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2020-08-05 PS Dance Prjoect - The Main EventAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions Cy, y F7nA Public Document 1. Agency Name CI Y OFEPMJOPISPR1 City of Palm Springs Division, Department, or Region (if applicable) Designated Agency Contact (Name, Title) - I Shari Wrona, Executive Services Administrator 760-322-8632 1 shari.wrona@palmspringsca.gov AUG — 5 AM 7*- For Official Use Only ICE OF THE CITY Clot:; ❑ 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 $ 130.00 Event Description: PS Dance Project - The Main Event Date(s) 03 / 07 / 20 03 / 07 / 20 Provide Title/Explanation Ticket(s)/Pass(es) provided by agency? Yes ❑ No El If no: Palm Springs Dance Project 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)I Describe the public purpose made pursuant to the agency's policy Passes B. Name of Individual Number of Ticket(s)/ Identify one of the following: (Last, First) Passes Ceremonial Role ❑ Other ❑ Income ❑ Woods, Dennis 2 lfchecking "Ceremonial Role"or "Other'tlescribe 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'tlescribe below Name of Outside Organization C' Number of Ticket(s►/ Describe the public purpose made pursuant to the agency's policy (Include address and description) Passes 4. Verification 1 have read and understan PC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance with the requirements. '� ) David Ready City Manager Signature of Agency ea signee Print Name Title (month, day, year) Comment: FPPC Form 802 (2/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)