2017-08-25 ComicConPSAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
Division, Department, or Region (if applicable)
Designated Agency Contact (Name, Title)
Christina Chartier, Executive Assistant
Area Code/Phone Number E-mail
3 oor Official Use Only
· .. ~
D Amendment (Must Provids ExplsnsYon in Part 3.)
760-322-8366 christina.chartier@palmspringsca.gov Date of Original Filing: -..,--.:--.---=-(month. dsy, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes181 NoD
Event Description: Comic Con Palm Springs
Provide TiYel Explanation
Face Value of Each Ticket/Pass$ _1_50_.o_o ____ _
Date(s) ~~_E. ..!!!....J__E__j_E_
Ticket(s)/Pass(es) provided by agency? Yes 0 No 1&1 If no: .=C.=om:.:.::.:ic:..;C::;,;o:.:n.;.;P:..;a:.:l;.;.m:..;S:;Ip::.;.n;:.;·n:.;zg=.s ________ _
Name of Source
Was ticket distribution made at the behest Yes D No 181 If yes: ----==,_.,.,.----..,-.,.-,:~-------OfflciaJ'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 Tlc:ketll)l Describe the public purpoee made pursuant to the agency .. policy
PUSH
B. Number
Name of Individual of Tlc:ketls)/ Identify one of the followlflll:
(Last, Firs/) Passes
Ceremonial Role 0 Other IBJ Income D
Moon, Robert 2 ff checking 'Ceremonial ROle" or "Other" ducrltJ. below·
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role D Other l&J Income D
Foat, Ginny 2 ff checking ·ceremonial Role" or "Othtt' dfiiCift» below:
Public Purpose as defined by PS Resolution No. 22454
Name of Outside Organization Number c. of Tlcketls)/ Deacrtbe the public purpoee made pursuant to lila agency-. policy (Include address and description) Pas~e~
4. Verification
I have read and understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance
with the requiremen
David Ready
Print Name
City Manager
Title (month, day, year)
FPPC Form 802 (212016)
FPPC Toli·Free Helpline: 866/ASK·FPPC (8661275-3772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
California 802
Form
A Public Document
Agency Name
City of Palm Springs
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 TickiiiCII/
PIIIK
B. Number
Name of Individual ofTickatCI)J
(Last. First) Poo-
Martinez, Alex 2
Brown, Arron 2
Kaye, Sabrina 2
Goolsby, Denise 2
Name of Outolde Organization Number c. of TlckiiiC•II (Include address and description) -
Deecribe the public purpooe made purwuant to the agency'8 policy
Identify one of the foil-Ing:
Ceremonial Role 0 Other jgl Income 0
If Checking "Ceremonial Role~ or "Other" dHcrl~ bllow·
Public Purpose as defined by PS Resolution No. 22454
...,
Other fil L~----n Ceremoniai Roie LJ mcome 1.-J
If Checkmg ·ceremonial ROle" or ~Other'' daiCiil» below·
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role 0 Other fil Income 0
If checking ·ceremonial Role" or "Other" dett:rltw below:
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role D Other~ Income 0
If Checkmg "Ceremonial Rote" or "Other" dalcribe below:
Public Purpose as defined by PS Resolution No. 22454
Describe the public purpooe made purwuant to the agency'S policy
FPPC Form 802(212016)
FPPC Toii-Frwe Helpline: 866JASK·FPPC (866/276-3772)
Form 802-Additional Tickets for Police & Fire Appreciation Luncheon, 4/18/17
Severin, Suzanne-2, Public Purpose as described by PS Resolution No. 22454
Stark, Boris -2, Public Purpose as described by PS Resolution No. 22454
Cairns, Cindy-2, Public Purpose as described by PS Resolution No. 22454
Chartier, Christina-2, Public Purpose as described by PS Resolution No. 22454