2018-03-15 Hositality Association LuncheonAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name , I T Y OF A L N�6 R )F-• - i i
City of Palm Springs
Division, Department, or Region (if applicable)
Christina Chartlier, Executive Assistant to Mayor and Council
760-322-8366 1 chdstina.chartier@palmspringsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Face Value of Each Ticket/Pass $ 30.00
Event Description: PSHA March Luncheon Date(s) 03 1 15 1 i8 _J 1
Provide Trtie/Explanabbn
Tickets)/Pass(es) provided by agency? Yes ® No ❑ If no:
For Official Use Only
JUL 19 �H 8� Q
OF THE CITY Ci I
Amendment (Must Provide Explanabon in Part 31
Date of Original Filing:
(month. day year;
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Orfi=;al's Name (Last, First)
of agency official?
3. Recipients
• Use Section A to identify the agency's department or unit. • Use Section 810 Identify an individual. • Use Section C to identify an outside organization.
A. Name of Agency, Department or Unit
of Tickat(sy I Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual of Tiaket(sy Identify one of the following:
lAst Fk4 Passes
Robert Moon Ceremonial Role ❑ Other ® Income ❑
1 if dwia'ng Ceremonial Rob' or •Other describe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vil
Ceremonial Role ❑ Other ❑x Income ❑
Lisa Middleton ffd>eddec•CeremonlalRde-or'Ofherdescnbebebw
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vil
Name of Outside Organization Number
C. {include address end description} ofTicket(sy Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
l have read and under
with the requirements.
Comment.
Regulations 18944.1 and 18942. 1 have vadfied 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 (8661276-3772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
Agency Name
A Public Document
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
Passes
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
(Last; R30
Number
of Tickagag
Passes
Identity one of the following:
Geoff Kors
1
Ceremonial Role ❑ Other ® Income ❑
llchecldng CemnwdaiRde'or'OtWdesafbebefow
Public Purpose as defined by PS Resolution No. 22454,
Section 1(d)(0)
Ceremonial Role ❑ Other ❑ Income ❑
11 checkV'Cemmonial Rofe• or •Other describe below
Ceremonial Role ❑ Other ❑ Income ❑
flchecidnQ'Ceremonfaf Rde'or'Olherdesaibe below
Ceremonial Role ❑ Other ❑ Income ❑
It checking 'Ceremonial Role• or'other describe below,
Name of Outside Organization
C. re
{include address and description)
Number
of
of Ticket(sy
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)