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2017-10-13 Modernism Awards Dinner
Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name City of Palm Springs � iT Y Division, Department, or Region (ifappllcable) 2110 Designated Agency Contact (Name, Title) OF Christina Chartier, Executive Assistant to Mayor and Council Area Code/Phone Number E-mail 760-322-8366 1 chdstina.chartier@palmspdngsca.gov 31 AM 1B: 50 THE Ci! Y UER FOT Official Use Only Amendment (Must Provide Explanation in Part 3.) Date of Original Filing: (month, day, year) 2. Function or Event Information Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 100.00 Event Description: PSModCom Annual Awards Dinner Date(s) 10 1 13 ► 17 Provide rrtlel Explanation Ticket(s)IPass(es) provided by agency? Yes I@ No ❑ If no: Name of 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 B to identify an individual. • Use Section C to identify an outside organization, Number A. Name of Agency, Department or Unit of TickaltsK Describe the public purpose made pursuant to the agency's policy Passes B. Name of Individual (Last, First) of Tickst(s)l Passes Identify one of the following: Moon, Robert Ceremonial Role ❑ Other © income ❑ n checking •ceremonial Rote' or other describe below Public Purpose as define by PS Resolution No.22454 Section 1 d vii Ceremonial Role ❑ Other Q Income ❑ it checking'Cersmoniaf Rde' or'other'desulbe below C. Name of Outside Organisation I of Tkkat(ay I Describe the public purpose made pursuant to the agency's policy (include address and description) Psssas 4. Verification 1 have read and understand with the requirements.-, Signature Regulations 18W.1 and 18942. 1 have verified that the distribution set forth above, is in accordance David Ready City Manager /L 1-2, - Print Name Title (month, day, year) FPPC Form 802 (212016) FPPC Toll -Free Heipline: 8661ASK-FPPC (8661275-3772)