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HomeMy WebLinkAbout2017-10-27 LGBT Center Gala2Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions i4v�% A Public Document 11. Agency Name ill - City of Palm Springs = i T t OF PALM [ k i Division, Department, or Region (if applicable) 2018 AN 3 ! AN B` 50 For Official Use Only esignated Agency Untact (Name,Title) j,U It OI• I HL U t Christina Chartier, Executive Assistant to Mayor and Councll ❑ Amendment (Must Provide Explanation in Part 3.) 760-322-8366 I christina.chartier@palmspdngsca.gov I Date of Original Filing: (month, day, year) 2. Function or Event Information Does the agency have a ticket policy? Yes ® No ❑ Event Description: L.GBT Center Stage Gala Provide rrda/Explanab'on Ticket(s)lPass(es) provided by agency? Yes ❑ No 91 Was ticket distribution made at the behest Yes ® No ❑ of agency official? Face Value of Each Ticket/Pass $ 195.00 Date(s) 10 ) 27 ) 17 � L t If no: Name of Source If yes: Geoff Kors Official's Name (Lest. 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 I es of Ticket(s)1 I Describe the public purpose made pursuant to the agency's policy Pass B. Name of Individual of Ticket(a)l Identify one of the following: (Last, First) Passes Ceremon al Role ❑ Other Q Income ❑ Ready, David tichtw1ung CeremoNalRok'or'Other•dssatbebelow y Public Purpose as define by PS Resolution No.22454 Section 1 d x Ceremonial Role ❑ Other ❑ Income ❑ itchecking CeremonialRole* or'Other'desalbebelow Name of Outside Organization Number C. (include address and description) of Tickags)l Describe the public purpose made pursuant to the agency's policy Passes 4. Verification i have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance with the requirements. , V/f�2 �1�C k Alf occe der r !o ! Signature of Age Hes gnee Print Name Title U(month, day, year) Comment. FPPC Form 802 (212016) FPPC Toll -Free Helpilne: 8661ASK-FPPC (8661276-3772)