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HomeMy WebLinkAboutFPPC - Form 806 - 2019Agency Report of: Public Official Appointments A Public Document 1. Agency Name City of Seal Beach 1 ' For official use only Division, Department, or Region (If Applicable) City Clerk Designated Agency Contact (Name, Title) Gloria D. Harper, City Clerk 1 2 Page of Date Posted: 02/28/19 Area Code/Phone Number 562-431-2527 x1305 E-mail gharper@sealbeachca.gov (Month, Day. Year) 2. Appointments Agency Boards and Commissions Name of Appointed Person Appt Date and Length of Term per MeetinglAnnual Salary/Stipend California Joint Powers 100.00 Insurance Authority Moore, Thomas Moore, 02 25 19 / / 1 PerMeeting: $ (Name _ (fasp Flratf APPt Oats 1 Estimated Annual: Ingram, Jill 1 1 year ®$o-$1,00o ❑$2,001-$3,000 Alternate, if any Length or Term (Last Fmo) ❑$1,00142,000 ❑ Omer Orange County Fire 100.00 Authority (OCFA) Moore, Thomas (Name 1 02 / 25 / 19 1 PerMeeting: $ (fast Firstf Arm pate 1 Estimated Annual: N/A 1 1 year ICJ $0-$1,000 ❑$2,001-$3,000 Alternate, if any Length or Term (!as( Firs(1 ❑$1,001-$2,000 ❑ Omer Orange County Sanitation 212.50 District, Board of Directors (Name Massa-Lavitt, Sandra 1 02 / 25 / 19 1 PerMeeting: $ (Last First) Appt sets Sustarsic, Schelly 1 1 year y 1 Estimated Annual: Alternate, if any 0$0-$1,00o ❑$2,001-$3,000 Length of Te,m (LaN, First) ❑$1,001-$2,000 ❑ Omer Orange County Vector 100.00 Control Board (Name Massa-Lavitt, Sandra 1 02 / 25 / 19 1 PerMeeting: $ (Lest, Fisl) gppf sate 1 Estimated Annual: Alternate, if any N/A 1 2 years ®$0-$1,000 ❑ $2,001-$3,000 Length or Term (Last. Pro) ❑$1,001-$2,000 ❑ Omer 3. Verification I hale r&dnderstand FPPC Regulation 18702.5. I have verified that the appointment and information identified above is true to the best of my information and belief. Gloria D. Harper City Clerk 02/28/19 Signaturelo ncyl-leedor Designee Print Name Title (Month, Day, Year) Comment: Appointments made by City Council Resolution 6897 adopted 02/25/19 FPPC Form 806 (1118) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275.3772) Agency Report of: Public Official Appointments Continuation Sheet • • A Public Document Page 2 of 1. Agency Name 02/28/19 City of Seal Beach Date Posted: (Month, Day, Year) 2. Appointments Agency Boards and Commissions Name of Appointed Person Appt Date and Length of Term Per Meeting/Annual Salary/Stipend West Orange County Water board Sustarsic, Schelly (Name / 02 / 25 / 19 1 Per Meeting: $ 1 Estimated Annual: 100.00 (Last. FirsO Appf Data Alternate, if any Massa-Lavitt, Sandra 1 year / ®$o-$1,000 ❑$2,001-$3,000 Length of Term (Leaf First/ ❑$1,001-$2,000 ❑ over (Name 1—/ /— Appl Date 1Per Meeting: $ 1 Estimated Annual: (Last, First) ❑$0-$1,000 ❑$2,00143,000 Alternate, if any (Leaf Firsp 1 ❑$1,001-$2,000 ❑ Length of Term ornar (Name 1 It / 1 Per Meeting: $ 1 Estimated Annual: (Last Flrsf) A,f Data ❑$0-$1,000 ❑$2,001-$3,000 Alternate, if any (Last F/rsQ 1 ❑$1,001-$2,000 ❑ Length of Tenn Other (Name /// 1 Per Meeting: $ 1 Estimated Annual: (leaf Frmp Appt oare ❑$0-$1,000 ❑$2,001-$3,000 Alternate, if any (Last First) / ❑$1,001-$2,000 ❑ Length of Term other (Name IPer Meeting. $ 1 Estimated Annual: had, Foth AppfOate ❑$0-$1,000 ❑$2,00143,000 Alternate, if any flesf. First/ 1 ❑$1,00142,000 ❑ Length of Term ofna. (Name / —If / Per Meeting: $ 1 Estimated Annual: (Last Firsp Appt Data ❑$0-$1,000 ❑$2,001-$3,000 Alternate, if any (Last. Fwah 1 ❑$1,001-$2,000 ❑ Length of Term other FPPC Form 806 (1118) FPPC Toll -Free Helpline: 866/ASK-FPPC (86612753772)