HomeMy WebLinkAbout2024 - 01 Form 802 - Olive Crest LuncheonAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name
CITY OF PALM DESERT
Division , Department, or Region (if applicable)
Designated Agency Contact (Name, Title)
ANTHONY J. MEJIA, CITY CLERK
Area Code/Phone Number
760-346-0611
E-mail
amejia@palmdesert.gov
2. Function or Event Information
Does the agency have a t icket policy?
Event Description : Olive Crest Luncheon
Yes □ No □
Provide Title/ Explanation
0 1 f rra Fr iC
f . ! T . Cr,
California 8 02
Form
For Official Use Only
202 FEB -6 PH 2: 26
D Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing : _______ _
(month . day, year)
Face Value of Each Ticket/Pass$ ______ 9_5_._oo_
Date( s) 2-.J __2___J ~ ___J___j __
Ticket(s)/Pass(es) provided by agency? Yes D No D If no: _________________ _
Name of Source
Was ticket distribution made at the behest Yes □ No □ If yes : ------------------
omciars Name (Last. First)
of agency official?
3. Recipients
• Use Section A to id entify the agency's d epartment or unit. • Use Section B to id entify an ind ividual. Use Sect ion C to ide ntify an outside organizat ion .
Number
A. Name of Agency, Department or Unit of Ticket(s)I Describe the public purpose made pursuant to the agency's policy
Passes
Number B. Name of Individual ofTicket(s)I Identify one of the following :
(Last, First) Passes
!
Ceremon ial Role D Other D In co me D
Quintanilla , Karina 1 If checking ·ceremonial Role" or "Oth er" describe below:
PD Resolution No . 2019-70 Section 6-C-6
Ceremon ial Role D Other D In come D
Trubee , Evan 1 If checking ·ceremonial Role" or "Other" describe below:
PD Resolution No. 2019-70 Section 6-C-6
Name of Outside Organization Number
C. ofTicket(s)I Describe the public purpose made pursuant to the agency's policy
(include address and description) Passes
4. Verification
I hav read and understand FPPC Regulations 18944 .1 and 18942. I have verified that the distribution set forth above, is in accordance
with he requirements .
ANTHONY J . MEJIA
Print Name
Print Clear
CITY CLERK
Title
01.i ad ·2o2-y
(month, da y, ye ar)
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
California 802
Form
This form is for use by all state and local government
agencies. The form identifies persons that receive
admission tickets and passes and describes the public
purpose for the distribution . This form was prepared by
the Fair Political 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 individ uals 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
Regulation 18942 lists exceptions to reportable gifts,
incl ud ing ceremonial events, when listed on this form .
When the regulation procedures are followed , persons ,
organizations , or agencies who receive admissions
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 gift 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 provided to an
organization or to specific individuals.
Exception
FPPC This form is not required for admission 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 university.
Reporting and Public Posting
Ticket Distribution Policies: An agency must post its
ticket pol icy on its website within 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 within 45 days of distribution . A link to the 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 public document.
Privacy Information Notice
Information requested by the FPPC is used to administer
and enforce the Political Reform Act. Failure to provide
information may be a violation subject to administrative,
criminal , or civil penalties. All reports are public records
available for inspection and reproduction. Direct questions
to FPPC 's General Counsel.
Instructions
Part 1. Agency Identification :
List the agency 's name. Provide a designated agency
contact person , their 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 , description of event , date(s) and whether the
ticket was provided by the agency or an outside source . If
an agency official behests the tickets , the official 's name is
also required. Use the comment field or an attachment to
explain in full.
Part 3. Ticket Recipients:
This part identifies who uses the tickets . The identification
require ments vary depending upon who received the
tickets and are categorized in to three 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 governing board member,
pursuant to the agency 's policy. It is not necessary to list
each employee 's name, but identify the unit/department for
which the employee works . The agency must describe the
public purpose associated with the ticket distribution . 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
governing board members (including those distributed
pursuant to the agency 's policy).
Section C. Report tickets provided to an organization.
The organization 's name , an address (website url is
permissible), and a brief description of the public purpose
are required .
FPPC Form 802 (2/2016)