HomeMy Public PortalAboutForm 802 Desert Town Hall - Paul Nicklen 2022Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Indian Wells
Division, Department, or Region (if applicable)
City Manager
Designated Agency Contact (Name, Title)
Christopher Freeland
Area Code/Phone Number
760-346-2489
E-mail
cfreeland@indianwells.com
A Public Document
Date Stamp
California Q O 2
Form v
For Official Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing•
(month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ❑ No ❑ Face Value of Each Ticket/Pass $
Event Description Desert Town Hall ( Paul Nicklen) Date(s) 03/ 30 / 202a
Provide Me/ Explanation
Ticket(s)/Pass(es) provided by agency? Yes ❑ No ® If no:
500.00- each
Was ticket distribution made at the behest Yes ® No ❑ If yes:
of agency official?
Name of Source
Official's Name (Last, First)
3. Recipients
• Use Section A to identify the agency's department or unit. • Use Section 8 to identify an individual. Use Section C to identify an outside organization.
A.
Name of Agency, Department or Unit
B.
Name of Individual
(Last, First)
See attached
C.
Name of Outside Organization
(include address and description)
Number
of Ticket(s)/
Passes
Number
of Ticket(s)/
Passes
Number
of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency's policy
Identify one of the following:
Ceremonial Role ❑ Other III
if checking 'Ceremonial Role" or 0th0r describe below:
Ticket Policy 2.10.060 (Q)
Income ❑
Ceremonial Role ❑ Other ❑
If checking 'Ceremonial Role" or "Other" describe below.
Income ❑
Describe the public purpose made pursuant to the agency's policy
4. Verification
I have read and understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance
with the requirements.
Signature of Agency Head or Designee
Christopher J. Freeland
Print Name
City Manager 04/04/2022
Title (month, day, year)
Comment:
Print
Clear
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
California Form 802 — Attachment (Desert Town Hall Speaker Series — Paul Nicklen)
3. Agency Officials Receiving Tickets
Name
Title
Number of Tickets
Tana Batiste
Building Technician II
2
Accounting Technician III/Payroll
Finance Department
2
Accounting Technician II
Finance Department
2
Ginny Whitman
Grants In Aid Committee Member
2
State below whether the Distribution is Income to the Official or Describe the
Public Purpose for the distribution:
A. Ticket Policy 21.10.060 (Q) - Support of City Sponsorship and Communication with
Residents