2018-10-11 PS Pride OUT PSP Kick OffAgerIcy Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
Division, Department, or Region (if applicable) ,
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 I christina.chartier@palmspringsca.gov
2. Function or Event Information
A Public Document
Date Stamp
1 12 For Official Use Only
❑ 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 $ 50.00
Event Description: PS Pride OUT PSP Kick Off Date(s) 8
Pmvrde ride/Explanation
Tickets)/Pass(es) provided by agency? Yes ® No ❑ If no:
Was ticket distribution made at the behest Yes ❑ No
of agency official?
NameofSoume
If yes:
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.
Number
A. Name of Agency, Department or Unit
of Ttckeys)1
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of Ticket(s)/
Identity one of the fallowing:
(Last, First)
Passes
Roberts, J.R.
Ceremonial Role ❑ Other ❑X Income ❑
1
If checking'Cemmonial Role"or'Olher' dascdbe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Middleton, Lisa
Ceremonial Role ❑ Other ❑x Income ❑
1
II checkng -Ceremonial Rde-or'Other describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Name of Outside Organization
C.
Number
of Ticket(s)1
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
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 Agency ^ad At p tee Print Name Tide (month, day, year)
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866IASK-FPPC (866/275.3772)
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)/
Passes
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
(Last, First)
Number
of Tlcket(s)l
Passes
Identify one of the following:
Kors, Geoff
1
Ceremonial Role ❑ Other ® Income ❑
It 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 'Other" descnbe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii)
Ceremonial Role ❑ Other ❑ Income ❑
If checking "Ceremonial Role" or 'Other' describe below:
Ceremonial Role ❑ Other ❑ Income ❑
11 checking 'Ceremonial Role" or 'Other' descnbe below:
Name of Outside Organization
C. include address and description)
(� p )
Number
of Tlcket(s)l
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)