2019-12-13 Athena AwardsAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name CITY
City of Palm Springs
Division. Deoartment, or Region (if applicable) 2020
Designated Agency Contact (Name. Title)
Shari Wrona, Executive Services Administrator
A Public Document
PA �f SINGS 0 1
15 PM 6: 21 For Official Use Only
THE CITY CLEF I
❑ Amendment (Must Provde Explanation in Part 3 )
760-322-8632 I shari.wrona@palmspringsca.gov I Date of Original Filing: (month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 85.00
g y p y Yes® No
Event Description: Athena Awards Date(s) 12 ) 13 / 19 121 13 / t9
Provide 76e/Explanahon
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:
Orfirial's Name (Last First)
of agency official?
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 Tickeqsli
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last. First)
Number
of Tickegs)/
Passes
Identify one of the following:
Ceremonial Role ❑ Other ❑x Income ❑
Kors, Geoff
2
Ocne ksrg Ceremonial Rd or' Other describe below
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Ceremonial Role ❑ Other ❑)t Income ❑
Woods, Dennis
2
ui,he k, wremonweae ,r Other de cabs w
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Name of Outside Organization
C. (include address and description)
Number
of Ticketls)I
Passes
Describe the public purpose made pursuant to the agency's policy
4. Verification
I have read and understand
with the requirements.
Comment:
18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Title (rtwnth, day year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Agency Report of: 4 9
Ceremonial Role Events and TicketlPass Distributions im
Continuation Sheet 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.
A. Name of Agency, Department or Unit
of Tickegs)f
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
ofTicket(s)l
Passes
Identify one of the following:
Ceremonial Role ❑ Other El Income ❑
Garner, Grace
1
ltchecW'ng'Cemmoniai Role'or'Othereescnbe below:
Public Purpose as described by PS Resolution No. 22454,
Section 1(d)(vii)(viii)(xi)
Ceremonial Role ❑ Other ® . Income ❑
Blaisdell, Amy
1
IlcheckingToneaonial Role-or'Otheedescnbe below:
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii xi
Ceremonial Role ❑ Other ® income ❑
Jones, Tee
1
lrcheckng'Cemmonial Role•or'Other*descnbebelom
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii xi
Ceremonial Role ❑ Other lK1 Income ❑
Hampton, Rob
1
1/checkng-Cemmmial Rale-or-Otherdesalbebelow
Public Purpose as described by PS Resolution No. 22454,
Section 1(d)(vii)(xi)
Name of Outside Organization
C.
(include address and description)
Number
of Ticket(s)I
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Form 802—Additional Tickets for 121319 Athena Awards
Ginther, Mary Jo -1, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(A)
Ballinger, Jeff —1, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(xi)