HomeMy WebLinkAbout2019-05-09 Mr. Lyons' Film Noir FestivalAoncy Report of:
Ceremonial Role Events and Ticket/Pass Distributio M A Public Document
1. Agency Name / �� ate Stamp
City of Palm Springs 1 v
r ,�IFIWOM-NU-90
Division, Department, or Region (if applicable) JE
Ao 1 6 7/11,9
Shari Wrona, Executive Services Administrator
❑ Amend Must Pmwtle Explana4on in Part 3.)
760-322-8632 I shari.wrona@palmspringsca.gov I Date of Original Filing: (month day year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 139.00
9 Y P Y Yes ® No ❑
Event Description: Mr. Lyons' Film Noir Festival Date(s) 05 ) 09) 19 05 ) 12 ) 19
Pmwde Tde/Ezpleneb'on
Ticket(s)/Pass(es) provided by agency? Yes ❑ No ® If no: Palm Springs Cultural Center
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Official s Name (cast Firs
of agency official?
First)
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)I
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last. First)
Number
of Ticket(s)l
Passes
Identify one of the following:
Moon, Robert
2Hchwkng-Cam
Ceremonial Role ❑ Other ❑ Income ❑
reonial Rose' or'Omer devcnba Da'av
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Middleton, Lisa
Ceremonial Role ❑ Other ❑ Income ❑
2
H cnecknp'Ceramorual Rde"a'OMer'tlescnbe berow:
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi
Name of Outside Organization
C. (include address and description)
Number
of Ticket(s)l
Passes
Describe the public purpose made pursuant to the agency's policy
4. Verification
l have read and understand FPPP Regulations 18944.1 and 18942. 1 have verified that the distribution set forth a
with the requirem
David Ready City Manager
{ gent ad or Designee Print Name Tide
Comment:
bove, is in accordance
(month, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions Form
Continuation Sheet A Public Document
Agency Name
City of Palm Springs
3. Recipients
• Use Section 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 Describe the public purpose made pursuant to the agency's policy
Passes
(e
—.Number
B. Name of Individual
of Ticket(s)f
Identify one of the following:
I (Last, First)
Passes
Holstege, Christy
Ceremonial Role ❑ Other El Income ❑
2
llcheckfng'Cen;monial Role'or'Other'tlescnbe below:.
Public Purpose as described by PS Resolution No. 22454,
Section I(d)(vii)(viii)(xi)
Kors, Geoff
Ceremonial Role ❑ Other ® Income ❑
2
Irchecb'ng -Ceremonial Role -or -Other describe below:
Public Purpose as described by PS Resolution No. 22454,
Section 1(d)(vii)(viii)(xi)
Roberts, J.R.
Ceremonial Role ❑ Other ® Income ❑
2
If checkfng'Ceremonlal RWe'or'Other' tlescnbe below:
Public Purpose as described by PS Resolution No. 22454,
Section 1 d vii viii xi)
Ready, David
Ceremonial Role El Other ® Income ❑
if checkfng'Ceremonial Role• or'Other' cescdbe below:
2
Public Purpose as described by PS Resolution No. 22454,
Section 1(d)(vii)(viii)(xi)
(
C. Name of Outside Organization
Number
of Ticket(s)i
Describe the public purpose made pursuantto the agency's policy.
(include address and description)
Passes
FPPC Form $02 (212016)
FPPC Toll -Free Helpllne: 866/ASK-FPPC (866/275.3772)