2018-05-19 PS Cultural CenterAgency Deport of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs • i Y
or Region (if appilcable) 2016
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 1 Christina.chartier@palmsphngsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: PS Cultural Center Kay Ballard Biopic
Provide Tidal Explana&on
Ticket(s)lPass(es) provided by agency? Yes ❑ No El
A Public Document
InALM ` 71"
9:57alUse Only
TI-JE CITY 'U'L C
❑'Amendment (Must Provide Explanation in Pan 3.)
Date of Original Filing:
(month, day, year)
Face Value of Each Ticket/Pass $ 22.09
Date(s) 05 ► 19 1 18
If no: Palm Springs Cultural Center
Name of Soun;e
Was ticket distribution made at the behest Yes ❑ No ® If yes:
of agency official?
Official's Name (Last First)
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 icket(s)l Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual of Tlcket(s)l Identify one of the following:
(LaA First) Passes
Robert Moon Ceremonial Rote ❑ Other ® Income ❑
11 dm*ng-C"mowjer Rde' or othef desafbe below
Public Purpose as defined by PS Resolution No. 22454
Section i d vii
J.R. Roberts Ceremonial Role ❑ other ® Income ❑
2 ItcheckAV 'Cemin wlat Rote or'Olher descrrne 9e oN
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii
Name of outside Organization Number
C. (include address and description)ofTkket(s)f Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
I have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is In accordance
with the requirements.
David Ready City Manager
Signature of Agency bead or Designee Print Name Title jmontn, day, year -
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free HelplIno: 8661ASK-FPPC (8661275-3772)
Agency Report of: California 802
Ceremonial Role Events and Ticket/Pass 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-
Numbar
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]
Number
at 7k;ket(s)l
Passes
Identify one of the following:
Geoff Kors
Ceremonial Role ❑ Other ® I.�t�me ❑
2
N checking Ceremonlat Rare- ar rather desobe below
Public Purpose as defined by PS Resolution No, 22454
Section 1(d)(vii)
Christy Holstege
Ceremonial Role ❑ Other El income ❑
2
Nchecky Ceremonial Rde' or •Other" describe below
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii
Lisa Middleton
Ceremonial Role ❑ Other ® Income ❑
2
it checking •Ceremonial Role or'Otherde=be below
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii
Ceremonial Role ❑ Other ❑ Income ❑
Ir checking •Ceremonial Role ar "her describe below
Name of Outside Organization
C. (include address and description)
Number
ofTiekagay
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866tASK-FPPC (0661275-3772)