2017-12-31 ACBCI New Years EveAgency Deport of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name c
City of Palm Springs CITY OPIPAL
or Region (if applicable)
rr
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 j christina.chartier@paimspdngsca.gov
20 AM 9: 57
A Public Document
THE C1 T'(' CLE'-;
For QILc:al Use Only
❑ Amendment (Must Provide Explanation In Part a)
Date of Original Filing:
(month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each TickettPass $ 70.00
Event Description: Agua Caliente New Year's Eve Party Date(s) 12 r 31 ) 17 011 01 f 18
Provide Tifle/Explanabon
Ticket(s)IPass(es) provided by agency? Yes ❑ No ® If no: Agua Caliente
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
o
of agency official? fhaer's Name (Last Firs})
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(sy Describe the public purpose matte pursuant to the agency's policy
Passes
Number
B. Name of Individual of Tickelley Identify one of the following:
(Last First) Passes
Moon, Robert Ceremonial Role ❑ Other 0 Income ❑
2 It c 4cWV c&Wn0d8l Role' or'olher describe below
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii
J.R. Roberts Ceremonial Role ❑ Other El Income ❑
2 If checlting'Ceremonial Rde' or'Other describe below
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii
Name of Outside organization Number
C. (include address and description) ofTickei(syl Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
1 have read and understand
with the requirements.
Comment:
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 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Agency Report of: California
Ceremonial Role Events and Ticket/Pass Distributions Form
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 organization.
Number
A. Name of Agency, Department or Unit
of Ticket(sy
Describe the public purpose made pursuant to the agency's policy
Posses
B. Name of Individual
Number
of Tlcketlall
ldentity, one of the following:
(Last First)
Posses
Geoff Kors
Ceremonial Role ❑ Other ® Inrar,e ❑
2
ffcheckf TeremonkgRde'or'Otherdescriaaar w
Public Purpose as defined by PS Resolution No, 22454
Section 1(d)(vii)
David Ready
Ceremonial Role ❑ Other ® Inebme ❑
2
frchecidnp'Ceremonlaf RM'or'Ofhee descibe below
Public Purpose as defined by PS Resolution No. 22454
Section 1 d) vii
Christy Holstege
Ceremonial Rote ❑ Other ® inmrne ❑
2
l! dm*ng 'CNemomal Rde' or -other describe bebw
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii
Lisa Middleton
Ceremonial Role ❑ Other ® Inmrrc ❑
2
ff chechfrV Cemmonfal Role' or Other describe below
Public Purpose as defined by PS Resolution No. 22454
Section 1(d)(vii)
Name of Outside Organization
C.
Number
of
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Prosy
FPPC Form 802 (2f2016)
FPPC Toll -Free Helpline: 866iASK-FPPC (8661275-3772)