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2019-12-16 Well in the Desert Jam Session VIIAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name CIT OF PRIM re i City of Palm Springs Division, Department, or Region (if applicable) JAN 15 PM 6: 2 For Official use only r,....;.....,...w ,,...... r•,..,.­. ,ht,me r;,,e, E OF THE CITY CLE ;i' Shari Wrona, Executive Services Administrator ❑ Amendment (Must Provide Explanation in Pan 3.) 760-322-8632 I shari.wrona@palmspringsca.gov I Date of Original Filing: lmonth, day. year) 2. Function or Event Information Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 125.00 9 Y P Y Yes® No Event Description: Well in the Desert Jam Session VII Date(s) 12 / 16 / 19 12/ 16 l 19 Provide Title/Explanation Ticket(s)/Pass(es) provided by agency? Yes ® No ❑ Was ticket distribution made at the behest yes ❑ No of agency official? If no: Name or Source If yes: Official's Name (Last First) 3. Recipients • Une Section A to identify the agency's department or unit. • Use Section 8 to identify an individual. • Use Section C to identify an outside organization. A Name of Agency, Department or Unit Number of Tickegs)/ Describe the public purpose made pursuant to the agency's policy Passes B. Name of Individual Number of Tickeysl/ Identify one of the following: (Last. First) Passes Ceremonial Role ❑ Other ❑ Income ❑ Holstege, Christy 1 1l checking "Ceremomat Rote- or Other descnbe belmv Public Purpose as described by PS Resolution No. 22454, Section 1 d vii viii xi Ceremonial Role ❑ Other ❑ Income ❑ tl checking'Ceremonial Role or Mae describe bePow Name of Outside Organization C. (include address and tlescription) Number of Tickentls)/ 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. I have verified that the distribution set forth above, is in accordance David Ready City Manager Print Name Title (month, day, year) FPPC Form 802(2/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)