2019-02-14 Modernism Week Opening NightAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name - Date stamp . '
City of Palm Springs
Division, Department, or Region (if applicable) 2�19 f 2 O T. I � ; � ,.
For Official Use Only
is
Designated Agency Contact (Name,Title) _
Christina Chartier, Executive Assistant to Mayor and Council ❑ Amendment (Must Provide Explanation in Part 3.)
760-322-8366 I christina.chartier alms do sca. ov I Date of Original Filing:
@P P 9 9 (month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 175.00
9 Y P Y� Yes ® No ❑
Event Description: Modernism Week Opening Night Date(s) 02 1 14 1 19 _
Provide Utle/Explanabon
Ticket(s)/Pass(es) provided by agency? Yes ❑ No El If no: Modernism Committee
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)I
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Ticket(s)I
Passes
Identify one of the following:
Moon, Robert
2
Ceremonial Role ❑ Other ❑X Income ❑
If checlung -Ceremonial Rote'or'OPoer' descnbe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vi vii viii
Kors, Geoff
Ceremonial Role ❑ Other ❑x Income ❑
2
ecking'Cemmmial Role'or'Ogrer'oescnbe below:
Public PuIfchrpose as defined by PS Resolution No. 22454,
Section 1 d vi vii viii
Name of Outside Organization
C. Name
(include address and description)
Number
Ticket(s)i
Passes
Describe the public purpose made pursuant to the agency's policy
4. Verification �t
I have read and understan C Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with the requirements. A%'�'/
David Ready City Manager
Print Name Tide (month, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Agency Report of: California 8021
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 Ticket(s)l
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Ticket(s)i
Passes
Identify one of the following:
Roberts, J.R.
Ceremonial Role ❑ Other El Income ❑
2
11 checking 'Ceremonial Role" or 'Other describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vi)(vii)(viii)
Middleton, Lisa
Ceremonial Role ❑ Other ® Income ❑
2
!7 checking 'Ceremonial Role' or 'Other^ describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vi)(vii)(viii)
Holstege, Christy
Ceremonial Role ❑ Other ® Income ❑
2
It checking "Ceremonial Role" or "0ther describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vi)(vii)(viii
Mejia, Anthony
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)
Name of Outside Organization
C. g
(include address and description)
Number
of Ticket(s)l
passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Form 802 —Additional Tickets for Modernism Week Opening Night Party 02/14/19
Degarmo, Daniel — 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(x)
Mlaker, Glenn — 2, Public Purpose as defined by PS Resolution No. 22454, Section 1 (d)(x)