Fillable Form802 Form 802

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Form802 Form 802

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Name of Outside Organization
(include address and description)
C.
Describe the public purpose made pursuant to the agency’s policy
Identify one of the following:
California
Form
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
E-mail
Division, Department, or Region
(If Applicable)
2. Function or Event Information
Comment:
FPPC Form 802 (4/12)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-7772)
802
(Month, Day, Year)
For Offi cial Use Only
Area Code/Phone Number
Date of Original Filing:
A Public Document
Amendment (Must provide explanation in Part 3.)
Was ticket distribution made at the behest
of agency offi cial?
Ticket(s)/Pass(es) provided by agency?
Event Description
Face Value of Each Ticket/Pass $
Date(s) / / / /
Name of Agency, Department or Unit
Number of
Ticket(s)/
Pass(es)
Number of
Ticket(s)/
Pass(es)
Number of
Ticket(s)/
Pass(es)
Offi cial’s Name (Last, First)
If no:
Describe the public purpose made pursuant to the agency’s policy
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
3. Recipients
Yes
No
Yes
No
Name of Individual
(Last, First)
● 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.
Does the agency have a ticket policy?
Yes
No
Provide Title/Explanation
A.
B.
If yes:
Name of Source
Ceremonial Role
Ceremonial Role
Other
Other
Income
Income
If checking “Ceremonial Role” or “Other” describe below:
If checking “Ceremonial Role” or “Other” describe below:
4. Verifi cation
I have read and understand FPPC Regulations 18944.1 and 18942. I have verifi ed that the distribution set forth above, is in accordance with the requirements.
Signature of Agency Head or Designee Print Name Title (Month, Day, Year)
Reset Page
Print Form
This form is for use by all state and local government
agencies. The form identifi es persons that receive
admission tickets and passes and describes the public
purpose for the distribution. This form was prepared by
the Fair Political Practices Commission (FPPC) and is
available at www.fppc.ca.gov.
General Information
FPPC Regulation 18944.1 sets out the circumstances
under which an agency’s distribution of tickets to
entertainment events, sporting events, and like occasions
would not result in a gift to individuals that attend the
function. In general, the agency must adopt a policy which
identifi es the public purpose served in distributing the
admissions. The Form 802 serves to detail each event
and the public purpose of each ticket distribution. FPPC
Regulation 18942 lists exceptions to reportable gifts,
including ceremonial events, when listed on this form.
When the regulation procedures are followed, persons,
organizations, or agencies who receive admissions
are listed on a Form 802. Agency offi cials do not report
the admissions on the offi cial’s Statement of Economic
Interests, Form 700, and the value of the admission is not
subject to the gift limit.
The Form 802 also informs the public as to whether the
admissions were made at the behest of an agency offi cial
and whether the behested tickets were provided to an
organization or to specifi c individuals.
Exception
This form is not required for admission provided to a
school or university district offi cial, coach, athletic director,
or employee to attend an amateur event performed by
students of that school or university.
Public Posting
This form must be maintained as a public document. A
copy of all forms must be forwarded to the FPPC for
posting on its website. E-mail delivery is preferred.
E-mail: Form802@fppc.ca.gov; Fax: 916.322.0886; 428 J
Street, Suite 620, Sacramento, CA 95814.
Forms must be sent to the FPPC as soon as possible.
General business practice is no later than 45 days from the
distribution.
A local agency may also also post the forms on its wesbite,
but it is not required to do so.
Privacy Information Notice
Information requested by the FPPC is used to administer
and enforce the Political Reform Act. Failure to provide
information may be a violation subject to administrative,
criminal, or civil penalties. All reports are public records
available for inspection and reproduction. Direct questions
to FPPC’s General Counsel.
Instructions
Part 1. Agency Identifi cation:
List the agency’s name. Provide a designated agency
contact person, their phone number, and e-mail address.
Mark the amendment box if changing any information on
a previously fi led form and include the date of the original
fi ling.
Part 2. Function or Event Information:
Confi rm that your agency has a policy for ticket distribution.
Unless the the ceremonial role or income box in Part 3,
Section B, is marked, this form is only applicable if your
agency has a policy.
Complete all of the other required fi elds that identify the
ticket value, description of event, date(s) and whether the
ticket was provided by the agency or an outside source. If
an agency offi cial behests the tickets, the offi cial’s name is
also required. Use the comment fi eld or an attachment to
explain in full.
Part 3. Ticket Recipients:
This part identifi es who uses the tickets. The identifi cation
requirements vary depending upon who received the
tickets and are categorized into three sections. Each
section must list the number of tickets received. Use the
comment fi eld or an attachment to explain in full.
Section A. Report tickets distributed to agency staff,
other than an elected offi cial or governing board member,
pursuant to the agency’s policy. It is not necessary to list
each employee’s name, but identify the unit/department
for which the employee works. The agency must describe
the public purpose associated with the ticket distribution. A
reference to the policy is permissible.
Section B. Report: 1) any agency offi cial who performs
a ceremonial role; 2) any agency offi cial who reports the
value as income; or 3) tickets used by elected offi cals and
governing board members (including those distributed
pursuant to the agency’s policy).
Section C. Report tickets provided to an organization.
The organization’s name, an address (website url is
permissible), and a brief description of the public purpose
are required.
FPPC Form 802 (4/12)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
California
Form
802
A Public Document
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Name of Outside Organization
(include address and description)
C.
Describe the public purpose made pursuant to the agency’s policy
Identify one of the following:
FPPC Form 802 (4/12)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-7772)
A Public Document
Name of Agency, Department or Unit
Number of
Ticket(s)/
Pass(es)
Number of
Ticket(s)/
Pass(es)
Number of
Ticket(s)/
Pass(es)
Describe the public purpose made pursuant to the agency’s policy
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
3. Recipients
Name of Individual
(Last, First)
● 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.
A.
B.
Ceremonial Role
Ceremonial Role
Ceremonial Role
Ceremonial Role
Other
Other
Other
Other
Income
Income
Income
Income
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:
California
Form
802
Agency Name
Reset Page
Print Form
www.fppc.ca.gov
1.866.275.3772 or 916.322.5660
FPPC TAD • 036-4 2012• Page 1 of 2
California Fair Political Practices Commission
Form 802 – Agency Report of Ceremonial Role
Events and Ticket/Pass Distributions
Fact Sheet
This fact sheet provides additional guidance and examples on how to report tickets and passes
distributed to persons for use in ceremonial roles or other agency related activities. The Form 802
provides information to the public on how the agency distributes tickets to events such as fairs,
professional athletic games and other entertainment events. (FPPC Regulations 18944.1 and 18942.)
This fact sheet can not address all the different types of situations that may occur with respect to the
distribution of tickets and passes. Persons are encouraged to use the FPPC advice service for specific
guidance.
The following FAQs and example address some common activities.
Frequently Asked Questions
1. Q. If the agency’s elected official takes a staff member to a ceremonial event, does the staff
member’s name need to be disclosed on the Form 802?
A. No. The official’s name is required in Part 3, Section B and two tickets would be listed. The staff
member’s name is not required.
2. Q. An organization gives an agency 10 tickets to a concert. The agency distributes the tickets to
employees. The agency does not have a ticket policy. Does this need to be disclosed on the
Form 802?
A. No. Since the agency does not have a ticket policy, the individuals receiving the tickets would
report the value of the tickets on their Form 700 if the organization is a reportable source and the
value of the ticket(s) to each individual is $50 or more. The agency must adopt a policy
identifying the public purpose of distributing tickets so that the tickets do not result in a
reportable gift to employees.
3. Q. An agency adopts a ticket policy. A local minor league baseball team donates 10 tickets to the
city and the city distributes the tickets in accordance with the agency’s ticket policy to employees
in its parks department. Does this need to be disclosed on the Form 802?
A. Yes. Part 3, Section A will list the department but not individual names.
4. Q. After an agency e-mails a copy of the Form 802 to the FPPC, must the agency post the Form
802 on its website?
A. No. However, the agency must maintain the original Form 802 for seven years.
5. Q. The county fair board members received tickets to the county fair. Does the agency complete
Part 3, Section A or Section B?
A. Section B is completed because the members are a governing board.
California Fair Political Practices Commission
Form 802 – Agency Report of Ceremonial Role
Events and Ticket/Pass Distributions
Fact Sheet
www.fppc.ca.gov
1.866.275.3772 or 916.322.5660
FPPC TAD • 036-4 2012• Page 2 of 2
Example:
An agency received 24 tickets from an organization established to sponsor a major bicycling event. The
tickets are for seats at the awards ceremony on March 15 and are valued at $50 each.
The agency’s director distributed tickets according to its ticket policy as follows: two tickets to the
employees in the Parks and Recreation Division; 10 tickets, respectively, to the Boy Scouts Club and Girl
Scouts Club; and two tickets to an elected official who will present the winner's trophy on behalf of the
agency.
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Completed 19 April 2020

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