HomeMy WebLinkAbout2014-01 Form 802 - Humana Challenge Golf TournamentAgency Report of: RECEIVED 0
CITY CLERK'S OFFICE
Ceremonial Role Events and Ticket/Pass DistributiOlM 1. M D E- � W - C, A A Public 0c`X:*t
Agency Name
CITY OF PALM DESERT
Division, Department, or Region (if
oesignated Agency contact (Name, Title)
JOHN M. WOHLMUTH, CITY MANAGER
2014 FtB I 2'aW_Tp00
For Officiall"
E] Amendment (Must provide explanation #,Fart 3.)
760/346-0611
jwohimuth@cityofpalmdesert.org
Date of Original Filing:
(Month, Day, Year)
2. Function or Event Information
Does the agency have a ticket policy?
Yes 0 No 0
Face Value of Each Ticket/Pass $ 40.00
Humana Challenge Golf Tournament
Event Description . - —_
01 13 14 01 19 14
Date(s) I
Provide 77tlelExplanation
Ticket(s)/Pass(es) provided by agency?
Yes 0 No IS
If no: CITY OF LA QUINTA
Name of Source
Was ticket distribution made at the behest
NoM YesO
If yes:
of agency official?
Official's Name (LaStr First)
3. Recipients
*Use Section Ato Identify the agency's department or unit. *UseSectlon B to
identify an Individual. 9 Use Section C to Identify an outside organization.
A. Name of Agency, Department or Unit
Number of
Ticket(s)i
Describe the public purpose made pursuant to the agency's policy
Pass(es)
FINANCE DEPARTMENT
City of Palm Desert Ticket Policy Section 6 (Resolution 09-17)
8
ECONOMIC DEVELOPMENT
City of Palm Desert Ticket Policy Section 6 (Resolution 09-17)
2
B. Name of Individual
(Lod, Frd)
Number of
Ticket(s)/
Identify one of the following:
Passtes)
Ceremonial Role Other Income
If checkngCeramonial Role'or'Other'deswbe below
Ceremonial Role 0 Other 0 Income
If choWng"Ceremonial Role"or'Othsr'desvbe be?ow
C. Name of Outside Organization
(include address and description)
Number of
Ticket(s)l
Describe the public purpose made pursuant to the agency's policy
Pass(es)
I
I
4. verilkation
I Ade FPPSJ�ulatlons 18944.1 and 18942. / have verified that
the distribw ion set fort.; above. is in accordance with the requirements
: �dn4dderstand
John
M. Wohlmuth
City Manager 02/12/2014
o(Agency Head or Designee
Phnt Wme
(A46 l�h, Day, Year
Comment:
FPPC Form 802 (4/12)
FPPC Toll -Free Helpline: 866/ASK-FPPC (86fif275-7772)
-n
IXI
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
A Public Document
Agency Name
CITY OF PALM DESERT
3. Recipients
a Use Section A to Identify the agency's department or unit. e Use Section B to Identify an Individual. a Use Section C to Identify an outside organization.
A. Name of Agency, Department or Unit Number of Describe the public purpose made pursuant to the agency's policy
I Ticket(s)l I
HOUSING AUTHORITY 1
B. Name of Individual Number a
Ticket(s)l
ft.aA Fka) I _--
City of Palm Desert Ticket Policy Section 6 (Resolution 09-17)
Identify one of the following:
Ceremonial Role 0 Other 0 Income 13
If chechng "Ceremordal Role"or 10ther"oescribe below -
Ceremonial Role [I Other [I Income
ffchociang"Ceren;orgaiRole"or'OtWdesaibe below
Ceremonial Role 0 Other [I Income
If checkng Teremonial Role"or "Other"describe below
Ceremonial Role [I Other 0 Income
If checkng 'Caremomal Role"or 'Other"describe below
C Name of Outside Organizatio -.-b.(r f
at ;
n Tick I Describe the public purpose made pursuant to the agency's policy
(include address and description) pass(es)
FPPC Form 802 (4/12)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-7772)