FORM 806 2012-07-12 Agency Report of: I Reset Page I Print Form
Public Official Appointments A Public Document
1. Agency Name California 806
City of Arroyo Grande Form 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 1 07/11/12
(805)473-5400 kwetmore@arroyogrande.org (Month,Day,Year)
2. Appointments
Agency Boards and . Appt Date and .
Name of Appointed Person Per Meeting/Annual Salary/Stipend
Commissions Length of Term
San Luis Obispo Per Meeting: $ 100.00
►Name
Council of Governments Ferrara, Tony ► 12 / 14 / 10
(Last,Fast) Appt Date
►Estimated Annual:
Costello, Joe 2 years ®$o-$1,000 ❑$2,001-$3,000
Alternate,if any ►
(Last,First) Length of Term
El$1,001-$2,000 ❑
Other
South San Luis ObispoFerrara, Tony ►Per Meeting: $ 100.00
County Sanitation District ►Name ► 12 / 14 / 10
(Last,First) Appt Date
►Estimated Annual:
Guthrie, Jim
Alternate,if any ► 2 years
®$D-$1,000 ❑$2,001-$3,000
(Last,First) Length of Term
El$1,001-$2,000 ❑
Other
Air Pollution Control Costello, Joe / 12 / 14 / 10 ►Per Meeting: $ 100.00
District ►Name
(Last,First) Appt Date
►Estimated Annual:
Guthrie, Jim 2 years
Alternate,if any ► ®$0-$1,000 ❑$2,001-$3,000
(Last,First) Length of Term
❑$1,001-$2,000 ❑
Other
California Joint Powers Ray, Caren 12 14 10 100.00
Insurance Authority ►Name / / / /PerMeeting: $
(Last,Fest) Appt Date
1 Estimated Annual:
Sisko, Karen
Alternate,if any ► 2 years
®$0-$1,000 ❑$2,00143,000
(Last,First) Length of Term
❑$1,001-$2,000 ❑
Other
3. Verification
I have read and understand FPPC Regulation 18705.5.1 have verified that the appointment and information identified above is true to the best of my information and belief.
Steven Adams City Manager 07/03/12
Si atureature ofA�rDesignee Print Name Title (Month,Day Year)
Comment:
FPPC Form 806(5/12)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)