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2016-10-11 Chamber Taste of Palm SpringsAgency Report of: Ceremonial Role Events and TicketlPass Distributions R E C E i y E p 1. Agency Name "Mid St'gnV City of Palm Springs 2017 PR 25 AM 10' 45 Division, Department, or Region (1fApplicable) ii~ FiCE10 i rl'_ CITY Ci_iLI; ncy Joanne Bruggemans, Executive Asst. to Mayor/Council Area CodelPhone Number E-mail 760-323-8200 joanne.bruggemans@palmspringsca.gov 2. Function or Event Information A Public Document For Off,oMse Only ❑ Amendment (Must provide explanation in Part 3.) Date of Original Filing: (Month, Day, Year) Does the agency have a ticket policy? Yes © No ❑ Face Value of Each Ticket/Pass $ Event Description Taste of Palm Springs Date(s) 10 1 11 / 16 Provide Title/Fxplanation 25.00 Tickets)/Pass(es) provided by agency? Yes ❑ No ® If no: Palm Springs Chamber of Commerce 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 9 to identify an individual. • Use Section C to identify an outside organization. A. Name of Agency, Department or Unit Number of Tlcket(sp Describe the public purpose made pursuant to the agency's policy Pass(es) Name of Individual B. di Numberof Tickegsp Identify one of the following: hest Passes) Ceremonial Role ❑ Other ® Income ❑ Moon, Robert It checking'Ceremonial Role"or"Other"describe below: 2 Public Purpose as defined by PS Resolution No. 22454 Ceremonial Role ❑ Other ® income ❑ Mills, Chris If checking "CeremonialRole"or"Other' describe below. 2 Public Purpose as defined by PS Resolution No. 22454 C. Name of Outside Organization Number of Tiekegey Describe the public purpose made pursuant to the agency's policy (include address and description) Pass(es) 4. Verification I have read and understand FP gula ns 8944.1 and 18942. l have verified that the distribution set forth above, is in accordance with the requirements. David H. Ready City Manager Signature of Agency Head r' a Prini Name Title (Month, Day, Year) Comment: FPPC Form 802 (4112) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-7772) Agency Report of: Ceremonial Role Events and Ticket/Pass DistributionsCalifornia 80211 Form Continuation Sheet A Public Document Agency Name City of Palm Springs 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. Number of A. Name of Agency, Department or Unit Tickei(sy Describe the public purpose made pursuant to the agency's policy Pass(ea) B. Name of Individual ,Tlcket;su Identify one of the following: (Lad. Fund) Pase(es) Ceremonial Role ❑ Other ® Income ❑ Foat, G i n ny 2 if checking "Ceremonial Role" or "Other' describe below. Public Purpose as defined by PS Resolution No. 22454 Ceremonial Role ❑ Other ® Income ❑ Kors, Geoff 1 if checkng'Ceremonral Role'or-Ofher" describe below - Public Purpose as defined by PS Resolution No. 22454 Ceremonial Role ❑ Other ® Income ❑ Roberts, J.R. if checking "Ceremonial Role" or "Ofhee'descnbe below Public Purpose as defined by PS Resolution No. 22454 Ceremonial Role ❑ Other ❑ If checking "Ceremonial Role -or "Other' describe below: Income ❑ Name of Outside Organization Number of C. {include address and description) Ticket(s►1 Describe the public purpose made pursuant to the agency's policy Pass{es) FPPC Form 802 (4112) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-7772)