2016-02-11 Modernism Week Opening NightAgency Report of: RECEIVED
Ceremonial Role Events and Ticket/Pass Distributign -OF PALM SPRING .'��Public Document
9. Agency Name 2816 F 231IM6.npl O4f oily
City of Palm Springs
or
Jennifer Nelson, Executive Asst. to Mayor/Council
760-323-8200 1 jennifer.nelson@palmspdngsca.gov
— - ■ ■
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description PS Modernism Week Opening night
Provide rrde/Explanstion
-11 S T H O M P S O Far otrdal Use Only
CITY CLERK
❑ Amendment (Must provide explanation in Part 3 J
Date of Original Filing:
(Month, Day, Year)
Face Value of Each Ticket/Pass $
Date(s) 21 11 r 16
150.00
Ticket(s)IPass(es) provided by agency? Yes ❑ No ® If no. PS Modernism Committee
Name of Source
Was ticket distribution made at the behest No ® Yes ❑ if yes -
of agency official? afrda: s Name,Lest, Fi.ml;
3. Recipients
*Use Section A to identify the agency's department or unit. *Use section a to identify an Individual. a Use section C to Identify an outside organization.
A. Name of Agency, Department or Unit
Number of
Ticket(s)l
Describe the public purpose made pursuant to the agency's policy
Passes)
Name of Individual
B. r�
Number of
Ticket(s)r
Identify one of the following:
Pass(es)
ceremonial Rae ❑ Other ® Income ❑
Blaisdell, Amy
ffchecking -Ceremonia7Rde"or"Other"descrlbebabw
2
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Thompson, Jay
frcheckiip -Ceremonial Rde- or'OMee describe below
2
Public Purpose as defined by PS Resolution No. 22454
Name of Outside Organization
C. (include address and description)
Number of
Ticket(s)l
Describe the public purpose made pursuant to the agency's policy
Passes)
4. Verification
1 have read and understand FPPC Regulations 18944. t and 18942. 1 have verified that the disinbutim set forth above, is in accordance with the requirements.
+
David H. Ready City Manager
Sioneture o! donee Print Name Me (Month. MY. Year)
Comment:
FPPC Form 802 (4112)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-7772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions " '
Continuation Sheet '
rm
A Public Document
Agency Name
City of Palm Springs
3. Recipients
• Use Section A to identify the agency's department or unit. • Use Section S to Identify an Individual. a Use Section C to identify an outside organization.
A. Name of Agency, Department or Unit
9 cy+ Pa
Number of
Tk:ketts)r
Describe the public u
p purpose made pursuant to the agency's policy
Passes)
B. Name of Individual
Numberof
licket(s)l
Identity one of the following:
N� FWM
Passes)
Ceremonial Role ❑ Other IN Income ❑
Morris, Jahn
2
Ncheckrrp CeremonWRole or,Otherdescribehelow-
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
DeGarmo, Dan
2
NcheckrVVeremonialRole-orrotherdeso;bebelow
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Cobrin, Sheila
2
itcheant TeremordalRde•or•othefdescribe bemw-
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Murray, LOCI
3
dcheUdng'CeremonialRole'or'Olhefdescnbebelow,
Public Purpose as defined by PS Resolution No. 22454
C.Name of Outside Organization
{Include address and description}
Number of
Tlckatls)i
Describe the public purpose made pursuant to the agency's policy
Passes)
FPPC Form 802 (4112)
FPPC Tall -Free Helpline: 8661ASK-FPPC (8661275-7772)
Additional Attendees — PS Modernism Week Opening Night 2/11/16
Luz Pope, 2 — Public Purpose as defined by PS Resolution No. 22454