2018-02-24 Modernism Trailer ShowAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
I. Agency Name t I
City of Palm Springs t T c 0= P A L
or Region
2018 JUN 20 AM 9: 56
Designated Agency Contact (Name,Trfle) 61,
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 1 chdstina.chartier@palmspdngsca.gov
i THE. Ci i Y CL-'
A Public Document
For Otricial Use Only
Amendment (Must Provide 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 $ 25.00
Event Description: Modemism Vintage Trailer Show Date(s) 02 1 24 r 18 02/ 25 1 18
Provide TWExplanahon
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:
O
of agency official? ffirBrs Name (Last First)
3. Recipients
• Use Section A to identify the agency's department or unit. • Use Section $ to identify an Individual. • Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit
of Tickegay
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
orP
Idertti[y one of the following:
(Lest, First}
msj!
Robert Moon
Ceremonial Role ❑ Other ❑ Income ❑
2
!! checkfnp'Ceremonla! Role' or'Other' dBsuibe befGw
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii
J.R. Roberts
Ceremonial Role ❑ Other ❑ Income ❑
2
frchackng'Cemmonlaf Rafe' or'01W desmbe hefow
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii
Name of Outside Organization
C. (Include address and description)
Number
of Ticket(ayf
Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
1 have read and under
with the requirements.
Comment:
Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Title (month, day, year)
FPPC Form 802 (212016)
FPPC Toll -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 li to identify an individual. • Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit
of Ticket(sy!
Passes
Describe the public purpose made pursuant to the agency's policy
Name of Individual
(Last, First)
NumberB. afTlcksi(syl
Passes
Identify one of the following;
Lisa Middleton
2
Ceremonial Rolla ❑ other ® incea}e ❑
kr checking 'Ceremonr'al Role' or'Ofher de.....w ..--
Public Purpose as defined by PS Resolution No. 22454
Section 9 (d)(vii)
Christy Holstege
Ceremonial Rolle ❑ Other ® Inwma ❑
!( checking 'Ceremonial Rofe' or'OfW desmbe below
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii
Ceremonial Role ❑ Other ❑ .nc4m0 ❑
Ircheckfng'Ceremmiak RNe'or'Orhef describe below
Ceremonial Role ❑ Other ❑ Incc.me ❑
klcWkng -Ceremonial Role'Or V1W deWbe below
Name of Outside Organization
C. (include address and description)
Number
ofP kkAsyl
Describe the public purpose made pursuant to the agency's policy
FPPC Form 862 (212016)
FPPC Toll -Free Melpline: 866/ASK-FPPC (8661275-3772)