2016-11-01 Coachella Valley Economic Partnership Economic SummitAgency Report of:
Ceremonial Role Events and Ticket/Pass DistributionsR E C E i V E D A Public Document
1. Agency Name -- a e tamp �UseCnly
City of Palm Springs _2 PM 5= 30 •For
Division, Department, or Region (If Applicable)
gency Contact (Name,Title)
Joanne Bruggemans, Executive Asst. to Mayor/Council
❑ Amendment (Must provide explanation in Part 3.)
Area Code/Phone Number E-mail
760-323-8200 joanne.bruggemans@palmspringsca.gov Date of Original Filing:
(Month, Day, Year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ $110.04
9 Y P Y• Yes® No
Event Description Palm Springs Economic Summit Date(s) 11 1 01 ! 16
Provide TitlelExplanaflon
Tickets)/Pass(es) provided by agency? Yes ❑ No ® If no: Coachella Valley Economic Partnership
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
Tlcketisa
Describe the public purpose made pursuant to the agency's policy
Pass(es)
B. Name of Individual
Number of
1'10119et(0
Identify one of the following:
(Last. F-0
Pass(es)
Ceremonial Role ❑ Other ® Income ❑
Moon, Robert
Ifchecking"oefemonlalRole" or-Other'describe below"
1
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Foat, Ginny
ifchecking'ceramonialRoe' or"Othar'describebefow:
1
Public Purpose as defined by PS Resolution No. 22454
C. Name of Outside Organization
Numberof
Ticket(sy
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Psss(ss)
4. Verification
I have read and unit to F C Regulations 16944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance with the requirements.
David H. Ready City Manager J� ,
Signature orilligercfP# or Designee Ptint Name Title (Month, Day, Year)
Comment:
FPPC Form 802 (4112)
FPPC Toll -Free Heipline: 8661ASK-FPPC (8661275-7772)
Agency Report of:
lifornia
Ceremonial Role Events and Ticket/Pass Distributions Form 802
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.
A. Name of Agency, Department or Unit
Number of
Ticketlsp
Passes)
Describe the public purpose made pursuant to the agency's policy
Name of Individual
B • (Lao,, Pkw)
TlckaNumber of
Passes)
Pass(es)
Identify one of the follovA
h1 n9=
Roberts, J.R.
1
Ceremonial Role ❑ Other 0 Income ❑
ff checking 'Ceremonial Role" or"Other'describebelow:
Public Purpose as defined by PS Resolution No. 22454
Ready, David
1
Ceremonial Role ❑ Other ® Income ❑
!f checking "Ceremonial Role" or "Other' describe below,
Public Purpose as defined by PS Resolution No. 22454
Blaisdell, Amy
1
Ceremonial Role ❑ Other ® Income ❑
If checking 'Ceremonial Role" or'Other'describebelow:
Public Purpose as defined by PS Resolution No. 22454
Kiehl, Geoffrey
1
Ceremonial Role ❑ Other ® Income ❑
If checking "Ceremonial Role" or "Other' describe below.
Public Purpose as defined by PS Resolution No. 22454
Name of Outside Organization
C' (include address and description)
Numberof
Tickegay
Pass(es)
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (4)12)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-7772)
Form 802 —Additional tickets for CVEP Summit Tables, November 1, 2015
Mr. Tom Nolan - 1 Public Purpose as described by PS Resolution No. 22454
Mr. Mr. Fagg -1 Public Purpose as described by PS Resolution No. 22454
Ms. Diana Shay - 1 Public Purpose as described by PS Resolution No. 22454
Mrs. Ameenah Fuller - 1 Public Purpose as described by PS Resolution No. 22454