2016-08-12 Splash HouseAgency Report of:
RECEIVED
ubllc
Ceremonial Role Events and TicketWass Distributi Y C F P A L H 5 P R I H ti A Document
1. Agency Name
07rFowIfficial
9Division,
'Only
7�16
U� Z9ale�i�mA.
j1
City of Palm Springs
ES THOMe
use
Department, or Region (IfAppficable)
J t
C1f Y CLER
Designated Agency contact (Name Title)
Jennifer Nelson, Executive Asst. to Mayor/Council
❑Amendment (Must provide explanation in Parr 3)
Area CodelPhone Number
E-mail
760-323-8200
jennifer.nelson@palmspringsca.gov
Date of Original Filing:
{Month, Day, Year)
2. Function or Event Information
Does the agency have a ticket policy? Yes® No ❑ Face Value of Each Ticket/Pass $ 150.00
Splash House 2016
Event Description
8 12 16 8 14 16
Date(s) _J� ��
Frow,de 'riftExplansdon
Tdcket(s)IPass(es) provided by agency? Yes ❑ No ® If no: McLean Company Rentals
Name of source
Was ticket distribution made at the behest No ® Yes ❑ If yes
of agency official?
Oltiidai's Nerne (Last. 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
Tickei(s)f
Describe the public u
p purpose made pursuant to the agency's policy
Passiesl
B. Name of Individual
:lam f.a:
Number of
Tieket(sy
Identify one of the following:
Pussies)
Ceremonial Role ❑ Other ® Income ❑
Lopez, Janice
frcheclang'CemmonialRole or Ofherdescribebelow
3
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Curan, Kevin
ffchecfang CeremariafRere'or'Otherdescdbelxkw
3
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
Pestles)
111veresdandundarsl d F ulations 189" 1 and 18942. 1 have verified that the distribution set forth above, is in accordance with the requiremen
David H. Ready City Manager
y - kt+iaturo W � ncy He a sgrroe Punt Name Tithe Month Day YeerJ
col it,
FPPC Form 802 (4112)
FPPC Toll -Free Helpline: 866fASK-FPPC (8661276 7772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
A Public Document
Agency Name
City of Palm Springs
I 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.
Number of
A. Name of Agency, Department or Unit Ticket(sy Describe the public purpose made pursuant to the agency's policy
Passles)
Name of Individual Number of
B. Inckags)l Identify one of the following:
Pass(es)
Ceremonial Role ❑ other CK Income ❑
Ready, David 1 NchadongTeremonte.1ReWo•'Cthee de=bebdow
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ❑ Income ❑
Nchecking 'Ceremantal Rote' or INhee descrhe below
Ceremonial Role ❑ Other ❑ ❑
If checking 'Ceremonial Role' or -Omee desmw below -
Ceremonial Role ❑ Other ❑ Income ❑
It checking 'Ceremonial Role' or'Othee describe bebw
C. Name of Outside Organization Number*(
{Include address and deseriptionl Tieketlsu Describe the public purpose made pursuant to the agency's policy
Passles)
FPPC Form 802 (4112)
FPPC Toll -Free Helpllne: 8661ASK-FPPC 1866/276-7772j