HomeMy WebLinkAbout2010-07 Form 802 - Desert Classic Dance Sport ChampionshipTickets Provided by TICKETS PROVIDED BY
Agency Report A Public Document AGENCY REPORT
1. Agency Name
CITY OF PALM DESERT, CALIFORNIA
Division, Department, or Region (if applicabli
N/A
73510 FIR ED WARI NG DRIVE, PALM DE SERT, CA 92260
Date Stamp
L 12 AM S 12
For Official Use Only
Area Code/Phone Number E-mail El Amendment ftst expla)o in Part &)
(760) 346-0611 1 info@cityo(palmdesert.org
Agency Contact (name and title) Date of Original Filing: (month, day, year)
JOHN M. WOHLMUTH, CITY MANAGER
2. Event For Which Tickets Were Distributed
Date(s) of Event: 7 10 12-0 10 Description of Event: - -DAAArt Classic nanceSparr ChamplanshipLs
I Face Value of Ticket: $ not Iflent-Ifled
Agency Event 0 Yes (2 No (Identify source of tickets below.)
Name of Outside Source of Ticket(s) Provided to Agency: Desert ClassIr DanceSpayr nhnmpinnQhipq
Number of Tickets Received: I n Ticket(s) Provided toAgency. @Gratuitously El Pursuant to Contract
3. Agency Officiall(s) Receiving Ticket(S) (use a continuation sheet for additional names)
Name of Official Number State Whether the Distribution is Income to the Official or
(Laat� Fitsi) of Tickets Describe the Public Purpose for the Distribution
Spiegel, Robert 2 Public Relations
Christiansen, Sharon 2 Public Relations
ounds, 1414mes ___2__ Vublic Reiations
LeBlanc, Deborah 2 Public Relations
4. Individual or Organization Receiving Ticket(s) (Provided at the behest ofan agency official.)
Name of Behesting Agency Official:
Name of Individual or Organization: Number of Tickets:
Description of Organization:
Address of Organization: Number and Sim[ city state Zip Code
Purpose for Distribution: (Describe the public purpose for the distribution to the organization.)
6. Verification
r4, f tickets set forth above is in accordance with the provisions of FPPC Regulation 18944. 1.
ta;ve, 4'r'=John M. Wohl-muth City Manager 6-12-201Q
C7Sig ature ad Agency Head or Designee Print Nme Tide (—th day year)
rm Is nt: (Use this space or an attachment for any addiftnal Information including amendment explanation.)
FPPC Form 802 (Feb/09)
FPPC Toll -Free Halpline: 8661ASK-FPPC (866J275-3772)
Tickets Provided by
Agency Report %�dlli*rnia
Form 8021
-A Public Document
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This form is for use by all state and local government
agencies to disclose the distribution of tickets or passes
tha( allow admission to facili-ties. events, shows, or
performances for entertainment, amusement. recreational
or similar purposes. The agency must complete Form
802 identifying agency Officials who receive tickets or
passes from the agency as well as other individuals
and organizations that receive tickets or passes at the
behest of agency officials. Form 802 must be posted in a
prominent fashion on the agency's website.
Gifts of -rickets or Passes to Public Officials
FPPC Regulation 18944.1 sets out the circumstances
under which an agency's distribution of tickets or passes to
or at the behest of an official in the agency does not result
in a gift to the official. (Regulation 18944.1 is available
on the FPPC website at www-fppc.ca.gov.) Even though
the distribution of tickets or passes to a public official
under the regulation Is not a gift to the official, the agency
must disclose the distribution on Form 802. The official
does not have to disclose Uckets or passes received or
distributed under the regulation on his or her Statement
of Economic Interes(s (Form 700), but tickets or passes
received or distributed by the officia I that do not fall under
the regulation may be subject to disclosure on the official's
Form 700 and subject to gift limits,
Posting Form 802
The Form 802 must be posted on the agency's webske
within 30 days after the distribution. If the agency does
not maintain a website, the form must be maintained by
the agency as a public record. be available for public
inspection and copying, and be forwarded to the FPPC for
posting on Ks website.
Part 1. Agency Identification
List the agency's name, address and the name of an
agency contact. Mark the amendment box if changing any
information on a previously filed form and include the date
of the original filing.
Part 2. Event For Which Tickets Were Distributed
Provide the date(s) of the event, a description of (he event
and the face value (i.e. the cost to the public) of the ticket
or pass. Check the box indicating whether the event was
an 'agency event" (such as a county fair, or an event
for which the agency purchased - tickets). Iftheagency
received the fickets from an outside source, identity the
source, the number of tickets received, and check the box
to idenfify whether the tickets or passes were provided to
the agency:
Gratuitously; or
Pursuant to a contract.
Part 3. Agency OffIcIal(s) Receiving Ticket(s)
Disclose the name of each agency official that received
a ticket or pass and the number of tickets or passes the
official received. Also state whether the distribution is
income (o the official or descdbe the Public PurPose for
which the official received the tickets or passes.
Pa rt 4. 1 ndivid ual or Orga n Ization Receiving Ticket(s)
If tickets or passes were distributed to an individual or
Orgarlizabon outside the agency. at the behest of an official
of the agency, Provide the name of the official. Disclose
the name(s) of the individuaLs(s) who received the tickets
or passes and the number of tickets or passes provided. If
the tickets or passes were provided to an organizabon, the
agency may post the name, address, a description of the
organization, and the number of tickets or Passes provided
to the organization in lieu of posting the name of each
individual that received a ticket or pass. Also, describe
the public purpose for the distribution to the individual or
organization.
Part B. VerMcation
The agency head or his or her designee must sign the
form,
Privacy Information Notice
Information requested on all FPPC forms is used by the
FPPC to administer and enforce the Political Reform
Act (Government Code Sections 8 1000-91014 and
Ca liforn ia Code of Reg ulations Sections 18109-18997).
All Information required by these forms is mandated by
the Political Reform Act. Failure to provide all of tile
information required by the Act is a violation subject to
administrative, criminal, or civil prosecution. All reports
and statements provided are public records open for public
inspection and reproduction.
If you have any questions regarding this Privacy Act
Notice, please contact the FPPC.
General Counsel
Fair Political Pracfices Commission
428 J Street, Suite 620
Sacramento, CA 95814
(916) 322-5660
FPPC Form 802 (FobJ09)
FPPC Toll -Free Holplirle: ass1ASK-FPPC (8681275-3772)