2018-09-26 BIA Affordable Housing EventAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
A Public Document
City of Palm Springs
or
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? Yes® No ❑
Event Description: BIA Affordable Housing Event
Provide Ttle/Explanaton
Ticket(s)/Pass(es) provided by agency? Yes ® No ❑
Date Stamp.11
,� 0 (±, �� I (; I For O7,cial Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
Face Value of Each Ticket/Pass $ 55.00
Date(s) 091 26 ( 188
It 1� *
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 Ticket(s)t
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of Ticket(s)I
Identify one of the following:
(Last, First)
Passes
Moon, Robert
Ceremonial Role ❑ Other 0 Income ❑
,�
Il checking'Cemmonial Role'or'Othee'tlscdbebelow:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Role ❑ Other ❑ Income ❑
II the kng'Ceremonial RWe"or'Othe/ desedbe below.'
Name of Outside Organization
C.
Number
of Ticket(s)/
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
4. Verification
1 have read and understand
with the requirements.
t . 1•ir71 0TIN
Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name The (month, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275.3772)