HomeMy WebLinkAbout2025-16 Form 802 UCLA Football GameAgency 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. Title)
ANTHONY J. MEJIA, CITY CLERK
Area CodelPhone Number E-mail
760-346-0611 amejia@palmdesert.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ❑ No ❑ Face Value of Each Ticket/Pass $
Event Description: UCLA vs. Utah Football Game Date(s:; 8 30 / 25
Provide Title/ Explanation
Ticket(s)/Pass(es) provided by agency? Yes El No ❑ If no
Date Stamp
A Public Document
For Official Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
Name of Source
18.13
Was ticket distribution made at the behest Yes El No El 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 7icket(s)1 Describe the public purpose made pursuant to the agency's policy
Passes
Finance
2
PD Resolution No. 2019-70 Section 6-C-17
I Number
B. Name of Individual of Ticket{sy I Identify one of the following:
(Last, First) I Passes
Ceremonial Role ❑ Other ❑
if checking -Ceremonial Rore-or'Other' describe below
Ceremonial Role ❑ Other ❑
7t checking -Ceremonial Role-or'Orher'describe below:
Income ❑
Income ❑
Name of Outside Organization I NumberI
C. Ticket(s)i Describe the public purpose made pursuant to the agency's policy
(include address and description) IPasses
I
4. Verification
I have read and understand FPPC Regulations 18944.1 and 18942 1 have verified that the distribution set forth above, is in accordance
w7
re requirements.
ANTHONY J. MEJIA CITY CLERK c
.,nature ofAg c , Head or nee Print Name Title (rrtjr.th, y, year)
Comment:
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)