2017-05-05 Coachella Valley Symphony ConcertAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
, Department, or Region (if applicable)
Designated Agency Contact (Name,Title) 'N"
Cindy Cairns, Executive Services Administrator
Area Code/Phone Number E-mail
A Public Document
Dat p�t I V L -orm • 1,
Q F p r , I- M 5 or tiff cial Use Only
2011 MAY 18 PM 6.. 40
❑ Amendment (Must Provide Explanation in Part 3.)
760-322-8362 cindy.cairns@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 $ 65.00
Event Description: Coachella Valley Symphony Concert Date(s) 05 /. 05 1 17 J�
Provide Title/Expianalion
Tickets)/Pass(es) provided by agency? Yes ❑ No ® If no: Coachella Valley Symphony
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 Tlckeg*Y Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual ofTickeyey Identity one of the following:
(Last, First) passes
Ceremonial Role ❑ Other ® rimme ❑
MOOR, Robert 2 It checking`Ceremoni2lRde"or°p[he descnbebelow.
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other x❑ Income ❑
lrchecking Ceremonial Rde" or "Other" descnbe below:
C. Name of Outside Organization I of Tlaket(su I Describe the public purpose made pursuant to the agency's policy
(include address and description) Passes
4. Verification
1 have read and understand FT,Q Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with the requirements.
.k if David Ready City Manager 5/1
Signature ofAg2!H:7
ignee Print Name Title (month, day, year)
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866JASK-FPPC (866f275-3772)