HomeMy WebLinkAbout2025-03-27 AmDocs Film FestivalAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name
City of Palm Springs
Division, Department, or Region (if applicable)
Designated Agency Contact (Name, Title)
Llubi Rios , Executive Services Administrator
Area Code/Phone Number
760-322-8362
E-mail
Llubi .rios@palmpsprings ca.gov
Date Stamp
.. RECEIVE
MAY O 8 20 5
California 802
Form
For Official Use Only
Part 3.)
Date of Original Filing:--,--.,,.-,--~-
(month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes 181 No • Face Val ue of Ea ch TickeUPass $ _1_79_-_o_o ____ _
Event Descripti on: AmDocs Fi lm Festival Date( s) ....!E.......J__I!__J__E,_
Provide TitJel Explanation
Ticket (s)/Pass(es) provided by agency? Yes • No ~ If no: Ame rican Documen tary and Animation Fi lm Fest.
Name of Source
Was ticket distribution made at the behest Yes • No [81 If yes: ---------------------
Official's Name (Last, First)
of agency official ?
3. Recipients
• Use Section A to identify the agency's d ep artment or 11nit. • Use Section B to identify an individual. • Use Section C to identify an o utside organization .
Number
A. Name of Agency, Department or Unit of Ticketjs)/ Describe the public purpose made pursuant to the agency's policy
Passes
Number B. Name of Individual of Tlcket(s)/ Identify one of the following:
(Last, First) Passes
Ceremoni al Role 0 Other 1B] income 0
Garner, Grace 2 If checking ·ceremonial Role" or "Other' describe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 ( d)(vii)(viii)(ix)
Ceremonial Role 0 Other 1B] income 0
Be rn stein , Jeffrey 2 If checking "Ceremonial Role " or "Other' descnbe below
Public Purpose as defined by PS Resolution No. 22454 ,
Secti on 1 (d)(vii)(viii)(ix)
Name of Outside Organization Number
C. of Tick~•)/ Describe the public purpose made p ursuant to the agency's policy (include address and desc ription) Passes
4. Verification
I have read and understand FPPC Regulations 18944.1 and 18942. I have verified that the distributio n set forth above, is in accordance
with the req · ements.
Scott C. Stiles City Manager
Print Name Trtle
o/f:/~
(monfh, day, year)
Comment:-----------------------------------------
FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 866I ASK-F PPC (866/275-3772)
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
Continuation Sheet
California 802
Form
A Public Document
Agency Name
City of Palm Springs
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 Passes
I Number B. Name of Individual of Tlcket(s}/ I (Last, First) P8S!!0S
Ready, David 2
Soto, Naomi 2
Stiles, Scott 2
I Name of Outside Organization Number C. of Ticket(s)I , (include address and description) Passes
Describe the public purpose made pursuant to the agency's policy
'
------. --i
Identify one of the following:
' I
Ceremonial Role D Other~ Income D
If checking ·Ceremonial Role· or "Other" describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)(viii)(ix)
Ceremonial Role D Other~ Income D
If checking ·ceremonial Role· or·Other" describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)(viiil(ix)
Ceremonial Role D Other~ Income D
If checking "Ceremonial ROie" or "Other" describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (dl!viil!viiil!ixl
Ceremonial Role D Other D Income D
If checking ·ceremonial Role" or·Other" describe below:
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (2/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)