2019-01-14 LOCC Riverside Division MeetingAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
Division, Department, or Region (if applicable).,
Designated Agency contact (Nary itle)
Christina Chartier, Executive Assistant to Mayor and Council
A Public Document
Date Stamp
a .. 1, i ; 12 For Official Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
760-322-8366 I chdstina.chartier alms rin sca. I Date of Original Filing:
@P P 9 9ov (month. day, year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 35.00
9 Y P Y Yes ® No ❑
Event Description: LOCC Riverside Division Meeting Date(s) 01 l 14 l 19 1 1
Provide litle/Explana6'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:
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.
Number
A. Name of Agency, Department or Unit
of Ticket's)/
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual l
Number
of Tickel(s)I
Identify one of the following:
(Last, First)
Passes
Moon, Robert
1
Ceremonial Role ❑ Other Z Income ❑
if chmking'Cem oniatRde-or'Other'dwdbebelow:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii ix
Middleton, Lisa
Ceremonial Role ❑ Other 17 Income ❑
1
checking'Ceremoniat Rde-or'oth,Y' desrnbe below.
Public Pullrpose as defined by PS Resolution No. 22454,
Section 1 d vii ix
Name of Outside Organization
C' (include address and description)
Number
of Ticket(s)I
Passes
Describe the public purpose made pursuant to the agency's policy
4. Verification
I have read and
with the reauirel
Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name TNe (month, day, year)
FPPC Form 802 (2I2016)
FPPC Toll -Free Helpline: 866IASK-FPPC (8661275.3772)