2018-03-23 PS Life Food and WineAgency Report of:
Ceremonial Role Events and TicketlPass Distributions A Public Document
1. Agency Name
City of Palm Springs '
Division, Department, or Region (if appr;cable) 2010 JUN Za AM 9: 5 For Official use only
Designated Agency Contact (Name Titlel ff CE Or TIDE CITY c,_'
Christina Chartier, Executive Assistant to Mayor and Council
❑Amendment (Must Pmvlde Explanation in Part 3.)
760-322-8366 I christina.chartier@paimspringsca.gov 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 $ 150.00
9 Y P Y• Yes® No
Event Description Palm Desert Food & Wine Date(s) 03 1 23 1 18
Provide irtle/Explanadon
Tickets)/Pass(es) provided by agency? Yes ❑ No ® If no: Palm Springs Life
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
o
of agency official? rhuars 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 I of Ticketisy! I Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual of Tlckatis)t Identify one of the following:
(Last First) Passes
J.R. Roberts Ceremonial Role ❑ Other ❑x Incorne ❑
2llcheclung Ceremordaffte'or'00er'descTibebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Christy Holstege Ceremon at Role ❑ Other X❑ In=me ❑
2 it checking Ceremonial RWe' or'Oiher' descr+be below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Name of Outside Organization Number r
C. (include address and description) of Ticket(s)i Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
l have read and under
with the requirements
Comment:
Regulations 16944.1 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 8021212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
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 Ticke4sy
Passes
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
(Last. Fhso
Number
of Tkkah{sy
passes
Identify one of the following:
David Ready
1
Ceremonial Role ❑ Other ® Income ❑
If checking Ceremonial Role or otherdewribeWow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(x)
Amy Blaisdell
3
Ceremonial Role ❑ Other ® Income ❑
Itceeckng ;.rTmonlatR. ,'or t)therde--r.be,we-^w
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x
Robert Moon
2
Ceremonial Role ❑ Other ® incornc ❑
Ncheclung'CeremomalRole* of'Ornervescabebelow
Public Purpose as defined by PS Resolution No_ 22454.
Section 1 d vii
Ceremonial Role ❑ Other ❑ incomLL ❑
It chocking • CeremonialRole-or'dtherdescnh 9r.4h�
Name of Outside Organization
C. (include address and description)
Number
of Tkkef(s)!
Pam
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Fria Helpline: 8661ASK-FPPC (8661275-3772)