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<br />N.C.G.S. 9143-157.1 FORM <br /> <br />SOS revised 11/2003 <br /> <br />Appointment Reporting 2003-2004 (Side 2) <br />Please provide the information requested below, Record information ONLY for appointments made/announced <br />between July 1, 2003 and June 30, 2004. If you have not made appointments during this time period, please checkoff 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 />'d db I 'd <br /> <br />provl e e ow as a gUl e. <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 each entity): <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 /> - <br />Sample D. APPOINTMENTS FROM 7/1/03-6/30/04 Number of % of TOTAL <br /> (ONLYapp 'ts made during this period by Appointments Membership <br /> authority submitting report; NOT all (Appts + Total <br /> serving members, unless all appointed Membership) <br /> during the period) <br /> 1. Number of women appointed 6 22.2% (6 +27) <br />(Please make sure that 1+2=3 in 2. Number of men appointed 4 14.8% (4 +27) <br />both columns) 3. Total appointments made to membership 10 37.04% (10 +27) <br /> by this appointing 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 seoarate form for each entity): <br />Committee receiving Department of Aging Advisory Board <br />appointment(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 /> TOTAL MEMBERSHIP: 15 <br />D. Appointments APPOINTMENTS FROM 7/1/03-6/30/04 Number % of TOTAL <br /> ONL Y app'ts made during this period by of Appts Membership <br /> authority submitting report; NOT all serving (Appts + Total Membership) <br /> members, unless all appointed during the period) <br /> 1. Number of women appointed 4 27% <br />(Please make sure that 2. Number of men appointed 1 6% <br />1 +2=3 in both columns) 3. Total appointments made to membership by 5 33% <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 if the Body or Official making appointments made no <br />above) appointments to this particular entity, specified above, during the <br /> time of 7/1/2003-6/30/2004) <br />Name and Address of Attention Filer: Please provide the following information. <br />Person Filing Your name ;and title: Kay Honeycutt, Deputy Clerk to the Board <br />Information Address: P. O. Box 707, Concord, NC 28026-0707 <br /> Telephone: 704-920-2109 Fax: 704-920-2820 <br /> County: Cabarrus <br /> Your e-mail: gkhoneycutt@cabarruscounty.us <br /> Org/Agencye-mail: <br /> Please specify the best way to contact your organization (Le, email, fax, or letter): e-mail <br /> <br />APPOINTMENT REPORTING 2003-2004 FORM <br /> <br />1..1 <br /> <br />