2020-08-05 LOCC Exe. Forum - 3 Day Virtual ConfAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name CITY
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 1 shari.wrona@palmspringsca.gov
2. Function or Event Information
Does the agency have a ticket policy. Yes ® No ❑
Face Value of Each Ticket/Pass $ 200.00
Event Description: LOCC Exe. Forum - 3 day virtual conf Date(s) 06 / 18 / 20 07 1 02 / 20
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ® No ❑ If no:
A Public Document
F PAWOMINGS •
_ 5 AM 9*- 55 1 For Official Use Only
F THE CITY CLE{�
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
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(sl/ Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual of Ticketts)l Identify one of the following:
(Last, First) I Passes
Ceremonial Role ❑ Other ❑X Income ❑
MIDDLETON, LISA Itchecking'CeremonialRole"or"Other"describebelow.
Public Purpose as defined by PS Resolution #22454,
Section 1 d vi vii viii
Ceremonial Role ❑ Other ❑ Income ❑
If checking 'Ceremonial Role" or "Other" describe below.
Name of Outside Organization Number
of et(s)/ Describe the public purpose made pursuant to the agency's policy
C. (include address and description)
Passes
4. Verification
/ have read and
with the reauirel
Com
Regulations 18944.1 and 18942. / have verified that the distribution set forth above, is in accordance
OF �aC Va `I All
or Designee Print Name i j Title (month, day, year)
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Llubi Rios
From: Suzanne Severin
Sent: Wednesday, June 3, 2020 1:04 PM
To: Llubi Rios
Subject: FW: 2020 Executive Forum Virtual Conference Registration Confirmation
fyi
-----Original Message -----
From: League of California Cities <mdunn@cacities.org>
Sent: Wednesday, June 3, 2020 1:03 PM
To: Suzanne Severin <Suzanne.Severin@palmspringsca.gov>
Cc: mdunn@cacities.org
Subject: 2020 Executive Forum Virtual Conference Registration Confirmation
E
Thank you for registering for the 2020 Mayors & Council Members Executive Forum Virtual Conference. The conference
will take place on three consecutive Thursdays: June 18, June 25 and July 2. Please keep this confirmation for your
records. In the days leading up to the virtual conference, you will receive an email with details on how to access the
educational sessions and networking opportunities.
Palm Springs
Lisa Middleton
Council Member
suzanne.severin@palmspringsca.gov
Member City Elected Officials and City Staff $200.00
Sub Total: $200.00
Amount Paid: $200.00
Balance: $0.00
If you have any questions, please contact the Conference Registrar, Megan Dunn, at mdunn@cacities.org
i