2018-10-06 Agua Caliente Dinner in the CanyonsAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name Date Stamp 1
City of Palm Springs
or
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 1 chdstina.chartier@palmspringsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: Ague Caliente Dinner in the Canyons
Provide 7it/e/Explanation
Tickets)/Pass(es) provided by agency? Yes ® No ❑
U Pi2:11
Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month. day, year)
Face Value of Each Ticket/Pass $ 687.50
Date(s) 10 t 06 t 188
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.
Number
A. Name of Agency, Department or Unit
of Ticket(s)l
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 ❑ Omer ❑ Income ❑
2
II checWng'Ceremonial Rde'or'Olher' describe below:
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii ix
Geoff KOrs
Ceremonial Role ❑ Omer ❑ Income ❑
2
II checWng'Commonlal Rde'or'Other' describe below.
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii ix
Name of Outside Organization
C.
Number
of Tlcket(s)l
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
4. Verification
I have read and understand F PC Regulations 189444 and 18942. I have verified that the distribution set forth above, is in accordance
with the requirements.
David Ready City Manager
Signature e r Designee Print Name Title (month, day, year)
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 86(1 (866/275-3772)
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 Tlcket(sy
Passes
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
(Last, First)
Number
of Ticket(s)/
Passes
Identify one of the following:
David Ready
2
Ceremonial Role ❑ Other ® Income ❑
if checking 'Ceremonial Role"or *Other" describe below:
Public Purpose as defined by PS Resolution No. 22454
Section 1(d)(x)
Christy Holstege
2
Ceremonial Role ❑ Other ® Income ❑
1f checking 'Ceremonial Role" or 'Other' describe below:
Public Purpose as defined by PS Resolution No. 22454
Section 1 d xi)
Ceremonial Role ❑ Other ❑ Income ❑
If checking "Ceremonial Role" or 'Other' describe below:
Ceremonial Role ❑ Other ® Income ❑
1f checking 'Ceremonial Role" or 'Other describe below:
Name of Outside Organization
C. (include address and description)
Number
of Ticket(sy
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)