2020-08-05 Census Drive In Movie Premier P.S.Agency Report of:
Ceremonial Role Events and Ticket/Pass Distribution
1. Agency Name
City of Palm Springs
Division, Department, or Region (if applicable)
Designated Agency Contact (Name,Title)
Shari Wrona, Executive Services Administrator
Area Code/Phone Number E-mail
760-322-8632 shari.wrona@palmspringsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: Census Drive In Movie Premier P.S.
Provide Title/ Explanation
Ticket(s)/Pass(es) provided by agency? Yes ® No El
s A Public Document
Ci Y OF PALM SPRi
For Official Use Only
2120 AUG -5 All 9: 51
FF110E OF THE CITY CL f
rr❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
Face Value of Each Ticket/Pass $ 9.43
Date(s) 07 / 11 / 20 071 11 / 20
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(sy 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) I Passes
Ceremonial Role ❑ Other ❑X Income ❑
HOLSTEGE, CHRISTY 4 If checking "Ceremonial Role"or"Other"descnbe below:
Public Purpose as defined by PS Resolution #22454,
Section 1 d vi vii viii
Ceremonial Role ❑ Other ❑ Income ❑
If checking "Ceremonial Role"or "Other' descnbe below:
Name of Outside Organization Number
of Ticket(s)! Describe the public purpose made pursuant to the agency's policy
C. (include address and description)
Passes
4. Verification
l have read and understanIFPPP gulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with the requirements.
�Signature ofAgen ead Print Name Title (mon , day, year)
Comment:
FPPc Form 802 (2/2016)
FPPc Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
SAMRAG MIIIOTI SIMMON$
Iv1Et'
For The Health and Safety Of All Out Patrons and tmDlolreeS
Pleas* Adhem To Our Posted Social Distancit fhdes
GI 4 x Tickets
Order total: $37.72
(D Saturday, July 11, 2020 from 8:45 PM to 11:30 PM (PDT)
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Drive-in Theatre
2300 E Baristo Rd
Palm Springs, CA 92262
(View on map)
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Palm Springs Cultural Center
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Questions about this event?
Contact the organizer
Order Summary
Order #1391502382 - July 9, 2020
Christy Holstege 1 x Tier 3 Standard Car Space $9.43
2
Christy Holstege
1 x Tier 3 Standard Car Space
$9.43
Christy Holstege
1 x Tier 3 Standard Car Space
$9.43
Christy Holstege
1 x Tier 3 Standard Car Space
$9.43
$37.72
View and manage your order online
Printable PDF tickets are attached to this email
Charged to the Visa card ending in *7670
Appears on your card statement as "EB *JULY 11-DRIVE-IN A"
Contact the organizer for any questions related to this purchase.
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Ticket Information
Ticket #1: Tier 3 Standard Car Space
Christy Holstege
Ilubi.rios@palmspringsca.gov
CAR: CAR 28, SEAT: 4
Ticket #2: Tier 3 Standard Car Space
Christy Holstege
Ilubi.rios@palmspringsca.gov
CAR: CAR 28, SEAT: 3
Ticket #3: Tier 3 Standard Car Space
Christy Holstege
Ilubi.rios@palmspringsca.gov
CAR: CAR 28, SEAT: 2
Ticket #4: Tier 3 Standard Car Space
Christy Holstege
Ilubi.rios@palmspringsca.gov
CAR: CAR 28, SEAT: 1
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