HomeMy WebLinkAboutForm 806 - City of San Rafael 2020Agency Report of:
Public Official Appointments
A Public Document
1. Agency Name
City of San Rafael
Agency Boards and
Commissions
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Division, Department, or Region (If Applicable)
San Rafael City Council
Designated Agency Contact (Name, Title)
Jim Schutz, City Manager
Pae 1 of 1
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Date Posted:
12/03/2019
Area Code/Phone Number
415-485-3070
E-mail
city. manager@cityofsanrafael.org
(Month Day Year,
2. Appointments
Agency Boards and
Commissions
Name of Appointed Person
t Date and
Length of Term
Per Meeting/Annual Salary/Stipend
San Rafael Sanitation
100.00
District
Phillips, Ga
' Gary
► 12 / 16 / 19
1' Per Meeting $
►Name
(Last First)
Appt Date
► Estimated Annual
McCullough, Andrew
1 year
❑$o-$1,000 ❑$2,001-$3,000
Alternate, if any
►
(Last First.
Length of Term
®$1,001-$2,000 ❑
Other
San Rafael Sanitation
Bushey, Maribeth
► 12 / 16 / 19
► Per Meeting $ 100.00
District
►Name
(Last, First)
Appt Date
► Estimated Annual
McCullough, Andrew
1 year
y
[1 $041,000 ❑$2,001-$3,000
Alternate, if any
►
(Last First:
Length of Term
® $1,00142,000 ❑
Other
►Name
0—/—/
► Per Meeting $
(Last, First)
Appt Date
► Estimated Annual
Alternate, if any
/
❑$0-$1,000 ❑$2,001-$3,000
(Last, First)
Length olTerm
❑ $1,001-$2,000 ❑
Other
►Name
► / /
► Per Meeting $
(Last, Fust)
Appt Date
► Estimated Annual.
Alternate, if any
►
❑$0-$1,000 [-1$2,001-$3,000(Last,
Length of Term
First)
❑ $1,001-$2,000 ❑
Other
3. Verification
I have read anunderstand R ulati n 2.5. 1 have verified that the appointment and information identified above is true to the best of my information and belief
Jim Schutz City Manager 17,—q
Signah ofA ency Head orDesig a Print Name Title (Month, Day, Year)
Comment:
FPPC Form 806 (1/18)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)