2018-11-30 DAP Everyday Hero AwardsAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
A Public Document
1. Agency Name
City of Palm Springs
or
Christina Chartier, Executive Assistant to Mayor and Council
Date Stamp
r i; i _ 0 :I III. 12
760-322-8366 1 christina.chartier@palmspringsca.gov
2. Function or Event Information
Does the agency have a ticket policy?
For Official Use Only
❑ Amendment (Must Provide Explanation in Pad 3.)
Date of Original Filing:
(month, day, year)
Yes ® No ❑ Face Value of Each Ticket/Pass $ 150.00
Event Description: DAP Everyday Hero Awards
Provide Title/Explanaton
Ticket(s)/Pass(es) provided by agency? Yes ® No ❑
Date(s) 11
If no:
30 t 18
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 Ticket(s)I
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of 7lcket(s)!
Passes
Identify one of the following:
Moon, Robert
1
Ceremonial Role ❑ Other ❑x Income ❑
If checWbg'Ceremonial Role" or'Other descnbe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Middleton, Lisa
Ceremonial Role ❑ Other I] Income ❑
1
llchecxing -Ceremonial Rote'or'Ofher describe belo,
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
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
1 have read and understand FPPC gulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with the requirements.
David Ready City Manager
Signature of Agency a esi as Print Name This (month, day, year)
Comment:
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)