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2017-11-14 PS Speaks with Dan SavageAgency Report of: Ceremonial Role Events and TicketlPass Distributions ` A Public Document 1. Agency Name R C E I VQ@ Stamp City of Palm Springs 17 Y O F ALM 5 P ItING�qalyj or Fer Official Use Orgy 2018 .BAN 31 AM 8: 52 Designated Agency Contact(Name,Me) OFFICE OF1 THE CITY CLERV, Christina Chartier, Executive Assistant to Mayor and Council ❑ Amendment (Must Provide Explanation in Part 3.) 760-322-8366 I chdstina.chartier alms rin sca.9 ov I Date of Original Filing: @P P 9 (month, day, year: 2. Function or Event Information Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 101.22 Event Description: Palm Springs Speaks -Dan Savage Date(s) 11 1 14 1 17.1 1 Provide Tillel Explanation Ticket(s)IPass(es) provided by agency? Yes ® No ❑ If no: Name of Source Was ticket distribution made at the behest Yes ❑ No ® If yes: of agency official? Or6dal's Name (Last First) 3. Recipients Use Section A to identify the agency's department or unit. • Use Section H to identify an individual. • Use Section C: to identify an outside organization. Number A. Name of Agency. Department or Unit DMItegs}l Describe the public purpose made pursuant to the agency's policy Passes Name of Individual NumberB. of Ticket(a)1 Identity one of the following: (Last, First) I Passe Ceremonial Role ❑ Other © Income ❑ N Moon, Robert checking'Ceremonial Rote'or Otherdescribeberow Public Purpose as define by PS Resolution No.22454 Section 1 d vii Ceremonial Role ❑ Other ❑ Income ❑ #chB kV'CeremonialRolle'or'Otherdescribebelow C. Name of Outside Organization I of Tleke$s]! I Describe the public purpose made pursuant to the agency's policy (Include address and description) Passe 4. Verification 1 have read and understand with the requirements. _ 1 Comment: Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance David Ready City Manager / /- /S"YI Print Name Title (month, day, year) FPPC Form 802 (212016) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)