2016-04-09 Digicom Scholarship LuncheonAgency Report of: RECEIVED
Ceremonial Role Events and Ticket/Pass � D'�1'LWdhbLH SpRINC]
Public Document
1. Agency Name 2116 "hY -9 pM 9%6614slamp . : I
City of Palm Springs r .
Division, Department, or Region (If Applicable) ' f Hp ti Forof<dal use orrp
CITY CLERK
Jennifer Nelson, Executive Asst. to Mayor/Council
❑Amendment (Must provide explanaL'or in Part 3.)
Areaode/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 cY p cY Yes ® No ❑
Face Value of Each TickettPass $ 65.00
Event Description DIGICOM Scholarship luncheon
Date(s) 4 _ _ _ 9 f 16 11
Provide Toll EExplanation
' icket(s)IPass(es) provided by agency? Yes ❑ No ®
If no; DIGICOM
Marne of Source
Was ticket distribution made at the behest No ® Yes ❑
If yes -
of agency official?
Official's Name (Last, First)
3. Recipients
e Use Section A to Identify the agency's department or unit. a Use Section a to Identify an individual. . Use Section C to Identify an outside organization.
A. Name of Agency, Department or Unit
Number of
Tlckegsu
Describe the public purpose made pursuant to the agency's policy
pass(es)
Name of Individual
B. r� rl
Number of
Tickel(sy
Identify one of the following:
Pesetas)
Ceremonial Role ❑ other ® Income ❑
Moon, Rob
11checMnp'CemmonlalRole or Orheedeschbebelow
2
Public Purpose as defined * PS Resolution No_ 22454
Ceremonial Role ❑ Other ® Income ❑
Kors, Geoff
if checkM'CommoniafRole orro(hefdewnbebelow
2
Public Purpose as defined by PS Resolution No. 22454
C. Name of Outside organization
(include address and descrlptlon}
Number of
Tlcke#s)t
Describe the public purpose made pursuant to the agency's policy
Passes)
4. Verification
I have read and understand FPPC Regulations 18944,1 and 1894Z I have verified that the distribution set forth above is in accordance with the requirements.
David M. Ready.
City Manager OC &
Sip-1-of' FieedorDesignea PrentName
rib (Math. Day.ever)
Comment:
FPPC Form 802 (4112)
FPPC Toll -Free Helpline; SS6fASK-FPPC (8661276 TT72)
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
• Use section A to identify the agency's department or unit • Use section 8 to Identify an individual. a Use Section C to Identify an outside organization.
A. Name of A e
g ncy, Department or unit
Number of
Tickstjs)l
Describe the public purpose made pursuant to the agency's policy
Pass(es)
B. Name of Individual
Number of
ksgs)l
Identify one of the following:
(L" RIV
Passes)
Ceremonial Rde ❑ Other ® I .xme ❑
Marshall, Mark
Nehockinp Cere=aWRole'or'OfheYde=bahelaw
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Bloomer, Kristin
I
Itcheckre'CmemmalRoM"or'Ofherdo-salbebakw,
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Ready, David
1
NchecbV'CerewrMRoM'or 01her desenbebofow
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Rde ❑ Other ® Income ❑
Cohen, Leo
1
NchecA*V CeremorfiefRoM'w'Mhefdesafbeberow-
Public Purpose as defined by PS Resolution No. 22454
C. Name of Outside Organization
(Include address and description)
Number of
Ticket(s)l
Describe the public purpose made pursuant to the agency's policy
passion)
FPPC Form 802 (4112)
FPPC Tall -Free Helpline: 8661ASK-FPPC (8661275T772)