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Agency Report of:
Public Official Appointments A Public Document
1. Agency Name California 806
Form v V
City of Huntington Beach 2023 DEC 14 AM II: 03 For Official Use Only
Division, Department, or Region(If Applicable)
City Clerk's Office
Designated Agency Contact(Name,Title)
Robin Estanislau, City Clerk Date Posted:
Area Code/Phone Number E-mail
714-536-5405 Robin.Estanislau@surfcity-hb.org Page 1 of 2 Dec. 14, 2023
(Month,Day,Year)
2. Appointments
Agency Boards and Name of Appointed Person Appt Date and Per Meeting/Annual Salary/Stipend
Commissions Length of Term
Gracey Van Der Mark,
West OC Water Board Name /2023 Pat Burns 12 19 ►Per Meeting: $ 100.00
► /
(Last,First) Appl Date
1 Estimated Annual:
Casey McKeon one year ®$0-$1,00o PP ❑S2,001-$3,000
Alternate,if any ►
(Lest,First) Length or Term
❑$1,001-$2,000 ❑
Other
Pat Burns 12/19/2023 ►Per Meeting: $ 2� '� `���' �'
►Name
OC Sanitation Distri:t (Last.First) Appt Date
/Estimated Annual:
Alternate,if any Gracey Van Der Mark ► one year Elul-stow 0$2,001-$3,000
(Lest,First) Lengm of Term
0$1,001-$2,000 ❑
Other
Southern California ►Name Pat Burns ► 12/19/2023 ►Per Meeting: $ 120.00
/ Association of (Last,First) Appt Date
Governments (SCAG) two years 1 Estimated Annual:
Casey McKeon
District 64 Delegate Alternate,if any ► 0$o-$1,000 ❑$2,001-$3,000
(Lest First) Lemma term
ID$1,001-$2,000 0
Other
212.50
Casey McKeon 12/19/2023 1 Per Meeting: $
/Name ►
Orange County (Last First) App,taste
Power Authority ►Estimated Annual:
Tony Strickland four years
(OCPA) Alternate,if any ► ❑$0-$1,000 ❑$2,001-$3,000
(Lest,First) Length a Term
❑$1,001-$2,000 ® Up to 6 mtgs/
Other month
3. Verification
I have read and understand FPPC Regulati 18702.5.I have verified that the appointment and information identified above is true to the best of my information and belief
i iC-- i Robin Estanislau City Clerk 12/14/2023
Signature of Agency Head or Designee Print Name Title (Month,Day,Year)
Comment:
FPPC Form 806(1/18)
Print Clear FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Agency Report of: California 806
Public Official Appointments Form
Continuation Sheet A Public Document
Page 2 of 2
1. Agency Name
City of Huntington Beach Date Posted:
2. Appointments
Agency Boards and Name of Appointed Person Appt pate and Per MeetinglAnnual Salary/Stipend
Commissions Length of Term
Pat Burns 12/19/2023 I Per Meeting: $ Up to $100
►Name
OC Mosquito and (Last First) Appt Date /Estimated Annual:
Vector Control
District two years ❑$0-$1,000 ❑$2,001-$3,000
Alternate,if any ►
(Last,First) Length of Term
13$1,001-$2,000 ❑
Other
/Per Meeting: $
'Name
(Last'First) Appl Date Estimated Annual:
❑$0-$1,000 ❑$2,001-$3,000
Alternate,if any
(Last,First) Length of Term
❑$1,001-$2,000 ❑
Other
►Per Meeting: $
►Name ►
(Last,First) Appt Date
/Estimated Annual:
❑$0-$1,000 ❑$2,001-$3,000
Alternate,if any (Last,First) Length of Term
❑$1,001-$2,000 ❑
Other
1 Per Meeting: $
►Name
(Lest First) Appt Date
1 Estimated Annual:
❑$0-$1,000 ❑$2,001-$3,000
Alternate,if any ►
(Lest,First) Length of Term
❑$1,001-$2,000 ❑
Other
Per Meeting: $
►Name
(Lest,First) Appt Date
Estimated Annual:
O$0-$1,000 ❑$2,001-$3,000
Alternate,if any ►
(Last,First) Length of Term
❑$1,001-$2,000 ❑
Other
Per Meeting: $
►Name
(Last First) Appt Date
►Estimated Annual:
12$0-$1,000 ❑$2,001-$3,000
Alternate,if any (Last,First) ► Length of Term
❑$1,001-$2,000 ❑
Other
FPPC Form 806(1/18)
Print Clear FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
I declare, under penalty of perjury,that I am employed
by the City of Huntington Beach, in the Office of the
City Clerk and that I posted this public notice on the
adi,64., posting bulletin board at th ' is
Center on ! at ' 4 /10.m.
Date
Signature
enior Dep y i ' Clerk
A
Agency Report of: .
Public Official Appointments ,,, i r -E V F A Public Document
1. Agency Name California 806
City of Huntington Beach 2122 DEC 1 5 Pt-' 12: ' Form
Division,Department,or Region(If Applicable) For Official Use Only
::I s ,._:.iC?'
City Clerk's Office CIT Y OFOF
:;1:ITlc3( 7GH Eli I. •
Designated Agency Contact(Name,Title)
Robin Estanislau, City Clerk •
Date Posted:•
Area Code/Phone Number E-mail Page 1 of 2 Dec. 15,2022
714-536-5405 Robin.Estanislau@surfcity-hb.org g
(Month,Day,Year)
2. Appointments
Agency Boards and Name of Appointed Person Appt Date and Per Meeting/Annual Salary/Stipend
Commissions Length of Term
O. C. Sanitation District 212.50
Pat Burns / 12 / 20 / 22 1 Per Meeting: $ --
►Name
(Last,First) Appt Date
• /Estimated Annual:
Gracey Van Der Mark one year ❑$0-$1,000 ®$2,001-$3,000
Alternate,if any ►
(Last,First) Length of Term '
❑$1,001-$2,000 ❑
Other
O. C.Vector Control 100.00
Dan Kalmick ► 12 20 22 /Per Meeting: $
Name
(Last,First) Appt Date
/Estimated Annual:
Alternate,if any / one year• ❑so-$1,000 ❑$2,001-$3,000
(Last,First) Length of Term
El$1,001-$2,000 ❑
Other
West OC Water Board TonyStrickland 12 20 22 100.00
►Name / /Per Meeting: $
(Last,First) Appf Date
►Estimated Annual:
Alternate,if any / one year
®$0-$1,000 ❑$2,001-$3,000
(Last,First) Length of Term
❑$1,001-$2,000 ❑
Other
West OC Water Board Gracey Van Der Mark 12 / 20 / 22 ►Per Meeting:
Name
100.00
$
(Last,First) Appt Date
►Estimated Annual:
Alternate,if any ► one year ®$o-$1,000 ❑$2,001-$3,000
. (Last,First) Length of Tem,
•
0$1,001-$2,000 ❑
• Other
3. Verific• ion
1 have d ndersta d P C ulatio 1 0 5.I ve verified that the appointment and information identified above is true to the best of my information and belief.
iZohin cq-1-iAIN c t41O U'-h r4l�t-i - 1 z f t 5I 2 2� .
Signature ofAgency Head or Designee Print Name the (Month,Day,Year)
Comment: •
FPPC Form 806(1/18)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
t
t
,
Agency Report Of: California 806
Public Official Appointments Form v en
Continuation Sheet A Public Document
Page • of 2
1. Agency Name Dec. 15,2022
City of Huntington Beach Date Posted: (Month,Day,Year)
2. Appointments ,
Agency Boards and Name of Appointed Person Appt Date and Per Meeting/Annual Salary/Stipend
Commissions Length of Term
Southern California $120.00
Association of Casey McKeon ► 12 / 20 i 22 ►Per Meeting: $
Name
Governments (SCAG) (Las(First) Appt Date ►Estimated Annual:
District 64 Delegate
Pat Burns two years ❑$0-sisoo El$2,001-$3,000
Alternate,if any /
(Last,First) Length of Term
M S1,00142,000 ❑
. Other
/ / / 1 Per Meeting: $
►Name
• (Last,First) Appt Date ►Estimated Annual: •
❑$0-$1,000 ❑$2,001-$3,000
Alternate,if any /
(Lest.First) Length of Term ❑$1,001-$2,000 ❑
Other
► / / ►Per Meeting: $
Name
(Last,First) -Appt Date ►Estimated Annual:
❑$0-$1,000 ❑$2,001-$3,000
Alternate,if any /
(Last,First) •
Length of Term
❑$1,001-$2,000 ❑
• Other
► / / 1 Per Meeting: $
►Name
(Last,First) -Appt Date
►Estimated Annual:
❑$0-$1,000 ❑$2,001-$3,000
Alternate,if any /
(Last,First) Length of Term
In$1,001-$2,000 ❑
Other
/ ►Per Meeting: $
/Name
(Last,First) Appt Date ►Estimated Annual:
El El$2,001-$3,000
Alternate,if any /
(Last,First) Length of Term
❑$1,001-$2,000 ❑
Other
► 1 Per Meeting: $
►Name
(Last,First) Appt Date
1 Estimated Annual:
I declare,under the penalty of perjury that I am
employed by the City of Huntington Be4,•,jg , ny / ❑$0-$1,000 ❑$2,001-$3,000 .
Office of the City Clerk and that I pos:ed this wp-j-i ., (Last,First) Length of Term
❑$1,001-$2,000 ❑
on the Bulletin Board in the outside posting board at Other
the Civic Center on I PIumdil al '.•du d.m./L "t•
tJ FPPC Form 806(1/18)
Date �.Z-'I�r)�ZIv, FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Signature Ac 2 />---)4
. . s
Agency Report of:
Public Official Appointments A Public Document
1. Agency Name • `' ( >r { California Q06
City of Huntington Beach Form v V
Division, Department,or Region (If Applicable) 20Z3 - P 5' 0 For Official Use Only
City Clerk's Office C I T Y 1q-:
Designated Agency Contact(Name,Title) '' i 7.'4 't"-i G T :t N ' •, ` '
Robin Estanislau, City Clerk
Date Posted:
Area Code/Phone Number E-mail Page 1 of 1 May 1, 2023
714-536-5405 Robin.Estanislau@surfcity-hb.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
West OC Water Board • 100.00
, 5/2/2023 Per Meeting: $
Name (Last,First) Ap
pt Date
►Estimated Annual:
McKeon, Casey 8 mos (thru 23) ■$o-$1,000 ❑$2,001-$3,000
Alternate,if any ►
(Last,First) Length of Term
❑$1,001-$2,000 ❑
Other
/ Per Meeting: $
Name
(Last,First) Appt Date
/Estimated Annual:
Alternate,if any / ❑$041,000 ❑$2,001-$3,000
(Last,First) Length of Term
❑$1,001-$2,000 ❑
Other
►Name / 1 Per Meeting: $
(Last,First) Appt Date
1 Estimated Annual:
Alternate,if any / ❑$0-$1,000 ❑$2,001-$3,000
(Last,First) Length of Tenn
I declare,under penalty of perjury,that I am employed ❑$1,001-$2,000 ❑_ Other
by the City of Huntington Beach,in the Office of the
City Clerk and that I posted this public notice on the
f)1tin•rcL posting bulletin boarc at the Civic 1 Per Meeting: $
Center onJE'10'7'1 at,,5%/S Na► na/� /
Date S/F/23 (Last,First) Appt Date
/Estimated Annual:
Signature !.r. • Alternate,if any / ❑$0-$1,000 ❑$2,001-$3,000
(Last,First) Length of Term
Senior Deputy Clt e'k ❑$1,001-$2,000 ❑
Other
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.
�lyrn ��e-sRobin Estanislau City Clerk 5/1/2023
Signature ofAgency Head or Designee Print Name Title (Month,Day,Year)
Comment'Members Strickland and Van Der Mark appointed 12/20/22; Alternate position agendized for May 2, 2023
FPPC Form 806(1/18)
Print Clear FPPC Toll-Free Helpline:866IASK-FPPC(866/275-3772)
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