2018-04-02 Guide Dogs EventAgency Report of -
Ceremonial Role Events and TicketlPass Distributions A Public Document
1. Agency Name I MITE)7For
.
City of Palm Springs . i i• Y OF P A L H S P R
Division, Department, or Region (if applicable) JUL 1
9 AM 8.al Use OMyDesignated Agency OMM (Name,r►tle) J1 ICE OF THE CI fY C
Christina Chartier, Executive Assistant to Mayor and Council
❑ Amendment (Mast Provide Explanafion in Para 3.)
760-322-8366 I Christina.chartier@palmspdngsca-gov I Data 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 $ 150.00
Event Description: Guide Dogs of the Desert Event Date(s) 041 02 1. 18 1
Provide Nife/Explansfion
Ticket(s)IPass(es) provided by agency? Yes ® No ❑ If no:
Name of 5oume
Was ticket distribution made at the behest Yes ❑ No ® 1f yes:
O
of agency official? ffrGa!'s 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.
A. Name of Agency, Department or unit of iicket(sp Describe the public purpose made pursuant to the agency's policy
Passes
Name of Individual Number identify B. of Tkksgs]t one of the following:
(Last. n" Passes
Robert Moon Ceremonial Role ❑ Other ® Income ❑
Hdiec dng 'C&mmonlal Rde or'Ofhar desmbe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vil
Ceremon al Role ❑ Other Q Income ❑
itchecking 'eremonlal Role or -orw descr+be below
Name of Outside Organization I Number I
C. (include address and description] of Tickatis}) Describe the public purpose made pursuant to the agency's policy
Passel
4. Verification
) have read and understand
with the requirements.
Comment:
Regulations 18944.1 and 18942. l have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Tide (month day, year)
FPPC Form 802 (212016)
FP PC Toll -Free Nelpline: 866tASK-FPPC (866f275-3772)