2018-11-19 LOCC Riverside Division MeetingAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
A Public Document
City of Palm Springs
Date Stamp
20192'6
For
Designated Agency contact (Name, Title)
Christina Chartier, Executive Assistant to Mayor and Council
❑ Amendment (Must Provide Explanah'on in Pert 3.)
760-322-8366 I ch ristina.chartieralms rin sca. Date of Original Filing:
@P P 9 9ov (month. day year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 30.00
9 Y P Y� Yes ® No ❑
Event Description: LOCC Riverside Division Meeting Date(s) 11 t 19 1 188
Provide Tde/Explanab'on
Tickets)/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.
A. Name of Agency, Department or Unit
Number
of 7lcket(s)1
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:
Middleton, Lisa
Ceremonial Role ❑ Other I] Income ❑
ll checWng'Ceremonial Role"or'Other'descnbe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii ix
Ceremonial Role ❑ Other ❑ Income ❑
If checking Temmonial Rcle- or'Other descnbe below.
Name of Outside Organization
C. (include address and description)
Number
of Ticketls)l
Passes
Describe the public purpose made pursuant to the agency's policy
4. Verification
1 have read and understand
with the requirements.
Comment:
Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Tile (month, day, year)
FPPC Fonn 802 (2/2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275.3772)