2019-01-03 to 2019-01-15 PS International Film FestivalAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name Date Stamp
City of Palm Springs
Division, Department, or Region (if applicable) n I 1 ; 12 For Official Use Only
Designated Agency Contact (Name,Tdle) - -'
Christina Chartier, Executive Assistant to Mayor and Council ❑ Amendment (Must Provide Explanation in Part 3.)
4rea Code/Phone Number E-mail
760-322-8366 1 christina.chartier alms rin sca. ov Date of Original Filing:
@P P 9 9 (month, day year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑
Event Description: PS International Film Festival
Pmvide Tiffe/Exp/anation
Tickets)/Pass(es) provided by agency? Yes ❑ No El
Was ticket distribution made at the behest Yes ❑ No
of agency official?
Face Value of Each Ticket/Pass $ 3,000.00 Benefactor
Date(s) 01 y 03 / 1 g 01/ 15 t 19
If no: PS International Film Festival
Name of Source
If yes:
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 organbalion.
Number
A. Name of Agency, Department or Unit
of Ticket(s)/
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Ticket(s)/
Passes
Identify one of the following:
Moon, Robert
2
Ceremonial Role ❑ Other ❑K Income ❑
Il cM1ecking'Cemmonial Rde-or'Otbertl scribe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vi vii viii
Roberts, J.R.
Ceremonial Role ❑ Other X❑ Income ❑
2
I/chedtlng'Cemmonial Rde-or'Otherdescribebei w:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vi vii viii
Name of Outside Organization
C. (include address and description)
Number
of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency's policy
4. Verification
I have read and understand FPPC R ulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
nts. with the requireme
David Ready City Manager
Signature XAgeHea�ignee Print Name Tide (month, day, year)
Comme
FPPC Form 802 (2(2016)
FPPC Toll -Free Helpline: 866IASK-FPPC (866/275.3772)
Agency Report of: California
Ceremonial Role Events and Ticket/Pass Distributions 802
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)/
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Tlcket(s)/
Passes
Identify one of the following:
Kors, Geoff
Ceremonial Role ❑ Other El Income ❑
2
if checking 'Ceremonial Role" or 'Othef describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vi)(vii)(viii)
Holstege, Christy
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)(vi)(vii)(viii)
Middleton, Lisa
Ceremonial Role ❑ Other ® Income ❑
2
If checking 'Ceremonial Role" or 'Other describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vi)(vii)(viii
Ready, David
Ceremonial Role ❑ Other ® Income ❑
2
If checking 'Ceremonial Role" or 'Other describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(x)
Name of Outside Organization
C.
(include address and description) p )
Number
of Ticket(sy
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Form 802 —Additional Tickets for Palm Springs International Film Festival 1/03 to 1.15.19
Benefactor Passes
Fuller, Marcus — 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(x)
Kotkin, Edward —1, Public Purpose as defined by PS Resolution No. 22454, Section 1(d)(x)