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2016 - Gilroy Gardens Lumination Tickets (2)Agency Report of: Ceremonial Role Events and Ticket/Pass D 2. City of or Shawna Freels, City Clerk 408 -846 -0204 i shawna.freels @cityofgilroy.org Does the agency have a ticket policy? Yes ® No 0 Event Description: Gilroy Gardens Lumination Soft Open Provide 7de/Explanadon Ticket(s)/Pass(es) provided by agency? Yes ® No ❑ A, Date For Official Use Only Amendment (Must Provide Explanation in Part 3.) Date of Original Filing: 8/1/2016 (MnM, day, year) Face Value of Each Ticket/Pass $ 35.00 Date(s) _7__j 15 / PO lb 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 individoaL • Use Section C to identify an outside organization. A. Name of Agency, Department or Unit omokette)t 'Describe the public purposes made pursuantto the agency'spolicy � Possess Administration 2 Fostering positive intergovernmental relations - Policy Section 5.3 (c) Human Resources 2 Fostering positive intergovernmental relations - Policy Section 5:3'(c) Name or Individual of.Tickoksy Identitymne of the following: _ - _,Last Frsh Passes Ceremonial Role ❑ Other © Income ❑ If chocking'Ceremonlal Rde" or'OtW descnbe below: Ceremonial Role ❑ Omer X❑ income ❑I lrchmkmg'Cemmonld Rde "ar'Othe' desoabe below. Name of Outside Organization II ^ °'Zur C, or Tiokoys)I Describe the Publle purpose made pursuant to the agency's policy (inelude address and deseription) o,1FeO� 4. Verification 1 haveread and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance with, the requirements. C Gabriel Gonzalez_ City Administrator August _._2016_ Signature of Agency Hes"Mrstgnar Print Name TAIe (month, day, year) - Comment: FPPC Form, 802 (2/2016) FPPC Toll -Free Helpline:.8661ASK.FPPC (866175J772) Agency Report of: California 1 Ceremonial Role Events and TickeVPass Distributions ° Continuation Sheet A Public Document Agency Name - City of Gilroy 3. Recipients • Use Section A to identify the agency's department or unit. • Use Section 6 to Identify an individual. • Use Section C to identify an outside organization. Number A. Name of Agency, Dapaltment or Unit of Tieket(sy Describe the public purpose made pursuant to the agency's policy Passes Finance Department 32 Fostering positive intergovernmental relations - Policy Section 5.3 c Community Development 28 Fostering positive intergovernmental relations - Policy Section 5.3 c Public Works Department 52 Fostering positive intergovernmental relations - Policy Section 5.3 c Police Department 17 Fostering positive intergovernmental relations - Policy Section 5.3 c B. Name of Individual Number' of Tleket(ey Identify one of thatolloudng: Last, First 1 _ Paeceb_ Ceremonial Role ❑ Other ❑ Income ❑ Irchwkng °Cemmbmal Rde- or'Other"aesmbe bdow' Ceremonial Role ❑ Other ❑ Income !1] lrchecking'Cemmomal Rde "or °Other" nesanbe below. Ceremonial Role ❑ Other ❑ Income ❑ I/chWkng °Cemmonml Rde "w °Ofha/ describe below' Ceremonial Role ❑ Other ❑ Income ❑ Ircheckng °Ce nlalRde- or°Other"describebtlow Name of Outside Organization C' 'Number ofmcket(sy Describe the public purpose made pursuant to the agency's policy (include address and description) rpassss FPPC Form 802 (212016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Agency Report of: a . e � Ceremonial Role Events and Ticket/Pass Distributions 0 Continuation Sheet A Public Document Agency Name - " - • Use Section A to identifythe 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 Ticket(ay Passes Describe the public purpose made pursuant to the agency's policy J Fire Department 20 Fostering positive intergovernmental relations - Policy Section 5.3 (c) Recreation Department 10 Fostering positive intergovernmental relations - Policy Section 5.3- c B, Name of Individua l (Last, First) Number o{nckegsy Pes`sas - -- - - Identify one of the fonovdng: _ Ceremonial Role ❑ Other ❑ Income ❑ Xctwkilg'Ceremonlal Role"or"Omereeam below' Ceremonial Role ❑ Other ❑ Income ❑ tichecWnp'Ceremonwl Rde "ar'Ofheroarcnbe below: Ceremonial Role ❑ Other ❑ Income ❑ a checking'Ceremonal Rae "w -Other' tlesonbe below. ceremonial Role ❑ Other ❑ Income ❑ aohecking-Ceremonial Roe- of 'Other dv=W DeAm Name of Outside Organization g" . -. (include address find deeerlptlon) Number o_f nekegsy Passea Describe.the public purpose�made pureuentto the agency's policy FPPC Form 802 (212016) FPPC Toll -Free Helpline: 866IASK- FPPC,(866IZ75 -3772)