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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)