2019-03-11 LOCC Division MeetingAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
Division, Department, or Region (if applicable) . 1 13
Designated Agency Contact (Name,Title)
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 I christina.chartier@palmspringsca.gov
2. Function or Event Information
A Public Document
Plate tamp.
i 25 I..
For Official Use Only
Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, tlay, year)
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 40_00
9 Y p Y Yes ® No ❑
Event Description: LOCC Division Meeting Date(s) 03 t 11 ) 1 gg
Provide Tt/e/Exp/anah'on
Ticket(s)/Pass(es) provided by agency? Yes ® No ❑ If no:
Was ticket distribution made at the behest Yes ❑ No ® If yes:
of agency official?
Nameof Source
Official's Name (Last, First)
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
Middleton, Lisa
Ceremonial Role ❑ Other I] Income ❑
Itchecing-Cemmonial Role-or`Otheedewfibebelow:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii viii ix
Ceremonial Role ❑ Other ❑ Income ❑
It checking -Ceremonial Role" or'Othee' describe below.
Name of Outside Organization
C. (include address and description)
Number
of Ticket(s)t
Passes
Describe the public purpose made pursuant to the agency's policy
4. Verification
I have read and understand
with the requirements.
Comment:
18944.1 and 18942. I 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)