2018-03-30 Well In the Desert Fools FollyAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name R date etpyrrE 9
City of Palm Springs z OF PA L'M � 11 JUL ! 9 AM 8� Spp,f MOffiffidal
Division, Department, or Region (if applicable) For use Monly
Designated Agency Contact (Name,rrtle) ., 1 E 0r THE C1T i' C,
Christina Chartier, Executive Assistant to Mayor and Council
❑ Amendment (Must Prowde Expianabon in Part 3.)
760-322-8366 chdstina.chartier alms tin sca. ov Date of Original Filing:
@P P g 9 (month day year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value Of Each TickettPass $ 100.00
Event Description: Well in the Desert Fools Folly Event Date(s) 03 t 30 1 18
Provide rrNe/Explana&on
Ticket(s)IPass(es) provided by agency? Yes ® No ❑ If no:
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Oflrciar's Name (Last, First)
of agency official?
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 Tieket(sN Describe the public purpose made pursuant to the agency's policy
Passes
Name of Individual Number
B. (Last, First) of pa�au identify one of the following:
Robert Moon Ceremonial Role ❑ ether ® Incorm ❑
1 Ird mckM'Ceremonial Role. or'Ofher describe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Christy Holstege Ceremonial Role ❑ Other Q in,00me ❑
1 it cbeekng'Ceremonia) Role• or'Oltme describe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d)(vil
Name of outside Organization Number
` (include address and description} of TiokegsY Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
/ have read and
with the reauirei
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: 866lASK-FPPC (8661276-3772)
Agency Report of: California 802
Ceremonial Role Events and TicketlPass Distributions Form
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 Tickagsjl
Passes
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
Pat. Fhat)
Number
of ncket(ag
Passes
Identify one of the following:
J.R. Roberts
)
Ceremonial Role ❑ Other ® •ncom_� ❑
ncnecAV'cemmwJa1 o*'orrotnerdescd4maeow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)
Lisa Middleton
1
Ceremonial Role ❑ Other ® inmme ❑
9`wk"°'cemmonia1Rde'or*aherdes0ba
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d xvii
Geoff Kors
1
Ceremonial Role ❑ Other ® Income ❑
nchecwng Ceremonial Role' or Other describe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Role ❑ Other ❑ 'ncf r.h ❑
N checking 'Ceremonial Rde' or'Other describe below
Name of Outside Organization
C. (include address and description)
Number
Inclurksp
Passes
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (=016}
FPPC Toll -Free Helpline: 866IASK-FPPC (8661275-3772)