2020-01-28 Take 3 Season PassAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name C T
City of Palm Springs
or Region (if applicable)
Designated Agency Contact (Name, Title)
Shari Wrona, Executive Services Administrator
Area Code/Phone Number E-mail
760-322-8632 1 shari.wrona@palmspringsca.gov
VEA P
APR 16 PM
FICE OF THE CITY [LE,,.
Document
Official Use Only
❑ 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 ® No ❑
Face Value of Each Ticket/Pass $ 75.00
Event Description: Take 3 - Season Pass Date(s) 01 / 28 / 20 01/ 28 f 20
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ❑ No El If no: Palm Springs Concerts
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 rcket(s)I Identify one of the following:
(Last, First) I Passes
Ceremonial Role ❑ Other ❑X Income ❑
If checking "Ceremonial Role" or "Other' describe below
Holstege, Christy 2 Public Purpose as described by PS Resolution No. 22454,
Section 1 d vi viii xi
Ceremonial Role ❑ Other X❑ Income ❑
Garner, Grace 2 Ifchecking'Ceremonial Role" or"Other'describebelow
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vi viii xi
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
l have read and understand FPPC Regulations 18944.1 and 18942. / have verified that the distribution set forth above, is in accordance
with the re uirenbents.
David Ready City Manager
Signature ofAgen esignee Print Name Title (month, day, year)
Comment:
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions Form
Continuation Sheet A Public Document
Agency Name
City of Palm Springs
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)I
Passes
Identify one of the following:
Woods, Dennis
Ceremonial Role ❑ Other ® Income ❑
Ifchecking"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:
❑
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)
( p
Number
of Ticket(s)I
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)