2017-10-07 EQCA Equality AwardsAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name Starr WQWy
City of Palm Springs IT Y QF ALH. 11% Division, Department, or Region (if applicable) 2016 JUN O AEI 9'- 57 ForWriicia
Designated Agency Contact (Name, Title) GIC r i air
Christina Chartier, Executive Assistant to Mayor and Council
Area Code/Phone Number E-mail ❑ Amendment (Must Provide Explanation in Part 3.}
760-322-8366 chdstina.chartier@palmspdngsca.gov Date of Original Filing: (month day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each TickettPass $ 275.00
Event Description: 2017 Palm Springs Equality Awards Date(s) 10 t� 07 t 17 —l—J
Provide TRIWExplanation
Ticket(s)IPass(es) provided by agency? Yes ❑ No ® If no: Equality California
Name of Sourre
Was ticket distribution made at the behest Yes ❑ No ® if yes:
Qlli_;al'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 outride organisation.
Number
A. Name of Agency, Department or Unit of Tickegsy Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual or Ticket's►! Iderift one of the following:
(Last; First) Passes
Captain Hank Peeters Ceremonial Role ❑ other ® Income ❑
2 rfcheckkW'CeremoniarRare or'OrAerdesmbeberow
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii
Marcus Fuller Ceremonial Role ❑ other 0 Income ❑
2 if checWng Teremmial Role or'Other downbe below
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii
Name of Outside Organization Number
C. (include address and description) of Tickegay! Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
1 have read and under
with the requirements
Comment:
Regulations 18944. I 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 (8661275-3772)
Agency Report of: California
02
Ceremonial Role Events and Ticket/Pass Distributions '
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 B to identify an individual. • Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit
of Tickeqsy
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of 7ickat{sy
Passes
Identify one of the following:
Stacl Schafer
Ceremonial Role ❑ other ® Income ❑
2
I! cneGnnp'CeromonlelRote' w rorher desarbebelow
Public Purpose as defined by PS Resolution No. 22454
Section 1(d)(vii)
Thomas Hays
Ceremonial Role ❑ Other ® Income ❑
2
li'chwking'Cemmonial Rope' w'OtW desWbe below
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii
Suzanne Severin
Ceremonial Role ❑ other ® Income ❑
2
tfcheckfnp'CeremonlatRoM' w'OtWdewAbebelow
Public Purpose as defined by PS Resolution No. 22454
Section 1 d vii
Ceremonial Role ❑ other ❑ Income ❑
1lche0dng -Ceremonial Role w'01W descrbe below
Public Purpose as defined by PS Resolution No. 22454
Section 1(d)(vii)
Name of Outside Organization
C. (include address and description)
Number
of Ticket(sy
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)