2019-05-08 CA Preservation Foundation Conf.Agency Report of:
Ceremonial Role Events and TickeUPass Distributions A Public Document
1. Agency Name 7ateStamp
City of Palm Springs Division, Department, or Region (if applicable) � For OKraal Use Only
Designated Agency Contact (Name. Title)
Shari Wrona, Executive Services Administrator
❑ Amendm - s Provide Explanation in Part 3.)
760-322-8632 I shari.wrona@palmspringsca.gov I Date of Original Filing: (month day year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: CA Preservation Foundation Conf
Provide Title/ Explanaton
Ticket(s)/Pass(es) provided by agency? Yes ❑ No El
Was ticket distribution made at the behest Yes ❑ No
of agency official?
Face Value of Each Ticket/Pass $ 100.00
Date(s) 05 f 08 / 19
If no: CA Preservation Foundation
Name of Source
If yes:
Official 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 TickeUsy
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of Ticket(s)1
Identity one of the following:
(Last, First)
Passes
Moon, Robert
Ceremonial Role ❑ Other ® Income ❑
2
n c"ciung-Ceremomal Roe or'0(her' dascnte telaa
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Roberts, J.R.
Ceremonial Role ❑ Other 18 Income ❑
2
Il checking'Ceremon,al Rote-or'other' hesitate below
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii (xi
Name of Outside Organization
C.
Number
of Ticket(s)t
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
4. Verification
1 have read and understand FPPC Regulations 18944.1 and 18942. / have verified that the distribution set forth above, is in accordance
with the requirements.
David Ready City Manager
re of Apgp eatl or Designee Print Name Title (month, day, year)
Comment:
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866IASK-FPPC (8661275-3772)
do
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
Agency Name
A Public Document
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 Ticket(s)/ Describe the public purpose made pursuant to the agency's policy
Passes
1----'��� --
B. Name of Individual
I (Last First)
Number
of Ticket(s)/
Passes
-- -- l
Identify one of the following:
_
Holstege, Christy
2
Ceremonial Role ❑ other ® Income ❑
checkng'Cemmonial Ro'e'or'Oiherdescdbebelow:
Public Purpose as described by PS Resolution No. 22454,
Section 1(d)(vii)(viii)(A)
Ready, David
2
Ceremonial Role ❑ Other ® Income ❑
/Iche Aing'Cemmonial Rde"or'Otherdescribebelow:
Public Purpose as described by PS Resolution No. 22454,
Section 1 d (vii)(viii)(A)
Ceremonial Role ❑ Other ❑ Income ❑
Ilcheckng-CemmonialRde"or-Omerdescdbe below:
Ceremonial Role ❑ Other ❑ Income ❑
11 checkbg'Cemmonial Rde"or "Other descdbe below:
Name of Outside Organization
C.
I (include address and description)
Number
of aet(s)1.
Ps
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)