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2019-01-31 to 2019-02-03 YEO Women's ConferenceAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions 1. Agency Name i City of Palm Springs Division, Department, or Region (if applicable) , ,.I Christina Chartier, Executive Assistant to Mayor and Council A Public Document Date Stamp i 1: 12 I For Official Use Only ❑ Amendment (Must Provide Explanation in Part 3.) 760-322-8366 I alms rin sca. christina.chartier 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 $ 450.00 9 Y P Y Yes ® No ❑ Event Description: YEO Women's Conference Date(s) 01 1 31 f 1g 021 03 f 19 Provide Ttle/Explanation 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. 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 Ticket(sil Passes Identify one of the following: Holstege, Christy 1 Ceremonial Role ❑ Other ❑x Income ❑ If checla'ng'Ceremonial Role"or'Olher' describe below: Public Purpose as defined by PS Resolution No. 22454, Section 1 d vii ix Ceremonial Role ❑ Other ❑ Income ❑ If checking "Ceremonial Role"or "Other' describe below: 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 with the requirements. n Comment: Regulations 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 (212016) FPPC Toll -Free Helpline: 866tASK-FPPC (8661275.3772)