2019-11-19 Date Harvest FestivalAgency Report of:
Ceremonial Role Events and Ticket/Pass Distribution
1. Agency Name CIT y OF
City of Palm Springs
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.,,,........,...--.,.......,....,,---____,,----------""'"'-'~~ THE Cl TY CLE RY
Designated Agency Contact (Na me, Title)
Shari Wrona , Executive Services Administrator
Area Code/Phone Number E-mail
760-322-8632 shari .wrona@palmspringsca .gov
D Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing: --,:-----,-,---,,--,--
(month, day, year)
2. Function or Event Information
Does the agency have a t icket policy? Yes~ No • Face Value of Each TickeU Pass $ _2_5_.o_o _____ _
Event Description : Date Harvest Fes tival ___J___J __
Provide Title/ Explanation
Ticket(s)/Pass(es) provided by agency? Yes • No ~ If no : Date Harvest Festival
Name of Source
Was ticket distribution made at the behest Yes • No 18] If yes : -----,----,---,,-..,....,,.,-..,..-------
official's Name (Last, First)
of agency official?
3. Recipients
• Use Sect ion A to identify the agency's department or unit. • Use Section B to identify an individual. • Use Section C to ide ntify an o utside organization.
Number
A. Name of Agency, Department or Unit of Tlcketes)I Describe the public purpose made pursuant to the agency's policy
Pa sses
Number
B. Name of Individual ofTlcketes)I Identify one of the following:
(Last, First) Passes
Ceremonial Role D Other~ Income D
Middleton, Lisa 2 If checking ·eeremonlal Role" or "Other" describe below.
Publ ic Purpose as described by PS Reso lution No . 22454,
Se ction 1 (d)(vi)/vi ii)(xi)
Ceremonial Role D Other~ Income D
Goolsby, Den ise 2 If checking ·ceremonial Role" or "Othel" describe below.
Public Purpose as described by PS Resolution No . 22454,
Sectio n 1 /d)/vi)/x)
Name of Outside Organization Number
C. of Tlcketl 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 ab ove, is in accordance
with the requirements.
David Read y City Manager ll · 19-19
Print Name Title (month, daY, year)
Comment:------------------------------------------
FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)