2018-01-02 Film Festival GalaAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions epublic Document
1. Agency Name i(LIQ F I YEW Stamp E
ism
'IT^F ALM SPR
City of Palm Springs i
or
For Official Use Only
2010 JUL 30 PM 1: 37
Designated Agency Contact (Name,Title) , r lut Ul' I f
Christina Chartier, Executive Assistant to Mayor and Council
760-322-8366 C christina.chartier@palmspdngsea.gov
2. Function or Event Information
Does the agency have a ticket policy?
Event Description: PSIFF Gala
Provide Trtfe/Explanation
Ticket(s)IPass(es) provided by agency? Yes ❑ No 91
Yes® No
E CITY CL
Amendment (Must Provide Explanation In Part 3.)
Date of Original Filing:
(rrtortth, day, year)
Face Value of Each Ticket/Pass $ 2,000.00
Date(s) 01 1 02 1 18 ^...!__._J
If no: Palm Springs International Film Festival
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Official's Name (Lest, First)
of agency official?
3. Recipients
• Use Section A to identify the agency's department or unit. • Use Section H to identify an individual. • Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit
of Tickegay
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of individual
Number
ofTicketieu
Identify one of the following:
(Last Fkw)
Paste
Robert Moon
Ceremonial Role ❑ Other ® Income ❑
2
if 'lied n9 ' C&nm;onfal Rde' or -Other describe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Geoff Kors
Ceremonial Role ❑ Other Q Income ❑
2
it checknp'Ceremorirar Rofe or'OtW desWbe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vli
Name of outside organization
G'
Number
of T�•NaM
Describe the public purpose made pursuant to the agency's policy
{include address and description)
Passes
4. Verification
i have read and understand C Regulations 98944.1 and 18942. !have verified that the distribution set faith above, is in accordance
with the requirements.
David Ready City Manager
Signature of Agency He ee Print Name Title (month, day, year)
Comment: 171
FPPC Form 802 (2t2016)
FPPC Toll -Free Helptlne: 8661ASK-FPPC (8661275-3772)
Agency Report of: California
02
Ceremonial Role Events and Ticket/Pass Distributions '
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.
Numhar
A. Name of Agency, Department or Unit
of Ticket(sY
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of individual
(LAst, Mint)
Number
of Ticket(ay!
Passes
identify one of the following:
Ceremonial Role ❑ Other ® Income ❑
J.R. Roberts
2
Itcheckrnp'CmomonWF?co or'otherobsatbeWow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)
Christy Holstege
Ceremonial Role ❑ Other ® income ❑
2
fld eeking •Cer&Mniar Rae -or Other describe below
Public Purpose as defined by PS Resolution No, 22454,
Section 1 d vii
Ceremonial Role ❑ Other ® !ncanie ❑
Lisa Middleton
2
Ncheckkg'Commonlal%u'or-otherdescdbebekry
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Role ❑ Other ® Income ❑
David Ready
1
ncheckMTeremimlR2)Wor-otherdescdbebehw
Public Purpose as defined by PS Resolution No_ 22454.
Section 1 (d)(vii)
C. Name of outside Organization
(include address and description)
of Ti Number mbar Y
pa"M
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpitne: 8661ASK-FPPC (8661275-3772)
Form 802 —Additional Tickets for Palm Springs International Film Festival Gala 01.02.18
Blaisdell, Amy —1, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(vii)
Haley, Michael (Resident) -1, Public Purpose as described by PS Resolution No. 22454, Section
1(d)(vii)
Pfaff, Edward (Resident) —1, Public Purpose as described by PS Resolution No. 22454, Section
1(d)(vii)
Rose, Gil (Resident) —1, Public Purpose as described by PS Resolution No. 22454, Section
1(d)(vii)
Russell, Stan (Resident) —1, Public Purpose as described by PS Resolution No. 22454, Section
1(d)(vii)
Smith, Lynn (Resident) —1, Public Purpose as described by PS Resolution No. 22454, Section
1(d)(vii)
Smith, Scott (Resident) —1, Public Purpose as described by PS Resolution No. 22454, Section
1(d)(vii)
Hawkins, Mary (Resident) —1, Public Purpose as described by PS Resolution No. 22454, Section
1(d)(vii)
Hawkins, Emily (Resident) —1, Public Purpose as described by PS Resolution No. 22454, Section
1(d)(vii)
Wiedeman, Cary (Resident) --1, Public Purpose as described by PS Resolution No. 22454,
Section 1(d)(vii)
Beanes, Rick (Resident) --1, Public Purpose as described by PS Resolution No. 22454, Section
1(d)(vii)
Jones, Tee (Resident) —1, Public Purpose as described by PS Resolution No. 22454, Section
1(d)(vii)