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HomeMy WebLinkAbout03.1- Mayor's Office DOC ID: 4187 CITY OF SAN BERNARDINO — REQUEST FOR COUNCIL ACTION Appointment From: R. Carey Davis M/CC Meeting Date: 12/07/2015 Prepared by: Evelyn Estrada, (909) 384- 5133 Dept: Mayor's Office Ward(s): All Subject: Appointment of Cassie R. Levy to the Mobile Home Board - Mayor R. Carey Davis (#4187) Current Business Registration Certificate: Not Applicable Financial Impact: None Motion: Approve the appointment of Cassie R. Levy to the Mobile Home Board as requested by Mayor R. Carey Davis. Synopsis of Previous Council Action: Respectfully request that Ms. Cassie R. Levy be appointed to the Mobile Home Board as a neutral representative at the December 7, 2015 Council meeting. Background: A copy of Ms. Levy's application is attached for your information. Supporting Documents: Levy-cvr (PDF) Levy-Appl (PDF) Updated: 12/2/2015 by Georgeann "Gigi" Hanna Packet Pg. 13 CITY OF SAN BERNARDINO INTEROFFICE MEMORANDUM TO: Common Council FROM: Mayor R. Carey Davis o m SUBJECT: Committee Appointment o DATE: November 24, 2015 0 COPIES: City Manager/City Clerk w 0 Based on Ordinance MC-726, I hereby submit my appointment of Ms. Cassie Levy to the Mobile Home Board as a neutral representative and respectfully request confirmation/approval by the Members of the Common Council at the December N N 7, 2015 Meeting. 0 Ms. Levy's application is attached for your information. E .r- 0 a ¢ Cal.qua ti Mayor R. arey Davis L V RCD/ee J w Attachment (1) a Packet Pg. 14 07/18/2014 12:49 951203445 LASSIE LEVY PAGE 02 CITY OF SAN BERNARDINO APPLICATION FOR APPOINTMENT TO BOARDS, COMMISSIONS AND COMMITTEES List,in order of preference,the committee(s)on which you wish to serve(see list on reverse side). I) _ intr�i! �nTr11 l �rxy���s�ok- 3) 2) 4) Name: � Date of Birth: -.2 /P4'? d , M Address: ? /`KIe. City: .��d"l Zip: . E Home Addre .271141 V� 60 CCU Home Phone: Fax: ( ) E-Mail: l�c.�/d.��/ �s��•�'ox� Employer: aL 4�e Occupation: � A%a .//2_ d T a Address: City: Zip: w 0 Years lived/worked in San Bernardino: ,�� �r f Work Phone: ,( } Educational background/degrees: !9 Co/� L �' I am t9 am not Q a registered voter. Ward: Z — Marital Status: 01o4) N m U VIII I ■ � ,.tcenses or special certificates: /} E 1 GL /KCT Previous City//of San Bernardino Commissions/Committees: From!To: _ 'o Q. CL dfi� ti 00 T Organizations to which you belong(professional,technical,community): a Q m J r C The information provided is factual to the best of my knowledge. I understand that I may be required to E complete a Statement of Economic Interests Form as required by law, and that I will abide by all the codes, ordinances and regulations of the City of San Bernardino and the State of California, w Q Signature Date Note: Applications will be kept on file for a period of one(1)year. Nturn to: Georgeann"Gigi" Hanna,City Clerk,300 N."D"Street,San Bernardino,CA 92418-0001 f 0/26!2001—PMP&W by the City Clerk's Office Packet Pg. 15