2017-02-06 Modernism Week Opening Night PartyAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
Division, Department, or Region (if applicable)
Designated Agency Contact (Name, Title)
Cindy Cairns, Executive Services Administrator
Area Code/Phone Number E-mail
760-322-8362 1 cindy.cairns@palmspringsca.gov
A Public Document
i '( UdabOtEAW SDP R California 802
117 APR 24 PH 5; V4 For Official Use Only
ICE Gi Ti E Cif Y
❑ Amendment (Must Provide Explanation in Part 3.)
Data of Original Filing:
(month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 150.00
g Y P Y � Yes ® No ❑
Event Description: Modernism Week Opening Night Party Date(s) 02 l 16 / 17
Provide Tide/Exoanah'on
Ticket(s)/Pass(es) provided by agency? Yes ❑ No ® If no: Modernism Week
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
of agency official?
Official's Name (Last, First)
3. Recipients
• Use Section A to identify the agency's department or unit. I Use Section R to identify an individual. • Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit of Ticket(sy Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Moon, Robert
Foat, Ginny
C. Name of Outside Organization
(include address and description)
■
4. Verification
I have read and under
with the requirements.
gnature of Agency Head
Comment:
Number
of Tickegay Identify one of the following:
Passes
Ceremonial Role ❑ Other ® income ❑
3 if checking 'Cammanial Raie" or "Other' describe below_
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other E l Income ❑
3 If checking "Ceremonial Rde' or "Other' describe below.
Public Purpose as defined by PS Resolution No. 22454
Number
of Tlekegay Describe the public purpose made pursuant to the agency's policy
Passes
Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Title tmorith, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
802
Agency Report of: uantornia
Ceremonial Role Events and Ticket/Pass Distributions Form
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.
Number
A. Name of Agency, Department or Unit
of Tlaket(sjt
Passes
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
(Lest, First)
Number
of Ticket(s)1
Passes
Identify one of the following:
Mills, Chris
2
Ceremonial Role ❑ other El Income ❑
if checking "Ceremonial Role" or "Other" describe below:
Public Purpose as defined by PS Resolution No. 22454
Kors, Geoff
2
Ceremonial Role ❑ Other ® Income ❑
If checking "Ceremonial Roie" or "Othef descnbe below:
Public Purpose as defined by PS Resolution No. 22454
Roberts, J.R.
2
Ceremonial Role ❑ Other ® Income ❑
If checking 'CeremonialRoie"or°Other describe below.
Public Purpose as defined by PS Resolution No. 22454
Ready, David
Ceremonial Role ❑ Other ® Income ❑
lfchecking"Ceremonial Role"or"Other'descnbebelow
Public Purpose as defined by PS Resolution No. 22454
Name of Outside O anaation
C.rg
(include address and description)
Number
of Ticket(sjl
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form $02 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Form 802 —Additional Tickets for Modernism Week Opening Night Part02 16 17
Fuller, Marcus — 2, Public Purpose as described by PS Resolution No. 22454
Fagg, Flinn — 2, Public Purpose as described by PS Resolution No. 22454