2017-02-17 Moderism Week Preview PartyAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
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
zs�=—T
;} i f OF
P r,LH 5P
201i APB 24 PM '
41or Official Use Only
FiCC OF TbE cwf jcujr' J
] Amendment (Must Provide Explanadon in Par73)
Date of Original Filing:
(month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 75.00
k P P rt 02 17 17
Event Description: Modernism Wee review a y Date(s)
Provide 77tle/Explana5on
Ticket(s)/Pass(es) provided by agency? Yes ❑ No ® If no: PS Modernism Week
Name of Source
Was ticket 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 identify an outside organization.
Number
A. Name of Agency, department or Unit of"newsy Describe the public purpose made pursuant to the agency's policy
Passsa
B.
Moon, Robert
Foat, Ginny
Name of Individual
(Last First)
of Ticket(s)i I Identify one of the following:
Passes
Ceremonial Role ❑ Other i] Income ❑
4 If checking "Ceremonial Role" or "Other cesc lbe below:
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other 0 Income ❑
2 Ifchecking "Ceremonial Role" or "Other" descdbe below:
Public Purpose as defined by PS Resolution No. 22454
Name of Outside Or anization Number
C. g of Tlckagstt Describe the public purpose made pursuant to the agency's policy
(include address and description) Passes
4. Verification
1 have read and understand
with the requirements_
or
Comment:
18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
David Ready City Manager T! oc 1 1 1
Print Name Title (month, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
Agency Name
A Public Document
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, Departmertt or Unit
of Tlcket(ey
Passes
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
{Last, First}
Number
of Ticl egay
Passes
Identify one of the following:
Mills, Chris
2
Ceremonial Role ❑ Other El Income ❑
Ifchecidng"CemmonlaiRole" or"Other'descnbeWOW
Public Purpose as defined by PS Resolution No. 22454
Kors, Geoff
2
Ceremonial Role ❑ Other ® Income ❑
if checking "Ceremontai Rde" or "Other' describe befcw:
Public Purpose as defined by PS Resolution No. 22454
Roberts, J.R.
2
Ceremonial Role ❑ Other ® Income ❑
lfcheckng'CeremonialRde"or"Oche descreeDefow:
Public Purpose as defined by PS Resolution No. 22454
Hart, Kathie
2
Ceremonial Role ❑ Other ® Income ❑
If checking"CefemonielRole"or"01her"describebelow.
Public Purpose as defined by PS Resolution No. 22454
Name of Outside Organiration
C. (include address and description)
Number
of TIckegsu
passes
Describe the public purpose made pursuant to the a enc s
p agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866IASK-FPPC (8661275-3772)
Form 802—Additional Tickets for Modernism Week Preview Party & Show, 02 17 17
Goolsby, Denise — 2, Public Purpose as described by PS Resolution No. 22454
Gladders, Craig — 2, Public Purpose as described by PS Resolution No. 22454
Page, Greg — 2, Public Purpose as described by PS Resolution No. 22454