HomeMy WebLinkAboutForm 806 - City of San Rafael 2013Agency Report of:
Public Official Appointment -s
1. Agency Name
CITY OF SAN RAFAEL
Division, Department, or Region (If Applicable)
SAN RAFAEL CITY COUNCIL
)esignated Agency Contact (Name, Title)
NANCY MACKLE, CITY MANGER
Area Code/Phone Number E-mail
415-485-3070 1 city. manager@cityofsanrafael.org
Agency Boards and
Commissions
Name of Appointed Person
Appt Date and
Length of Term
Per Meeting/Annual Salary/Stipend
San Rafael Sanitation
0 Per Meeting: $
100.00
District
Phillips, Gary
Name
12 / 16 / 13
(Last First)
Appt Date
0 Estimated Annual:
McCullough, Andrew
1 year
El so -$1,000
[1 $2,001-$3,000
Alternate, if any
First)
(Nast.►
[0 $1,001-$2,000
Length, of Term
Other
San Rafael Sanitation
Bushey, Maribeth
12 / 16 / 13
0 Per Meeting: $
100.00
District
0 Name
()ast, First)
Appt Date
0 Estimated Annual,
McCullough, Andrew01A
r 1 year
El so -s1,000
$2,00143,000
Alternate, if any
(Last, First)
Length, of Term
$1,001-$2,000
Other
0 Name
0 Per ;Meeting. $
(Last, First)
Appt Late
0 Estimated Annual:
Alternate. if any
Oso-si,000
$2,00143,000
(Last First)
Length of Term
$1,001-$2,000
other
0
0 Per Meeting: $
�Name
(Last, First)
Appi Date.
0 Estimated Annual:
Alternate, if any
0
so-st000
$2,00143,000
(Last, Rf st)
i-ength of Term,
$1,001-$2,000
other
3. Verification
/ have read and understand FPPC Regulation 18705,5, 1 have verified that the appointment and information identified above is true to the best of my information and belief
Signature of Agency Head or Designee
Nancy Mackie
�!W
City Manager 03-03-201
Wonth, Day Year)
FPPC Form 806 (6/13)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)