2017-04-01 National Center for Lesbian Rights Garden PartyAgency Report of:
Ceremonial Role Events and TicketlPass Distributions A Public Document
1. Agency Name W'Et E D
City of Palm Springs ! fY O F P A L M S P
Division, Department, or Region (if applicable) ForOificial use only
kv 2e17 APR 24 PM s: 43
Designated Agency Contact (Name, Title) u. F(CE OF -i•kjLc cI i. y C ,....
Cindy Cairns, Executive Services Administrator
❑ Amendment (Must Provide Explanab'on in Part 3.)
Area Code/Phone Number E-mail
760-322-8362 cindy.cairns@palmspringsca.gov 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 $ 175.00
9 Y p Y� Yes® No
Event Description: NCLR Palm Springs Garden Party Date(s) 4 f. 01 1 17
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ❑ No ® If no: National Center for Lesbian Rights (NCLR)
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 Tlckekiau Describe the public purpose made pursuant to the agency's policy
Passes
B.
Roberts, J.R.
Name of Individual
(Last First)
of Tiekag Y I Identify one of the following:
es Pass
Ceremonial Role ❑ Other 0 Income ❑
2 If checking 'Ceremonial Role" or'Other' describe betow-
Public Purpose as defined by PS Resolution No. 22454
Ceremonial Role ❑ Other X❑ Income ❑
Ifchecking'Ceremonial Role" or "0ther' describe below.'
C. Name of outside Organization I 4&su I Describe the public purpose made pursuant to the agency's policy
(include address and description) Passes
4. Verification
1 have read and understand F Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with the requirements.
Signature of Agency
Comment:
David Ready City Manager flaci 17
Print Name Title (month, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)