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2018-10-20 PSPD Lt. Abshire Retirement DinnerAgency Report of Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name Date Stamp . , City of Palm Springs Division, Department, or Region (if applicable) 7(]13-� O fII G For Official use only Designated Agency Contact (Name,Title) Christina Chartier, Executive Assistant to Mayor and Council ❑ Amendment (Must Provide Explanation in Part 3.) 760-322-8366 I chdstina.chartier alms do sca. ov I Date of Original Filing: @P P 9 9 (month, day, year) 2. Function or Event Information Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 45_00 Event Description: PSPD Lt. Abshire Retirement Dinner Date(s) 10 ) 20) 188 Provide 77t/e/Explanation Tickets)/Pass(es) provided by agency? Yes ® No ❑ If no: Was ticket distribution made at the behest Yes ❑ No ® If yes: of agency official? Nameof Soume 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 Tlcket(s)l Describe the public purpose made pursuant to the agency's policy Passes B. Name of Individual (Last, First) Number of Ticket(s)I Passes Identify one of the following: Moon, Robert 1 Ceremonial Role ❑ Other © Income ❑ If chmking'Cemmonial Role-or-Other'descnbe below: Public Purpose as defined by PS Resolution No. 22454, Section 1 d vii vii Ceremonial Role ❑ Other ❑ Income ❑ If checking 'Ceremonial Role"or'Other describe below: Name of Outside Organization C' (include address and description) Number of Ticket(e)I Passes Describe the public purpose made pursuant to the agency's policy 4. Verification I have read and understand FPP egulations 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 Ag cY He signee Print Name Title (month, day, year) Comment: FPPC Form 802 (212016) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276.3772)