2020-08-05 LOCC General Membership MeetingAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions _ _ _ ... _ _ A Public Document
1. Agency Name CITY 'FTPW%1l9RINGj California
City of Palm Springs Form
Division, Department, or Region (if applicable) 207U UV -5 AM g: 55 F7—McialUse Only
Designated Agency Contact (Name, Title) OF THE CITY CLE
Shari Wrona, Executive Services Administrator
❑ Amendment (Must Provide Explanation in Part 3.)
Area Code/Phone Number E-mail
760-322-8632 1 shari.wrona alms rin sca. ov Date of Original Filing:
@P P 9 g (month, day, year)
2. Function or Event Information
Does the agency have a ticket policy?
9 Y P Y �
Yes ® No ❑ Face Value of Each Ticket/Pass $ 40.00
Event Description: LOCC General Membership Meeting Date(s) 03 09 / 20 031 09 / 20
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency?
Yes ® No ❑ If
no:
Name of Source
Was ticket distribution made at the behest
Yes ❑ No ® If
yes:
of agency official?
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)l
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of Tickegs)/
Identify one of the following:
(Last, First)
Passes
Ceremonial Role ❑ Other ❑ Income ❑
Middleton, Lisa
1
ifchecking"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 ❑
Kors, Geoff
If checking "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
/ have read and understand F Regulations
18944.1 and 18942. 1
have verified that the distribution set forth above, is in accordance
with the requirements.
David Ready
City Manager
Signature of Agency ee
Print Name
Title (month, day, year)
Comment: 777"
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.
Numhar
A. Name of Agency, Department or Unit
of Ticket(s)I
Passes
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
(Last, First)
Number
of Ticket(s)I
Passes
Identify one of the following:
Woods, Dennis
1
Ceremonial Role ❑ Other ® Income ❑
Itchecking"Ceremonial Role" or"Other' describe below:
Public Purpose as described by PS Resolution No. 22454,
Section 1(d)(vii)(viii)(xi)
Ready, David
1
Ceremonial Role ❑ Other ® Income ❑
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 ❑
IF checking "Ceremonial Role" or "Other'describe below:
Ceremonial Role ❑ Other ❑ Income ❑
If checking "Ceremonial Role" or "Other' describe below.'
Name of Outside Organization
C. (include address and description)
Number
of Tickegs)1
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)