California 802 - OC Fair
Transcript of California 802 - OC Fair
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��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)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
If checking “Ceremonial Role” or “Other” describe below:
If checking “Ceremonial Role” or “Other” describe below:
Name of Agency, Department or Unit
Name of Outside Organization (include address and description)
Name of Individual &'�� ������ *
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency’s policy
Identify one of the following:
Describe the public purpose made pursuant to the agency’s policy
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
$42.50
Steel Pulse/ Wailers 7 8 17
Resin Music901 Manhattan Ave #8 Hermosa Beach, CA. 6
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170708_01
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��with the requirements.
Signature of Agency Head or Designee Print Name
Comment:
FPPC Form 802 (2/2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
(month, day, year)
802
(month, day, year)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
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 &'�� ������ *
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
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
42.50
Steel Pulse/ The Wailers 7 8 17
KLOS8965 Lindblade Street , Culver City 90232 40
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170708_02
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��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)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
If checking “Ceremonial Role” or “Other” describe below:
If checking “Ceremonial Role” or “Other” describe below:
Name of Agency, Department or Unit
Name of Outside Organization (include address and description)
Name of Individual &'�� ������ *
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency’s policy
Identify one of the following:
Describe the public purpose made pursuant to the agency’s policy
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse Section A to identify the agency’s department or unit. Use Section B to identify an individual. Use Section C to identify an outside organization.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
42.50
Steel Pulse/ The Wailers 7 8 17
KABC8965 Lindblade Street , Culver City 90232 40
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170708_03
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��with the requirements.
Signature of Agency Head or Designee Print Name
Comment:
FPPC Form 802 (2/2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
(month, day, year)
802
(month, day, year)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
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 &'�� ������ *
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
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
42.50
Steel Pulse/ The Wailers 7 8 17
KUCIP.O.Box 4362 , Irvine, CA. 92618 10
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170708_04
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��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)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
If checking “Ceremonial Role” or “Other” describe below:
If checking “Ceremonial Role” or “Other” describe below:
Name of Agency, Department or Unit
Name of Outside Organization (include address and description)
Name of Individual &'�� ������ *
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency’s policy
Identify one of the following:
Describe the public purpose made pursuant to the agency’s policy
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse Section A to identify the agency’s department or unit. Use Section B to identify an individual. Use Section C to identify an outside organization.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
42.50
Steel Pulse / The Wailers 7 8 17
KCBS5901 Venice Blvd. LA, Ca. 90034 20
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170708_05
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��with the requirements.
Signature of Agency Head or Designee Print Name
Comment:
FPPC Form 802 (2/2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
(month, day, year)
802
(month, day, year)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
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 &'�� ������ *
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
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
42.50
Steel Pulse/ The Wailers 7 8 17
Jambase.com1 Zoe Street. San Francisco, CA 94107 6
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170708_06
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��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)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
If checking “Ceremonial Role” or “Other” describe below:
If checking “Ceremonial Role” or “Other” describe below:
Name of Agency, Department or Unit
Name of Outside Organization (include address and description)
Name of Individual &'�� ������ *
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency’s policy
Identify one of the following:
Describe the public purpose made pursuant to the agency’s policy
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse Section A to identify the agency’s department or unit. Use Section B to identify an individual. Use Section C to identify an outside organization.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
42.50
Steel Pulse / Common Kings 7 9 17
KCBS5901 Venice Blvd. LA, Ca. 90034 20
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170709_01
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��with the requirements.
Signature of Agency Head or Designee Print Name
Comment:
FPPC Form 802 (2/2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
(month, day, year)
802
(month, day, year)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
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 &'�� ������ *
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
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
42.50
Steel Pulse/ Common Kings 7 9 17
Jambase.com1 Zoe Street. San Francisco, CA 94107 6
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170709_02
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��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)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
If checking “Ceremonial Role” or “Other” describe below:
If checking “Ceremonial Role” or “Other” describe below:
Name of Agency, Department or Unit
Name of Outside Organization (include address and description)
Name of Individual &'�� ������ *
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency’s policy
Identify one of the following:
Describe the public purpose made pursuant to the agency’s policy
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
$42.50
Steel Pulse/ Common Kings 7 9 17
KSBR 28000 MARGUERITE PARKWAY MV, 10Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170709_03
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��with the requirements.
Signature of Agency Head or Designee Print Name
Comment:
FPPC Form 802 (2/2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
(month, day, year)
802
(month, day, year)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
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 &'�� ������ *
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
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
$42.50
Steel Pulse/ Common Kings 7 9 17
Resin Music901 Manhattan Ave #8 Hermosa Beach, CA. 10
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170709_04
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��with the requirements.
Signature of Agency Head or Designee Print Name
Comment:
FPPC Form 802 (2/2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
(month, day, year)
802
(month, day, year)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
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 &'�� ������ *
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
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
$42.50
Steel Pulse/ Common Kings 7 9 17
OC Weekly2975 Red Hill Av. Suite 150, Costa Mesa, Ca. 10
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170709_05
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��with the requirements.
Signature of Agency Head or Designee Print Name
Comment:
FPPC Form 802 (2/2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
(month, day, year)
802
(month, day, year)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
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 &'�� ������ *
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
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
$42.50
Steel Pulse/ Common Kings 7 9 17
OC Register625 N. Grand Santa Ana, CA 92701 20
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170709_06
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��with the requirements.
Signature of Agency Head or Designee Print Name
Comment:
FPPC Form 802 (2/2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
(month, day, year)
802
(month, day, year)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
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 &'�� ������ *
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
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
42.50
Steel Pulse/ Common Kings 7 9 17
KUCIP.O.Box 4362 , Irvine, CA. 92618 20
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170709_07
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��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)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
If checking “Ceremonial Role” or “Other” describe below:
If checking “Ceremonial Role” or “Other” describe below:
Name of Agency, Department or Unit
Name of Outside Organization (include address and description)
Name of Individual &'�� ������ *
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency’s policy
Identify one of the following:
Describe the public purpose made pursuant to the agency’s policy
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse Section A to identify the agency’s department or unit. Use Section B to identify an individual. Use Section C to identify an outside organization.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
42.50
Steel Pulse/ Common Kings 7 9 17
KLOS8965 Lindblade Street , Culver City 90232 40
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170709_08
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��with the requirements.
Signature of Agency Head or Designee Print Name
Comment:
FPPC Form 802 (2/2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
(month, day, year)
802
(month, day, year)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
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 &'�� ������ *
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
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
42.50
Steel Pulse/ Common Kings 7 9 17
KABC8965 Lindblade Street , Culver City 90232 40
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170709_09
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��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)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
If checking “Ceremonial Role” or “Other” describe below:
If checking “Ceremonial Role” or “Other” describe below:
Name of Agency, Department or Unit
Name of Outside Organization (include address and description)
Name of Individual &'�� ������ *
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency’s policy
Identify one of the following:
Describe the public purpose made pursuant to the agency’s policy
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
$42.50
Steel Pulse/ Common Kings 7 9 17
KPFK 3729 Cahuenga Blvd. West NorthHollywood, CA 91604 10
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170709_10
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��with the requirements.
Signature of Agency Head or Designee Print Name
Comment:
FPPC Form 802 (2/2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
(month, day, year)
802
(month, day, year)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
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 &'�� ������ *
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
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
27.50
Slightly Stoopid/Iration/J Boog 7 21 17
Silverback Management1013 North Orange Drive LA CA 90038 20
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170721_01
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��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)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
If checking “Ceremonial Role” or “Other” describe below:
If checking “Ceremonial Role” or “Other” describe below:
Name of Agency, Department or Unit
Name of Outside Organization (include address and description)
Name of Individual &'�� ������ *
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency’s policy
Identify one of the following:
Describe the public purpose made pursuant to the agency’s policy
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse Section A to identify the agency’s department or unit. Use Section B to identify an individual. Use Section C to identify an outside organization.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
27.50
Slightly Stoopid/Iration/J Boog 7 21 17
KROQ5901 Venice Blvd Los Angeles, , CA. 90034 60
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170721_02
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��with the requirements.
Signature of Agency Head or Designee Print Name
Comment:
FPPC Form 802 (2/2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
(month, day, year)
802
(month, day, year)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
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 &'�� ������ *
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
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
27.50
Slightly Stoopid/Iration/J Boog 7 21 17
KUCIP.O.Box 4362 , Irvine, CA. 92618 6
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170721_03
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��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)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
If checking “Ceremonial Role” or “Other” describe below:
If checking “Ceremonial Role” or “Other” describe below:
Name of Agency, Department or Unit
Name of Outside Organization (include address and description)
Name of Individual &'�� ������ *
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency’s policy
Identify one of the following:
Describe the public purpose made pursuant to the agency’s policy
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse Section A to identify the agency’s department or unit. Use Section B to identify an individual. Use Section C to identify an outside organization.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
27.50
Slightly Stoopid/Iration/J Boog 7 21 17
Resin Music901 Manhattan Ave #8 Hermosa Beach, CA. 6
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170721_04
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��with the requirements.
Signature of Agency Head or Designee Print Name
Comment:
FPPC Form 802 (2/2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
(month, day, year)
802
(month, day, year)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
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 &'�� ������ *
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
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
27.50
Slightly Stoopid/Iration/J Boog 7 21 17
Jambase1 Zoe Street. San Francisco, CA 94107 6
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170721_05
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��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)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
If checking “Ceremonial Role” or “Other” describe below:
If checking “Ceremonial Role” or “Other” describe below:
Name of Agency, Department or Unit
Name of Outside Organization (include address and description)
Name of Individual &'�� ������ *
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency’s policy
Identify one of the following:
Describe the public purpose made pursuant to the agency’s policy
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
$35.00
Gavin DeGraw / Calum Scott 7 26 17
MYFM3400 West Olive Ave. Ste 550 , Burbank, CA. 62
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170726_01
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��with the requirements.
Signature of Agency Head or Designee Print Name
Comment:
FPPC Form 802 (2/2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
(month, day, year)
802
(month, day, year)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
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 &'�� ������ *
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
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
35.00
Gavin DeGraw / Calum Scott 7 26 17
KCBS5901 Venice Blvd. LA, Ca. 90034 10
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170726_02
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��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)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
If checking “Ceremonial Role” or “Other” describe below:
If checking “Ceremonial Role” or “Other” describe below:
Name of Agency, Department or Unit
Name of Outside Organization (include address and description)
Name of Individual &'�� ������ *
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency’s policy
Identify one of the following:
Describe the public purpose made pursuant to the agency’s policy
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
$35.00
Gavin DeGraw / Calum Scott 7 26 17
KOST3400 West Olive Ave. Ste 550 , Burbank, CA. 62
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170726_03
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��with the requirements.
Signature of Agency Head or Designee Print Name
Comment:
FPPC Form 802 (2/2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
(month, day, year)
802
(month, day, year)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
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 &'�� ������ *
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
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
35.00
Gavin DeGraw / Calum Scott 7 26 17
KABC8965 Lindblade Street , Culver City 90232 20
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170726_04
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��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)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
If checking “Ceremonial Role” or “Other” describe below:
If checking “Ceremonial Role” or “Other” describe below:
Name of Agency, Department or Unit
Name of Outside Organization (include address and description)
Name of Individual &'�� ������ *
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency’s policy
Identify one of the following:
Describe the public purpose made pursuant to the agency’s policy
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse Section A to identify the agency’s department or unit. Use Section B to identify an individual. Use Section C to identify an outside organization.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
35.00
Colbie Caillat / Justin Young 8 4 17
KOST3400 West Olive Ave. Ste 550 , Burbank, CA. 60
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170804_01
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��with the requirements.
Signature of Agency Head or Designee Print Name
Comment:
FPPC Form 802 (2/2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
(month, day, year)
802
(month, day, year)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
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 &'�� ������ *
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
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
35.00
Colbie Caillat / Justin Young 8 4 17
KCBS5901 Venice Blvd. LA, Ca. 90034 30
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170804_02
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��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)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
If checking “Ceremonial Role” or “Other” describe below:
If checking “Ceremonial Role” or “Other” describe below:
Name of Agency, Department or Unit
Name of Outside Organization (include address and description)
Name of Individual &'�� ������ *
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency’s policy
Identify one of the following:
Describe the public purpose made pursuant to the agency’s policy
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse Section A to identify the agency’s department or unit. Use Section B to identify an individual. Use Section C to identify an outside organization.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
35.00
Colbie Caillat / Justin Young 8 4 17
MYFM3400 West Olive Ave. Ste 550 , Burbank, CA. 60
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170804_03
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��with the requirements.
Signature of Agency Head or Designee Print Name
Comment:
FPPC Form 802 (2/2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
(month, day, year)
802
(month, day, year)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
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 &'�� ������ *
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
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
35.00
Colbie Caillat / Justin Young 8 4 17
KABC8965 Lindblade Street , Culver City 90232 30
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170804_04
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��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)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
If checking “Ceremonial Role” or “Other” describe below:
If checking “Ceremonial Role” or “Other” describe below:
Name of Agency, Department or Unit
Name of Outside Organization (include address and description)
Name of Individual &'�� ������ *
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Number of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency’s policy
Identify one of the following:
Describe the public purpose made pursuant to the agency’s policy
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse Section A to identify the agency’s department or unit. Use Section B to identify an individual. Use Section C to identify an outside organization.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
47.50
Yuridia/ Ha*Ash 8 20 17
KRCD5999 Center Dr LA, CA 90045 60
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/2/17
PA170820_03
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'
CaliforniaForm
Agency Report of:
1. Agency Name
Designated Agency Contact (Name,Title)
Date Stamp
Division, Department, or Region (if applicable)
2. Function or Event Information
�������������������������� ������������� ����������������������������������� �� � ����� ���� ����� ���� ���������������!!���!��with the requirements.
Signature of Agency Head or Designee Print Name
Comment:
FPPC Form 802 (2/2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
(month, day, year)
802
(month, day, year)
���������� �������
Area Code/Phone Number Date of Original Filing:
Ticket(s)/Pass(es) provided by agency?
Was ticket distribution made at the behest���������������
����
Ceremonial Role Events and Ticket/Pass Distributions
�����������������������������
����������!���"�
If no:
If yes:
Amendment (Must Provide Explanation in Part 3.)
Provide Title/ Explanation
Name of Source
"��!���#��$�%��&'�� ������ *
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 &'�� ������ *
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
���������������������������!���� No
No
Income Other
Other
#���$�����%�����
#���$�����%����� Income
No
Yes
Yes
Yes
Date(s) / / / /
3.
A.
B.
C.
4.
A Public Document
RecipientsUse 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.
California Department of Food & Agriculture
32nd District Agricultural Association
Ken Karns, VP Business Operations
(714) 708-1500 [email protected]
47.50
Yuridia/ Ha*Ash 8 20 17
KLVE5999 Center Dr LA, CA 90045 60
Promotion of OCFEC events, activities, facilities, orprograms. (Policy 2.11.3.E.iii.d)
Ken Karns VP Business Operations 06/02/17
PA170820_04
Ken KarnsDigitally signed by Ken Karns DN: cn=Ken Karns, o=OCFEC, ou=Operations, [email protected], c=US Date: 2017.01.23 16:23:36 -08'00'