2018-11-08 CVEP Economic SummitAgency'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) rim
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 1 chdstina.chartier@palmspringsca.gov
For Official Use Only
❑ Amendment (Must Provide Explanation in Pan 3.)
Date of Original Filing:
(month, day, year)
2. Function or Event Information
Does the agency have a ticket olio Face Value of Each Ticket/Pass $ 95_00
9 Y policy? Yes® Non
Event Description: CVEP Economic Summit Dates) 11 t 08 t 18
Provide 7ille/Explanaton
Ticket(s)/Pass(es) provided by agency? Yes ❑ No ® If no: CVEP
Name of 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.
A. Name of Agency, Department or Unit
Number
of ncket(s)/
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of Timbercket(s)l
Identify one of the following:
(Last, First)
Passes
Moon, Robert
1
Ceremonial Role ❑ Other ❑% Income ❑
IfchecWng'Ceremonial RoWor'OthePdescnbe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii viii
Holstege, Christy
2II
Ceremonial Role ❑ Other ❑7C Income ❑
chechng'Ceremonial Role' or'Other'descnbe below:
Public Purpose 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)l
Passes
Describe the public purpose made pursuant to the agency's policy
4. Verification
I have read and understand
with the requirements.
Regulations 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: 866IASK-FPPC (866/275-3772)
Agency Report of: - 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)/
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Ticket(sy
Passes
Identify one of the following:
Roberts, J.R.
Ceremonial Role ❑ Other El Income ❑
1
if checking 'Ceremonial Role" or 'Other' describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)(viii)
Ready, David
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)(x)
Fagg, Flinn
Ceremonial Role ❑ Other El Income ❑
1
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 ❑
1
If checking 'Ceremonial Role" or 'Other' describe 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(s)i
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Form 802 — Additional Tickets for CVEP 14th Annual Greater Palm Springs Economic Summit
11 08 18
Pendleton, Marla —1, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(x)
Virata, Jay —1, Public Purpose as defined by PS Resolution No. 22454, Section 1 (d)(x)
Van Horn, Cathy —1, Public Purpose as defined by PS Resolution No. 22454, Section 1(d)(x)