2016-04-19 Chamber Police and Fire Appreciation LuncheonAgency Report of:
Ceremonial Role Events and TicketWass Distq"i A LH SPRING, A Public Document
1. Agency Name 2116 MAY - AM �se��mp"o"rO
i 1
City of Palm Springs
Division, Department, or Region (ifApplicabie) e only
JAHES T OHPSON
CITY LERK
Jennifer Nelson, Executive Asst. to Mayor/Council
❑ Amandmant (Must provide explanation in Part 3.)
Area Code/Phone Number
E-mail
760-323-8200
jennifer.nelson@palmspdngsca.gov
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 Ticket/Pass $ 50.00
Event Description Police and Fire Appreciation lunch
Date(s) 4 1 19 1 16
Provide THI&Explanation
. _J_J
Ticket(s)IPass(es) provided by agency? Yes ❑ No ®
If no: PS Chamber of Commerce
Name of Source
Was ticket distribution made at the behest No ® Yes ❑
If yes:
of agency official?
Official's Name (Last, First)
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.
A. Name of Agency, Department or Unit
Number of
Tickat(s)l
Describe the public purpose made pursuant to the agency's policy
Pass(es)
Name Individual
B. of Iniidl of d
Number of
Tickegsp
Identify one of the following:
Pass(ss)
Ceremonial Role ❑ Other ® Ingmo ❑
Kors, Geoff
NdwckingTeremonlalRold-or-Otherdesaibebelow,
1
Public
Purpose as defined by PS Resolution No- 22454
Ceremonial Role ❑ Other ® Inmrne ❑
Mills, Chris
ItcheckirgTeremonAlRole -or-OMerdeatmbebalow
1
Public Purpose as defined by PS Resolutio^ No, 22454
C. Name of Outside Organization
(include address and description)
Number of
Ticket(sy
Describe the public purpose made pursuant to the agency's policy
Passes)
4. Verification
1 have read and understand FPPC Regulations 18944.1 and 18942. 1 have venfied that the distdbudon set forth above, is in accordance with the requirements.
David H. Ready
City Manager pry j.
Signature olAgency geed or Desigrroe U V Pint Name
TINS (Month. Doi Year)
Comment:
FPPC Farm 802 (4112)
FPPC Toll -Free Helpline: 8661ASK-FPPC (6661275-7772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
A Public Document
Agency Name
City of Palm Springs
3. Recipients
e 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.
A. Name of Agency, Department or Unit
Number of
Ticket(a}1
Pass(es)
Describe the public u
p purpose made pursuant to the agency's policy
B. Name of Individual
Number of
Ticksgs)1
Passles)
Identify one of the following;
Moon, Robert
2
W Role ❑ other ® Incame ❑
Cwemonlal Role' or'Orher'desdibe bebw
Public Purpose as defined by PS Resolution No. 22454
Ready, David
Ceremonial Role ❑ Other ® r=cre ❑
lrWiaeJdr�q CefemonielRde'or plha�desaYGebelow
Public Purpose as defined by PS Resolution No. 22454
Reyes, Bryan
1
Ceremonial Role ❑ other ® 'nmme ❑
Ncbmkkp'Cetem rMRole'or%Vftedesdbebakw
Public Purpose as defined by PS Resolution No. 22454
Nalder, Kevin
1
Ceremonial Role ❑ ether ® naarr,a ❑
YChecking'CeremortlalRc:r'o• Gfherdeserlbebaw
Public Purpose as defined by P5 Resolution No. 22454
C. Name of Outside Organization
(include address and description)
Number of
Ticksgs)1
Passes)
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (4112)
FPPC Tall -Free Helpline: 8661ASK-FPPC (8661275-7772)