2017-12-01 World AIDS DayAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
A Public Document
I. Agency Name t-, *✓ C.1 wiittlotamp
City of Palm Springs I T Y D FI P A L H S P R INN 3
or Region (if applicable) 2018 A 19 AM 8: 04
'. 7 F TC E 09 THE C1 T Y LL�."
Christina Chartier, Executive Assistant to Mayor and Council
A.rea Code/Phone Number I !-mail
760-322-8366 1 chrisbna.chariier@palmspdngsca.gov
For official Use Only
❑ Amendment (Must Provide Explanadon In Part 3.)
Date of Original Filing:
(rnonM, day, year)
2. Function or Event information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 150.00
Event Description: World AIDS Day -Everyday Heros Date(s) 12 1 01 , 17
Provide rrdetExplanation
Ttcket(s)iPass(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 H to identify an individual. • Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit
of TickAsy
Describethe public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of Tlcket(aj!
Identify one of the following:
(Last; First)
Passes
Moon, Robert
Ceremonial Role ❑ Other
n checki V 'Commoniat Rave- or'Ofher• doscrtbe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Role ❑ Other [ Income ❑
NtMafarlp 'Ceremonial Role- or'Othat de5aibe betow
Name of Outside Organhatlon
C.
Number
Describe the public purpose made pursuant to the agency's policy
(include addross and description)ofTicket{sy
Passes
4. Verification
l have read and understa C Regulations 18944 1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with the requirements.
11 David Ready City Manager
signature of Agency ead r nee Print Name Title (month, day, year)
Comment:
FPPC Form 802 (2f2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)