San Marcos City Council
February 11, 2025

California
Form
Agency Report of:

1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
E-mail
Division, Department, or Region (if applicable)

2. Function or Event Information
9HUL¿FDWLRQ
,KDYHUHDGDQGXQGHUVWDQG)33&5HJXODWLRQV
DQG
,KDYHYHUL¿HGWKDWWKHGLVWULEXWLRQVHWIRUWKDERYHLVLQDFFRUGDQFH with the requirements.

Signature of Agency Head or Designee Print Name
Comment:

FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
(month, day, year)
802
(month, day, year)
)RU2ႈFLDO8VH2QO\
Area Code/Phone Number
Date of Original Filing:

Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest
RIDJHQF\RႈFLDO"
7LWOH
Ceremonial Role Events and Ticket/Pass Distributions
(YHQW'HVFULSWLRQ

Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
2௻FLDO¶V1DPH
/DVW)LUVW

If checking “Ceremonial Role” or “Other” describe below:

If checking “Ceremonial Role” or “Other” describe below:

Name of Agency, Department or Unit
Name of Outside Organization
(include address and description)
Name of Individual

/DVW)LUVW

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:

Describe the public purpose made pursuant to the agency’s policy 'RHVWKHDJHQF\KDYHDWLFNHWSROLF\" No
No
Income Other
Other
&HUHPRQLDO5ROH
&HUHPRQLDO5ROH Income
No
Yes
Yes
Yes
)DFH9DOXHRI(DFK7LFNHW3DVV
Date(s) 
If no:

Name of Source
If yes:

3. A.

B.

C.

4. A Public Document
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.• • • /(%/$1* '$1(,//(
 6$11(//$
0,.(
 -21(65(%(&&$

CITY OF SAN MARCOS

CITY CLERK DEPARTMENT

PHIL SCOLLICK, CITY CLERK
(760) 744-1050 [email protected]
■ 95.00
NECA GALA 01/11/2025
■
■
■

PUBLIC PURPOSE FOR INTERGOVERNMENTAL RELATIONS

MICHELLE BENDER CITY MANAGER
Print Clear
7KLVIRUPLVIRUXVHE\DOOVWDWHDQGORFDOJRYHUQPHQW DJHQFLHV7KHIRUPLGHQWL¿HVSHUVRQVWKDWUHFHLYH
DGPLVVLRQWLFNHWVDQGSDVVHVDQGGHVFULEHVWKHSXEOLF
purpose for the distribution. This form was prepared by WKH)DLU3ROLWLFDO3UDFWLFHV&RPPLVVLRQ
)33&
DQGLV
DYDLODEOHDWZZZISSFFDJRY
General Information
)33&5HJXODWLRQ
VHWVRXWWKHFLUFXPVWDQFHV
under which an agency’s distribution of tickets to
HQWHUWDLQPHQWHYHQWVVSRUWLQJHYHQWVDQGOLNHRFFDVLRQV ZRXOGQRWUHVXOWLQDJLIWWRLQGLYLGXDOVWKDWDWWHQGWKH IXQFWLRQ,QJHQHUDOWKHDJHQF\PXVWDGRSWDSROLF\ZKLFK LGHQWL¿HVWKHSXEOLFSXUSRVHVHUYHGLQGLVWULEXWLQJWKH DGPLVVLRQV7KH)RUPVHUYHVWRGHWDLOHDFKHYHQW
DQGWKHSXEOLFSXUSRVHRIHDFKWLFNHWGLVWULEXWLRQ)33& 5HJXODWLRQ
OLVWVH[FHSWLRQVWRUHSRUWDEOHJLIWV
LQFOXGLQJFHUHPRQLDOHYHQWVZKHQOLVWHGRQWKLVIRUP
:KHQWKHUHJXODWLRQSURFHGXUHVDUHIROORZHGSHUVRQV
organizations, or agencies who receive admissions
DUHOLVWHGRQD)RUP$JHQF\RႈFLDOVGRQRWUHSRUW WKHDGPLVVLRQVRQWKHRႈFLDO¶V6WDWHPHQWRI(FRQRPLF
,QWHUHVWV)RUPDQGWKHYDOXHRIWKHDGPLVVLRQLVQRW VXEMHFWWRWKHJLIWOLPLW
7KH)RUPDOVRLQIRUPVWKHSXEOLFDVWRZKHWKHUWKH DGPLVVLRQVZHUHPDGHDWWKHEHKHVWRIDQDJHQF\RႈFLDO and whether the behested tickets were provided to an
RUJDQL]DWLRQRUWRVSHFL¿FLQGLYLGXDOV

Exception
FPPC This form is not required for admission provided to a VFKRRORUXQLYHUVLW\GLVWULFWRႈFLDOFRDFKDWKOHWLFGLUHFWRU RUHPSOR\HHWRDWWHQGDQDPDWHXUHYHQWSHUIRUPHGE\
VWXGHQWVRIWKDWVFKRRORUXQLYHUVLW\
Reporting and Public Posting
Ticket Distribution Policies: An agency must post its
WLFNHWSROLF\RQLWVZHEVLWHZLWKLQGD\VRIDGRSWLRQRU DPHQGPHQWDQGHPDLODOLQNRIWKHZHEVLWHORFDWLRQWR )33&DWIRUP#ISSFFDJRY
Form 802: 7KHXVHRIWKHWLFNHWRUSDVVXQGHUWKHSROLF\ PXVWEHUHSRUWHGRQ)RUPDQGSRVWHGRQWKHDJHQF\¶V ZHEVLWHZLWKLQGD\VRIGLVWULEXWLRQ$OLQNWRWKHZHEVLWH ORFDWLRQRIWKHIRUPVPXVWEHHPDLOHGWR)33&DW
IRUP#ISSFFDJRY
7KH)33&ZLOOSRVWRQLWVZHEVLWHWKHOLQNWRHDFKDJHQF\¶V SROLF\DQGFRPSOHWHGIRUPV,WLVQRWQHFHVVDU\WRVHQG DQHPDLOHDFKWLPHDQHZ)RUPLVSRVWHG,WLV
RQO\QHFHVVDU\WRVXEPLWWKHOLQNLIWKHSRVWLQJORFDWLRQ changes.
7KLVIRUPPXVWEHPDLQWDLQHGDVDSXEOLFGRFXPHQW
Privacy Information Notice
Information requested by the FPPC is used to administer DQGHQIRUFHWKH3ROLWLFDO5HIRUP$FW)DLOXUHWRSURYLGH LQIRUPDWLRQPD\EHDYLRODWLRQVXEMHFWWRDGPLQLVWUDWLYH FULPLQDORUFLYLOSHQDOWLHV$OOUHSRUWVDUHSXEOLFUHFRUGV DYDLODEOHIRULQVSHFWLRQDQGUHSURGXFWLRQ'LUHFWTXHVWLRQV WR)33&¶V*HQHUDO&RXQVHO
Instructions
Part 1. $JHQF\,GHQWL¿FDWLRQ

List the agency’s name. Provide a designated agency
FRQWDFWSHUVRQWKHLUSKRQHQXPEHUDQGHPDLODGGUHVV 0DUNWKHDPHQGPHQWER[LIFKDQJLQJDQ\LQIRUPDWLRQRQ
DSUHYLRXVO\¿OHGIRUPDQGLQFOXGHWKHGDWHRIWKHRULJLQDO ¿OLQJ
Part 2. )XQFWLRQRU(YHQW,QIRUPDWLRQ

&RQ¿UPWKDW\RXUDJHQF\KDVDSROLF\IRUWLFNHW
GLVWULEXWLRQ8QOHVVWKHFHUHPRQLDOUROHRULQFRPHER[LQ 3DUW6HFWLRQ%LVPDUNHGWKLVIRUPLVRQO\DSSOLFDEOHLI \RXUDJHQF\KDVDSROLF\
&RPSOHWHDOORIWKHRWKHUUHTXLUHG¿HOGVWKDWLGHQWLI\WKH WLFNHWYDOXHGHVFULSWLRQRIHYHQWGDWH
V
DQGZKHWKHUWKH
ticket was provided by the agency or an outside source. If DQDJHQF\RႈFLDOEHKHVWVWKHWLFNHWVWKHRႈFLDO¶VQDPHLV DOVRUHTXLUHG8VHWKHFRPPHQW¿HOGRUDQDWWDFKPHQWWR H[SODLQLQIXOO
Part 3.7LFNHW5HFLSLHQWV

7KLVSDUWLGHQWL¿HVZKRXVHVWKHWLFNHWV7KHLGHQWL¿FDWLRQ requirements vary depending upon who received the
WLFNHWVDQGDUHFDWHJRUL]HGLQWRWKUHHVHFWLRQV(DFK VHFWLRQPXVWOLVWWKHQXPEHURIWLFNHWVUHFHLYHG8VHWKH FRPPHQW¿HOGRUDQDWWDFKPHQWWRH[SODLQLQIXOO
Section A.5HSRUWWLFNHWVGLVWULEXWHGWRDJHQF\VWDႇ
RWKHUWKDQDQHOHFWHGRႈFLDORUJRYHUQLQJERDUGPHPEHU SXUVXDQWWRWKHDJHQF\¶VSROLF\,WLVQRWQHFHVVDU\WROLVW HDFKHPSOR\HH¶VQDPHEXWLGHQWLI\WKHXQLWGHSDUWPHQWIRU ZKLFKWKHHPSOR\HHZRUNV7KHDJHQF\PXVWGHVFULEHWKH SXEOLFSXUSRVHDVVRFLDWHGZLWKWKHWLFNHWGLVWULEXWLRQ$ UHIHUHQFHWRWKHSROLF\LVSHUPLVVLEOH
Section B. 5HSRUW

DQ\DJHQF\RႈFLDOZKRSHUIRUPV
DFHUHPRQLDOUROH

DQ\DJHQF\RႈFLDOZKRUHSRUWVWKH
YDOXHDVLQFRPH
RU
WLFNHWVXVHGE\HOHFWHGRႈFLDOVDQG
JRYHUQLQJERDUGPHPEHUV
LQFOXGLQJWKRVHGLVWULEXWHG
SXUVXDQWWRWKHDJHQF\¶VSROLF\

Section C.5HSRUWWLFNHWVSURYLGHGWRDQRUJDQL]DWLRQ 7KHRUJDQL]DWLRQ¶VQDPHDQDGGUHVV
ZHEVLWHXUOLV

SHUPLVVLEOH
DQGDEULHIGHVFULSWLRQRIWKHSXEOLFSXUSRVH
are required.

California
Form 802Agency Report of:

Ceremonial Role Events and Ticket/Pass Distributions
A Public Document
FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
California
Form 802Agency Report of:

Ceremonial Role Events and Ticket/Pass Distributions
A Public DocumentContinuation Sheet
Agency Name
If checking “Ceremonial Role” or “Other” describe below:

If checking “Ceremonial Role” or “Other” describe below:

If checking “Ceremonial Role” or “Other” describe below:

If checking “Ceremonial Role” or “Other” describe below:

Name of Agency, Department or Unit
Name of Individual

/DVW)LUVW

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:

Describe the public purpose made pursuant to the agency’s policy Income
Income
Other
Other
Other
Other
&HUHPRQLDO5ROH
&HUHPRQLDO5ROH
&HUHPRQLDO5ROH
&HUHPRQLDO5ROH
Income
Income

3. A.

B.

C.

Recipients
FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
‡8VH6HFWLRQ$WRLGHQWLI\WKHDJHQF\¶VGHSDUWPHQWRUXQLW‡8VH6HFWLRQ%WRLGHQWLI\DQLQGLYLGXDO‡8VH6HFWLRQ&WRLGHQWLI\DQRXWVLGHRUJDQL]DWLRQ

CITY OF SAN MARCOS
Print Clear