HomeMy WebLinkAbout2018-05 Form 802 - United Way of the Desert GalaAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
CITY OF PALM DESERT
Division, Department, or Region (if applicable)
Designated Agency Contact (Name, 771de)
LAURI AYLAIAN, CITY MANAGER I
(760) 895-3735 1 laylaian@cityofpalmdesert.org
2. Function or Event Information
Does the agency have a ticket policy? Yes M No 0
Event Description: United Way of the Desert Gala —
ProWde TWExplanatibn
Ticket(s)/Pass(es) provided by agency? Yes 0 No El
Was ticket distribution made at the behest Yes 0 No 99
of agency official?
A Public Document
I T Y CUM K ... r,-- . &I
S OFF Form
PALM DESERT. (' � For OMdal Use Only
RAY 3 AM 8: 1 4
Amendment (Must Provide EWanatbn In Part 3.)
Date of Original Filing: (month, day, year)
Face Value of Each Ticket/Pass $ 300.00
Date(s) 05 1 11 1 18 1
If no: United Way of the Desert
NarnacfSource
If yes:
Official's Name (Last, First)
3. Recipients
*Use Section A to identify the agency's department or unit. I Use Section B to Identify an Individual. Use Section C to idrntifyan outside organization.
Number
A. Name of Agency, Department or Unit of Tickert(sy Describe the public purpose made pursuant to the agency's policy
Passes
FINANCE 2 City of Palm Desert Ticket Policy (Resolution No. 2017-07)
ECONOMIC DEVELOPMENT 1 2 ICity of Palm Desert Ticket Policy (Resolution No. 2017-07)
B. Name of Individual of Ticket(s)l Identify one of the following:
(Last First) Passes
Ceremonial Role 0 other [9 Income 0
JAN HARNIK 2 City of FFaTm'lYe'se-Rl'i'cTe'iVoficy're*so"u ion No. 2017-07)
Ceremonial Role [I Other 0 Income 1:1
N chwAft TwwromiW Role* ar'Otherdesafhe below. -
Nam of Outside Organization Number
C. nolude address and description) ofnckogs)l Describe the public purpose made punsuant to the agency's policy
0 1 Pa"as I
4. Verification
I have read anfl-updafstand FPPC Regulations 18944.1 and 18942. 1 have vefiffed that the distribution set forth above, is in accordance
with,M & rbg—vira merits.
LAURI AYLAIAN CITY MANAGER 05/01/18
Signature ol Agency Head or Designee Print Name Me (month, day, yead
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline; 86WASK-FPPC (8661275-3772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
Agency Name
A Public Document
CITY OF PALM DESERT
3. Recipients
I Use Section A to identify the agenWs department or unit. *Use Section B to Identify an Individual. -Use Section Cto idrntifyan oubideorganization.
Number
A. Name of Agency, Department or Unit
of Ticket(sy
Pangs
Describe the public purpose made pursuant to Um agency's policy
CITY CLERK
2
City of Palm Desert Ticket Policy (Resolution No. 2017-07)
PUBLIC WORKS
2
City of Palm Desert Ticket Policy (Resolution No. 2017-07)
B. Name of Individual
(Last, FIMQ
Number
of Ticket(sy
Passes
Identify one of the follworing:
Ceremonial Role 0 Other 0 Income 0
ff dmd&&7g Teramonlat Role'or'Offwe domwlbe bakpir
Ceremonial Role 0 Other 0 Income 0
tfdwcAUng'CwomcniafRob'ar'Offioedascdbe"c)w.
Ceremonial Role 0 Other 0 Income 0
ff chockhV TommankO RaWor 1DM@rdPsm*@ bebw
Ceremonial Role 0 Other 0 Income 0
Nchedft'CereffdvpiatRofe'orMftf'd�sw&obolow.
Name of O"do organization
C.
(include address and description)
Number
of 71clort(s)l
Pass"
Describe the public purpose made pursuant to the agency's policy
FPPC Form 902 (212016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)