2019-04-01 Well in the Desert Aloha Fools FollyAgency Report of:
·ceremonial Role Events and Ti cket/Pass Distributions A Pub lic Document ----------------------------...--------1. Agency Name F · Date S tamp
City of Palm Springs
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Californi a 802
Form
For Official Use Only
Designated Agency Contact (Name, Ti tle)
Shari Wrona, Executive Services Administrator
Area Code/Phone Number
760-322-8632
E-mail
s hari .wrona@palmspringsca .gov
I ._
D Amendment (M ust Provide Explanation in P art 3.)
Date of Original Filing:-...,....------,,-
(month, day. year)
2. Function or Event I nformation
Does th e agency have a ticket pol icy? Yes 181 No • Face Value of Each Ticket/Pass$ _1_o_o_.o_o _____ _
Event Description: Well in the Desert A loha Fools Folly
Provide Title/ Explanatio n
__J__j __
Ti c ket(s )/Pass(es) provided by agency ? Yes~ No D If no: _________________ _
Name of Source
Was ticket d istribution made at the behest Yes • No 18) If yes : -----=-:::--:--,,--,,.,.----,,---==-.,,......-------
omcial's Name (L ast, First) of agency official ?
3 . Recipients
• Use Section A to identify the agenc y's department or 11n.it. • Use Section 8 to identify an ind.ividuaJ. • Use Section C to identify an o uts ide organizat ion.
Number
A . Name of Agency, Department or Unit ofTicket(s)I Desc ribe the public purpose made pursuant to the agency's policy
Passes
Number B. Name of Individual of TTcket(s)/ Identify one of the following :
(L ast, First) Passes
I
Moon, Robert Cerem onial Role D Other jg) Income D
1 II checking "Ceremonial Role" or "Other' descnbe below
Public Purpose as defined by PS Resolution No. 22454 ,
Section 1 (d )(vii)(viii)(xi)
Middleton , Lisa Ce re monial Role D Othe r ~ Income D
1 II checking ·ceremonial Rote· or "Olher' describe below.
Public Purpose as defined by PS Resolution No. 22454 ,
Section 1 (d)(vii)(vi ii)(xi)
Name of Outside Organization Number
C. of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy (include address and description) Passes
4. Verification
PC Regula tions 18944. 1 and 18942. I have verified that the distribution set forlh above, is in accordance
with the requirements.
David Ready
Print Name
City Manager
TIiie (month, day. year)
FPPC Form 802 (212016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
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Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
California 802
Form
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 organi7.ation.
Number
A. Nafue Of'Agency, Department or Unit of Ticket(s)/
I Passes
'
! Ni.Imber B. Name of Individual of Ticket(s)/ ·1 (t.ast, First) Passes
Kors, Geoff
1
'
I Name of Outside Organization Number
C. of Ticket(s)/
I (include address and description) PaSSes
-'
Describe the public purpose ma~e pursuant to the agency's policy
Identify one of th£: following:
--
Ceremon!al Role D Other~ Income D
If checking 'Ceremonial Role" or ·other' descn'be below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)(viii)(xi)
Ceremonial Role 0 Other D Income D
If checking ·cere_monial Role" or 'Other" describe below:
Ceremonial Role D Oilier D Income D
If checking "Ceremonial Role" or •other" describe below:
Ceremonial Role D Other D Income D
If checking •ceremonial Rote· or ·other" describe below:
Describe the public purpose made pursuant to the agency's policy
(
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FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
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