HomeMy WebLinkAboutForm 806 - City of San Rafael 2016Agency Report of:
Public Official Appointments
1. Agency Name
CITY OF SAN RAFAEL
Division, Department, or Region (If Applicable)
SAN RAFAEL CITY COUNCIL
Designated Agency Contact (Name, Title)
JIM SCHUTZ, CITY MANAGER
Area Code/Phone Number
415-485-3070
2. Appointments
Agency Boards and
Commissions
San Rafael Sanitation
District
San Rafael Sanitation
District
3. Verification
E-mail
city.manager@cityofsanrafael .org
Name of Appointed Person
Phillips, Gary ~Name------------'(~La=s (rH=~'")------------
McCullough, Andrew Alternate , if any __________ ".....,..",..".-______ __
(Last. First)
Bushey, Maribeth ~Name------------~~~as~'~~~sQ~---------
McCullough, Andrew
Alternate , if any --------~(::-La-.s'.-::F',.....rs::'"') ---------
~Name------------~(L~aS~(~Hrs~Q~---------
Alternate, if any --------~(::-La-.s'.-::F',....rs::'"') ---------
~Name -------------;(L;-:as~(.."Fic:::'s':;-) -----------
Alternate. if any ----------(::-La"""s(-::Fi:-irs::'"') ---------
A Public Document
California 806
Form
For Official Use Only
Date Posted:
Page _1_ of _1_ 12-31-2015
Appt Date and
Length of Term
~ ...2!.J...Q!.' ~
Appt Date
1 year ~ ----:--=--:-::---
Length of Totm
~ _Q1.-' _Qi.J ...:!.ยง...
ApptDato
~ __ 1.:......Ly..=.ea=.r:......_
Length of TOITrI
~ -'-'-ApptDato
~
Length of Torm
~ -'-'-App' Date
~
Length of Term
(Month. Day. Year)
Per Meeting/Annual Salary/Stipend
100.00 ~ Per Meeting: $ -------------
~ Estimated Annual:
0$0-$1.000 0$2,001-$3.000
~$1,001-$2,000 0 __ :::::-__
Other
~ Per Meeting: $ _______ 1~0~0~ . ..:.0...:..0
~ Estimated Annual:
0$0-$1,000 0$2.001-$3,000
Qg $1,001-$2,000 0 __ =:--_
Other
~ Per Meeting: $
~ Estimated Annual:
0$0-$1,000 0$2.001-$3,000
0$1.001-$2,000 0
Othflt
~ Per Meeting: $
~ Estimated Annual:
0$0-$1,000 0$2,001-$3.000
0$1,001-$2,000 0
Other
1aIion-t8705.5. I have verified that the appointment and information identified above is true to the best of my information and belief.
JIM SCHUTZ CITY MANAGER 12-31-2015
Print Name Tille (Month. Day. Year)
Comment ________________________________________ _
FPPC Form 806 (6/13)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
