2019-05-09 CA League of CA Cities LuncheonAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name C: r IM V
City of Palm Springs JvII .1
Division, Department, or Region (if applicable) / � 1 6 2019
Shari Wrona, Executive Services Administrator rl A� me
A Public Document
For Official Use Only
in Pert 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 IS No ❑
Face Value of Each Ticket/Pass $ 38_00
Event Description: CA League of CA Cities Luncheon Dates) 05 / 09 1 19
Provide Tide/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:
Oladel'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.
A. Name of Agency, Department or Unit
Number
of Ticket(s)I
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of ncket(s)l
Identify one of the following:
(Last. First)
Passes
Moon, Robert
1
Ceremonial Role ❑ Other I] Income ❑
ifcheckng-cerendew R-'deDhow:
Public Purpose as describedde"arbyOfhelPSscdbe Resolution No. 22454,
Section 1 d vii viii xi
Ceremonial Role ❑ Other ❑ Income ❑
Ifchecking-Oe, mnial Rde"or'OthePdawnba below
Name of Outside Organization
C. (include address and description)
Number
of Ticket(s)l
Pass"
Describe the public purpose made pursuant to the agency's policy
4. Verification
1 have read and understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance
with the requirements.
r� David Ready City Manager
si ere of Agen o signm Print Name 7Ne (month, day, year)
Comment: ✓//
FPPC Form 802 (212016)
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