2018-04-28 NASF Scholarship Fund BallAgency Report of:
Ceremonial Role Events and TicketlPass Distributions
A Public Document
1. Agency Name M81AW - 802
City of Palm Springs 4 P A F; ,; , '
ForOfficial Use Only
Division, Department, or Region (if applicable) JUL 19 AN 8: 0
Designated gency Contact (Name,Tttle) O G " THE CITY Cljw
Christina Chartier, Executive Assistant to Mayor and Council ❑ Amendment (Must ProWde Explanation m Part 3.)
Area ode/Phone Number E-mail
760-322-8366 chdstina.chartier alms do scaDate of Orlglnal Filing:
@P P 9 . 9ov (month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 65.00
9 Y P Y Yes ® No ❑
Event Description: NASF Scholarship Fund Ball Date(s) 04 1 28 1. 18 fir._
Provide TiderExplanadon
Tickets)/Pass(es) provided by agency? Yes ® No ❑ If no:
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Ofliciat's Name (Last, First)
of agency official?
3. Recipients
• Use Section A to identify the agency's department or unit. • Use Section & to identify an individual. • Use Section t to identify an outside organization.
Number
A. Name of Agency, department or Unit ofTickettsy Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual of roket(sg Identify one of the following:
(Last First Passes
Robert Moorr Ceremonial Role ❑ Other ® Income ❑
1 NChKkng Teremonle) Rafe" or'Other• desmbe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Role ❑ Other X❑ Income ❑
Lisa Middleton HdwhV'C&emonratRob'ar otherdesaibaberow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Name of Outside Organization Number
of Tk kat(sN Describe the public purpose made pursuant to the agency's policy
C. (include address and description)
Passes
4. Verification
l have read and understand FRPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with the requirements. 411
Comment:
David Ready City Manager
Print Name Title (month, day, year)
FPPC Form 602 (212016)
FPPC Toll -Free Helplins: 8661ASK-FPPC (8661275-3772)