2018-01-02 PS Film Festival SponsorAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions A Public Document
1. Agency Name C t I & t4amp
City of Palm Springs y= F A L H 5 P It MOnly
ForOfCdal use
Division, Department, or Region (lfapplicable) 2010 20 Ate 9: 58
Designated Agency Contact (Mame,rttle) 4UMUL F 7i I W I Y GLF R�
Christina Chartier, Executive Assistant to Mayor and Council
❑ Amendment (Must Provide Explanation in Pad 3.)
760-322-8366 christina.chartier@paimspdngsca.gov Date of Original Filing: (month, day, year)
2. Function or Event Information
Does the agency have a ticket policy? Yes ® No ❑ Face Value of Each Ticket/Pass $ 500.00 Sponsor
Event Description: Palm Springs International Film Fest Date(s) 01 1 02 1 18 01/ 16 1 18
Provide TitfelEx0ana6on
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:
Ofrrelat'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 Tieks!(sjf
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of individual
Number
of TiekegaY
Identify one of the following:
(Last, First)
Passes
Ceremonial Role ❑ Other ® Income ❑
Chris Mills
2
ltchecking'Ceremonlal Role'or rather describe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Deborah Rivera
Ceremonial Role ❑ Other ❑X Income ❑
2
B Checkup 'Ceremonial Role' or'Olher desmbe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
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
4. Verification
l have read and understand Regulations 18944.1 and 18942. t have verified that the distribution set forth above, is in accordance
FP
with the requirements.
11 David Ready City Manager
Signature of Agency H d r . nee Print Name Title (month, day, year)
Comment:
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 866tASK-FPPC (8661276-3772)
Agency Report of: California
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.
Number
A. Name of Agency, Department or knit
of Inckoksy
Passes
Describe the public purpose made pursuant to the agency's policy
B. Name of Individual
(Last, First)
Number
of Tickat(sy
Passes
Identify one of the following:
Alex Martinez
2
Ceremonial Role ❑ other ® Income ❑
frchecfdrVT&emonielRole, w Oiher'des=bebelow
Public Purpose as defined by PS Resolution No. 22454,
Section 1 (d)(vii)
Joe Andrade
2
Ceremonial Role ❑ Other ® Income ❑
1/Checkn2 Teiemon,e, !;we =r 0tw desmoe below
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vil)
Edward Kotkin
1
Ceremonial Role ❑ other ® Irimme ❑
1lcheckog CemmmalRole'or'Otherdescdbobelaw
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii
Ceremonial Role ❑ Other ❑ inccme ❑
fr checkrng'Ceremonla! Rote' w'Offrer describe below
Name of Outside Organization
C.�
(include address and description)
Number
of Ticket(au
psi
Describe the public purpose made pursuant to the agency's policy
FPPC Form 802 (212016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)