2018-01-02 PS Film Festival - BenefactorAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name R E C DW COP e r
City of Palm Springs - � T Y F PALM 5 P R , ' , ... •
Division, Department, or Region (if applicable) 2018 �JN 20 AM 9: 58 ForOMMcial Use only
Designated Agency Contact (Name. Title) F 0'r THE CITY CLEr.-'
Christina Chartier, Executive Assistant to Mayor and Council ❑ Amendment (Must Provide Explanation in Part 3.)
760-322-8366 I christina.chartieralms rin sca. ov I Date of Original Filing:
1 @P P 9 9 (month. day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 3,000.00 Benefactor
Event Description: Palm Springs International Film Fest Date(s) 01 1 02 1 18 fl 1 16 / 18
Provide Title/Explenation
Ticket(s)IPass(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:
Orrr: a!'s Name (Last. First)
of agency official?
3. Recipients
-Use Section A to identify the agency's department or unit. • Use Section 8 to identify an individual. • Use Section C to identify an outside organization.
A. Name of Agency, Department or Unit
of Tleket(a)l I Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual of Tickettsp Identify one of the following:
(Last, First) Passes
Robert Moon Ceremonial Role ❑ Other ® inxme ❑
2 N checking-Cenemmial Ru ,' or'OtW deschbe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Lisa Middleton Ceremonial Role ❑ Other x❑ inmme ❑
2 It checidng'Ceremonial Rvi'or Other describe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Name of Outside Organization Number
C. (include address and description) of Tk:kogsy Describe the public purpose made pursuant to the agency's policy
Passes
4. Verification
1 have read and
with the requires
Regulations 18944.1 and 18942.1 have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Title (month, day, year)
FPPC Form 8021212016)
FPPC Toll -Free Helpiine: 8661ASK-FPPC (8661275-3772)
Agency Report of: California
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 H to identify an individual. -Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit
of Ticke4sy!
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of individual
(Last First}
Number
of Tkket[sy!
Passes
Identify one of the following:
Ceremonial R�ie ❑ Other ® income ❑
Christy HDlstege
2
11checking CaenonlalRae-W'Olherdescdbeberow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)
Geoff Kors
Ceremonial Role ❑ other ® Income ❑
2
If checking 'Ceremonial Rafe or Other describe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)
Ceremonial Role ❑ Other ® income ❑
J.R. Roberts
n
L
Ircheckfng•Ceremonlar Role- W•OrberdeSGlbebftw
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)
Ceremonial Role ❑ other ® Income ❑
David Ready
2
lrcheckftTeremonlalRole or otherdescnbebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)
C. Name of Outside Organization
(include address and description)
of T Number mber l
Passes
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (2J2016)
FPPC Tall -Free Helpllne: 8661ASK-FPPC (866/275-3772)
Form 802 — Additional Tickets for Palm Springs International Film Festival
Fuller, Marcus — 2, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(vii)
Kotkin, Edward —1, Public Purpose as described by PS Resolution No. 22454, Section 1(d)(vii)