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<br />. ,N.C.G!S.9 143-157.1 FORM <br /> <br />SOS revised 11/2003 <br /> <br />Appointment Reporting 2003-2004 (Side 2) <br />Please provide the information requested below. Recordinformation 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 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 />'d <br /> <br />provided below 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 separate 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 />Sample D. APPOINTMENTS FROM 7/1/03-6/30/04 Number of % of TOTAL <br /> (ONL Y app 'ts made during this period by Appointments Membership <br /> authority submitting report; NOT all (Appts + Total <br /> serving members, unless all appointed Membership) <br /> durin~ 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 /> bv this appointin~ authority <br /> <br />A. Body or Official <br />making <br />Appointment(s) <br />B, Board, Comm'n, <br />Council or <br />Committee receiving <br />a ointment s <br />C. Total Membership <br /> <br />D, Appointments <br /> <br />(Please make sure that <br />1+2=3 in both columns) <br /> <br /> <br />(Mark Box to Right if no <br />Appointments were made <br />to the specific entity listed <br />above) <br /> <br />Name and Address of <br />Person Filing <br />Information <br /> <br />APPOINTMENT REPORTING 2003-2004 FORM <br />Name of body/official (Appointing Authority) making appointments: <br />Cabarrus County Board of Commissioners . <br /> <br />Board, Commission, Councilor Committee to which an appointment was made (please submit a <br />separate form for each entity): <br />Industrial Facilities and Pollution Control Financing Authority <br /> <br />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: 7 <br />APPOINTMENTS FROM 711/03-6/30/04 <br />ONLY app'ts made during this period by <br />authority submitting report; NOT all serving <br />members, unless all a ointed durin the eriod <br />I. Number of women appointed <br /> <br />2. Number of men appointed <br />3. Total appointments made to membership by <br />this a ointin authori <br />Or: <br />o No Appointments made to this entity during this time <br />(mark box ifthe Body or Official making appointments made no <br />appointments to this particular entity, specified above, during the <br />time of 7/1/2003-6/30/2004) <br /> <br />Number <br />of Appts <br /> <br />% of TOTAL <br />Membership <br />(Appts + Total Membership) <br /> <br />o <br />2 <br />2 <br /> <br />28% <br />28% <br /> <br />Attention Filer: Please provide the following information. <br />Your name and title: Kay Honeycutt, Deputy Clerk to the Board <br />Address: P. O. Box 707, Concord, NC 28026-0707 <br /> <br />Telephone: 704-920-2109 <br />County: Cabarrus <br />Your e-mail: gkhoneycutt@cabarruscounty.us <br />Org/ Agency e-mail: <br />Please s ecif the best wa <br /> <br />Fax: 704-920-2820 <br /> <br />i.e. email, fax, or letter : e-mail <br /> <br /> <br />r.. , <br />