2018 - Disneyland 1-day Park Hopper PassAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Gilroy
Division, Department, or Region (if applicable)
Fire Deparment
Designated Agency Contact (Name, Title)
Shawna Freels, City Clerk
Area Code /Phone Number E -mail
408 - 846 -0204
shawna.freels @cityofgilroy.org
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: Disneyland 1 -day Park Hopper Pass
Provide Title / Explanation
Ticket(s) /Pass(es) provided by agency? Yes ❑ No El
t' A
% 2 2018
CITY CLERK'S OFFICE
GILROY,CA
is Document
•
Pr Official Use Only
Provide Explanation in Part 3.)
Date of Original Filing: March, 16, 2018
(month, day, year)
Face Value of Each Ticket/Pass $ $167 ea
Date(s) I -/ _J____j,
If no: Disneyland
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.
A. Name of Agency, Department or Unit
Fire Department (see attached)
B. Name of Individual
(Last, First)
C. Name of Outside Organization
(include address and description)
Number
of Ticket(s)f Describe the public purpose made pursuant to the agency's policy
Passes
42 As special recognition for meritorious service by a City
employee 5.3 (g)
Number
of Ticket(s)/ Identify one of the following:
Passes
Ceremonial Role ❑ Other ❑ Income ❑
If checking 'Ceremonial Role" or "Other' describe below:
Ceremonial Role ❑ Other ❑ Income ❑
If checking "Ceremonial Role" or "Other" describe below:
Number
of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
/have read and understand FPPC Regulations 18944.1 and 18942. /have verified that the distribution set forth above, is in accordance
with the requirements.
- --� �- Gabriel A. Gonzalez City Administrator 3/eJ2018
Signature of Agency Head or Desi nee Print Name Title (month, day, year)
Comment:
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Disneyland Tickets
Bebee, Kevin
2
Buessing, Jim
2
Butler, Paul
2
Cooper, Thomas
2
Faddis, Tomas
2
Garrett, Nicolas
2
Guerriera, Joshua
2
Hayes, Steven
2
Lee, Herb
2
Lozano, Daniel
2
MacDonald, Scott
2
MacPhail, Jeff
2
Maibaum, Heinz
2
Main, Casey
2
Nguyen, William
2
Pardini, Michael
2
Peyghambary, Shaun
2
Stelling, Marc
2
Teresi, Kris
2
Valverde, Joshua
2
Wong, Randy
2
Total Tickets Provided 42