2018-12-12 PSHA Golf Tournament Holiday LunchAgency Report of:
v
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) ya r, n `j j 1 1 t 12 For Official Use Only
2019 Iihl
Designated Agency Contact (Name,Tttlai _
Christina Chartier, Executive Assistant to Mayor and Council
❑ Amendment (Must Provide Explanation in Part 3.)
760-322-8366 I christina.chartier alms do sca. I Date of Original Filing:
@p P 9 9ov (month. day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 45.00
Event Description: PSHA Golf Tourn. Holiday Lunch Date(s) 12 y 12 l 188 1
Provide 71fle/Exp/anation
Tickets)/Pass(es) provided by agency? Yes ® No ❑ If no:
Name N.Snume
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)f
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of TickeysN
Passes
Identify one of the following:
Moon, Robert
1
Ceremonial Role ❑ Other ❑x Income ❑
It checWgTeremonial Role" or'Other destdbebelow:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
KOrs, Geoff
Ceremonial Role ❑ Other ❑x Income ❑
.�
It checting'Ceremonial Rde'or'Ofhertlascdbe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Name of Outside Organization
C. (include address and description)
Number
of Tickets)/
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 Toil -Free Helpline: 8661ASK-FPPC (8661275.3772)