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HomeMy WebLinkAbout2017-05-05 Coachella Valley Symphony ConcertAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions 1. Agency Name City of Palm Springs , Department, or Region (if applicable) Designated Agency Contact (Name,Title) 'N" Cindy Cairns, Executive Services Administrator Area Code/Phone Number E-mail A Public Document Dat p�t I V L -orm • 1, Q F p r , I- M 5 or tiff cial Use Only 2011 MAY 18 PM 6.. 40 ❑ Amendment (Must Provide Explanation in Part 3.) 760-322-8362 cindy.cairns@paimspringsca.gov 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 $ 65.00 Event Description: Coachella Valley Symphony Concert Date(s) 05 /. 05 1 17 J� Provide Title/Expianalion Tickets)/Pass(es) provided by agency? Yes ❑ No ® If no: Coachella Valley Symphony 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 Tlckeg*Y Describe the public purpose made pursuant to the agency's policy Passes Number B. Name of Individual ofTickeyey Identity one of the following: (Last, First) passes Ceremonial Role ❑ Other ® rimme ❑ MOOR, Robert 2 It checking`Ceremoni2lRde"or°p[he descnbebelow. Public Purpose as defined by PS Resolution No. 22454 Ceremonial Role ❑ Other x❑ Income ❑ lrchecking Ceremonial Rde" or "Other" descnbe below: C. Name of Outside Organization I of Tlaket(su I Describe the public purpose made pursuant to the agency's policy (include address and description) Passes 4. Verification 1 have read and understand FT,Q Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance with the requirements. .k if David Ready City Manager 5/1 Signature ofAg2!H:7 ignee Print Name Title (month, day, year) Comment: FPPC Form 802 (212016) FPPC Toll -Free Helpline: 866JASK-FPPC (866f275-3772)