2020-08-05 Palm Springs Pathfinders GalaAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name CITY OF JALM17
City of Palm Springs
or Region (if applicable)
5 AM 9= 54
S
A Public Document
For Official Use Only
Designated Agency Contact (Name, Title) ffflffHE CITY CLE
Shari Wrona, Executive Services Administrator
❑ Amendment (Must Provide Explanation in Part 3.)
Area Code/Phone Number E-mail
760-322-8632 shari.wrona@palmspringsca.gov Date of Original Filing: (month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 300.00
9 Y p Y� Yes® No
Event Description: Palm Springs Pathfinders Gala Date(s) 02 1 29 ) 20 02t 29 / 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:
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
Name of Individual Number
B. of Tlcket(s)/ Identify one of the following:
(Last, First) Passes
Ceremonial Role ❑ Other ❑X Income ❑
If checking "Ceremonial Role" or "Other' describe below.
Holstege, Christy 1 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:
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 understand FPP Regulations 18944.1 and 18942. l have verified that the distribution set forth above, is in accordance
with the requirements.
David Ready City Manager
Signature of Age H signee Print Name Title (month, day, year)
Comme
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)