2020-01-16 PSHA Member LuncheonAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name C I T Y OF P IHG
City of Palm Springs
Division, Department, or Region (if applicable) PR 16 PM 2: 49 For Official Use Only
Designated Agency Contact (Name, Title) OF THE CITY Ci_E
Shari Wrona, Executive Services Administrator
❑ 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 Ticket/Pass $ 30.00
Event Description: PSHA Member Luncheon Date(s) 01 / 16 / 20
Provide Title/Explanation
Tickets)/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)l Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual of Ticket(s)1 Identify one of the following:
(Last, First) I Passes
Ceremonial Role ❑ Other ❑X Income ❑
Middleton, Lisa 1 Ifchecking 'Ceremonial Role" or"Other'descnbe 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 Or anization Number
C. g of Ticket(s)I 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. 1 have verified that the distribution set forth above, is in accordance
p uiremewts.
David Ready City Manager
Signature of Agency Head or Print Name Title (month, day, year)
Comment:
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)