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HomeMy WebLinkAboutForm 802 Council & City Staff - 032826&DOLIRUQLD )RUP $JHQF\5HSRUWRI $JHQF\1DPH 'HVLJQDWHG$JHQF\&RQWDFW 1DPH7LWOH 'DWH6WDPS (PDLO 'LYLVLRQ'HSDUWPHQWRU5HJLRQ LIDSSOLFDEOH )XQFWLRQRU(YHQW,QIRUPDWLRQ Veri￿cation IhavereadandunderstandFPPCRegulations18944.1and18942.Ihaveveri𿿿edthatthedistributionsetforthabove,isinaccordance ZLWKWKHUHTXLUHPHQWV 6LJQDWXUHRI$JHQF\+HDGRU'HVLJQHH 3ULQW1DPH &RPPHQW )33&)RUP  )33&7ROO)UHH+HOSOLQH$6.)33&   PRQWKGD\\HDU  PRQWKGD\\HDU ForOႈcialUseOnly $UHD&RGH3KRQH1XPEHU 'DWHRI2ULJLQDO)LOLQJ 7LFNHW V 3DVV HV SURYLGHGE\DJHQF\" :DVWLFNHWGLVWULEXWLRQPDGHDWWKHEHKHVW ofagencyoႈcial? Title &HUHPRQLDO5ROH(YHQWVDQG7LFNHW3DVV'LVWULEXWLRQV FaceValueofEachTicket/Pass$ EventDescription: ,IQR ,I\HV $PHQGPHQW 0XVW3URYLGH([SODQDWLRQLQ3DUW 3URYLGH7LWOH([SODQDWLRQ 1DPHRI6RXUFH O௻cial’sName(Last,First) ,IFKHFNLQJ³&HUHPRQLDO5ROH´RU³2WKHU´GHVFULEHEHORZ ,IFKHFNLQJ³&HUHPRQLDO5ROH´RU³2WKHU´GHVFULEHEHORZ 1DPHRI$JHQF\'HSDUWPHQWRU8QLW 1DPHRI2XWVLGH2UJDQL]DWLRQ LQFOXGHDGGUHVVDQGGHVFULSWLRQ 1DPHRI,QGLYLGXDO (Last,First) 1XPEHURI7LFNHW V 3DVVHV 1XPEHURI7LFNHW V 3DVVHV 1XPEHURI7LFNHW V 3DVVHV 'HVFULEHWKHSXEOLFSXUSRVHPDGHSXUVXDQWWRWKHDJHQF\¶VSROLF\ ,GHQWLI\RQHRIWKHIROORZLQJ 'HVFULEHWKHSXEOLFSXUSRVHPDGHSXUVXDQWWRWKHDJHQF\¶VSROLF\ Doestheagencyhaveaticketpolicy?1R 1R ,QFRPH2WKHU 2WKHU CeremonialRole CeremonialRole,QFRPH 1R <HV <HV <HV 'DWH V   $ % &  $3XEOLF'RFXPHQW 5HFLSLHQWV 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.• • • City of Atascadero City Managers Office 6500 Palma Avenue 805-470-3400 cityclerk@atascadero.org 155.00 Atascadero Chamber Annual Gala 03 28 2026 Atascadero Chamber of Commerce Lewis, James Dariz, Mark 2 Promotion of City sponsored community programs/events Funk, Susan 1 Promotion of City sponsored community programs/events Lara Henderson City Clerk 06/23/2026 &DOLIRUQLD)RUP $JHQF\5HSRUWRI&HUHPRQLDO5ROH(YHQWVDQG7LFNHW3DVV'LVWULEXWLRQV $3XEOLF'RFXPHQW&RQWLQXDWLRQ6KHHW $JHQF\1DPH ,IFKHFNLQJ³&HUHPRQLDO5ROH´RU³2WKHU´GHVFULEHEHORZ ,IFKHFNLQJ³&HUHPRQLDO5ROH´RU³2WKHU´GHVFULEHEHORZ ,IFKHFNLQJ³&HUHPRQLDO5ROH´RU³2WKHU´GHVFULEHEHORZ ,IFKHFNLQJ³&HUHPRQLDO5ROH´RU³2WKHU´GHVFULEHEHORZ 1DPHRI$JHQF\'HSDUWPHQWRU8QLW 1DPHRI,QGLYLGXDO(Last,First) 1DPHRI2XWVLGH2UJDQL]DWLRQ LQFOXGHDGGUHVVDQGGHVFULSWLRQ 1XPEHURI7LFNHW V 3DVVHV 1XPEHU RI7LFNHW V 3DVVHV 1XPEHURI7LFNHW V 3DVVHV 'HVFULEHWKHSXEOLFSXUSRVHPDGHSXUVXDQWWRWKHDJHQF\¶VSROLF\ ,GHQWLI\RQHRIWKHIROORZLQJ 'HVFULEHWKHSXEOLFSXUSRVHPDGHSXUVXDQWWRWKHDJHQF\¶VSROLF\ ,QFRPH ,QFRPH 2WKHU 2WKHU 2WKHU 2WKHU CeremonialRole CeremonialRole CeremonialRole CeremonialRole ,QFRPH ,QFRPH  $ % & 5HFLSLHQWV 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.• • • )33&)RUP  )33&7ROO)UHH+HOSOLQH$6.)33&  Peek, Seth 2 Promotion of City sponsored community programs/events Dunsmore, Phil 2 Promotion of City sponsored community programs/events Patterson, Dawn 1 Promotion of City sponsored community programs/events Banish, Terrie 1 Promotion of City sponsored community programs/events