K B ~141 Print Name Trtle (Month, Day, Year)
Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name California 802 City of West Sacramento Form Division, Department, or Region (if applicable) For Official Use Only City Manager's Office JUN 1 3 2019 Designated Agency Contact (Name, Title) Kryss Rankin, City Clerk · e Explanation in Part 3.) Area Code/Phone Number E-mail Date of Original Filing:------ (916) 617-4500 [email protected] (month, day, year) 2. Function or Event Information 1 Does the agency have a ticket policy? Yes~ No D Face Value of Each Ticket/Pass$ Parking@ $ 0 each Event Description: River Cats Baseball Game Provide Title/ Explanation Ticket(s)/Pass(es) provided by agency? Yes~ No D If no: ______Name of Source If yes: Jacobson, Katy Was ticket distribution made at the behest Yes ~ No D 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 West Sacramento Recognizing/Rewarding exemplary service by a City City Manager's Office 1 employee or retiree City of West Sacramento Recognizing/Rewarding exemplary service by a City Economic Development & Housing \ employee or retiree Number B. Name of Individual of Ticket(s)I Identify one of the following: (Last, First) Passes
Ceremonial Role D Other D Income D If checking ·ceremonial Role" or "Other" describe below:
Ceremonial Role D Other D Income D If checking ·ceremonial Role" or "Other" describe below:
Number Name of Outside Organization C. of Ticket(s)I Describe the public purpose made pursuant to the agency's policy (include address and description) Passes I Beckman Coulter Promotion of local and regional businesses, economic 1584 Enterprise Bl, WS 95691 \ development and tourism activities within the City Hampton Inn Promotion of local and regional businesses, economic 800 Stillwater Ct, WS 95605 \ development and tourism activities within the City 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. ~ Kryss Rankin City Clerk k B ~141 Print Name Trtle (month, day, year)
Comment: ______
FPPC Form 802 (2/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Agency Report of: California 802 Ceremonial Role Events and Ticket/Pass Distributions Form Continuation Sheet A Public Document
Agency Name City of West Sacramento 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)/ Describe the public purpose made pursuant to the agency's policy Passes
' Number B. Name of Individual of Ticket(s)/ Identify one of the following: (Last, First) Passes
Ceremonial Role D Other D Income D If checking ·ceremonial Role" or ·other" describe below:
Ceremonial Role D Other D Income D If checking "Ceremonial Role" or "Other" describe below:
Ceremonial Role D Other D Income D If checking ·ceremonial Role" or ·other" describe below:
Ceremonial Role D Other D Income D If checking "Ceremonial Role" or "Other" describe below:
,. Number I• C. Name of Outside Organization of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy (include address and description) Passes 11 Nuseed Promotion of local and regional businesses, economic 2945 Ramco St, #150, WS 95691 \ development and tourism activities within the City
Lyon Real Estate Promotion of local and regional businesses, economic 3170 Jefferson Bl, WS 95691 I development and tourism activities within the City
Mikuni Color Promotion of local and regional businesses, economic 855 Riverside Pkwy, WS 95605 I development and tourism activities within the City
La Mesa RV Promotion of local and regional businesses, economic 1060 Riverside Pkwy, WS 95605 l development and tourism activities within the City
FPPC Form 802 (2/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Agency Report of: California 802 Ceremonial Role Events and Ticket/Pass Distributions Form Continuation Sheet A Public Document
Agency Name City of West Sacramento 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)/ Describe the public purpose made pursuant to the agency's policy Passes
~ -·· .. ·- Number B. Name of Individual of Tlcket(s)/ Identify one of the following: (Last, First) Passes
Ceremonial Role D Other D Income D If checking "Ceremonial Role" or "Other" describe below:
Ceremonial Role D Other D Income D If checking "Ceremonial Role" or "Other" describe below:
Ceremonial Role D Other D Income D If checking "Ceremonial Role" or "Other" describe below:
Ceremonial Role D Other D Income D If checking "Ceremonial Role" or "Other'' describe below:
Number C. Name of Outside Organization of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy (include address and description) Passes TOMRA Promotion of local and regional businesses, economic 875 Embarcadero Dr, WS 95605 l development and tourism activities within the City
Venture Management Specialists Promotion of local and regional businesses, economic 681 West Capitol Av, WS 95691 1 development and tourism activities within the City
FPPC Form 802 (2/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)