2016-04-08 PS Life Food and Wine FestivalAgency Report of: RECEIVED
&.Public
Ceremonial Role Events and TicketlPass Distributior T Y OF PALH SPRIN Document
1. Agency Name 201 MAY Dal sth 9: 2Is=
City of Palm Springs
or Region (if Applicable)
! H E S T H O H P 5 O For Official Use Only
CITY CLERK
Jennifer Nelson, Executive Asst. to Mayor/Council
❑Amendment (Must provide explanation in Part 3.)
Area Code/Phone Number
E-mail
760-323-8200
jennifer.nelson@palmspdngsca.gov
Date of original Filing:
(Month, Day, Year)
2. Function or Event Information
Does the agency have a ticket policy?
9 Y p cY Yes ® No ❑
Face Value of Each Ticket/Pass $ '125.00
Event Description Food and Wine Festival Palm Desert
Date(s) 4 1 a 111 $ 1
Provide nVeiExplanation
Ticket(s)/Pass(es) provided by agency? Yes ❑ No ®
If no: PS Life
Name at source
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 B to Identify an Individual. • Use Section C to Identify an outside organization.
A. Name of Agency, Department or Unit
N� bar of
ketlpl
Describe the public purpose made pursuant to the
P P rP P agency's policy
Pass(as)
Name of Individual
B. n r;
Humber of
Tiaketlsp
Identify one of the following;
Passles)
Ceremonial Role ❑ Other ® Income ❑
Blaisdell, Amy
Nchecklrq�CeremanielRole orrotherdesmbebelow
3
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Nelson, Jennifer
llcheckrnO'Commonlalfte ar aherdescrrbebefow
3
Public
Purpose as defined by PS Resolution No. 22454
C • Name of Outside Organization
[include address and description)Ticket(sli
Number of
Describe the public purpose made pursuant to the agency's policy
Pass(es)
4. Verification
1 have read and understand FPPC Regulations 18944.1 and
18942.1 have verified that the distribution set forth above, is in accordance with the requirements,
David H. Ready
City Manager d!s I
ftnafum orApencyNead OrVesigmw
PrIMName
TIM (Month, shay, Year.
Comment:
FPPC Form 802 (4112)
FPPC Toll -Free Helpline= 8661ASK-FPPC (86612757772)