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2016-05-08 Coachella Valley Youth SymphonyAgency Report of: RECEIVED Ceremonial Role Events and Ticket/Pass Distributloh,6 OF PALM SPRING:. APublic Document 1. Agency Name 2016 J N -6 °tF59 - ' - 0 City of Palm Springs , wepartmen; or 5 T H p H P S 0 l' For Official use Only T Y CtER Jennifer Nelson, Executive Asst. to Mayor/Council ❑Amendment (Must provtda exptana6on to 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? g cY P cY Yes ® No ❑ Face Value of Each Ticket(Pass $ 65.00 Event Description Coachella Valley Youth Symphony Date(s) _ 5 f8 1. 16 Provide nwerExplanatiui Ticket(s)IPass(es) provided by agency? Yes ❑ No ® If no: Coachella Valley Symphony Name of 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 Number of Tickeusu Describe the public purpose made pursuant to the agency's policy Passes) B. Name of Individual Number of Ticket(sy Identify one of the following: RAVE Passes) Ceremonial Role ❑ Other ® Income ❑ Mills, Chris if checking TeremmialRale'w10lherdeswihaWow Public Purpose as defined by PS Resolution No. 22454 Ceremonial Role ❑ Other ❑ Income ❑ NcheckMy•ceremonialRaWor'OtherdescObebelow C. Name of outside Organization (include address and description) Humber of TIcket(ell Describe the public purpose made pursuant to the agency's policy Passes) 4. Verification 1 have read and understand FPPC R t ons 18944.1 and 1894Z I have vadfiied that the ahstribution set forth above -s in accordance with the requirements David H. Ready City Manager Signature of Agency Freed or ^ Fwnt Name Tithe Wonth. Day Year) Comment: _ FPPC Form 80214112) FPPC Toll -Free Helpline: 8661ASK-FPPC 18661275-7772)