Form 801

Image for Form 801 found at: child-Page-Headerblock_1162e451c953508754ef3ce5dba4329f

Payment to Agency Report (Form 801)

Form 801 is used to report certain payments received by state and local government agencies that are used for agency purposes and paid by a third party which may include a payment for an official’s travel expenses for the purpose of facilitating the public’s business in lieu of using agency funds; and a payment that would otherwise be considered a gift or income to the benefiting official, but is instead accepted on behalf of the agency. 

Please click on the hyperlinks below to view the 801 form provided by each official, appointee, or department. The list will be updated as forms are submitted to the Office of the City Clerk.

2022

Travel DateDonor NamePaymentVerificationAmount
04/15/2022North American Punjabi Trucking AssociationCommunity Coordinator Harjinder Saini
Economic Development Coordinator Laura Rios
Economic Development Coordinator Lisa Henslee
City Manager Georgeanne White$1,100.00

2017

Travel DateDonor NamePaymentVerificationAmount
09/18/2017
to 09/19/2017
U.S. Interagency Council on HomelessnessDirector of Strategic Initiatives Harold SpeesDeputy Chief of Staff Ginger Barrett$653.20
11/6/2017Pardini’s CateringMayor Lee Brand
Councilmember Esmeralda Soria
Deputy Chief of Staff Ginger Barrett$1,450.00

2016

Travel DateDonor NamePaymentVerificationAmount
03/17/2016
to 03/19/2016
Project on Municipal Innovation Advisory GrAssistant City Manager Ramona SmithAssistant City Manager Ramona Smith$882.98
03/14/2016
to 03/17/2016
Center for Community ProgressAssistant City Manager Ramona SmithAssistant City Manager Ramona Smith$832.98
03/14/2016
to 03/18/2016
Center for Community ProgressChief Assistant City Attorney
Katherine Doerr
Chief Assistant City Attorney
Katherine Doerr
$952.95
03/14/2016
to 03/18/2016
Center for Community ProgressDeputy Chief of Staff Kelli FurtadoDeputy Chief of Staff Kelli Furtado$952.95
03/15/2016
to 03/18/2016
Center for Community ProgressHousing & Neighborhood Revitalization Manager Del EstabrookeHousing & Neighborhood Revitalization Manager Del Estabrooke$950.86
01/29/2016
to 01/30/2016
University of RedlandsMayor Ashley SwearenginDeputy Chief of Staff Kelli Furtado$665.16
12/13/2016
to 12/14/2016
California ForwardMayor Ashley SwearenginExecutive Assistant to Mayor Cheryl Burns$605.00
05/23/2016Public Policy Institute of CaliforniaMayor Ashley SwearenginExecutive Assistant to Mayor Cheryl Burns$249.68
05/18/2016
to 05/21/2016
New AmericaMayor Ashley SwearenginExecutive Assistant to Mayor Cheryl Burns$1,401.20

2015

Travel DateDonor NamePaymentVerificationAmount
12/10/2016
to 12/12/2016
New AmericaMayor Ashley SwearenginDeputy Chief of Staff Kelli Furtado$1,036.59
10/17/2015Fresno Housing AuthorityMayor Ashley SwearenginDeputy Chief of Staff Kelli Furtado$57.50
08/08/2015
to 08/10/2015
Aspen Institute, Inc.Mayor Ashley SwearenginDeputy Chief of Staff Kelli Furtado$846.85
04/09/2015
to 04/10/2015
Public Policy Institute of CaliforniaMayor Ashley SwearenginDeputy Chief of Staff Kelli Furtado$440.30

2014

Travel DateDonor NamePaymentVerificationAmount
12/2/2014
to 12/3/2014
Public Policy Institute of CaliforniaMayor Ashley SwearenginDeputy Chief of Staff Kelli Furtado$394.77

2013

Travel DateDonor NamePaymentVerificationAmount
12/5/2013
to 12/9/2013
Aspen InstituteMayor Ashley SwearenginDeputy Chief of Staff Kelli Furtado$917.90

2011

Travel DateDonor NamePaymentVerificationAmount
01/25/11Mayor Ashley SwearenginMayor Ashley SwearenginCity Manager Mark ScottPlaque Donated