HomeMy WebLinkAbout2023 FPPC Form 802 - Agency Report of Ceremonial Role Events Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name Date Stamp California 802
City of Huntington Beach 20orm v
?3 OCTOCt 30 PM �% 3 For Official Use Only
Division, Department,or Region (if applicable)
City Manager's Office
Designated Agency Contact(Name,Title)
Al Zelinka, City Manager ❑ Amendment (Must Provide Explanation in Part 3.)
Area Code/Phone Number E-mail
714-536-5575 City.Manager@surfcity-hb.org Date of Original Filing:
(month,day,year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass$ 26.00
9 Y Yes® No❑
Event Description: Oktoberfest-Old World Date(s) 1��
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency? Yes❑ Nog] If no: Old World Huntington Beach
Name of Source
Was ticket distribution made at the behest Yes❑ No 111 If yes:
Official's Name(Last,First)
of agency official?
3. Recipients
•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.
Number
A. Name of Agency,Department or Unit of Ticket(s)I Describe the public purpose made pursuant to the agency's policy
Passes
City of Huntington Beach - Employees in 617 5.3.(q)Promoting enhanced City employee performance
various departments or morale
(See attached)
Number
B. Name of Individual of Ticket(s)/ Identify one of the following:
(Last,First) Passes
Ceremonial Role ❑ Other ❑ Income ❑
If checking"Ceremonial Role"or"Other"describe below:
Ceremonial Role ❑ Other ❑ Income ❑
If checking"Ceremonial Role"or"Other describe below:
Name of Outside Organization Number
C g of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy
(include address and description) Passes
4. Verification
1 have r•a. - d un.-rstand 'PC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance
ith the requir•. e ts.
Al Zelinka City Manager l0 2
Signature:'s - • fsesignee Print Name Title month,day,year)
Comment:
Print Clear FPPC Form 802(2/2016)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
City of Huntington Beach Ticket Distribution Information Database
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Public Purpose
Types of Face Value of Name of
Event Date(s) Event Name #of Tickets Total Value Afflilations (Choose from AR
Ticket Each Ticket Recipients 511, 5.3 a-s)
$
10/11/2023 Oktoberfest-Emplo ee Appreciation Ni•ht Old World Donated 26 $ 26.00 $ 676.00 7 Emplo ees Cit Attorne 's Office 5.3 q)
10/11/2023 Oktoberfest-Emplo ee A.•reciation Ni.ht Old World Donated 4 $ 26.00 $ 104.00 1 Emplo ee Cit Clerk's Office ilrillill
10/11/2023 Oktoberfest-Em•lo ee A.•reciation Ni.ht Old World Donated 5 $ 26.00 $ 130.00 2 Em•lo ees Cit Mana•er's Office 5.3 q)
10/11/2023 Oktoberfest-Em.lo ee Appreciation Ni.ht Old World Donated 24 $ 26.00 $ 624.00 6 Emplo ees Communit Dev. 5.3 q)
10/11/2023 Oktoberfest-Emplo ee Appreciation Ni.ht Old World Donated 172 $ 26.00 $ 4,472.00 44 Em.lo ees Communit &Libra 5.3 q)
10/11/2023 Oktoberfest-Em.lo ee A.•reciation Ni•ht Old World Donated 34 $ 26.00 $ 884.00 9 Emplo ees Finance 5.3 q)
10/11/2023 Oktoberfest-Em.lo ee A.•reciation Ni•ht Old World Donated 40 $ 26.00 $ 1,040.00 10 Em.lo ees Fire 5.3 q)
10/11/2023 Oktoberfest-Em.lo ee A.•reciation Ni.ht Old World Donated 56 $ 26.00 $ 1,456.00 14 Em.lo ees IS
10/11/2023 Oktoberfest-Em.lo ee A.•reciation Ni.ht Old World Donated 36 $ 26.00 $ 936.00 9 Em.lo ees Police
10/11/2023 Oktoberfest-Emplo ee Appreciation Ni.ht Old World Donated 4 $ 26.00 $ 104.00 1 Emplo ee HR 5.3 q)
10/11/2023 Oktoberfest-Em.lo ee Appreciation Ni.ht Old World Donated 216 $ 26.00 $ 5,616.00 55 Emplo ees Public Works 5.3 q)
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