2018-02-16 Modernism PreviewAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
City of Palm Springs
Division, Department, or Region (if applicable)
Designated Agency Contact (Name, Title)
Christina Chartier, Executive Assistant to Mayor and Council
Date Stamp
A Public Document
For official Use only
❑ Amendment (Must Provide Explanalion in Part 3-)
760-322-8366 I aims tin sea. christina.chartier ov I Date of Original Filing:
@P P 9 9 °rrronlh day. year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 85.00
Event Description: Modernism Preview Party Show Sale Date(s) 02 1 16 1 18 1
Provide Tidal Expiana&on
Ticket(s)IPass(es) provided by agency? Yes ❑ No El If no: Modernism Week
Name of5ource
Was ticket distribution made at the behest Yes ❑ No ® If yes:
of agency official?
Offidaf'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.
A, Name of Agency, Department or Unit
of ifckegay I Describe the public purpose made pursuant to the agency's policy
es Pass
Number
B. Name of Individual of Ticke4sy Identify one of the following:
(Last. First) Pam
Lisa Middleton Ceremonial Role ❑ Other ® ncome ❑
2 Itchec✓ rig'Commonial Rde ar'Other' descrtbe below
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii
J.R. Roberts Ceremonial Role ❑ Other ® Income ❑
4 Irche0ang'CeremonialRde or-Otherdesatbsbebw
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii
Name of Outside Organbxtion Number
C. (include address and description) of Tickegsy Describe the public purpose made pursuant to the agency's policy
Passes
a. Verification
1 have read and understand
with the requirements.
Comment:
18944 1 and 18942. 1 have verified that the distribution set forth above, is in accordance
David Ready City Manager
Prnt Name Title (month. day, year)
FPPC Form 802 (212016)
FPPC Tall -Free Helpline: 8661ASK-FPPC (8661275-3772)
Agency Report of: California
02
Ceremonial Role Events and Ticket/Pass 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 B to identify an individual. -Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit
of Tlcket(sY
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of Tlcket(su
Identify one of the following:
(Last. First)
Passes
Christy Holstege
ceremonial Rale ❑ Other El Income ❑
2
l/cA9ddng1Cer9ms,1AwPde or'Orherdesoribebakm
Public Purpose as defined by PS Resolution No, 22454
Section 1(d)(vii)
David Ready
Ceremonial Rule ❑ other ® Inmr,e ❑
2
ll checkkp 'Core monlal Rote' or't)ther describe below,
Public Purpose as defined by PS Resolution No. 22454
Section i d vii
Edward Kotkin
Ceremonial Role ❑ Other ® Income ❑
3
9checking CeTmwialRde'or'OtherdeseAbebelow
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii
Ken Lyons
Ceremonial Role ❑ Other El Income ❑
1
!(checking '=e�morual Role'or'Olher describe below
Public Purpose as defined by PS Resolution No. 22454
Section 1(d)(vii)
Name of Outside Organization
C.
Number
of Ticket(su
Describe the public purpose made pursuant to the agency's policy
(include address and description)
passes
FPPC Form 802 (212016)
FPPC Toll -Free Helpiine: 8661ASK-FPPC (8661275-3772)
Form 802 — Additional Tickets for Modernism Preview Party at 181h. Annual Show and Sale,
February 15, 2018
Fagg, Flinn —1, Public Purpose as described by PS Resolution No. 22454