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HomeMy WebLinkAboutForms 802 June-July 2011Agency Report of: Ceremonial Role Events and Ticket/Admission Distributions A Public Document 1. Agency Name Date StamprFor City of Atascadero (Last, First) Number of Agency Division, Department, or Region (if applicable) 7Useonly City Manager's Office Official also provide a description. Street Address 6907 EI Camino Real, Atascadero, CA 93422 Ticket(s) Designated Agency Contact (Name, Title) ❑ Amendment (Must provide explanation in Part 3.) Wade McKinney Date of Original Filing: %/// Area Code/PhoneNumber E-mail ceremonial roles, performed by an agency official, individual, or (month, day, year) 805-470-3400 wmckinney@atascadero.org 2. Function, Event, or Ceremonial Role Information Title Mid -Year Economic Forecast Description Beacon Economics & CA CofC Face Value of Each Admission $ $50.00 Date(s)06/091 11 __j Ticket(s)/Admission(s) provided by agency? Yes [Z] No ❑ If no: Name of Source Was the distribution to persons identified below made at the behest of an agency official? Yes Q No ❑ If yes: Wade McKinney, 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)/ 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 111 Income Roberta Fonzi council member 1 No ❑ #1 council goal = economic growth & prosperity ❑ Yes Income Bob Kelley council member 1 No ❑ #1 council goal = economic growth & prosperity ❑ Yes ET Income Tom O'Malley, Mayor 1 No i ] #1 council goal = economic growth & prosperity ❑ Yes Income Jerry Clay council member 1 No (] #1 council goal =economic growth &prosperity ❑ Yes Income Wade McKinney City manager 1 No 0 #1 council goal =economic growth &prosperity ❑ 3. Verification I have read and understand FPPC Regulations 18944.1 and 18942. l have verified that the distribution of admissions, set forth above, is in accordance with the provisions. Wade G McKinney City Manager 09-06-11 Signature of Agency Head or Designee Print Name Title (month, day year) Comment: (Use this space or an att chment for any additional information including amendment explanation.) FPPC Form 802 (2/11) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Agency Report of: Ceremonial Role Events and Ticket/Admission Distributions 1. Agency Name City of Atascadero Division, Department, or Region (if applicable) City Manager's Office Street Address 6907 EI Camino Real, Atascadero, CA 93422 Designated Agency Contact (Name, Title) Wade McKinney Area Code/Phone Number E-mail 805-470-3400 wmckinney@atascadero.or, 2. Function, Event, or Ceremonial Role Information Title Mid -Year Economic Forecast Description Beacon Economics & CA CofCg3 r Date Stamp IIS 1117 ff«1�Z•T•1TI'iit:� For Official Use Only ❑ Amendment (Must provide explanation in Part 3.) Date of Original Filing: 8/30/11 (month, day year) Face Value of Each Admission $ $50.00 Date(s) 06 09/ 11 / 1 Ticket(s)/Admission(s) provided by agency? Yes p No ❑ If no: Name of Source Was the distribution to persons identified below made at the behest of an agency official? Yes [Z] No E] If yes: Wade McKinney, 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, orAdmission(s)/ 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 Income Jim Lewis, Ass't City Manager 1 No p #1 council goal =economic growth &prosperity 1:1Yes ©Income Marcia Torgerson, Ass't to CM 1 No ❑ #1 council goal = economic growth & prosperity ❑ Yes Income Warren Frace, DIR Comm Dev 1 No [ #1 council goal = economic growth & prosperity ❑ Income Rachelle Rickard, DIR Finance 1 No [�] #1 council goal = economic growth & prosperity Income Steve Martin, Atascadero Main St 1 Nos 0 Promotion of tourism & events tied to economy 3. Verification l have read and understand FPPC Regulations 18944.1 and 18942. l have verified that the distribution of admissions, set forth above, is in accordance with the provisions. Wade G McKinney City Manager 09-06-11 v ignatu e df gency Head or DesiIttachment Print Name Title (month, day, year) Comment: (Use this space or for any additional information including amendment explanation.) FPPC Form 802 (2/11) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Agency Report of: Ceremonial Role Events and Ticket/Admission Distributions 1. Agency Name City of Atascadero Division, Department, or Region (if applicable) City Manager's Office Street Address 6907 EI Camino Real, Atascadero, CA 93422 Designated Agency Contact (Name, Title) Wade McKinney Area Code/Phone Number E-mail 805-470-3400 wmckinney@atascadero.or 2. Function, Event, or Ceremonial Role Information Title Mayors Winemaker's Dinner Description Fundraising Dinner Event Date Stamp A Public Document For Official Use Only ❑ Amendment (Must provide explanation in Part 3 ) Date of Original Filing: (month, day, year) Face Value of Each Admission $ $75.00 Date(s) 06 24 11 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 p No ❑ If yes: Wade McKinney, 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, orAdmission(s)/ 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 Income Roberta Fonzi 1 No p Council Member/Ceremonial attendance ❑ Yes p Income Brian Sturtevant 1 No ❑ Council Member/Ceremonial attendance ❑ Yes ❑ Income Tom O'Malley, Mayor 1 No [Z] Host of fundraising event ❑ Yes ❑ Income Jerry Clay 1 No El Member/Ceremonial attendance ❑ 0— Income Wade McKinney 1 No E] City Manager/Ceremonial attendance 3. Verification I have read and understand FPPC Regulations 18944.1 and 18942. l have verified that the distribution of admissions, set forth above, is in accordance with the provisions. i Wade G McKinney City Manager 09-06-11 Signa ure of Age cyH ead or Designee Print Name Title (month, day, year) Comment: (Use this space or an attachment for any additional information including amendment explanation ) FPPC Form 802 (2/11) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Agency Report of: Ceremonial Role Events and Ticket/Admission Distributions A Public Document 1. Agency Name Date Stamp .. ' City of Atascadero Number of Agency taxable income. If the agency official performed a ceremonial role, Division, Department, or Region (if applicable) For Official Use Only City Manager's Office also provide a description. Organization Street Address 6907 EI Camino Real, Atascadero, CA 93422 • If not income, describe the public purpose, including (Name, Address, Description) Designated Agency Contact (Name, Title) ❑ Amendment (Must provide explanation in Part 3 ) Wade McKinney 8/30/11 Date of Original Filing: (month, day. year) Area Code/Phone Number E-mail 805-470-3400 wmckinney@atascadero.org 2. Function, Event, or Ceremonial Role Information Title Mayors Winemaker's Dinner Description Fundraising Dinner Event Face Value of Each Admission $ $75.00 Date(s) 0� 2� 11 Ticket(s)/Admission(s) provided by agency? Yes E] No ❑ If no: Name of Source Was the distribution to persons identified below made at the behest of an agency official? Yes ❑D No ❑ If yes: Wade McKinney, 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)/ 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 El Income Jim Lewis 1 No ❑ Asst CManager/ceremonial attendance ❑ Yes p Income Brady Cherry 1 No ❑ Director CS/ceremonial attendance ❑ Yes ❑ Income Dave Mullinax 1 No El Council outreach assistance ❑ Yes ❑ Income Dennis Swanson 1 No 0 Photographer for Bandstand/Zoo/Lake Park ❑ Yes ❑ Income Mrs. Swanson 1 No p ❑ 3. Verification / have read and understand FPPC Regulations 18944.1 and 18942. / have verified that the distribution of admissions, set forth above, is in accordance with the provisions. ., !, tIf r"', [.t I Wade G McKinney City Manager 09-06-11 Signature of Agertcy Head or Designee \ Print Name Title (month, day, year) Comment: (Use this space or an attachment for any additional information including amendment explanation.) FPPC Form 802 (2/11) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Agency Report of: Ceremonial Role Events and Ticket/Admission Distributions 1. Agency Name City of Atascadero Division, Department, or Region (if applicable) City Manager's Office 6907 EI Camino Real, Atascadero, CA 93422 Designated Agency Contact (Name, Title) Wade McKinney Area Code/Phone Number I E -ma 805-470-3400 wmckinney@atascadero.on 2. Function, Event, or Ceremonial Role Information Title Blues Baseball 07-11-11 Date Stamp A Public Document For Official Use Only ❑ Amendment (Must provide explanation in Part 3.) 9/6/11 Date of Original Filing: (month, day, year) Face Value of Each Admission $ $6.00 100 tix to Comm Servc Dept Dates 07/ 1� 11 Description Date(s) Ticket(s)/Admission(s) provided by agency? Yes E] No p If no: SLO Blues Baseball Name of Source Was the distribution to persons identified below made at the behest of an agency official? Yes [] No ❑ If yes: 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 taxable income. If the agency official performed a ceremonial role, (Last, First) Number of Agency also provide a description. or Organization Admission(s)/ Ticket(s) Official • If not income, describe the public purpose, including (Name, Address, Description) ceremonial roles, performed by an agency official, individual, or organization. Yes ❑ Income Rec Dept attendees & parents, staff 100 No 0 "Atascadero Night", available to public &staff ❑ Yes ❑ Income No ❑ ❑ Yes ❑ Income No ❑ ❑ Yes ❑ Income No ❑ ❑ Yes ❑ Income No Q ❑ 3. Verification 1 have read and understand FPPC Regulations 18944.1 and 18942 l have verified that the distribution of admissions, set forth above, is in accordance with the provisions. Wade G McKinney City Manager 09-06-11 1, U, Signature of Agency Head or Designe Print Name Title (month, day, year) Comment: (Use this space or an attachment for any additional information including amendment explanation.) FPPC Form 802 (2/11) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)