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Home My WebLink About2024-03 Form 802 - Palm Springs Air Museum GalaAgency Report of: Ceremonial Role Events and Ticket/Pass Distributio A Public Document 1. Agency Name CITY OF PALM DESERT Division, Department, or Region (if applicable) Designated Agency Contact (Name, Title) ANTHON Y J. MEJIA , CITY CLERK Area Code/Phone Number 760-346-0611 E-mail amejia@palmdesert.gov ,~a:t,e,_Stamp ( California 802 Form PM 2:5 For Offici al Use Only 0 Amendment (Must Provide Ex planation in Part 3.) Date of Original Filing:--,--,,--,----,-- (month, day, year) 2. Function or Event Information Does the agency have a ticket policy? 275.0 0 Yes D No □ Face Value of Each TickeUPass $ _______ _ Event Description : Palm Springs Air Museum Gala Provide Title/ E x planation Date( s) ~ ~~ Ticket (s)/Pas s(es ) provided by agency ? Yes D No D If no: _________________ _ 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 Sec ti on A to identify the agency 's department or unit. • Use Section B to identify an individua l. Use Section C t o identify an outs ide o rgan iz ation . Number A. Name of Agency, Department or Unit of Tlcket(s)/ Describe the public purpose made pursuant to the agency 's policy Passes City Manager 's Office 4 PD Resolution No . 2019-70 Section 6-C-17 Economic Development 2 PD Resolution No . 2019-70 Section 6-C-17 Number B. Name of Individual of Ticket(s)/ Identify one of the following : (Last, First) Passes l Ceremon ial Role D Othe r D Income D Quintanilla, Karina 2 ff checking ·ceremonial Rote · or ·other" describe below: PD Resolution No . 2019-70 Section 6-C-17 Ceremon ial Ro le 0 Other D Income 0 Trubee , Evan 2 ff checking ·ceremonial Role " or "Other" describe below : PD Resolution No. 2019-70 Section 6-C-17 Name of Outside Organization Number C. of Tlcket(s)/ Describe the public purpose made pursuant to the agency's policy (include address and description) Passes 4. Verification I have read and understand FPPC Regulations 18944.1 and 18942. I have verified that the distribution set forth above, is in accordance wit the requirements. ANTHONY J. MEJIA Print Name Print Clear CITY CLERK Title 01-{ \ u 2-t> z. ~ (month, day, year) FPPC Form 802 (2/2016) FPPC Toll-Free Helpline: 866IASK-FPPC (8661275-3772) Agency Report of: Ceremonial Role Events and Ticket/Pass Distributions California 802 Form This form is for use by all state and local government agencies . The form identifies persons that receive admission tickets and passes and describes the public purpose for the distribution . This form was prepared by the Fa ir Polit ic al Practices Commission (F PPC) and is available at www.fppc .ca .gov. General Information FPPC Regulation 18944.1 sets out the circumstances under which an agency 's distribution of t ickets to entertainment events , sporting events , and like occasions would not result in a gift to individuals that attend the function. In general , the agency must adopt a policy which identifies the public purpose served in distributing the admissions. The Form 802 serves to detail each event and the public purpose of each ticket distribution. FPPC Regulation 18942 lists exceptions to reportable gifts , includ ing ceremonial events , when listed on this form . When the regu lat ion procedures are followed , persons , organizations , or agencies who receive admissions are listed on a Form 802. Agency officials do not report the admissions on the official 's Statement of Economic Interests , Form 700 , and the value of the admission is not subject to the gift limit. The Form 802 also informs the public as to whether the admissions were made at the behest of an agency official and whether the behested tickets were provided to an organization or to specific individuals. Exception FPPC This form is not required for admission provided to a school or university district official , coach , athletic director, or employee to attend an amateur event performed by students of that school or university. Reporting and Public Posting Ticket Distribution Policies: An agency must post its ticket policy on its website within 30 days of adoption or amendment and e-mail a link of the website location to FPPC at form802@fppc.ca .gov. Form 802: The use of the ticket or pass under the policy must be reported on Form 802 and posted on the agency's website within 45 days of distribution. A link to the website location of the forms must be e-mailed to FPPC at form802@fppc .ca .gov. Th~ FPPC will post on its website the link to each agency's policy and completed forms. It is not necessary to send an e-mail each time a new Form 802 is posted. It is only necessary to submit the link if the posting location changes . A Public Document This form must be ma in tained as a public document. Privacy Information Notice Informat ion requested by the FPPC is used to administer and enforce the Political Reform Act. Failure to provide in formation may be a violation subject to administrative , criminal , or civil penalties. All reports are public records available for inspection and reproduction. Direct questions to FPPC 's General Counsel. Instructions Part 1. Agency Identification : List the agency 's name. Provide a designated agency contact person , their phone number, and e-mail address . Mark the amendment box if changing any information on a previously filed form and include the date of the original filing . Part 2. Function or Event Information : Confirm that your agency has a policy for ticket distribution . Unless the ceremonial role or income box in Part 3 , Section B , is marked , this form is only applicable if your agency has a policy. ~omplete all of the other required fie lds that identify the ticket value , description of event , date(s) and whether the ticket was provided by the agency or an outs ide source . If an agency official behests the tickets, the official 's name is also req uired . Use the comment fie ld or an attachment to expla in in full. Part 3. Ticket Recipients : This part identifies who uses the tickets . The identification requirements vary depending upon who received the tickets and are categorized into three sections . Each section must list the number of tickets received. Use the comment field or an attachment to explain in full. Section A. Report tickets distributed to agency staff, other than an elected official or governing board member, pursuant to the agency's policy. It is not necessary to list each employee 's name , but identify the unit/department for which the employee works. The agency must describe the public purpose associated with the ticket distribution. A reference to the policy is permissible . Section B. Report: 1) any agency official who performs a ceremonial role ; 2) any agency official who reports the value as income ; or 3) tickets used by elected officials and governing board members (including those distributed pursuant to the agency 's pol icy). Section C. Report tickets provided to an organization . The organ ization 's name , an address (website url is permissible), and a brief description of the public purpose are required . FPPC Form 802 (2/2016) FPPC Toll-Free Helpline : 866/ASK-FPPC (866/275-3772)