2019-03-21 Palm Desert State of the City LunchAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
A Public Document
City of Palm Springs
Division. DeDartment. or
Christina Chartier, Executive Assistant to Mayor and Council
Date Stamp
:a i i l 0' 2 5 7 For Official Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
760-322-8366 I alms do sca. ov chdstina.chartier Date of Original Filing:
@P P 9 g (month. day, year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 65.00
9 Y p Y Yes ® No ❑
Event Description: Palm Desert State of the City Lunch Date(s) 03 1 21 ) 19
Provide Trge/Explanab'on
Ticket(s)tPass(es) provided by agency? Yes ® No ❑ If no:
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
o/fi
of agency officiaOfficial's Name (Last,
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.
A. Name of Agency, Department or Unit
Number
of Ticket(s)l
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Ticket(s)l
Passes
Identify one of the following:
Moon, Robert
1
Ceremonial Role ❑ Other 17 Income ❑
Ilchecking-Cemmanial Rde' or'Othee descdbe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii viii ix
Holstege, Christy
1
Ceremonial Role ❑ Other I] Income ❑
ecking'Ceremonial Rde"or'Olhef' describe below.
Public PurIrchpose as defined by PS Resolution No. 22454,
Section 1 d vii viii ix
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
1 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 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)