2017-03-26 Opera Arts When I RiseAgency 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
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description. Opera Arts PS When I Rise V
A Public Document
DakEt"IVEC, Californiae
0,2
For Official Use Only
2011 APR 24 PM 43
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
Face Value of Each Ticket/Pass $ 150.00
Date(s) 31 26 1 17
Provide Trtle/Explanation
Ticket(s)lPass(es) provided by agency? Yes ® No ❑ If no: 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 S to identify an individual. • Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit of Mcket(sy Describe the public purpose made pursuant to the agency's policy
Passes
B.
Moon, Robert
Name of Individual
(Last, First)
of 1ickeas) I Identify one of the following:
Passes
Ceremonial Role ❑ Other ® Income ❑
1 If checking'Cemmonial Role" or 'Other" describe below:
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ® Other ❑ Income ❑
If checking 'Ceremonial ROW' of 'Other" describe below:
C. Name of Outside Organization I of Tlekai(a)1 Describe the public purpose made pursuant to the agency's policy
(include address and description) Passes
4. Verification
I have read and understand
with the requirements.
nature
Comment:
Regulations 18944.1 and 16942. 1 have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Title month, da , year)
FPPG Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPG (8661275-3772)