HomeMy WebLinkAbout2022-02 Form 802 - PSAM GalaAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions,
1. Agency Name
CITY OF PALM DESERT
Division, Department, or Region (ff applicable)
LmsignatOO Agency L;Ontact (Name, Title)
LAURI AYLAIAN, CITY MANAGER I
R E C E I Y E D A Public Document
A L �WYF�W" r" " ! California
T . 1� Form 802
1 MAR -4 AM H - OF For Officiall Use Only
[3 Amendment (Must Pmvide Explanefion in Part 3.)
760/346-0611 [LAYLAIAN@C ITYOFPALM DESERT. ORG i Date of Original Filing: (month. day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes 99 No [] Face Value of Each Ticket/Pass $ 0
Event Description: PS AIR MUSEUM GALA Date(s) 02 1, 21 1, 20
Provide ritte/Explanadon
Ticket(s)/Pass(es) provided by agency? Yes t@ No [I If no:
Name of Source
Was ticket distribution made at the behest Yes 0 No 9 If yes: offidals Name xast. 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 orgamintion.
Number
A. Name of Agency, Department or Unit of Ticket(sY Describe the public purpose made pursuant to the agency's poilcy
passes
ADMINISTRATIVE SERVICES 2 City of Palm Desert Ticket Policy (Resolution 2019-70)
COMMUNITY DEVELOPMENT 2 City of Palm Desert Ticket Policy (Resolution 2019-70)
Number
B. Name of Individual of TIcket(sY Identify one of the Mlovdng:
(Last First) passes
HARNIK, JAN Ceremonial Role F-1 Other El Income
1fcheckkV'C"mo0WRa6 0r'0fheed&sc70@bWow-
2 City of Palm Desert Ticket Policy (Resolution 2019-70)
Ceremonial Role 0 OtherEl Income 11
ff Chec*jng 'Cemwftf Rare' or Other d&scdbe bebw,
Name of Outside Organization Number
C. (include address and description) of Tickekey Describe the public purpose made pursuant to the agency% policy
I Page" I
4. Verification
I have read and undersptand FPPCSff9u1ations 18944.1 and 18942. 1 have vedfied that 1he dishibution set forth above, is in accordance
with the requigo 70�
i�� Laud Aylalan City Manager 03/03/2020
SArliaturilof Agency Head or Designee Print Name Tide (month, day, yeari
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)