2016-02-12 Modernism Week Preview ShowAgency Report of: '
Ceremonial Role Events and Ticket/Pass DistribUIPW PALM SPRING',. '; public Document
1. Agency Name 2118 FEB 23 R 10Si
-:70 ~ MOtrichg
City of Palm SpringsFor Use Only
Division, Department, or Region (if Applicable) JAMEE T H 0 H P W r�
CITY CLERK
Designated Agency Contact (Name.Titte)
Jennifer Nelson, Executive Asst. to Mayor/Council ❑ Amendment (Must provide explanation in Part 3.)
Area ode/one Number E-mail
760-323-8200 jennifer.nelson@palmspringsca.gov Date of Original Filing:
(Month, Day, Year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each TicketlPass $ 75.00
9 Y P cY Yes ® No ❑
Event Description
PS Modernism �� ism Week VIP preview show 2 12 16
1 1
Provide TrHe,'Explanabon
Ticket(s)lPass(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? ofsoar's Name (Last, First)
3. Recipients
e 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
Number of
Ticksgs)l
Describe the public purpose made pursuant to the agency's policy
Pass(es)
Na
B. Name of Individual
Number of
licket(all
Identify one of the followlog
� 43�
Pass(es)
Ceremonial Role ❑ other ® Income ❑
Mills, Chris
11checlvr*TeremoaialRom or therdesedbebelow
2
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Foat, Ginny
lfrheckftTemmonfalRole- or'Orher•desafbebelow
2
Public Purpose as defined by PS Resolution No. 22454
C. Name of Outside organization
(Include address and description}
lick es !!
eq }
Describe the public u
p purpose made pursuant to the agency's policy
Passes)
4. Verification
t have read and understand FPPC ons 18944 1 and 18942. 1 have verified that the distfibudon set forth above. is in accordance with the requirements.
David H. Ready City Manager
Spnafun aAgpfhpAj4fV1W Print Name 7700 (Month, Day Yea•l
Comment:
FPPC Form 802 (4112j
FPPC Toll -Free Helpline: 6661ASK-FPPC (8661276-7772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions e
Continuation Sheet e
A Public Document
Agency Name
City of Palm Springs
3. Recipients
a Use Section A to Identify the agency's department or unit. a Use Section S to identify an individual. a Use Section C to identify an outside organization_
g ncy, Department or UnR
A. Name of A e
Number at
7iekel(s)1
Describe the public purpose made pursuant to the agency's policy
Passes)
B. Name of Individual
Number of
Tiakegs)!
Identify one of the following:
(lot r rwi
Pass(es)
Ceremonial Role ❑ other ® Income ❑
Kors, Geoff
2
ftchwkng 'Ceremonial Rde' or'OM&r desWbe below
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Roberts, J.R.
2
9checkrg'Ceremonial Rofe'or'ptheedeserUmbelow,
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® income ❑
Cobrin, Sheila
2
llcheckng-CeremanfalRofe'ar'Otheedewnbebelow-
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® income ❑
Moon, Robert
2
ftchecfdrg'CeremmialRde'or' de be w,
Public Purpose as defined by PS Resolution No. 22454
C.Name of Outside Organization
(include address and description)
Number of
Ticket(s)1
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 VIP Show 2/12/16
1. John Morris, 4—Public Purpose as defined by PS Resolution No. 22454
2. Denise Bystrzycki, 2 - Public Purpose as defined by PS Resolution No. 22454
3. Greg Paige, 2 - Public Purpose as defined by PS Resolution No. 22454