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2017-05-05 ACBCI Milanovick Legacy HikeAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name D 7cial City of Palm Springs OF P ALM SPRIDivision, Department, or Region (if applicable) Use Only A�4/2111 MAY 18 PM6:Designated Agency contact (Name, Title) �it,LICindy Cairns, Executive Services AdministratorIJ� r � ❑ Amendment {Must Provide Explanation in Part 3.) i f Orgin l Filing: 760-322-8362 cindy.cairns@palmspringsCa.gov Date o(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 Description: ACBCI Milanovich Legacy Hike Date(s) 05 1 05 r 17 _1 1 Provide Tide/Explanation Ticket(s)1Pass(es) provided by agency? Yes ❑ No ® If no: Agua Caliente Band of Cahuilla Indians 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 of Tlcket(sa Describe the public purpose made pursuant to the agency's policy Passes A Roberts, J.R. Reyes, Bryan Name of Individual (Last, First) of Tickegsy I Identify one of the following: Passes Ceremonial Role ❑ Other © Income ❑ If checKng "Ceremoniai Role" or "Other" descoW below - Public Purpose as defined by PS Resolution No. 22454 Ceremonial Role ❑ Other i] Income ❑ 1 it checktng 'Ceremonial Role" ar "Other"describe below: Public Purpose as defined by PS Resolution No. 22454 Name of Outside Organization Number C. (Include address and description) of nckegs)i Describe the public purpose made pursuant to the agency's policy Passes 4. Verification 1 have read and under with the requirements. Comment: Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance David Ready City Manager 5/11117 Print Name Title (month, day, year) FPPC Form 802 (212016) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Agency Report of: - Ceremonial Role Events and Ticket/Pass DistributionsForm u02 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 B to identify an individual. -Use Section C to identify an outside organization. Mumhor A. Name of Agency, Department or Unit of Ticketisjf Passes Describe the public purpose made pursuant to the agency's policy B. Name of Individual (Last, First) Number of Tlaketisa Passes Identify one of the following: Combs, Walter Ceremonial Role ❑ Other El Income ❑ ffchecking `Cemmonial Role" or`Other' describe below Public Purpose as defined by PS Resolution No. 22454 Peeters, Hank Ceremonial Role ❑ Other ® Income ❑ ffchecking'CeremomalRble"or "Othee'describebelow. Public Purpose as defined by PS Resolution No. 22454 Ceremonial Role ❑ Other ❑ Income ❑ ff checking 'Ceremonial Role" or 'othe' describe below, Ceremonial Role ❑ Other ❑ Income ❑ d checking -Ceremonial Role" or'Orher' descrbe below: Name of Outside Organization C. (include address and description) Number of Tlekagsjl Passes Describe the public purpose made pursuant to the agency's policy FPPC Form 802 (212016) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)