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HomeMy WebLinkAbout02-Mayor's Office CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION From: Mayor Patrick J. Morris Subject: Approve the appointment of Kathy Mallon to the Senior Affairs Commission per Council Member Kelley's request. Dept: Mayor's Office Date: September 28, 2011 MICC Date: October 3, 2011 Synopsis of Previous Council Action: None Recommended Motion: Approve the appointment of Kathy Mallon to Senior Affairs Commission per Council Member Kelley's request. ~~w--~ ..~ - S;Q toe" Contact person: M"ynr P"tri"k I Mnrric: Phone: !'l1::\::\ Supporting data attached: yes Ward: 5th FUNDING REQUIREMENTS: Amount: -0- Source: (Acct. No.) -0- (AC'C't n",,>C'riptinn) _0_ Finance: Council Notes: Agenda Item No c2 / tJ- cr,9-t;( / CITY OF SAN BERNARDINO INTEROFFICE MEMORANDUM COUNCIL OFFICE TO: Mayor Patrick J. Morris FROM: Council Office SUBJECT: Commission Appointment DATE: September 28,2011 COPIES: City Manager, City Clerk ====================================================================== Request Kathy Mallon be considered for appointment to serve on the Senior Affairs Commission (at the Council Meeting of October 3,2011). A copy of the resume for Ms. Kathy Mallon will be available at a later date. CH~K~L~ 5th Ward Council Member CITY OF SAN BERNARDINO APPLICATION FOR APPOINTMENT TO BOARDS, COMMISSIONS AND COMMITTEES COMMON COUNCil OffIi,,' cm OF SAN BERNAPr,' List, in order of preference, the committee(s) on which you wish to serve (se~iIlV2%ve~ ~?Y}.. 1) SE:N\DR AR?\\13 COM"-/'SS[ON 3) ,. ~ ~ Name: _KATIi'/ MALL-oN Date of Birth: --.l!/'U>{&I- Home Address: [~ ~ City:9<f./ BERN~DIl\b Zip: 9ZAcG Home Phone: Mail: kmalloll@leii.com Employer: llP\?~I2T COMPtJt..l~T5 INC.. Occupation: PUaJ.\ft61f.U;; I f'E;11>.,1L- :5A(f5 Address: .. City: RIALW Zip: 9Z3:fb ,. Years lived/worked in San Bernardino: 9 'frzs Educational background/degrees: Work Phone: (" I am ~ am not 0 a registered voter. Ward: 5 Marital Status: SINGLE Licenses or special certificates: Previous City of San Bernardino Commissions/Committees: From/To: Organizations to which you belong (professional, technical, community): The information provided is factual to the best of my knowledge. I understand that I may be required to 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. Si!~ 7J?~ 2<0 -S€PT- 2011 Date Note: Applications will be kept on file for a period of one (1) year. Return to: Rachel G. Clark, City Clerk, 300 N. "D" Street, San Bernardino, CA 92418-0001 IO/2612001-Prepared by the City Clerk's Office