2018-11-03 Hanson House GalaAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
Division. Department, or Region (if applicable) N 9 F „
Christina Chartier, Executive Assistant to Mayor and Council
A Public Document
Date Stamp • . : '
i "- I I For Official Use Only
U Amendment (Must Provide Explanation in Pad 3.)
760-322-8366 I christina.chartier alms rin sca. ov Date of Original Filing:
@P P 9 9 (month day, year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 295.00
9 Y P Y Yes ® No ❑
Event Description: Hanson House Gala Date(s) 11 t 03 / 188 1 1
Provide Tt/erExplanab'on
Tickets)/Pass(es) provided by agency? Yes ® No ❑ If no:
Nameof 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)/
Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual
of Ticket(s)I
Identify one of the follovdng:
(Lest, First)
Passes
Moon, Robert
Ceremonial Role ❑ Other Q Income ❑
Itche Wng'Cemmonlal Role"or'Other'tlescnbebelow:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Role ❑ Other ❑ Income ❑
It checWng -Ceremonial ftde-or'Othee'descnbe below.
Name of Outside Organization
C.
Number
of Ticket(s)/
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
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 Tlae (month, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275.3772)