2017-10-17 Chamber Business ExpoAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name E C E 1146'9 clamp
City of Palm Springs 17 Y 01 PALM S P R II!r` o e!
or Region (if applicable)
Christina Chartier, Executive Assistant to Mayor and Council
For Official Use Only
2010 JUL19 dN 8: 04
A
❑ Amendment (Must Provide Explanation in Part 3.)
760-322-8366 I christlna.chartier@palmspdngsca.gov I 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 $ 25.00
Event Description: Palm Springs Chamber Business Exp Date(s) 10 1, 17 r 17 1 1
Provide T+tle/ Explanation
Tickets)/Pass(es) provided by agency? Yes ❑ No ® If no: Palm Springs Chamber of Commerce
Name or Source
Was ticket distribution made at the behest Yes ❑ No ® it yes:
Official's Name {Last, Firs()
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.
A. Name of Agency, Department or Unit of Tickagey Describe the public purpose made pursuant to the agency's policy
Passes
Name of Individual Number
B. otTieket(s)t Identify one of the following:
(Last. First) pies
Ceremonlal Role ❑ Other ® Income ❑
Moon, Robert 2 "WeWng'Cemmonial Role or'Ofhe desc ffbe Wow
Public Purpose as define by PS Resolution No.22454
Section 1 d) (vii
Ceremonial Role ❑ other ❑X Income ❑
Roberts, J.R. 1 ifdwkng'C&e"amWRole'or °tWdescrlbebelaw
Public Purpose as define by PS Resolution No.22454
Section 1 (d) (vil)
Name of Outside Organization I Number I
C. (include address and description) of Mckagsli Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
1 have read and under
with the requirements.
of Agency
Comment:
Regulations 18944 1 and 18942. l have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Title (month. day. year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
Agency Report of: Californ 'a
802
Ceremonial Role Events and Ticket/Pass Distributions Form
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 8 to identify an individual. - Use Section C to Identify an outside organization.
Number
A. Name of Agency, Department or Unit
of Ticksgsp
Describe the public purpose made punsuant to the agency's policy
Page"
B. Name of Individual
(Lost Fkd)
Number
of Tkkst(s}1
Passes
Identify one of the following:
Ceremonial Role ❑ Other El Income ❑
Kors, Geoff
2
HcheckirngTeremonialRde'or'otberdescribe Wow
Public Purpose as define by PS Resolution No.22454
Section 1 (d) (vii)
Ceremonial Role ❑ other El Income ❑
Foat, Ginny
2
NchecUng'CerenwialRo'e-ar-°"'erdes`"beberow
Public Purpose as define by PS Resolution No.22454
Section 1 d vii
Ceremonial Role ❑ Other ® Income ❑
Fuller, Marcus
1
Ilche kng'Ceremada1Rde or'Ofherdescribe beiow
Public Purpose as define by PS Resolution No.22454
Section 1 d x
Ceremonial Role ❑ Other ® Income ❑
Virata, Jay
2
It dwMng'CeremmiaiRore'or'Otherdewdbebelow
Public Purpose as define by PS Resolution No.22454
Section 1 (d) (x)
Name of outside organization
C. (include address and description}
Number
of TIcket(sY
Pass"
Describe the public purpose made pureuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866lASK-FPPC (8661276.3772)
Form 802 —Additional Tickets for Palm Springs Chamber Business Expo,10/17/17
Goolsby, Denise —1, Public Purpose as define by PS Resolution No.22454 Section 1(d) (x)