2018-02-16 Air Musuem GalaAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name [ 7 `r f PALM SF PP �
City of Palm Springs '
Division, Department, or Region (ifappikable) 2018 J �L 14 AM 8: OC For Official Use Only
Designated Agency Contact (Name,Title) ' F} THE C+ i Y CLE. 410,
Christina Chartier, Executive Assistant to Mayor and Council
❑Amendment (Must Provide Explanatlan In Part 3.)
760-322-8366 I chdstina.chartier alms do sca. ov I Data of Original Filing:
@P p 9 9 (month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 395.00
Event Description: PS Air Museum Top Gun Gala Date(s) 02 1 16 r 18 1 1
Provide rfBelExplanadon
Ttcket(s)IPass(es) provided by agency? Yes ❑ No El If no: Palm Springs Air Museum
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
orhGar's Name (Cask 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 Tick"sy! Describe the public purpose made pursuant to the agency's policy
Poem
Name of Individual Number
B. of Tkket(ajr Identify one of the following:
(Last First) Passes
Robert Moon Ceremonial Role ❑ Other ® Income ❑
2 ffch NrV Ceremonial Role• or'OtW desofbe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Geoff Kors Ceremonial Role ❑ Other 0 Income ❑
2 ff choOft'CammoMaf Rde'or'01W describe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vi[
Name of Outside Organtwtion Number
C. (include address and description) of Ticket(sq Describe the public purpose mad* pursuant to the agency's policy
Passes
4. Verification
! have read and understand FPPC f trans 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance
with the requirements.
David Ready City Manager
Signature of Agency Head or 29a Print Name Title (month, day, year)
Comment:
FPPC Form $02 (212016)
FPPC Tall -Free Helpline: 8661ASK-FPPC (8661275-3772)
Agency Report of: California 802
Ceremonial Role Events and Ticket/Pass Distributions Form
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 H to identify an individual. • Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit
of Ticket(sy
Describe the public purpose mad* pursuant to the agency's policy
Passes
B. Name of Individual
(Last, Fast}
Number
of Tk:kst(aj1
Passes
Identify one of th*following:
Ceremonial Role ❑ Other El Income ❑
David Ready
1
nchecking TemnionialRde•ar•Oftr*des«mebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(x)
Christy HOlstege
2
Ceremonial Role ❑ Other ® Income ❑
Hcheddng'Cemmonlel Rde'or'OrhW describe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Rote ❑ Other ® income ❑
Henk Peeter
2
HchwJdng'CeremonlalRde orrolher'descdbebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x
Ceremonial Role ❑ other ❑ income ❑
It checking 'Ceremonlal Role or'Othee desalbe below
Name of Outside Organization
C. (include address and description)
Number
of Tick•gsyl
passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helplins: 8661ASK-FPPC (8661275-3772)