2018-01-25 Moderism Week Recognition PartyAgency Report of:
Ceremonial Role Events and TicketlPass Distributions
A Public Document
1. Agency Name I EWFYIK-)
City of Palm Springs = II Ir® F PALM 5 P n I ij
or Region (if applicable)
Designated Agency Contact (Name Title)
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 ! chdstina.chartier@palmspdngsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes® No ❑
Event Description: Mod.Wk Sponsor Recognition Party
Provide Wde/Explananon
Ttcket(s)IPass(es) provided by agency? Yes ❑ No
Was ticket distribution made at the behest Yes ❑ No 99
of agency official?
For Official Use Only
2111 JUL 19 AM 8: 0
TEPEOF THE MY CLE:T i
❑ Amendment (Must Provide Explanation in Pan 3.)
Date of Original Filing:
(month, day, year)
Pace Value of Each Ticket/Pass $ 30.00
Date(s) 09 f 25 f 18 / —
If no: Palm Springs Modemism
Name of source
If yes:
viecial's Name (Last First)
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 iicka ay Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual of Tieket(sll Identify one of the following:
(Last; First) I Passes
Geoff Korn Ceremonial Role ❑ Other ® Income ❑
2 irchwjung ceremonial Role'or •other describe below•
Public Purpose as defined by PS Resolution No. 22454.
Section 1 d vii
Ceremonial Role ❑ other Q Income ❑
J.R. Roberts Itchadang•cemonlalRoWor•orheraascnbeNOw
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (dl(vii)
Name of Outside Organization
C. pncltxle address and description) of Tkkot(aj! Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
! have read and understand FPC $emulations 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 Agency Heefi or jugnee
Print Name Title (month, day. year)
Comment:
FPPC Form 802 (2f2016)
FPPC Toll -Free Helpline: 866fASK-FPPC (8661275-3772)
Agency Report of: California
02
Ceremonial Role Events and TicketlPass Distributions `
Continuation Sheet A Public Document
Agency Name
City of Palm Springs
3. Recipients
• Use Section A to identify the agency's department or unit. • Use Section H to identify an individual. • Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit
of Tickegsy
Peas"
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
�� F ko
(Last,
Number
of Ticket(su
>'asaes
Identify one of the following:
David Ready
Ceremonial Role ❑ Other ® Inoamm ❑
lldmcktnp'C&emontat A*' or -Omer describe beknw
Public Purpose as defined by PS Resolution No. 22454.
Section 9 (d)(vil)
Ceremonial Role ❑ Other ❑ Iricnrne ❑
Y checidrg 'Ceremonlal Rd* "or'Other dowdbe Wow
Ceremonial Role ❑ Other ❑ income ❑
Nchecking'Cemmoniat Role' or UW describe below
Ceremonial Role ❑ Other ❑ I cma ❑
trchwJdng'Cen3montal Role-or'OrherdesWbe below
Name of outside Organimtlon
C.
(Include address and description)
Number
of Tkket(s}!
Pesses
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)