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Agency Report of: <br />Ceremonial Role Events and Ticket/Pass Distributions <br />1. Agency Name <br />City of Brea <br />or Region (if applicable) <br />Fire Department <br />Designated Agency Contact (Name, Title) <br />Lillian Harris -Neal, City Clerk <br />Area CodeiPhone Number E-mail <br />714-990-7757 1 <br />Date Stamp <br />A Public Document <br />For Official Use Only <br />❑ Amendment (Must Provide Explanation in Part 3 ) <br />Date of Original Filing: <br />(month, day, year) <br />2. Function or Event Information <br />Does thea enc have a ticket policy? Face Value of Each Ticket/Pass $ 167.00 <br />agency P Y� Yes® No <br />Event Description: 1 -Day Park Hopper Ticket Date(s) 2/ 14 / 18 5/ 10 1 18 <br />Provide Tithe/Explanation <br />Ticket(s)/Pass(es) provided by agency? Yes ❑ No El If no: Walt Disney Co. <br />Name of Source <br />Was ticket distribution made at the behest Yes ❑ No ® If yes: <br />Official's Name (Last, First) <br />of agency official? <br />3. Recipients <br />• 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. <br />Number <br />A. Name of Agency, Department or Unit of Ticket(s)l Describe the public purpose made pursuant to the agency's policy <br />Passes <br />City of Brea, Fire Department - See Attached 88 Thank you for services during recent wildfires in CA. <br />Number <br />B Name of Individual of Tlcket(s)l Identify one of the following: <br />(Last, First) Passes <br />Ceremonial Role ❑ Other ❑ Income ❑ <br />Ir checking "Ceremonial Role" or "Other' describe below: <br />Ceremonial Role ❑ Other ❑ Income ❑ <br />If checking "Ceremonial Role" or"Other'describe below: <br />Name of Outside Organization Number <br />C. (include address and description) of Ticket(s)I Describe the public purpose made pursuant to the agency's policy <br />Passes <br />4. Verification <br />/ ave re and understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance <br />e <br />Lillian Harris -Neal City Clerk 3//V///P <br />Signat of Agency Bead or Oesignee Print Name Title ( nfh, d y: YM <br />Comment: <br />FPPC Form 802 (2/2016) <br />FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) <br />