2016-04-30 AIDS Assistance Program GalaAgency Report of: R E C E I V E D
Ceremonial Role Events and TicketlPass Distribut�lq 0 F P A L H S PR I N G 44blic Document
City of Palm Springs
or
Jennifer Nelson, Executive Asst. to Mayor/Council
2016 �iY —9DaAn ag'P25
J A M S T H 0 H .' .,' For Official Use Only
CITY CLERK
❑ Amendment (Must provide explanation in Part 1)
760-323-8200 1 jennifer.nelson@paimspdngsca.gov Date of Original Filing:
(Month, pay. Year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 395.00
Event Description Evening Under the Stars Gala Date(s) 41 30 1 16---_I----!
Provide TiftExplanation
Ticket(s)IPass(es) provided by agency? Yes ❑ No ® If no: AIDS Assistance Program
Name of Source
Was ticket distribution made at the behest No ® Yes ❑ If yes:
of agency official? Official's Name (cast First)
3. Recipients
• 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.
A. Name of Agency, Department or Unit
Number of
Tkket(s]I
Describe the public
P Purpose made pursuant to the agency's policy
Passles)
B. Name of Individual
� Frvj
N� bar of
ketjs}1
identify one of the following:
Passes)
Ceremonial Role ❑ Other ® Income ❑
Moon, Rob
dchecldng"CeremonialRofe"orrofherdesawbebelow
2
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Foat, Ginny
rrchecldfV CeremnnielRofa"or"Other"descabebelow
2
Public Purpose as defined by PS Resolution No. 22454
C. Name of Outside Organization
(include address and description)
Number of
Sickagay
Describe the public purpose made pursuant to the agency's policy
Psss{es)
4. Verification
I have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distributfon set forth above, is in accordance with the requirements.
avid H. Ready City Manager zw
Sign�olfmy Head or Designee pwnf Name Title {mc h. tasy, Aar,
Comment:
FPPC Form 80214112)
FPPC Toll -Free Helplins: 8661ASK-FPPC (8661276-M2)
Agency Report of: California
Ceremonial Role Events and Ticket/Pass Distributions Form 802
Continuation Sheet
A Public Document
Agency Name
City of Palm Springs
3. Recipients
e use Section A to identify the agency's department or unit. a use Section S to Identify an individual. *Use Section C to Identify an outside organization.
A. Name of Agency, Department or unk
!� c7►. Pa
Number of
Tickat(sj!
Pass(es)
Describe the public u
pu purpose made pursuant to the agency's policy
Name of Individual
B. a.q Frrf
Number of
Paso sit
Identify one of the following:
Ready, David
Ceremonial Role ❑ Other ® Income ❑
11chec1ing'Cer0morda1R,ue'u'Orher'desc0sbefow
Public Purpose as defined by PS Resolution No. 22454
Dunn, Charles
Ceremonial Role ❑ Other ® Income ❑
frcheck;ng'CommonlafRole-or'Orher^descnbabafow
Public Purpose as defined by PS Resolution No. 22454
Goodman, Ellen
2
Ceremonial Role ❑ Other IR Income ❑
!(checking'CeremwWRde"or'OtherdesWbebebw
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ❑ Income ❑
frcheclung'Ceremonlat Rde' or'Other descnbe beklw
C. Name of Outside Organization
(Include address and descrlptlon�
Number of
TIc�Is)1
Pass(es)
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (4112)
FPPC Toll -Free Helplins: 8661ASK-FPPC ($661276 7772)