2019-11-19 PS Chamber Business Expo and TasteAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document ----------------------------~~~--.w.----1. Agency Name F P fdai!1s6i~~ ING California 802
Form City of Palm Springs
Division, Department, or Region (if applicable)
For Official Use Only
Designated Agency Contact (Name, Title)
Sha ri Wrona, Executive Services Administrator -,----=----=-,=.,------,--,----,-----,.-=--.,.,...----------------i O Amendment (Must Provide Explanation in Part 3.)
Area Code/Phone Number E-mail
760-322-8632 shari .wrona@palmspringsca.gov Date of Original FIiing: -------
(month, day, year)
2. Function or Event Information
Does the agency have a ticket p olicy? Yes [81 No • Face Va lue of Each TickeVPass $ _2_5_.o_o _____ _
Event Description: PS Chamber Bu siness Expo & T aste
Provide Title/ Explanation
__J__J __
Ti cket(s)/Pass(es) provided by agency? Yes ~ No O If no : ________________ _
Name of Source
Was ticket distribution made at the behest Yes • No [g] If yes: ----------,,--------------OffiaaJ's Name /Last, First)
of agency official?
3. Recipients
• Use Section A to identify the agency's department or un.i t . • Use Section B to identify an individual. • Use Section C to identif)• a n outside organization .
Number
A. Name of Agency, Department or Unit of Tick~s)/ Describe the public purpose made pursuant to the agency's policy
Passes
Number B. Name of Individual ofTick~s)/ Identi fy one of the foliowlng:
(Last, First) Passes
I
Ceremonial Role 0 Other 0 Income 0
Moon , Robert 2 If checlci~ 'Ceremonia/ Role' or 'Othet' descnbe below"
Publ ic Purpose as described by PS Resolution N o. 22454,
Section 1 (d)(vi)(viii)(xi)
Ceremoni al Role 0 Other 0 Income 0
Middlet on, Lisa 2 II checi<i~ 'Ceremonial Role" or "Othet' descnbe 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 publlc purpose made pursuant to the agency"s policy
(incl ude 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
· iP3ments. ---::;,
David Ready City Manager
Print Name TIiie
lt·JCJ ./0
(month, day, year)
Comment:-----------------------------------------
FPPC Form 802 (2/2016)
FPPC Toll-Free Helpllne: 866IASK-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
I Passes
I Number B. Name of Individual of Tlcket(s)I
I (Last, First) Passes -
Kors, Geoff 2
Holstege, Christy 2
Ready, David 2
Virata, Jay 1
I, Name of Outside Organization Number
C. ofTlcket(s)/
I (include address and description) Passes
Describe the public purpose made pursuant to the agency's policy
I
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 id)(vi)(viii)(xi)
Ceremonial Role 0 Other@ Income D
If checking "Ceremonial Role" or "Other" describe below:
Public Purpose as described by PS Resolution No. 22454,
Section 1 id)(vi)(viii)(xi)
Ceremonial Rote D Other@ Income D
If checking "Ceremonial Rote• or "Other" describe below:
Public Purpose as described by PS Resolution No. 22454,
Section 1 id)(vi)(viii)(xi)
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)
Describe the publlc purpose made pursuant to the ag·ency's policy
FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
I
. , .
Form 802 -Additional Tickets for PS Chamber Business Expo & Taste of Palm Springs
Goolsby, Denise -1, Public Purpose as described by PS Resolution No. 22454, Section l(d)(xi)
DeGarmo, Dan -1, Public Purpose as described by PS Resolution No. 22454, Section l(d)(xi)
Shay, Diana -1, Public Purpose as described by PS Resolution No. 22454, Section l{d)(xi)
Fuller, Marcus -1, Public Purpose as described by PS Resolution No. 22454, Section l{d)(xi)
Pauley, Nancy -2, Public Purpose as described by PS Resolution No. 22454, Section l(d)(xi)