HomeMy WebLinkAbout2021-11 Form 802 - Friends & Champions CelebrationAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributi
1. Agency Name
CITY OF PALM DESERT
Division, Department, or Region (if applicable)
TODD HILEMAN, CITY MANAGER
760-346-0611 1 thileman@cityofpalmdesert.org
2. Function or Event Information
Does the agency have a ticket policy? Yes E No []
Event Description: FRIENDS & CHAMPIONS CELEBRAd
provide Tills/Explanafton
Ticket(s)/Pass(es) provided by agency? Yes 0 No 0
Nam of Source
Was ticket distribution made at the behest Yes E No [I If yes: TODD HILEMAN
of agency official? Offlaars Nam (Last Fiall
ECEIVED
I row Ic ^r�,A Public
IV 10 AM 9- 32
L-M
Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing: _-7mrth _d.yy.8r)
Face Value of Each Ticket/Pass $
Date(s)_11 j_10 j 21
If no: BEST BEST & KRIEGER LLP
150
3. Recipients
-Use Section A to identify the agency's department or unit. -Use Section B to identify an individual. Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit
of Ticketell
Describe the public purpose made pursuant to the agency's policy
Passes
CITY MANAGER DEPARTMENT
2
City of Palm Desert Ticket Policy
(Resolution No. 2019-70)
PUBLIC WORKS DEPARTMENT
City of Palm Desert Ticket Policy
3
(Resolution No. 2019-70)
Number
B. Name of Individual
of Tlcket(sV
Identify one of the following:
(Last, First)
pass"
Ceremonial Role 0 Other 0 Income El
HARNIK, JAN
1
City of Palm Desert Ticket Policy (Resolution No. 2019-6
Ceremonial Role 11 Other 0 Income El
QUINTANILLA, KARINA
1
below
City of Palm Desert Ticket Policy (Resolution No. 2019-6
Name of Outside Organ on
C. izati
Number
of Ticketis)l
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
4. Verification
I have read and un ta FPPC Regulations 18944. 1 and 18942. / have verified that the distribution set forth above, is in accordance
with the re . m
iwl 7 L. Todd Hileman City Manager 10/14/12021
s9wurer Prirl Name Title (mnth. day. year)
Comment:
FPPC Form 802 (2J2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions Him
Continuation Sheet A Public Document
Agency Name
CITY OF PALM DESERT
3. Recipients
-Use Section A to identify the agency's department or unit. -Use Section B to identify an Individual. Use Section Cto Identify an outside organization.
I Number
A. Name of Agency, Department or Unit of TickGt(s)1 Describe the public purpose made pursuant to the agency's policy
Passes
13. Name of Individual
(Last, First)
—Num—ber-
of Ticket(s)l
Passes
Identify one of the following:
JONATHAN,SABBY
1
Ceremonial Role Other Income
IlChe"g'CeMMonfa?Roieor'Other'&SCdbe below
City of Palm Desert Ticket Policy (Resolution No. 2019-&
Ceremonial Role [I Other [:] Income
If checWng m0emmonial Role'or'Other &scdbe below
Ceremonial Role Other Income
ltcheckng*CemmonlaiRcle�cr'Othe��descfibebelw.
Ceremonial Role El Other El Income 11
tfchoWng"CemmonialRole'or'Other'desWbeUlw.
CM Name of Outside Organization
(include address and description)
Number
o"cket(5)/
Passes
Describe the public purpose made pursuantto the agency's policy
FPPC Form 802 (212016)
FPPC Tofl-Free Helpline: 866/ASK-FPPC (8661275-3772)