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2017-10-17 Chamber Business Expo2Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions n4o A Public Docume 1. Agency Name R C E 1 YIP1Dstamp City of Palm Springs I T Y OF P, L M S 1e R! N G • or Region (If applicable) 2010 JANI3 l AM 8: 50 For Official Use Only Designated Agency Contact (Name,Me) ()f FIDE O jKE CITY WE Christina Chartier, Executive Assistant to Mayor and Council ❑ Amendment (Must Provide Explanation to Pans.) Area Code/Phone Number E-mail 760-322-8366 chdstina.chartier alms do sca. Data 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 $ 25.00 Event Description: Palm Springs Chamber Business Exp Date(s) 10 1. 17 r 17 _ J� Provide Ti W Explenation Mcket(s)IPass(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 ® 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 8 to identify an individual. • Use Section C to identify an outside organization. A. Name of Agency, Department or Unit I of Tlckagajl I Describe the public purpose made pursuant to the agency's policy Passes Name of Individual Number B. of iicke!(sp Identify one of the following: (Last, First) Passes Ceremonial hole ❑ Other © Income ❑ Moon, Robert 2 ndwJung . r - a wlel Rote' or-WWdesedbebelow Public Purpose as define by PS Resolution No.22454 Section 1 d vil Ceremonial Role ❑ Other 0 Income ❑ Roberts, J.R. 1 ucheWng a--monlafRore'or'otherdescdbebelow Public Purpose as define by PS Resolution No.22454 Section 1 d vii Name of Outside Organization Number C' (include address and description) of Tickeksy Describe the public purpose made pursuant to the agency's policy Passes 4. Verification ! have read and understand FP egulations 18944.1 and 18942. 1 have verified that the distribution set forth above is in accordance with the requirements. David Ready City Manager Signature of Agency Ftad nee Print Name Title (month day year) Comment: FPPC Form 802 (212016) FP PC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772) Agency Report of: California 021 Ceremonial Role Events and TicketlPass 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 $ to identify an individual. -Use Section C to identify an outside organization. Number A. Name of Agency, Department or Unit of Tlekettsp I Describe the public purpose made pursuant to the agency's policy Passes B. Name of Individual (Last. First) Number of Ticlurksy Passes Identify one of the following: Ceremonial Role ❑ other ® Income ❑ Kors, Geoff 2 !/checking CeremorrlalRole*or'OfWdesaibebelow Public Purpose as define by PS Resolution No.22454 Section 1 (d) (vii) Ceremonial Pole ❑ Other ® Income ❑ Foat, Ginny 2 udwkruTemmonlalRore-or'01Wde=bebelow Public Purpose as define by PS Resolution No.22454 Section 1 d vii Ceremonial Role ❑ Other ® Income ❑ Ready, David 1 Ncheddng CewnwielRde'or•otWdescrlbebelow Public Purpose as define by PS Resolution No.22454 Section 1 d x Ceremonial Role ❑ other ® Income ❑ Virata, Jay 2 itcheckngTemmorWRde•or'Olher'demYbebelow Public Purpose as define by PS Resolution No.22454 Section 1 (d) (x) Name of Outside Organization C. include address and desert ( description) Number of iicket(sy Passes Describe the Public purpose made pursuant to the agency's policy FPPC Form 802 (212016) FPPC Toil -Free Helpline: 866/ASK-FPPC (8661275-3772) Form 802 —Additional Tickets for Palm 52rines Chamber Business Expo,10/17/17 Fuller, Marcus — 2, Public Purpose as define by PS Resolution No.22454 Section 1 (d) (x) Goolsby, Denise —1, Public Purpose as define by PS Resolution No.22454 Section 1(d) (x)