HomeMy WebLinkAboutForm 806 - City of San Rafael 2022Agency Report of:
Public Official Appointments
A Public Document
1. Agency Name
City of San RafaelDivision,
For Officia7Only
Department, or Region (If Applicable)
San Rafael City Council
Designated Agency Contact (Name, Title)
Jim Schutz, City Manager
Pae 1 of 1
g
Date Posted:
12/06/2021
Area Code/Phone Number
E-mail
415-485-3070
city.manager@cityofsanrafael.org
(Month Day, Year)
2. Appointments
Agency Boards and Name of LeenAppointed Person n t Date and
of Term Per Meeting/Annual Salary/Stipend
San Rafael Sanitation 100.00
District ►Name Kate Colin / 12 / 06 / 21 I PerMeeting: $
(Last First) Appt Date
San Rafael Sanitation
District
Rachel Kertz
Alternate, if any /
(Last First)
/ Estimated Annual
1 year ❑ $o-$1,000 [:1$2 00143,000
Length of Term
®$1,001-$2,000 ❑
Other
/Name Maribeth Bushey I / 12 / 06 / 21
(Last F-t) Appt Date
Rachel Kertz
Altemate, if any
/ 1 year
Length of Term
Warne I/ / /
(Last First)Appf Date
Alternate, if any
(Last. First)
0 PerMeeting $ 100'00
I Estimated Annual:
❑$0-$1,000 [1 $2,00143,000
®$1,001-$2,000 ❑
Other
/ Per Meeting $
Estimated Annual
/
Length of Term El$o-$1,000 E:1$2 00143,000
❑$1,00142.000 ❑
other
Warne I / / / I / PerMeeting. $
(Last Ftsf) Appt Date
/ Estimated Annual.:
Alternate, if any / El $0-$1,000 ❑ $2,001-$3,000
(Last, First) Length al Term
E:1$1,001-$2,000 ❑
Other
3. Verification
I have read and derstandPC egu ation 18702.5. 1 have verified that the appointment and ,nformation identified above is true to the best of my information and belief
Jim Schutz City Manager 12/6/2021
Signature o Agenc Head o Designee Print Name Title (Month, Day, Year)
Comment:
FPPC Form 806 (1118)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)