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2019-03-03 PS Speaks Rick SteveesAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document Date Stamp City of Palm Springs 261, I I 11: 13 Christina Chartier, Executive Assistant to Mayor and Council 760-322-8366 1 christina.chartier@palmspdngsca.gov For Official Use Only ❑ Amendment (Must Provide Explanation in Part 3.) Date of Original Filing: (month, day, year) 2. Function or Event Information Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 95_00 Event Description: PS Speaks Rick Staves Date(s) 03 ) 03) 199 _ Provide 7itle/Explanadon 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)l Describe the public purpose made pursuant to the agency's policy Passes B. Name of Individual Number of Ticket(sy Identify one of the following: (Last, First) Passes Moon, Robert Ceremonial Role ❑ other ❑X Income ❑ 1 If cracking 'Ceremonial Role' or'Olher' dewnbe below: Public Purpose as defined by PS Resolution No. 22454, Section 1 d iii vii viii Holstege, Christy Ceremonial Role ❑ other ❑% Income ❑ 1 11 checb'ng'Ceremonial Role'or-Olher dewnbe below: Public Purpose as defined by PS Resolution No. 22454, Section 1 d iii vii viii Name of Outside Organization C. Number of Ticket(s)I Describe the public purpose made pursuant to the agency's policy (include address and description) Passes 4. Verification I have read and understand with the requirements. Comment: 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 (2J2016) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275.3772)