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<br />N.C.G.S. ~ 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. 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 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 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 City Council <br />Sample B. Board, Commission, Council or Committee to which an appointment was made (please <br /> submit a sevarate form for each entity): <br /> Smith County 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 /> (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 /> durin!! the veriod) <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 avvointin!! authority <br /> <br />A. Body or Official Name of body/official (Appointing Authority) making appointments: <br />making CabanusCounty 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 separate form for each entity): <br />Committee receiving Juvenile Crime Prevention Council <br />aooointment(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: 26 <br />D. Appointments APPOINTMENTS FROM 7/1/03-6/30/04 Number % of TOTAL <br /> ONLY app'ts made during this period by of Appts Membership <br /> authority submitting report; NOT all serving (Appts + Total Membership) <br /> members, unless all aooointed during the period) <br /> I. Number of women appointed 9 35% <br />(Please make sure that 2. Number of men appointed 17 65% <br />I +2=3 in both columns) 3, Total appointments made to membership by 26 100% <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: Cabanus <br /> Your e-mail:gkhoneycutt@cabanuscounty.us <br /> Org/ Agency e-mail: <br /> Please specify the best way to contact your organization (i.e. email, fax, or letter): e-mail <br /> <br />APPOINTMENT REPORTING 2003-2004 FORM <br /> <br />1..' <br />