2016-03-16 Chamber Golf TournamentAgency Report of:
Ceremonial Role Events and Ticket/Pass Distri
City of Palm Springs
Division, Department, or
uesignatea ,agency contact (Name. Tine)
Jennifer Nelson, Executive Asst. to Mayor/Council
� ECEIVIED
F PALM
SPRING
2016 MAR 3 PM� 2: Tb
JAMES THOMFSeNi
CITY CLERIC
r
760-323-8200 1 jennifer.nelson@palmspringsca.gov
Function or Event Information
Public Document
For Official use Only
❑ Amendment (Must provide explanation in Part 3.)
Date of Original Filing:
{Month, Day. Year}
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each TickettPass $ .
Event Description PS Chamber Golf Tournament Date(s) 31 16 1 16
Provide TRI&Explanabon
Ticket(s)IPass(es) provided by agency? Yes ❑ No IN
If no: PS Chamber of Commerce
Name of Source
200.00
Was ticket distribution made at the behest No ® Yes ❑ If yes -
of agency official? Official's Name (Last, First)
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 or Agency, Department or unit
� ber of
kst(s)t
Describe the public purpose made pursuant to the
P P rR R agency's policy
Pass(es)
B. Name of Individual
•
Number of
Ticiket(sy
Identify one of the following:
"N&
pass(es)
Ceremonial Role ❑ Other ® Income ❑
Nalder, Kevin
Ifehecldng'CwemmialRofe or OMerdeswbebelow
1
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® 1 ncome ❑
Loya, Jason
ltchecidrig CeremmialRoWor Othardesmbebetow
t
Public Purpose as defined by PS Resolution No. 22454
, Name of Outside Organization
(include address and description)
Number of
Ticket(s)l
Describe the public purpose made pursuant to the agency's policy
Pass(as)
4. Verification
I have read and understand FPP dons 18944 1 and 18942. 1 have verified that the distribudon set forth above. is in accordance with the requirements.
David H. Ready City Manager
Signature of Agency ba algnee Print Name TWO (Month, Day, Year)
Comment:
FPPC Form 802 (4112)
FPPC Toll -Free Helpline: 8661ASK-FPPC 18661275-7772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
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 B to Identify an individual. *Use Section C to Identify an outside organization.
Number of
A. Name of Agency, Department or Unit Tickegsu describe the public purpose made pursuant to the agency's policy
Pass{esj
Name Of Individual numoer yr
B. TlckegsY Identify one of the following-
Passfesl
Ceremonial Role ❑ Other ® Income ❑
Nelson, Tom+lcheckirqTeremwdalRole-or"Other'descrlbabebw
Public Purpose as defined by PS Resolution No. 22454
Cairns, Greg
Ceremonial Role ❑ Other ® Income ❑
1 it check ng 'Commmial Role* or'Olher'describe bebw
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ❑ Income ❑
H checldnp'Ceremonie! Role' or 'Other' describe bebw
Ceremonial Role ❑ Other ❑ Income ❑
N checking "Ceremonial Role" ar 'Other'describe bebw
C. Name of Outside Organization Sic tees r Describe the public purpose made
{include address and description] � u p p pursuant to the agency's policy
Pass(es)
FPPC Form 802 (4112)
FPPC Toll -Free Halpline: 8661ASK.FPPC (8661275-7772)