2020-01-03 PSIFF Opening Night ScreeningAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
Division, Department, or Region (if applicable)
Designated Agency Contact (Name, Title)
Shari Wrona, Executive Services Administrator
Area Code/Phone Number I E-mail
760-322-8362 1 shari.wrona@palmspringsca.gov
IT Y We iSt bM S P
2020 APR 16 PH
blic Document
A tfor Official Use Only
FFICE OF THE CITY �CLERIh
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 75.00
Event Description: PSIFF Opening Night Screening Date(s) 01 t 03 t 20 1
Provide Title/Explanation
Ticket(s)/Pass(es) provided by agency? Yes ❑ No ® If no: Palm Springs International Film Festival
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 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
B.
Name of Individual
(Last, First)
of Tickegs)l
Passes
Identify one of the following:
Ceremonial Role ❑ Other ❑X Income ❑
If checking "Ceremonial Role" or "Other' describe below
Perez, Alex 2
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x
Ceremonial Role ❑ Other ❑X Income ❑
Otero, Stephen 2 lfchecking"Ceremonial Role" or"Other' descnbe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 WN)
Name of Outside Organization Number
of Ticket(s)I Describe the public purpose made pursuant to the agency's policy
C. (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
`- - irernents.
David Ready City Manager
Signature of Agency Head or Desig a Pr nt Name Title (month, day, year)
Comment:
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 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
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
(Last, First)
Number
of Ticket(s)I
Passes
Identify one of the following:
McKeown, Rebeca
2
Ceremonial Role ❑ Other ® Income ❑
If checking "Ceremonial Role" or "Other describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(x)
Waits, Jasmine
2
Ceremonial Role ❑ Other El Income ❑
If checking 'Ceremonial Role" or "Other" describe below.
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x
Foat, Gi n ny
2
Ceremonial Role ❑ Other ® Income ❑
if checking "Ceremonial Role" or "Other' describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x
Ceremonial Role ❑ other ❑ Income ❑
If checking "Ceremonial Role" or "Other' describe below:
Name of Outside Organization
C.
(include address and description)
Number
of Ticket(s)I
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)