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<br />N.C.G.S. 9143-157.1 FORM <br /> <br />50S revised 08/2005 <br /> <br />Appointment Reporting 2004-2005 (Side 2) <br />Please provide the information requested below. Record information ONLY for appointments made/announced <br />between July 1,2004 and June 30, 2005. If you have not made appointments during this time period, please check off the <br />appropriate box in Letter D and return the form to the Department of the Secretary of State. Remember: Submitseparate <br />forms (no format substitutions) for each body receiving appointment. A sample form from sections A, B, C and D is <br />db I . <br /> <br />nrovide e ow as a gUIde. <br />Sample A. Name of body/official (Appointing Authority) making appointments: <br /> Jones Cltv Council <br />Sample B. Board, Commission, Council or Committee to which an appointment was made (please <br /> submit a seoarate form for each entitv!: <br /> Smith Countv Board of Education <br /> What is the total authorized membership for the body receiving appointments? (The <br />Sample e. authorized number; not necessarily the same as number actually serving): <br /> 27 <br />Sample D. APPOINTMENTS FROM 7/1/04-6/30/05 Number of Appointments <br /> (ONLY app'ts made during this period by <br /> authority submitting report; NOT all <br /> serving members, unless all appointed <br /> durin$! the oeriod) <br /> I. Number of women appointed 6 <br />(Please make sure that /+2-3 in 2. Number of men appointed 4 <br />both columns) 3. Total appointments made to membership 10 <br /> bv this aooointin$! authoritv <br /> <br />A. Body or Official Name of body/official (Appointing Authority) making appointments: <br />making . Cabarrus County Board of Commissioners <br />Appointment(s) <br />B. Board, Comm'n, Board, Commission, Council or Committee to which an appointment was made (please submit a <br />Council or senarate form for each entity): <br />Committee receiving Home and Community Care Block Grant Committee <br />annointment(s) . <br />C. Total Membership What is the total authorized membership for the entity receiving appointments? (The authorized <br /> number; not necessarily the same as number actually serving): <br /> 13 <br />D. Appointments APPOINTMENTS FROM 7/1/04-6/30/05 Number of Appointments <br /> ONLY app'ts made during this period by <br /> authority submitting report; NOT all serving <br /> members, unless all appointed during the period) <br /> I. Number of women appointed 9 <br />(Please make sure that 2. Number of men appointed 2 <br />1+2=3 in both columns) 3. Total appointments made to membership by II <br /> this appointing authority . <br />{Mark Box to Right if no Or: <br />Appointments were made o No Appointments made to this entity during this time <br />to the specific entity listed (mark box ifthe Body or Official making appointments made no <br />above) appointments to this particular entity, specified above, during the <br /> time of 7/1/2004-6/30/2005) . <br />Name and Address of Attention Filer: Please provide the following information. <br />Person Filing Your name and title: Susie Bonds, Clerk to the Board <br />Information Address: PO Box 707, Concord, NC 28025 <br /> Telephone: 704-920-2110 Fax: 704-920-2820 <br /> County: Cabarrus <br /> Your e-mail:sfbonds@cabarruscounty.us <br /> Org! Agency e-mail: . . . <br /> Please snecifv the best wav to contact vour organization (Le. email, fax, or letter): email <br /> <br />APPOINTMENT REPORTING 2004-2005 FORM <br /> <br />J- J <br />