2019-01-04 PSIFF Opening Night Screen & GalaAgency Report of
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name bate Stamp . 1
City of Palm Springs
Division, Department, or Region (if applicable) no�l `U I I • 12 For Official Use only
C �•
Designated Agency Contact (Name, Title)
Christina Chartier, Executive Assistant to Mayor and Council
❑ Amendment (Must Provide Explanation in Part 3.)
760-322-8366 I chdstina.chartier alms rim sca. ov Date of Original Filing:
@P P 9 g (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 Screen&Gala Date(s) 01 y 04 / 199
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:
Official's Name (Last, First)
of agency official?
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 Tlcket(s)/
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of Ticket(s)I
Identify one of the following:
(Last, First)
Passes
Blaisdell, Amy
Ceremonial Role ❑ Other I] Income ❑
Z
if nking'Cemmonial Rde' or'Olhe('descdb below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x
Milan, Michael
Ceremonial Role ❑ Other x❑ Income ❑
2
It chwlung'Cemmonial Rde'or'OlW describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x
Name of Outside Organization
C.
Number
of Ticket(s)/
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
4. Verification
1 have read and understand FWPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with the requirements.
David Ready City Manager
Signature of A2fncyWjKr Designee Print Name Title (month, day, year)
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275.3772)
Agency Report of: California 802
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)l
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of Ticket(s)/
Identify one of the following:
(Last, First)
passes
Osburn, Julie
Ceremonial Role ❑ Other ® Income ❑
2
It checking 'Ceremonial Role" or 'Other" describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(x)
De La Rosa, Araseli
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)
Linares, Jackie
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)
Kolbeck, Staci
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.
Number
of Ticket(s)1
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Form 802 —Additional Tickets for Palm Springs International Film Festival Opening Night
Screening & Gala 01/04/15
Foat, Ginny — 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(xi)
Hutchinson, Stephanie — 2, Public Purpose as defined by PS Resolution No. 22454, Section 1
(d)(x)
Olvera, Dolores — 2, Public Purpose as defined by PS Resolution No. 22454, Section 1 (d)(x)
Kumar, Anil — 2, Public Purpose as defined by PS Resolution No. 22454, Section 1 (d)(x)