2020-08-05 Preview Party - 20th Modernism ShowAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name C I T 6F AK aSiPRIN
City of Palm Springs
Division, Department, or Region (if applicable) 2071 AUG _S AM 9; 5 For Official Use Only
Designated Agency Contact (Name, Title) E OF THE CITY CLF„
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? Yes ® No ❑
Event Description: Preview Party - 20th Modernism Show
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ❑ No ED
Was ticket distribution made at the behest Yes ❑ No
of agency official?
Face Value of Each Ticket/Pass $ 110.00
Date(s) 02 ) 14 f 20 021 14 f 20
If no: PS Modernism Week
Name of Source
If yes:
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
Name of Number
f Individual of Ticket(s)/ Identify one of the following:
(Last, First) Passes
Ceremonial Role ❑ Other ❑ Income ❑
If checking "Ceremonial Role" or "Ocher' descnbe below
Dennis Woods 2 Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Ceremonial Role ❑ Other ❑ Income ❑
Holstege, Christy 2 If checking "Ceremonial Role" or"Other'descnbe below,
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
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. I 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 (8661275-3772)
Agency Report of: 11 Calitornia
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.
Number
A. Name of Agency, Department or Unit
of Tickegs►/
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Ticket(s)/
Passes
Identify one of the following:
Ceremonial Role ❑ Other El Income ❑
Ready, David
2
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 ❑
Pauley, Nancy
2
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 El Income ❑
Madison, Perry
2
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 ❑
Olvera, Dolores
2
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.
(include address and description)
Number
of Tickegs)/
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Form 802 —Additional Tickets for Preview Party at 20th Annual Modernism Show and Sale
Mejia, Anthony — 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(x)
Sims, Taja — 2, Public Purpose as defined by PS Resolution No. 22454, Section 1 (d)(x)