2019-03-09 Palm Springs Dance Fest GalaAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
or
Christina Chartier, Executive Assistant to Mayor and Council
Dale Stamp
2919 AVRI-8 Fr'i ID: 58
760-322-8366 I chdstina.chartier@palmspringsca.gov
A Public Document
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 $ 150.00
Event Description: Palm Springs Dance Fast Gala Date(s) 03 ) Og) 19
Provide 7iderExplanab'on
Ticket(s)/Pass(es) provided by agency? Yes ® No ❑ If no:
Nwmw n{3numw
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
N
B. Name of Individual
(Last, First)
Number
of 7ickerys)/
Passes
Identify one of the following:
Moon, Robert
1
Ceremonial Role ❑ Other I] Income ❑
Il checking'Ceremonial RWe"or'Other"describe below.
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vi vii viii xi
Ceremonial Role ❑ Other ❑ Income ❑
It checkng "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
4. Verification
I have read and understandFPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance
with the requirements.
Comment:
David Ready City Manager
Print Name Tile (month, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866IASK-FPPC (8661275-3772)