HomeMy WebLinkAboutFPPC - Form 806 - 2022Agency Report of:
Public Official Appointments
A Public Document
1. Agency Name
MC9
City of Seal Beach
For Official Use On
Division, Department, or Region (lfApplrcable)
City Clerk
Designated Agency Contact (Name, Title)
Gloria D. Harper, City Clerk
Page 1 of 2
DdIB Posted:
01/10/2022
Area Code/Phone Number
E-mail
562-431-2527 x1305
gharper@sealbeachca.gov
(Month, Day. Year)
2. Appointments
Agency Boards and
Commissions
Name of Appointed Person
Appt Date and
Length of Term
Per Meeting/Annual Salary/Stipend
California Joint Powers
Kalmick, Joe
01 1 10 120Z
► Per Meeting: $ 100.00
Insurance Authority
►Name
►
(Last First}
Appt Date
1 Estimated Annual:
Ingram, Jill
1 year
0$0-$1,000 ❑$2,00143,000
Alternate, if any
►
(Last FirsQ
Length of Tarm
❑$1,001-$2,000 ❑
Other
100.00
Orange County Fire
Kalmick, Joe
1001 1 10 12M
► Per Meeting: $
Authority►Name
(Last, First)
Appt Date
► Estimated Annual:
NIA
1 year
E s0-$1,000 ❑ $2,001-$3,000
Alternate, if any
►
(Last, Firsp
Length of Term
❑$1,001-$2,000 ❑
Other
Orange County Sanitation
Massa-Lavitt, Sandra
01 10 2M
► 1 I
212.50
►Per Meeting: $
District, Board of Directors
►Name
(Last. First)
Appl Datc
► Estimated Annual:
Sustarsic, Schelly
1 year
Alternate, if any
►
$0$1,000 ❑$2,001$3,000
(Last. First)
LenglhofTem
❑$1,001-$2,000 ❑
Other
Orange County Vector
Massa-Lavitt, Sandra
► 01 1 10 12022
► Per Meeting: $ 1 ao.00
Control Board
►Name
(Las,, First)
Appt Date
► Estimated Annual:
NIA
Alternate, if any
101 year
E $o-$1,000 ❑ $2,001-$3,000
(Last, Firs[)
Length of Term
❑$1,001-$2,000 ❑
Other
3. Verification
1 have read and understand FPPC Regulation 18702.5. 1 have verified that the appointment and information identified above is true to the best of my information and belief.
Gloria D. Harper City Clerk 01/10/2022
Signature ofAgency Head or Designee Print Name Title (Month, Day, Year)
Comment: Appointments made by City Council Resolution 7234 adopted 1/10/2022
FPPC Form 806 (1118)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Agency Report of:
Public Official Appointments
Continuation Sheet
A Public Document
Page 2 of
1, Agency Name I 01/10/2022
City of Seal Beach Date Posted:
(Month. Day, Year)
2. Appointments
Agency Boards and
Appt Date and
Commissions
Name of Appointed Person
Length of Term
Per Meeting/Annual Salary/Stipend
Sustarsic, Schelly
► 01 / 10 /202,e
100.00
►Name
I Per Meeting: $
(Last, First)
Appt Date
► Estimated Annual:
e Count
West Orange Y
erna
Alternate, if any
Massa-Lavitt, Sandra
1 year
►
0 $0-$1,000
❑ $2,001-$3,000
7
(Last, First)
Length of Term
❑$1,001-$2,000
❑
Other
►Name
► / /
1 Per Meeting: $
(Last, Firs[)
Appt Date
1 Estimated Annual:
Alternate, if any
El$0-$1,000
❑ $2,001-$3,000
(Last, First)
►
Length of Term
❑ $1,001-$2,000
❑
Other
Warne
► / /
1 Per Meeting: $
(Last, First)
Appt Data
/ Estimated Annual:
Alternate, if any
►
❑ $0-$1,000
❑ $2,001-$3,000
(Last, First)
Length of Term
❑ $1,001-$2,000
❑
Other
Warne
► / /
1 Per Meeting: $
(Last, First)
Appt Date
1 Estimated Annual:
Alternate, if any
❑ $0-$1,000
❑ $2,00143,000
(Last, First)
►
Length of Term
❑ $1,001-$2,000
❑
Other
FPPC Form 806 (1/18)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
►Name I/ / /
(Last, First)
Appt Date
Alternate, if any
(Last, First)
Length of Term
Warne I/ / /
(Last, First)
Appt Data
Alternate, if any
(Last, First)
Length of Term
/ Per Meeting: $
1 Estimated Annual:
❑ $0-$1,000 ❑ $2,001-$3,000
❑ $1,001-$2,000 ❑
Other
1 Per -Meeting: $
1 Estimated Annual:
0$0-$1,000 ❑$2,00143,000
❑ $1,001-$2,000 ❑
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