2017-02-25 Modernism Week Trailer ShowAgency 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 (Narne,Title)
Cindy Cairns, Executive Services Administrator
Area CodelPhone Number E-mail
760-322-8362 1 cindy.cairns@palmspringsca.gov
A Public Document
2011 APR 24 PH N: 4 for Official Use Only
FiCE O I'riEc City LCi o.
❑ Amendment (Must Provide Explanation in Part 3.)
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 $ 20.00
Event Description: Modernism Wk Vintage Trailer Show Date(s) 02 / 25 / 17 021 26 / 17
Provide TltielExplanahbn
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 ofTlcketisy Describe the public purpose made pursuant to the agency's policy
Passes
B.
Moon, Robert
Foat, Ginny
Name of Individual
(Last, First)
of icketlsy Identify one of the following:
Passes
Ceremonial Role ❑ Other 0 Income ❑
2 If checking `Ceremonial Role" or "Other' describe below.
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ other Q Income ❑
2 «checking `Cen?moniai Role'Or `Other' describe below:
Public Purpose as defined by PS Resolution No. 22454
C. Name of Outside Organization I of Ticksgsy I Describe the public purpose made pursuant to the agency's policy
(include address and description) Passes
4. Verification
1 have read and under
with the requirements.
Signature of Agency
Comment:
Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
David Ready City Manager tUzz J1 (7
Print Name Title (m nth, da), year)
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
802
Agency Report of: uaiffOrriia
Ceremonial Role Events and TickeVPass Distributions Fonn
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 8 to identify an individual. • Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit
of Tickegay
Passes
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
(Last, First)
Number
of Ticket(sy
Passes
identify one of the following:
Mills, Chris
2
Ceremonial Role ❑ Other El Income ❑
kfchacking`CeremonialRole" or"OthePdescribebelow.
Public Purpose as defined by PS Resolution No. 22454
KOrs, Geoff
2
Ceremonial Role ❑ Other ® Income ❑
If checking "Ceremonial Role" or "Other' describe below_
Public Purpose as defined by PS Resolution No. 22454
Roberts, J.R.
2
Ceremonial Role ❑ Other ® Income ❑
it checking °Ceremonial Role"or"Other'describebelow-
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
1f checking "Ceremonial Role" or "Other describe below:
Name of Outside Organization
(include address and description)
Number�, of Tlcket(sjl
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)