2019-05-13 League of CA Cities Riverside Div GMAgency Report of:
Ceremonial Role Events and Ticket/Pass
1. Agency Name
City of Palm Springs
Division. Department, or Region (if applicable)
Shari Wrona, Executive Services Administrator
760-322-8632 1 shari.wrona@paimspringsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: League of CA Cities Riverside Div GM
❑ Arne
A Public
For Official
Provide Explanation in Part 3.)
Date of Original Filing:
(mourn coy year)
Face Value of Each Ticket/Pass $ 50.00
Date(s) 05 / 13 1 1 gg 1
Provide Tirlef Explanation
Tickets)/Pass(es) provided by agency? Yes ® No ❑ If no:
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Officals 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(sN
Describe the public purpose made pursuant to the agency's policy
Pass"
Number
B. Name of Individual
of Ticket(s)l
Identify one of the following:
(Last, First)
Passes
Ceremonial Role ❑ Other ❑ Income ❑
Roberts, J.R.
1
cnecklnA-Ceremanial Rde' or -other. cawnbe Deiow'
P11
Public urpose as described by PS Resolution No. 22454,
Section 1 d vii vlii xi
Ready, David
Ceremonial Role ❑ Other ❑ Income ❑
.�
Ifcheckng'Ceremonial Rde" or�Other'dascnbebelow
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Name of Outside Organization
C.
Number
of Ticketts)/
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
4. Verification
I 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.
David Ready City Manager
i nature of ad or Designee Pdnt Name Title (month, day. year)
Commen .
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)