2017-10-19 Hospitality Association LuncheonAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions UGCtl-k 4 Public Document
1. Agency Name R I
CEIY&ust
City of Palm Springs .IT Y pF ALH S RIKp - •
or
For Official Use Only
2a16 .lA 3 I AM B� 50
Designated Agency Contact(Name,Title)
Christina Chartier, Executive Assistant to Mayor and Council
❑ Amendment (Must Provide Explanation in hart 3.)
Area odelPhone Number E-mail
760-322-8366 1 chdstina.chartier@paimspdngsca.gov Date of Original Filing: (month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: Palm Springs Hospitality Luncheon
Provide TiNe/Explanation
Ticket(s)IPass(es) provided by agency? Yes ® No ❑
Face Value of Each Ticket/Pass $ 30.00
Date(s) 10 1. 19 1. 17 11
TM.
Name or source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Officials 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 Tickakep Describe the public purpose made pursuant to the agency's policy
Passss
B. Name of Individual ofTiek tliu Identify one of the following:
(Last, First) Passes
Ceremonial Role ❑ Other ® Income ❑
KOrs, Geoff 1 itchec"'Commor?MiRole'or'OtWdowfibeaerow.
Public Purpose as define by PS Resolution No.22454
Section 1 d vii
Ceremonial Role ❑ other ❑ Income ❑
N dwcldng 'Ceremonial Rote' or'Ofher describe below,
Name of Outside Organization Number
C' (include address and description) of Tickegoy Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
l have read and understand ��!l
Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above. is in accordance
with the requirements.
David Ready City Manager
5ipnatureofAgan :ea esignee Print Name Tate (month, day, year)
Comment:
FPPc Form 802 (212016)
FPPC Toll -Free Helpline: 866(ASK-FPPC (8661275-3772)