2016-06-02 Chamber Board Installation LuncheonAgency Report of:
Ceremonial Role Events and TicketlPass Distrib ECEIYED }-44 public Document
9. Agency Name
Date Stamp
City of Palm Springs
2018 JINN
20 PM 3: 44
THOH�S
rFo-r"UsMeOrly
Division, Department, or Region (if Applicable)
JAHES
CIT
CLER
Designated Agency Contact (Name. Titre)
Jennifer Nelson, Executive Asst. to Mayor/Council
❑Amendm.) ent (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 $ 70.00
Event Description PS Chamber Board Installation lunch
Date(s) 6 2 J 16
Provide TrtfeiExplanation
Ticket(s)IPass(es) provided by agency? Yes ❑ No ®
If no. Palm Springs Chamber of Commerce
Name of source
Was ticket distribution made at the behest No ® Yes ❑
If yes:
of agency official?
offidal's Name (Last, First)
3. Recipients
e Use Section A to Identify the agency's department or unit a Use Section B to Identify an individual. • Use Section C to Identify an outside organization.
A. Name of Agency, Department or Unit
Number of
nchet{sy
Describe the public purpose made pursuant to the agency's policy
Passes)
Name of Individual
B. n.� !
Number of
TicWs)1
Identify one of the following:
Pass(es)
Ceremonial Role ❑ Other ® Income ❑
Moon, Robert
Nchackny •Cemmarriaf Bore, or cew'desmbe betow
1
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Foat, Ginny
If chectdrq TeremoniW Role' or, Other dewnbe Wow
Public Purpose as defined by PS Resolution No. 22454
C.er Name of Outside Organization
{include address and deaeription)
Numbof
Ticke4s)1
Describe the public purpose made pursuant to the agency's policy
Pass{es)
4. Verification
1 have read and undarstan FP falions 16944.1 and 18942.1 have verified that the distribution set forth above, is in accordance with the requirements.
David H. Ready
City Manager
o! w-LpddorDesgnee Print Nam
rode t onM. Ca . Yeso
Comment:
FPPC Form 802 (4112)
FPPC Toll -Free Helpline: 8661A5K-FPPC (8661276-7772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions 802
Continuation Sheet F%j,`
A Public Document
Agency [dame
City of Palm Springs
I Recipients
e Use Section A to identify the agency's department or unit. a Use Section 0 to Identify an Individual. • Use Section C to identify an outside organization.
A. Name of Agency, Department or Unit
Number of
Tlckags)1
Describe the public purpose made pursuant to the agency's policy
Pass(es)
Name of I
Individual B. ndi
Number of
Ticket(s)r
Identify one of the following:
Pass(es)
Ceremonial Role ❑ Other ® Income ❑
Kors, Geoff
)
itchwkirV CemamialRde'or'OftrdesWbebebw
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Ready, David
lldrecking'CommonlarRde•a'Orherdesenbeberow,
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Roberts, J.R.
llchedingTeemmialRWo'cr'OthertlesarbeWow
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other ® Income ❑
Mills, Chris
1
Ncheckinp-CemmarrfelRoWor'Olheedesmbebelow-
Public Purpose as defined by PS Resolution No. 22454
C. Name of Outslde organization
(include address and desertptlon)
Number of
Ticket(s)1
Describe the public purpose made pursuant to the agency's policy
Pass(es)
FPPC Form 802 (4112)
FPPC Toll -Free Helplins: 8661ASK-FPPC 18661275-7772)
Form 802 — PS Chamber of Commerce Board Installation luncheon 6i2116
Blaisdell, Amy. 1, -
Aylaian, Lauri 1 -
Reyes, Bryan I -
Lane, Baron I -
Uthe, Russ - 1
Newby, Jack 1 -
Weingard, Rick 1 -
Van Hom, Cathy 1 -
Marshall, Mark 1 -
Jackson, Joe — 1 -
King, Ron — 1
Craig, Sid — 1
Futterer, Linda 1 -
Fredricks, Gary 1 -
Public Purpose as described by PS Resolution No. 22454
Public Purpose as described by PS Resolution No. 22454
Public Purpose as described by PS Resolution No. 22454
Public Purpose as described by PS Resolution No. 22454
Public Purpose as described by PS Resolution No. 22454
Public Purpose as described by PS Resolution No. 22454
Public Purpose as described by PS Resolution No. 22454
Public Purpose as described by PS Resolution No. 22454
Public Purpose as described by PS Resolution No. 22454
Public Purpose as described by PS Resolution No. 22454
Public Purpose as described by PS Resolution No. 22454
Public Purpose as described by PS Resolution No. 22454
Public Purpose as described by PS Resolution No. 22454
Public Purpose as described by PS Resolution No. 22454