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2016-12-08 Cathedral City RetirementAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name i7RAEf] City of Palm S rin s i r P A L M S� P 9 l5ivision, Department, or Region (if applicable) For Official Use Only Designated Agency Contact (Name, Title) a F-i l U E G i i•it Gi ! 'i` i�L Cindy Cairns, Executive Services Administrator ❑ Amendment (Must Provide Pxplano6oninPart3.) Area Code/Phone Number E-mail Filing: 760-322-8362 cindy.cairns@palmspringsca.gov Date of Original (month, day, year) 2. Function or Event Information Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 25.00 g y P y� Yes® No Event Description: Retirement Party, HR Director of CC Date(s) 12 t 08 i 16 Provide Title/Explanafion 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: Official's Name (Last, First) of agency official? 3. Recipients • Use Section A to identify the agency's department or unit. • Use Section S to identify an individual. - Use Section C to identify an outside organization. Number A. Name of Agency, Department or Unit of Ticket(s►1 Describe the public purpose made pursuant to the agency's policy Passes Number B. Name of Individual of TIekeas)l Identify one of the following: (Last, First} I Pazaeg Foat, Ginny Ceremonial Role ❑ Other © Income ❑ t if checking "Ceremonial Rvle" or "Other' udescnbe beow Public Purpose as defined by PS Resolution No. 22454 Ceremonial Role ❑ Other X❑ Income ❑ if checking 'Ceremonial Rao" or'Othei describe below: Number G. Name of Outside Organization of Timber Describe the public purpose made pursuant to the agency's policy (iNuer nclude address and description) Passes 4. Verification I have read and understand with the requirements. Comment: 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance David Ready City Manager `i` 1 Print Name Title (month, day, year) FPPC Form 802 (212016) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)