2017-12-13 Clubs Fore Kids Golf TournamentAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Aaencv Name
City of Palm Springs
Division. Deoartment. or Region lifanorcable) in
Designated Agency Contact (Name, Title)
Christina Chartier, Executive Assistant to Mayor and Council
A Public Document
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JUL 19 AN 8: 0 4 7ForOflidoll Use Only
OF ENE CITY CLER
❑ Amendment (Must Provide Explanation In Part 3.)
760-322-8366 I chdstina.chartier@paimspdngsea.gov I Date of Original Filing: (month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes IN No ❑ Face Value of Each Ticket/Pass $ 250.00
Event Description: 7th Annual Clubs Fore Kids Golf Date(s) 12 r 13 1 17
Provide Titie/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ® No ❑ If no:
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Oliiclars 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 Ticketlsp Describe the public purpose made pursuant to the agency's policy
Pasaas
Number
B. Name of Individual ofT[ckagsy Identify one of the following;
(Lest, Fb* Passes
Mills, Chris Ceremonial Bole ❑ Other IN 'ncame ❑
4 it checkM Terernanlal Rofe' or Other describe bebw
Public Purpose as defined by PS Resolution No_ 22454,
Ceremonial Role ❑ Other 91 In r ❑
f/checling'Ceremorriat Role' or •other" describe bebw
Name of Outside Organization Number
C. (include address and description) of Tickagay Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
l have read and understand
with the requirements.,
of Agency
Comment:
Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Title (month, day. year)
FPPC Form 802 (2/2016)
FPPC Tall -Free Helpline: 8661ASK-FPPC (8661275-3772)