2018-11-02 Coyote Stage Works Opening NightAgencyrReport of:
Ceremonial Role Events and Ticket/Pass Distributions
A Public Document
1. Agency Name
City of Palm Springs
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: Coyote Stage Works Opening Night
Provide Til/e/Erplanafion
Ticket(s)/Pass(es) provided by agency? Yes ❑ No EI
Date Stamp
°-_4 P1 2: 11
For Official Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month. day, year)
Face Value of Each Ticket/Pass $ 6000
Date(s) 11 / 02 / 188
If no: Coyote Stage Works
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Official's Name (Last,
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.
A. Name of Agency, Department or Unit
Number
ofTtcket(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 I] Income ❑
ll checkirg'Cemmonial Role"or'Other' describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii viii
Moon, Robert
2
Ceremonial Role ❑ Other 9 Income ❑
chec dng'Cmmonlel Rde'or'Olher' describe beow.
Public Pu11rpose as defined by PS Resolution No. 22454,
Section 1 d vii viii
Name of Outside Organization
C. (include address and description)
Number
of Ticket(s)I
Passes
Describe the public purpose made pursuant to the agency's policy
4. Verification
I have read and under
with the requirements.
Comment:
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 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
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(sy
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:
Fagg, Flinn
Ceremonial Role ❑ Other ® Income ❑
2
if checking 'Ceremonial Role" or 'Other" describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(x)
Nolan, Tom
Ceremonial Role ❑ Other ® Income ❑
2
if checking "Ceremonial Role" or'01her' describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(x)
Salazar -Wilson, Catherine
Ceremonial Role ❑ Other ® Income ❑
2
if checking 'Ceremonial Role" or'Other" describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(x)
Pope, Luz
Ceremonial Role ❑ Other ® Income ❑
2
If checking 'Ceremonial Role" or "Other' descrbbe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(x)
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: 866/ASK-FPPC (8661275-3772)
Form 802 —Additional Tickets for 101h Season of Coyote Stage Works 11/02/18
Goedhardt, Veronica — 2, Public Purpose as described by PS Resolution No. 22454, Section
1(d)(x)