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2019-03-22 PS Women's Club Lunch Fashion ShowAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name , pate starpp . . - City of Palm Springs Christina Chartier, Executive Assistant to Mayor and Council 760-322-8366 1 christina.chartier@palmspringsca.gov 2. Function or Event Information '.`' 25 Ail 10'. 25 F Forofficial use only ❑ Amendment (Must Provide Explanation in Part 3.) Date of Original Filing; (month. oay year) Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 100.00 Event Description: PS Women's Club Lunch/FashionSho Date(s) —03—J 22 / 199 Pmvide Title/Explanation Ticket(s)/Pass(es) provided by agency? Yes ❑ No El If no: Palm Springs Women's Club Name of Source Was ticket distribution made at the behest Yes ❑ No N 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)/ 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 Moon, Robert Ceremonial Role I] Other ❑ Income ❑ ucneckng•Cemmonlal Role"or'Olher' describebelow: Public Purpose as defined by PS Resolution No. 22454, Section 1 d vii viii ix Kors, Geoff Ceremonial Role ❑X Other ❑ Income ❑ 1 /l cneclang'Ceremonial Role'or-Other describe belay: Public Purpose as defined by PS Resolution No. 22454, Section 1 d vii viii ix Name of Outside Organization C. Number of Ticket(s)/ Describe the public purpose made pursuant to the agency's policy (include address and description) Passes 4. Verification I have read and understand PPC Regulations 18944.1 and 18942. / have verified that the distribution set forth above, is in accordance with the requirement I David Ready City Manager Signatur A tfilf ad or Designee Print Name Title (month, day, year) Comment: FPPC Form 802 (2/2016) FPPC Toll -Free Helpline: 8661ASK-171313C (8661275.3772)