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<br /> <br />N.C.G.S.9 143-157.1 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/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: 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, Councilor Committee to which an appointment was made (please <br /> submit a sevarate 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 C. authorized number; not necessarily the same asnumber actually serving): <br /> 27 <br /> . <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 veriodJ . <br /> I. 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 avvointin$! authoritv . <br /> <br />APPOINTMENT REPORTING 2004-2005 FORM <br /> <br />A. Body or Official Name of body/official (Appointing Authority) making appointments: <br />making Cabarms County Board of Commissioners . <br />Appointment(s) <br />B. Board, Comm'n, Board, Commission, Councilor Committee to which an appointment was made (please submit a <br />Council or seoarate form for each entity): <br />Committee receiving Tourism Authority c <br />aooointmen({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 /> 6 . <br />D. Appointments APPOINTMENTS FROM 7/1104-6/30/05 Number of Appointments <br /> ONLY app'ts made during this period by <br />. authority submitting report; NOT all serving <br /> members, unless all aooointed durin~ the neriod) <br /> l. Number of women appointed . 3 <br />(Please make sure that 2. Number of men appointed 2 <br />I +2=3 in both columns) 3. Total appointments made to membership by 5 <br /> this appointing authority <br />(Mark Box to Right if no Or: <br />Appointments were made D No Appointments made to this entity during this time <br />to the specific entity listed (mark box If the Body or Official making appointments made no <br />above) appointments to this particular entity, specified above, during the <br /> time of7/1I2004-6/3012005) . . . <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: Cabarms <br /> Your e-mail:sfbonds@cabarruscounty.us - I <br /> OrglAgencye-mail: V- <br /> Please specify the best wav to contact vour or"anization (i.e. email, fax, or letter): email <br /> <br />,-s;;. <br />