HomeMy WebLinkAbout2022-10 Form 802 - PDACC- Installation Dinner & Business Meeting Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions :,RECEIVED APublic Document
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1. Agency Name Ut-S rrp'C•A California 802
CITY OF PALM DESERT }�L� Form
Division,Department,or Region(if applicable) 70 7-.00T -5 ,F14 "3: 514 For Official Use Only
Designated Agency Contact(Name,Title)
ANTHONY J. MEJIA ❑ Amendment (Must Provide Explanation in Part 3.)
Area Code/Phone Number E-mail
(760)346-0611 amejia@cityofpalmdesert.org Date of Original Filing:
(month,day,year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass$ 350
9 Y Yes® No❑
• Event Description: PDACC-Installation Dinner&Busined Date(s) 09 / 22 / 202d ___/_/
Provide Tit/e/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ElNo I■I If no: BBK LAW
Name of Source
Was ticket distribution made at the behest Yes 0 No IN If yes:
Official's Name.(Last,First)
of agency official?
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 Ticket(s)/ Describe the public purpose made pursuant to the agency's policy
I Passes
FINANCE DEPARTMENT 2 CITY OF PALM DESERT TICKET POLICY
RESOLUTION NO. (2019-70)
IT DEPARTMENT 3 CITY OF PALM DESERT TICKET POLICY
RESOLUTION NO. (2019-70)
B. Name of Individual of Ti ket(s)I Identify one of the following:
is _
(Last,First)- Passes
i
Ceremonial Role ❑ Other 0 Income ❑
If checking'Ceremonial Role"or'Other'describe below:
- Ceremonial Role ❑ Other 0 Income ❑
If checking'Ceremonial Role"or'Other'describe below:
i Name of Outside Organization •Number
C of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy
(include address and description) • Passes
4. Verification
I hay-read and understand FPPC Regulations 18944.1 and 18942.I have verified that the distribution set forth above, is in accordance
with e requirem- .
4 ANTHONY J. MEJIA CITY CLERK 10/5/22
`ignature o'-ncy Head or"'gnee Print Name Title (month,day,year)
Comment:
Print Clear FPPC Form 802(2/2016)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Agency Report of: California 802
Ceremonial Role Events and Ticket/Pass Distributions Form
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 C to identify an outside organization.
Number !
4, Name of Agency,Department or Unit of Ticket(s)! Describe the public purpose made pursuant to the agency's policy
Passes
CITY CLERK DEPARTMENT 2 CITY OF PALM DESERT TICKET POLICY
RESOLUTION NO. (2019-70)
ECONOMIC DEVELOPMENT CITY OF PALM DESERT TICKET POLICY
DEPARTMENT 3 RESOLUTION NO. (2019-70)
B. Name of Individual of Ticket(s)/ •. Identify one of the following:. •
_, (Last,First) Passes.
Ceremonial Role ❑ Other 0 Income ❑
If checking'Ceremonial Role"or"Other describe below:
•
Ceremonial Role ❑ Other 0 Income 0
If checking'Ceremonial Role"or'Other"describe below:
Ceremonial Role 0 Other 0 Income ❑
• If checking'Ceremonial Role"or'Other"describe below:
Ceremonial Role ❑ Other❑ Income ❑
If checking'Ceremonial Role"or'Other"describe below:
•
Name of Outside Organization • Number
C, of Ticket(s)! Describe the public purpose made pursuant to'the agency's policy
(include address and description) Passes
•
•
Print Clear
FPPC Form 802(2/2016)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)