2018-10-04 Annual PD&Pub. Safety LuncheonAgency .'Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
Division, Department, or Region (ifapplicab/e) 9111q t f. .
Christina Chartier, Executive Assistant to Mayor and Council
Date Stamp
A Public Document
For Official Use Only
Amendment (Must Provide Explanation in Part 3.)
760-322-8366 I christina.chartier@palmspringsca.gov I Date of Original Filing: (month. day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Face Value of Each Ticket/Pass $ 62.50
Event Description: Annual PD&Pub.Safety Luncheon Date(s) 10 / 04 ) 18
Provide Tfle/Explenatron
Tickets)/Pass(es) provided by agency? Yes ❑ No El If no: Palm Desert Chamber of Commerce
Name of Soume
Was ticket distribution made at the behest Yes ❑ No ® If yes:
of agency official?
Official's Name (Last, First)
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)/
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Ticket(s)/
Passes
Identify one of the following:
Roberts, J.R.
2
Ceremonial Role ❑ Other Z Income ❑
itch ckingOeremonial Role' or'Other' describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii id
Middleton, Lisa
Ceremonial Role ❑ Other 0 Income ❑
.�
Itchecking'Ceremonial Role-or'Other dewnbe below:
Public Purpose as dP�fined by PS Resolution No. 22454,
Section 1 d vii (1X )
Name of Outside Organization
(`,,
(include address and description)
Number
of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency's policy
4. Verification
I have read and understand
with the requirements. ,
Regulations 18944.1 and 18942. / have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Tide (month, day, year)
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
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.
Number
A. Name of Agency, Department or Unit
of Ticket(s)/
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Tlcket(s)/
Passes
Identify one of the following:
Kors, Geoff
Ceremonial Role ❑ Other El Income ❑
1
1f checking "Ceremonial Role" or "Other' describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii) )(
Moon, Robert
1
Ceremonial Role ❑ Other ® Income ❑
If checking "Ceremonial Role" or "OtheY' describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii) j X
Ready, David
1
Ceremonial Role ❑ Other ® Income ❑
if checking "Ceremonial Role" or "Other" describe below:
Public Purpose 9s defined by PS Resolution No. 22454,
Section 1 d (x) i X
Ceremonial Role ❑ Other ❑ Income ❑
If checking "Ceremonial Role" or "Other" describe below:
Name of Outside Organization
C.
' (include address and description)
Number
of Ticket(s)/
passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866IASK-FPPC (866/275-3772)