2020-08-05 USC Sustainability SummityAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions erne-e,rr„ A Public Document
1. Agency Name CITY F PPP"ISFTINGS California•
City of Palm Springs Form ��++
02
Division, Department, or Region (if applicable) V -5 AM 9= 54 F For Official Use Only
it.
Designated Agency Contact (Name, Title) F THE CITY CLC
Shari Wrona, Executive Services Administrator
❑ Amendment (Must Provide Explanation in Part 3.)
Area Code/Phone Number E-mail
760-322-8632 1 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 ❑ Face Value of Each Ticket/Pass $ 250.00
Event Description: USC Sustainability Summity Date(s) 02 / 21 / 20 02 / 21 / 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
Number
B. Name of Individual of Tickegs)/ Identify one of the following:
(Last, First) I Passes
Ceremonial Role ❑ Other ❑ Income ❑
Middleton, Lisa 1 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
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
I have read and understand FPPC Regulations 18944.1 and 18942. l have verified that the distribution set forth above, is in accordance
with the requirements. A i
Comment:
David Ready City Manager
Print Name Title (month, day, year)
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)