2019-03-04 DAP Night in Mid-Century Tokyo DinnerAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name Date Stamp
Citv of Palm SDrinos
or Kegion(it applicable) 213191'1., --
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?
ll 13
A Public Document
For Official Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month. day, year)
Yes ® No ❑
Face Value of Each TickeUPass $ 450.00
Event Description: DAP Ngt In Mid -Century Tokyo Dinner
Provide Tille/Explanedon
Ticket(s)lPass(es) provided by agency? Yes ® No ❑
Date(s) 03 1 04) 1 gg
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)I
Identify one of the following:
(Last, First)
Passes
Moon, Robert
1
Ceremonial Role ❑ Other 17 Income ❑
If checking-Ceremonlaf Role'or'Other' describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d iii vii viii
Ceremonial Role ❑ Other ❑ Income ❑
If checking'Ceremonial Rde" or'OhW asscnbe 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
4. Verification
I have read and under
with the requirements.
Comment:
Regulations 18944.1 and 18942. 1 have veri(ed that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Title (month, day, year)
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)