2017-10-28 Love and Love Foundation DinnerAgency Report of: , �
Ceremonial Role Events and Ticket/Pass Distributions 'A Public Documen
1. Agency Name n
City of Palm Springs
CITY 01 PAL fin' i
or Region (tfapplicable)
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 1 chdstina.chartier@paimspdngsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each TickeVPass $ 35.00
Event Description: LoveBLove Foundation Dinner Date(s) 10 1, 28 1. 17
Provide TiHe/Explanabon
Ticket(s)IPass(es) provided by agency? Yes ® No ❑ If no:
31 AM
8.51 I For Official Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
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 organisation.
A. Name of Agency, Department or Unit j of Tlckegay I Describe the public purpose made pursuant to the agency's policy
I Passes
B. Name
of Indiv
(Last Firstidual I of Pass"
I Identify one of the following:
Ceremonial Role ❑ Other ® income ❑
frdhecknc'Ceremonial RoWor'Otherdesddbe below
Foat, Ginny 1 Public Purpose as define by PS Resolution No.22454
Section 1 d vii
Ceremonial Role ❑ Other ❑ Irwrne ❑
lr cheddng'Cemnx)Mal Role' or'Other #ewnbe below
C. Name of Outside Organization I aj;:�k,i(sy I Describe the public purpose made pursuant to the agency's policy
(include address and description) Posses
4. Verification
1 have read and understand
with the requirements.
Comment:
Regulations 18944.1 and 18942. l have verifffed that the distribufror► set forth above, is in accordance
David Ready City Manager l 1--/: 7—
Print Name %fie (month, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Halpline: 8661ASK-FPPC (8661275-3772)