2021-08-30 David ReadyAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name CITY P FL tS� iGS
City of Palm Springs -1WUs.
Division, Department, or Region (if applicable) 2020ry C_8 AM1Q
Designated Agency Contact (Name, Title) , .
Ii� OHE CITY CLE=
Shari Wrona, Executive Services Administrator
Area Code/Phone Number E-mail ❑ Amendment (Must Provide Explanation in Part 3.)
760-322-8632 shari.wrona@palmspringsca.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 TickeUPass $ 50.00
Event Description: League of CA Cities Virtual Conf Date(s) 10 / 07 / 20 101 10 / 20
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ® No ❑ If no:
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)/ 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
Ceremonial Role ❑ Other ❑ Income ❑
If checking "Ceremonrai Role"or "Other" describe below
KORS, GEOFF 1 Public Purpose as defined by PS Resolution #22454,
Section 1 d vi vii viii
Ceremonial Role ❑ Other ❑ Income ❑
GARNER, GRACE If checkrng'Ceremonral Role' or"Other"descrbe below
Public Purpose as defined by PS Resolution #22454,
Section 1 d vi vii viii
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
/ have read and understan PPC Regu tions 18944.1 and 18942, I have verified that the distribution set forth above, is in accordance
with the re
ign1f^of cy Head or nee Print Name Title (month, day, year)
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
Agency Name
City of Palm Springs
A Public Document
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)/
Passes
Identify one of the following:
MIDDLETON, LISA
1
Ceremonial Role ❑ Other El Income
If checking"Ceremonial Role"or"Other"describe below.
Public Purpose as defined by PS Resolution #22454,
Section 1 (d)(vi)(vii)(viii)
❑
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)
Number
of Ticket(s)I
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)