2018-04-12 Runway Show Joslyn in BloomAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name ; i F Y 8 F PALM 5 P R���FFor
�� �City of Palm SpringsDivision, Department, or Region (if applicable) 2016 0L19AFC 8.05Official lase Only
Designated Agency Contact (Name,Tifle) 7F t, OF THE CITY CLL;
Christina Chartier, Executive Assistant to Mayor and Council
❑ Amendment {Must Provide Explanation in Part 3.)
760-322-8366 1 chdstina.chartier alms rin sca. ov Date of Original Filing:
@P P 9 9 (month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 125.00
Event Description: Runway Show Joslyn in Bloom Date(s) 04 1 12 /. 18
Provde Tdle/Explanabon
Ticket(s)/Pass(es) provided by agency? Yes ® No ❑ If no:
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
ONiders Name (Last First)
of agency official?
3. Recipients
• Use Section A to identify the agency's department or unit. • Use Section R to identify an individual. • Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or link of TicksksY Describe the public purpose made pursuant to the agency`s policy
Passes
B.
Robert Moon
Name of Individual
(Last. Fist)
of Tieket(sp I Identify one of the following:
Passes
Ceremonial Role ❑ Other IN Income ❑
1 If checklnp'Ceremonlef Ro'e or'Ofher deserfbe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial mote ❑ Other �. Income ❑
Hcheckrig'CeremordalRole or OtherdownbehoAaw
Name of Outside Organization Number
C. (include address and description) of Ticket(s}J Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
l have read and understand
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 (86W275-3772)