2017-10-27 LGBT Center Gala2Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions i4v�% A Public Document
11. Agency Name ill -
City of Palm Springs = i T t OF PALM [ k i
Division, Department, or Region (if applicable) 2018 AN 3 ! AN B` 50 For Official Use Only
esignated Agency Untact (Name,Title) j,U It
OI• I HL U t
Christina Chartier, Executive Assistant to Mayor and Councll ❑ Amendment (Must Provide Explanation in Part 3.)
760-322-8366 I christina.chartier@palmspdngsca.gov I Date of Original Filing:
(month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: L.GBT Center Stage Gala
Provide rrda/Explanab'on
Ticket(s)lPass(es) provided by agency? Yes ❑ No 91
Was ticket distribution made at the behest Yes ® No ❑
of agency official?
Face Value of Each Ticket/Pass $ 195.00
Date(s) 10 ) 27 ) 17 � L t
If no:
Name of Source
If yes: Geoff Kors
Official's Name (Lest. First)
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.
A. Name of Agency, Department or Unit I es
of Ticket(s)1 I Describe the public purpose made pursuant to the agency's policy
Pass
B. Name of Individual of Ticket(a)l Identify one of the following:
(Last, First) Passes
Ceremon al Role ❑ Other Q Income ❑
Ready, David tichtw1ung CeremoNalRok'or'Other•dssatbebelow
y Public Purpose as define by PS Resolution No.22454
Section 1 d x
Ceremonial Role ❑ Other ❑ Income ❑
itchecking CeremonialRole* or'Other'desalbebelow
Name of Outside Organization Number
C. (include address and description) of Tickags)l Describe the public purpose made pursuant to the agency's policy
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.
, V/f�2 �1�C k Alf occe der r !o !
Signature of Age Hes gnee Print Name Title U(month, day, year)
Comment.
FPPC Form 802 (212016)
FPPC Toll -Free Helpilne: 8661ASK-FPPC (8661276-3772)