HomeMy WebLinkAbout2016-11 Form 802 - Circus VargasAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
CITY OF PALM DESERT
Division, Department, or Region (if applicable)
LAURI AYLAIAN, CITY MANAGER
760-346-0611 1 laylaian@cityofpalmdesert.org
2. Function or Event Information
Does the agency have a ticket policy?
Event Description- CIRCUS VARGAS
Provide r#WEx#9naddn
Ticket(syPass(es) provided by agency? Yes [:I No 91
Yes [9 No E]
Was ticket distribution made at the behest Yes 0 No 99
of agency official?
Public Document
I T Y (WER&O5 U 1- 1-
PALM DESERT I'
2019 NOV -9 PM 4: 110 For Official Use Only
[] Amendment (Must Provide Ex#anafjon in Part 3.)
Date of Original Filing: (month, day, year)
Face Value of Each TicketlPass $ 25.00
Date(s) 11 1 _ 11 1 16 11 1 22 1 16
If no: CIRCUS VARGAS
Name of Source
If yes:
Official's /Vame (Last r1m)
3. Recipients
Me Section A to Identify the agenWs department or unit. , Use Section B to Identify an individual. - Me Section C to Identify an outside organization.
Number
A. Name af Agency, Department or Unit of Ticket(sy Describe the public purpose made pursuant to the agency*s policy
I pass" I
2
17)
PUBLIC WORKS lCity of Palm Desert Ticket Policy Section 6 (Resolution
1 4 09-17)
Number
B. Name of Individual of rickettsy Identify wo &the folkrMng:
(Last Rat) I Passes I
Ceremonial Role [I Other 0 Income 11
9 dwdft TammanlW Rok'or'Offme descdbe Wow
Ceremonial Role [] Oliver 0 Income 1:1
ffdmddag 'CommwW Rok'ar'09w'dowfibe bekwr
Name of Outside Organbation Number
C. (Include address and descripffon) afTleks4sy Describe the public purpose made pursuant to Um agency's policy
I pan" I
4. Verification
I have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set thrth above, is in accordance
with the requireMqw____- -
LAURI AYLAIAN CITY MANAGER 11/09116
Signature of Agency Head or DeftWde Print Name Title (month, day, year)
Comment:
FPPC Form 802 (212016)
FPPC Tall -Free Helpline- 866/ASK-FPPC (8661275-3772)
Agency Report of. California 802
Ceremonial Role Events and TicketlPass Distributions Form
Continuation Sheet A Public Document
Agency Name
CITY OF PALM DESERT
3. Recipients
,Use Section A to identify the agenWs department or unit. *Use Section B to identify an IndMdual. I Use Section C to identify in outside organization.
Number
A. Name of Agency, Department or Unit
of Tickagay
Describe the public purpose made pursuant to the agency's policy
Passes
COMMUNITY DEVELOPMENT
ity of Palm Desert Ticket Policy Section 6 (Resolution
4
9-17)
HOUSING
ity of Palm Desert Ticket Policy Section 6 (Resolution
2
9-17)
BUILDING & SAFETY
ity of Palm Desert Ticket Policy Section 6 (Resolution
2
.9-17)
B. Name of Individual
Number
offickeRsy
Identify one of the following:
(Last, First)
Pasum
Ceremonial Role other Income
ffcheddvTommoWalRoAVor %)Vxedescdbe below,
Ceremonial Role 0 other 0 Income 11
lfchuQft TemnoWal Role' or'Olher* desaMe bekw.,
Ceremonial Role [3 other 0 Income El
ff checift Tommonfel Pob"or VMer'descdbe behw.
Ceremonial Role [] Other [:I Income
gdm&Jrpg'CL.,cmoNaFRo*'Or"00medes�lbe bckw.
Name of Outside Organization
C.
Number
ofricket(sy
Describe the public purpose made pursuant to the agency's policy
(Include address and description)
Passee
FPPC Form 802 (2J2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (1111661275-3772)