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2019-11-19 Season Opening Party Casino RoyaleAgency Report of: Ceremonial Role Events and Ticket/Pass Distribution A Public Document --------------------------~~1!1"'4!!+¥~~----1. Agency Name CIT Y OF A L rt'~~1'f1fc; S City of Palm Springs Div ision, Departme nt, or Re gion (if applicable) California 802 Form For Official Use Only 19 AH 11: 18 ___________________ c:-THE CITY CLER! Designated Agency Contact (Name, Title) Sha ri Wrona , Executive Services Administrator Area Code/Phone Number E-mail 760-322-8632 shari.wrona@palmspringsca.gov D Ame ndment (Must Provide Expl anation i n Part 3.) Date of Original Filing:------- (month, day, year) 2. Function or Event Information Does th e agency have a ticket policy? Yes ~ No • Face Va lue of Each Ticket/Pass$ _3_o_.o_o _____ _ Eve nt Description: Season Opening Party Casino Royale Date(s) __!_Q__j~~ Provide Title/ Explanation __}__} __ Ticket(s)/Pass(es) provided by agency? Yes ~ No D If no: _________________ _ Name of Source Was ti cket distribution ma de at th e behest Yes • No ~ If yes: --------------,--------Official's Name (Last, First) of agency officia l? 3. Recipients • Use Section A to identify the agency's departme nt or unit. • Use Section B to identify an i ndividual. • Use Sec tion C t o identify an outs.Ide organization. Number A. Name of Agency, Department or Unit of Tlcketls)/ Describe the public purpose made pursuant to the agency 's policy Passes Number i B. Name o f Indi v i d ual o f Tlcketls)I Identify one o f the following : (Last, First) Passes Ceremonial Role D Other D Income D Moon, Ro bert 1 If checking 'Cere monial Rote· or "Other' describe below: Public Purpose as described by PS Resolution No. 22454, Section 1 (d)(vi)(vii i)(xi) Ceremonial Role D Other D Income D If checking ·ceremonial Role" or ·Other' describe below Name of O utside Organizatio n Number C. of Tlcketjs)I Describe the public purpose made pursuant to the agency's policy (Include address a nd 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 accordanc e with the requirements. ,: -:--~ David Ready City Manager ll-/C,.JO, Print Name Trtle (month, day, year) Com ment:------------------------------------------ FPPC Form 802 (2/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)