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2019-03-24 Opera Arts When I Rise VI DinnerAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions 1. Agency Name Date Stamp Citv of Palm SDrinas or Kegion (it applicable) p . 2015 I.. Christina Chartier, Executive Assistant to Mayor and Council 760-322-8366 1 christina.chartier@palmspringsca.gov 2. Function or Event Information Does the agency have a ticket policy? Yes ® No ❑ Event Description: Opera Arts When I Rise VI Dinner Provide Tit/e/Explanafion Tickets)/Pass(es) provided by agency? Yes ® No ❑ A Public Document For Official Use Only Amendment (Must Provide Explanation in Part 3.) Date of Original Filing: (month, day year) Face Value of Each Ticket/Pass $ 150.00 Date(s) 03 i 24) 19 If no: Nameof Souroe Was ticket distribution made at the behest Yes ❑ No ® If yes: Official's Name (Last, 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)l Identify one of the following: (Last, First) Passes Moon, Robert Ceremonial Role ❑ Other ❑x Income ❑ 1 It checkingCeremonial Rde' or'Other' descnbe below: Public Purpose as defined by PS Resolution No. 22454, Section 1 d vii viii ix Middleton, Lisa Ceremonial Role ❑% Other ❑ Income ❑ 1 If checking'Cerenuidal Rde'or'Other' descdbe below: Public Purpose as defined by PS Resolution No. 22454, Section 1 d vii viii ix Name of Outside Organization C. Number of Ticket(s)I Describe the public purpose made pursuant to the agency's policy (include address and description) Passes 4. Verification l have read and understand FPPC egulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance with the requirements. David Ready City Manager Signature of Agen eatl rb ignee Print Name Title (month, day, year) Comment: FPPC Form 802 (212016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)