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N.C.G.S.9 143-157.1 FORM SOS revised 11/2003 Appointment Reporting 2003-2004 (Side 2) Please provide the information requested below. Record information ONLY for appointments made/announced between July 1,2003 and June 30,2004. If you have not made appointments during this time period, please check off the appropriate box in Letter D and retum the form to the Department of the Secretary of State. Remember: Submit separate forms (no format substitutions) for each body receiving appointment. A sample form from sections A, B, C and D is 'd db I 'd provl e e ow as a gUl e. Sample A. Name of body/official (Appointing Authority) making appointments: Jones City Council Sample B. Board, Commission, Councilor Committee to which an appointment was made (please submit a seoarate form for each entity): Smith County Board of Education What is the total authorized membership for the body receiving appointments? (The Sample C. authoriied number; not necessarily the same as number actually serving): 27 Sample D. APPOINTMENTS FROM 7/1/03-6/30/04 Number of % of TOTAL (ONLYapp'ts made during this period by Appointments Membership authority submitting report; NOT all (Appts + Total serving members, unless all appointed Membership) durin~ the oeriod) J. Number of women appointed 6 22,2% (6 + 27) (Please make sure that 1 + 2=3 in 2. Number of men appointed 4 14.8% (4 + 27) both columns) 3. Total appointments made to membership 10 37.04% (10 +27) by this appointiml authority A. Body or Official Name of body/official (Appointing Authority) making appointments: making Cabarrus County Board of Commissioners Appointment(s) B. Board, Comm'n, Board, Commission, Council or Committee to which an appointment was made (please submit a Council or separate form for each entity): Committee receiving Library Board of Trustees appointment(s) C. Total Membership What is the total authorized membership for the entity receiving appointments? (The authorized number; not necessarily the same as number actually serving): TOTAL MEMBERSHIP: 7 D. Appointments APPOINTMENTS FROM 7/1/03-6/30/04 Number % of TOTAL ONLY app'ts made during this period by of Appts Membership authority submitting report; -NOT all serving (Appts + TotalMembership) members unless all appointed during the period) I. Number of women appointed 4 57% (Please make sure that 2. Number of men appointed 0 0% I +2=3 in both columns) 3. Total appointments made to membership by 4 57% this aopointing authority (Mark Box to Right if no Or: Appointments were made o No Appointments made to this entity during this time to the specific entity listed (mark box if the Body or Official making appointments made no above) appointments to this particular entity, specified above, during the . time of 7/1/2003-6/30/2004) Name and Address of Attention Filer: Please provide the following information. Person Filing Your name and title: Kay Honeycutt, Deputy Clerk to the Board Information Address: p, 0, Box 707, Concord, NC 28026-0707 Telephone: 704-920-2109 Fax: 704-920-2820 County: Cabarrus Your e-mail: gkhoneycutt@cabarruscounty.us Org/ Agency e-mail: Please specify the best wav to contact your organization (i.e. email, fax, or letter): e-mail APPOINTMENT REPORTING 2003-2004 FORM 1-1;