2018-06-21 Hospitality Association LuncheonAgency Report of:
Ceremonial Role Events and TicketJPass Distributions A Public Document
1. Agency Name R E(Mf?�
City of Palm Springs �_ I T � OF PALM S ? R tN. -0 a
Division, Department, or Region (if applicable) Far O*cial Use Only
201 JUL 19 QM 8: 03
Designated Agency Contact (Name,rrrle) : Fi E OF THE CITY CLEF
Christina Chartier, Executive Assistant to Mayor and Council
❑ Amendment (must provide Explana6an in Parts.)
760-322-8366 1 chdstina.chartier@palmspdngsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 30.00
Event Description: PSHA Luncheon Date(s) 06 1 21 1 18 _1 1
Provide ride/Explanation
Ticket(s)IPass(es) provided by agency? Yes ® No ❑ If no:
Date of Original Filing:
(rnonth, day, year)
Name al Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
of agency official? Muni s Name (Last, First+
3. Recipients
• Use Section A to identify the agency's department or unit. • Use Section E to identify an individual. • Use Section C to identify an outside organization.
A. Name of Agency, Department or Unit I of Tk:kagsjf I Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual of Ticket(s]1 Identify one of the following:
(Last, First) Passes
Robert Moon Ceremonial Role ❑ Other ® income ❑
1 nd�ecra+ro cnrr<wnfarRae-orrorberaaxnbeberow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vif
Ceremonial Role ❑ Other x❑ Income ❑
Geoff Kors 1 It cheNdrVTeiemaNalRole, ar'Otherdescrlbebebw
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Name of Outside Organization Number
C. (include address and description) ofTicket(sll Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
) have read and understand
with the requirements.
Comment:
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: B661ASK-FPPC (8661276.3772)
Agency Report of: California
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.
Nunelw
A. Name of Agency, Department or Unit
of Tlcluetlsy
Passes
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
(Last FhstJ
Number
sy
off �
identify one of the following :
Christy Holstege
Ceremonial hole ❑ Other ® income ❑
lf0w.Wng Cersmonla)Rde or'Otherabsafbebelbw
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)
Ceremonial Role ❑ Other ❑ Income ❑
If decking •Ceremonial Role ar btber cfewdbe bebw
Ceremonial Role ❑ Other ❑ Inoorn- ❑
If checkag •Ceremonial Rde•or'Ofher describe below
Ceremonial Role ❑ Other ❑ incnma ❑
it checking 'Ceiemodal Role• or *Other rlesaibe below
Name of Outside Organization
C. (include address and description)
Number
of Ticketlay
Posses
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)