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HomeMy WebLinkAbout2020-01-28 Take 3 Season PassAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions 1. Agency Name C T City of Palm Springs or Region (if applicable) Designated Agency Contact (Name, Title) Shari Wrona, Executive Services Administrator Area Code/Phone Number E-mail 760-322-8632 1 shari.wrona@palmspringsca.gov VEA P APR 16 PM FICE OF THE CITY [LE,,. Document Official Use Only ❑ Amendment (Must Provide Explanation in Part 3.) Date of Original Filing: (month, day, year) 2. Function or Event Information Does the agency have a ticket policy. Yes ® No ❑ Face Value of Each Ticket/Pass $ 75.00 Event Description: Take 3 - Season Pass Date(s) 01 / 28 / 20 01/ 28 f 20 Provide Title/Explanation Ticket(s)/Pass(es) provided by agency? Yes ❑ No El If no: Palm Springs Concerts Name of Source Was ticket distribution made at the behest Yes ❑ No ® If yes: Official's Name (Last, First) of agency official? 3. 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. Number A. Name of Agency, Department or Unit of Ticket(s)l Describe the public purpose made pursuant to the agency's policy Passes Number B. Name of Individual of rcket(s)I Identify one of the following: (Last, First) I Passes Ceremonial Role ❑ Other ❑X Income ❑ If checking "Ceremonial Role" or "Other' describe below Holstege, Christy 2 Public Purpose as described by PS Resolution No. 22454, Section 1 d vi viii xi Ceremonial Role ❑ Other X❑ Income ❑ Garner, Grace 2 Ifchecking'Ceremonial Role" or"Other'describebelow Public Purpose as described by PS Resolution No. 22454, Section 1 d vi viii xi Name of Outside Organization Number C. (include address and description) of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy Passes 4. Verification l have read and understand FPPC Regulations 18944.1 and 18942. / have verified that the distribution set forth above, is in accordance with the re uirenbents. David Ready City Manager Signature ofAgen esignee Print Name Title (month, day, year) Comment: FPPC Form 802 (2/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions Form Continuation Sheet A Public Document Agency Name City of Palm Springs 3. 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. Number A. Name of Agency, Department or Unit of Ticket(s)i Passes Describe the public purpose made pursuant to the agency's policy B. Name of Individual (Last, First) Number of Ticket(s)I Passes Identify one of the following: Woods, Dennis Ceremonial Role ❑ Other ® Income ❑ Ifchecking"Ceremonial Role" or"Other" describe below: Public Purpose as described by PS Resolution No. 22454, Section 1 (d)(vi)(viii)(xi) 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) ( p Number of Ticket(s)I Passes Describe the public purpose made pursuant to the agency's policy FPPC Form 802 (212016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)