2019-01-13 PSIFF Closing Night Screen & ReceptionW
Agency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Palm Springs
Division, Department, or Region (if applicable) 2019 11i'l
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 1 christina.chartier@palmspringsca.gov
A Public Document
Date. Stamp
0 g i i I 1: 12 I For Official Use Only
Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, tlay year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 60.00
9 Y P Y Yes ® No ❑
Event Description: PSIFF Closing Night Screen&Recept. Date(s) 01 ) 13) 19
Provide Tdle/Explanation
Tickets)/Pass(es) provided by agency? Yes ❑ No El If no: Palm Springs International Film Festival
Name o1 Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
of agency official? Official's Name (Last
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 neket(s)l
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of Ticketts)l
Identify one of the following:
(Last, First)
Passes
Blaisdell, Amy
Ceremonial Role ❑ Other Q Income ❑
-Ceremonial
2
It checking Role-or-OtheC describe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x
Kotkin, Edward
Ceremonial Role ❑ Other I] Income ❑
211
checking'Ceremonial Ro'e-or'Olher dewnbe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d x
Name of Outside Organization
C.
Number
of Tlcket(s)l
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
4. Verification
1 have read and understand FPPC Reg ations 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 Agency Hg4 or Print Name Tiae (month, day, year)
Comment: 6
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276.3772)
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)l
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of Ticket(s)l
Identify one of the following:
(Last, First)
passes
Salizar-Wilson, Catherine
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)
Hintz, Terri
Ceremonial Role ❑ Other ® Income ❑
2
1f checking -Ceremonial Role" or 'Other' describe below:
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d)(x)
Lopez, Janice
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)
Nelson, Caren
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)l
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
FPPc Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Form 802 —Additional Tickets for Palm Springs International Film Festival Closing Night
Screening & Reception 1/13/19
Goedhart, Veronica — 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(x)