HomeMy WebLinkAboutFPPC - Form 806 - 2015 Agency Report of:
Public Official Appointments A Public Document
1. Agency Name
City of Seal Beach
Division,Department,or Region (If Applicable) For Official Use 7Only
City Council
Designated Agency Contact(Name,Title)
Tina Knapp,City Clerk Date Posted:
Area Code/Phone Number E-mail Page 1 of 2 02/24/2015
562-431-2527 tknapp@sealbeachca.gov (Month,Day,Year)
2. Appointments
Agency Boards and Name of A i(aatnted Apot "- and Per M-4'et,i n I sit] l0end' '
Y
q ngth of Term .
California Joint Powers li�Per Meeting. 100
Insurance Authority ►Marne Deaton, Ellery 01 12 ►15
(CJ PIA) (Last,Firsil Appt Data EsfimatedAnnuak
►Alternate,if any ► 1 year 0$0-$1,000 ❑$2,00143,000
(Lag,Fiat) Length of Te= [:1$1,001-$2,000 ❑
Other
Orange County Sanitation Deaton, Ellery ► 01 / 12 1 15 ►Per Meeting: $ 212.50
District ►Name— (L=t,First) — ApplDate
(OCSD) ►EstimatedAnnual.,
Alternate,if any Massa-Lavitt, Sandra 1 year — El$041,000 [0$2,001-$3,000
►
(Last,First] Length of Terra
❑$1,001-$2,000 171
Other
West Orange County Miller, Gary 01 / 12 / 15 0 Per meeting: $ 100
Water Board ItName (test,FQ — Appt Date
(WOCWB)
Massa-Lavitt, Sandra ► 1 year Estimated Annual.,
Alternate,if any fLasf'First) Length of Term — ®$0-$1,000 ❑$2,001-$3,000
[1$1,001-$2,000 ❑
Other
Orange County Fire Sloan, David- 0 Permeating: $ 100►Authority Warne (Lasr, 01 / 12 / 15 .
t D
(OCFA) Apoata ►Estimated Annual.,
Alternate,if any Deaton, Ellery 1 year ®$0$1,000 ❑$2,00143,000
{Last,Flat) Length of T.—
❑$1,001-$2,000 ❑
Other
L
3. Verification
1 ahavend under nd FPPC Regulation 18705.5 1 have verified that the appointment and information identified above is true to the best of my information and belief.
Jill R. Ingram City Manager 02123/15
to
Signature ofA noy Head or signee Print Name Title (Month,Day,Year)
i
Do
Comment:A6ppnt� made by Council adopted Resolution No.6527 dated 01112/15
FPPC Form 806(6113)
FPPC Toll-Free Helpline:$SOIASK-FPPC(8661275-3772)
Agency Report of:
Public Official Appointments Form
Continuation Sheet A Public Document
Page 2 of 2
1. Agency Name 02/24/2015
City of Seal Beach Date Posted: (Month,Day,Year)
2. Appointments
I Agency Boards and " AppfDate and
° Name ofAppointed Person Per Meetmg/Anq SaWWSttpend
Commissions = Lendth of
Orange County Mosquito 100
&Vector Control District /Name Levitt, Michael ► 01 / 12 / 15 ►Per Meeting: $
(Last,First) Appt Data ►Estimated Annual:
(Term: 2013-2016)
Alternate,if any ► 4 years ❑$0-$1,000 ❑$2,001-$3,000
(Last,First) Length of Term
®$1,001-$2,000 ❑
Other
►Name ► / / ►Per Meeting. $
(Last,First) Appt Data ►Estimated Annual.
❑$0-$1,000 ❑$2,001-$3,000
Alternate,if any /
(Last,First) Length of Tana
❑$1,001-$2,000 ❑
Other
/Name
► / / /Per Meeting: $
(Last,First) Appt Date
1 Estimated Annual:
❑$o-$1,000 ❑$2,001-$3,000
Alternate,if any ►
(Last,First) Length of Term
[:1$1,001-$2,000
❑
Other
►Name ► / / ►Per Meeting., $
(Last,First) Appt Date ►Estimated Annual:
❑$0-$1,000 [:1$2,001-$3,000
Alternate,if any /
(Last,First) Length of Term
❑$1,001-$2,000 ❑
Other
/Name
► / / /Per Meeting: $
(Last,First) Appt Data
1 Estimated Annual:
❑$0-$1,000 ❑$2,001-$3,000
Alternate,if any ►
(Last,First) Length of Tenn
[:1$1,001-$2,000 ❑
Other
/Name
► / / /Per Meeting: $
(Last,First) Appt Date
1 Estimated Annual:
❑$o-$1,000 [:1$2,001-$3,000
Alternate,if any /
(Last,First) Length of Term
❑$1,001-$2,000 ❑
Other
FPPC Form 806(6/13)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Agency Report 0f:
i Form
Public Official Appointments
/\ Public Document
Background |f the council members receive additional compensation
This form is used ho report addidono|nompenooUon that o�oo|u ($25Oor more ina12-mon�pehod)for aeminQonthe
mceivewhen appointing themoeivea(o positions oncommittees, housing authority,the Form O00iorequired.
boards, mr commissions nf another public agency ortoa
committee or position of the agency o[which the public official ia 3, Are appointments made byo governing board toappoint
amembec one o[its members b/serve aman officer of that board for
additional pay(e.g.. mayor) required tobedisclosed on Form
This form io required pursuant toFPPC Regulation 1O7O5.5. 800?
Each agency must post on its weboihea single Form 000which Yes. FppC Regulation 18705.5 permits voting onamember's
lists all the paid appointed positions to which an official will vuhu own appointment to the position of mayor, as well as other
to appoint themselves.When there is e change in compensation boards and commissions, so long as proper disclosure on the
nru new appointment,the Form VDOis updated tu reflect the Form OOOia made.This applies to agencies with governing
change. The form must be updated promptly an changes u«u«c boards that are elected or appointed.
Instructions 4. In determining the income,must the agency include mileage
This honh must he posted prior to a vote(or consent item)to neimbunsemenhs, travel puymentx,health benefite,and other
appoint a governing board member if the appointee will participate compensation?
in the decision and the appointment results in additional income
No' FPPCRaQu|oUnn187O5'5 requires only the amount of
uf$25Oor more ino12-non1hpehod. |fanoppointme�doeonot
the stipend or salary tobereported.
result in additional income ofmtleast$25Oinu12-monthperiod,
this form io not required.
5. Which agency must post the Form 8O6?
FPPC Regulation 1O7O5.5 provides that aa long am the public The agency that ia voting tu appoint a public official must post
is informed prior to a vo0o, an official may vote to hold another the Funn DUG on ibwebohe. The agency that the official will
position even|f the voting official will receive$25Uor more\ne serve aaa member is not required to post the Form 8O0. The
12+nunth period for the appointment, form is not sent to the FPPG.
Part 1.Agency Identification O. When must the Form 8OObeupdated?
Identify the agency name and information on who should bo
contacted for information. The Form 000 should be amended promptly upon any of
the following circumstances:<l>the number ofscheduled
Part 2. Appointments meetings is changed, (2)there is o change in the
Identify the name of the other agency,board orcommission. List compensation paid tu the members, (3)there imo change in
the name of the official,and on alternate, ifany, membership nn the board or commission,ur(4)there isa
new appointment too new agency.
List the appointment date and the length of term the agency
official mW|serve. Disclose the stipend provided per meeting and 7. |f officials choose 0oraouee themselves from the decision
the estimated annual payment. The annual salary ivanestimate and leave the room when a vote|u taken bn make an
aok will likely vary depending upon the number nfmeetings. It appointment, must the Funn8O0becompleted?
iu not necessary tu revise the estimate at the end uf the calendar Nu. The Form 8UOis only required to identify those officials
yeac that will vote on an appointment in which the official will also
receive additional income uf$25Uor more ina12'monih
Part 3. Verification period.
The agency hood ur his/her designee must sign the verification.
Privacy Information Notice
Frequently Asked Questions(FAQo) Information requested by the FPPCio used to administer and
1. VVhendne�anugencyneedincomp{�etheFnnn800? enhumethe Po|hioo|Reform/�t. Failure tnpmvidei�onnaUun
' may baa violation ouWno(topenaiUem. AUrepo�aompublic
AFonn 8U8 is required when on agency's board members records available for inspection and reproduction. Direct
vo�0aappm�ntubnandmember�mo*mennonother guemtionahoFPpC.o(�en�m|�oonee|. FairPo|�oa|pmc�|o�n
go,emmenda|agency orpoaidunof the agency»f«vhi«hthe �ummiesinn.428J81met. Ste. 82O. Sacramento, CA95O14.
o�inia|isomemb�rondod|�am�2�Uinuny12-mo��p�hod
will be provided tnavoting member.
2. The city council votes tu serve eo the city's housing authority,
a separate entity. Will the Form 000berequired?
. ppPo Form ooe(6nu)
FPpo Toll-Free*e|pUno;ass0ASK'FPpo(oV6127m-3rrq