2017-03-31 Well in the Desert Fools FollyAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name nte:E4*E D MOnly
City of Palm Springs Ir y0F PAL M S P R i
For Official UseDivision, Department, or Region (if applicable) 2 ll APR 24 PM5i
Designated Agency Contact (Name, Title)
Oi
ICE OF 1 fir= Cl I Y CLL (a',
Cindy Cairns, Executive Services Administrator
❑ Amendment (Must Provide Explanation in Part 3)
Area Code/Phone Number
E-mail
760-322-8362
cindy.caims@paimspringsca.gov
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 $ 100.00
Event Description: Well in the Desert's Fools Folly Date(s) 31 31 17
Provide Tile/Explanation
Ticket(s)/Pass(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 B to identify an individual. • Use Section C to identify an outside organization.
A. Name of Agency, Department or Unit
Number
of Ticketis)t
Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual of Tlckegsy Identify one of the following:
(Last, First) Passes
Ceremonial Role ❑ Other 17 Income ❑
Moon, Robert 1 If checkingmonialRole"or'Othee'descnbebelow:
Public Purpose`Cereas defined by PS Resolution No. 22454
Ceremonial Role ® Other ❑ Income ❑
It checking °Ceremonial Rcle" or "Other' describe below,
Name of Outside Organization Number
of eW Describe the public purpose made pursuant to the agency's policy
C. (include address and description)
Passesasses
4. Verification
i have read and underst PC Regulations 18944.1 and 16942. 1 have vended that the distribution set forth above, is in accordance
with the requirements.
David Ready City Manager +2D 1-7
Sianature of Aaencv Hedd of Designee Print Name Title (month, day, year)
Comment:
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)