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Home My WebLink AboutFPPC - Form 806 - 2013Agency Report of: Public Official Appointments 1. Agency Name 10 CITY OF SEAL BEACH For Official Use 70nly Official Division, Department, or Region (ItApplicable) CITY COUNCIL Designated Agency Contact (Name, Title) LINDA DEVINE, CITY CLERK Pae 1 of 2 g ate Posted: 01/15/13 Area Code/Phone Number � E-mail 562-431-2527 Idevine@sealbeachca.gov — (Month, Day, Year) 2. Appointments Agency Boards and Commissions California Joint Powers Insurance Authority (CJPIA) Orange County Fire Authority Name of Appointed Person I I Appt Date and Per Meeting/Annual Salary/Stipend Length of Term ►Name Miller, Gary ► 01 / 14 / 13 11, Per Meeting: $ 100 F-t) Appi D.I. ► Estimated Annual: Alternate, if any ► 1 year — N $o-si'000 ❑ $2,001 - $3,000 V "� Firm) Length of Tom, F71$1,001-$2.000 171 other ►Name Sloan, David 01 1 14 / 13 ► Per meeting: $ 100 bi-monthly ► (Last, First) Appt D.I. Alternate, if any Shanks, Gordon (Lee, F-t) ► Estimated Annual: ► 1 year FRI $o-si,000 171 $2,00143,000 Length of Term ❑ $1.001-$2,000 ❑ other Orange County Sanitation Levitt, Michael 01 1 14 / 13 ► Per Meeting. $ 212.50 ► District 1,Name I (Last Firstl Apief Deh, (OCSD) • Z to , LTIT1.9mazrogyra ZEN= Alternate, if any Shanks, Gordon (Lest. F,,&) ► Estimated Annual: year 1 ongth 0 so-$1,000 0$2,001- $3,000 ❑of $1,001-$2,000 ❑ oaha )Name Miller, Gary — 1 ► -21 / 14 / 13 � 'Per Meeting: $ (La-q, First) Appt Dote Alternate, if any Levitt, Michael (te-t, First) :]FIST&I ► Estimated Annual., ► 1 year Z$0-$1'000 El $2,00143,000 Length of Term ❑ $1,001-$2,000 ❑ other 3. Verification NI have re46wd u t d FPPC Regulation 18705.5. 1 have verified that the appointment and information identified above is true to the best of my information and belief. 3��_ JILL R. INGRAM CITY MANAGER 01/14/13 Signature ofAgency U Designee Print Name Title (Month, Day Year) Comment: Appointments made by Council adopted Resolution No. 6342 - dated 01114113 FPPC Form 806 (5/12) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) Agency Report of: Public Official Appointments Background This form is used to report additional compensation that officials receive when appointing themselves topositions on committees, boards nr commissions ofa public agency, special district, and joint powers agency or authority, For example, a city oounc||member may bo appointed Vu serve es the city's representative ono joint powers insurance authority oro metropolitan planning organization ormayor. (Regulation 18705.5. amended 03.2012) Each agency must post on its w*bsitea single Form 806 which lists all the paid appointed positions. When there ioachange in compensation ora new appointment, the Form 8OOisupdated 0o reflect the change. The form must be updated promptly ao changes occur. Initial Agency Posting Aa soon as possible, each agency should prepare aForm 8O8 identifying all of the current paid appointments 0oother governmental agencies. Thomofter, the form may bo amended 8z include the future appointments. Instructions This form must be posted prior tom vote (or consent item) to appoint a governing board member too paid position onanother Part 1. Agency Identification Identify the agency name and information on who should be contacted for information, Part 2. Appointments Identify the name of the other agency, board orcommission. List the name of the official, and on alternate, ifany. List the appointment date and the length uf term the agency official will serve. Disclose the stipend provided per meeting and the estimated annual payment. The annual salary ioonestimate moit will likely vary depending on the number cfmeetings, It is not necessary to revise the estimate ekthe end of the calendar Port 3. Verification The agency head or his/her designee must sign the verification. Frequently Asked QvoaUons(PAQs) 1. When does an agency need tocomplete the Form 806? AForm 806 is required when onagency's board members vote onon appointment for o board member to serve on another governmental agency and pay is provided. 2. The city council votes ho serve aa the city's housing authority, a separate entity. Will the Form 8OOberequired? |f the council members receive an additional compensation for serving on the housing authority, the Form 8N5inrequired, |f there inno payment, the Form 8O0ia not required. 3. Are appointments made byu governing board to appoint one of its members to serve maan officer of that board for additional pay (e,g, mayor) required to be disclosed on Form Yes. Regulation 187O55 permits voting on your own appointment to position of mayor ao well ao other boards and commissions mo long aa proper disclosure on the Form 8OOis made. This exception and disclosure apply to agencies with governing boards that are elected nrappointed. 4 |n determining the salary, must the agency include mileage reimbursements, travel payments, health benefits, and other No The FPPC regulation onlyequieatherep rbngofthe stipend or salary. 5. Which agency must post the Form 806? The agency that is voting hz appoint a public official must post the Form 00on its weboite. The agency that the official will serve aoa member ie not required hx post the Form 8UG. The form in not sent to the FPPC, The Form 808 should be amended promptly upon any nf the following circumstances: (1) the number of scheduled meetings is changed, (2) there ba change inthe compensation paid Vo the members, or(3) there 1oachange in membership on the board orcommission. 7. When a body meets irregularly, how should the annual compensation beestimated? The agency should estimate compensation using the highest number cfmeetings. 8, |n2O13 our agency will have e new appointment toonew ogency. How is the Form 80Uupdated? Before the agency votes on the appointment, the agency should update the Form 806 and identify the other governmental entity's name. |f known, also include other information such as the number of meetings and stipend. As long as that information is posted prior too vote of the governing board onon appointment, the agency |u|n compliance with Regulation 187U5,5, Following the vote, the agency must update the form to identify the individual that will serve, Privacy Information Notice Information requested by the FPPC is used to administer and enforce the Political Reform Act. Failure to provide information may bea violation subject to penalties. All reports are public records available for inspection and reproduction. Direct questions to FPPC'o General Counsel, Fair Political Practices Commission, 428J Street, Ste. O2Q. Sacramento, CA95814. FPPo Form mm(5/12) rPPn Toll-Free *°lpxne:oo61xSx-FpPo(nomu75-u7vu Agency Report of: Public Official Appointments Fo Californi rm'a 806 Continuation Sheet A Public Document 2. Appointments Agency Boards and Commissions Orange County Vector Control (term 2013-2016) r%-.- 0--4—A. v I I I IN Ili Name of Appointed Person Appt Date and Length of Term Per Meeting/Annual Salary/Stipend Levitt, Michael ► 01 / 14 / 13 1, Per Meeting: $ 100 Warne (L.-t, Firm) Appt Data ► Estimated Annual: 4 years El so-$ l'000 [:1 $2,00143,000 Alternate, if any ► — (L.&, Fee) term 9 $1,001-$2,000 171 Other 1, PerMeeting: $ ►Name 10 ft-1, FW4 Appt Data ► Estimated Annual,, 171 s0-s1.000 ❑ $2,00143,000 Alternate, if any ► Length of I.— fLeV, ❑$1,001-$2,000 171 Otnar ► 1, Per Meeting: $ ►Name (Last, First) Appt Date ► Estimated Annual: ❑ $o-si,000 ❑ $2,00143,000 Alternate, if any ► (Lase First) LenpFh of Term 171 $1,001-$2,000 Other ► ► Per Meeting: $ ►Name (L-t rest) APIX Dal. 0 Estimated Annual., ❑ $o-sl'000 ❑ $2,001-$3,000 Alternate, If any ► (Lad. F-0 L angth of Tw. []$1,001-$2,000 ❑ omen ► ► Per Meeting: $ ►Name (Last APO Date Estimated Annual., ❑ $0- $1,000 ❑ $2,00143,000 Alternate, if any ► {Last, Fil-0 Length at Term ❑ $1,001-$2,000 ❑ Other 0 Per Meeting: $ ►Name (L-4, Fir.1) Appf Data Estimated Annual: ❑ $o-si,000 ❑ $2,001-$3,000 Alternate, if any ► (test First} length of lerr+r ❑ $1,001-$2,000 ❑ Other FPPC Form 806 (5/12) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)