2017-10-25 Coachella Valley Economic Partnership Ecomomic SummitAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name - t� Y OF
City of Palm Springs
Division. Deoartment. or Renton llfaonticablei nalft IF
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 1 chdstina.chartier@paimspdngsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: CVEP Economic Summit
Provide Title✓Explanadon
Tcket(s)IPass(es) provided by agency? Yes ❑ No El
Was ticket distribution made at the behest Yes ❑ No 29
of agency official?
' A L M" 9W W=P:
31 AM 8= 58
A Public Document i
For Official Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
Face Value of Each TickeVPass $ 110.00
Date(s) 10 t, 25 1 17 � 1
If no: CVEP
Name of Source
If yes:
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 otAgency, Department or Unit of Ticket(s}! Describe the public purpose made pursuant to the agency's policy
Passes
Name of Individual Number
B. of Tk:kegs}! Identify one of the following:
(Lest. First) Passes
Ceremonial Role ❑ Other ® Income ❑
fl checking 'Ceremonial Rote- or %kW describe below
Roberts, J.R. t Public Purpose as define by PS Resolution No.22454
Section 1 d ix
Ceremonial Role ❑ Other Q InCom ❑
Ready, David 1 It checking CeramonialRofe-or-Other describe below
Public Purpose as define by PS Resolution No.22454
Section 1 (d) (ix)
Name of Outside Organbmtion Number
C. (include address and description) of 7icket(a)r Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
l have read and understanq F Regulations 18944.1 and 18942. l have verified that the distribution set forth above, is in accordance
with the requirements 1
David Ready City Manager
Signature ofAgency HqAd o Pee P,-.nt Name Tile (month, day, year)
Comment:
FPPC Form 8021212016)
FPPC Toll -Free Helpline: B66fASK-FPPC (8661275.3T72)
Agency Report of: California 802
Ceremonial Role Events and TicketlPass 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 $ to identify an individual. • Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit
of Tleket{sg
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Tkkaga}!
Passes
Identify one of the following:
Ceremonial Role ❑ Other El Income ❑
Fuller, Marcus
trcheckhVTeemordatRde'or-Otrerdescseebelow
Public Purpose as define by PS Resolution No.22454
Section 1 (d) (x)
Ceremonial Role ❑ Other ® Income ❑
Virata, Jay
1
itcWJdnp'Cerem nkdRde'or'Otner'de=bebelow-
Public Purpose as define by PS Resolution No.22454
Section 1 d x
Ceremonial Role ❑ Other ® Ino:,ne ❑
Van Hom, Cathy
1
+(chedda CaamorMRde-ar•OtWdesemeeeelow
Public Purpose as define by PS Resolution No.22454
Section 1 d x
Ceremonial Role ❑ Other ® I.:cor,e ❑
Nolan, Tom
1
,tcheddnQ'ce,emonialRde-or'aWdesabebelow
Public Purpose as define by PS Resolution No.22454
Section 1 (d) (x)
Name of Outside Organization
C. (include address and description)
Number
of Tickat{ay
Passes
Describe the public purpose made pursuant to the agency's polity
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC 18661275-3772)
Form 802 —Additional Tickets for CVEP 13Ih Annual Economic Summit, 10/25/17
Goolsby, Denise —1, Public Purpose as define by PS Resolution No.22454 Section 1 (d) (x)
Baron, Harriet —1, Public Purpose as define by PS Resolution No.22454 Section 1 (d) (x)
Fagg, Flinn —1, Public Purpose as define by PS Resolution No.22454 Section 1(d) (x)