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<br />N.C.G.S. 9143-157.1 FORM <br /> <br />SOS revised 08/2005 <br /> <br />Appointment Reporting 2004-2005 (Side 2) <br />Please provide the information requested below.. Record information ONLY for appointments made/annonnced <br />between Jnly 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: Submit separate <br />forms (no format substitutions) for each body receiving appointment. A sample form from sections A, B, C and D is <br /> <br />nrovided below as a ~uide. <br />Sample A. Name of body/official (Appointing Authority) making appointments: <br /> Jones Citv Council . . <br />Sample B. Board, Commission, Council or Committee to which an appointment was made (please <br /> submit a seoarate form for eachentitv): <br /> Smith Countv Board of Education <br /> What is the total authorized membership for the body receiving appointments? (The <br />Sample C. 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 period) <br /> 1. Number of women appointed . 6 <br />(Please make sure that 1+2=3 in 2. Number of men appointed 4 <br />both columns) 3. .Total appointments made to membership 10 <br /> by this appointin~ authority <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 seDarate form for each entity): <br />Committee receiving Library Board of Trustees <br />annointmentts) . <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 /> 7 <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 aDDointed durin~ the Deriod) <br /> 1. Number of women appointed . I <br /> . <br />(Please make sure that 2. Number of men appointed . 0 <br />1+2=3 in both columns) 3. Total appointments made to membership by I <br /> this aDDointin~ 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 particulat entity, specified above, during the <br /> time of7/1/2004-6/30/2005) . <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:stbon?s@cabarruscounty.usJ_1 ' <br /> , Org/Agencye-mad:, <br /> Please sDecifv the best way to contact vour or~anization (i.e. email, fax, or letter): email <br /> <br />APPOINTMENT REPORTING 2004-2005 FORM <br />