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2017-10-13 Modernism Awards Dinner2Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions 1. Agency Name REqEIY City of Palm Springs CITY OF JA LM or Christina Chartier, Executive Assistant to Mayor and Council 204 ,BAN 1 AM 8' 49 �FFiCE OF i HE Ci T Y CLERi 760-322-8366 1 chdstina.chartier@palmspdngsca.gov 2. Function or Event Information Does the agency have a ticket policy? Yes ® No ❑ Event Description: PSModCom Annual Awards Dinner Provide Trtie/Explanation Ticket(s)IPass(es) provided by agency? Yes ❑ No 91 Was ticket distribution made at the behest Yes El No ❑ of agency official? A Public DocumentD For Official Use Only ❑ Amendment (Must Provide Explanation in Part 3,) Date of Original Filing: (month, day, year) Face Value of Each Ticket/Pass $ 100.00 Date(s) 10 1 13 1 17 If no: Name of source If yes: J.R. Roberts 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. A. Name of Agency, Department" Unit I ofTickoksy I Describe the public purpose made pursuant to the agency's policy Passes B. Name of Individual of Tickagay identify one of the following: (Last, First} Passes Ceremonial Role ❑ Other © nxma ❑ l/checkng Ceremonial Rdle-or'Ofher'de Ready, David 1 Public Purpose as define by PS Resolution No.22454 Section 1 d x Ceremonial Role ❑ Other ❑ lnwma ❑ Nchecking Ceremonial Role'or'01W describe below, Name of Outside Organization Number ID. ofnckaq:y Describe the public purpose made pursuant to the agency's policy (include address and description) Pass" 4. Verification l have read and understand with the requirements. , Comm Regulations 18944.1 and 18942 l have verified that the distribution set forth above, is in accordance zqvfd- Aodq Oi��( /1Ca_&k&r- /0 - / 3 - _lj— Print Name Title U(month, day. year] FPPC Form 802 (212016) FPPC Toll -Free Helpllne: 8661ASK-FPPC (8661275-3772)