2018-09-12 LOCC Riv. Division Annual LuncheonAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name _Date Stamp 1
City of Palm Springs L"
Division, Department, or Region (if applicable) For Official use only
2019 �` aR 20 Ai i l l: i l
Designated Agency Contact (Name, Title)
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 I chdstina.chartier@palmspringsca.gov
2. Function or Event Information
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
Does the agency have a ticket policy. Yes ® No ❑
Face Value of Each Ticket/Pass $ 40_00
Event Description: LOCC Riv.Div. Annual Luncheon Date(s) — —9—/ 12118 —
Provide Tif/e/Explanab'on
Tickets)/Pass(es) provided by agency? Yes ® No ❑ 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 B to identify an individual. • Use Section C to identify an outside organization.
A. Name of Agency, Department or Unit
Number
of Ticket(s)l
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Ticket(s)l
Passes
Identify one of the following:
Middleton, Lisa
1
Ceremonial Role ❑ Other Q Income ❑
Itecking'Cemmonlal Role"or'Oiher describe below:
Public Puchrpose as defined by PS Resolution No. 22454,
Section 1 d vii ix
Kors, Geoff
Ceremonial Role ❑ Other 0 Income ❑
1
Ilcheab'ng'Cemmonief Rae'or'olher M=dbe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii ix
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
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 Age He ignee Pnnt Name Title (month, day, year)
Comment:
FPPC Form 802 (2/2016)
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 Ticket(s)i
Passes
Describe the public purpose made pursuant to the agency's policy
B.
l
Name of Individual
(Last, First)
Number
of Ticket(s)/
Passes
Identify one of the following:
Roberts, J.R.
1
Ceremonial Role ❑ Other ® Income
If checking 'Ceremonial Role" or "Other" describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)(ix)
❑
Ceremonial Role ❑ Other ❑ Income
1f checking 'Ceremonial Role" or 'Other"describe below:
❑
Ceremonial Role ❑ Other ❑ Income
If checking "Ceremonial Role" or 'Other describe below:
❑
Ceremonial Role ❑ Other ❑ Income
If checking 'Ceremonial Rote" or'Other describe below:
❑
C.
Name of Outside Organization
(include address and description)
Number
of Ticket(s)/
passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)