2019-01-05 PS Speaks Emilio EstevesAagencq Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
Agency Name Date Stamp70ffidaWl
City of Palm Springs
Division, Department, or Region (ifapplicab/e) 20)dd _,,.,.I1L
Designated Agency Contact (Name, Title)
Christina Chartier, Executive Assistant to Mayor and Council
❑ Amendment (Must Provide Explanation in Pert 3.)
4rea Code/Phone Number E-mail
760-322-8366 1 christina.chartier alms rin sca. ov Date of Original Filing:
@p P g g (month. day year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: PS Speaks Emilio Esteves
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ❑ No
Face Value of Each Ticket/Pass $ 60_00
Date(s) 0 ) 05 1 1g — 1
If no: Palm Springs Speaks
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 B to identify an individual. • Use Section C to identify an outside organization.
A. Name of Agency, Department or Unit
Number
of Ticket(s)I
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Tlcket(s)I
Passes
Identity one of the following:
Middleton, Lisa
2
Ceremonial Role ❑ Other I] Income ❑
II caeckingTeremonial Role" or'Othee' describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vi vii viii
Ready, David
2
Ceremonial Role ❑ Omer I] Income ❑
If chedang'Ceremonial Role' or'Ofher describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x
Name of Outside Organization
C" (include address and description)
Number
of Ticket(s)1
Passes
Describe the public purpose made pursuant to the agency's policy
4. Verification
1 have read and understand FPPC
with the requirements. , /)
Comment:
18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Title (month, day, year)
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275.3772)
Agency Report of: California E102,
Ceremonial Role Events and Ticket/Pass Distributions Form
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.
Number
A. Name of Agency, Department or Unit
of 71cket(s)l
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of Ticket(s)/
Identify one of the following:
(Last, First)
Passes
Holstege, Christy
Ceremonial Role ❑ Other ® Income ❑
2
If checking "Ceremonial Role" or 'Other' describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vi)(vii)(viii)
Kors, Geoff
Ceremonial Role ❑ Other ® Income ❑
2
If checking "Ceremonial Role" or'Other' describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vi)(vii)(viii)
Fuller, Marcus
Ceremonial Role ❑ Other ® Income ❑
2
if checking 'Ceremonial Role" or 'Other" describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x
Wrona, Shari
Ceremonial Role ❑ Other ® Income ❑
If checking 'Ceremonial Role" or *Other' describe below.
2
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(x)
Name of Outside Organization
C
Number
of 71cket(s)l
Describe the public purpose made pursuant to the agency's policy
include address and description) )
Passes
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)