2017-12-08 ACBCI Golf TournamentAgency Report of:
Ceremonial Role Events and TicketlPass Distributions A Public Document
1. Agency Name 4* - • !
City of Palm Springs J! 7 OF PALM S p R l�j a •
or
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 1 christina.chartier@paimspdngsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: $th Annual Agua Golf Tournament
Pravide Trde/Expianadon
Ticket(s)IPass(es) provided by agency? Yes ® No ❑
JUL 19 AN 8-' 35 For Official Use Only
OF THE CITY Ca :_u v/
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
Face Value of Each Ticket/Pass $ 750.00
Date(s) 12 1 08 r 17 1 t
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 Ticket(s}l Describe the public purpose made pursuant to the agency's policy
Passes
Name of Individual Number
B. of Tkket(ap Identity one of the following:
(Lest, First) I Passes
Mills, Chris Ceremonial Role ❑ Other ® 1- Inge ❑
4 ff checkr)gC&en) ia< Ro+e• or rofhef obsame below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Role ❑ Other Q Inmrre ❑
If checknp'Ceremonfaf Rope' or'Other describe below
C. Name of Outside Organization I oii;W@ day! I Describe the public purpose made pursuant to the agency's policy
(include address and description) Passes
4. Verification
l have read and understand
with the requirements.
Comment:
Regulations 18944.1 and 18942. l have verrfred that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Title (month day, year)
FPPC Form 8021212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)