2017-11-06 Women in Films AwardsAgency Report of:
Ceremonial Role Events and TicketlPass Distributions A Public Document
1. Agency Name a tamp e
City of Palm Springs U1T Y O it LH I v ! •
Division, Department, or Region (if applicable) 2016 JAN 3 AM 8` 52 e For Official Use Only
Designated Agency contact(Name.Title) I. jur I;r , £ CITY Ci.£r-r
Christina Chartier, Executive Assistant to Mayor and Council ❑Amendment (Must Provide Explanation In Part 3.)
Area Co et one Number E-mail
760-322-8366 chdstina.chartier alms do sca. ov Date of Original Filing:
@P P 9 9 (month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 100.00
Event Description: Women In Film Annual Awards Date(s) 11 1 06 i 17 1
Provide rrtle/Explana6on
Tickets)/Pass(es) provided by agency? Yes ® No ❑ If no:
Name of 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 B to identify an individual. -Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit of Tlcksgs)l Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual Ies of Ticket(sp I Iden* one of the following:
(Last, F1►st) Pass
Moon, Robert
Ceremonial Role ❑ other S Ir,:uma ❑
t/Checking CaremorUplRde or'Other-describebelow
Public Purpose as define by PS Resolution No.22454
Ceremonial Role ❑ Other ❑ ;nu�ime ❑
ftheckehgTeremonialRare ar'Otherde
C. Name of Outside Organization
(Include address
and description) I of slclraya}t I Describe the public purpose made pursuant to the agency's policy
passes
4. Verification
l have read and understand
with the requirements. �•,
Comment:
Regulations 19944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
_ David Ready City Manager ( ` 1s —t
Print Name Title (month, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)