2019-01-19 PS Speaks Janet Mock BAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
r,
A Public Document
City of Palm Springs
7ivision, Department, or Region (if applicable) 2019 pipR
Christina Charter, Executive Assistant to Mayor and Council
760-322-8366 1 christina.chartier@palmspringsca.gov
Date Stamp
f� l I 1 ; 12 Far Official Use Onty
Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(monthday year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 65.00
Event Description: PS Speaks Janet Mock Date(s) 01 1 19 y 1g
Provide Ttle/Explanallon
Ticket(s)/Pass(es) provided by agency? Yes ❑ No ® If no: Palm Springs Speaks
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
i
B. Name of Individual
(Last, First)
Number
of Ticket(s)I
Passes
Identify one of the following:
Middleton, Lisa
1
Ceremonial Role ❑x Other ❑ Income ❑
It checking'Cemmonial Roio' or'Other describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d iii vii viii
Ceremonial Role ❑ Other ❑x Income ❑
Itchecking'Ce monlal Rde'w'Other&wnbebelow:
Name of Outside Organization
C. (include address and description)
Number
of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency's policy
4. Verification
I have read and understand FPPC Regulations 18944.1 and 18942. 1 have veriried that the distribution set forth above, is in accordance
with the requirements. ,
David Ready City Manager
Print Name Title (month, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275.3772)