2019-02-24 Women In Jazz AwardsAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
Division, Department, or Region OF applicable)
Christina Chartier, Executive Assistant to Mayor and Council
A Public Document
20 AM 11: 13
For Official Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
760-322-8366 I christina.chartier alms rin sca. I Date of Original Filing:
@P P 9 9ov (month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 60.00
Event Description: Women In Jazz Awards Date(s) 0 , 24) 19
Provide Title/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.
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
Number
of Ticket(s)/
Identify one of the following:
(Last, First)
Passes
Moon, Robert
Ceremonial Role ❑ Other ❑x Income ❑
11 checking "Ceremonial Role"or'Olhef describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii viii
Ceremonial Role ❑ Other I] Income ❑
It checking'Cemmmial Role"or'Olher' descnbe below:
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
with the requirements. I
Comment:
18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Tire (month, day, year)
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)