2020-01-13 LOCC County Division MeetingAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions ., - 1 0 A Public Document
1. Agency Name C 7 Y tp SPR •7,!
City of Palm Springs
Division, Department, or Region (if applicable) 020 App t6 p� 2� 4 For O
Designated Agency Contact (Name, Title) rirrFICE QF 'HE CITY LEI;
Shari Wrona, Executive Services Administrator
❑ Amendment (Must Provide Explanation in Part 3.)
760-322-8632 I shari.wrona@palmspringsca.gov I 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 $ 45.00
Event Description: League of CA Cities County Div. Mtg. Date(s) 01 / 13 / 20 01/ 13 / 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 Trcket(s)/ Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual of Tickegs)i Identify one of the following:
(Last, First) I Passes
Ceremonial Role ❑ Other ❑X Income ❑
Middleton, Lisa 1 If checking "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:
Name of Outside Organization Number
of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy
C. (include address and description)
Passes
4. Verification
l have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with the requirements.
• David Ready City Manager
Signature of Agency Hea ee Print Name Title (month, day, year)
Comment:
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)