2017-05-09 CVB Oasis AwardsAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name :; i t 'r
City of Palm Springs
naa•
or Region (ifapplicable)
Designated Agency contact (Name,Ptla) I
Christina Chartier, Executive Assistant to Mayor and Council Ir
760-322-8366 1 chriktina.chartier@paimspringsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: CVB Oasis Awards
Provide 'tle/Explanation
Ticket(s)/Pass(es) provided by agency? Yes® No ❑
ublic Document
Form &I
IG 10 01/ 3. 38 For O ldal use Only
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing;
(month, day, year)
Face Value of Each Ticket/Pass $ 48.00
Date(s) 51 09 ( 17
If no:
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
0
of agency official?
(Last, First)
3.
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 1lckegs)t Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual of ncksgs'o Identify one of the following:
(Last, First) I Pass"
Moon, Robert
Ceremonial Role ❑ Other ® Income ❑
1 !t checking "Ceremonial Rate" or "otherdescribe beta W:
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ❑X Income ❑
If checking "Ceremonial Role" of "othe'describe beio W.'
Name of Outside Organization Number
of Tkket(au Describe tha public purpose mach pursuant to tha agency's pally
C. (include address and description)
Passes
4. Verification
1 have read and understand FPPC Regulations 18944.1 and 18942. 1 have verged that the distribution set forth above, is in accordance
requirerpents.
1 a JI`tK �eLL� C� t _ �- i,i t �---
SignatureofA a Print Name UTitle (month, day, year)
Comment:
FPPC Form 802 1212016)
FPPC Toll -Free Helpline: 866)A9K-FPPC (866)276.3772)