2019-11-19 18th Modernism Show-Sale PreviewAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name
City of Palm Springs
Divis ion, Department, or Region (if applicable)
California 802
Form
For Official Use Only
=D-e....,si,....g-n-at_e__,,d,....A,....g_e_n_c_y....,C,....o_n_t-ac_t_(_N_am_e_,_Ti-t/e_J ________ ....,., ...... ....,... ___ E CITY CLE Rt'
Shari Wrona, Executive Services Administrator
Area Code/Phone Number
760-322-8632
E-mail
shari .wrona@palm springs ca.gov
0 Ame ndment (Must Provide Explanation In P art 3 .)
Da te of Original Filing: 11 118119
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2. Function or Event I nformation
Does the agen cy have a t icket policy? Yes 181 No • Face Va lue of Ea ch TickeUPass $ _5_5 ._o_o _____ _
Event Descript ion : 18th Modernism Show/Sale Preview
Provide Title/ Explanation
___}___} __
Ticke t(s)/Pa ss(es) provided by agency? Yes~ No D If no: _________________ _
Name of Source
Was ticket distribu tion made at the behest Yes • No ~ If yes:------------------
Official's Name (Last. First)
of agency official?
3. Recipients
• Use Sectio n A t o identify the agency's d epartme nt o r unit. • Use Sectio n B t o identify an individual. • Use Sect ion C to id entify an o uts ide o rga nization.
Number
A. Name of Agency, Department or Unit of Ticket(s)I Desc ribe the public purpo se mad e pursuant to the agency's policy
Passes
Number
B . Name of Individual of Tl cket(s)/ Identify one of the following :
(Last, First) Pa sses
Ceremonial Role D Other D Income D
Roberts, J .R . 2 If checking "'Ceremonial Role " or .. Other" dsscribe below;
Publ ic Pu rp ose as described by PS Resolution No. 22454 ,
Sect ion 1 (d)(vi)(viii)(xi)
Cere monial Role D Other D Income 0
Kors , Geoff 2 If checking ·ceremonial Role" or "Other· describe below
Public Purpose as described by PS Resolution No. 22454 ,
Section 1 ( d)(vi)(viii)(xi)
Name of Outside Organizati on Number
C. of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy
(include address and description) Pa sses
4 . Verification
I have read and understand FPPC Regulat ions 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance
with the requirements.
Dav id Read y City Manager 11 -/9 ./9
Print Name TiUe (month. day, year)
Comment:-------------------------------------------
FPPC Form 802 (2/2016)
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 organization.
Number
A. ,N<;1me of Agency, Department or Unit .of-Ticket(s)/
I Passes
s. ·Number
Name of Individual of Ticket(s)/
I (last, First) ~asses
Pauley, Nancy 2
! Name of Outside Organ1z·at1on :Number
C. of Tickel{s)/
I (include addl'ess·and description) Passes
'
Describe t~e public purpose made pursuant to the agency's policy
Identify one of the following: I
Ceremonial Role D Other~ Income D
If cher:king •ceremonial Role" or "Other" describe below:
Public Purpose as described by PS Resolution No. 22454,
Section 1 (d)(vi)(viii)(xi)
Ceremonial Role D Other D Income D
If checking "Ceremonial Role" or"Olher"descnDe below:
Ceremonial Role D Other D Income D
If checking "Ceremonial Ro/e"or"Olher"describe below:
Ceremonial Role D Other D Income D
If checking "Ceremonial Rofe"or "Other" describe below:
Describe the publl~ ptirpose made pursuant to the agency's policy
FPPC Form 802 (2/2016)
FPPC To!!-Free He!p!ine: 866/ASK-FPPC (866/275-3772)
I