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Home My WebLink AboutFPPC - Form 806 - 2014Agency Report of: Public Official Appointments 1. Agency Name CITY OF SEAL BEACH MOfffificial For Use 7Only Division, Department, or Region (filApplicable) CITY COUNCIL Designated Agency Contact (Name, Title) LINDA DEVINE, CITY CLERK Page 1 of 2 Date Posted: 01/14/14 Area Code/Phone Number 562-431-2527 E-mail ldevine @ .g sealbeachcaov I I (Month, Day Year) 2. Appointments Agency Boards and Commissions California Joint Powers Insurance Authority (CJPIA) Orange County Fire Authority (OC FA) Name of Appointed Person ' Date Appt Da and I Per Meeting/Annual Salary/Stipend Length of Term ►Name Deaton, Ellery ► 01 / 13 / 14 0 Per Meeting: $ 100 (Last, First; Appt Dar. I Alternate, if any (Last First) ► 1 year Length of 7w. ►Name Sloan, David ► 01 / 13 / 14 jLa.t' Fat) Appt pate Alternate, if any Shanks, Gordon [Last, First) ► 1 year Length of Term ► Estimated Annual., N$0-$1.00o [:] $2,001-$3,000 [-1$1,001-$2,000 [:1 other M m ► Per Meeting: $ ► Estimated Annual., ❑ so-sixo EI$2,001-$3,000 Ej $1,00142,000 ❑ apw Orange County Sanitation Levitt, Michael o 01 / 13 / 14 � Perlifeefing: $ 212.50 District 1,Name (Last First) Appt Date (OCSD) Shanks, Gordon 1 year ► Estimated Annual: Alternate, if any (Last. F-1) 0 Lgffi, ofr — ❑ $o-si,000 ®$2,001 - $3,000 ❑ $1,00142,000 ❑ Other West Orange County Miller, Gary 01 / 13 / 14 0 Per Meeting: $ 100 Water Board ►Narne (Last. First} Appt Dete (WOCWB) Levitt, Michael ► ► Estimated Annual: Alternate, if any {last First) Length 1 year — 0$0-$1.000 [1 $2,001 - $3,000 Length f 7arm EI$1,001-$2,000 ❑ other 3. Verification j have rel d a" under "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. 1-1 JILL R. INGRAM CITY MANAGER 01/13/14 Signature ofAgency Hej�:Jignee Print Name Title (Month, Day, Year) Comment: Appointments confirmed by City Council - adopted Resolution No. 6427 dated 01/13/14 FPPC Form 806 (6113) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275.3772) Agency Report of: Public Official Appointmen Continuation Sheet I A Public Document Page 2 of 2 1, Agency Name Date Posted: 01/14114 CITY OF SEAL BEACH I (Month, Day. Year) 2. ADDointments Agency Boards and Commissions Orange County Vector Control (term 2013-2016) Name of Appointed Person Appt Date and Length of Term Per Meeting/Annual Salary/Stipend Levitt, Michael 01 14 13 ► Per Meeting: $ 100 ►Name ► / / - (Lost, F,.t) Appt Date ► Estimated Annual., 4 years 171 so-$1,000 ❑ $2,001-$3,000 Alternate, if any 0 _ (Last, Fool Length of T.,. R1 $1,00142,000 ❑ ► 110 Per Meeting: $ ►Name (Last. Foot) Appt Data ► Estimated Annual: 171 s4-s1'000 [--1$2,001-$3,000 Alternate, if any ► tL.sf Length of T $1,00142,000 Other ► Per Meeting: $ ►Name (Last, Frist) Apt Date ► Estimated Annual.' ❑ s0-s1'000 ❑ $2,00143,000 Alternate, if any ► La'ga of -'e'" (Lost, Fns) ❑ $1,00142,000 ❑ Other 0 Per Meeting: $ /Name ► (Lan, Forst) Appt Data ► Estimated Annual: ❑ s4-$1,000 ❑ $2,00143=0 Alternate, if any ► (Last, Fi) Length of Tom 0$1,001142,000 ❑ Other ► ► Per Meeting: $ 0 Narne (Last. Fast) Appt Data ► Estimated Annual: ❑ s0-s1'000 ❑ $2,00143,000 Alternate, if any (Last. Hs?) Length of Term ❑ $1,00142,000 ❑ Off- 0 ► Per Meeting: $ )OName (Last Fmat) APPt Dare 11, EsfimatedAnnual.- 171 s0-$1.000 ❑ $2,001-$3,000 Alternate, if any 11, (Lost, Frso Length, of To— ❑ $1,00142,000 ❑ Orhar FPPC Form 806 (6/13) 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 to positions oncommittees, boards, ur commissions of another public agency ortno committee or position of the agency uf which the public official iy ^ mmember. This form is required pursuant 1oFPPC Regulation 187O55. Each agency must post un its mebdtee single Form 806which lists all the paid appointed positions 0o which an official will vote to appoint themselves. When there |ae change incompensation ora new appointment, the Form 0O6io updated to reflect the change, The form must be updated promptly aa changes occur. Instructions This form must be posted prior toavote (or consent item) m appoint e governing board member if the appointee will participate in the decision and the appointment results in additional income of$25Dor more ine12-monthperiod. |fan appointment does not result in additional income ofat least $25Dinu12'monUhperiod, this form is not required. Yes. FPPC Regulation 187U5.5 permits voting nnomember's own appointment to the position of mayor, es well eaother boards and commissions, oo long oa proper disclosure onthe Form OO8iu made. This applies to agencies with governing boards that are elected urappointed. 4. |n determining the income, must the agency include mileage mimbursemanto, travel payments, health benefito, and other compensation? No. FPPC Regulation 18705.5 requires only the amount uf the stipend or salary tobereported. 5. Which agency must post the Form 806? FPPC Regulation 1005.5 provides that aa long aa the public The agency that is voting ho appoint u public official must post is informed prior toa vote, un official may vote to hold another the Form 806onits website. The agency that the official will position even |f the voting official will receive $25Oor more ino serve aua member ia not required 0u post the Form 808. The 12'month period for the appointment. form io not sent to the FPPC. Part 1. Agency Identification 8. When must the Form 8O0beupdated? Identify the agency name and information on who should be contacted for information. The Form 808 should be amended promptly upon any of the following circumstances: (1) the number nfscheduled Part 2. Appointments meetings ia changed, (2) there iae change inthe Identify the name nf the other agency, board or commission. List compensation paid to the members, (3) there ioa change in the name uf the official, and mn alternate, ifany. membership un the board or commission, or(4) there iso new appointment toa new agency, List the appointment date and the length of term the agency official will serve. Disclose the stipend provided per meeting and the estimated annual payment. The annual salary iaanestimate aoit will likely vary depending upon the number ofmeetings. It iy not necessary to revise the estimate at the end of the calendar year. Part 3Verification The agency head or his/her designee must sign the verification. Frequently Asked Questions (FAOs) 1. When does an agency need to complete the Form 80S A Form 808is required when en agency's board members vote to appoint a board member tm serve onanother governmental agency or position nf the agency of which the official isa member and at least $25Uin any 12+nonMhperiod will be provided *om voting member. 2. The city council votes to serve oa the city's housing authority, a separate entity. Will the Form 806 be required? lIf officials choose torecuethemselves from the decision and leave the room when avote is taken ho make on appointment, must the Form GDGbecompleted? Nu. The Form 806 is only required tu identify those officials that will vote unan appointment in which the official will also receive additional income of$z5Oor more ina12-nnr¢h Privacy Information Notice Information requested by the FPPCio used to administer and enforce the Political Reform Act. Failure tu provide information may bea violation subject topenalties, All reports are public records available for inspection and reproduction. Direct questions to FPPC'u General Counsel, Fair Political Pmodoeu Commission, 428J Steet, Ste. 820, Gaonamonto, CA 95814. Fppu Form 806Nmq Fppo Toll-Free melpone:aaawSmFPPm(u661ar5-arr2)