2018-02-15 Modernism OpeningAgency Report of:
Ceremonial Role Events and TicketlPass Distributions A Public Document
1. Agency Name � LH ��°Ivim^P� ' �
City of Palm Springs i F •
Division, Department, or Region (if applicable) O AIK 9; 57 rForltiaal Use Only
2011 JUN
Designated Agency Contact (iVame.Title) fir. FJCF r (rjr_ U1 I t
Christina Chartier, Executive Assistant to Mayor and Council
❑Amendment (Must Provide Expianadon In Part 3)
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 IN No ❑ Face Value of Each Ticket/Pass $ 175.00
Event Description, Modernism Opening Night after Dark Date(s) 02 1.� 15 r 18
Provide rrNe/ExplanaliDn
Ticket(s)IPass(es) provided by agency? Yes ❑ No ® if no: Modernism Week
Name of source
Was ticket distribution made at the behest Yes ❑ No ® If yes;
t}ffiaei'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
orTicket(sp I Describe the public purpose made pursuant to the agency's policy
es Pass
Number
B. Name of Individual of Ticket(sy Identify one of the following:
(Last, RIV) Passes
Robert Moon Ceremonial Role ❑ other ® Income ❑
2 It checking Temtwnial Rote' ar-Other describe below
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii
J.R. Roberts Ceremonial Role ❑ Other ® Income ❑
4 0 dm*ng Tommonlat Rds' or rather d3soibe below
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii
Name of Outside Organization Number
C. (include address and description) of Tickstisy Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
I have read and understand
with the requirements. /)
Signature or Agency
Comment:
Regulations 18944.1 and 18942.1 Have verified that the distribution set forth above, is in accordance
David Ready City Manager
Pr; -t Nar.,c Title (month, day. year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 86WASK-FPPC (8661275-3772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
Agency Name
A Public Document
City of Palm Springs
I 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(a}1
Passes
Describe the public purpose made pursuant to the agency's p0cy
Name of Individual
B. N
(Last, First)
Number
of Ticket(sp
Passes
Identify one of the following:
Christy Holstege
2
Ceremonial Role ❑ Other ® !nc-Dme ❑
HGreckWg CereT.4r.-.?lRole'ar OtherdeserrceGa,
Public Purpose as defined by PS Resolution No. 22454
Section I(d)(vii)
Lisa Middleton
2
Ceremonial Role ❑ Other ® Income ❑
ltcheckng Ceremonial Roe-or'Orherdesalbebelow
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii
Ceremonial Role ❑ Other ❑ ir.xme ❑
ft checkhV 'Ceremonial Roe' or'Other clos,Wbe below
Ceremonial Rde ❑ Other ❑ !navnt ❑
if checkfnq Teremontat Roe' or'Orher describe below
Name of Outside Organization
C' (include address and description)
Number
of Tk:ket(sy
Poem
Describe the public purpose made pursuant to the agency's policy
FPPC Form 8021212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)