HomeMy WebLinkAboutForm 806 - City of San Rafael 2019Agency Report of:
Public Official Appointments
A Public Document
1. Agency Name
City of San RafaelFor
Officia70nily
Division, Department, or Region (If Applicable)
San Rafael City Council
Designated Agency Contact (Name,T)tle)
Jim Schutz, City Manager
Page 1 of 1
Date Posted:
12/04/2018
Area Code/Phone Number
E-mail
415-485-3070
city.manager@cityofsanrafael.org
(Month, Day, Year)
2. Appointments
Agency Boards and
Commissions
San Rafael Sanitation
District
San Rafael Sanitation
District
Name ofAppolnted PersonI Appt Date and
Length of Term
/Name
Phillips, Gary I 1,12 / 17 / 18
(Lest, Hai) Appt Dole
Alternate, if any
McCullough, Andrew 1 year
►
(Lest, First) f nn h er r f,
WarneBushey, Maribeth I ► 12 / 17 / 18
(Lest, Frsf) Appf Defe
McCullough, Andrew
Alternate, if any
(Lest, FirsQ
► 1 year
Length of Tom
Per Meeting/Annual Salary/Stipend
► Per Meeting: $ 100.00
1 Estimated Annual:
❑ $0-$1,000 [--1$2,001-$3,000
®$1,001-$2,000 ❑
Other
► Per Meeting: $ 100.00
► Estimated Annual:
[--]$0-$1,000 ❑$2,001-$3,000
® $1,00142,000 ❑
Other
►Name I ► / / I ► Per Meeting: $
(Last, first) Appt Date
Alternate, if any
(Last, First)
► Estimated Annual.
►
Length o/Term El $o-$1,000 [:]$2,001-$3,000
❑$1,001-$2,000 ❑
Other
►NaWarnee
I 10/ / I 10Per Meeting: $
(Lest, FirsuJ Appt Date
Alternate, if anyI ►
(Lest, First)
► Estimated Annual.,
[:]$0-$1,000 ❑ $2,001-$3,000
Length of Term
❑$1,001-$2,000 ❑
Other
3. Verification
1 ha read and un erstand FP Re ation 18702.5. 1 have verified that the appointment and information identified above is true to the best of my information and belief.
Jim Schutz City Manager J Z — /V _ /go"
Sig)
ig tune of XNAcy Head esigne Print Name Title (Month, Day, Year)
Comment:
FPPC Form 806 (1/18)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)