2018-04-28 Boo 2 Bullying EventAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
Division, Department, or Region (ifaiWicable)
2018
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 1 christina.chartier@palmspdngsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: The Center Boo 2 Bullying Event
Provide ritle/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ® No ❑
A Public Document
re imp
For Official Use Or'y
19 AM 8: 06
CHIC4 OF THE CITY CLF- 1 ✓
❑ Amendment llNust Provide Explanation In Part 3.,
Date of Original Filing: (month, day, year)
Pace Value of Each Ticket/Pass $ 25.00
Date(s) 04 1 281. 18 1
If no:
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Offldar'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 i to identify an outside organization.
Number
A. Name of Agency, Department or Unit of Ticket(sY Describe the public purpose made pursuant to the agency's policy
Passes
B.
Name of Individual
(Last; First)
of Ticket(sp
Passes
Identify one of the following:
Robert Moon Ceremonial Role ❑ Other ® Income ❑
lr checking 'Ceremonial Rota' or'OlW describe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Role ❑ Other Income ❑
if checMnp'Ceremonlal Roe"or'Other' describe below
Name of Outside Organization Number
of Tit:ket(aj! Describe the public purpose made pursuant to the agency's pulley
C. (include address and description)
Passes
4. Verification
1 have read and under
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 (2f2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (3661275-3772)