2018-02-10 Steven Chase Humanitarian AwardsAgency Report of:
Ceremonial Role Events and TicketlPass Distributions
City of Palm Springs
Division. Denartment. or
Designated Agency Contact (Neme,Tdle)
Christina Chartier, Executive Assistant to Mayor and Council
jIT Yj OF PALH it,
A Public Document
����JUL � 9 �� $: 05 For Official use Only
:. L. I HE CITY CLER
❑ Amendment (Must Provide Explanation 1n Part 3.)
760-322-8366 chdstina.chartierGP P g alms rin sca.9ov I Date of Original Filing:
(month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 475.00
g Y P Y Yes ® No ❑
Event Description: Steven Chase Humanitarian Awards Date(s) 02 1 10 1 18
Provide Trda✓Explanation
Ticket(s)/Pass(es) provided by agency? Yes ® No ❑
Was ticket distribution made at the behest Yes ❑ No
of agency official?
If no:
Name of Source
If yes:
Official'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 Tickegsy Describe the public purpose made pursuant to the agency's policy
Passes
Name of Individual Number
B. (Last F1►s11 off �ajl Identify one of the following:
Robert Moon
Ceremonial Role ❑ Other ® Income ❑
ffchoWng "P..::monlalRde'or'0fWd SWbebefaw
Public Purpose as defined by PS Resolution No. 22454,
Ceremonial Role ❑ Other U Income ❑
!(checking -Ceremonial Role'or'Other' describe below
C. Name of Outside Organization I ojSWs ay I Describe the public purpose made pursuant to the agency's policy
(include address and description) Passes
4. Verification
1 have read and understand
with the requirements. ,n
Comment:
Regulations 18944 1 and 18942. I have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Title (month, day, year)
FPPC Fortin 802 (212016)
i-PPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)