2018-11-15 PSHA Member LuncheonAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name
City of Palm Springs
Division, Department, or Region (if applicable) _ For official use only
2%',' 25 Pit 2: 111
Christina Chartier, Executive Assistant to Mayor and Council
❑ Amendment (Must Provide Explanation in Part 3.)
760-322-8366 I christina.chartier alms rin sca. ov I Date of Original Filing:
@p p 9 g (month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 30_00
Event Description: PSHA Member Luncheon Date(s) 11 ) 95 / 188
Provide Tde/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ® No ❑ If no:
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.
Number
A. Name of Agency, Department or Unit
of Tlcket(s)1
Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual
of 7lcket(s)1
Identify one of the following:
(Last, First)
Passes
KOrS, Geoff
Ceremonial Role ❑ Other ❑X Income ❑
1
11 cbeckag'Cemmonial Role"or'Olherdesrnbe below:
Public Purpose as defined by PS Resolution No. 22464,
Section 1 d vii ix
Ceremonial Role ❑ Other ❑ Income ❑
If checkng'Cemmonial Rde"or'Olherdescribebel0w'
Name of Outside Organization
C.
Number
of Ticket(s)l
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
4. Verification
I have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with the requirements. 111i
Comment:
David Ready City Manager
Print Name Tille (month, day, year)
FPPC Fortin 802 (2/2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275.3772)