2017-05-19 Digicom LuncheonAgency Report of:
Ceremonial Role Events and TicketlPass Distributions ublic Document
1. Agency Name i _} F P AatOt r: a
City of Palm Springs
Division. Department. or Reoion (if anolicablel
Designated Agency Contact (Name,Title)
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 1 chdstina.chartier@palmspringsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description. Digicom Luncheon
Provide Titie/Explanatlon
Ticket(s)/Pass(es) provided by agency? Yes ® No ❑
Was ticket distribution made at the behest yes ❑ No
of agency official?
15 AM 7: 321 For Official Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
Face Value of Each Ticket/Pass $ 75.00
Date(s) 05 f 19 1 17
If no:
Name of Source
If yes:
Official's Name (Last, First)
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 7lcketjajl Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual of Tickagay Identity one of the following:
(Last, First) Passim
Moon, Robert Ceremonial Role ❑ Other ® Income ❑
11 checking "Ceremonial Role" or "Other describe below:
Public Purpose as defined by PS Resolution No. 22454
Roberts, J.R. Ceremonial Role ❑ Other ❑x Income ❑
ll checking "Ceremonial Role" or'Other" describe below.
Public Purpose as defined by PS Resolution No. 22454
Name of Outside Organlzatlon Number
C. (Include address and description) ofTleksgsy Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
1 have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
i h the requireme.*.
David Ready City Manager -to —I
Signature of Agency Head igme Print Name Tale (month, day, year)
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)