HomeMy WebLinkAboutForm 806 - San Rafael Sanitation District 2014Agency Report of:
Publi c Official Appointments
1. Agency Name
San Rafael Sanitation District
Division, Department, or Region (If Applicable)
Designated Agency Contact (Name, Title)
David M. Bernardi, Interim District Manager
Area Code/Phone Number E-mail
415-485-3484 david.bernardi@cityofsanrafael.org
. . .... ......
2. Appointments
Agency Boards and
Commissions Name of Appointed Person
Appt Date and
Length of Urm
Central Marin Sanitation Bushey, Maribeth 1 22 / 14
Agency ®game (Last First) Appt Date
Phillips, Gary 0. 4 Years
Alternate, if any . (Last, First) Length of Term
Name
(Last, First) Appt Date
ZIMIMI�
(Last, First)
Length of Term
III• I ;;; 111,11
(Month, Day Year)
Per Meeting/Annual Salary/Stipend
► Per Meeting., $ 100.00
Estimated Annual:
0 so -s1'000 $2,001-$3,000
$1,001-$2,000
Other
. ,Per Meeting.,
l Estimated Annual:
El so -s1'000 0 $2,00143,000
❑ $1,001-$2,000 ❑
Other
�Name Per Meeting., $
(Last. First) Appt Date
0 Estimated Annual:
Alternate, if any Last, First) Legfl-, of Term 1:1$0-$1,000
ri$2,00143,000
$1,00142,000
Other
►Name 1 1 Per Meeting: $
(Last, First) Appt Date,
i Estimated Annual:
Alternate, if any-1,000(Lt, Fiat; ength of Term D sos$2,001-,00
3 0
$1,00142,000
Other
3. Verification
have read and understand FPPC Regulation -118705,5. 1 have venfied that the appointment and information identified above is true to the best of my information and belief
David M. Bernardi Interim District Manager 3-4-14
Signature of Agency Head or Designee Pnnt tame Title (Alonth, Day Year;
Comment: Doris Toy is the District Manager/District Engineer (415-485-3484 or doris.toy@cityofsanrafael.org)
FPPC Form 806 (6/13)
FP 'c Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)