2018-11-01--2019-04-18 Badge Days at Big Bear Snow PlayAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document ~----------------------------~--------1. Agency Name Date Stamp California 802
Form C ity of Palm Springs
=:-..,.....,--=-------,,,,--.,....-------------,..,,...,,~-~ L, P'1 \ 1·: 50 ForOfficiaJUseOnly Division, Department, or Region (if applicable) 20 i/1 I , Li
Designated Agency Contact (Name, Title)
Shari Wrona , Executive Services Ad ministrator
Area Code/Phone Number
760-322-8632
E-ma il
shari.wrona@palmspringsca.gov
0 Amendment (Must Provide Explanation in P art 3.)
Date of Original Filing:--,--.,,.--.--....,.,,.-
(month, day, year)
2. Function or Event Information
Does the agency have a t icket policy? Yes [81 No • Face Value of Each Ticket/Pass $ _3_5_.o_o _____ _
Ev ent Description: Badge Days at Big Bear Snow Play
Provide Title/ Explanation
Ticket(s)/Pass(es) provided by agency? Yes • No~ If no: _B...:ig'-B_e_a_r_S_n_o_w_P_l_a.a..y __________ _
Name of Source
Was t ick et distribution made at the behest Yes • No ~ If yes: ----.,,,..,....,,..-----,,,---:,,----------
official'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 id entjfy a n outside organizat ion.
Number
A. Name of Agency, Department or Unit of Ticket(s)I Describe the public purpose made pursuant to t he agency's policy
Passes
Number
B. Name of Ind ividual of Ticket(s)/ Identify one of the following:
(Last. First) Passes
Gunkel , Nathan Ceremonial Role 0 Other [BJ Income D
If checking ·ceremonial Role" or ·othet" clescnbe below" 2 Public Purpose as described by P S Resolut ion No. 22454,
Section 1 (d)(x)
Hays, Walter Ceremonial Role D Other IE] Income 0
2 If checking 'Ceremonial Role• or ·othet" clescnbe below
Public Purpose as desc ribed by PS Re solution No . 22454,
Section 1 {d)(x)
Name of Outside Organization Number
C. of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy
(include address and description) Passes
4. Verification
Regulations 18944 .1 and 18942. I have verified that the distribution set forth above, is in accordance
with the requirements.
David Ready
Signature of Agency Head or Print Name
City Manager
TIiie (month, day. year)
FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 866IASK-FPPC (866/275-3772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
California 802
Form
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 ofTicket(sJ/
Number
Passes
r -----Number -
B. Name of Individual ofTicket(s)/
I (Last, First) Passes
Johnson, K 1
Kelsheimer, Jeff
2
Kolbeck, Staci 2
Levinson, Travis 2
I Name of Outside Organization Number
C. of Ticket(s)f
'
(include address and description) Passes .
Describe the public purpose made pursuant to the agency's policy I
I
. -------------l Identify one of the following:
!
Ceremonial Role D Other ig] Income D
It checking ·ceremonial Role" or"Other" describe below:
Public Purpose as described by PS Resolution No. 22454,
Section 1 (d)(x)
Ceremonial Role D Other@ Income D
If checking "Ceremonial ROie" or"Other" describe below:
Public Purpose as described by PS Resolution No. 22454,
Section 1 (d)(x)
Ceremonial Role D Other@ Income D
If checking ·ceremonial ROie" or"Other" describe below:
Public Purpose as described by PS Resolution No. 22454,
Section 1 ld)fxl
Ceremonial Role D Other@ Income D
If checking •ceremonial Role" or "Other" describe below:
Public Purpose as described by PS Resolution No. 22454,
Section 1 (d)(x)
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
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