2017-01-29 Coachella Valley Symphony ConcertAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name' I t Y C FOP A Lw3r3wP � G. e
tatirornia
City of Palm Springs e
02
Division, Department, or Region (if applicable) 2011APR 24 PM 5: 44 For Official Use Only
Designated Agency Contact (Name, Title) affic ot�- njL C1`Y ci_LR 1
Cindy Cairns, Executive Services Administrator
❑ Amendment (Must Provide Explanation in Part 3.)
Area CodelPhone Number E-mail
760-322-8362 1 cindy.cairns@palmspringsca.gov Date of Original Filing: (month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: CV Symphony Piano Forte II Concert
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ❑ No El
Face Value of Each Ticket/Pass $ 65.00
Date(s) 01 1 29 / 17 �l�!
If no: CV Symphony
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Official's Name (Last, Firs
of agency official? t)
3. Recipients
• Use Section A to identify the agency's department or unit. • Use Section S to identify an individual. • Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit of Tickegay Describe the public purpose made pursuant to the agency's policy
Passes
B.
Moon, Robert
Name of Individual
(Last, First)
of licket(sy ( Identify one of the following:
Passes
Ceremonial Role ❑ Other ❑x Income ❑
2 if checking "Ceremonial Role" or 'other' describe below:
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ❑X Income ❑
If checking 'Ceremonial Role" or "Other' descnbe beiow:
C. Name of Outside Organisation I Tlckeysy I Describe the public purpose made pursuant to the agency's policy
(include address and description) Passes
4. Verification
1 have read and understand FPP gulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with the requirements.
David Ready City Manager
Signature of Agency Head or s r Print Name Title (month, day, year)
Comment:
FPPC Form 802 (2/2016)
FPPC Toll -Free Nelpline: 866/ASK-FPPC (8661275-3772)