2018-04-08 Gay Mens Chorus ConcertAgency Report of:
Ceremonial Role Events and TicketlPass Distributions A Public Document
1. Agency Name R E CIME : w
City of Palm Springs = i7 Y OF PALM S P R •
For Official Use Only
Division, Department, or Region (if applicable) 210 uL 19 AN $: 0
Designated Agency Contact (Name,rrtle) -FICI OF THE CITY CLS
Christina Chartier, Executive Assistant to Mayor and Council
❑ Amendment (Must Provide Expfanab'on In Part 3.)
760-322-8366 I christina.chartier alms do 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 ❑
Pace Value of Each Ticket/Pass $ 50.00
Event Description: PS Gay Men's Chorus Concert Date(s) 04 1. 08 f 18 1 1
Provide Trlle/Explanabon
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
of agency official?
name Gast, First)
3. Recipients
- Use Section A to identify the agency's department or unit. -Use Section S to identify an individual. • Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit of Tickat(sy Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Nam of Individual ofPassesu Identify one of the following:
aAA
Robert Moon Ceremonial Role ❑ Other ® Income ❑
ncheddng'Cemmonlsl Role' ar Dfhercksuibebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Role ❑ other Income ❑
If checking 'Ceremonial Role or other describe below
Name of Outside Organbxtion I `ek I Describe the public u made pursuant tits agency's i
C. (include address and description) of Tkinrt(sj! P purpose Pq� cil
Passes
4. Verification
1 have read and understand
with the requirements.
or
Comment:
Regulations 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 (8661276-3772)