2018-10-19 Modernism Show Preview PartyAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
Division, Department, or Region (if aw icab/e) nn10 >. `. R
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 1 christina.chartier@palmspringsca.gov
A Public Document
Date Stamp
12 For Official Use Only
Amendment (Must Provide Explanation in Part 3.)
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 $ 65_00
Event Description: Modernism Show Preview Party Date(s)
Provide Tit/e/Exp/anac'on
Ticket(s)/Pass(es) provided by agency? Yes ❑ No ® If no: Palm Springs Modernism Week
Name of Source
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.
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 Ticket(s)/
Passes
Identify one of the following:
Moon, Robert
1
Ceremonial Role ❑ Other Q Income ❑
ncheckng"Cemmonial Role'or'Otherdescnbebelow:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vi vii
Kors, Geoff
Ceremonial Role ❑ Other I] Income ❑
1
lrchackng'Ceremonial Role" or'Othee essence below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vi vii
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
with the requirements.
Comment:
18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Title (month, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (86612753772)
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 Tlcket(s)l
Passes
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
(Last, First)
Number
of Ticket(s)l
passes
Identify one of the following:
Holstege, Christy
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)(vi)(vii)
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)(vi)(vii)
Ceremonial Role ❑ Other ❑ Income ❑
If checking 'Ceremonial Role" or "Other' describe below:
Ceremonial Role ❑ Other ❑ Income ❑
If checking 'Ceremonial Role" or "Othe' describe below:
C Name of Outside Organization
' (include address and description)
Number
of Ticket(s)l
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)