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HomeMy WebLinkAbout2019-11 Form 802 - Corks & CuisineAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions 1. Agency Name CITY OF PALM DESERT Division. Deoartrnent. or Reuion (if awficable) Designated Agency Contact (Name, Title) LAURI AYLAIAN, CITY MANAGER I (760) 346-0611 1 laylaian@cityofpalmdesert.org 2. Function or Event Information Does the agency have a ticket policy? Event D8SCHDtion: Corks & Cuisine PrvWde TOW Explenotbri Ticket(syPass(es) provided by agency? Yes 0 No 91 Yes M No 0 Was ticket distribution made at the behest Yes 0 No 29 of agency official? ----qi 6 W& 149 6 6A Public Document IT f aal?100f&� I PAI M DESERT � For Official Use Only 013 NOV 18 AM 8: � I [] Amendment (Must Provide Explanation In Part 3.) Date of Original Filing: (month, day, Year) Face Value of Each Ticket/Pass $ 295. Date(s) 11 1 17 / 19 — If no: Desert Cancer Foundation Name of Source If yes: Offidal's Name (Last, First) 3. Recipients I Use Section A to identify the agency's department or unit. * UseSection B to Identify an Individual. I Use SecUon C to identify an outside organization. A. Name of Agency, Deparlment or Unit Public Works al"rickst(s)l Passes 1 Describe Ow public purpose made pursuant to Ow agency's policy of Palm Desert Ticket Policy (Resolution No. 2017-07) Number B. Name of Individual of Tidw4my Identify one at the folkr*lng* XaA r4rsf) I Passes I Ceremonial Role 11 Other 11 Income N chec" Veremonfel Rde'ar *Odmr desaft bebw. Ceremonial Role 11 Other 11 Income ffchoddng'CarunwnWRcdo"or'OWdo=ribobokw, Name of Outside ftenizatlan Number C. Oncluds address and description) of nck&qs)f Describe the public purpose made pursuant to the agency's policy I Passes I 4. Verification I have read an -Lu�perstqq�LE5C Regulations 18944.1 and 18942. 1 have vefiffed that the distribution set forth above, is in accordance with th LAURI AYLAIAN CITY MANAGER 11/15119 Signature of Agency Head or Designee Print Name Mde (—nth, day, yeal Comment: FPPC Form 802 (212016) FPPC: Toll -Free Helpline: 8661ASK-FPPC (3661275-3772)