2020-08-05 2020 Modernism Vintage Trailer ShowAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name CIT
City of Palm Springs
Division. Department. or Reuion (if applicable) in
Designated Agency contact (Name, Title)
Shari Wrona, Executive Services Administrator
Area Code/Phone Number E-mail
760-322-8632 1 shari.wrona@palmspringsca.gov
i. -
NMIN" im California Rn7
AUG —C AM
54 For Official Use Only
OF THE CITY Ci_E:
❑ 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? Face Value of Each Ticket/Pass $ 25.00
9 Y p Y� Yes® No
Event Description: 2020 Modernism Vintage Trailer Show Date(s) 02 1 22 1 20 02 1 22 1 20
Provide Title/Explanation
Ticket(s)/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 77cket(s)I Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
of Ticket(s)I
Identify one of the following:
(Last, First)
Passes
Ceremonial Role ❑ Other ❑X Income ❑
Kors, Geoff
2
If checking 'Ceremonial Role" or "Other" describe below
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Ceremonial Role ❑ Other X❑ Income ❑
Woods, Dennis
2
Ifchecking"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
C.
Number
of Ticket(s)l
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
4. Verification
I have read and understand
with the requirements.
nature of Agency
Comment:
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 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Agency Report of: California -
02
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
N
B. Name of Individual
(Last, First)
Number
of Ticket(s)I
Passes
Identify one of the following:
Middleton, Lisa
2
Ceremonial Role ❑ Other El Income ❑
It checking"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 El Income ❑
If checking "Ceremonial Role" or "Other"deschbe below:
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Madison, Perry
2
Ceremonial Role ❑ Other El Income ❑
I/ checking "Ceremonial Role" or"Other'describe below:
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Ceremonial Role ❑ Other ❑ Income ❑
If checking "Ceremonial Role" or "Other' describe below:
Name of Outside Organization
C' Include address and description) ( p )
Number
of Tlcket(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)