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2016 - Gilroy Gardens Lumination Ticketsgency Report of: Ceremonial Role Events and 1. Agency Nat City of Gilroy or (Name, Shawna'Freels, City Clerk Distributions 408 -846 -0204 1 shawna.freels @cityofgilroy.org 2. Function or Event Information Does the agency have a ticket policy? Yes ® No ❑ Event Description: Gilroy-Gardens Lumination Soft Open Provide Tine/Explanadon Ticket(s)/Pass(es) provided by agency? Yes ® No ❑ A Public Document Date Stamp in Pert 3.) Date of Original Filing: 8/1/2016 Face Value of Each TickeVPass $ 75:00 Date(s) J 15 / 201 b ---J---J If no: Name of Source Was ticket distribution made at the behest Yes ❑ No ® 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. 4. Verification 1 have read and understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance with the requirements. / \ Gabriel Gonzalez City Administrator August t 2016 Signature of Agency Head or Pnnt Name Tide (month, day, year) Comment: FPPC Form 802 (212016) FPPC Toll -Free Helpline: 866IASK -FP06 (86612775 -3772) Number A. Name of Agency, Department or Unit of Ticket(sY Describe the public, purpose made pursuant to the agency's:policy Passes B. Name of Individual of Tlcket(sy Identify one of the following: (Last, First) Pas "see Gonzalez, Gabriel Ceremonial Role to Other ❑ Income ❑ 1 nchwklag'Cemaromal Rde'or'Otherdesmaebelow Official's performance of a ceremonial role or function representing the City at the event Freels, Shawna Ceremonial Role'M Other ❑ Income ❑ ltd king'Commonlal Rde"or'other'dercnbebelow: Official's performance of a ceremonial role or function representing the City at the event Name of Outside Organization C. Number of Ticket(sy Describe the public purpose made pursuarit tothe agency's policy (include address and description) uese 4. Verification 1 have read and understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance with the requirements. / \ Gabriel Gonzalez City Administrator August t 2016 Signature of Agency Head or Pnnt Name Tide (month, day, year) Comment: FPPC Form 802 (212016) FPPC Toll -Free Helpline: 866IASK -FP06 (86612775 -3772) Agency Report of: Ceremonial Role Events and TickeVPass Distributions ° Continuation Sheet A Public Document Agency Name 3. • 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. A.. ,Name of Agency, Department or Unit -• of;7ickst(aq Describe.the Public purpose made pursuant to the agenry't'poliry - B; - .UNa_me of Individual -, - ' : t - (Lest, First) '- ofTidie, -' Identify one_gfthe following .. -, "- ",,.'• -, , , P_sin_ea _ _ :. Woodward, Perry Ceremonial Role ® Omer ❑ Intoma ❑ 2 checking "Cemmodal Rob"d'Other dezcnbe below. Official's performance of a ceremonial role or function representing the City at the event Tucker, Cat Ceremonial Role 0 Omer ❑ Income ❑ 2 II checking'Cemmaniel Rds' or'Othercescribe blow' Official's performance of a ceremonial role or function representing the City at the event Aulman, Terri Ceremonial Role ❑ Omer ❑ Income ❑ t llchecking'Cemmonlel Rde "w'orbef'tlescdoe below Official's performance of a ceremonial role or function representing the City at the event Velasco, Roland I Ceremonial Role ® Other ❑ Income ❑ 11 checking'Ceremomel Rale"or'Otber describe below. 2 Official's performance of a ceremonial role or function representing the City at the event Name of Outside Organization C. - of Ticks s / q) ..:' -'- -. - -. Describe tKe ubiic ur pose MiAii ,." I p p p Pursuarrt YO the agency's policy (include address and tlescription) " ' 'passes _ FPPC Form 802 (212016) FPPC Toll -Free Helpline: 8661ASK -FPPC (6661275 -3772) s Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions ° Continuation Sheet A Public Document Agency Name • 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 noketls)1 Persons Describe the public purpose made pursuant to the agency's policy B. Name of Individual (L9sf,'First) Number of Tlokat(ey Paeaea Identify ooe'of the following: Harney, Daniel ,1 Ceremonial Role ® Other, ❑I Income ❑ Irchecking'ComMon,al Role "or'Other'damdae oelmI Official's performance of a ceremonial, role or unction representing the City at the event Abrams, Krlstl Z Ceremonial Role E Other ❑ Income ❑ ncnecang- CenrmonOIRd e- or•Oth0l-Mscnbebekm: Official's performance of a ceremonial role or function representing the City at the event Ceremonial Role ❑ Other ❑ Income ❑ If the ng-Ceremnnlel Role -g - OtWdescdbe Ors : Ceremonial Role ❑ Other ® Income ❑ Irchecb,g'Cemmonot Role ' or -OMer'desodheb 1,m Name of Outelde Organization C. - and (include addiees and description)' Numliei _ of 17cket(ey passes - -- - -- -- - - Describe the publio,purpoee made pursuant to the agency' s: policy FPPC:Form'802 (212016) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275.3772)