2016-02-27 Opera Arts When I RiseRECEIVED
Agency Report of: CITY OF PALM SpRING'v
Ceremonial Role Events and Ticket/Pass Distr r km 9; 08
me
City of Palm Springs
or
Jennifer Nelson, Executive Asst. to Mayor/Council
Date Stamp
DAMES TFi ERK
760-323-8200 1 jennifer.nelson@paimspdngsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes
No ❑
Mizell Stars Among Us Gala 2 27 16 -1 N
Event Description Date(s) I I
Provide Tirle/Explanation,, a•
•�=
Ticket(s)IPass(es) provided by agency? Yes ❑ No ® Mizell Senior Center If no'
Name of Source y- ;
Was ticket distribution made at the behest No ® Yes ❑ If yes-
of agency official? ofratiat's Name (Last, Firsfl- . S9
3. Recipients
co
*Use Secdon A to identify the agency's department or unit a Use section O to Identify an Individual. *Use section C to identify an oudwe organization.
Number of
A. Name of Agency, Department or Unit Tlc"su Describe the public purpose made pursuant to the ageacy's Macy
Pasa;es)
A Public Document
For OfWal Use Only
❑ Amendment {Must provide explanation In Part 3.
Date of Original Filing:
(Month, Day Year)
Face Value of Each Ticket/Pass $
B. Name of Individual Number of
Lw rni Tickettsy Identify one of the following:
Passtesl
Mills, Chris
Ready, David
285.00
Ceremonial Role ❑ Other ® Income ❑
lrchftkr,g'Ceremonlal Rofe' or %Nher describe below
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income
N checking 'Commonlei Rore' or'OtheP describe below
Public Purpose as defined by PS Resolution No. 22454
CName of Outside Organization Number of
(include address and description) Tickegsp Describe the public purpose made pursuant to the agency's policy
Passtes}
t have read and understand F Regrrtahons 18944 1 and 18942 1 have verified that the distribuh'on set forth above is in accordance Mth the regWrements.
r
David H. Ready City Manager
Signature afAgeA HWPF Designee Pdnt Name TIM (Month. Day, Year)
Comment:
FPPC Form 802 (4112)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-TT72)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Ron 0 =1
Continuation Sheet
A Public Document
Agency Name
City of Palm Springs
3. Recipients
. 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.
A. Name of Agency, Department or Unit
Number of
Tiekegs)I
Describe the public purpose made pursuant to the agency's policy
Passes)
B. Noma of individual
Number of
Tlcket(s)l
Identify one of the fW orwing:
�••c ra,a)
Passes)
Ceremonial Role ❑ Olher ® income ❑
Roberts, J.R.
2
if chacfa}p"CeremonrefRofe or Other' describe below
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Lyons, Ken
2
NchmkirV ceremwia,R&o'or*ohereesc beberow
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Holland, Doug
2
11chec"'CommoMalfte"or -Yrherdescrrbebelow
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ❑ Income ❑
ftchacfdng "Ceremonial Role"or'Other'descrrbe below
Name of Outside Organization
C. (Include address and description)
Number of
Ticke#sy
Describe the public purpose made pursuant to the agency's policy
Pass{es)
FPPC Form 802 (4112)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-7772)