2020-08-05 Desert Sun's Stories of HomelessnessAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name CIT
City of Palm Springs
Division, Department, or Region (if applicable) 21T,
Designated Agency Contact (Name, Title)
Shari Wrona, Executive Services Administrator
Area Code/Phone Number E-mail
760-322-8632 1 shari.wrona@palmspringsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: Desert Sun's Stories of Homelessness
Provide Title/Explanation
Tickets)/Pass(es) provided by agency? Yes ❑ No El
A Public Document
OF ftq_WTPR IN • • • W
AUG -5 AM 9: 54 For Official Use Only
E OF THE CITY CLEF
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
Face Value of Each Ticket/Pass $ 12.00
Date(s) 11 / 07 / 19 111 07 / 19
If no: Desert Sun
Was ticket distribution made at the behest Yes ❑ No ® If yes:
of agency official?
Name of Source
Official's Name (Last, First)
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 Tickegs)! Identify one of the following:
(Last, First) I Passes
Ceremonial Role ❑ Other ❑X Income ❑
If checking "Ceremonial Role" or"Other'descnbebelow
Middleton, Lisa 2
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Ceremonial Role ❑ Other Q Income ❑
If checking "Ceremonial Role" or "Other' describe below.
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 under
with the requirements.
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 (866/275-3772)