2018-01-18 PSUSD Icons and IdolsAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs 11i , Y
Division, Department, or Region (ifapplkable) 2018
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 1 chdstina.chartier@palmspringsea.gov
A Public Document
?F PALM SPRIN4
For Official Use Only
19 AM 8: 05
r l 1 U, r HE CITY CLEft—
❑ Amendment (Must Provrde Explanation in Part 3.)
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 $ 132.87
Event Description: Grab Your 5eat:lcons8�ldols PSUSD Date(s) 01 _) 18 l 18 I I
Provide Titfe/Expfanalion
Trcket(s)IPass(es) provided by agency? Yes ® No ❑ If no:
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
OAfuaf's Name (Last First)
of agency official?
3. Recipients
• Use Section A to identify the agency's department or unit. • Use Section 8 to identify an individual. • Use Section C to identify an outside organization.
A. Name of Agency, Department or Unit
of Tlekegsy I Describe the public purpose made pursuant to the agency's policy
Passes
8. Name of Individual I of Tickagav I Identify one of the following,
(Last, First Passes
Robert Moon Ceremonial Role ❑ Other ® Income ❑
itchecldng CeremontalRas,or^OthWdewfbebefow-
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Role ❑ Other X❑ Income ❑
ffVa rV Ce emonlaf Rate• or %When' &SMbe below
C. Name of Outside Organization I ofTleket(sy I Describe the public purpose made pursuant to the agency's policy
(include address and description) Panes
4. Verification
i have read and understand
with the requirements
Comment:
Regulations 18944.1 and 18942. 1 have venffed that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Ted rmcnt^, day, year)
FPPC Form 802 (2)2016)
FPPc Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)