HomeMy WebLinkAbout2026 - St Patricks Day GalaCalifornia
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
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 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)
For Official Use Only
Area Code/Phone Number
Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest
of agency official?
Title
Ceremonial Role Events and Ticket/Pass Distributions
Face Value of Each Ticket/Pass $
Event Description:
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
Official’s Name (Last, First)
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
(Last, First)
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
Does the agency have a ticket policy?No
No
Income Other
Other
Ceremonial Role
Ceremonial Role Income
No
Yes
Yes
Yes
Date(s) // //
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.• • •
City of Dublin
Marsha Moore, City Clerk
(925) 833-6650 marsha.moore@dublin.ca.gov
n
75
Shamrock Gala 03 13 2026
n
n
City Manager's Office 8 City Sponsored Event/Table
Hu, Sherry and one guest per FPPC 18942(13)2
n
Speaker at event
McCorriston, Michael and one guest per FPPC 18942(13)2
n
Promotion of City Sponsored Event
Colleen Tribby City Manager
Print Clear
Docusign Envelope ID: 3D000B2E-66D6-88AF-81FF-F2E914787826
5/5/2026
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
(Last, First)
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
Ceremonial Role
Ceremonial Role
Ceremonial Role
Ceremonial Role
Income
Income
3.
A.
B.
C.
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.• • •
FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
City of Dublin
Josey, Jean and one guest per FPPC 18942(13)2
n
Promotion of City Sponsored event
Qaadri, Kashef 1
n
Promotion of City Sponsored event
John Morada and one guest per FPPC 18942(13)2 Promotion of City Sponsored event
Print Clear
Docusign Envelope ID: 3D000B2E-66D6-88AF-81FF-F2E914787826