2019-02-23 Modernism Week Vintage Trailer ShowAgency Repbrt of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
Division, Department, or Region (if applicable)
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 1 chdstina.chartier@palmspringsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: Modernism Wk Vintage Trailer Show
Provide rlle/Explanation
Tickets)/Pass(es) provided by agency? Yes ❑ No
A Public Document
Date Stamp
7 I. I I For Official Use
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month. day year)
Face Value of Each Ticket/Pass $ 25_00
Date(s) 02 1 23 ( 199
If no: Modernism Committee
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Official's Name (Last. Fiat)
of agency official?
021 24 t 19
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 Tickeds)I
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of Ticket(s)I
Identify one of the following:
(Last, First)
Passes
Moon, Robert
Ceremonial Role ❑ Other ❑% Income ❑
Z
If checking"Ceremonial Role'or'Olhefr describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vi vii viii
Kors, Geoff
Ceremonial Role ❑ Other ❑X Income ❑
2
If cneckfng'Cemmonial Role'or'Olherdes Wbeicw:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vi vii viii
Name of Outside Organization
C.
Number
of Ticket(s)t
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
4. Verification
1 have read and under
with the requirements.
Comment:
Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Tee (month, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Agency Report of:
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
Passes
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
(Last, First)
Number
of Ticket(s)l
passes
Identify one of the following:
Roberts, J.R.
2
Ceremonial Role ❑ Other El Income ❑
If checking 'Ceremonial Role" or "Other" describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vi)(vii)(viii)
Middleton, Lisa
2
Ceremonial Role ❑ Other ® Income ❑
If checking "Ceremonial Role" or "Other" describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vi)(vii)(viii
Ceremonial Role ❑ Other ❑ Income ❑
If checking 'Ceremonial Rote" or "Other" describe below:
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)l
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)