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Agency Report of: <br /> Public Official Appointments A Public Document <br /> 1. Agency Name California QOM+ <br /> 1 &- FuliQv Form Q V <br /> Division, Department,or Region (If Applicable) For Official Use Only <br /> k!)(V - L) r1 et Cle..71� <br /> Designs ed Agency Contact(Name,Title) <br /> Date Posted: <br /> Area CO Phone Number -mail // �` , Page�of 3 3- c <br /> 1`t c03s" L 1,Q,L/\ e 1_ ,l �41, (Month,Day,Year) <br /> 2. Appointments ar�(/� I(1 • 0.1e&- <br /> Agency Boards and Name of Appointed Person Appt Date and Per Meeting/Annual Salary/Stipend <br /> /Commissions Length of Term a <br /> O" `.A ct- /Per Meeting: $ �`X483 <br /> ^ r /Name ��✓��/` ���\ , �k�1 <br /> 1 ` (Last,Fest) �J Appt Date <br /> '11 "---- <br /> c.03.3 1 ` ',(w/ — `-��My�D1 .��11 1_ /Estimated Annual: <br /> S M�" Alternate.if anyelA6 -\\ c► �t ri�3 1 V`- IA—CL-- 0$0-$1.000 64Z:001-$3.000 <br /> (LBst,First) Length of Term <br /> .N.5 /' : Jam-c6C 0$1.001-$2.000 1:1Other <br /> Name , / <br /> °,rW` r4etil <br /> 2`/ 1 <br /> ` ►Per Meeting: $ • 1 <br /> ► t, <br /> 1 <br /> t First) Appt Date <br /> \1SN Estimated Annual: <br /> �j <br /> T / 1^Alternate.if any • �A / 1 ❑$0-$1.000 0:$2.001-$3.000 <br /> (Last,First) Length (Term <br /> 0$1.001-$2.000 �' i �i <br /> Other <br /> �� l Q / )2 , 14-71.3 1 Per Meeting: $ 10° <br /> ►Name `/��/-��r <br /> V /� ^, t 1 (La.,First)- Appt Date <br /> �-�`-� l"`/U)\J/�`\Y u f� / /Estimated Annual: <br /> S°Cif <br /> Alternate.if a y / <br /> (Last,First) a.L ecAr— <br /> gth of Term ❑$0-$1.000 0$2.001-$3.000 <br /> $1.001-$2.000 0 <br /> 1 Other <br /> I / ►Per Meeting: $ <br /> /Name <br /> (Last,First) Appt Date <br /> 1 Estimated Annual: <br /> Alternate.if any / ❑$0-$1.000 ❑$2.001-$3.000 <br /> (Last,First) Length of Term <br /> ❑$1.001-$2.000 0 <br /> Other <br /> 3. Verification <br /> have ad derstand FPPC Regulation 18705.5./have verified that the appointment and information identified above is true to the best of my information and belief. <br /> ` & La111•►ctM� Q:\ <br /> s`( C Q-rl 2-3-I c - <br /> ignature of Agency Head or Designee Print Name Title (Month,Day,Year) <br /> Comment: <br /> FPPC Form 806(6/13) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) <br />