2019-12-03 ACT for MS Christmas Tree LaneAgency Report of:
Ceremonial Role Events and TickeVPass Distributions p A Public Document
1. Agency Name CITY 0 P,", RINGSrFwOftalU�On7ly
tam
City of Palm SpringsDivision, Department, or Region (if applicable) 15 PM 6: 2 I
Designated Agency Contact (Name. Title) - THE CITY CLERi
Shari Wrona, Executive Services Administrator
❑ Amendment (Must Provide Explanahon m Part 3.)
760-322-8632 I @P P 9 g shari.wrona alms rin sca. ov I Date of Original Filing:
(month. tlay. year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 85.00
Event Description: ACT for MS Christmas Tree Lane Date(s) 12 / 03 / 19 12 1 03 / 19
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ® No ❑ If no:
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Official s Name (Last. First)
of agency official?
3. Recipients
• Cse 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 Ticket's)/
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Tickettsy
Passes
Identify one of the following:
Ceremonial Role ❑ Other income ❑
Moon, Robert
t
( chacarrg'Cerem vial Role'orOrhel describe oelow
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Ceremonial Role ❑ Other ❑ income ❑
I(check)rg "Ceremonial RWe"or'01her describe below
Name of Outside Organization
C. (include address and description)
Number
of Ticket's)/
Passes
Describe the public purpose made pursuant to the agency's policy
4. Verification
I have read and understand
with the requirements.
Comment:
Regulations 18944. 1 and 18942. 1 have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Title (monthday year)
FPPC Forin 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)