HomeMy WebLinkAboutForm 802 030511 SLOIFF-Galaxy Sneak Peak ReceptionAgency Report of
Ceremonial Role Events and
Ticket/Admission Distributions
1 Agency Name
City of Atascadero
, Department, or
6907 EI Camino Real
Designated Agency C(
Marcia McClure Torgerson City Clerk
Area Code/Phone Number I E-mail
805-470-3400 1 mtorgerson@atascadero org
2 Function, Event, or Ceremonial Role Information
Title SLO International Film Festival 6
Description Sneak Peak Grand Opening @ fi
A Public Document
APR _ 1 2011 1
For Official Use Only
ITY OF ATASCADEi
CITY CLERK'S OFFIC
❑ Amendment (Must provide explanation in Part 3.)
Date of Original Filing- 3/31/2011
(month, day, year)
Face Value of Each Admission $ $25 00
Date(s) 3 � 20'b - 2016
Ticket(s)/Admission(s) provided by agency? Yes ❑ No ❑ If no
Name of Source
Was the distribution to persons identified below made at the behest of an agency official?
Yes E] No ❑ If yes McKinney Wade, City Manager
Official's Name (Last, First) and Title
The identity of recipient(s) and the explanation
Name
• 'Check the income box if the agency official claims admission as
(Last, First)
Number of
Agency
taxable income. If the agency, official performed a ceremonial role,,,
or
Admission(s)l
Official
also provide a description.
Organization
Ticket(s)
• If not income, describe the public purpose, including
(Name, Address, Description)
ceremonial roles, performed by an agency official, individual, or
organization.
Yes C]
Income
Clay Jerry
1
No ❑
attendance @ SLOIFF Grand Opening event ❑
Yes
Income
Fonzi Roberta
1
No ❑
attendance @ SLOIFF Grand Opening event ❑
Yes
Income
Sturtevant, Brian
1
No ❑
attendance @ SLOIFF Grand Opening event ❑
Yes
Income
O'Malley Tom
1
No ❑
attendance @ SLOIFF Grand Opening event
Income
McKinney Wade
1
Nos 0
attendance @ SLOIFF Grand Opening event
3 Verification
/ have read and understand FPPC Regulations 18944 1 and 18942. 1 have verified that the distribution of admissions, set forth above,
is in accordance with the provisions.
` Wade McKinney City Manager 3/31/2011
Signature of Agency Head or Design Print Name Title (month, day, year)
Comment: (Use this space or an at achment for any additional information including amendment explanation )
FPPC Form 802 (2111)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)