2017-11-27 Well in the Desert FundraiserAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs clT Y
Division, Department, or Region (if applicable) 2818
Christina Chartier, Executive Assistant to Mayor and Council
a b�
A Public Document
131
�L p 5 For Official Use Only
OFFICE F i KE CI i Y C�E+��
❑ Amendment (Must Provide Explanation in Part 3.)
760-322-8366 chdstna.charder@palmspdngsca.gov I Data of Original Filing:
(monm, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 85.00
Event Description: Well of the Desert Fundraiser Date(s) 11 _ ! 27 ! 17 1 1
Provide Tifle/Expfanabon
Ticket(s)IPass(es) provided by agency? Yes ® No ❑ If no:
Name of sauna
Was ticket distribution made at the behest Yes ❑ No ® If yes:
afsdars Name (case Firer)
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 7ickegsp Describe the public purpose made pursuant to the agency's policy
Passes
B.
Name of Individual
(Last, First)
of TlckogaY
Passes
Identify one of the following:
Ceremonial Role ❑ Other ® jncome ❑
Moon, Robert 1 lrtiock,pp-commar"Rael.orrother•descnbeoelow
Public Purpose as define by PS Resolution No.22454
Section 1 d vii
Ceremonial Role ❑ Other ❑ Income ❑
f'dmccdng'Cemmonlel Role' or'Othee destrlbe below
Name of Outside Organization Number
C. (include address and description) of Tieket(sy Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
1 have read and under
with the requirements.
Comment:
Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
David Ready City Manager 1 l
Print Name Title (month, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helplins: 86WASK-FPPC (8661275-3772)