2018-09-26 Pride Honors Awards BAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
Division, Department, or Region (if applicable) ril
Designated Agency Contact (Name,Tit/e)
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 1 christina.chartier@palmspringsca.gov
A Public Document
Date Stamp
20 r.: 1! 1• I I I For Official Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 40.00
9 Y P Y Yes ® No ❑
Event Description: Pride Honors Awards Date(s) ___9__J 26 / 18 t I
Provide Trtle/Explanadon
Tickets)/Pass(es) provided by agency? Yes ❑ No El If no: Palm Springs Pride
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Official'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 identify an outside organization.
Number
A. Name of Agency, Department or Unit
of Ticket($)/
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of Ticket(s)/
Identify one of the following:
(Lest, First)
Passes
Holstege, Christy
Ceremonial Role I] Other ❑ Income ❑
Ifcheching'Ceremonial Role"or'Othee'descdbebelow:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d viii
Ceremonial Role ❑ Other C Income ❑
If checking -Ceremonial Role' or'Other' descnbe below:
Name of Outside Organization
C.
Number
of Tickegs)I
Describe the public purpose made pursuant to the agency's policy
(include address and description)
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. _ , /
David Ready City Manager
Print Name Tile (month, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275.3772)