2019-03-09 LGBT Center Red Dress EventAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
7ivision. Department. or
Christina Chartier, Executive Assistant to Mayor and Council
A Public Document
Date Stamp
hit 13
❑ Amendment (Must Provide Explanation in Part 3.)
760-322-8366 I christina.chartier alms rin sca. ov I Date of Original Filing:
@P P 9 9 (month day. year)
2. Function or Event Information
Does the agency have a ticket policy. Yes ® No ❑
Face Value of Each Ticket/Pass $ 95.00
Event Description: LGBT Center Red Dress Event Dates) 03 / 0 ) 199
Provide Titte/Explanafion
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:
O ficial's 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 identity an outside organization.
Number
A. Name of Agency, Department or Unit
of Ticket(s)i
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of Ticket(s)i
Identify one of the following:
(Last, First)
Passes
Roberts, J.R.
Ceremonial Role ❑ Other Q Income ❑
Irchecking-Cemmonial Role"or'Other'dwnbe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d iii vii viii
Ceremonial Role ❑ Other ❑ Income ❑
Ifchecking'Cemmonial Rde' or'Other' describe below:
Name of Outside Organization
C. (include address and description)
Number
of Ticket(s)1
Passes
Describe the public purpose made pursuant to the agency's policy
4. Verification
I have read and understand
with the requirements. n
Comment:
Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
David Ready City Manager
Pont Name Title (month, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)