2020-08-05 20th Modernism Week Opening NightAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name CI
City of Palm Springs
n
, Department, or Region
Designated Agency Contact (Name, Title) I
Shari Wrona, Executive Services Administrator Ir
760-322-8632 1 shari.wrona@palmspringsca.gov
A Public Document
AUG - 5 AM 9. 5 L For Official Use Only
OF THE CITY CLE ',
❑ 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 $ 175.00
Event Description: 20th Modernism Week Opening Night Date(s) 02 1 13 / 20 02 / 13 / 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 Ticket(s)l Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual of Tickegs)/ Identify one of the following:
(Last, First) Passes
Ceremonial Role ❑ Other ❑ Income ❑
Dennis Woods 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 ❑ Income ❑
Holstege, Christy 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 Number
C. (include address and description) of Ticket(s►/ Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
/ have read and understand
with the requirements.
Comment:
Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Ttle (month, day, year)
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
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)l
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Ticket(s)/
Passes
Identify one of the following:
Ceremonial Role ❑ Other El Income ❑
Tallarico, Patrick
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 El Income ❑
Milian, Michael
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 El Income ❑
Waits, Jasmine
2
Ifchecking"Ceremonial Role"or"Other'descdbe below:
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Ceremonial Role ❑ Other ® Income ❑
Mlaker, Glenn
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.
( include address and description)
Number
of Tickegs►/
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Form 802 —Additional Tickets for 02.13.20 20th Annual Modernism Week Opening Night
Gradilla, Alberto — 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(x)
Crawford, Jarvis — 2, Public Purpose as defined by PS Resolution No. 22454, Section 1 (d)(x)
Collins, Ann — 2, Public Purpose as defined by PS Resolution No. 22454, Section 1 (d)(x)