Download PDF Packet - Agenda

Name:
Position:
Name:
Position:
Name:
Position:
Name:
Position:
Name:
Position:
Name:
Position:
Name:
Position:
10. PART‐TIME EMPLOYEES
Name:
Position:
Name:
Position:
Name:
Position:
Name:
Position:
Name:
Position:
Name:
Position:
Name:
Position:
Danielle Hale
EMC
Sylvan Igisomar
Assistant EMC
B. SUBTOTAL:
CERTIFICATION: I certify that no individual listed above holds an elected office.
Signature of Authorized Official:
Printed name of Authorized Official:
FISCAL YEAR 2013
EMPG STAFFING PATTERN
1. APPLICANT NAME (as is appears on EMPG application) 2. COUNTY
3. FULL‐TIME EMPLOYEES 4. Gross
(including those who work all or only a portion of their time in
emergency management duties)
Annual Salary
A. SUBTOTAL:
11. % of
Full Time
12. Gross
Annual Salary
5. Gross
Annual
Benefits
13. Gross
Annual
Benefits
6. Gross
Salary &
Benefits (4+5)
41,266.00 10,687.89 51,953.89 100% 51,953.89
14. Gross
Salary &
Benefits
(12+13)
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
124,687.58 3,000.00
0.00 0.00
0.00 0.00
TOTAL:
0.00
0.00 0.00
18. 19.
124,687.58 3,000.00
Date Signed:
TDEM‐66 Page 1 of 1
12/2012
0.00
0.00
0.00
0.00
0.00
7. %
Work in
EM
Duties
15. %
Work in
EM
Duties
8. Salary &
Benefits for
EM (6x7)
0.00
16. Salary &
Benefits for
EM (14x15)
0.00
0.00
0.00 0.00
0.00
9. Est EM
Travel Costs
57,771.00 14,962.69 72,733.69 100% 72,733.69 3,000.00
17. Est EM
Travel Costs