HomeMy WebLinkAboutFPPC - Form 806 - 2019Agency Report of:
Public Official Appointments
A Public Document
1. Agency Name
City of Seal Beach
Name of Appointed Person
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
3.
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
(Name Moore,
02
_
25 19
/ /
APPt nate
1 Per Meeting. $
1 Estimated Annual:
(fasp Flrat)
Ingram, Jill
Alternate, if any
(Last Fmo)
1
1 year
®$o -$1,00o
❑$1,00142.000
❑$2,001-$3,000
❑
Length or Term
011ier
Orange County Fire
Authority (OCFA)
Moore, Thomas
(Name
1 02
/ 25 / 19
1 PerMeeting: $
100.00
(fast Firstf
App( pate
1 Estimated Annual:
Alternate, if any N/A
(!as( Fimol
/
1 year
IBJ $0-$1,000
El $1,00142,000
El $2,00143,000
❑
Length or Term
Omer
Orange County Sanitation
District, Board of Directors
(Name Massa-Lavitt, Sandra
1 02
/ 25 / 19
1 PerMeeting: $
212.50
(Last First)
App! este
Sustarsic, Schelly
Alternate, if any
(LaN, First)
1
1ear
1year
1 Estimated Annual:
®$0-$1,000
❑$2,001-$3,000
of Tem
❑$1,001-$2,000
❑
Omer
Orange County Vector
Control Board
(Name Massa-Lavitt, Sandra
1 02
/ 25 / 19
1 PerMeeting: $
100.00
(Lest, Firsl)
gppl este
1 Estimated Annual:
Alternate, if any N/A
(Last. Pro)
1
2 years
®$0-$1,000
❑$1,001-$2,000
❑ $2,001-$3,000
❑
Length or Term
Omer
Verification
I hai✓er&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 (1/18)
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: $
100.00
(Last. FirsO
Appf Data
1 Estimated Annual:
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—/ /—
1Per Meeting: $
(Last, First)
Appl Date
1 Estimated Annual:
❑$0-$1,000
[1 $2,00143,000
Alternate, if any
1
Length of Term
(Leat, Firsp
El $1,001-$2,000
❑
ornar
(Name
1 It /
1 Per Meeting: $
1 Estimated Annual:
(Last Flrsf)
A,f Data
❑$0-$1,000
[1 $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:
(Teat Frmp
Appt oare
El $0-$1,000
El $2,001-$3,000
Alternate, if any
/
Length of Term
(Last First)
El $1,001-$2,000
❑
other
(Name
IPer Meeting. $
1 Estimated Annual:
had, Foth
AppfOate
❑$0-$1,000
❑$2,00143,000
Alternate, if any
flesf. First/
/
F1 $1,00142,000
❑
Length of Term
ofha.
(Name
/ —If
/ Per Meeting: $
1 Estimated Annual:
(Last Firsp
Appt Data
❑$0-$1,000
[3 $2.001-$3,000
Alternate, if any
1
Length of Term
(Last. Fwah
[1 $1.001-$2,000
❑
other
FPPC Form 806 (1118)
FPPC Toll -Free Helpline: 866/ASK-FPPC (86612753772)