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2017-11-09 Digicom Ten Best VideoAgency Report of: Ceremonial Role Events and Ticket/Pass Distributions A Public Document 1. Agency Name K t p�p a 70nly City of Palm Springs :IT Y OF ALH "' � Division, Department, or Region (if applicable) AM 8:52For Offiici Designated Agency Contact (Name,Title) : F r M� Ci 1 - I;L i J Christina Chartier, Executive Assistant to Mayor and Council ❑ Amendment (Must Provide Explanation in Pori 3.) Area CodelPhone Number Email 730-322-8366 I christina.chartier alms do sca. ov I Date of Original Filing: @P P g g (month, day, year) 2. Function or Event Information Does the agency have a ticket policy? Event Description: Digicom Ten Best Video Provide Title/ Explanation Tickets)/Pass(es) provided by agency? Yes ® No ❑ Yes ® No ❑ Face Value of Each Ticket/Pass $ 20.00 Date(s) 11 t 09 ! 17 _ J 1 If no: Name of Source Was ticket distribution made at the behest Yes ❑ No ® If yes: Official's Name (Lest 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 Tick"ay Describe the public purpose made pursuant to the agency's policy Passes Number B. Name of Individual of Tlcket(sY Identify one of the following: (Last, First) I Passes Ceremonial Role ❑ Other © income ❑ Moon, Robert 1 ndaddng'ceramonlaiRore-or OtWdescribe Wow Public Purpose as define by PS Resolution No.22454 Section 1 d vii Ceremonial Role ❑ Other ❑X income ❑ Foat, Ginny 1 It u+ecAdiV'CammoniatRore'or 01Wdesmbebaiow Public Purpose as define by PS Resolution No.22454 Section 1 (d) (vii) C. Name of Outside Organbtation I ofTlekaS(sy I Describe the public purpose made pursuant to the agency's policy (include address and description) Passes 4. Verification ! have read and with the rewirei Comment: Regulations 18944 1 and 18942. 1 have verified that the distribution set forth above, is in accordance David Ready City Manager / I '% 7- Print Name Title (month, day, year) FPPC Form 602 (212016) FPPC Toll -Free Welpflne: 66WASK-FPPC (8661275-3772) Agency Report of: California 02 Ceremonial Role Events and Ticket/Pass 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 B to identify an individual. -Use Section C to identify an outside organisation. Number A. Name of Agency, Department or Unit of Tlckegey Passes Describe the public purpose made pursuant to the agency's policy B. Name of Individual (Last First) Number of Tkkst(sj1 paw Identify one of the following-, Mills, Chris 1 Ceremonial Role ❑ Other ® Inmme ❑ trcheddnp'Ceremo..a, a:,<:'or'0ther'des&5-b0ow Public Purpose as define by PS Resolution No.22454 Section 1 (d) (vii) Ceremonial Role ❑ Other ❑ inrnrne ❑ 11 chacking'Cefem ;nW Rd&' or'Other' describe below Ceremonial Role ❑ Other ❑ Income ❑ ltcheciang 'Ceremonial Role' or'OthW describe below Ceremonial Role ❑ Other ❑ Income ❑ it checkfep 'Ceremonial Rote' or'Qhar describe below Name of Outside Organization C. (include address and description) Number of Tk:ke#sy paw Describe the public purpose made pursuant to the agency's policy FPPC Form 802 (212016) FPPC Toll -Free Helpline: B661ASK-FPPC (8661275-3772)