FORM 806 2012-12-20 Agency Report of:
Public Official Appointments A Public Document
1. Agency Name California 806
City of Arroyo Grande Form V
For Official Use Only
Division, Department,or Region (If Applicable)
Designated Agency Contact(Name,Title)
Kelly Wetmore, Director of Legislative& Information Services/City Clerk
Date Posted:
Area Code/Phone Number E-mail
Page 1 of 1 12/20/12
(805)473-5400 kwetmore@arroyogrande.org (Month,Day,Year)
2. Appointments
Agency Boards and Name of Appointed Person Appt Date and Per Meeting/Annual Salary/Stipend
Commissions Length of Term
San Luis Obispo Council100.00
Ferrara, Tony 12 11 12 1 Per Meeting: $
of Governments Name
► / /
(Last,First) Appt Date
/Estimated Annual:
Costello, Joe 2 years e$0-$1,000 0$2,001-$3,000
Alternate,if any ►
(Last,First) Length of Term
0$1,001-$2,000 0
Other
South San Luis ObispoFerrara, Tony Per Meeting: $ 100.00
County Sanitation District Name ► 12 / 11 / 12
(Last.First) Appt Date
►Estimated Annual:
Guthrie, Jim 2ears
Alternate,if any ► Y ®$0-$1,000 CI$2,001-$3,000
(Last,First) Length of Term
El$1,001-$2,000 ❑
Other
Air Pollution Control 100.00
District ►Name Costello, Joe ► 12 / 11 / 12 ►Per Meeting: $
(Last.First) Appt Date
1 Estimated Annual:
Brown, Tim 2 years
Alternate,if any I ®$0-$1,000 0$2,001-$3,000
(Last.First) Length of Term
ID$1,001-$2,000 ❑
Other
California Joint Powers Ray, Caren 100.00
Insurance Authority Name
► 12 / 11 / 12 ►Per Meeting.' $
(Last,First) Appt Date
1 Estimated Annual:
Sisko, Karen
Alternate,if any ► 2 years
®so-$1,000 ❑$2,001-$3,000
(Last,Fast) Length of Term
❑$1,001-$2,000 Cl
Other
3. Verification
I have read.nd understand FPPC Regulation 18705.5.I have verified that the appointment and information identified above is true to the best of my information and belief.
do g s ' / / (A1101441.4fylk.„... Kelly Wetmore City Clerk 12/20/12
Signal re of A%ncy Head or Designee Print Name Title (Month,Day.Year)
Comment:
FPPC Form 806(5/12)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)