2019-02-16 PS Speaks Jane Fonda Event BAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
A Public Document
V
City of Palm Springs
or
Christina Chartier, Executive Assistant to Mayor and Council
Date Stamp
2019 hil..k 201 i I : I
760-322-8366 1 chdstina.chartier@palmspringsca.gov
For Official Use Only
❑ Amendment (Must Provide Explanation in Pad 3.)
Date of Original Filing:
(month, dey, year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 250.00
9 Y P Y Yes ® No ❑
Event Description: PS Speaks Jane Fonda Event Dates) 02 t 16 t 19 1 1
Provide Ttla/Erplanah'on
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:
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 Tlcket(s)I
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Timber )I
Passes
Identify one of the following:
Degarmo,Daniel
2
Ceremonial Role ❑ Other Q Income ❑
It checkng'Ceremonial Role'or'Other describe below.
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x
Ceremonial Role ❑ Other N Income ❑
If checking 'Ceremonial Roie' or'Olher tlescribe below:
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 understand FPPC egulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with the requirements.
David Ready City Manager
Sianature of Aaencv Head o e Print Name Title (month, tlay, year)
Comment:
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)