2018-06-25 Coachella Valley Association of Government General AssemblyAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name ' I T Y F PALM t P R �- WCffidaMl
City of PalmSpringsna�B � �� Q; O6 e Only
Division, Department, or Region (if apptkabte) C O
Designated Agency Contact (Name,T►tle) �r F THE CITY CL �
Christina Chartier, Executive Assistant to Mayor and Council
❑Amendment (Must Provide Explanation in Part 3.)
760-322-8366 I christina.chatfier@palmspdngsca.gov I Date at Original Filing: (month, day, year)
2. Function or Event information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: CVAG General Assembly
Provide Tide/Explanation
Mcket(s)IPass(es) provided by agency? Yes ® No ❑
Face Value of Each Ticket/Pass $ 70.00
Date(s) 06 r 25 r 18
If no:
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 8 to identify an individual. -Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit of Ticketi[ay Describe the public purpose made pursuant to the agency's policy
Passes
Name of Individual Number
B. of Tk:kat(sjt Identify one of the following
{Last First) I Passes
Robert Moon Ceremonial Role ❑ Other ® income ❑
Ircheckinp'ceramonialRde or-Othardas Mb-9-a.
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d ix
Ceremonial Role ❑ Other X❑ Income ❑
J.R. Roberts N&AWkng •cemm mal Role or Otherdewd," ,wc
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(ix)
C. Name of Outside Organization I o4Ticketts}t I Describe the public purpose made pursuant to the agency's policy
(include address and description) Puy
4. Verification
) have read and understand FPPC Cations 18944.1 and 18942. t have verified that the distribution set forth above, is in accordance
with the requirements.
David Ready City Manager
Signatureof Ageney d or Print Name Title ;month. day, yearl
Comment:
FPPC Form 802 (2f2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Agency Report of: California
Ceremonial Role Events and Ticket/Pass Distributions Form '
021
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 TlekatteY
Pass"
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
(Last Fr►at}
Number
ofp ss� )!
Identify one of the following:
Christy Holstege
Ceremonial Role ❑ Other ® Income ❑
MdwAM•Cwwnon FhWor•a1nerdescdbebe�
Public Purpose as defined by PS Resolution No. 22454.
Section 1 (d)(ix)
David Ready
Ceremonial Role ❑ other ® Income ❑
Kcheudnp-CommoQ1Role'aVrherdesmbebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d ix
Geoff Kars
Ceremonial Role ❑ Other ® Income ❑
If checkkV Ceremowlel Role or-orherdescnoe bWow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d ix
Ceremonial Role ❑ Other ❑ Income ❑
Nchecknp'commonlalRafe or Other' descrlbebelow
Name of outside Organization
C.
(include address and description)
Number
of Ticket(s)l
passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (2i201$)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276.3772)