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2017-09-21 LGBTQ Film Fest
Agenc)f Report of: Ceremonial Role Events and TicketlPass Distributions A Public Document . Agency Name t Iv c. Into stamp Caiifornia City of Palm Springs I i 't u i A LM S P r; ,: e • if Division, Department, or Region (if applicable) 2016 1 N 20 AM 9. 56 For Official Use Only Designated Agency Contact (Name Title) }FF 1i1L Ul I rr I�i�E Christina Chartier, Executive Assistant to Mayor and Council ❑ Amendment (Must Provide Explanadon 1n Part 3.) 760-322-8366 chdstina.chartier alms do scaDate of original Filing: @P P 9 . 9ov (month, day, year) 2. Function or Event Information Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 279.00 Event Description: The Palm Springs LGBTQ Film Fest Date(s) - 09 1 21 r 17 09 f 24 i 17 Provide rdeiErptarado,-. Ticket(s)IPass(es) provided by agency? Yes ❑ No El If no: Palm Springs Cultural Center Name of source Was ticket distribution made at the behest Yes ❑ No ® If yes: oqir:al's Name (cast 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 Ticksgsil Describe the public purpose made pursuant to the agency's policy Passes B. Name of Individual Number of Tkket(su Identify one of the following: (Lest First) Passes Moon, Robert Ceremonial Role ❑ Other © In:oma ❑ 4 llcbeckng'Ceremonla,Role or-omerdesaibebelav Public Purpose as defined by PS Resolution No. 22454 Section 1 d vii Ginny Foat 1. Ceremonial Role ❑ Other X❑ hncome ❑ 2 H thecldnp Ceremonial Role' or'OrW desenbe below Public Purpose as defined by PS Resolution No. 22454 Section 1 d vii Name of Outside Organization ' {include address and description) Number of ricket(sy Describe the public purpose made pursuant to the agency's policy Passes 4. Verification l have read and unYetFPPC Regulations 18944 1 and 18942. 1 have venfted that the distribution set forth above, is in accordance with the requiremeDavid Ready City Manager S'gnature /A=ncwygne-0 Print No-rne Tide (month. day year} Commen FPPC Form 802 (212016) FPPC Toll -Free Helpttne: 8661ASK-FPPC (8661276-3772) Agency Report of: California Ceremonial Role Events and Ticket/Pass Distributions ' 02 Continuation Sheet A Public Document Agency Name City of Palm Springs 3. Recipients • Use Section A to identify the agency's department or unit. • Use Section Btu identify an individual. • Use Section C to identify an outside organization. Number A. Name of Agency, Department or Unit of Ticket(sy Passes Describe the public purpose made pursuant to the agency's policy B. Name of Individual (Last, First) Number of Tlcket(ayt Passes Identify one of the following: David Ready 2 Ceremonial Role ❑ other El -hCorne ❑ If Checking'Ceremoniat Role' or'0lher describe below Public Purpose as defined by PS Resolution No. 22454 Section 1(d)(vii) J.R. Roberts 2 Ceremonial Role ❑ Other El !ncnrre ❑ if check-ng 'Ceremonlar Role" or'Olher descnbe below Public Purpose as defined by PS Resolution No. 22454 Section 1 d vii Ceremonial Role ❑ Other ❑ Incame ❑ H checking 'Ceremonial Role' or 'Other describe below Ceremonial Role ❑ Other ❑ in{nme ❑ It checking'Censmonial Role' or' Olher describe below Name of Outside Organization C. (include address and description) p ) Number of Ticketlsyr Passes Describe the public purpose made pursuant to the agency's policy PPPC Form 802 (212016) FPPC Toll -Free Helpllne; 13661ASK-FPPC (3661275-3772)