2021-05-20 Greater PS Tourism FoundationAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions Public Document _______________________________ ,... ___ ...,,...,..;,+,,+1!!....,
1. Agency Name CIT f;/8 te),apt~ L H s -
Ga~ifornia 802
t-orrn City of Palm Springs
Division, Department, or Region (if applicable) 2021 JUL -8 PH 12: 500fficial Use Only
=D-es...,,.ig_n_a-te_d,...,A,...,g-e-nc_y_C""""o-n-ta_c_t-(N_a_m_e,-Ti-t/e-) -----------------4 OF FICE OF THE CIT CL ERi :
Shari Wrona, Executive Services Administrator
Area Code/Phone Number
760-322-8632
E-mail
shari.wrona@palmspringsca.gov
D 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 181 No D Face Value of Each TickeUPass $ _1_oo_._o_o ____ _
Event Description: Greater PS Tourism Foundation Rec.
Provide Title/ Explanation
Ticket( s )/Pass( es) provided by agency? Yes~ No D If no: _________________ _
Name of Source
Was ticket distribution made at the behest Yes • No 181 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)/ Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual of Ticket(s)/ Identify one of the following:
(Last, First) Passes
Kors, Geoff Ceremonial Role D Other [8) Income D
1 If checking "Ceremonial Role" or "Other" describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vi)(vii)(viii)
Woods, Dennis Ceremonial Role D Other l8] Income D
1 If checking "Ceremonial Role" or "Other" describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vi)(vii)(viii)
Name of Outside Organization Number
C. of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy
{Include address and description) Passes
4. 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.
Justin Clifton City Manager
Print Name Title
Ou,/,4 )2-1
(mohth, day, year)
Comment: ________________________________________ _
FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)