2017-04-08 Digicom LuncheonAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
'I. Agency Name R LDOV"D
City of Palm Springs I `t" OF PALM S P R I N e
Division, Department, or Region (ifapplicabie) For Official Use Only
2617 APR 24 PM 5= 4
Designated Agency Contact (Name.Titie) iF C E GF I't i'I i.1' Gi
Cindy Cairns, Executive Services Administrator
❑ Amendment (Must Provide Explanation in Part 3.)
Area CodefP hone Number IE-mall
760-322-8362 1 cindy.cairns@palmspringsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 75.00
9 Y P Y� Yes® NO
Event Description: DIGICOM Luncheon Date(s) 4/ 08 i 17 � f
Provide Titfe/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ® No ❑ If no:
Date of Original Filing:
(month, day, year)
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes'
officiars 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 Ticket;sy Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual of Ticketlsy Identify one of the following:
(Last, First) Passes
Moon, Robert Ceremonial Role ❑ Other ❑X Income ❑
1 it checking "Ceremoniar Role" or ^Orhe✓' descnbe below.
Public Purpose as defined by PS Resolution No. 22454
Roberts, J.R. Ceremonial Role ❑ other ❑X Income ❑
1 If checking 'Ceremonial Role" or "Other' describe below.
Public Purpose as defined by PS Resolution No. 22454
Name of Outside Organization Number
of Ticket;sy Describe the public purpose made pursuant to the agency's policy
C. (include address and description)
Passes
4. Verification
I have read and t
with the requirem
Signature of
Comment:
FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
I "' v Q MEAD�1 C," MiW: 6FF- ,-W11
or Designee Print Name I Title (month, day, year)
FPPC Form 802 (2120161
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)