HomeMy WebLinkAbout2014-11 Form 802 - A Miracle on El PaseoAgency Report of: RECEIVED
CITY CLERK'S OFFICE
Ceremonial Role Events and Ticket/Pass Distributions P ALM DESER T. C A A Public Document
1. Agency Name Is
20 NOV IN IN : A""" 0 * ' I
CITY OF PALM DESERT aeld
Division, Department, or Region (If Applicable) rF., =OfficlalUso Only
Designated Agency Contact (Name, 77tle)
JOHN M. WOHLMLITH, CITY MANAGER
760-346-0611 1 jwohlmuth@cityofpalmdesert.org
2. Function or Event Information
Does the agency have a ticket policy? Yes C@ No [I
Event Description A Miracle on El Paseo
Provide TittelExplanotion
0 Amendment (Must provide oxplanotion in Par( 3)
Date of Original Filing:
Face Value of Each Ticket/Pass $
Date(s) 11 / 22 1 14
50.00
Ticket(s)/Pass(es) provided by agency? Yes 0 No 0 If no: Bighorn B.A.M.
Name of Source
Was ticket distribution made at the behest NoO YesO If yes:
of agency official? Official's Name (Last, First)
3. Recipients
*Use Section A to Identify the agency's department or unit. *Use Section 8 to Identify an Ind IvIdual. 9 Use Section C to Identify an outside organization._
A. Name of Agency, Department or Unit
Number of
Ticket(s)l
Describe the public purpose made pursuant to the agency's policy
Pass(es)
City Clerk
City of Palm Desert Ticket Policy Section 6 (Resolution 09-17)
2
Human Resources
City of Palm Desert Ticket Policy Section 6 (Resolution 09-17)
2
B. Name of Individual
Number of
Ticket(s)/
Identify one of the following:
(Lad. Flat
Pass(es)
Ceremonial Role Other Income
ff chocking Teremonial Role"or'01her"desailie below
Ceremonial Role [I Other 0 Income
If checking Terernrinial Role"or 'Other"describe below
C Name of Outside Organization
Number of
Ticket(s)l
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Pass(es)
4. Verification
I have read and understand FPPC Regulations 18944. 1 and 18942. 1 have verified that the distribution set forth above, is in accordance with the requirements
z �- ,Z /400,W" John M. Wohimuth City Manager 11-21-14
Signature ofA69ncy Head or Designee Pint Name rifle (Month, Day, Year)
Comment:
FPPC Form 802 (4112)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-7772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
A Public Document
Agency Name
CITY OF PALM DESERT
3. Recipients
Use SactionA to Identify the agency's department or unit. * Use Section Bto ldontityan Individual. *Use Section C to Identify an outside organization.
Number of
A. Name of Agency, Dopartmont or Unit Ticket(s)/ Describe the publ Ic purpose made pursuant to the agency's policy
I Pass(os) I
Public Works 1 2 1 City of Palm Desert Ticket Policy Section 6 (Resolution 09-17)
Building & Safety 1 2 1 City of Palm Desert Ticket Policy Section 6 (Resolution 09-17)
Numberof I
Name of Individual Ticket(s)/ Identify one of the following:
((Ad. AW) I --l- I
Ceremonial Role 0 Other El Income 13
If chocking Toroinonial Rolo"or '01her"doscribe below
Ceremonial Role [I Other 0 Income 13
If chocking Toremonial Role"or '01her"desoribe below
Ceremonial Role Other Income
lfctpeckng'CarefwnialRoie"or'Other"desaibe below.
Ceremonial Role [:1 Other [:1 Income
ffcheckng"ComfwrgalRole"or'Othef"desa7be below
C. Name of Outside Organizatio Number of
n Ticket(s)l Describe the public purpose made pursuant to the agency's policy
(include address and description) Pass(es)
FPPC Form 802 (4112)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-7772)