2019-04-25 PSHA Member LuncheonAgency Report of:
Ceremonial Role Events and Ticket/Pass Distri
A Public Document
1. Agency Name
City of Palm Springs
or Region (it applicable)
Shari Wrona, Executive Services Administrator
760-322-8632 1 shari.wrona@palmspringsca.gov
2. Function or Event Information
b 2019 I For Official Use Only
❑ Amendment (Must Provide Explanation in Pert 3.)
Date of Original Filing:
(mortM, day year)
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 3000
9 Y P Y Yes ® No ❑
Event Description: PSHA Member Luncheon
Provide Titla/Explanaton
Date(s) _a_, 25 / 19
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:
Officiall s Name (Las[ Firsp
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 Tickagay
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last. First)
Number
of Ticketis)1
Passes
Identify one of the following:
Ceremonial Role ❑ Other Q Income ❑
Moon, Robert
'
nchadng•Ceremonial Rok'or'otner' mabebem
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Ceremonial Role ❑ Other ❑ Income ❑
n checlnng'Cemmoniai Rafe"cr'0th&' descnba Wore
Name of Outside Organization
C. (include address and description)
Number
of Ticket(sy
Passes
Describe the public purpose made pursuant to the agency's policy
4. Verification
I have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
IN menu.
David Ready City Manager
Signs ure of Agency Head %Q Pont Name Title (month, day. year)
Comment:
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)