HomeMy WebLinkAboutForm 802 030511 SLOIFF-Galaxy Sneak Peak MovieAgency Report of -
Ceremonial Role Events and
Ticket/Admission Distributions
1 Agency Name
City of Atascadero
6907 EI Camino Real
Marcia McClure
or Keglon (if applicable)
:t (Name, Title)
n City Clerk
805-470-3400 1 mtorgerson@atasadero org
2 Function, Event, or Ceremonial Role Information
Title SLO Intl Film Fest Sneak Peak
Description "Rango" movie prevue tied to ell
A Public Document
R E ETIVE D
APR ,Ojl For Official Use Only
'Y OF ATASCADERC�
ITy CLFRK'S OFFICE II
❑ Amendment (Must provide explanation in Part 3.)
Date of Original Filing 3/31/2011
(month, day, year)
Face Value of Each Admission $ 9 00
Date(s)3 / 5 1 2016 3 / 5 / 2016
Ticket(s)/Admission(s) provided by agency? Yes EI No ❑ If no
Name of Source
Was the distribution to persons identified below made at the behest of an agency official?
Yes El No
If yes McKinney Wade City Manager
Official's Name (Last, First) and Title
The identity of recipient(s) and the explanation
Name
• Check i 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)t
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 Q
Income
Sturtevant, Brian
1
No [3Movie
tied to event of SLOIFF/Galaxy Grand O� ❑
Yes El
Income
Fonzi, Roberta
1
No ❑
Movie tied to event of SLOIFF/Galaxy Grand O ❑
Yes El
Clay, Jerry
No ❑
Movie
Movie tied to event of SLOIFF/Galaxy Grand O ❑
Yes ❑
Income
No ❑
❑
Yes ❑
Income
No ❑
❑
3 Verification
1 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.
WML 47
Wade G McKinney City Manager 03/31/2011
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)