2018-01-10 SoCal Energy Water and Green SummitAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name {T 1 F'R I 01 - - i
City of Palm Springs '
�� r�� a �`. For Official Use Only
Division, Department, or Region (if applicable) J ! fj =
Designated Agency Contact (Name, Title) err E ur Th1E CITY CLE ' �/
Christina Chartier, Executive Assistant to Mayor and Council ❑ Amendment (Must Provide Explanation in Part3.)
760-322-8366 I chdstina.chartier@palmspringsca.gov I 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 $ 50.00
Event Description: SoCal Energy Water & Green Summit Date(s) 01 t 10 ) 18
Provide Titie/Explanation
Tickets)/Pass(es) provided by agency? Yes ® No ❑ If no:
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
O
of agency official?
Name (Last, First)
3. Recipients
• Use Section A to identify the agency's department or unit. • Use Section H to identify an individual. • Use Section ( to identify an outside organization.
A. Name ofAgency, Department or Unit I of Tlaket(s)r I Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual of Tlcket(s)I Identify one of the following:
(Last First) Passes
Robert Moon Ceremonial Role ❑ Other ® -neome ❑
if ch rift 'Ceremonfar Role' or'Other descOs below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vil
Lisa Middleton Ceremonial Role ❑ other ❑x Income ❑
if d iang 'Cnrmonlaf Rde'or'Ofherdeswbe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Name of Outside Organization Number
C. of Tkke!(s)t Describe the public purpose made pursuant to the agency's policy
(Include address and description) pates
4. Verification
( have read and understand
with the requirements.
Comment:
18944.1 and 18942. t 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)