2020-08-05 2020 Modernism Vintage Trailer Show (2)Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name . t
City of Palm Springs CITY OF P A INGS
Division, Department, or Region (if applicable) For Official Use Only
2020 UG -5 �'� 9= 54
Designated Agency Contact (Name, Title) OF THE CITY CCFt
Shari Wrona, Executive Services Administrator
❑ Amendment (Must Provide Explanation in Part 3.)
Area Code/Phone Number E-mail
760-322-8632 1 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 ❑
Event Description: 2020 Modernism Vintage Trailer Show
Face Value of Each Ticket/Pass $ 25.00
Date(s) 02 / 23 / 20 021 23 / 20
Provide Title/Explanation
Tickets)/Pass(es) provided by agency? Yes ❑ No El If no: PS Modernism Week
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
Name of Individual Number
B. of Ticket(s)/ Identify one of the following:
(Last, First) Passes
Ceremonial Role ❑ Other Q Income ❑
If checking "Ceremonial Role" or "Other' describe below.
Holstege, Christy 2 Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Ceremonial Role ❑ Other 0 Income ❑
Woods, Dennis 2 It checking "Ceremonial Role" or"Other'describe below.
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Name of Outside Organization Number
C. (include address and description) of Ticket(s)I Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
/ have read and understand
with the requirements. f j
Comment:
Regulations 18944.1 and 18942. l have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Title
(month, day, year)
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
Agency Report of: California 802
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 Tlcket(s)I
Passes
Describe the public purpose made pursuant to the agency's policy
N
B. Name of Individual
(Last, First)
Number
of Ticket(s)I
Passes
Identify one of the following:
Middleton, Lisa
2
Ceremonial Role ❑ Other E Income ❑
Ifchecking'Ceremonial Role" or"Other' describe below.
Public Purpose as described by PS Resolution No. 22454,
Section 1(d)(vii)(viii)(xi)
Ready, David
2
Ceremonial Role ❑ Other ® Income ❑
If checking "Ceremonial Role" or "Other" describe below.
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Alvarado, Cynthia
2
Ceremonial Role ❑ Other ® Income ❑
Ifchecking "Ceremonial Role" or"Other' describebetow.
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Ceremonial Role ❑ Other ❑ Income ❑
Ifchecking "Ceremonial Role" or "Other' describe below:
Name of Outside Organization
C.
(include address and description) p )
Number
of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)