2019-11-19 20th Annual HRC PS Garden PartyAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name
City of Palm Spring s
Division, Department, or Region (if applicable)
CIT y Of p LH S tfftWlB
20\9NOV\9 AMll:ll
California 802
Form
For Official Use Only
=D-e-si_g_n-at_e_d_A_g_e-nc_y_C_on_t_a_ct_(_N-am_e_,-ri-1/e_J ________ ___,,,o,.._.,...,.,.,.,....._-,i HE CI TY CLE Rh
Shari Wro na , Execu tive Services Administrator D Amendment (Must Provide Explanation in Part 3.)
Area Code/Phone Number
760-322-8632
E-mail
shari.wrona@palmspring sca .g ov Date of Ori ginal Filing: 11 118119
--(m_o_n-th,-d-a~-. -ye-a-,)-
2. Function or Event Information
Does the agency have a ticket policy? Yes 181 No D
Event Descriptio n: 20th Annual HRC PS Garden Party
Provide Title/ Explanation
Face Value of Eac h TickeUPass $ _7_5_.o_o _____ _
Date( s) --2.!__J ~ ~ __J__J __
Ticket(s)/Pa ss(es) provided by agency? Yes~ No D If no: _________________ _
Na me of Source
Was ticke t di stribution made at th e behest Yes • No 18) If yes: ------------------
Official's Name (L ast, First)
of agency official?
3. Recipients
• Us e Sec tion A lo identify the agency's d e partment o r unit. • Use Section B to identify an indivi dual. • Use Section C lo identify an o utsi d e organizatio n .
Number
A. Name of Agency, Department or Unit of Ticket(s)I Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual of Ticket(s)/ Identify one of the following :
{L ast, First) Passe s
Ceremonial Role D Other D Income D
Moon, Robert 1 If checktng "Ceremon,al Rol e· or "Other" dascnbe below·
Public Purpose as described by PS Resolution No. 22454,
Section 1 (d)(vi)(viii )(xi)
Ceremonial Ro le D Other D Income D
Middleton , Li sa 1 Jf checkmg ~ceremonial Ro1e· or ·other" describe below·
Public Purpose as described by PS Resolution No. 22454,
Section 1 (d)(vi)(viii )(xi)
Name of Outside Organization 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 un derstand FPPC Regulations 18944 .1 and 18942. I have verified that the distribution set forth ab ove, is in accordance
with the requireme
David Ready
Print Name
City Manager I l -JC, . I 9
nue (mon th, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpl ine: 866/ASK-FPPC (866/275-3772)
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. Name of Agency, Department or Unit of Tlcket(s)/
I Passes
' Number
B. Name of Individual of Ticket(s)/
l (Last, First) Passes
Holstege, Christy 1
Roberts, J.R. 1
' Number c. Name of Outside Oi'gahiZ:ation of Ticket(s)/
I (include address and description) Passes
Describe.the public purpose made pursuant to the agency's policy
Identify one of the following: I
Ceremonial Role D other~ Income D
If checking "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@ Income D
If checking "Ceremonial Role" or "Other" descnbe below:
Public Purpose as described by PS Resolution No. 22454,
Section 1 (d)(vi)(viii)(xi)
Ceremonial Role D Other 0 Income D
If checking "Ceremonial Role" or "Other" describe below:
Ceremonial Role D Other 0 Income D
If checking "Csrsmonia/ Rols"or "Other" describe below:
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
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