2018-07-26 Hospitality Association LuncheonAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name JF
F_ L E t �8tamp
City of Palm Springs ;1 r PALM 5 P R 1*
or Region (if applicable)
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 1 christina.chartier@palmspringsca.gov
2. Function or Event Information
Does the agency have a ticket policy?
Event Description: PSHA Luncheon Date(s) 07 t 26 ► 18
Provide ritfe✓&ptanation
Ticket(s)IPass(es) provided by agency? Yes ® No ❑ If no:
201I 5tP 17 Ph 5: 48
Public Document
For Offidal Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
Data of Original Filing:
(month, day, year)
Yes ® No ❑ Face Value of Each Ticket/Pass $ 30.00
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 organisation.
Number
A. Name ofAgency, Department or Unit of Tickst(sy Describe the public purpose made pursuant to the agency's policy
Passes
B. Name(LostnFL-4 ual I ofP k"sy I Identify one of the following:
Robert Moon Ceremonial Role ❑ Other ® Income ❑
} it checking Teiemonie) Rob' or •other d&scdbe U tow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Role ❑ Other Q Income ❑
Geoff Kors 1 "checking'CertmonlarRok-or•Otherdesaibebetow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)
C.Name of Outside Organization I of sy I Describe the public purpose made pursuant to the agency's policy
(include address and description)
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 cy Head or Designee Print Name Title (month, day, year)
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)