2017-10-07 ACBCI Dinner in the CanyonAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Documen&
1. Agency Name K iW aT (�}�,�
City of Palm Springs CiT Y F P A F� �F' (�,t. •
Division, Department, or Region (if applicable) 2010 JAN 31 AM 8: 50 For OtrcialWeOnly
THE CITY CLF
Christina Chartier, Executive Assistant to Mayor and Council
❑Amendment (Must Provide Explanation in Part 3.)
760-322-8366 ., alms do sca. chdstina.chartier 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 $ 300.00
Event Description. Agua Caliente Dinner in the Canyon Date(s10 )
07 1 17
Provide Tille/Explanahon
Tickets)/Pass(es) provided by agency? Yes ® No ❑ If no:
Name or Source
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 $ to identify an Individual. • Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit of Tiokatiay! Describe the public purpose made pursuant to the agency's policy
Passes
Name of Individual Number
B. of Tkket{sjr Identify one of the following:
(Last, First) paw
Ceremonial Role ❑ Other ® income ❑
Moon, Robert 1 +rc"BCid"Q '"em'�"af RoW or'omerdesmbe below
Public Purpose as define by PS Resolution No.22454
Section 1 d ix
Ceremonial Role ❑ Other ❑ Income ❑
Hdmckng'Cen munlal Role"or'Olherdescrtbe below
Name of outside Organization Number
C. {Include address and description) of rickeuayl Describe the public purpose made pursuant to the agency's policy
Posses
4. Verification
1 have read and understand2Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with the requirements.
David Ready City Manager
Signature ofAgeripf Hotkr,Oasignee Print Name Title (month. day, year)
Comment:x J
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)