2017-04-12 Sheriffs Annual Awards CeremonyAgency 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 CodelPhone Number E-mail
760-322-8362 1 cindy.cairns@palmspringsca.gov
A Public Document
iiy OF P iCI`iSP
2211 MAY 16 PH Wr Official Use Only
e r-
❑ 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 $ 30.00
Event Descriptions Sheriffs Annual Awards Ceremony Date(s) 04 1 12 1 17 1
Provide rtiel 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:
Officials 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
of Tlcketlsy Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual of licketIty Identify one of the following:
(Last, First) I pasaas
Moon, Robert
Ceremonial Role ❑ Other ❑X Income ❑
1 If checking `Ceremoniai Rola"Or ^Other' describe below:
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other Q Income ❑
ff checking "Ceremoniai Role"or "Other describe below
Name of Outside Organization Number
C. (include address and description) ofpassesi I Describe the Public purpose made pursuant to agency's policy
4. Verification
I have read and
with the reouirei
Comm
Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
i David Ready City Manager 5110 11-7
or Designee Print Name Title (month, ay, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC 18661275-3772)