2016-11-06 Style Fashion WeekAgency Report of:
Ceremonial Role Events and Ticket/Pass DistributidftC E I V E D A Public Document
1. Agency Name Date Stamp
City of Palm Springs 2017 MAY - AM 100 57 For Official Use Only
Division, Department, or Region (if Applicable)
� F FICE O 01 H CLE;'
Designated Agency 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 $ 150.00
g Y p Y � Yes ® No ❑
Event Description Style Fashion Week Date(s) 11 i9 1 16 11 1 12 t 16
Provide Ttle/Expianation
Ticket(s)/Pass(es) provided by agency? Yes ❑ No ® If no: Style Fashion Week
Name of Source
Was ticket distribution made at the behest No ® Yes ❑ If yes:
of agency official? Officiai'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
Tlcket(sy
Describe the public purpose made pursuant to the agency's policy
Pass(es)
p of ndvidual
B. Name In_i
Number of
Ticket(sy
Identify one of the follovring:
2.er19)
Pass(ea)
Ceremonial Role ❑ Other ® Income ❑
Roberts, J.R.
rronecking'Ceremonial Role" or'Othe/'describe below:
1
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Kiehl, Geoffrey
If checking "Ceremonial Role" or "Other' describe below.
1
Public Purpose as defined by PS Resolution No. 22454
Name of Outside Organization
C.
Number of
Ticket(ey
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Pass(esl
4. Verification
I have read and understand FPP a ons 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance with the requirements.
David H. Ready City Manager 5/pa/ 17
Signature ofagency Ffe or t4q Print Name Title (Month, Day, Year)
Comment:
FPPC Form 802 (4112)
FPPC Toll -Free Helpline: 666/ASK-FPPC (8661275-7772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions California 802
Continuation Sheet e
rm
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 Mckat(sa Describe the public purpose made pursuant to the agency's policy
Name of Individual Identify one of the folloMn
B.
(Lunt. FiW) Tlcket(8a Identify g'
ee�ere�1
Foat, Ginny
Blaisdell, Amy
Ceremonial Role ❑ Other E@ Income ❑
3 lrchecking 'Ceremonial Role" or'0rher' describe below:
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
4 ltchecking "Ceremonial Role" or "Other' describe below:
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ❑ Income ❑
If checking'Ceremonial Role" or'Ot W descnbe below'
Ceremonial Role ❑ Other ❑ Income ❑
If checking "Ceremonial Role" or'Othei" descrbe beiow�
C. Name of Outside Organization Number of
(include address and description) 'ricket(sy Describe the public purpose made pursuant to the agency's policy
Paselesl
FPPC Form 802 (4112)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-7772)