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Item14_CouncilCommitteeAssignments_11-13-2023

Grover Beach City Council
November 13, 2023

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Item14_CouncilCommitteeAssignments_11-13-2023
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November 13, 2023
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Grover Beach City Council
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Text extracted from the city's file for reading and search. Open the original on www.groverbeach.org. That file is the official record.

Agenda Item No. 14

CITY COUNCIL STAFF REPORT
TO: Honorable Mayor and City Council DATE: November 13, 2023 FROM: Matthew Bronson, City Manager
PREPARED BY: Wendi Sims, City Clerk
SUBJECT: 2024 City Council Assignments to Boards, Commissions and Committees

RECOMMENDATION
Adopt the Resolution confirming certain Council assignments and authorize the City Clerk to update FPPC Form 806 for posting on the City’s website.

BACKGROUND
The Council annually reviews the list of assignments to determine interest in serving as the City's representative to various external boards, commissions, and committees throughout the county.

The Council’s practice has been to determine assignments (representatives and alternates) through a process of discussion and consensus. A draft Resolution is provided to confirm City Council appointments as shown in Attachment 1. Once appointments have been approved by the Council, the names of Council representatives will be submitted to the respective agencies. In addition to these assignments, the Council can create additional assignments to external groups or form Council subcommittees on specific topics on an ad-hoc basis.

One exception to the Council Committee appointment process is regarding the South SLO County Sanitation District. The Memorandum of Understanding between the City and the South SLO County Sanitation District indicates that “The District Board will be composed of the Presiding Officer of the City of Arroyo Grande, the Presiding Officer of the Oceano Community Services District, and the Presiding Officer of the City of Grover Beach, or their respective alternates.” Pursuant to regulations of the Fair Political Practices Commission (FPPC), members of the City Council may participate in the deliberations to appoint him or herself to a compensated position.

Those compensated positions are reported on a specific form available in the City Clerk’s Office and posted to the City website in accordance with FPPC Regulation §18702.5. The form (FPPC Form 806) is updated when there is a change in compensation or representation.

FISCAL IMPACT
There is no anticipated fiscal impact to the City from the recommended action.

Staff Report: 2024 City Council Assignments Page 2
November 13, 2023

ALTERNATIVES
The City Council has the following alternatives to consider:

1. Adopt the Resolution confirming appointments for 2024; or

2. Take no action and carry this item over for discussion to a future meeting; or

3. Provide alternative direction to staff.

PUBLIC NOTIFICATION
The agenda was posted in accordance with the Brown Act.

Attachments

1. Resolution confirming certain City Council committee assignments Exhibit A - Assignment Template with Current Assignments Exhibit B – Description of External Boards, Committees, and Commissions (with updated meeting information)

2. FPPC Form 806
RESOLUTION NO. 23-__

A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF GROVER BEACH,

CALIFORNIA, REVISING CITY COUNCIL COMMITTEE ASSIGNMENTS FOR CALENDAR YEAR 2024
WHEREAS, the City Council is involved in various committees, boards, and organizations that serve the City and provide representation of the City’s interests; and WHEREAS, the City Council considers committee assignments on an annual basis to ensure adequate representation of the City’s elected officials throughout the County; and NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Grover Beach that this Resolution does hereby supersede all prior Resolutions dealing with these Council appointments to various standing committees, boards, and organizations; and that the City representatives from this date forward are designated in the attached Exhibit A in accordance with the description of the assignments as described in Exhibit B.

On motion by Council Member __________, seconded by Council Member ________, and on the following roll-call vote, to wit:

AYES: Council Members –
NOES: Council Members –
ABSENT: Council Members –
ABSTAIN: Council Members –
RECUSED: Council Members –
the foregoing Resolution was PASSED, APPROVED, and ADOPTED at a regular meeting of the City Council of the City of Grover Beach, California this 13th day of November 2023.

KAREN BRIGHT, MAYOR
Attest:

WENDI B. SIMS, CITY CLERK
Attachment 1
**DRAFT**
Exhibit A
Resolution No. 23-__
COUNCIL APPOINTMENTS FOR 2024
ASSIGNMENT 2023 REPRESENTATIVE ALTERNATE
Advisory Body Screening Committee 1 See below N/A
Air Pollution Control District (APCD) Karen Bright Robert Robert Central Coast Blue Regional Recycled Water Authority (CCBRRWA) Karen Bright Daniel Rushing Five Cities Fire Joint Powers Authority Daniel Rushing Clint Weirick Homeless Services Oversight Council (HSOC) Clint Weirick Zach Zimmerman Integrated Waste Management Authority (IWMA) Robert Robert Daniel Rushing REACH Zach Zimmerman Robert Robert
SLO County Water Resources Advisory Committee (WRAC) Clint Weirick Robert Robert SLO Council of Governments / SLO Regional Transit Authority (SLOCOG / SLORTA) Daniel Rushing Karen Bright
South County Transit Committee Daniel Rushing Karen Bright South County Chambers of Commerce Zach Zimmerman Daniel Rushing South SLO County Sanitation District (SSLOCSD) Karen Bright Clint Weirick Visit SLO CAL Advisory Committee Zach Zimmerman Robert Robert Zone Three Advisory Committee Daniel Rushing Karen Bright Note: The City updates and posts FPPC Form 806 to the City website to report additional compensation that officials receive when appointing themselves to positions on committees, boards or commissions of a public agency, special district, and joint powers agency or authority.(Pursuant to Regulation 18705.5, amended March 2012)
1Per City Council action on October 16, 2000, Council representation will be the Mayor and one Council Member selected by random drawing.

CITY OF GROVER BEACH

DESCRIPTION OF EXTERNAL BOARDS, COMMISSIONS, AND COMMITTEES Annually, the City Council makes appointments of City Council members to various external boards, commissions, and committees to ensure adequate representation of elected officials throughout the county. Below is further information about each external body along with assignment requirements and past representatives:

1. Advisory Body Screening Committee
Requirement: Mayor and 1 Council Member (who is selected by random drawing pursuant to Council direction on October 16, 2000.)
This committee serves as an interview board for interviewing prospective candidates for one of the City’s three (3) Advisory Bodies. The committee is comprised of the Mayor, one Council Member, and the Chairperson of the respective Advisory Body.

Meetings: Scheduled only when there are vacancies on an Advisory Body and applicants to be considered for appointment(s).

Estimated time commitment for City representative: Minimal. Primarily agenda review, attending meetings as scheduled to interview applicants, and making recommendation(s) to the City Council.

Stipend: None.

2. Air Pollution Control District (APCD)
Requirement: 1 Council Member and 1 Alternate
This is the County-wide legislative authority which deals with clean air maintenance and attainments. The District Board consists of twelve members: five (5) County Supervisors and one (1) City Council representative from each of the seven (7) incorporated cities. City representation was authorized in 1994. As of January 1, 2010, alternates may also be appointed (Health and Safety Code section 40100.5).

Meetings: The fourth Wednesday of every odd-numbered month at 9 a.m. (with some exceptions) in the County Board of Supervisors Chambers, 1055 Monterey Avenue, San Luis Obispo.

Estimated time commitment for City representative: Agenda review of technical materials / information and attending regular meetings (approx. 3 hours) and special meetings / workshops as needed. May require attendance at out of area meetings, if appointed as the APCD Representative or Alternate to the South-Central Coast Air Basin Control Council.

Stipend: $100 per regular meeting attendance (as of July 2009; no additional stipend for attending special meetings or workshops).
2023 Representatives: Karen Bright, Robert Robert (Alternate) Exhibit B
Description of External Boards, Commissions & Committees Page 2

3. Central Coast Blue Regional Recycled Water Authority (CCBRRWA) (Cities of Grover Beach, Arroyo Grande, and Pismo Beach) Requirement: 1 Council Member and 1 Alternate
The Central Coast Blue Regional Recycled Water Authority has responsibility for the operation and maintenance of the Central Coast Blue Project and owns the facility sites, facilities, ancillary facility sites and ancillary facilities. The Authority is governed through a joint powers agreement with the Cities of Grover Beach, Arroyo Grande, and Pismo Beach. The Authority Board consists of an elected official from each agency.

Meetings: Held quarterly on a schedule to be finalized in early 2023 at Grover Beach City Hall, Council Chamber, with special meetings scheduled as needed.

Estimated time commitment for City representative: Primarily agenda review and attending regular meetings (approximately 1.5 hours per quarter) and special meetings, as needed.

Stipend: None
2023 Representatives: Karen Bright, Daniel Rushing (Alternate)

4. Five Cities Fire Joint Powers Authority
(Cities of Grover Beach and Arroyo Grande)
Requirement: 2 Council Members
The Five Cities Fire Authority provides fire protection services through a joint powers agreement with the Cities of Grover Beach and Arroyo Grande. The Authority Board consists of two Council Members from each member agency with the two City Managers serving as the Executive Management of the Authority.

Meetings: The third Monday in January, April, July, and October at 5:00 p.m. at either the Grover Beach or Arroyo Grande Council Chamber, with special meetings scheduled as needed.

Estimated time commitment for City representative: Primarily agenda review and attending regular meetings (approximately 1.5 hours per month) and special meetings, as needed.

Stipend: None
2023 Representatives: Daniel Rushing, Clint Weirick

5. Homeless Services Oversight Council (HSOC)
Requirement: 1 City Council Member and 1 Alternate
In 2008, a countywide coalition of cities, agencies, and civic groups formed to improve the County’s approach to homelessness which led to a report entitled A Path to A Home, San Luis Obispo Countywide 10-Year Plan to End Homelessness. The HSOC is an advisory committee formed from this process to discuss the countywide approach to homelessness and services for the homeless, including both housing and supportive services particularly given the County’s updated five-year plan to address homelessness adopted in 2022. Membership is comprised of a broad spectrum of representatives, including the County Board of Supervisors, each City, certain County government departments (health, planning, social services, veteran services, and Description of External Boards, Commissions & Committees Page 3 probation), law enforcement, business organizations, academic institution, faith community, as well as interested community members.

Meetings: Scheduled bi-monthly (six times per year), at a time and date determined by its members and may be changed by a majority vote of the HSOC at any regular meeting. Location varies in San Luis Obispo (County Government Center, San Luis Obispo Veterans’ Memorial Building or the Department of Social Services). The Full HSOC Meetings are held from 1:00 - 3:00 p.m. on the 3rd Wednesdays of every other month, with additional meetings for subcommittees.

Estimated time commitment for City representative: Primarily agenda review and attending meetings (approx. 2 hours), as well as special meetings/workshops or events as needed.

Stipend: None.
2023 Representatives: Clint Weirick, Zach Zimmerman (Alternate)

6. Integrated Waste Management Authority (IWMA)
Requirement: 1 City Council Member and 1 Alternate
Responsibility includes preparing an integrated waste management plan implementing state mandated legislation (AB 939). The plan will include elements for recycling, composting, education, and various other waste management areas. The role of the authority member is to guide the reduction of the County’s waste stream.

Meetings: Held at 1:30 p.m. on the second Wednesday of each month at the San Luis Obispo County Board of Supervisors Chambers, 1055 Monterey Street, San Luis Obispo.

Estimated time commitment for City representative: Primarily agenda review and attending regular meetings (approximately 2 hours).

Stipend: $100 per meeting.
2023 Representatives: Robert Robert, Daniel Rushing (Alternate)

7. REACH
Requirement: 1 Council Member and 1 Alternate
REACH (Regional Economic Action Coalition) brings together a cross-section of business, government, education and nonprofit leaders to transform the quality of life on the Central Coast and increase economic prosperity through big thinking, bold action, and regional collaboration.

There are multiple stakeholder meetings throughout the year where the Council representative will hear from a variety of dynamic speakers, engage with a network of peers, make recommendations to the REACH Council on job creation initiatives and participate in the advocacy of the REACH mission.

Meetings: Approximately 2-4 meetings will be held over the year and will be scheduled separately.

Description of External Boards, Commissions & Committees Page 4 Estimated time commitment for City representative: Primarily agenda review and attending regular meetings (approximately 1.5 hours).

Stipend: None.
2023 Representatives: Zach Zimmerman, Robert Robert (Alternate)

8. San Luis Obispo County Water Resources Advisory Committee (WRAC) Requirement: 1 Council Member (*recommended) and 1 Alternate This organization is involved with water supplies and availability of water on a county-wide basis.

The purpose is to advise the County Board of Supervisors concerning all policy decisions relating to water resources of the SLO County Flood Control & Water Conservation District, to recommend specific water resource programs, and to recommend methods of financing water resource programs. (*Appointed representatives are not required to be elected officials, but should be individuals knowledgeable regarding water issues. According to WRAC staff, cities may appoint a Council Member as the lead representative who would be available when policy issues are discussed, with a staff member as the alternate for attending most of the meetings.) Note: Councilappointed representatives require approval by the Board of Supervisors.

Meetings: First Wednesday of each month (except July and August), 1:30 p.m. - 3:30 p.m., San Luis Obispo City/County Library Community Room, 995 Palm Street, San Luis Obispo.

Estimated time commitment for City representative: Primarily agenda review of technical materials/information and attending regular meetings (approx. 2.5 - 3 hrs), and special meetings/workshops as needed. Additional time required if volunteering to serve on ad hoc subcommittee assignments approximately six times/year (eg., reviewing biennial water report for County). Ad hoc committee meetings are scheduled as needed.

Stipend: None.
2023 Representatives: Clint Weirick, Robert Robert (Alternate)

9. San Luis Obispo Council of Governments / San Luis Obispo Regional Transit Authority (SLOCOG / SLO RTA)
Requirement: 1 Council Member and 1 Alternate
SLOCOG is a regional governing body organized through a joint powers agreement that has responsibility for transportation planning, housing and infrastructure planning, and other regional coordination needs.

Meetings: First Wednesday of every month (more frequently, if needed) and start at 8:30 a.m. at the County Board of Supervisors Chambers in San Luis Obispo.

Estimated time commitment for City representative: Primarily agenda review of technical materials/information and attending regular meetings (approximately 4-5 hrs for SLOCOG), and special meetings/workshops as needed.

Stipend: $100 per meeting.

Description of External Boards, Commissions & Committees Page 5 SLO RTA is operated through a joint powers agreement with SLOCOG to oversee the countywide transit system. The representative is usually the same representative as the SLOCOG representative as SLORTA meetings start either before or after SLOCOG and has the same Board.

Meetings: First Wednesday of every month either before or after the SLOCOG meeting.

Location: County Board of Supervisors Chambers in San Luis Obispo.

Estimated time commitment for City representative: Primarily agenda review of technical materials/information and attending regular meetings (approximately 1.5 - 2 hours for SLORTA), and special meetings/workshops as needed.

Stipend: None.
2023 Representatives: Daniel Rushing, Karen Bright (Alternate)

10. South County Transit Committee (SCTC)
Requirement: 1 Council Member and 1 Alternate
This committee is an advisory body to the San Luis Obispo Regional Transit Authority Board and is tasked with providing a recommendation to the Board on the budget and services provided to the South County area in the subsequent fiscal year. The Cities of Grover Beach, Arroyo Grande, and Pismo Beach are represented on the Committee along with the County. The SCTC representative would be the representative of the SLOCOG/RTA.

Meeting: Held annually prior to May 1st at the Board of Supervisors’ Chambers.

Estimated time commitment for City representative: Primarily agenda review and attending regular meetings (approx. 1 – 1.5 hours) and special meetings as needed.

Stipend: None.
2023 Representatives: Daniel Rushing, Karen Bright (Alternate)

11. South County Chambers of Commerce
Requirement: None.

The Council annually designates a City Council representative to attend Chamber events and meetings of the Chamber’s Grover Beach Steering Committee and Government Affairs Committee. The City Manager, or designee, is the staff liaison and program manager for operational agreements and work efforts between the City and the Chamber.

Meetings: The Chamber holds monthly events for the entire membership - lunches, educational workshops, mixers, special events, ribbon cuttings, etc.

Estimated time commitment for City representative: Attending Chamber events, as scheduled and Government Affairs meeting (approx. 1-3 hours).

Stipend: None.

Description of External Boards, Commissions & Committees Page 6 2023 Representatives: Zach Zimmerman, Daniel Rushing (Alternate)

12. South San Luis Obispo County Sanitation District (SSLOCSD) Requirement: Mayor or Mayor’s Designee and 1 Alternate
The City contracts with the Sanitation District for wastewater collection and treatment. The District is governed by a Board of Directors composed of the presiding officer from the Cities of Grover Beach and Arroyo Grande and the Oceano Community Services District, or their respective alternates (per Memorandum of Understanding between the City and the Sanitation District, as well as Health and Safety Code sections 4730-4735)
Meetings: The first and third Wednesdays of each month at 6:00 p.m. Location rotates between member agencies - Arroyo Grande and Grover Beach Council Chambers, and the Board Chamber for the Oceano Community Services District.

Estimated time for City representative: Primarily agenda review and attendance at regular meetings (average 2-4 hours) with special meetings/workshops, as needed.

Stipend: $100 per meeting (2 meetings held/month)
2023 Representatives: Karen Bright, Clint Weirick (Alternate)

13. Visit SLO CAL - Advisory Committee
Requirement: 1 City Council Member and 1 Alternate (non-voting capacity) Visit SLO County promotes countywide tourism opportunities and complements the efforts of local communities and organizations. It is a private, non-profit organization with membership comprised of local businesses, chambers of commerce, County government, and most incorporated cities in the County.

With the formation of the Tourism Marketing District in 2015 and district renewal in 2020, voting members of the Board of Directors must be a representative of an assessed lodging business, except for the County representative. During formation of the Tourism Marketing District, an Advisory Committee was established. The Advisory Committee is made up of one elected official and the city manager from each jurisdiction, and a representative of the County.

Meetings: Twice annually (May and December).

Estimated time commitment for City representative: Consists primarily of agenda review and attending meetings and workshops, as needed. (approximately 1.5 - 2 hours).

Stipend: None
2023 Representatives: Zach Zimmerman, Robert Robert (Alternate) Description of External Boards, Commissions & Committees Page 7

14. Zone Three Advisory Committee
Requirement: 1 Council Member and 1 Alternate
This is a County-organized committee to handle the operation of Lopez Lake for both recreation and water facilities. The Advisory Committee works closely with the Zone 3 Technical Advisory Committee. Council-appointed representatives require final approval by the Board of Supervisors.

Meetings: Scheduled on the third Thursday of every odd numbered month (Jan, Mar, May, etc.) at 6:30 p.m., and held in the Council or Board Chamber of the local member agencies on a rotating basis - Grover Beach, Arroyo Grande, Oceano, and Pismo Beach.

Estimated time commitment for City representative: Primarily agenda review of technical materials/information and attending regular meetings (approx. 2 hours) and special meetings/workshops as needed. May occasionally require additional time to meet with City staff, depending upon the complexity of the agenda item(s).

Stipend: None.
2023 Representatives: Daniel Rushing, Karen Bright (Alternate)

Agency Report of:

Public Official Appointments A Public Document

1. Agency Name California
Form 806
Division, Department, or Region (If Applicable)
Designated Agency Contact (Name,Title)
For Official Use Only
Area Code/Phone Number E-mail
Page _____ of _____
Date Posted:
(Month, Day, Year)

2. Appointments
Appt Date and
Length of Term
Agency Boards and
Commissions Name of Appointed Person Per Meeting/Annual Salary/Stipend (Last, First)
(Last, First)
(Last, First)
(Last, First)
Alternate, if any
Alternate, if any
Alternate, if any
Alternate, if any
(Last, First)
(Last, First)
(Last, First)
(Last, First)
Name
Name
Name
Name
$0-$1,000
$0-$1,000
$0-$1,000
$0-$1,000
$1,001-$2,000
$1,001-$2,000
$1,001-$2,000
$1,001-$2,000
$2,001-$3,000
$2,001-$3,000
$2,001-$3,000
$2,001-$3,000
Other
Other
Other
Other
 ____/____/____
Appt Date
 ____/____/____
Appt Date
 ____/____/____
Appt Date
 ____/____/____
Appt Date

Length of Term

Length of Term

Length of Term

Length of Term
 Estimated Annual:
 Estimated Annual:
 Estimated Annual:
 Estimated Annual:
 Per Meeting: $
 Per Meeting: $
 Per Meeting: $
 Per Meeting: $

3. Verification
I have read and understand FPPC Regulation 18702.5. I have verified that the appointment and information identified above is true to the best of my information and belief.

Signature of Agency Head or Designee Print Name Title (Month, Day, Year) Comment:

FPPC Form 806 (1/18)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Attachment 2
Agency Report of:

Public Official Appointments
California
Form 806
A Public Document
Background
This form is used to report additional compensation that officials receive when appointing themselves to positions on committees, boards, or commissions of another public agency or to a committee or position of the agency of which the public official is a member.

This form is required pursuant to FPPC Regulation 18702.5.

Each agency must post on its website a single Form 806 which lists all the paid appointed positions to which an official will vote to appoint themselves. When there is a change in compensation or a new appointment, the Form 806 is updated to reflect the change. The form must be updated promptly as changes occur.

Instructions
This form must be posted prior to a vote (or consent item) to appoint a governing board member if the appointee will participate in the decision and the appointment results in additional compensation to the appointee.

FPPC Regulation 18702.5 provides that as long as the public is informed prior to a vote, an official may vote to hold another position even when the vote results in additional compensation.

Part 1. Agency Identification
Identify the agency name and information on who should be contacted for information.

Part 2. Appointments
Identify the name of the other agency, board or commission. List the name of the official, and an alternate, if any.

List the appointment date and the length of term the agency official will serve. Disclose the stipend provided per meeting and the estimated annual payment. The annual salary is an estimate as it will likely vary depending upon the number of meetings. It is not necessary to revise the estimate at the end of the calendar year.

Part 3. Verification
The agency head or his/her designee must sign the verification.

Frequently Asked Questions (FAQs)

1. When does an agency need to complete the Form 806?
A Form 806 is required when an agency’s board members
vote to appoint a board member to serve on another
governmental agency or position of the agency of which the official is a member and will receive additional compensation.

2. The city council votes to serve as the city’s housing authority, a separate entity. Will the Form 806 be required?
If the council members receive additional compensation for serving on the housing authority, the Form 806 is required.

3. Are appointments made by a governing board to appoint one of its members to serve as an officer of that board for additional pay (e.g., mayor) required to be disclosed on Form 806?
No. FPPC Regulation 18702.5(b)(6) exempts from this
requirement decisions to fill a position on the body of which the official is a member (such as a councilmember being appointed as mayor) despite an increase in compensation.

4. In determining the income, must the agency include mileage reimbursements, travel payments, health benefits, and other compensation?
No. FPPC Regulation 18702.5 requires only the amount of the stipend or salary to be reported.

5. Which agency must post the Form 806?
The agency that is voting to appoint a public official must post the Form 806 on its website. The agency that the official will serve as a member is not required to post the Form 806. The form is not sent to the FPPC.

6. When must the Form 806 be updated?
The Form 806 should be amended promptly upon any of
the following circumstances: (1) the number of scheduled meetings is changed, (2) there is a change in the
compensation paid to the members, (3) there is a change in membership on the board or commission, or (4) there is a new appointment to a new agency.

7. If officials choose to recuse themselves from the decision and leave the room when a vote is taken to make an
appointment, must the Form 806 be completed?
No. The Form 806 is only required to identify those officials that will vote on an appointment in which the official will also receive additional compensation.

Privacy Information Notice
Information requested by the FPPC is used to administer and enforce the Political Reform Act. Failure to provide information may be a violation subject to penalties. All reports are public records available for inspection and reproduction. Direct questions to FPPC’s General Counsel, Fair Political Practices Commission, 1102 Q Street, Suite 3000, Sacramento, CA 95811.

FPPC Form 806 (1/18)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

Agency Report of:

Public Official Appointments
California
Form 806
Continuation Sheet A Public Document
Page _____ of _____

1. Agency Name
Date Posted:
(Month, Day, Year)

2. Appointments
Agency Boards and
Commissions Name of Appointed Person
Name
(Last, First)
Alternate, if any
(Last, First)
Name
(Last, First)
Alternate, if any
(Last, First)
Name
(Last, First)
Alternate, if any
(Last, First)
Name
(Last, First)
Alternate, if any
(Last, First)
Name
(Last, First)
Alternate, if any
(Last, First)
Name
(Last, First)
Alternate, if any
(Last, First)
Appt Date and
Length of Term
 ____/____/____
Appt Date

Length of Term
 ____/____/____
Appt Date

Length of Term
 ____/____/____
Appt Date

Length of Term
 ____/____/____
Appt Date

Length of Term
 ____/____/____
Appt Date

Length of Term
 ____/____/____
Appt Date

Length of Term
Per Meeting/Annual Salary/Stipend
 Per Meeting: $
 Estimated Annual:
$0-$1,000 $2,001-$3,000
$1,001-$2,000 Other
 Per Meeting: $
 Estimated Annual:
$0-$1,000 $2,001-$3,000
$1,001-$2,000 Other
 Per Meeting: $
 Estimated Annual:
$0-$1,000 $2,001-$3,000
$1,001-$2,000 Other
 Per Meeting: $
 Estimated Annual:
$0-$1,000 $2,001-$3,000
$1,001-$2,000 Other
 Per Meeting: $
 Estimated Annual:
$0-$1,000 $2,001-$3,000
$1,001-$2,000 Other
 Per Meeting: $
 Estimated Annual:
$0-$1,000 $2,001-$3,000
$1,001-$2,000 Other
FPPC Form 806 (1/18)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

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