Reset Page Print Form Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name California Form Date Stamp City of Long Beach 802 For Official Use Only Division, Department, or Region (If Applicable) Harbor Department Designated Agency Contact (Name,Title) 4801 Airport Plaza Drive, Long Beach, CA 90815 Area Code/Phone Number E-mail (562) 283-7711 [email protected] Amendment (Must provide explanation in Part 3.) Date of Original Filing: 2. Function or Event Information Does the agency have a ticket policy? Event Description Yes Face Value of Each Ticket/Pass $ No 42nd Annual Grand Prix of Long Beach Date(s) 04 / 15 / 16 (Month, Day, Year) $110fr,$315sa,$500su 04 / 17 / 16 Provide Title/Explanation Ticket(s)/Pass(es) provided by agency? Was ticket distribution made at the behest of agency official? Yes No No Yes If no: Toyota Grand Prix of Long Beach Name of Source If yes: Official’s Name (Last, First) 3. Recipients ● Use Section A to identify the agency’s department or unit. A. Name of Agency, Department or Unit ● Use Section B to identify an individual. Number of Ticket(s)/ Pass(es) See Attached B. ● Use Section C to identify an outside organization. Describe the public purpose made pursuant to the agency’s policy Promotion of the Port of Long Beach Name of Individual (Last, First) Number of Ticket(s)/ Pass(es) Identify one of the following: Ceremonial Role See Attached Other Income If checking “Ceremonial Role” or “Other” describe below: Promotion of the Port of Long Beach Ceremonial Role Other Income If checking “Ceremonial Role” or “Other” describe below: C. Name of Outside Organization (include address and description) Number of Ticket(s)/ Pass(es) Describe the public purpose made pursuant to the agency’s policy 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. Signature of Agency Head or Designee Michael Gold Director of Communications Print Name Title (Month, Day, Year) Comment: FPPC Form 802 (4/12) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-7772) Reset Page Print Form Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions Continuation Sheet California Form 802 A Public Document Agency Name City of Long Beach 3. Recipients ● Use Section A to identify the agency’s department or unit. A. Name of Agency, Department or Unit ● Use Section B to identify an individual. Number of Ticket(s)/ Pass(es) See Attached B. ● Use Section C to identify an outside organization. Describe the public purpose made pursuant to the agency’s policy Promotion of the Port of Long Beach Name of Individual (Last, First) Number of Ticket(s)/ Pass(es) Identify one of the following: Ceremonial Role See Attached Other Income If checking “Ceremonial Role” or “Other” describe below: Promotion of the Port of Long Beach Ceremonial Role Other Income If checking “Ceremonial Role” or “Other” describe below: Ceremonial Role Other Income If checking “Ceremonial Role” or “Other” describe below: Ceremonial Role Other Income If checking “Ceremonial Role” or “Other” describe below: C. Name of Outside Organization (include address and description) Number of Ticket(s)/ Pass(es) Describe the public purpose made pursuant to the agency’s policy FPPC Form 802 (4/12) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-7772) Grand Prix 2016 Commissioners Farrell Bynum Egoscue Drummond Dines Total Friday (15) 2 2 0 2 2 8 Company Bill Christ Eastern Car Liner Byron Luo Ralison Clark Hahne Newport CH Pier A - Tideworks Jerry Avila Sunday (17) 2 2 0 2 2 8 Friday (15) Customers Name Danny Phan Digran Khalili Eric Bayani Frank Chao Hugh Healy Saturday (16) 2 0 0 0 2 4 Guest Jim Ferguson Oxbow ITS Yang Ming ZIM LOCAL 13 Pier A - Tideworks Julius Wu Mike Patalano MJ Dornford Paul Trani Pete Zuanich Romain Gay PIER A CAI ZIM PIER C CMA CGM Russel Fox Scott Nagle Tim Benhcke Tyrone Graham Hamburg Sud CMA CGM Maersk CRESCENT - F Rene Flores Neil Hsu Richard Pfeifer Jose Chavez Jill Gregg Mrs. Patalano Mrs. Trani Raylene Zuanich Brandon Lecou Tad Garrett Precious Graham # Tickets Name 1 2 2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 Total Name Carlo Luzzi (TSO) Joel Perler (BD) Michael Gold Anthony Otto Bill Barrett Charlie Kim Chris Hicks Eric Conrad Henry Noonan Henry Pak Hong Chung Ignacio Rodriguez Jeff Mineghino Jerry Allen Joe Gasperov and wife John Fageaux Metro Ports Hanjin TTI K Line SSA FOSS LOCAL 63 OCU Kory Otto Malcolm Pitt Eastern Car Line Michael Mayor Mondo Porras Monty Mock Ray Mizutani Mayor Logistics LOCAL 13 LBCT Sunkist CMI OOCL JACOBSEN VSBE-Static Salon Robert Loya Shiaw Lee Tom Jacobsen RaChelle Daniels Business Development Business Development Staff Angela Becher Saturday (16) Company Maersk LBCT Toyota Logistics TTI ITS Petro Diamond Metro Ports Name Michael Christensen Noel Hacegaba Rich Jordan Saturday (16) # Tickets 2 2 1 # Tickets Andy Gossett DS Shin Eduardo Cestafe PIL TTI LBCT TTI Hanjin Hapag Lloyd Ke Hu Kevin Hayes Mike Fogarty Mike Giove Mike Hunnicutt Mitch McCrae Randy Galosic 2 2 2 2 Ben Chung Jasmine Yeo Megan Hicks Mrs. Conrad Fred (son) Son Mi Chung Maria Rodriguez Guest Cameron Allen Mrs. Gasperov Zack Fagezux 2 2 Chris Choi Mrs. Otto Natalie Pitt Son Maria Porras Arlene Mock Guest Mrs.Loya Guests Mrs. Jacobsen Annie Maione 2 2 3 2 2 2 2 2 2 2 2 2 2 # Tickets 2 2 2 COSCO LBCT ITS METRO PORTS LBCT CRESCENT - D PCT Mrs. Diaz Karen Ho Brian Kang Mrs. Doucette Hye Won Yang Mrs. Shin Adriana Perez Jun Zhou Denise Hayes Mrs. Fogarty Ilene Giove Tucker Felipa McCrae Ruben Famirez Rex McNamara Evergreen Brendan McNamara Rick Lorenzen Robert Martinez Sal Ferigno Valarian Riviere Victor Hudak Price Transfer CRESCENT - F PCT MSC LOCAL 13 MaryAnn Martinez Chris Alsop Charley Dannielle Riv Mrs. Hudak 2 2 2 2 2 2 Charlie Doucette 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 50 Name Don Snyder (BD) Glenn Farren (TSO) Jon Slangerup Company LOCAL 63 Jeff Becher Kathy Otto 2 Sunday (17) Guest Name Adrian Diaz Business Development 36 Friday (15) # Tickets 1 1 1 Guest Sunday (17) # Tickets 1 1 2 40 Noel Hacegaba Mario Gonzalez 1 1 Total 5 Government Relations Name Tickets Alan Gafford Bianca Villanueva Celina Luna Christine Schachter Cory Allen Eric Boyd Heather Blackmun Julie Maleki Kamia Khatami Lara Larramendi Melody Ngaue-Tuuholoaki Nina Turner Sarah Patterson Shawna Stevens Total 1 1 1 1 1 1 1 Richard Reining (TSO) Russell Mahakian (BD) Karl Adamowicz 1 1 2 9 Name Mark Taylor Government Relations Tickets 2 1 1 1 1 1 1 1 14 Total 2 Mario Gonzalez Michael Gold Noel Hacegaba Rich Jordan 1 2 2 2 11
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