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Home My WebLink About2023-13 Form 802- POPS LuncheonAgency 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 (Na me, Title) ANTHONY J. MEJIA, CITY CLERK Area Code/Phone Number 760-346-0611 E-mail amejia@palmdesert .g ov 1 ZJ DEC -S ~H fl: ~cial Use Only 0 Amendment (Must Provide Explanation in Part 3.) Date of Original Filing : ______ _ (month , da y, year) 2. Function or Event Information Does the agency have a ticket policy? 69 .00 Yes □ No □ Face Value of Each TickeUPass $ _______ _ Event Description : Palm Desert Chamber POPS Lunch~ Date(s) 2 _L_!~~ _/_/ __ Provide Title/ Explana tion Ticket(s)/Pass(es) prov ided by agency? Yes D No D If no: _________________ _ Name of Sou rce Was ticket distribution made at the behest Yes □ No □ If yes : ------------------ Official's Name (Last, Firs t) of agency official? 3. Recipients • Use Section A to identify the agency 's depa rtment or uni t. • Use Sect ion B to ide ntify an in dividual. tJse Sect ion C to identify an outside organizatio n . Number A. Name of Agency, Department or Unit of Ticket(s)I Describe the public purpose made pursuant to the agency's policy Passes City Manager's Office 5 PD Resolution No . 2019-70 Section 6-C-17 Economic Development 2 PD Resolution No . 20 19 -70 Section 6-C-17 Number B. Name of Individual ofTicket(s )I Identify one of the following : I (Last, First) Passes I Ceremonial Role 0 Other 0 Income 0 Kelly , Kathleen 2 If checking ·ceremonial Role " or ·other" describe below: PD Resolution No. 20 19 -70 Section 6-C-17 Ceremonial Role 0 Other 0 In come 0 Qu intanilla , Karina 1 If checking ·ceremonial Role " or ·other" describe below : PD Resolution No. 20 19 -70 Section 6-C-17 Name of Outside Organization Number C. of Ticket(s)I Describe the public purpose made pursuant to the agency's policy (include address and descripti on) Passes Riverside County Sheriff Department 1 PD Resolution No . 2019-70 Section 6-E 4. Verification I ha e read and understand FPPC Regulations 18944 .1 and 18942. I have verified that the distribution set forth above, is in accordance w i t the requirements . ANTHONY J. MEJIA CITY CLERK Print Name Title Comment: ------------------------------------------- Print Clear FPPC Form 802 (2/2016) FPPC Toll-Free Helpline: 866/ASK-FP PC (866/275-3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions California 802 Form This form is for use by all state and local government agencies . The form iden t ifies persons that receive admission tickets and passes and describes the public purpose fo r the distribution . This fo rm was prepared by the Fair Pol itical Practices Commission (FPPC) and is available at www.fppc .ca .gov. General Information FPPC Regulation 18944.1 sets out the circumstances under which an agency 's distribution of tickets to entertainment events , sporting events , and like occasions would not result in a gift to individuals that attend the function . In general , the agency must adopt a policy which identifies the public purpose served in distributing the admissions . The Form 802 serves to detail each event and the public purpose of each ticket distribution . FPPC Regulat ion 18942 lists exceptions to reportable gifts , including ceremonial events , when listed on this form . When the regulation procedures are followed , persons , organizations , or agencies who rece ive adm issions are listed on a Form 802 . Agency officials do not report the admissions on the official's Statement of Economic Interests , Form 700 , and the value of the admission is not subject to the g ift limit. The Form 802 also informs the public as to whether the admissions were made at the behest of an agency official and whether the behested tickets were prov ided to an organ ization or to specific individuals. Exception FPPC Th is form is not requ ired fo r admiss ion provided to a school or university district official , coach , athletic director, or employee to attend an amateur event performed by students of that school or univers ity. Reporting and Public Posting Ticket Distribution Policies: An agency must post its ticket policy on its webs ite with i n 30 days of adoption or amendment and e-mail a link of the website location to FPPC at form802@fppc .ca .gov. Form 802: The use of the ticket or pass under the policy must be reported on Form 802 and posted on the agency 's website w ithin 45 days of distribution . A link to t he website location of the forms must be e-mailed to FPPC at form802@fppc .ca .gov. The FPPC will post on its website the link to each agency's policy and completed forms . It is not necessary to send an e-mail each time a new Form 802 is posted . It is only necessary to submit the link if the posting location changes . A Public Document This form must be maintained as a publ ic document. Privacy Information Notice Information requested by the FPPC is used to administer ~nd enf~rce the Political Reform Act. Failure to provide information may be a violation subject to administrative , criminal , or civil penalt ies . All reports are public records available for inspection and reproduction . Direct questions to FPPC 's General Counsel. Instructions Part 1 . Agency Identificat ion : List the agency 's name . Provide a designated agency contact pe rson , the ir phone number, and e-mail address . Mark the amendment box if changing any information on a previously filed form and include the date of the original filing . Part 2 . Function or Event Information : Confirm that your agency has a policy for ticket distribution . Unless the ceremonial role or income box in Part 3, Section B , is marked , this form is only applicable if your agency has a policy. Complete all of the other required fields that identify the ticket value , descript ion of event , date(s) and whether the ticket was provided by the agency or an outs ide sou rce . If an agency official behests the tickets , the official's name is also required . Use the comment field or an attachment to explain in ful l. Part 3 . Ticket Recipients : This part identifies who uses the tickets . The identification requirements vary depending upo n who rece ived the tickets and are categorized into th ree sections. Each section must list the number of tickets received . Use the comment field or an attachment to explain in full. Section A. Report tickets distributed to agency staff, other than an elected official or govern i ng board member, pursuant to the agency 's policy. It is not necessary to list each employee 's name , but identify the uniUdepartment for which the employee works. The agency must describe the public purpose associat ed with the ticket d istribut ion . A reference to the policy is permissible . Section B. Report : 1) any agency official who performs a ceremonial role ; 2) any agency official who reports the value as income ; or 3) tickets used by elected officials and govern ing board members (including those distributed pursuant to the agency 's policy ). Section C . Report tickets provided to an organization . The organizat ion 's name , an address (website url is permissible), and a brief description of the public purpose are required . FPPC Form 802 (2/2016) FPPC Toll -Free Helpline: 866 /ASK-FPPC (866 /275 -3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions Continuation Sheet California 802 Form A Public Document Agency Name 3. Recipients • Use Section A to identify t he agency 's depa rtment or uni t. • Us e Section B to id entify an individual. Use Se ction C to identify an outs ide o rganizat ion . Number A. Name of Agency, Department or Uni t of Ticket(s)/ Passes Number B. Name of Ind ivi dual ofTicket(s )/ (L ast, First) Passes Harnik , Jan 1 Nestande , Gina 2 Trubee , Evan 1 Number C. Name of Outside Organization of Ticket(s )/ (include address and description) Passes Print Clear Describe the publ ic purpose made pursuant to the agency 's policy -------·--I Identify one of the following : Ceremonial Role D Other D Income D If checking ·ceremonial Rote · or 'Other' descrlbe below: PD Resolution No. 20 19 -70 Section 6-C-17 Ceremonial Role D Other D Income D If checking ·ceremonial Rote · or "Other' descrlbe below: PD Resolution No . 2019 -70 Section 6-C-17 Ceremonial Role D Other D In come D If checking ·ceremonial Rote " or "Other' descrlbe below: PD Resolution No . 2019-70 Se ction 6-C-17 Ceremonial Ro le D Other D Income D If checking ·ceremonial Role " or 'Other' descrlbe below: Describe the public purpose made pursuant to the agency 's pol icy FPPC Form 802 (2/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275 -3772)