Loading...
2016-11-13 Historical Society PicnicAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name R E C W*BQmP City of Palm Springs `17 Y OF Pt,LM SPP1N(;`. Division, Department, or Region (if applicable) rForcial Use MOnly 201I A R 26 AM f0� b5 Designated Agency contact (Name,Tdle) OFFICE r HE C11Y CLEFI, Cindy Cairns, Executive Services Administrator ❑ Amendment (Must Provide Explanad'on in Part 3.) 760-322-8362 cindy.cairns@palmspringsca.gov pate 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 $ 40.00 Event Description: Historical Soc. Picnic Under the Palms Date(s) 11 1 13 1 16 1 Provide Title/Explanad'on Ticket(s)/Pass(es) provided by agency? Yes ® No ❑ If no: Name of Source Was ticket distribution made at the behest Yes ❑ No ® 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. Number A. Name of Agency, Department or Unit of Ticket(sy Describe the public purpose made pursuant to the agency's policy Passes f Individual B. Name of Number of Ticket(sj! Identify one of the following: (Last First) Passes Ceremonial Role ❑ Other © Income ❑ Roberts, J.R. 1 "checking'CemmonimRofa'or'Otherdescnbebelow- Public Purpose as defined by PS Resolution No. 22454 Ceremonial Role ❑ Other ❑X Income ❑ If checking 'Ceremonial Role" or'Other' describe below: C. Name of Outside Organization mber or �kegsj! Describe the public purpose made pursuant to the agency's policy (include address and description) paw 4. Verification i have read and understan C Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance with the requirements David Ready •-y City Manager Signature of Agency ead r nee Print Name Title (month, day, year) Comment: FPPC Form 802 (2/2016) FPPC Toll -Free Helpline: 8681ASK-FPPC (8661275-3772)