2017-09-21 Hospitality Association LuncheonAgency Report of:
Ceremonial Role Events and Ticket(Pass Distributions
A Public Document
1. Agency Name I RE(Pitt Vt"
City of Palm Springs r Z OF PA 01 S P
Division, Department, or Region (if applicable) 2816
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 I chdstina.chartier@palmspdngsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes IS No ❑
Face Value of Each Ticket/Pass $ 30.00
Event Description: PSHA Luncheon Date(s) - 9 / 21 1. 17 t� J
Provide Tltfe/Ex0anadon
Ticket(s)IPass(es) provided by agency? Yes ® No ❑
For Official Use Only
19 AN 6: 06
OF THE CITY I,/
❑ Amendment (Must Provide Explanadon in Part 3 )
If no:
Date of Original Filing:
(month, day, year)
Name of SOUMe
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Official's; s Name {Last, First
of agency official?
3. Recipients
• Use Section A to identify the agency's department or unit. • Use Section H to identify an Individual. • Use Section C to identify an outside organization.
A. Name of Agancy, Department or Unit
of nets)!
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of Tickegsy
Identify one of the following:
(Last First)
Passes
Moon, Robert
Ceremonial Role ❑ Other ® Income ❑
1
n checrdng'Cere n&W Rofe' or'01W describe below
Public Purpose as defined by PS Resolution No. 22454,
Section1 d vii
Roberts, J.R.
Ceremonial Role ❑ Other N income ❑
1
Ifcheddng -Ceremonial Role, or'Other deseffbe below
Public Purpose as defined by PS Resolution No. 22454,
Section'I d vii
Name of Outside Organization
C.
Number
ofTicket(sp
Describe the public purpose made pursuant to the agency's policy
(Include address and description)
Passes
4. Verification
l have read and
with the reQuiret
Comment:
Regulations 19944,1 and 18942. l have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Titl! jmon.n, day. year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8881ASK-FPPC (8861275-3772)
Agency Report of: California r
Ceremonial Role Events and TickeVPass Distributions '
Continuation Sheet 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 Tickagoyl
Passes
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
(Last Faro
mber
of Tickagay1
Passes
Identify one of the following:
Ginny Foat
Ceremonial Role ❑ Other ® Income ❑
flchecMng-c"monlelRo'e•or OtWdewntr br��
Public Purpose as defined by PS Resolution No. 22454,
Section 1(d)(vil)
Geoff Kors
1
Ceremonial Role ❑ other ® inuame ❑
lrchec"'CommonialRole orrofher'desaibebelow
Public Purpose as defined by PS Resolution No. 22454.
Section 1 d vii
Ceremonial Rote ❑ Other ❑ .ncome ❑
Il oWJung 'Ceremonial Role' or'Olhae describe below
Ceremonial stole ❑ Other ❑ ;ncone ❑
it chechng'CeramonlalRole"or'Ofher descdy-be-^n
Name of Outside Organization
C.
(include address and description)
Number
of Tlcksgsyl
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)