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FORM 806 2016-12-19
Agency Report of: Public Official Appointments A Public Document 1. Agency Name California 806 CITY OF ARROYO GRANDE Form v V Division,Department,or Region (If Applicable) For Official Use Only 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 2 12/19/16 805-473-5400 kwetmore@arroyogrande.org (Month,Day,Year) 2. Appointments Agency Boards and _Appt Date and Name of Appointed PersonPer Meeting/Annual Salary/Stipend Commissions Length of Term Air Pollution Control100.00 District ►Name Harmon, Barbara o 12 / 13 / 16 Per Meeting: $ (Last,First) Appt Date 1 Estimated Annual: Brown, Tim 2 years ©$o-$1,000 0$2,001-$3,000 Alternate,if any ► _ (Last,First) Length of Term ❑$1,OO1-$2,000 ❑ Other California Joint PowersRay, Caren ►Per Meeting: $ 100.00 Insurance Authority Name( ► 12 / 13 / 16 (Last,First) Appt Date ►Estimated Annual: Alternate,if any ► 2 years ❑X$o-$1,000 ❑$2,001-$3,000 (Last,First) Length of Term O$1,001-$2,000 ❑ Other Integrated Waste Brown, Tim ► 12 / 13 / 16 ►Per Meeting: $ 100.00 Management Authority Name (Last,First) Appt Date 1 Estimated Annual: Harmon, Barbara 2 years Alternate,if any /- 0$0-$1,000 0$2,001-$3,000 (Last,First) Length of Term 0$1,001-$2,000 0 Other San Luis Obispo Council Brown,Tim 12 13 16 ►Per Meeting: $ 100.00 of Governments /Name ► / / (Last,First) Appt Date 1 Estimated Annual: Hill, Jim Alternate,if any / 2 years 0$0-$1,000 ❑$2,001-$3,000 (Last,First) Length of Term O$1,001-$2,000 0 Other 3. Verification I have read a d understand Regulation 18705.5.I have verified that the appointment and information identified above is true to the best of my information and belief. Kelly Wetmore City Clerk 12/19/16 Signal a of 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) Agency Report of: California 806 Public Official Appointments Form v V Continuation Sheet A Public Document Page of 2 1. Agency Name CITY OF ARROYO GRANDE Date Posted: 12/19/16 (Month,Day,Year) 2. Appointments Agency Boards and Name of Appointed Person Appt Date and Per Meeting/Annual Salary/Stipend Commissions Length of Term South San Luis Obispo 100.00 County Sanitation District Name Hill, Jim 1 12 / 13 / 16 Per► Meeting: $ (Last,First) -Appt Date 1 Estimated Annual: Brown, Tim 2 years ❑x $0-$1,000 0$2,001-$3,000 Alternate,if any ► (Last,First) Length of Term El$1,001-$2,000 ❑ Other ►Name ► / / 1 Per Meeting: $ (Last,First) -Appt Date ►Estimated Annual: 0$o-$1,000 0$2,001-$3,000 Alternate,if any 1 (Last,First) Length of Term ❑$1,001-$2,000 ❑ Other /Name 1 / / /Per Meeting: $ (Last,First) Appt Date ►Estimated Annual: ❑$0-$1,000 0$2,001-$3,000 Alternate,if any ► (Last,First) Length of Term 0$1,001-$2,000 ❑ _ Other ►Name / / / ►Per Meeting: $ (Last,First) Appt Date ►Estimated Annual: Alternate,if any / ❑$0-$1,000 0$2,001-$3,000 , (Last,First) Length of Term ❑$1,001-$2,000 0 Other /Name / / / ►Per Meeting: $ (Last,First) -Appt Date ►Estimated Annual: 1:$0-$1,000 ❑$2,001-$3,000 Alternate,if any ► (Last,First) Length of Term ❑$1,001-$2,000 0 Other ►Name / / / 1 Per Meeting: $ (Last,First) Appt Date ►Estimated Annual: Alternate,if any / El$0-$1,000 0$2,001-$3,000 (Last,First) Length of Term ❑$1,001-$2,000 ❑ Other FPPC Form 806(5/12) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)