2018-06-02 PSFD Fish FryAgency Report of:
Ceremonial Role Events and TicketlPass Distributions A Public Document
1. Agency Name K t U t V C. -WP tamp
'
City of Palm Springs I T Y OF PAI M 5 f' R'-%
Division, Department, or Region (if applicable) 2010 JUN 2 0AM T 51 For Official Use Only
Designated Agency Contact (Name, Title) Itt UI' I e-IL GIB 's
Christina Chartier, Executive Assistant to Mayor and Council
❑ Amendment (Must Provide Explanation in Part 3 )
760-322-8366 I christina.chartier@palmspdngsca.gov I Date 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 $ 10.00
Event Description: PSFD Assoc. Fish Fry Date(s) 06 1 02 1 18 1 1
Provide Tit1e/Explanishon
Ticket(s)IPass(es) provided by agency? Yes ❑ No ® If no: Palm Springs Firemen's Association
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Official'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 C to identify an outside organization.
Number
A. Name of Agency, Department or Unit of Tlckogsy Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual of Tickettay Identify one of the following:
(Last RP7 Passes
Robert Moon Ceremonlal Role ❑ Other ® inwR'e ❑
2 "cheating Teremonfal Rote' or •Other describe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
J.R. Roberts Ceremonial Role ❑ Other X❑ ncema ❑
2 frchecl ing Teremontal Role'br'Other describe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Name of Outside Organization Number
tr' (include address and description} of TicketleY Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
1 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 HVsjorpi4nee Print Name Tilt `month day. year;
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 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.
Number
A. Name of Agency, Department or unit
of Tickat(syl
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
ofTicket(s)f
Passes
Identify one of the following:
Ceremonial Role ❑ Other El Income ❑
Christy Holstege
2
Itcheckng-_-sTmomarRoite or Otherdewnbehelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)
Ceremonial Bole ❑ Other ® Income ❑
Geoff Kors
2
trdacldng raWor-Other describe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Role ❑ Other ® Income ❑
Lisa Middleton
2
Ifehe,-*rgTeremomarRde or*&Wdescnbebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Role ❑ Other ❑ Income ❑
Marcus Fuller
2
Irched wV'Ceremonlel Role or Othe alesmbe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(x)
Name of Outside Organization
C.of
(include address and description)
Number
Tiekegsy!
Pam
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)