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2019-03-03 PS Speaks Rick Steves BAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document Date Stamp City of Palm Springs 201.q' I ,II: 13 Designated Agency contact (Name,Tit/e) Christina Chartier, Executive Assistant to Mayor and Council 760-322-8366 1 christina.chartier@palmspringsca.gov 2. Function or Event Information Does the agency have a ticket policy? Yes ® No ❑ Event Description: PS Speaks Rick Staves Provide ride/Explanation Ticket(s)/Pass(es) provided by agency? Yes ❑ No EI Was ticket distribution made at the behest Yes ❑ No of agency official? For Official Use Only Amendment (Must Provide Explanation in Part 3.) Date of Original Filing: (month, day, year) Face Value of Each Ticket/Pass $ 95.00 Date(s) 03 / 03 / 19 _ If no: Palm Springs Speaks Name of Source If yes: Official's Name (Last, Firso 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)/ 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 Gilbert, Adam Ceremonial Role ❑ Other ❑X Income ❑ ll checkbg'Ceremonial Rde'or'01her'dewnbe below.. Public Purpose as defined by PS Resolution No. 22454, Section 1 d xi Ceremonial Role ❑ Other ❑ Income ❑ Il checking'Ceremonial Rde"or "Oche/'tlescnbe below: 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 1 have read and understand FPPC with the requirements. n y or Comment: )ulations 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 (212016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275.3772)