2018-03-10 Air Museum Red DressAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name .}IT
City of Palm Springs
Division, Department, or Region (it applicable) 711
Designated Agency Contact (Name, Title) ut 1 41
Christina Chartier, Executive Assistant to Mayor and Council
A Public Document
m F FrXIT'i"VIP R W4 - e- i
JUL 19 AM 8' 05 For Official Use Only
E OF THE CITY CLEF ,/
❑ Amendment (Must Provide Explanation in Part 3.)
760-322-8366
chdstina.chartier alms do sca.
@P P $ gov
Date of Original Filing: 1
(month, day, year)
15 Il���i I
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 95,00
Event Description: PS Air Museum Red Dress Dress Red Date(s) 03 1. 10 1 18 w J f
Provide TrBe/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?
Official's Name (Last First)
3. Recipients
,Use Section A to identify the agency's department or unit. • Use Section $ to identify an individual. -Use Section C to identify an outside organization.
A. Name of Agency. Department or Unit
Humber
of Tlekegsy
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
ofrickeftsy
Identity one of the following:
(Last, Fist}
Passes
Robert Moon
Ceremonial Role ❑ Other ® income ❑
1
it checkirp'Cemmmiar Rore' or'Ofher d4scritm belaw
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Role ❑ Other Q 1r.come ❑
J.R. Roberts
1
NcheddrigTermnamolRa'e-or•otWdescrrbeWow
Public Purpose as defined by PS Resolution No_ 22454,
Section 1 d vii
Name of Outside Organization
C.
Number
of Tfckegay
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
4. Verification
1 have read and unde FPPC Regulations 18944 1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with the requiremen .
David Ready
City Manager
Signature of Agen Head r esignee Print Name
Title i mal `h, day. year,
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)