2019-11-19 Coachella State of City & Business AwardsAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document ------------------------t!!P-tr-P.-F+'rH..,_ ___ _
1. Agency Name
City of Pa lm Springs
Division, Department, or Region (if applicable)
Designated Agency Contact (Name, Title)
Shari Wro na, Executive Services Administrato r
Area Code/Phone Number
760-32 2-8632
E-mail
shari .wro na @palms pringsca.gov
California 802
Form
For Official Use On ly
CIT Y CLE Rt'
0 Amendment (Must Provide Explanation In Part 3./
Date of Original Fi ling: 11 118119
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2. Function or Event Information
Does the agen cy have a ticket pol icy ? Yes ~ No • Face Value of Each TickeUPass $ _9_9_.o_o _____ _
Event Description : Coachell a State of City & Bus. Award s Date(s) ___2Q_;~~
Provide Title/ Explanation
_}_} __
Ticket(s)/Pass(es) provided by agency? Yes ~ No D If no: _________________ _
Name of Source
Was ticket d istributio n mad e at th e beh est Yes • No ~ If yes: --------------------Officia l's Name (L ast, First)
of agency official?
3 . Recipients
• Use Sect io n /\ t o ide ntify the agency's departme nt or unit. • Use Sectio n B t o id entify an ind ividual. • Us e Sec tion C to ide nti f)• an outside o rganization .
Number
A. Name of Agency, Department or Unit of Tick et(s )/ Describe the public purpose made pursuant to the agency's policy
Passes
Number
B . Name of Individual ofTicket(s )I Identify one of the following:
(L ast, First) Pa sses
Ceremonial Role 0 Other IBI Income D
Holstege, Christy 1 If checking "Ceremomal Role" or ·other .. clescribe below·
Pu blic Purpose as described by PS Resolution No . 224 54,
Section 1 (d)(vi)(viii)(xi)
Ceremon ial Role D Olher 0 Income D
If c hecking ·ceremonial Rote · or "Other' clescnbe below·
Name of Outside Organization Number
C. of Ticket(s)I 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 requirem ents.
Dav id Ready City Manager
Print Name Title
l I · I 9 -/ 9
(mon th, day year)
Comme nt:-------------------------------------------
FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)