2020-08-05 Palm Springs Air Museum GalaAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name CITY 0
City of Palm Springs
or Region (if applicable)
Designated Agency Contact (Name, Title)
Shari Wrona, Executive Services Administrator
Area Code/Phone Number E-mail
760-322-8632 1 shari.wrona@palmspringsca.gov
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: Palm Springs Air Museum 2020 Gala
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ❑ No El
A Public Document
PAL"5 i1GS uantornia•
•
-5 AM 9: 54 For Official Use Only
F THE CITY CLEF
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
Face Value of Each Ticket/Pass $ 395.00
Date(s) 02 / 21 / 20 02 f 21 / 20
If no: Palm Springs Air Museum
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 organization.
Number
A. Name of Agency, Department or Unit of Tlcket(s)/ Describe the public purpose made pursuant to the agency's policy
Passes
Number
B. Name of Individual of Ticket(s)I Identify one of the following:
(Last, First) I Passes
Ceremonial Role ❑ Other ❑ Income ❑
If checking "Ceremonial Role" or "Other' describe below.
Kors, Geoff 2 Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Ceremonial Role ❑ Other ❑ Income ❑
Woods, Dennis If checking 'Ceremonial Role" or"Other' describe below.
Public Purpose as described by PS Resolution No. 22454,
Section Vd)(vii)(viii)(xi)
Name of Outside Organization Number
C. (include address and description) of Ticket(s)I Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
i have read and understand
with the requirements.
re
Comment:
18944.1 and 18942. / have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Title (month, day, year)
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Agency Report of: -
Ceremonial Role Events and Ticket/Pass Distributions Form
802
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 Ticket(s)l
Passes
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
(Last, First)
Number
of Ticket(s)l
Passes
Identify one of the following:
Middleton, Lisa
2
Ceremonial Role ❑ Other El Income ❑
ifchecking "Ceremonial Role" or"Other describe below:
Public Purpose as described by PS Resolution No. 22454,
Section 1(d)(vii)(viii)(xi)
Ready, David
2
Ceremonial Role ❑ Other El Income ❑
lfchecking"Ceremonial Role" or"Other' describe below:
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Ceremonial Role ❑ Other ❑ Income ❑
1f checking "Ceremonial Role' or "Other' describe below:
Ceremonial Role ❑ Other ❑ Income ❑
If checking "Ceremonial Role" or "Other' describe below.
Name of Outside Organization
C.
(include address and description) P )
Number
of Ticket(s)l
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)