:
0$0-$1,000 0$2,001-$3,000
jg)$1,001-$2,OOO 0_-:",..-_
Other
~ Per Meeting: $
~ Estimated Annual:
0$0-$1,000 0$2,001-$3,000
0$1,001-$2,000 0
Other
~ Per Meellng: $
~ Estimated Annual:
0$0-$1,000 0$2,001-$3,000
0$1,001-$2,000 0
Other
egulation 18702.5. I have verified that the appointment and Information Identified above is true to the best of my infonnation and bel/ef.
Jim Schutz City Manager 01/10/2018
Print Name Title (Month, Day. Year)
Comment: ________________________________________ _
FPPC Form 806 (1/18)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)