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2019-11-19 USO Bob Hope Spirit of Hope GalaAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document -----------------------------1M-.P-ii+;,,+-+t-----1. Agency Name ~fff!G s City of Palm Springs California 802 Form Division, Department, or Region (if applicable) 19 AH 11: 11 For Offici al Use Only ~D-es-i-gn-a-te_d_A_g_e_n_c_y ___ C_o_n_ta_c_t -(N-am-e,-Ti-1/e-) ---------~:;;+J-._._.f+M THE CITY CLE RK Sha ri W ron a, Execu tive Services Admi nistrator 0 Amendment (Must Provide Explanation in Part 3 .) Area Code/Phone Number 760-322-8632 E-mail shari .wron a@pa lmspringsca .gov Date o f Original Filing :--,----,,--,----;-- (month, day. year) 2. Function or Event Information Does the agen cy have a ti cket policy? Yes 181 No • Event Description : USO Bob Hope Spirit of Hope Gala Provide Tille/ Explanation Face Value of Ea ch Ti ckeUPass $ _1_2_5_.o_o _____ _ Date( s) ~ ~ ~ __J__J __ Ticket(s)/Pass(es) provided by agency? Yes ~ No D If no: _________________ _ Name of Source Was ticke t di stribu tion mad e at the behest Yes • No ~ If yes : ------,:~-,,-,.,.----,,---,--=.-..,,..-------- officiars Name (Last. First/ of agency official? 3. Recipients • Use Section A t o identi fy the agency's d epartment o r unit. • Use Section B t o ide ntify an indiv idua.l. • Use Sec tion C to ide ntify a n outside o rga nization. Number A. Name of Agency, Department or Unit of Ticket(s)I Desc ribe the public purpo se made pursuant to the agency's policy Passe s Number B. Name of Individual of Ticket(s)/ Identify one of the following: (Last. First) Passes Ce remonial Role D Other D Income D Moon, Rob ert 1 If checking ·ceremon,al Rote· or "Other· describe below: Public Purpose as described by PS Res ol ution No. 22454 , Section 1 (d)(vi)(viii)(xi) Ce remonial Role 0 Other D Income 0 If checking "Ceremon,a/ Role'" or "Other" descnbe 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) Pa sses 4. Verification I have read and understand FPPC lations 18944 . 1 and 18942. I have verified that the distribution set forth above, is in accorda nce with the requirements. David Ready Print Name City Manager ll·19·L q Title (month, day. year) FPPC Form 802 (2 /2016) FPPC Toll-Free He lpline: 866/ASK-FPPC (866/275-3772)